2016-06-23T15:58:07-05:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 8390 E CRESCENT PARKWAY SUITE 500 GREENWOOD VILLAGE CO 80111 990 2015-01-01 261243347 GUNNISON VALLEY HEALTH FOUNDATION GUNN 9706428406 711 NORTH TAYLOR STREET GUNNISON CO 81230 NANCY OSMUNDSON EXECUTIVE DIRECTOR 9706428406 2016-06-17 1 KURT BENNION P01469618 3037795710 2015 2016-09-27 15:27:22Z NANCY OSMUNDSON 711 NORTH TAYLOR STREET GUNNISON CO 81230 428180 0 X WWW.GUNNISONVALLEYHEALTH.ORG X 2007 CO TO RAISE FUNDS TO SUPPORT GUNNISON VALLEY HEALTH SYSTEM'S PROGRAMS AND SERVICES. 13 11 0 18 0 0 104582 280117 0 0 59275 -7336 39519 56487 203376 329268 34840 201812 0 0 0 0 0 0 0 36330 50188 71170 252000 132206 77268 1964680 2076314 0 34366 1964680 2041948 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 123693 123693 0 THE GUNNISON VALLEY HEALTH FOUNDATION PROVIDES FINANCIAL SUPPORT TO GUNNISON VALLEY HOSPITAL.THE FOUNDATION HAS PARTNERED WTIH GUNNISON VALLEY HOSPITAL TO FACILITATE THE MEDICAL STUDENT LOAN PROGRAM. THE GOAL OF THIS PROGRAM IS TO RECRUIT AND RETAIN FAMILY PRACTICE AND OTHER NEEDED PHYSICIANS TO OUR RURAL AREA. THE FOUNDATION AND HOSPITAL RECENTLY COMPLETED ITS FIRST 3-YEAR STUDENT LOAN AGREEMENT PROVIDING $10,000 EACH YEAR TO A MEDICAL STUDENT WHO WILL RETURN TO THE AREA TO PRACTICE MEDICINE IN RETURN FOR FORGIVENESS OF THE LOAN. THE FOUNDATION RAISES THE MONEY AND GIVES IT TO THE HOSPITAL; THE HOSPITAL THEN PAYS AND HAS THE AGREEMENT WITH THE MEDICAL STUDENT. 78119 78119 0 THE GUNNISON VALLEY HEALTH FOUNDATION PROVIDES FINANCIAL SUPPORT TO GUNNISON VALLEY HEALTH SENIOR CARE CENTER.THE FOUNDATION USED THIS FUNDING TO SUPPORT CONTINUING EDUCATION AND CERTIFICATION FOR STAFF OF THE SENIOR CARE CENTER. PART OF THE FUNDING CAME FROM THE EMPLOYEE GIVING PROGRAM, HIGH PEAKS, AND THE REST FROM THE FOUNDATION GENERALLY. 201812 1 1 0 0 0 0 0 1 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 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 13 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 81320 JOHN TARR 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 1.00 39.00 X X 0 131905 0 ROBERT SANTILLI HOSPITAL CEO 2.00 38.00 X X 0 232579 0 NICHOLE BAKER DIRECTOR 2.00 38.00 X 0 71498 0 CHUCK CLIGGETT DIRECTOR 1.00 0.00 X 0 0 0 MARLA COVEY DIRECTOR 1.00 0.00 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 1.00 0.00 X 0 0 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 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 66036 0 0 502018 0 0 0 1 0 0 7220 900 271997 43992 280117 50339 50339 20795 78470 -57675 -57675 -57675 76929 20442 56487 56487 329268 0 0 49151 X 201812 201812 25864 25864 993 993 16749 16749 1323 1323 3650 3650 MISCELLANEOUS EXPENSE 1609 1609 252000 201812 50188 0 439352 571781 38550 113181 16654 16654 0 0 1483778 1388352 3000 3000 1964680 2076314 34366 0 34366 X 1964680 2041948 1964680 2041948 1964680 2076314 77268 0 X 0 1 X 1 0 X 189330 447214 84004 104582 231836 1056966 123053 194078 317131 312383 641292 84004 104582 231836 1374097 1374097 39273 47954 99777 74315 50339 311658 39976 40781 39946 62789 76929 260421 1946176 0.70600 0.89440 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME FUNDRAISING EVENT REVENUES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 3000 X 1 16654 16654 0 0 PART III, LINE 4: THE ARTWORK IS DISPLAYED FOR THE USE AND ENJOYMENT OF THE HEALTH SYSTEM IN OUR STAFF DINING AREA. IT REMAINS FOR SALE WHILE IT IS DISPLAYED. IF A PIECE DOES SELL, THE SALE IS HANDLED THROUGH THE FOUNDATION AND A PORTION OF THE PROCEEDS WILL BE DONATED BACK TO THE FOUNDATION. GOLF CLASSIC 55147 55147 500 11892 7130 920 TASTE OF CARING 21782 21782 76929 76929 500 11892 7130 920 20442 56487 1 GUNNISON VALLEY HOSPITAL 711 NORTH TAYLOR STREET GUNNISON CO 81230 846008116 GOVERNMENT 123693 SUPPORT HOSPITAL GUNNISON VALLEY HEALTH SENIOR CARE CENTER 1500 WEST TOMICHI AVENUE GUNNISON CO 81230 841288611 GOVERNMENT 78119 SUPPORT SENIOR CARE CENTER 2 0 PART I, LINE 2: EXPLANATION: GRANT FUNDS 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 HOSPITAL CEO 0 232579 0 0 0 0 0 0 0 0 0 232579 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 X 2 12200 APPRAISAL X 5483 DONOR PROVIDED X 11 5904 DONOR PROVIDED X GIFT CERTIFICATES 12 11405 DONOR PROVIDED X FURNITURE & EQUIP. 2 9000 DONOR PROVIDED 0 0 0 0 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENT IN ADDITION, THE DR. TARR NURSING AWARD PROGRAM WAS STARTED A NUMBER OF YEARS AGO BY A GENEROUS DONOR. THE GUNNISON VALLEY HEALTH FOUNDATION PARTNERS WITH GUNNISON VALLEY HOSPITAL TO HELP OVERSEE THIS ANNUAL AWARD FOR NURSING EXCELLENCE. THE FOUNDATION RECEIVES THE DONATION AND GIVES THE MONEY TO THE HOSPITAL; THE HOSPITAL THEN PAYS THE RECIPIENT. MEDICAL STAFF AND PEERS VOTE FOR A DESERVING NURSE EACH YEAR. 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 11 THE FORM 990 WAS REVIEWED BY GUNNISON VALLEY HEALTH'S CEO 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 2015. 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 25,864. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,864. 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 0 0 0 0