GUNNISON VALLEY HEALTH FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
GUNNISON VALLEY HEALTH FOUNDATION (EIN 26-1243347)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-06-09
IRS object ID
201701609349300805
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-06-09T09:33:50-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18390 E CRESCENT PARKWAY SUITE 500AddressLine1Txt
CityGREENWOOD VILLAGECityNm
State AbbreviationCOStateAbbreviationCd
ZIP80111ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN261243347EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GUNNISON VALLEY HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGUNNBusinessNameControlTxt
Phone9706428406PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 NORTH TAYLOR STREETAddressLine1Txt
CityGUNNISONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81230ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNANCY OSMUNDSONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9706428406PhoneNum
Signature2017-06-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNIONPreparerPersonNm
PTINP01469618PTIN
Phone3037795710PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-06-07IPDt
IP Tm07:12:38IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3E4F18CB77D6EAFB55BE5397643245C4E488A262AtSubmissionCreationDeviceId
At Submission Filing Device IdFA31AA04F1E9B994011BE7FD015D0A50D50384CFAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNANCY OSMUNDSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 NORTH TAYLOR STREETAddressLine1Txt
CityGUNNISONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81230ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$303,961GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GUNNISONVALLEYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionTO RAISE FUNDS TO SUPPORT GUNNISON VALLEY HEALTH SYSTEM'S PROGRAMS AND SERVICES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$280,117PYContributionsGrantsAmt
CY Contributions Grants$162,753CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income-$7,336PYInvestmentIncomeAmt
CY Investment Income$65,023CYInvestmentIncomeAmt
PY Other Revenue$56,487PYOtherRevenueAmt
CY Other Revenue$36,515CYOtherRevenueAmt
PY Total Revenue$329,268PYTotalRevenueAmt
CY Total Revenue$264,291CYTotalRevenueAmt
PY Grants And Similar Paid$201,812PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$28,222CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$946CYTotalFundraisingExpenseAmt
PY Other Expenses$50,188PYOtherExpensesAmt
CY Other Expenses$83,478CYOtherExpensesAmt
PY Total Expenses$252,000PYTotalExpensesAmt
CY Total Expenses$111,700CYTotalExpensesAmt
PY Revenues Less Expenses$77,268PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$152,591CYRevenuesLessExpensesAmt
Total Assets BOY$2,076,314TotalAssetsBOYAmt
Total Assets EOY$2,289,512TotalAssetsEOYAmt
Total Liabilities BOY$34,366TotalLiabilitiesBOYAmt
Total Liabilities EOY$94,973TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,041,948NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,194,539NetAssetsOrFundBalancesEOYAmt
MissionTHE 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$26,022ExpenseAmt
Grant$26,022GrantAmt
Revenue$0RevenueAmt
DescTHE GUNNISON VALLEY HEALTH FOUNDATION PROVIDES FINANCIAL SUPPORT TO GUNNISON VALLEY HEALTH SYSTEM (GVH). IN 2016, THE FOUNDATION SUPPORTED THE FOLLOWING PROGRAMS: RENOVATION OF THE GVH BIRTHING CENTER; STUDER LEADERSHIP TRAINING; A NEW AMBULANCE; PRE-SURGICAL MASSAGES FOR PATIENTS; TOYS AND RESOURCES FOR PEDIATRIC REHABILITATION PATIENTS; TWO VEHICLES FOR HOME MEDICAL SERVICES STAFF TRAVEL; A NEW VITAL MONITOR FOR THE MOUNTAIN CLINIC; STAR PROGRAM CERTIFICATION; BEHAVIORAL HEALTH SERVICES; SENIOR ACTIVITIES; GIFT BAGS FOR NEW MOMS; AND TEDDY BEARS FOR PEDIATRIC PATIENTS THROUGHOUT THE HEALTH SYSTEM. FUNDS GIVEN TO GVH FOR THESE PROGRAMS AND MATERIALS WERE OBTAINED THROUGH FUNDRAISING EFFORTS AND EVENTS AND GRANTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,200ExpenseAmt
Grant$2,200GrantAmt
Revenue$0RevenueAmt
DescTHE 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 2016, FUNDS SUPPORTED AN EMERGENCY FUND FOR STAFF IN CRISIS AND KUERIG COFFEE POTS FOR PATIENT CARE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$28,222TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNANCY OSMUNDSONPersonNm
Phone9706428406PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 N TAYLOR STREETAddressLine1Txt
CityGUNNISONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81230ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JOHN TARR MD
