2021-11-08T16:04:14-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 8390 EAST CRESCENT PARKWAY SUITE 300 GREENWOOD VILLAGE CO 80111 990 2020-01-01 261243347 GUNNISON VALLEY HEALTH FOUNDATION GUNN 9706428406 711 NORTH TAYLOR STREET GUNNISON CO 81230 JENNIFER BIRNIE EXECUTIVE DIRECTOR 9706428406 2021-11-02 1 JENNIFER BIRNIE XXX-XX-XXXX SARAH HINTZ P00492291 3037795710 2021-11-02 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z JENNIFER BIRNIE 711 NORTH TAYLOR STREET GUNNISON CO 81230 441503 0 X WWW.GUNNISONVALLEYHEALTH.ORG X 2007 CO SUPPORT GUNNISON VALLEY HEALTH IN DELIVERING HIGH QUALITY CARE IN GUNNISON COUNTY & SURROUNDING AREAS. 15 12 0 70 0 0 242913 389979 0 0 432616 43757 -1776 -4785 673753 428951 256373 158634 0 0 0 0 3605 5323 5323 16752 17033 276730 180990 397023 247961 2773429 3225031 3726 20293 2769703 3204738 X THE GUNNISON VALLEY HEALTH FOUNDATION EXISTS TO DEVELOP, PRESERVE & PROVIDE FINANCIAL RESOURCES TO THE GUNNISON HEALTH FACILITIES TO IMPROVE THE QUALITY AND BREADTH OF HEALTH CARE IN GUNNISON VALLEY. 0 0 144542 144542 0 THE GUNNISON VALLEY HEALTH FOUNDATION PROVIDES FINANCIAL SUPPORT TO THE GUNNISON VALLEY HEALTH SYSTEM (GVH). IN 2020, THE FOUNDATION SUPPORTED THE FOLLOWING PROGRAMS: BEHAVIORAL HEALTH SERVICES, TEDDY BEARS FOR PEDIATRIC PATIENTS THROUGHOUT THE HEALTH SYSTEM, BABY BASKETS FOR NEW MONTHS IN THE FAMILY BIRTH CENTER, FUNDING FOR COVID 19 TESTING OF EMPLOYEES, FUNDING FOR PERSONAL PROTECTIVE EQUIPMENT (PPE), DISINFECTING EQUIPMENT, SUPPLIES FOR BEREAVEMENT GROUPS, MINOR EQUIPMENT FOR HOSPICE/HOME HEALTH STAFF, INTEGRATIVE THERAPY SERVICES FOR SENIORS, IPADS/COMMUNICATION DEVICES FOR SENIOR CARE CENTER RESIDENTS DURING COVID, PEDIATRIC DISTRACTION DEVICES AND NURSING PROGRAM SCHOLARSHIPS FOR SENIOR CARE CENTER EMPLOYEES. FUNDS GIVEN TO GVH FOR THESE PROGRAMS AND MATERIALS WERE OBTAINED THROUGH FUNDRAISING EFFORTS, EVENTS AND GRANTS. 14092 14092 0 THE HIGH PEAKS EMPLOYEE CLUB IS AN ORGANIZATION IN WHICH EMPLOYEES DONATE A PORTION OF THEIR PAYCHECK TO THE CLUB. ALL PROCEEDS GO BACK TO ITEMS AND SERVICES FOR EMPLOYEES. IN 2018, FUNDS SUPPORTED AN EMERGENCY FUND FOR STAFF IN CRISIS AND OTHER STAFF SUPPORT. 158634 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 12 0 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X JENNIFER BIRNIE 9706428406 711 NORTH TAYLOR STREET GUNNISON CO 81230 DR JOHN TARR PRESIDENT 1.00 0.00 X X 0 0 0 SHELLEY JANSEN VICE PRESIDENT 1.00 0.00 X X 0 0 0 ALISA COREY TREASURER 1.00 0.00 X X 0 0 0 MARTINA WALTON SECRETARY 1.00 0.00 X X 0 0 0 LAURA CALVIN DIRECTOR 1.00 0.00 X 0 0 0 MARLA COVEY DIRECTOR 1.00 1.00 X 0 0 0 CAROL MAY DIRECTOR 1.00 0.00 X 0 0 0 MEGAN MENSING HOME HEALTH PHYSICAL THERAPIST 40.00 0.00 X 0 88078 18268 STEVE OGDEN DIRECTOR 1.00 0.00 X 0 0 0 SARAH OTERO DIRECTOR 1.00 0.00 X 0 0 0 ROB SANTILLI GVH CEO 2.00 38.00 X X 0 420470 15591 CAROL SPECTOR DIRECTOR 1.00 0.00 X 0 0 0 CATHY STEINBERGER DIRECTOR 1.00 0.00 X 0 0 0 MARK VANDERVEER GVH CFO 1.00 39.00 X X 0 157920 9112 LUCY ZAVALA DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER BIRNIE EXECUTIVE DIRECTOR 40.00 0.00 X 0 121982 3390 TAMMY SCOTT FOUNDATION COORDINATOR 25.00 0.00 X 0 35000 0 0 823450 46361 0 0 1 0 0 26000 363979 389979 43757 43757 7767 7767 0 0 0 4785 -4785 -4785 428951 0 0 38972 158634 158634 5323 5323 13281 13281 2769 2769 703 703 EDUCATION 194 194 DUES & SUBSCRIPTIONS 86 86 180990 158634 17033 5323 411479 152275 2341580 3050814 1572 16654 16654 0 0 20370 20370 2773429 3225031 3726 20293 3726 20293 X 1531224 1342849 1238479 1861889 2769703 3204738 2773429 3225031 247961 187074 0 X X 0 1 X 1 0 X 162753 537923 230743 242913 389979 1564311 162753 537923 230743 242913 389979 1564311 483139 1081172 27369 24496 38188 33307 43757 167117 264 264 1731692 117555 0.62430 0.55210 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELANEOUS - 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 264. