2023-11-07T12:10:15-06:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 8390 EAST CRESCENT PARKWAY SUITE 300 GREENWOOD VILLAGE CO 80111 990 2022-01-01 261243347 GUNNISON VALLEY HEALTH FOUNDATION GUNN 9706428406 711 NORTH TAYLOR STREET GUNNISON CO 81230 JENNIFER BIRNIE EXECUTIVE DIRECTOR 9706428406 2023-11-06 1 JENNIFER BIRNIE XXX-XX-XXXX 1 BECKY DETTMANN CPA P01408585 3037795710 2023-11-06 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JENNIFER BIRNIE 711 NORTH TAYLOR STREET GUNNISON CO 81230 2256273 0 X WWW.GUNNISONVALLEYHEALTH.ORG X 2007 CO SUPPORT GUNNISON VALLEY HEALTH IN DELIVERING QUALITY CARE IN GUNNISON COUNTY & SURROUNDING AREAS. 14 10 0 120 0 0 515887 2100589 0 0 55114 55683 -29362 -40920 541639 2115352 210987 448790 0 0 0 0 1820 480 480 163039 212191 375846 661461 165793 1453891 3598472 4569219 841 53332 3597631 4515887 THE GUNNISON VALLEY HEALTH FOUNDATION EXISTS TO DEVELOP, PRESERVE & PROVIDE FINANCIAL RESOURCES TO THE GUNNISON HEALTH FACILITIES TO IMPROVE THE QUALITY AND BREADTH OF HEALTH CARE IN GUNNISON VALLEY. 0 0 431444 431444 0 IN 2022, THE FOUNDATION SUPPORTED SCHOOL-BASED CLINICIAN SERVICES AT THE GUNNISON WATERSHED SCHOOL DISTRICT AND WESTERN COLORADO UNIVERSITY, NURSING SCHOLARSHIPS FOR ADVANCED EDUCATION PROGRAMS, TUITION ASSISTANCE FOR EMT COURSES, SUPPORT FOR HOSPICE PATIENTS AND RELATIVES, TRAINING FOR SANE NURSES WHO TREAT VICTIMS OF SEXUAL ASSAULT, ADVANCED MEDICAL SERVICES FOR HOME HEALTH PATIENTS AND PRE AND POST PARTUM SERVICES FOR SPANISH SPEAKING MOTHERS RECEIVING SUPPORT THROUGH THE GVH FAMILY BIRTH CENTER. IN 2022, THE GUNNISON VALLEY HEALTH FOUNDATION CONTINUED TO RAISE FUNDS FOR A CAPITAL CAMPAIGN "SECONDS SAVE LIVES" TO BUILD A NEW EMS/PARAMEDICS STATION. 17346 17346 0 THE HIGH PEAKS EMPLOYEE CLUB IS AN ORGANIZATION IN WHICH EMPLOYEES DONATE A PORTION OF THEIR PAYCHECK TO THE CLUB. ALL PROCEEDS GO BACK TO ITEMS AND SERVICES FOR EMPLOYEES. IN 2022, FUNDS SUPPORTED AN EMERGENCY FUND FOR STAFF IN CRISIS AND OTHER STAFF SUPPORT. 448790 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 10 0 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X JENNIFER BIRNIE 9706428406 711 NORTH TAYLOR STREET GUNNISON CO 81230 JASON AMRICH GVH CEO 2.00 38.00 X X 0 355745 56419 STEPHANIE PORTER MD DOCTOR & HOSPITAL CMO 1.00 39.00 X X 0 258869 45470 MARK VANDERVEER GVH CFO 1.00 39.00 X X 0 185076 44621 MEGAN MENSING HOME HEALTH PHYSICAL THERAPIST 1.00 39.00 X 0 86195 50696 DR JOHN TARR PRESIDENT 1.00 0.00 X X 0 0 0 SHELLEY JANSEN VICE PRESIDENT 1.00 0.00 X X 0 0 0 ALISA COREY TREASURER 1.00 0.00 X X 0 0 0 MARTINA WALTON SECRETARY 1.00 0.00 X X 0 0 0 LAURA CALVIN DIRECTOR 1.00 0.00 X 0 0 0 MARLA COVEY DIRECTOR 1.00 1.00 X 0 0 0 CAROL MAY DIRECTOR 1.00 0.00 X 0 0 0 STEVE OGDEN DIRECTOR 1.00 0.00 X 0 0 0 SARAH OTERO DIRECTOR 1.00 0.00 X 0 0 0 CATHY STEINBERGER DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER BIRNIE EXECUTIVE DIRECTOR 40.00 0.00 X 0 141701 50879 TAMMY SCOTT FOUNDATION COORDINATOR 25.00 0.00 X 0 