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
TAMMY SCOTT
VICE CHAIR1.000.00Yes (X)Yes (X)$0$0$0
JAMES BARBUAT TREASURER
& HOSPITAL CFO (THROUGH MAY 2016)1.0039.00Yes (X)Yes (X)$0$161,890$0
THOMAS HARVEY
TREASURER & HOSPITAL CFO1.0039.00Yes (X)Yes (X)$0$61,538$0
ROBERT SANTILLI
DIRECTOR & HOSPITAL CEO2.0038.00Yes (X)Yes (X)$0$279,865$0
CHUCK CLIGGETT
DIRECTOR1.000.00Yes (X)$0$0$0
MARLA COVEY
DIRECTOR1.001.00Yes (X)$0$0$0
NORMAN EASTWOOD
DIRECTOR1.000.00Yes (X)$0$0$0
MENDY GRIFFEN-MUHM
DIRECTOR1.000.00Yes (X)$0$0$0
SHELLEY HIGGINS DIRECTOR
& STAFF LIAISON (THROUGH APRIL 2016)1.0039.00Yes (X)$0$66,203$0
DR MARK KAUFMAN
DIRECTOR1.000.00Yes (X)$0$0$0
DIANNE LAWSON BAKER
DIRECTOR1.000.00Yes (X)$0$0$0
KATHY MACALLISTER
DIRECTOR1.000.00Yes (X)$0$0$0
MICHELLE ROBERTSON
DIRECTOR & STAFF LIAISON1.0039.00Yes (X)$0$44,005$0
CATHY STEINBERGER
DIRECTOR1.000.00Yes (X)$0$0$0
LUCY ZAVALA
DIRECTOR1.000.00Yes (X)$0$0$0
NANCY OSMUNDSON
EXECUTIVE DIRECTOR40.000.00Yes (X)$0$82,009$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$695,510TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$24,916GovernmentGrantsAmt
All Other Contributions$137,837AllOtherContributionsAmt
Noncash Contributions$16,620NoncashContributionsAmt
Total Contributions$162,753TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,369TotalRevenueColumnAmt
Exclusion$27,369ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$37,654SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$37,654SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,654TotalRevenueColumnAmt
Exclusion$37,654ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$76,185FundraisingGrossIncomeAmt
Fundraising Direct Expenses$39,670FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,515TotalRevenueColumnAmt
Exclusion$36,515ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$264,291TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$101,538ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$28,222TotalAmt
Program Services$28,222ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$73,917TotalAmt
Management And General$73,917ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,396TotalAmt
Management And General$1,396ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
STAFF DEVELOPMENT$4,600$4,600
MISCELLANEOUS EXPENSE$2,619$2,619
FUNDRAISING$946$946

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$111,700TotalAmt
Program Services$28,222ProgramServicesAmt
Management And General$82,532ManagementAndGeneralAmt
Fundraising$946FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$571,781BOYAmt
EOY$705,910EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$113,181BOYAmt
EOY$55,456EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$37,024LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,654LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,000BOYAmt
EOY$20,370EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,388,352BOYAmt
EOY$1,507,776EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,076,314BOYAmt
EOY$2,289,512EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$34,366BOYAmt
EOY$185EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$94,788EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,366BOYAmt
EOY$94,973EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,041,948BOYAmt
EOY$2,194,539EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,041,948BOYAmt
EOY$2,194,539EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,076,314BOYAmt
EOY$2,289,512EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$152,591ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$447,214CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$84,004CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$104,582CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$231,836CurrentTaxYearMinus1YearAmt
Current Tax Year$162,753CurrentTaxYearAmt
Total$1,030,389TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$194,078CurrentTaxYearMinus4YearsAmt
Total$194,078TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$641,292CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$84,004CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$104,582CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$231,836CurrentTaxYearMinus1YearAmt
Current Tax Year$162,753CurrentTaxYearAmt
Total$1,224,467TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$10,583SubstantialContributorsTotAmt
Public Support Total170$1,213,884PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$47,954CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$99,777CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$74,315CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$50,339CurrentTaxYearMinus1YearAmt
