2012-08-23T17:18:36-05:00 2011-12-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2011-01-01 261243347 Gunnison Valley Health Foundation % LAUREN HOLBROOK GUNN 9706428406 711 N Taylor Street Gunnison CO 81320 DAVID FRESHOUR 2012-09-15 true Rita F Worster CPA 7194714290 2011 2016-02-24 21:20:13Z MARK R PHELPS 711 N TAYLOR STREET GUNNISON CO 81320 359225 false 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 8 0 30 0 0 1179509 189330 4170 0 -3721 82973 0 15840 1179958 288143 12000 152976 0 0 74649 0 18888 0 0 67044 19801 172581 172777 1007377 115366 1138065 1253431 0 0 1138065 1253431 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. false false 154652 152976 4285 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. 154652 true true false false false false false false false false true false false false false false false true false false false false false false true false false true false true false false false false false false false false true false false false false true false false false false true 0 0 0 false false false false false true true false false false false X 12 8 false false false false true true false true true false false false true true true true true true true false X LAUREN HOLBROOK 9706428406 711 N TAYLOR STREET GUNNISON CO 81320 X CHUCK CLIGGETT 5.0 X X 0 0 RONDA CONNAWAY 5.0 X X 0 0 MARLA COVEY 1.0 X 0 0 NANCY BENTSON ESSEX 1.0 X 0 0 0 RANDY PHELPS 2.0 X 0 159012 15897 JOHN TARR MD 1.0 X 0 59557 4464 DON WILLS 4.0 X 0 0 PAUL ZUIDEMA 1.0 X X 0 102900 0 LUCY ZAVALA 1.0 X 0 0 NICHOLE BAKER 2.0 X 0 36433 1870 VIRGINIA JONES 1.5 X X 0 0 TIMOTHY CASHMAN 5.0 X X 0 186147 5151 NAN JOHNSON 2.0 X 0 0 DAN MARSHALL 20.0 X 0 51842 3089 LAUREN HOLBROOK 20.0 X 0 51609 4778 0 647500 35249 0 false true false 0 13316 176014 100000 189330 0 39273 39273 0 0 90646 46946 43700 43700 43700 35691 13316 24136 11555 11555 0 0 MISCELLANEOUS INCOME 900099 4285 4285 4285 288143 4285 0 94528 152976 152976 0 0 0 0 0 0 0 0 0 0 1943 39 1904 0 0 0 0 661 546 115 0 7461 7461 0 0 156 156 1451 1451 0 396 396 0 0 5551 5551 0 STAFF DEVELOPMENT/RECOGNITION 2182 1091 1091 172777 154652 18125 0 266 174244 275479 53940 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116654 11103 11103 105551 851217 919696 0 0 0 0 0 0 0 0 1138065 1253431 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 138538 1253431 999527 0 0 0 1138065 1253431 1138065 1253431 115366 X false true true X false X 115755 41627 1053353 189330 1400065 122881 89783 126156 123053 461873 238636 131410 1179509 312383 1861938 69208 1792730 556 71 8451 39273 48351 1910289 79491 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 100000 100000 16654 11103 5551 105551 288143 172777 115366 115366 435332 123053 24136 147189 288143 288143 319966 123053 24136 147189 172777 172777 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. CO GOLF CLASSIC 42832 13316 29516 105 5200 619 16188 CB FALL COLOR 5540 5540 2024 1 635 635 49007 13316 35691 105 5200 619 18212 24136 11555 PART I, QUESTION 2B HIGHEST PAID FUNDRAISERS PURSUANT TO AGREEMENT FOR COMPENSATION 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 true Gunnison Valley Hospital 711 N TAYLOR STREET GUNNISON CO 81230 846008116 GOVERNMENT 152976 FMV SUPPORT HOSPITAL 1 PART II, QUESTION 2 MONITORING USE OF GRANT FUNDS 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. true false false false false false false false false 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 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. X 1 100000 APPRAISAL false true false 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 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 false true false false false false false false false false true false true true true false false false