2019-07-23T17:41:45-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 8390 E CRESCENT PARKWAY SUITE 300 GREENWOOD VILLAGE CO 80111 990 2018-01-01 261243347 GUNNISON VALLEY HEALTH FOUNDATION GUNN 9706428406 711 NORTH TAYLOR STREET GUNNISON CO 81230 TAMMY SCOTT FOUNDATION COORDINATOR 9706428406 2019-07-22 1 KURT BENNION P01469618 3037795710 2019-07-22 67.137.57.251 2019-07-22 16:44:27 PD P CB7CF8D7F2EFC0B7F06C37225779BA248FFFA305 3605098DE1C5714001CCA2EBA3FCCF3F67934A02 2018 2019-02-21 02:37:17Z TAMMY SCOTT 711 NORTH TAYLOR STREET GUNNISON CO 81230 690887 0 X WWW.GUNNISONVALLEYHEALTH.ORG X 2007 CO TO RAISE FUNDS TO SUPPORT GUNNISON VALLEY HEALTH SYSTEM'S PROGRAMS AND SERVICES. 10 8 0 0 0 0 537923 230743 0 0 111421 -194435 -22049 9366 627295 45674 409313 24106 0 0 0 0 0 0 3904 49723 11686 459036 35792 168259 9882 2362798 2376107 0 3427 2362798 2372680 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 11520 11520 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. 12586 12586 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. 24106 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 10 8 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X TAMMY SCOTT 9706428406 711 N 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 THOMAS HARVEY TREASURER & HOSPITAL CFO (THROUGH MARCH 2018) 1.00 39.00 X X 0 30601 834 MICHAEL BARNES DIRECTOR & TREASURER 1.00 0.00 X X 0 0 0 ROBERT SANTILLI DIRECTOR & HOSPITAL CEO 2.00 38.00 X X 0 348246 3827 MARLA COVEY DIRECTOR 1.00 1.00 X 0 0 0 NORMAN EASTWOOD DIRECTOR (THROUGH NOVEMBER 2018) 1.00 0.00 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 75387 2070 CATHY STEINBERGER DIRECTOR 1.00 0.00 X 0 0 0 KIMRBERLY UDELL DIRECTOR (THROUGH MARCH 2018) 1.00 0.00 X 0 0 0 LUCY ZAVALA DIRECTOR 1.00 0.00 X 0 0 0 LESLIE HUGHES DEVELOPMENT DIRECTOR (THROUGH JAN 19) 40.00 0.00 X 0 46801 1155 TAMMY SCOTT FOUNDATION COORDINATOR 32.00 0.00 X 0 32894 0 0 533929 7886 0 0 1 0 0 19009 211734 1450 230743 38188 38188 393572 626195 -232623 -232623 -232623 28120 19009 19018 9102 9102 MISCELLANEOUS INCOME 900099 264 264 264 45674 0 0 -185069 X 24106 24106 3954 3954 102 102 3530 3530 FUNDRAISING 3904 3904 STAFF DEVELOPMENT 126 126 DUES & SUBSCRIPTIONS 70 70 35792 24106 7782 3904 67802 436495 2274626 1919242 37024 16654 20370 20370 2362798 2376107 0 3427 0 3427 X 88172 453438 2274626 1919242 2362798 2372680 2362798 2376107 9882 0 X 0 1 X 1 0 X 104582 231836 162753 537923 230743 1267837 104582 231836 162753 537923 230743 1267837 354606 913231 74315 50339 27369 24496 38188 214707 62789 76929 76185 28384 244287 1726831 0.52880 0.46180 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING EVENT REVENUES MISCELANEOUS 37024 16654 20370 20370 GOLF CLASSIC 28380 15914 12466 500 566 6139 1844 TASTE OF CARING 11105 3095 8010 2563 648 1 7644 7644 6750 7 47129 19009 28120 500 566 6750 8702 2499 19017 9103 1 GUNNISON VALLEY HOSPITAL 711 NORTH TAYLOR STREET GUNNISON CO 81230 846008116 GUNNISON VALLEY HOSP 24106 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 255742 0 43766 0 48738 0 0 0 3827 0 352073 0 0 PART I, LINE 3 COMPENSATION OF THE GUNNISON VALLEY HEALTH FOUNDATION COORDINATOR IS DETERMINED BY THE HOSPITAL CEO AND THE HOSPITAL HUMAN RESOURCES DEPARTMENT AS THE FOUNDATION COORDINATOR IS A HOSPITAL EMPLOYEE. THE FOLLOWING WERE USED BY THE HOSPITAL TO DETERMINE THE FOUNDATION COORDINATOR'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 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 2018. 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 IX, LINE 11G OUTSIDE CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,954. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,954. 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