SAN LUIS VALLEY REGIONAL MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: SAN LUIS VALLEY REGIONAL MEDICAL CENTER (EIN 84-0255530)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-15
IRS object ID: 202331359349304643
Schema version: 2021v4.2
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-15T10:18:46-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 South Tejon Suite 800	AddressLine1Txt
City	Colorado Springs	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	809039848	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	840255530	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LUTHERAN HOSPITAL ASSOC OF THE SAN LUIS	BusinessNameLine1Txt
Business Name Line2	VALLEY	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% THE ORGANIZATION	InCareOfNm
Business Name Control	LUTH	BusinessNameControlTxt
Phone	7195892511	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	106 BLANCA AVENUE	AddressLine1Txt
City	ALAMOSA	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81101	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KONNIE MARTIN	PersonNm
Person Title	CHIEF EXECUTIVE OFFI	PersonTitleTxt
Phone	7195892511	PhoneNum
Signature	2023-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	KONNIE	PersonFirstNm
Person Last	MARTIN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Adam R Smith CPA	PreparerPersonNm
PTIN	P00958966	PTIN
Phone	7194714290	PhoneNum
Preparation	2023-05-10	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SAN LUIS VALLEY HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	KONNIE MARTIN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	106 BLANCA AVENUE	AddressLine1Txt
City	ALAMOSA	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81101	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$122,697,892	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SANLUISVALLEYHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1928	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	TO BE A PREMIER, FULLY INTEGRATED RURAL HEALTH CARE SYSTEM PROVIDING EXCEPTIONAL PATIENT-CENTERED SERVICES TO THE SAN LUIS VALLEY.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1003	TotalEmployeeCnt
Total Volunteers	12	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,292,842	PYContributionsGrantsAmt
CY Contributions Grants	$4,064,667	CYContributionsGrantsAmt
PY Program Service Revenue	$106,691,405	PYProgramServiceRevenueAmt
CY Program Service Revenue	$117,271,540	CYProgramServiceRevenueAmt
PY Investment Income	$283,662	PYInvestmentIncomeAmt
CY Investment Income	$19,444	CYInvestmentIncomeAmt
PY Other Revenue	$383,308	PYOtherRevenueAmt
CY Other Revenue	$1,269,230	CYOtherRevenueAmt
PY Total Revenue	$116,651,217	PYTotalRevenueAmt
CY Total Revenue	$122,624,881	CYTotalRevenueAmt
PY Grants And Similar Paid	$42,955	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$23,390	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$62,098,935	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$65,280,267	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$535,644	CYTotalFundraisingExpenseAmt
PY Other Expenses	$46,152,251	PYOtherExpensesAmt
CY Other Expenses	$53,401,715	CYOtherExpensesAmt
PY Total Expenses	$108,294,141	PYTotalExpensesAmt
CY Total Expenses	$118,705,372	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,357,076	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,919,509	CYRevenuesLessExpensesAmt
Total Assets BOY	$124,351,894	TotalAssetsBOYAmt
Total Assets EOY	$120,012,858	TotalAssetsEOYAmt
Total Liabilities BOY	$45,426,539	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$38,016,258	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$78,925,355	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$81,996,600	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AN UNCONDITIONAL COMMITMENT TO EXCELLENCE BY PROVIDING QUALITY, COMPASSIONATE CARE GUIDED BY OUR VALUES. WE ACCEPT RESPONSIBILITY FOR PROVIDING SERVICES TO OUR COMMUNITY THAT ARE OF THE HIGHEST CALIBER OF SERVICE AND STANDARD PERFORMANCE, WHILE DEMONSTRATING OUR ADOPTED VALUES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$89,447,478	ExpenseAmt
Grant	$23,390	GrantAmt
Revenue	$118,205,450	RevenueAmt
