2013-10-23T14:35:54-05:00 2012-12-31 410746749 CLIFTONLARSONALLEN LLP 1 BRONZE POINTE BELLEVILLE IL 62226 990 2012-01-01 261243347 GUNNISON VALLEY HEALTH FOUNDATION GUNN 9706428406 711 N TAYLOR STREET GUNNISON CO 81320 ROBERT SANTILLI 9706428406 2013-10-23 1 JEFF PARKER P00970069 6182331200 2012 2016-03-07 17:11:31Z ROBERT SANTILLI 711 N TAYLOR STREET GUNNISON CO 81320 776746 0 X WWW.GVH-COLORADO.ORG/PAGE.CFM?PAGEID=19248 X 2007 CO 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. 12 7 0 30 0 0 189330 447214 0 0 82973 58657 15840 24127 288143 529998 152976 169459 0 0 0 130429 0 42000 42000 19801 40862 172777 382750 115366 147248 1253431 1652586 0 0 1253431 1652586 X 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. 0 0 169459 169459 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. 169459 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 1 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 X 12 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LAUREN HOLBROOK 9706428406 711 N TAYLOR STREET GUNNISON CO 81320 MARLA COVEY 5.00 X X 0 0 0 VIRGINIA JONES 1.00 X X 0 0 0 CHUCK CLIGGETT 1.00 X 0 0 0 FRED HAVERLY 1.00 X 0 0 0 CATHY STEINBERGER 1.00 X 0 0 0 TAMMY SCOTT 1.00 X 0 0 0 LUCY ZAVALA 1.00 X 0 0 0 NICHOLE BAKER 2.00 38.00 X 0 53457 608 ROBERT SANTILLI 2.00 38.00 X 0 34615 0 JOHN TARR 1.00 39.00 X 0 57926 955 LAUREN HOLBROOK 20.00 20.00 X 0 73862 1230 DAVID FRESHOUR 2.00 38.00 X 0 113286 0 RANDY PHELPS 2.00 38.00 X 0 107810 3685 0 440956 6478 0 1 0 0 0 10000 437214 447214 47954 47954 240797 230094 10703 10703 10703 40781 10000 16654 24127 24127 529998 0 0 82784 X 169459 169459 128131 128131 2298 2298 84 84 4500 4500 42000 42000 511 511 23230 23230 3950 3950 502 502 1503 1503 1031 1031 5551 5551 382750 169459 171291 42000 174244 174953 53940 50092 200 116654 16654 105551 100000 919696 1324341 0 3000 1253431 1652586 0 0 X 1253431 1652586 1253431 1652586 1253431 1652586 147248 57829 194078 0 X X 0 1 X 1 0 X 115755 41627 1053353 189330 447214 1847279 122881 89783 126156 123053 194078 655951 238636 131410 1179509 312383 641292 2503230 2503230 556 71 8451 39273 116485 164836 2668066 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 100000 100000 16654 16654 0 100000 X 1 HILLARY LYONS ASSOCIATES PO BOX 398 LAKECITY CO 81235 CONSULTING AND GRANT WRITING 0 0 42000 -42000 42000 -42000 GOLF CLASSIC 25400 10000 15400 158 10684 3907 ISTAN DINNER 25381 25381 470 1435 50781 10000 40781 158 11154 5342 16654 24127 1 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 2 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. 0 0 0 0 0 0 0 0 0 DAVID FRESHOUR 0 113286 0 0 0 0 0 0 0 0 0 113286 0 0 RANDY PHELPS 0 107810 0 0 0 0 0 1146 0 2539 0 111495 0 0 SUPPLEMENTAL INFORMATION PART III 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. 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. COMPENSATION 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. FORM 990, PART XII, LINE 2C THERE WAS NO CHANGE FROM THE PRIOR YEAR. 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 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0