GUNNISON VALLEY HEALTH FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- GUNNISON VALLEY HEALTH FOUNDATION (EIN 26-1243347)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-23
- IRS object ID
- 201322969349300042
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-23T14:35:54-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 BRONZE POINTE | AddressLine1 |
| City | BELLEVILLE | City |
| State | IL | State |
| ZIP Code | 62226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261243347 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUNNISON VALLEY HEALTH FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GUNN | NameControl |
| Phone | 9706428406 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 N TAYLOR STREET | AddressLine1 |
| City | GUNNISON | City |
| State | CO | State |
| ZIP Code | 81320 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT SANTILLI | Name |
| Title | CEO | Title |
| Phone | 9706428406 | Phone |
| Date Signed | 2013-10-23 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFF PARKER | Name |
| PTIN | P00970069 | PTIN |
| Phone | 6182331200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT SANTILLI | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 N TAYLOR STREET | AddressLine1 |
| City | GUNNISON | City |
| State | CO | State |
| ZIP Code | 81320 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 776746 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GVH-COLORADO.ORG/PAGE.CFM?PAGEID=19248 | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2007 | YearFormation |
| State Legal Domicile | CO | StateLegalDomicile |
| Activity Or Mission Description | THE GUNNISON VALLEY HEALTH FOUNDATION EXISTS TO DEVELOP, PRESERVE & PROVIDE FINANCIAL RESOURCES TO THE GUNNISON HEALTHCARE FACILITIES TO IMPROVE THE QUALITY AND BREADTH OF HEALTH CARE IN GUNNISON COUNTY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 30 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 189330 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 447214 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 82973 | InvestmentIncomePriorYear |
| Investment Income Current Year | 58657 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 15840 | OtherRevenuePriorYear |
| Other Revenue Current Year | 24127 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 288143 | TotalRevenuePriorYear |
| Total Revenue Current Year | 529998 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 152976 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 169459 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 130429 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 42000 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 42000 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 19801 | OtherExpensePriorYear |
| Other Expenses Current Year | 40862 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 172777 | TotalExpensesPriorYear |
| Total Expenses Current Year | 382750 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 115366 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 147248 | RevenuesLessExpensesCY |
| Total Assets BOY | 1253431 | TotalAssetsBOY |
| Total Assets EOY | 1652586 | TotalAssetsEOY |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1253431 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1652586 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE GUNNISON VALLEY HEALTH FOUNDATION EXISTS TO DEVELOP, PRESERVE & PROVIDE FINANCIAL RESOURCES TO THE GUNNISON HEALTHCARE FACILITIES TO IMPROVE THE QUALITY AND BREADTH OF HEALTH CARE IN GUNNISON COUNTY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 169459 | Expense |
| Grants | 169459 | Grants |
| Description | THE GUNNISON VALLEY HEALTH FOUNDATION PROVIDES FINANCIAL SUPPORT TO GUNNISON VALLEY HOSPITAL.THE FOUNDATION HAS PARTNERED WITH 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.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 STAGG AND PEERS VOTE FOR A DESERVING NURSE EACH YEAR. | Description |
| Total Program Service Expense | 169459 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 1 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | LAUREN HOLBROOK | NamePerson |
| Telephone Number | 9706428406 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 N TAYLOR STREET | AddressLine1 |
| City | GUNNISON | City |
| State | CO | State |
| ZIP Code | 81320 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| MARLA COVEY | ||||||||
| CHAIR | 5.00 | X | X | 0 | 0 | 0 | ||
| VIRGINIA JONES | ||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| CHUCK CLIGGETT | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| FRED HAVERLY | ||||||||
| TRUSTEE LIASION | 1.00 | X | 0 | 0 | 0 | |||
| CATHY STEINBERGER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| TAMMY SCOTT | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| LUCY ZAVALA | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| NICHOLE BAKER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 53457 | 608 | 38.00 | ||
| ROBERT SANTILLI | ||||||||
| CEO HOSPITAL | 2.00 | X | 0 | 34615 | 0 | 38.00 | ||
| JOHN TARR | ||||||||
| CMO HOSPITAL | 1.00 | X | 0 | 57926 | 955 | 39.00 | ||
| LAUREN HOLBROOK | ||||||||
| EXECUTIVE DIRECTOR | 20.00 | X | 0 | 73862 | 1230 | 20.00 | ||
| DAVID FRESHOUR | ||||||||
| FORMER CFO HOSPITAL/TREASURER | 2.00 | 0 | 113286 | 0 | 38.00 | X | ||
| RANDY PHELPS | ||||||||