Desc	SAN LUIS VALLEY HEALTH WAS FORMED JULY 1, 2013. PRIOR TO THE MERGER THAT CREATED SAN LUIS VALLEY HEALTH, THE HOSPITAL OPERATED AS AN INDEPENDENT, NOT FOR PROFIT HOSPITAL FOR OVER 83 YEARS. THE MERGER BROUGHT TOGETHER SAN LUIS VALLEY REGIONAL MEDICAL CENTER AND CONEJOS COUNTY HOSPITAL. PRIOR TO THE MERGER, CONEJOS COUNTY HOSPITAL HAD BEEN MANAGED BY SAN LUIS VALLEY REGIONAL MEDICAL CENTER SINCE 2003. SLV HEALTH SERVES THE SIX COUNTIES OF THE SAN LUIS VALLEY WITH A POPULATION OF JUST UNDER 50,000 AND AN AREA OF OVER 8,200 SQUARE MILES; LARGER THAN THE STATE OF NEW JERSEY. SLV HEALTH EMPLOYS OVER 650 EMPLOYEES AND IS THE LARGEST EMPLOYER IN THE SAN LUIS VALLEY. THE TRUSTEES, PROVIDERS AND STAFF OF SLV HEALTH ARE UNDERSTANDABLY PROUD OF THEIR TRADITION FOR PROVIDING CARE AND SERVICE TO OUR COMMUNITIES. SERVING OUR LOW-INCOME COMMUNITY MEANS THAT WE HAVE A CHALLENGING PAYER MIX WITH HIGH MEDICAID, UNINSURED AND RELATIVELY LOW COMMERCIAL PERCENTAGES. THIS HAS LED TO OUR ORGANIZATION BEING RESOURCEFUL, CREATIVE AND INNOVATIVE IN ORDER TO CONTINUE SERVICE WITH POSITIVE OPERATING MARGINS. OVER THE LAST TEN YEARS, OUR GROSS REVENUE HAS INCREASED FROM $20M TO IN EXCESS OF $200M AND THE NUMBER OF PATIENTS SERVED HAS EXPANDED SEVERAL FOLD. NEW SERVICES HAVE BEEN ADDED IN MEDICATION ONCOLOGY, INPATIENT REHABILITATION, SLEEP DISORDERS, WOMEN'S IMAGING CENTER, FIXED WING MEDICAL TRANSPORTATION, GENETIC COUNSELING, BEHAVIORAL HEALTH, CARDIOLOGY, CHIROPRACTIC, ONCOLOGY/INFUSION THERAPY, UROLOGY, AND MORE.	Desc
Total Program Service Expenses	$89,447,478	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	87	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1003	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	THE ORGANIZATION	PersonNm
Phone	7195892511	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	106 BLANCA AVENUE	AddressLine1Txt
City	ALAMOSA	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81101	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Carissa Tripi
Physician	40.0	0.0	Yes (X)	$686,356	$0	$31,563
Jason Defee
Physician	40.0	0.0	Yes (X)	$637,694	$0	$37,936
Konnie Martin
CEO	40.0	2.0		$538,697	$0	$35,600	Yes (X)
Julian Maendel
Physician	40.0	0.0	Yes (X)	$488,184	$0	$34,701
James Grigsby
Physician	40.0	0.0	Yes (X)	$486,147	$0	$31,563
Maureen Cooper
Physician	40.0	0.0	Yes (X)	$497,496	$0	$15,015
Dennard Ellison
Trustee, Physician	40.0	0.0		$430,112	$0	$37,732		Yes (X)
Carmelo Hernandez
CMO	40.0	0.0		$414,721	$0	$37,595	Yes (X)
Shane Mortensen
CFO	40.0	1.0		$259,095	$0	$30,214	Yes (X)
Christine Hettinger-Hunt
COO	40.0	0.0		$237,596	$0	$27,837	Yes (X)
Roberta Bean
COO	40.0	0.0		$230,766	$0	$19,014	Yes (X)
Antonio Gurule
Clinic Administrator	40.0	0.0		$221,409	$0	$21,391	Yes (X)
Zachary Weiderspon
CCH Administrator	40.0	0.0		$173,764	$0	$8,425	Yes (X)
Susan Geiger
Trustee, Physician	20.0	0.0		$75,964	$0	$3,748		Yes (X)
Karla Hardesty
President	2.0	0.0		$2,900	$0	$0	Yes (X)	Yes (X)
Donald Shawcroft
Trustee	2.0	0.0		$1,100	$0	$0		Yes (X)
Jan Gay
Trustee	2.0	0.0		$1,100	$0	$0		Yes (X)
Kasey Russell
Trustee	2.0	0.0		$1,100	$0	$0		Yes (X)
Kendall Knaus
Sec/Treas	2.0	0.0		$1,100	$0	$0	Yes (X)	Yes (X)
Jim Ehrlich
Vice President	2.0	0.0		$1,017	$0	$0	Yes (X)	Yes (X)
Rosalie Martinez
Trustee	2.0	0.0		$1,000	$0	$0		Yes (X)
Patrick Crowder
Trustee	2.0	0.0		$917	$0	$0		Yes (X)
Cheri Crowder
Trustee	2.0	0.0		$900	$0	$0		Yes (X)
Kathy Lorenz
Trustee	2.0	0.0		$800	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,389,935	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$372,334	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	120	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
INNOVA EMERGENCY MEDICAL ASSOCIATES
PO Box 17028	DENVER	CO	80217	Medical Staff	$2,664,745
CompHealth Associates Inc
PO Box 972670	DALLAS	TX	75397	MEDICAL STAFF	$697,986
Colorado Springs Urological Associa
PO Box 7408	COLORADO SPRINGS	CO	80933	MEDICAL STAFF	$324,698
GWI Security Services
104 Price Avenue	ALAMOSA	CO	81101	SECURITY	$323,838
Weatherby Locums
PO Box 972633	DALLAS	TX	75397	MEDICAL STAFF	$294,432

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Government Grants	$3,275,560	GovernmentGrantsAmt
All Other Contributions	$789,107	AllOtherContributionsAmt
Total Contributions	$4,064,667	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue	561110	$114,221,210	$114,221,210
Ambulance District Revenue	561110	$642,019	$642,019
340B Payments	900099	$2,075,370	$2,075,370
Other Revenue	621910	$332,941	$332,941

Field	Value	IRS element (for citing)
Total Program Service Revenue	$117,271,540	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,444	TotalRevenueColumnAmt
Exclusion	$19,444	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$56,103	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$73,011	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$16,908	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$16,908	TotalRevenueColumnAmt
Unrelated Business Revenue	-$15,357	UnrelatedBusinessRevenueAmt
Exclusion	-$1,551	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria Sales	722514	$290,034	$290,034
Abstract Revenue	900099	$1,533	$1,441	$92
Miscellaneous Revenue	900099	$933,818		$933,818

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$60,753	TotalRevenueColumnAmt
