2023-11-14T12:35:28-06:00 2022-12-31 840803727 REESE HENRY & COMPANY INC 400 E MAIN ST STE 2 ASPEN CO 81611 990 2022-01-01 274743848 TRI-COUNTY HEALTH NETWORK TRI- 9707288717 PO BOX 4178 TELLURIDE CO 81435 JASON CORZINE BOARD PRESIDENT 9707288717 2023-11-14 1 JASON CORZINE XXX-XX-XXXX 0 DENISE JURGENS CPA P00087338 9709253771 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JASON CORZINE PO BOX 4178 TELLURIDE CO 81435 2539527 0 X TCHNETWORK.ORG X 2010 CO TRI-COUNTY HEALTH NETWORK IS COMMITTED TO COLLABORATING WITH OUR COMMUNITIES TO IMPROVE HEALTH FOR EVERYONE. 8 8 58 52 0 0 2300581 1724505 872292 804652 7778 10370 0 0 3180651 2539527 13981 9640 0 0 1882359 1964986 0 0 131766 515849 557973 2412189 2532599 768462 6928 5041763 5025465 122536 99310 4919227 4926155 TRI-COUNTY HEALTH NETWORK IS COMMITTED TO COLLABORATING WITH OUR COMMUNITIES TO IMPROVE HEALTH FOR EVERYONE. 0 0 1096228 1267151 TCHNETWORK CURRENTLY MANAGES OVER 30 COMMUNITY OUTREACH PROGRAMS/INITIATIVES THAT WORK TO BUILD HEALTH EQUITY AND IMPROVE ACCESS TO CARE FOR RESIDENTS IN OUR RURAL REGION OF SAN MIGUEL, OURAY, DELTA AND MONTROSE COUNTIES. OUR PROGRAMS ARE FOCUSED ON THOSE WHO ARE MOST UNDERSERVED AND FACING HEALTH INEQUITIES. PROGRAMS INCLUDE:CARE COORDINATION AND ENROLLMENT ASSISTANCE - ASSISTING IN THE NAVIGATION AND COORDINATION OF HEALTH SYSTEMS AND RESOURCES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND IMPROVE OUTCOMES AS WELL AS HELPING INDIVIDUALS AND FAMILIES ENROLL IN COMMERCIAL HEALTH INSURANCE THROUGH THE MARKETPLACE AND ENTITLEMENT PROGRAMS, INCLUDING SNAP, MEDICAID, AND CHP+. OVER 5,000 SERVED ANNUALLY. 748629 7440 815401 BEHAVIORAL HEALTH AND MULTICULTURAL ADVOCACY - IMPROVING ACCESS, OFFERING EDUCATION, REDUCING STIGMA, AND ADVOCATING FOR MENTAL AND BEHAVIORAL HEALTH ISSUES AS WELL PROVIDING EDUCATION, ADVOCACY, AND CULTURAL NAVIGATION FOR SPANISH SPEAKING AND OTHER MARGINALIZED COMMUNITY MEMBERS, AND SUPPORTING COMMUNITY LED INITIATIVES AROUND HEALTH EQUITY AND SOCIAL JUSTICE. OVER 600 SERVED ANNUALLY. 464687 2200 456974 464687 2200 456974 2309544 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17 0 1 58 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CO X X KAREN BYROM 9707288717 220 E COLORADO AVE SUITE 106 TELLURIDE CO 81435 JASON CORZINE PRESIDENT & CHAIR 2.00 40.00 X X 0 211053 64571 SHELLY SPALDING DIRECTOR 2.00 X 0 0 0 AMBER HICKERT DIRECTOR 2.00 X 0 0 0 JEANNIE MUELLER PA-C DIRECTOR 2.00 X 0 0 0 CHUCK PORTH DIRECTOR 2.00 X 0 0 0 CHRISTINA PIERCE DIRECTOR 2.00 X 0 0 0 LEANN TOBIN DIRECTOR 2.00 X 0 0 0 CHRIS DARNELL DIRECTOR 2.00 X 0 0 0 LYNN BORUP EXECUTIVE DIRECTOR 40.00 X 204546 0 49522 PAUL MAJOR RESIGNED 3312022 FORMER PRESIDENT & CHAIR 2.00 40.00 X 0 48750 8301 204546 259803 122394 1 1 1 0 0 1303146 421359 1724505 SERVICE REVENUE 561499 804652 804652 804652 10370 10370 2539527 804652 0 10370 9640 9640 204546 122728 40909 40909 1405063 1355279 49784 40260 36969 1023 2268 186341 171105 4736 10500 128776 118247 3273 7256 626 626 58161 45238 12923 231284 231284 27867 27867 30022 23925 3770 2327 39602 28104 5295 6203 45246 30168 7058 8020 54283 51569 2714 13619 13123 254 242 10964 836 10128 SUPPLIES AND EQUIPMENT 46226 43462 1294 1470 BANK CHARGEST AND INVES 73 73 2532599 2309544 91289 131766 3870894 166644 430376 4186843 723696 669957 16797 2021 5041763 5025465 122536 90140 9170 122536 99310 X 2538095 2896241 2381132 2029914 4919227 4926155 5041763 5025465 6928 0 X 0 1 X 1 1 1 X X 1 TELLURIDE FOUNDATION 841530768 7 1 61600 0 1 61600 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 2520927 0 2520927 18600 18600 2539527 2531099 0 2531099 1500 1500 2532599 PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS FROM TELLURIDE FOUNDATION - CONSOLIDATED ENTITY 18,600. