GUNNISON VALLEY HEALTH FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- GUNNISON VALLEY HEALTH FOUNDATION (EIN 26-1243347)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-08-23
- IRS object ID
- 201242369349300804
- Schema version
- 2011v1.2
- 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 M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-23T17:18:36-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 South Tejon Suite 800 | AddressLine1 |
| City | Colorado Springs | City |
| State | CO | State |
| ZIP Code | 809039848 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | 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) |
|---|---|---|
| In Care Of Name | % LAUREN HOLBROOK | InCareOfName |
| 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 | DAVID FRESHOUR | Name |
| Title | CFO | Title |
| Date Signed | 2012-09-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rita F Worster CPA | Name |
| Phone | 7194714290 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARK R PHELPS | 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 | 359225 | GrossReceipts |
| Group Return For Affiliates | false | 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 | 8 | 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 | 1179509 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 189330 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4170 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -3721 | InvestmentIncomePriorYear |
| Investment Income Current Year | 82973 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 15840 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1179958 | TotalRevenuePriorYear |
| Total Revenue Current Year | 288143 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 12000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 152976 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 74649 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 18888 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 67044 | OtherExpensePriorYear |
| Other Expenses Current Year | 19801 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 172581 | TotalExpensesPriorYear |
| Total Expenses Current Year | 172777 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1007377 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 115366 | RevenuesLessExpensesCY |
| Total Assets BOY | 1138065 | TotalAssetsBOY |
| Total Assets EOY | 1253431 | TotalAssetsEOY |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1138065 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1253431 | 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 | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 154652 | Expense |
| Grants | 152976 | Grants |
| Revenue | 4285 | Revenue |
| 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 STAFF AND PEERS VOTE FOR A DESERVING NURSE EACH YEAR. | Description |
| Total Program Service Expense | 154652 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Other CompensationOtherCompensation | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs |
|---|---|---|---|---|---|---|
| CHUCK CLIGGETT | ||||||
| CHAIR | 5.0 | X | X | 0 | 0 | |
| RONDA CONNAWAY | ||||||
| VICE-CHAIR | 5.0 | X | X | 0 | 0 | |
| MARLA COVEY | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | ||
| NANCY BENTSON ESSEX | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| RANDY PHELPS | ||||||
| HOSPITAL CEO/DIRECTOR | 2.0 | X | 0 | 15897 | 159012 | |
| JOHN TARR MD | ||||||
| DIRECTOR | 1.0 | X | 0 | 4464 | 59557 | |
| DON WILLS | ||||||
| DIRECTOR | 4.0 | X | 0 | 0 | ||
| PAUL ZUIDEMA | ||||||
| INTERIM HOSP. CFO/TREASURER | 1.0 | X | X | 0 | 0 | 102900 |
| LUCY ZAVALA | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | ||
| NICHOLE BAKER | ||||||
| DIRECTOR | 2.0 | X | 0 | 1870 | 36433 | |
| VIRGINIA JONES | ||||||
| SECRETARY | 1.5 | X | X | 0 | 0 | |
| TIMOTHY CASHMAN | ||||||
| HOSP. CFO/TREASURER thru 4/11 | 5.0 | X | X | 0 | 5151 | 186147 |
| NAN JOHNSON | ||||||
| DIRECTOR | 2.0 | X | 0 | 0 | ||
| DAN MARSHALL | ||||||
| EXECUTIVE DIRECTOR thru 4/11 | 20.0 | X | 0 | 3089 | 51842 | |
| LAUREN HOLBROOK | ||||||
| EXECUTIVE DIRECTOR | 20.0 | X | 0 | 4778 | 51609 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 647500 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 35249 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 13316 | FundraisingEvents |
| All Other Contributions | 176014 | AllOtherContributions |
| Noncash Contributions | 100000 | NoncashContributions |
| Total Contributions | 189330 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39273 | TotalRevenueColumn |
| Exclusion | $39,273 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 90646 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 46946 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 43700 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 43700 | TotalRevenueColumn |
| Exclusion | $43,700 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 35691 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 13316 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 24136 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11555 | TotalRevenueColumn |
| Exclusion | $11,555 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 4285 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4285 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4285 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 288143 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4285 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $94,528 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 152976 | Total |