Exclusion	$60,753	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,286,138	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$122,624,881	TotalRevenueColumnAmt
Related Or Exempt Func Income	$118,205,450	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$15,357	UnrelatedBusinessRevenueAmt
Exclusion	$370,121	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$23,390	TotalAmt
Program Services	$23,390	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,810,709	TotalAmt
Program Services	$1,761,326	ProgramServicesAmt
Management And General	$1,038,807	ManagementAndGeneralAmt
Fundraising	$10,576	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$316,772	TotalAmt
Program Services	$316,772	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$49,968,786	TotalAmt
Program Services	$35,691,812	ProgramServicesAmt
Management And General	$14,182,333	ManagementAndGeneralAmt
Fundraising	$94,641	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,618,354	TotalAmt
Program Services	$1,225,426	ProgramServicesAmt
Management And General	$384,823	ManagementAndGeneralAmt
Fundraising	$8,105	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,979,960	TotalAmt
Program Services	$5,259,831	ProgramServicesAmt
Management And General	$1,685,811	ManagementAndGeneralAmt
Fundraising	$34,318	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,585,686	TotalAmt
Program Services	$2,696,436	ProgramServicesAmt
Management And General	$871,680	ManagementAndGeneralAmt
Fundraising	$17,570	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$316,053	TotalAmt
Program Services	$1,856	ProgramServicesAmt
Management And General	$314,197	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$120,000	TotalAmt
Management And General	$120,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,376	TotalAmt
Management And General	$2,376	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,218,023	TotalAmt
Program Services	$8,793,334	ProgramServicesAmt
Management And General	$2,424,689	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$185,727	TotalAmt
Program Services	$185,477	ProgramServicesAmt
Fundraising	$250	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,912,082	TotalAmt
Program Services	$369,054	ProgramServicesAmt
Management And General	$1,540,578	ManagementAndGeneralAmt
Fundraising	$2,450	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$971,133	TotalAmt
Program Services	$343,369	ProgramServicesAmt
Management And General	$627,764	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,154,022	TotalAmt
Program Services	$686,213	ProgramServicesAmt
Management And General	$467,809	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$509,029	TotalAmt
Program Services	$254,709	ProgramServicesAmt
Management And General	$254,320	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$67,450	TotalAmt
Management And General	$67,450	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$880,683	TotalAmt
Program Services	$660,512	ProgramServicesAmt
Management And General	$220,171	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,559,405	TotalAmt
Program Services	$2,981,668	ProgramServicesAmt
Management And General	$1,577,737	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,388,499	TotalAmt
Program Services	$673,104	ProgramServicesAmt
Management And General	$714,281	ManagementAndGeneralAmt
Fundraising	$1,114	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$19,492,732	$19,492,732
Provider Fees	$5,795,481	$5,795,481
Repairs & Maintenance	$2,538,634	$1,094,603	$1,444,031
Books/Dues/Subscriptions	$460,745	$406,857	$53,888

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,829,641	TotalAmt
Program Services	$733,516	ProgramServicesAmt
Management And General	$729,505	ManagementAndGeneralAmt
Fundraising	$366,620	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$118,705,372	TotalAmt
Program Services	$89,447,478	ProgramServicesAmt
Management And General	$28,722,250	ManagementAndGeneralAmt
Fundraising	$535,644	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,902,483	BOYAmt
EOY	$6,805,564	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$10,547,389	BOYAmt
EOY	$8,753,562	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$53,849	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$16,839,443	BOYAmt
EOY	$17,676,170	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$42,042	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,753,600	BOYAmt
EOY	$3,095,123	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,287,459	BOYAmt
EOY	$2,953,367	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$109,814,830	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$53,791,302	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$53,200,093	BOYAmt
EOY	$56,023,528	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$25,628,813	BOYAmt