37321 0 0 1064907 248085 0 0 1 0 BLAZE ASSOCIATES PO BOX 104 CRESTED BUTTE CO 81224 MARKETING AND COMMUNICATION 145000 1 269166 140625 1690798 70360 2100589 55683 55683 100001 269166 140921 -40920 -40920 2115352 0 0 14763 X 426265 426265 22525 22525 2363 2363 480 480 22929 22929 139488 139488 1917 1917 697 697 2245 2245 MEDICAL SUPPLIES 30000 30000 EDUCATION 7177 7177 LANDSCAPE SUPPLIES 5000 5000 DUES & SUBSCRIPTIONS 375 375 661461 448790 212191 480 97789 391008 3480313 4017841 125000 16654 16654 0 0 20370 35370 3598472 4569219 841 53332 841 53332 X 1468538 2731608 2129093 1784279 3597631 4515887 3598472 4569219 1453891 -535635 0 X X 0 1 X 1 0 X 230743 242913 389979 515887 2100589 3480111 230743 242913 389979 515887 2100589 3480111 595634 2884477 38188 33307 43757 55114 55683 226049 9102 9102 264 264 3715526 0.77630 0.64210 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELANEOUS - 2018 AMOUNT: $ 264. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16654 16654 0 0 73223706 -535635 71573428 71037793 2185913 -70561 -70561 2115352 74117127 73718942 73718942 398185 263276 263276 661461 PART XI, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED REVENUE FROM OTHER ENTITIES 71,922,265. GRANT EXPENSES NETTED AGAINST REVENUE -348,837. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES INCLUDED IN REVENUE -140,921. DONATED AUCTION ITEMS - NOT RECORDED ON BOOKS 20,360. DONATED SUPPLIES - NOT RECORDED ON BOOKS 35,000. DONATED ARTWORK - NOT RECORDED ON BOOKS 15,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED EXPENSES FROM OTHER ENTITIES 73,718,942. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANT EXPENSES NETTED AGAINST REVENUE 348,837. FUNDRAISING EXPENSES INCLUDED IN REVENUE -140,921. DONATED AUCTION ITEMS - NOT RECORDED ON BOOKS 20,360. DONATED SUPPLIES - NOT RECORDED ON BOOKS 35,000. GOLF TOURNAMENT 59981 49387 10594 2096 8499 993 NIGHT OF CARING GALA 286609 197202 89407 22110 15387 43870 33919 1 5136 5136 3096 351726 251725 100001 24206 8499 15387 43870 38008 129970 -29969 1 GUNNISON VALLEY HOSPITAL 711 NORTH TAYLOR STREET GUNNISON CO 81230 846008116 GUNNISON COUNTY 342178 0 N/A N/A SUPPORT HOSPITAL GUNNISON VALLEY HEALTH SENIOR CARE CENTER 1500 W TOMICHI AVENUE GUNNISON CO 81230 841288611 GUNNISON COUNTY 6254 0 N/A N/A GENERAL SUPPORT 2 0 SCHOLARSHIPS 6 22525 0 N/A N/A PART I, LINE 2: RESTRICTED FUNDS ARE MAINTAINED FOR ALL GRANTS GIVEN AND RECEIVED AND THIS IS TRACKED ON AN EXCEL SPREADSHEET BY OUR ACCOUNTANT. 0 0 0 0 0 0 0 0 0 JASON AMRICH GVH CEO 0 355745 0 0 0 0 0 5400 0 51019 0 412164 0 0 STEPHANIE PORTER MD DOCTOR & HOSPITAL CMO 0 258869 0 0 0 0 0 8990 0 36480 0 304339 0 0 MARK VANDERVEER GVH CFO 0 171199 0 13877 0 0 0 6365 0 38256 0 229697 0 0 JENNIFER BIRNIE EXECUTIVE DIRECTOR 0 128181 0 13520 0 0 0 4190 0 46689 0 192580 0 0 PART I, LINE 3 COMPENSATION OF THE GUNNISON VALLEY HEALTH FOUNDATION EXECUTIVE DIRECTOR IS DETERMINED BY THE HOSPITAL CEO AND THE HOSPITAL HUMAN RESOURCES DEPARTMENT AS THE EXECUTIVE DIRECTOR