2020-08-26T16:55:35-05:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2019-01-01 261243347 GUNNISON VALLEY HEALTH FOUNDATION GUNN 9706428406 711 NORTH TAYLOR STREET GUNNISON CO 81230 JENNIFER BIRNIE EXECUTIVE DIRECTOR 9706428406 2020-08-26 1 KURT BENNION CPA P01469618 4252506100 2020-08-26 67.137.57.251 2020-08-26 07:47:57 PD P 26C8EB6CBFF908C19EE8E81CE4CE9FA3BB38FC5C 147C5BFBE6CB0A769A98F05292F6D94697C9BF55 2019 2020-11-19 02:30:22Z JENNIFER BIRNIE 711 NORTH TAYLOR STREET GUNNISON CO 81230 688779 0 X WWW.GUNNISONVALLEYHEALTH.ORG X 2007 CO TO RAISE FUNDS TO SUPPORT GUNNISON VALLEY HEALTH SYSTEM'S PROGRAMS AND SERVICES. 11 8 0 24 0 0 230743 242913 0 0 -194435 432616 9366 -1776 45674 673753 24106 256373 0 0 0 0 0 3605 3605 11686 16752 35792 276730 9882 397023 2376107 2773429 3427 3726 2372680 2769703 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 248047 248047 0 THE GUNNISON VALLEY HEALTH FOUNDATION PROVIDES FINANCIAL SUPPORT TO GUNNISON VALLEY HEALTH SYSTEM (GVH). IN 2018, THE FOUNDATION SUPPORTED THE FOLLOWING PROGRAMS: STUDENT LEADERSHIP TRAINING; PRE-SURGICAL MASSAGES FOR PATIENTS; TOYS AND RESOURCES FOR PEDIATRIC REHABILITATION PATIENTS; STAR PROGRAM CERTIFICATION; BEHAVIORAL HEALTH SERVICES; SENIOR ACTIVITIES; GIFT BAGS FOR NEW MOMS; 3D TOMOSYNTHESIS; MINOR EQUIPMENT; TEDDY BEARS FOR PEDIATRIC PATIENTS THROUGHOUT THE HEALTH SYSTEM; AND PROVISION OF MINOR EQUIPMENT. FUNDS GIVEN TO GVH FOR THESE PROGRAMS AND MATERIALS WERE OBTAINED THROUGH FUNDRAISING EFFORTS AND EVENTS AND GRANTS. 8326 8326 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. 256373 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 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 11 8 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 COVEY SECRETARY 1.00 0.00 X X 0 0 0 MICHAEL BARNES TREASURER 1.00 0.00 X X 0 0 0 ROBERT SANTILLI DIRECTOR & HOSPITAL CEO 2.00 38.00 X X 0 389047 12502 MARK VANDERVEER DIRECTOR & HOSPITAL CFO 1.00 39.00 X X 0 54463 4556 MARLA COVEY DIRECTOR 1.00 1.00 X 0 0 0 SUSAN HOLAPPA DIRECTOR 1.00 0.00 X 0 0 0 MICHELLE ROBERTSON DIRECTOR & STAFF LIAISON 1.00 39.00 X 0 87882 4769 CATHY STEINBERGER DIRECTOR 1.00 0.00 X 0 0 0 LUCY ZAVALA DIRECTOR 1.00 0.00 X 0 0 0 TAMMY SCOTT FOUNDATION COORDINATOR (THROUGH AUG 2019) 32.00 0.00 X 0 33487 0 JENNIFER BIRNIE EXECUTIVE DIRECTOR 40.00 0.00 X 0 21499 0 0 586378 21827 0 0 1 0 0 28306 214607 242913 33307 33307 399309 0 399309 399309 399309 13250 28306 15026 -1776 -1776 673753 0 0 430840 256373 256373 3605 3605 10278 10278 3058 3058 54 54 2844 2844 DUES & SUBSCRIPTIONS 518 518 276730 256373 16752 3605 436495 411479 1919242 2341580 16654 16654 0 0 20370 20370 2376107 2773429 3427 3726 3427 3726 X 453438 1531224 1919242 1238479 2372680 2769703 2376107 2773429 397023 0 X 0 1 X 1 0 X 231836 162753 537923 230743 242913 1406168 231836 162753 537923 230743 242913 1406168 426482 979686 50339 27369 24496 38188 33307 173699 76929 76185 28384 13250 194748 1774615 0.55210 0.52880 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING EVENT REVENUES MISCELANEOUS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16654 16654 0 0 GOLF CLASSIC 21684 15234 6450 500 250 4180 1520 1661 HOSPICE GOLF TOURNAMENT 19872 13072 6800 6800 115 41556 28306 13250 500 250 10980 1635 1661 15026 -1776 1 GUNNISON VALLEY HOSPITAL 711 NORTH TAYLOR STREET GUNNISON CO 81230 846008116 GUNNISON VALLEY HOSP 256373 SUPPORT HOSPITAL 1 0 PART I, LINE 2: GRANTS ARE MADE TO RELATED ORGANIZATIONS. THE ORGANIZATIONS ARE IN CONSTANT CONTACT RELATED TO PROGRAMS AND ACTIVITY EXPENDITURES. 0 0 0 0 0 0 0 0 0 ROBERT SANTILLI DIRECTOR & HOSPITAL CEO 0 340063 0 48984 0 0 0 8400 0 4102 0 401549 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 2019. 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. 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