Current Tax Year$27,369CurrentTaxYearAmt
Total$299,754TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,781CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,946CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,789CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76,929CurrentTaxYearMinus1YearAmt
Current Tax Year$76,185CurrentTaxYearAmt
Total$296,630TotalAmt
FieldValueIRS element (for citing)
Total Support$1,820,851TotalSupportAmt
Public Support CY1700.66670PublicSupportCY170Pct
Public Support PY1700.70600PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationFUNDRAISING EVENT REVENUESExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,024OtherCostOrOtherBasisAmt
Depreciation$16,654DepreciationAmt
Book Value$20,370BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,370TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED ORGANIZATIONSDesc
Amt$94,788Amt
FieldValueIRS element (for citing)
Total Liability$94,788TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF CLASSICEvent1Nm
Gross Receipts Event1$30,995GrossReceiptsEvent1Amt
Gross Revenue Event1$30,995GrossRevenueEvent1Amt
Cash Prizes Event1$500CashPrizesEvent1Amt
Non Cash Prizes Event1$3,200NonCashPrizesEvent1Amt
Food And Beverage Event1$10,160FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$5,731OtherDirectExpensesEvent1Amt
Event2WINONA JUDD CONCERTEvent2Nm
Gross Receipts Event2$45,090GrossReceiptsEvent2Amt
Gross Revenue Event2$45,090GrossRevenueEvent2Amt
Entertainment Event2$20,000EntertainmentEvent2Amt
Other Direct Expenses Event2$79OtherDirectExpensesEvent2Amt
Gross Receipts Total$76,085GrossReceiptsTotalAmt
Gross Revenue Total Events$76,085GrossRevenueTotalEventsAmt
Cash Prizes Total Events$500CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$3,200NonCashPrizesTotalEventsAmt
Food And Beverage Total Events$10,160FoodAndBeverageTotalEventsAmt
Entertainment Total Events$20,000EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$5,810OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$39,670DirectExpenseSummaryEventsAmt
Net Income Summary$36,415NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1GUNNISON VALLEY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 NORTH TAYLOR STREETAddressLine1Txt
CityGUNNISONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81230ZIPCd
FieldValueIRS element (for citing)
Recipient EIN846008116RecipientEIN
IRC SectionGUNNISON VALLEY HOSPIRCSectionDesc
Cash Grant$24,113CashGrantAmt
Purpose Of GrantSUPPORT HOSPITALPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANT FUNDS ARE MADE TO RELATED ORGANIZATIONS. THE ORGANIZATIONS ARE IN CONSTANT CONTACT RELATED TO PROGRAMS AND ACTIVITY EXPENDITURES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES BARBUAT TREASURER
& HOSPITAL CFO (THROUGH MAY 2016)$0$81,171$0$0$0$80,719$0$0$0$0$0$161,890$0$0
ROBERT SANTILLI
DIRECTOR & HOSPITAL CEO$0$279,865$0$0$0$0$0$0$0$0$0$279,865$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3COMPENSATION 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
PART I, LINE 4AJAMES BARBUAT - SEVERANCE PACKAGE - $80,719 PAID BY THE HOSPITAL

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7AALL 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 7BCERTAIN 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 11BTHE 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 12CTHE 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 15ATHE GUNNISON VALLEY HEALTH CEO AND THE FOUNDATION'S BOARD, USING INDUSTRY COMPARISONS, DETERMINED THE APPROPRIATE COMPENSATION FOR THE FOUNDATION'S EXECUTIVE DIRECTOR IN 2016. ALL OTHER COMPENSATION IS DETERMINED BY GUNNISON VALLEY HEALTH.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GOUTSIDE CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 68,051. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,051. BANK FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,299. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,299. CREDIT CARD FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,567. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,567.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
GUNNISON VALLEY HOSPITAL
711 N TAYLOR STGUNNISONCO81230846008116HOSPITALCON/A0
GUNNISON VALLEY HEALTH SENIOR CARE CENTER
1500 W TOMICHI AVENUEGUNNISONCO81230841288611HEALTH CARE CENTERCON/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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