EOY	$23,542,131	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$12,000	BOYAmt
EOY	$12,000	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$632,420	BOYAmt
EOY	$721,422	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$506,152	BOYAmt
EOY	$376,142	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$124,351,894	BOYAmt
EOY	$120,012,858	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$24,259,526	BOYAmt
EOY	$14,432,973	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$431,936	BOYAmt
EOY	$1,919,366	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$20,262,885	BOYAmt
EOY	$21,057,138	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$472,192	BOYAmt
EOY	$606,781	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$45,426,539	BOYAmt
EOY	$38,016,258	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$78,292,923	BOYAmt
EOY	$81,275,157	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$632,432	BOYAmt
EOY	$721,443	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$78,925,355	BOYAmt
EOY	$81,996,600	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$124,351,894	BOYAmt
EOY	$120,012,858	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,919,509	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$937,275	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$89,011	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$2,376	OtherActivitiesAmt
Total Lobbying Expenditures	$2,376	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	schedule c, Part II-B, Line 1i	FormAndLineReferenceDesc
Explanation	Description of lobbying activities: San Luis Valley Health received correspondence from the Colorado Health and Hospital Association and the American Hospital Association regarding their membership dues. A portion of their dues were attributable to lobbying and appear on line 1i.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$417,934	BeginningYearBalanceAmt
Contributions	$12,662	ContributionsAmt
Investment Earnings Or Losses	-$62,363	InvestmentEarningsOrLossesAmt
End Year Balance	$368,233	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$179,871	BeginningYearBalanceAmt
Contributions	$156,789	ContributionsAmt
Investment Earnings Or Losses	$81,274	InvestmentEarningsOrLossesAmt
End Year Balance	$417,934	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,629	BeginningYearBalanceAmt
Contributions	$160,259	ContributionsAmt
Investment Earnings Or Losses	$3,983	InvestmentEarningsOrLossesAmt
End Year Balance	$179,871	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,600	BeginningYearBalanceAmt
Investment Earnings Or Losses	$29	InvestmentEarningsOrLossesAmt
End Year Balance	$15,629	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,368	BeginningYearBalanceAmt
Contributions	$9,194	ContributionsAmt
Investment Earnings Or Losses	$38	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$40,000	GrantsOrScholarshipsAmt
End Year Balance	$15,600	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,432,682	OtherCostOrOtherBasisAmt
Book Value	$3,432,682	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$62,062,492	OtherCostOrOtherBasisAmt
Depreciation	$29,813,334	DepreciationAmt
Book Value	$32,249,158	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,058,200	OtherCostOrOtherBasisAmt
Depreciation	$20,417,414	DepreciationAmt
Book Value	$6,640,786	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,261,456	OtherCostOrOtherBasisAmt
Depreciation	$3,560,554	DepreciationAmt
Book Value	$13,700,902	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$56,023,528	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Asset retirement Obligation	$270,531
DUE TO RELATED ORGANIZATION	$336,250

Field	Value	IRS element (for citing)
Total Liability	$606,781	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$121,849,628	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$937,275	NetUnrealizedGainsInvstAmt
Other Revenue	$162,022	OtherRevenueAmt
Revenue Not Reported	-$775,253	RevenueNotReportedAmt
Revenue Subtotal	$122,624,881	RevenueSubtotalAmt
Total Revenue Per Form990	$122,624,881	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$118,778,383	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$73,011	OtherExpensesIncludedAmt
Expenses Not Reported	$73,011	ExpensesNotReportedAmt
Expenses Subtotal	$118,705,372	ExpensesSubtotalAmt
Total Expenses Per Form990	$118,705,372	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	DESCRIBE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: SAN LUIS VALLEY HEALTH FOUNDATION (THE FOUNDATION) AND THE MEDICAL CENTER ARE FINANCIALLY INTERRELATED ORGANIZATIONS. THE MISSION OF THE FOUNDATION IS TO SUPPORT THE HEALTH CARE SERVICES OF THE MEDICAL CENTER AND THE COMMUNITIES IT SERVES. THE MEDICAL CENTER ACCOUNTS FOR ITS INTEREST IN THE NET ASSETS OF THE FOUNDATION IN A MANNER SIMILAR TO THE EQUITY METHOD. THE TEMPORARILY RESTRICTED NET ASSETS REPRESENTS THE INTEREST IN THE NET ASSETS OF THE FOUNDATION. WHEN ASSETS ARE TRANSFERRED TO THE SLVH BY THE FOUNDATION, THE CONTRIBUTIONS ARE RESTRICTED TO THE PURCHASE OF EQUIPMENT AND FACILITY EXPANSION.