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16654 16654 0 0 1 GUNNISON VALLEY HOSPITAL 711 NORTH TAYLOR STREET GUNNISON CO 81230 846008116 GUNNISON VALLEY HOSP 153934 SUPPORT HOSPITAL 0 1 PART I, LINE 2: RESTRICTED FUNDS ARE MAINTAINED FOR ALL GRANTS GIVEN AND RECEIVED AND THIS IS TRACKED ON AN EXCEL SPREADSHEET BY OUR ACCOUNTANT. X X X 0 0 0 0 0 0 0 0 0 ROB SANTILLI GVH CEO 0 357695 0 62775 0 0 0 11191 0 4400 0 436061 0 0 MARK VANDERVEER GVH CFO 0 157920 0 0 0 0 0 2228 0 6884 0 167032 0 0 PART I, LINE 3 COMPENSATION OF THE GUNNISON VALLEY HEALTH FOUNDATION EXECUTIVE DIRECTOR IS DETERMINED BY THE HOSPITAL CEO AND THE HOSPITAL HUMAN RESOURCES DEPARTMENT AS THE EXECUTIVE DIRECTOR IS A HOSPITAL EMPLOYEE. THE FOLLOWING WERE USED BY THE HOSPITAL TO DETERMINE THE EXECUTIVE DIRECTOR'S COMPENSATION: 1. WRITTEN EMPLOYMENT CONTRACT 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 3 ALL MANAGEMENT SERVICES ARE PROVIDED BY EMPLOYEES OF GUNNISON VALLEY HOSPITAL, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ALL BOARD MEMBERS ARE ELECTED BY THE BOARD OF TRUSTEES OF GUNNISON VALLEY HEALTH SYSTEM. FIVE OF THE BOARD MEMBERS ARE THE HEALTH SYSTEM'S CEO AND CFO, A MEMBER OF THE HEALTH SYSTEM'S BOARD OF TRUSTEES WHO IS APPOINTED BY THE CHAIR OF THE HEALTH SYSTEM'S BOARD OF TRUSTEES, A PHYSICAN REPRESENTATIVE WHO IS APPOINTED BY THE HEALTH SYSTEM'S CHIEF OF STAFF, AND A HEALTH SYSTEM NON-PHYSICIAN STAFF MEMBER WHO IS APPOINTED BY THE HEALTH SYSTEM'S CEO. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN PORTIONS OF THE FOUNDATION'S BYLAWS MAY NOT BE AMENDED OR REPEALED WITHOUT THE WRITTEN APPROVAL OF THE BOARD OF TRUSTEES OF THE HEALTH SYSTEM. THE FOUNDATION HAS NO POWER OR AUTHORITY TO MAKE ANY GRANT THAT FALLS OUTSIDE OF THE GRANT-MAKING GUIDELINES ADOPTED BY THE FOUNDATION'S BOARD OF DIRECTORS AND APPROVED BY THE HEALTH SYSTEM'S BOARD OF TRUSTEES WITHOUT THE PRIOR APPROVAL OF THE HEALTH SYSTEM'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY GUNNISON VALLEY HEALTH'S CFO AND GUNNISON VALLEY HEALTH FOUNDATION'S EXECUTIVE DIRECTOR AND A COPY WAS PROVIDED TO THE FOUNDATION'S BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION'S CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO, COMPLETED BY, AND COLLECTED FROM EACH DIRECTOR ON THE BOARD ON AN ANNUAL BASIS. IF A DIRECTOR HAS A POTENTIAL CONFLICT OF INTEREST, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS DETERMINE WHETHER A CONFLICT EXISTS AND DETERMINE APPROPRIATE STEPS TO TAKE IN RESPONSE. ACTIONS MAY INCLUDE BEING EXCUSED FROM DISCUSSIONS, EXCUSED FROM VOTES, OR WITHDRAWAL FROM THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15A THE GUNNISON VALLEY HEALTH CEO AND THE FOUNDATION'S BOARD, USING INDUSTRY COMPARISONS, DETERMINED THE APPROPRIATE COMPENSATION FOR THE FOUNDATION'S EXECUTIVE DIRECTOR IN 2020. ALL OTHER COMPENSATION IS DETERMINED BY GUNNISON VALLEY HEALTH. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED THEIR OVERSIGHT IN THIS PROCESS. GUNNISON VALLEY HOSPITAL 711 N TAYLOR ST GUNNISON CO 81230 846008116 HOSPITAL CO N/A 0 GUNNISON VALLEY HEALTH SENIOR CARE CENTER 1500 W TOMICHI AVENUE GUNNISON CO 81230 841288611 HEALTH CARE CENTER CO N/A 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 GUNNISON VALLEY HOSPITAL B 153934 CASH PAID