| Program Services | 152976 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1943 | Total |
| Program Services | 39 | ProgramServices |
| Management And General | 1904 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 661 | Total |
| Program Services | 546 | ProgramServices |
| Management And General | 115 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7461 | Total |
| Management And General | 7461 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 156 | Total |
| Management And General | 156 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1451 | Total |
| Management And General | 1451 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 396 | Total |
| Management And General | 396 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5551 | Total |
| Management And General | 5551 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | STAFF DEVELOPMENT/RECOGNITION | Description |
| Total | 2182 | Total |
| Program Services | 1091 | ProgramServices |
| Management And General | 1091 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172777 | Total |
| Program Services | 154652 | ProgramServices |
| Management And General | 18125 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 266 | BOY |
| EOY | 174244 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 275479 | BOY |
| EOY | 53940 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 116654 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 11103 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11103 | BOY |
| EOY | 105551 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 851217 | BOY |
| EOY | 919696 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1138065 | BOY |
| EOY | 1253431 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | 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 | 138538 | BOY |
| EOY | 1253431 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 999527 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1138065 | BOY |
| EOY | 1253431 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1138065 | BOY |
| EOY | 1253431 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 115366 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | 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 Minus3 Years | 115755 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 41627 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1053353 | CurrentTaxYearMinus1Year |
| Current Tax Year | 189330 | CurrentTaxYear |
| Total | 1400065 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 122881 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 89783 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 126156 | CurrentTaxYearMinus1Year |
| Current Tax Year | 123053 | CurrentTaxYear |
| Total | 461873 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 238636 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 131410 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1179509 | CurrentTaxYearMinus1Year |
| Current Tax Year | 312383 | CurrentTaxYear |
| Total | 1861938 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 69208 | AmountsSubstContributorsTotal |
| Public Support Total170 | 1792730 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 556 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 71 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8451 | CurrentTaxYearMinus1Year |
| Current Tax Year | 39273 | CurrentTaxYear |
| Total | 48351 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1910289 | TotalSupport |
| Gross Receipts From Admissions Etc | 79491 | GrossReceiptsFromAdmissionsEtc |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 100000 | InvestmentCostOrOtherBasis |
| Book Value | 100000 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16654 | OtherCostOrOtherBasis |
| Depreciation | 11103 | Depreciation |
| Book Value | 5551 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 105551 | TotalOfBookValueLandBuildings |
| Total Revenue | 288143 | TotalRevenue |
| Total Expenses | 172777 | TotalExpenses |
| Excess Or Deficit For Year | 115366 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 115366 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 435332 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 123053 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 24136 | OtherRevenues |
| Revenue Not Rptd F990 | 147189 | RevenueNotRptdF990 |
| Revenue Subtotal | 288143 | RevenueSubtotal |
| Total Revenue Per Form990 | 288143 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 319966 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 123053 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 24136 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 147189 | ExpensesNotRptdF990 |
| Expenses Subtotal | 172777 | ExpensesSubtotal |
| Total Expenses Per Form990 | 172777 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART XII, LINE 2D | OTHER REVENUE ON BOOKS, NOT ON RETURN | SPECIAL EVENT REVENUE RECLASSED FROM EXPENSE AND NETTED AGAINST SPECIAL EVENT REVENUE 24,136 |
| PART XII, LINE 2D | OTHER EXPENSE ON BOOKS, NOT ON RETURN | SPECIAL EVENT EXPENSE RECLASSED FROM EXPENSE AND NETTED AGAINST SPECIAL EVENT REVENUE 24,136 |
| PART X, LINE 2 | ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed States | CO | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF CLASSIC | NameOfEvent1 |
| Gross Receipts Event1 | 42832 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 13316 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 29516 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 105 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 5200 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 619 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 16188 | OtherDirectExpensesEvent1 |