Schedule D, Part X, Line 2	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 D, PART XI, LINE 2D	REVENUE ON BOOKS, NOT ON RETURN: 89,011 - change in investment in foundation 73,011 - Rental Expense reclassed from Expense to Revenue 162,022 - Total
SCHEDULE D, PART XII, LINE 2d	Expense on Books, Not on Return: 73,011 - Rental Expense Reclassed from Expense to Revenue 73,011 - Total

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	false	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$729,147	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,512	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$614,635	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,686,455	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,421,545	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,264,910	NetCommunityBenefitExpnsAmt
Total Expense	0.01910	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,215,119	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$506,016	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$709,103	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,630,721	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,042,073	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,588,648	NetCommunityBenefitExpnsAmt
Total Expense	0.03030	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$157,794	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$157,794	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$213,093	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$213,093	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,509,706	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,934,222	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$575,484	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$389	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$389	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,390	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,390	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,904,372	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,934,222	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$970,150	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,535,093	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,976,295	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,558,798	NetCommunityBenefitExpnsAmt
Total Expense	0.03840	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,527	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,527	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,374	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,374	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,935	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,935	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,606	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,606	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$727	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$727	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,169	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,169	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,414,882	BadDebtExpenseAmt
Reimbursed By Medicare	$19,679,766	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$21,829,204	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,149,438	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
LUTHERAN HOSPITAL OF THE SLV
1	106 BLANCA AVENUE	ALAMOSA	CO	81101	WWW.SANLUISVALLEYHEALTH.ORG	011001	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CONEJOS COUNTY HOSPITAL
2	19021 US HWY 285	LA JARA	CO	81140	WWW.SANLUISVALLEYHEALTH.ORG	011020	Yes (X)			Yes (X)	A	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	X	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C FOR URL	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	part v, section c for url	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	part v, section c for url	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	part v, section c for url	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	INPUT FROM REPRESENTATIVES OF THE COMMUNITY: SLVH LEADERSHIP REPRESENTATIVES, IN COLLABORATION WITH COLORADO RURAL HEALTH CENTER, CONDUCTED A SURVEY OF INTERESTED SAN LUIS VALLEY RESIDENTS. THE SURVEY INCLUDED 44 QUESTIONS ON A VARIETY OF HEALTH AND PROVIDER ISSUES. THE HEALTH QUESTIONNAIRE FOR SLVH WAS DISTRIBUTED BY THE HOSPITAL AND THE COMMUNITY GROUP MEMBERS USING PAPER AND