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES PAID TO TELLURIDE FOUNDATION - CONSOLIDATED ENTITY 1,500. 0 HARDSHIP GRANTS 9 9640 X X X 0 0 0 0 0 0 0 0 0 JASON CORZINE PRESIDENT & CHAIR 0 211053 0 0 0 0 0 0 0 64571 0 275624 0 0 LYNN BORUP EXECUTIVE DIRECTOR 204546 0 0 0 0 0 0 0 49522 0 254068 0 0 0 PAUL MAJOR RESIGNED 3312022 FORMER PRESIDENT & CHAIR 0 48750 0 0 0 0 0 0 0 8301 0 57051 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE MAJORITY OF THE NETWORK'S BOARD OF DIRECTORS ARE APPOINTED BY THE TELLURIDE FOUNDATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE NETWORK HIRES AN INDEPENDENT ACCOUNTING FIRM TO PREPARE THE FEDERAL FORM 990. UPON SUBMISSION, THE FEDERAL FORM 990 IS REVIEWED AND APPROVED BY THE NETWORK'S AUDIT COMMITTEE MEMBERS AND MANAGEMENT STAFF. ONCE APPROVED, THE NETWORK EMAILS A WEB LINK OF THE DRAFT FORM 990 TO EACH BOARD MEMBER TO VIEW BEFORE THE FINAL COPY OF THE FEDERAL FORM 990 IS SUBMITTED TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE NETWORK ASKS BOARD MEMBERS AND STAFF TO COMPLETE A DISCLOSURE FORM WHICH REQUIRES THEM TO IDENTIFY ANY POTENTIAL CONFLICTS OF INTEREST. AFTER FULL DISCLOSURE, THE CONFLICTED ASSOCIATE MAY BE PRESENT FOR DISCUSSION OF THE MATTER. AT HIS OR HER DISCRETION, AN ASSOCIATE SHALL BE ALLOWED TO VOTE ON THE MATTER IF THE CONFLICT IS OF THE SAME DEGREE AS IF THE ASSOCIATE WERE A TRUSTEE OR MEMBER OF THE BOARD OF DIRECTORS OF A CORPORATION WHICH WOULD BE ADVANTAGED OR DISADVANTAGED BY THE OUTCOME OF THE NETWORK'S ACTION OR INACTION. AN ASSOCIATE SHALL NOT VOTE ON THE MATTER IF THE ASSOCIATE'S PERSONAL FINANCIAL INTEREST WOULD BE ADVANTAGED OR DISADVANTAGED BY ORGANIZATIONS ACTION OR INACTION. IN THE EVENT THERE IS A BREACH OF THIS POLICY OR ALLEGATION OF A BREACH BROUGHT BY AN ASSOCIATE, THE MATTER SHALL BE REVIEWED AND CONSIDERED BY THE EXECUTIVE COMMITTEE. IN ITS REVIEW OF THE MATTER THE EXECUTIVE COMMITTEE SHALL DECIDE WHAT REMEDY, IF ANY, IS APPROPRIATE AND WHICH THE NETWORK SHALL IMPOSE. ANY PARTY TO THE MATTER MAY APPEAL THE DECISION OF THE EXECUTIVE COMMITTTEE TO THE BOARD OF DIRECTORS, FOR REVIEW, CONSIDERATION AND FINAL DECISION BY THE BOARD OF DIRECTORS, IN A PROCESS TO BE DETERMINED BY BOARD OF DIRECTORS, AND WHICH DECISION BY THE BOARD OF DIRECTORS SHALL BE FINAL. FORM 990, PART VI, SECTION B, LINE 15A THE NETWORK CONDUCTED A COMPENSATION REVIEW IN 2014 WHICH INCLUDED THE FOLLOWING: - A PERFORMANCE REVIEW SURVEY OF THE EXECUTIVE DIRECTOR WHICH WAS COMPLETED BY EVERY EXECUTIVE COMMITTEE MEMBER. - A REVIEW OF THE PERFORMANCE SURVEY RESULTS WITH THE CEO BY THREE MEMBERS OF THE EXECUTIVE COMMITTEE (INCLUDING THE CO-CHAIRS AND TREASURER). - A COMPENSATION REVIEW FOLLOWING THE PERFORMANCE REVIEW WHICH WILL UTILIZE THE COMPENSATION COMPARABLE DATA FROM THE FOUNDATION INDUSTRY WIDE 2012 COUNCIL ON FOUNDATION SALARY AND BENEFITS SURVEY. FORM 990, PART VI, SECTION C, LINE 19 THE NETWORK'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FEDERAL FORM 990, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. TELLURIDE FOUNDATION PO BOX 4222 TELLURIDE CO 81435 841530768 EDUCATIONAL CO 501(C)(3) LINE 7 N/A 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 TELLURIDE FOUNDATION C 17100 COST TELLURIDE FOUNDATION K 4000 COST TELLURIDE FOUNDATION M 46161 COST TELLURIDE FOUNDATION P 8136 COST TELLURIDE FOUNDATION Q 11101 COST TELLURIDE FOUNDATION S 10677 COST