| FORMER CEO HOSPITAL | 2.00 | 0 | 107810 | 3685 | 38.00 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 440956 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 6478 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 10000 | FundraisingEvents |
| All Other Contributions | 437214 | AllOtherContributions |
| Total Contributions | 447214 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 47954 | TotalRevenueColumn |
| Exclusion | $47,954 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 240797 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 230094 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10703 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10703 | TotalRevenueColumn |
| Exclusion | $10,703 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 40781 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 10000 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 16654 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24127 | TotalRevenueColumn |
| Exclusion | $24,127 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 529998 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $82,784 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169459 | Total |
| Program Services | 169459 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 128131 | Total |
| Management And General | 128131 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2298 | Total |
| Management And General | 2298 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84 | Total |
| Management And General | 84 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4500 | Total |
| Management And General | 4500 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42000 | Total |
| Fundraising | 42000 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 511 | Total |
| Management And General | 511 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23230 | Total |
| Management And General | 23230 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3950 | Total |
| Management And General | 3950 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 502 | Total |
| Management And General | 502 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1503 | Total |
| Management And General | 1503 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1031 | Total |
| Management And General | 1031 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5551 | Total |
| Management And General | 5551 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 382750 | Total |
| Program Services | 169459 | ProgramServices |
| Management And General | 171291 | ManagementAndGeneral |
| Fundraising | 42000 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 174244 | BOY |
| EOY | 174953 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53940 | BOY |
| EOY | 50092 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 200 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 116654 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 16654 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105551 | BOY |
| EOY | 100000 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 919696 | BOY |
| EOY | 1324341 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 3000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1253431 | BOY |
| EOY | 1652586 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1253431 | BOY |
| EOY | 1652586 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1253431 | BOY |
| EOY | 1652586 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1253431 | BOY |
| EOY | 1652586 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 147248 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 57829 | ReconciliationUnrealizedInvest |
| Reconcilation Donated Services | 194078 | ReconcilationDonatedServices |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 115755 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 41627 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1053353 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 189330 | CurrentTaxYearMinus1Year |
| Current Tax Year | 447214 | CurrentTaxYear |
| Total | 1847279 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 122881 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 89783 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 126156 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 123053 | CurrentTaxYearMinus1Year |
| Current Tax Year | 194078 | CurrentTaxYear |
| Total | 655951 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 238636 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 131410 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1179509 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 312383 | CurrentTaxYearMinus1Year |
| Current Tax Year | 641292 | CurrentTaxYear |
| Total | 2503230 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 2503230 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 556 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 71 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8451 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 39273 | CurrentTaxYearMinus1Year |
| Current Tax Year | 116485 | CurrentTaxYear |
| Total | 164836 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 2668066 | TotalSupport |
| First5 Years170 | X | First5Years170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 100000 | InvestmentCostOrOtherBasis |