| Name Of Event2 | CB FALL COLOR | NameOfEvent2 |
| Gross Receipts Event2 | 5540 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 5540 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 2024 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 635 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 635 | GrossRevenueOtherEvents |
| Gross Receipts Total | 49007 | GrossReceiptsTotal |
| Charitable Contributions Total | 13316 | CharitableContributionsTotal |
| Gross Revenue Total Events | 35691 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 105 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 5200 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 619 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 18212 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 24136 | DirectExpenseSummaryEvents |
| Net Income Summary | 11555 | NetIncomeSummary |
Form990 Schedule G Part IV Form990ScheduleGPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART I, QUESTION 2B | Identifier |
| Return Reference | HIGHEST PAID FUNDRAISERS PURSUANT TO AGREEMENT FOR COMPENSATION | ReturnReference |
| Explanation | GUNNISON VALLEY HEALTH FOUNDATION RECEIVES CONTRIBUTIONS IN KIND PROVIDED BY GUNNISON VALLEY HOSPITAL FOR FUNDRAISING SERVICES. THE NAME, ADDRESS, SERVICES AND AMOUNTS PROVIDED ARE AS FOLLOWS: HILLARY LYONS ASSOCIATES PO BOX 99, DIMONDALE, MI 48821 CONSULTING SERVICES $49,500 KRISTINE M. BORCHERS PO BOX 398, LAKE CITY, CO 81235 GRANT WRITING $901 | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gunnison Valley Hospital | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 N TAYLOR STREET | AddressLine1 |
| City | GUNNISON | City |
| State | CO | State |
| ZIP Code | 81230 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 846008116 | EINOfRecipient |
| IRC Section | GOVERNMENT | IRCSection |
| Amount Of Cash Grant | 152976 | AmountOfCashGrant |
| Method Of Valuation | FMV | MethodOfValuation |
| Purpose Of Grant | SUPPORT HOSPITAL | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART II, QUESTION 2 | Identifier |
| Return Reference | MONITORING USE OF GRANT FUNDS | ReturnReference |
| Explanation | THE ONLY GRANT MADE IS TO A RELATED ORGANIZATION, GUNNISON VALLEY HOSPITAL. THE TWO ORGANIZATIONS ARE IN CONSTANT CONTACT RELATED TO PROGRAMS AND ACTIVITY EXPENDITURES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RANDY PHELPS | |||||||||||||
| 0 | 159012 | 0 | 0 | 0 | 0 | 0 | 9900 | 0 | 5997 | 0 | 174909 | 0 | 0 |
| TIMOTHY CASHMAN | |||||||||||||
| 0 | 57990 | 0 | 0 | 0 | 128157 | 0 | 3574 | 0 | 1577 | 0 | 191298 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part I, Line 4a | SEVERANCE PAYMENTS | SEVERANCE PAYMENTS TO TIMOTHY CASHMAN WERE MADE BY A RELATED ORGANIZATION, GUNNISON VALLEY HOSPITAL, IN THE AMOUNT OF $128,157 IN 2011. |
| 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. |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods | |
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty | |
| Securities Publicly Traded | SecuritiesPubliclyTraded | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial |
Real Estate Other RealEstateOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 100000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | APPRAISAL | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory | |
| Drugs And Medical Supplies | DrugsAndMedicalSupplies | |
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART VI, QUESTION 19 | DESCRIBE HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| PART VI, QUESTION 11B | FORM 990 REVIEW PROCESS | THE FORM 990 IS PREPARED BY A THIRD PARTY. A REVIEW OF THE 990 IS CONDUCTED BY THE GUNNISON VALLEY HEALTH CEO AND HEALTH FOUNDATION DIRECTOR. |
| PART VI, QUESTION 12C | CONFLICT OF INTEREST POLICY | THE FOUNDATION'S CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO, COMPLETED BY, AND COLLECTED FROM EACH DIRECTOR ON THE BOARD ON AN ANNUAL BASIS. |
| PART VI, QUESTION 15A, 15B | EXECUTIVE COMPENSATION | ALL EXECUTIVE COMPENSATION AS LISTED ON PART VII OF THE FORM 990 IS PAID BY A RELATED PARTY, GUNNISON VALLEY HOSPITAL. |
| PART VI, QUESTION 6 | CLASSES OF MEMBERS | FOR PURPOSES OF FORM 990 PART VI, GUNNISON VALLEY HOSPITAL IS A MEMBER OF THE GUNNISON VALLEY HEALTH FOUNDATION. |
| PART VI, QUESTION 7A | MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BOARD | FIVE DIRECTORS OF GUNNISON VALLEY HEALTH FOUNDATION 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. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RANDY PHELPS TITLE:HOSPITAL CEO/DIRECTOR HOURS:38 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOHN TARR, MD TITLE:DIRECTOR HOURS:39 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PAUL ZUIDEMA TITLE:INTERIM HOSP. CFO/TREASURER HOURS:39 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:NICHOLE BAKER TITLE:DIRECTOR HOURS:38 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:TIMOTHY CASHMAN TITLE:HOSP. CFO/TREASURER thru 4/11 HOURS:35 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAN MARSHALL TITLE:EXECUTIVE DIRECTOR thru 4/11 HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LAUREN HOLBROOK TITLE:EXECUTIVE DIRECTOR HOURS:20 |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| GUNNISON VALLEY HOSPITAL | |||||||||
| 711 N TAYLOR | GUNNISON | CO | 81230 | 846008116 | HOSPITAL | CO | GOVERNMENT | NA | false |
| GUNNISON VALLEY HLTH SENIOR CARE CENTER | |||||||||
| 1500 W TOMICHI AVE | GUNNISON | CO | 81230 | 841288611 | HOSPITAL | CO | government | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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