WEB-BASED SURVEYS. THEY WERE GIVEN TO THE COMMUNITY GROUP FOLLOWING THE FIRST MEETING AND PARTICIPANTS WERE ENCOURAGED TO HAVE THEIR COLLEAGUES, FRIENDS, AND FAMILY COMPLETE THE SURVEY AS WELL. TO AID LEADERSHIP REPRESENTATIVES IN THE ASSESSMENT OF THE COMMUNITY'S HEALTH NEEDS, THE COMMUNITY GROUP WAS COMPRISED OF INTERESTED AGENCIES AND ORGANIZATIONS SERVING HEALTH, EDUCATION, COMMERCIAL AND GOVERNMENT INTERESTS IN THE SAN LUIS VALLEY. - ADAMS STATE UNIVERSITY - ADAMS STATE UNIVERSITY VETERANS PROGRAM - BLUE PEAKS DEVELOPMENTAL SERVICES - CITY OF ALAMOSA AND CITY COUNCIL - CITY OF MONTE VISTA AND CITY COUNCIL - RIO GRANDE COUNTY PUBLIC HEALTH - SAN LUIS VALLEY BEHAVIORAL HEALTH GROUP - SAN LUIS VALLEY DEVELOPMENT RESOURCE GROUP - SAN LUIS VALLEY PUBLIC HEALTH PARTNERSHIPS - SAN LUIS VALLEY SMALL BUSINESS DEVELOPMENT CENTER - VALLEY WIDE HEALTH SYSTEMS - VALLEY WIDE HEALTH SYSTEMS, NURSE - FAMILY PARTNERSHIPS
SCHEDULE H, PART V, SECTION B, LINE 7A & 10A	DIRECT URL TO CHNA AND IMPLEMENTATION STRATEGY: www.sanluisvalleyhealth.org/documents/files/2022-Community-Health-Needs-As smnt.pdf
SCHEDULE H, PART V, SECTION B, LINE 11	San Luis Valley Health (SLVH) completed their Community Health Needs Assessment in the spring/summer of 2022. The following priorities were identified as pressing community health needs for the San Luis Valley (SLV) region: 1. Access to Care a. As an integrated health care organization, SLVH aspires to achieve the quadruple aim in meeting the health care needs of patients. This includes: 1) enhancing access and patient satisfaction; 2) improving outcomes; 3) reducing cost, and 4) improving provider and staff satisfaction. SLVH monitors Patient Experiences of Care (PEC) through participation in innovative primary care transformation models focused on the whole person, in a patient-centered model. Clinic measures include Timely Appointments, Care, and Information; How Well Providers Communicate; Attention to Care From Other Providers; Providers Support Patient in Taking Care of Own Health; and Patient Rating of Provider and Care. In addition, SLVH participates in analytics and strategic advisory solutions through Press Ganey and includes several measures as strategic priorities, reviewed quarterly by SLVH departments, Leadership, Senior Team, and the Governing Board. To promote advancement toward organizational goals and objectives, measures that fall below organizational goals are identified for performance and process improvements. b. SLVH has developed processes to increase access to patient care by optimizing clinic schedules and staffing patterns so that patients are scheduled with their primary care provider (PCP) as a first choice or another provider on their health care team as a second choice, or offered an acute care visit with the acute care provider. Primary care clinics have also extended weekday hours of operation weekdays. In response to the COVID-19 pandemic, SLVH telehealth and telemedicine services were implemented using a secure, Health Insurance Portability and Accountability Act (HIPAA) platform. Telehealth services provide an important method to stay connected to some of the organization's most vulnerable patient populations while accounting for social distancing for patients and staff. This group of patients includes those with serious health care conditions, including cancer, diabetes, cardiac, and prenatal conditions, as well as those who have significant social barriers including transportation, financial, and other social emotional issues. The service quickly met or exceeded patients' expectations of convenient and quality. Telehealth aims to provide an alternative visit option for patients, as part of best practices encouraged through Team Based Care and Alternative Payment Model best practices. By making visits more convenient and accessible, SLVH expects to better-address population health through enhancing care plan adherence. SLVH also opened a dedicated Respiratory Clinic at the onset of the pandemic for acute respiratory conditions, including COVID. This helped segregate patient populations seeking medical care. c. SLVH continues to evaluate and assess potential service lines to benefit the health needs of our patient population. Nephrology service days have recently been increased, and Cardiology service expansions are under consideration. Monitor clinic access and measure 3rd next available appointments within 3 days of demand. (According to research, 3rd next available national average for hospital-owned clinics is 3 days per MGMA, but best practice/the ultimate goal is 0 days for primary care.) SLVH's goal is an average of 3 days among its primary care clinic sites (including women's health and pediatric clinics. Primary