| Book Value | 100000 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16654 | OtherCostOrOtherBasis |
| Depreciation | 16654 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 100000 | TotalOfBookValueLandBuildings |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | 1 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
Name Of Organization NameOfOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILLARY LYONS ASSOCIATES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 398 | AddressLine1 |
| City | LAKECITY | City |
| State | CO | State |
| ZIP Code | 81235 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | CONSULTING AND GRANT WRITING | Activity |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFunds |
| Gross Receipts | 0 | GrossReceipts |
| Amount Retained By Contractor | 42000 | AmountRetainedByContractor |
| Net To Organization | -42000 | NetToOrganization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | 42000 | TotalRetainedByContractors |
| Total Net To Organization | -42000 | TotalNetToOrganization |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF CLASSIC | NameOfEvent1 |
| Gross Receipts Event1 | 25400 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 10000 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 15400 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 158 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 10684 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 3907 | OtherDirectExpensesEvent1 |
| Name Of Event2 | ISTAN DINNER | NameOfEvent2 |
| Gross Receipts Event2 | 25381 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 25381 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 470 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 1435 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 50781 | GrossReceiptsTotal |
| Charitable Contributions Total | 10000 | CharitableContributionsTotal |
| Gross Revenue Total Events | 40781 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 158 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 11154 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 5342 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 16654 | DirectExpenseSummaryEvents |
| Net Income Summary | 24127 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| GUNNISON VALLEY HOSPITAL | ||||||||
| 711 N TAYLOR ST | GUNNISON | CO | 81230 | 846008116 | GOVERNMENT | 150853 | FMV | SUPPORT HOSPITAL |
| GUNNISON VALLEY HEALTH SENIOR CARE CENTER | ||||||||
| 1500 W TOMICHI AVENUE | GUNNISON | CO | 81230 | 841288611 | GOVERNMENT | 18606 | FMV | SUPPORT CARE CENTER |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: GRANT FUNDS ARE MADE TO RELATED ORGANIZATIONS. THE ORGANIZATIONS ARE IN CONSTANT CONTACT RELATED TO PROGRAMS AND ACTIVITY EXPENDITURES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID FRESHOUR | ||||||||||||||
| FORMER CFO HOSPITAL/TREASURER | 0 | 113286 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 113286 | 0 | 0 |
| RANDY PHELPS | ||||||||||||||
| FORMER CEO HOSPITAL | 0 | 107810 | 0 | 0 | 0 | 0 | 0 | 1146 | 0 | 2539 | 0 | 111495 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | PART I, LINE 3 - CEO/EXECUTIVE DIRECTOR COMPENSATION COMPENSATION OF THE GUNNISON VALLEY HEALTH FOUNDATION EXECUTVE DIRECTOR IS DETERMINED BY THE HOSPITAL CEO AND THE HOSPITAL HUMAN RESOURCES DEPARTMENT AS THE EXECUTIVE DIRECTOR IS A HOSPITAL EMPLOYEE. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | GUNNISON VALLEY HOSPITAL IS A MEMBER OF THE GUNNISON VALLEY HEALTH FOUNDATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BOARD INCLUDE FIVE DIRECTORS OF GUNNISON VALLEY HEALTH FOUNDATION AND ARE REQUIRED TO BE "HEALTH SYSTEM DIRECTORS". THE HEALTH SYSTEM DIRECTORS SHALL INCLUDE THE CEO OF THE HEALTH SYSTEM, CFO OF THE HEALTH SYSTEM, ONE MEMBER OF THE BOARD OF TRUSTEES OF THE HEALTH SYSTEM, A PHYSICIAN REPRESENTATIVE APPOINTED BY THE CHIEF OF STAFF OF THE HEALTH SYSTEM AND A NON-PHYSICIAN STAFF MEMBER OF THE HEALTH SYSTEMS APPOINTED BY THE CEO OF THE HEALTH SYSTEM. | |
| FORM 990, PART VI, SECTION B, LINE 11 | A REVIEW OF THE 990 IS CONDUCTED BY THE GUNNISON VALLEY HEALTH CEO AND HEALTH FOUNDATION DIRECTOR AND A COPY IS PROVIDED TO THE 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. | |
| FORM 990, PART VI, SECTION B, LINE 15 | ALL EXECUTIVE COMPENSATION AS LISTED ON PART VII OF THE FORM 990 IS PAID BY A RELATED PARTY, GUNNISON VALLEY HOSPITAL. THE COMPENSATION OF THE FOUNDATION EXECUTIVE DIRECTOR IS DETERMINED BY THE HOSPITAL CEO AND THE HOSPITAL HUMAN RESOURCES DEPARTMENT AS THE EXECUTIVE DIRECTOR IS A HOSPTIAL EMPLOYEE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILALBE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART IX, LINE 7 | COMPENSATION IS REPORTED ON THE 990 AS ALLOCATED BY THE HOSPITAL. HOWEVER, THE HOSPITAL ISSUES ALL W-2'S ASSOCIATED WITH THE COMPENSATION. | COMPENSATION |
| FORM 990, PART XII, LINE 2C | THERE WAS NO CHANGE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| GUNNISON VALLEY HOSPITAL | |||||||||
| 711 N TAYLOR ST | GUNNISON | CO | 81230 | 846008116 | HOSPITAL | CO | GOVERNMENT | N/A | 0 |
| GUNNISON VALLEY HEALTH SENIOR CARE CENTER | |||||||||
| 1500 W TOMICHI AVENUE | GUNNISON | CO | 81230 | 841288611 | HEALTH CARE CENTER | CO | GOVERNMENT | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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