2017-06-09T09:33:50-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 8390 E CRESCENT PARKWAY SUITE 500 GREENWOOD VILLAGE CO 80111 990 2016-01-01 261243347 GUNNISON VALLEY HEALTH FOUNDATION GUNN 9706428406 711 NORTH TAYLOR STREET GUNNISON CO 81230 NANCY OSMUNDSON EXECUTIVE DIRECTOR 9706428406 2017-06-07 1 KURT BENNION P01469618 3037795710 67.137.57.251 2017-06-07 07:12:38 PD P 3E4F18CB77D6EAFB55BE5397643245C4E488A262 FA31AA04F1E9B994011BE7FD015D0A50D50384CF 2016 2021-01-29 14:40:06Z NANCY OSMUNDSON 711 NORTH TAYLOR STREET GUNNISON CO 81230 303961 0 X WWW.GUNNISONVALLEYHEALTH.ORG X 2007 CO TO RAISE FUNDS TO SUPPORT GUNNISON VALLEY HEALTH SYSTEM'S PROGRAMS AND SERVICES. 14 11 0 35 0 0 280117 162753 0 0 -7336 65023 56487 36515 329268 264291 201812 28222 0 0 0 0 0 0 946 50188 83478 252000 111700 77268 152591 2076314 2289512 34366 94973 2041948 2194539 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 26022 26022 0 THE 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. 2200 2200 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 2016, FUNDS SUPPORTED AN EMERGENCY FUND FOR STAFF IN CRISIS AND KUERIG COFFEE POTS FOR PATIENT CARE. 28222 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 3 0 0 0 0 0 0 0 1 1 0 0 0 0 X 14 11 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X NANCY OSMUNDSON 9706428406 711 N TAYLOR STREET GUNNISON CO 81230 JOHN TARR MD CHAIR 1.00 0.00 X X 0 0 0 TAMMY SCOTT VICE CHAIR 1.00 0.00 X X 0 0 0 JAMES BARBUAT TREASURER & HOSPITAL CFO (THROUGH MAY 2016) 1.00 39.00 X X 0 161890 0 THOMAS HARVEY TREASURER & HOSPITAL CFO 1.00 39.00 X X 0 61538 0 ROBERT SANTILLI DIRECTOR & HOSPITAL CEO 2.00 38.00 X X 0 279865 0 CHUCK CLIGGETT DIRECTOR 1.00 0.00 X 0 0 0 MARLA COVEY DIRECTOR 1.00 1.00 X 0 0 0 NORMAN EASTWOOD DIRECTOR 1.00 0.00 X 0 0 0 MENDY GRIFFEN-MUHM DIRECTOR 1.00 0.00 X 0 0 0 SHELLEY HIGGINS DIRECTOR & STAFF LIAISON (THROUGH APRIL 2016) 1.00 39.00 X 0 66203 0 DR MARK KAUFMAN DIRECTOR 1.00 0.00 X 0 0 0 DIANNE LAWSON BAKER DIRECTOR 1.00 0.00 X 0 0 0 KATHY MACALLISTER DIRECTOR 1.00 0.00 X 0 0 0 MICHELLE ROBERTSON DIRECTOR & STAFF LIAISON 1.00 39.00 X 0 44005 0 CATHY STEINBERGER DIRECTOR 1.00 0.00 X 0 0 0 LUCY ZAVALA DIRECTOR 1.00 0.00 X 0 0 0 NANCY OSMUNDSON EXECUTIVE DIRECTOR 40.00 0.00 X 0 82009 0 0 695510 0 0 0 1 0 0 24916 137837 16620 162753 27369 27369 37654 0 37654 37654 37654 76185 39670 36515 36515 264291 0 0 101538 X 28222 28222 73917 73917 1396 1396 STAFF DEVELOPMENT 4600 4600 MISCELLANEOUS EXPENSE 2619 2619 FUNDRAISING 946 946 111700 28222 82532 946 571781 705910 113181 55456 37024 16654 3000 20370 1388352 1507776 2076314 2289512 34366 185 0 94788 34366 94973 X 2041948 2194539 2041948 2194539 2076314 2289512 152591 0 X 0 1 X 1 0 X 447214 84004 104582 231836 162753 1030389 194078 194078 641292 84004 104582 231836 162753 1224467 10583 1213884 47954 99777 74315 50339 27369 299754 40781 39946 62789 76929 76185 296630 1820851 0.66670 0.70600 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING EVENT REVENUES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 37024 16654 20370 20370 DUE TO RELATED ORGANIZATIONS 94788 94788 GOLF CLASSIC 30995 30995 500 3200 10160 5731 WINONA JUDD CONCERT 45090 45090 20000 79 76085 76085 500 3200 10160 20000 5810 39670 36415 1 GUNNISON VALLEY HOSPITAL 711 NORTH TAYLOR STREET GUNNISON CO 81230 846008116 GUNNISON VALLEY HOSP 24113 SUPPORT HOSPITAL 1 0 PART I, LINE 2: GRANT FUNDS ARE MADE TO RELATED ORGANIZATIONS. THE ORGANIZATIONS ARE IN CONSTANT CONTACT RELATED TO PROGRAMS AND ACTIVITY EXPENDITURES. 1 0 0 0 0 0 0 0 0 JAMES BARBUAT TREASURER & HOSPITAL CFO (THROUGH MAY 2016) 0 81171 0 0 0 80719 0 0 0 0 0 161890 0 0 ROBERT SANTILLI DIRECTOR & HOSPITAL CEO 0 279865 0 0 0 0 0 0 0 0 0 279865 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 PART I, LINE 4A JAMES BARBUAT - SEVERANCE PACKAGE - $80,719 PAID BY THE HOSPITAL 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 2016. 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 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. 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