IS A HOSPITAL EMPLOYEE. THE FOLLOWING WERE USED BY THE HOSPITAL TO DETERMINE THE EXECUTIVE DIRECTOR'S COMPENSATION: 1. WRITTEN EMPLOYMENT CONTRACT 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE X 1 15000 FAIR MARKET VALUE X 1 30000 FAIR MARKET VALUE X AUCTION ITEMS 15 20360 FAIR MARKET VALUE X LANDSCAPING SUPPLIES 1 5000 FAIR MARKET VALUE 0 0 0 0 PART I, COLUMN (B): LINE 25 - THE NUMBER OF ITEMS CONTRIBUTED WAS USED IN PART I. ALL OTHER LINES - THE NUMBER OF CONTRIBUTIONS WAS USED IN PART I. FORM 990, PART VI, SECTION A, LINE 3 ALL MANAGEMENT SERVICES ARE PROVIDED BY EMPLOYEES OF GUNNISON VALLEY HOSPITAL, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ALL BOARD MEMBERS ARE ELECTED BY THE BOARD OF TRUSTEES OF GUNNISON VALLEY HEALTH SYSTEM. FIVE OF THE BOARD MEMBERS ARE THE HEALTH SYSTEM'S CEO AND CFO, A MEMBER OF THE HEALTH SYSTEM'S BOARD OF TRUSTEES WHO IS APPOINTED BY THE CHAIR OF THE HEALTH SYSTEM'S BOARD OF TRUSTEES, A PHYSICAN REPRESENTATIVE WHO IS APPOINTED BY THE HEALTH SYSTEM'S CHIEF OF STAFF, AND A HEALTH SYSTEM NON-PHYSICIAN STAFF MEMBER WHO IS APPOINTED BY THE HEALTH SYSTEM'S CEO. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN PORTIONS OF THE FOUNDATION'S BYLAWS MAY NOT BE AMENDED OR REPEALED WITHOUT THE WRITTEN APPROVAL OF THE BOARD OF TRUSTEES OF THE HEALTH SYSTEM. THE FOUNDATION HAS NO POWER OR AUTHORITY TO MAKE ANY GRANT THAT FALLS OUTSIDE OF THE GRANT-MAKING GUIDELINES ADOPTED BY THE FOUNDATION'S BOARD OF DIRECTORS AND APPROVED BY THE HEALTH SYSTEM'S BOARD OF TRUSTEES WITHOUT THE PRIOR APPROVAL OF THE HEALTH SYSTEM'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY GUNNISON VALLEY HEALTH'S CFO AND GUNNISON VALLEY HEALTH FOUNDATION'S EXECUTIVE DIRECTOR AND A COPY WAS PROVIDED TO THE FOUNDATION'S BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION'S CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO, COMPLETED BY, AND COLLECTED FROM EACH DIRECTOR ON THE BOARD ON AN ANNUAL BASIS. IF A DIRECTOR HAS A POTENTIAL CONFLICT OF INTEREST, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS DETERMINE WHETHER A CONFLICT EXISTS AND DETERMINE APPROPRIATE STEPS TO TAKE IN RESPONSE. ACTIONS MAY INCLUDE BEING EXCUSED FROM DISCUSSIONS, EXCUSED FROM VOTES, OR WITHDRAWAL FROM THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15A THE GUNNISON VALLEY HEALTH CEO AND THE FOUNDATION'S BOARD, USING INDUSTRY COMPARISONS, DETERMINED THE APPROPRIATE COMPENSATION FOR THE FOUNDATION'S EXECUTIVE DIRECTOR IN 2022. ALL OTHER COMPENSATION IS DETERMINED BY GUNNISON VALLEY HEALTH. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 139,488. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 139,488. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGE FROM THE PRIOR YEAR. GUNNISON VALLEY HOSPITAL 711 N TAYLOR ST GUNNISON CO 81230 846008116 HOSPITAL CO N/A 0 GUNNISON VALLEY HEALTH SENIOR CARE CENTER 1500 W TOMICHI AVENUE GUNNISON CO 81230 841288611 HEALTH CARE CENTER CO N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0