care provider (PCP) schedules also allow access for post-hospital and emergency department follow up to ensure patients connect to their PCP for continuity of care. Providers also maintain two acute, same day appointments. SLVH is currently able to offer the next available appointment within 3.75 days. Primary care provider recruitment efforts have an increased focus due to provider vacancies and continued higher demands for care. d. On March 10, 2020, in response to the global COVID-19 pandemic, SLVH leadership initiated it's Hospital Emergency Incident Command System. Organizational objectives were: caring for our community by providing essential health care services; and, ensuring the safety and wellbeing of our team. Overall community support included participation on the SLV Health Care Coalition, establishing a nurse telephone triage system to help direct and guide patients appropriately, and establishing telemed and virtual visits for patients to maintain access to medical services. Vaccination PODS (point of distribution) were implemented to administer vaccinations to large groups of the eligible population, eventually transitioning vaccination delivery in to day-to-day operations within clinic settings. e. Transportation issues and barriers often deter maximal health care utilization. SLVH provided a $25,000 donation toward the purchase of a transport vehicle that is specially equipped to accommodate patients in wheelchairs. The new van was purchased by Valley-Wide Health Systems, Inc., and adds to the fleet of vehicles offered by the "Valley-Wide Ride" program to help address transportation needs for medical and non-medical appointments for the SLV population 2. Chronic Disease Management a. SLVH has worked to improve communication through appropriate exchange of information through the continuum of care to support overall health care management. Emphasis has been placed on the use of care coordination to ensure patients and their information follows them at all care levels. In October 2020, SLVH transitioned their electronic health record to a comprehensive and integrated system that supports availability of information at every level of care within SLVH including all functions of health care services, billing, data and analysis to support appropriate utilization, evaluation, and performance improvement processes. Focusing on the identification of patients' PCP will help drive chronic disease management while improving patient/provider relationships and experiences, access, continuity of care, transitions of care, and communication among providers. b. SLVH continues to organize, participate, and contribute to local food banks and helps assemble and distribute food boxes during the holidays. 3. Mental Health Prevention and Improvement a. In order to improve patient safety, advance integrated behavioral health (BH) services and screenings in Emergency Departments (ED) help identify high-risk patients, SLVH has continued to develop its BH department and hired an additional Licensed Clinical Social Worker to provide direct therapy services. The department is working to expand behavioral health services and increase a Behavior Health Consultant FTE to work in the inpatient setting to provide brief interventions, warm hand-offs and referrals into ambulatory care. SLVH has expanded Medication Assisted Therapy (MAT) in clinic settings, and continues to partner with external agencies to implement and/or support behavioral health resources within the organization as well as within the community. Behavioral health workforce shortages challenge recruitment and retention organizationally as well as among community partners. In addition, COVID has limited the role of community partners providing in-person crisis-level evaluations. b. SLVH standardized screenings in EDs to be more effective in addressing and providing protective factors during clinical visits. This begins with general screening during nurse triage to identify patients at risk, followed by more intense screening, following the evidence-based Columbia Suicide Severity Rating Scale. SLVH has also updated its policy and procedures for patients who are at risk for self-destructive behavior to provide, as best as possible, a safe environment, appropriate medical screening, and crisis behavioral health care services. i. September 2020, SLVH participated in National Suicide Prevention Month through SLV Voices, a local podcast discussion, to help listeners learn more about tools and strategies to cope with stress and life challenges, and services available to help. ii. SLVH has initiated a system-wide approach to suicide prevention through the Zero Suicide initiative. During the month of February 2022, SLVH will offer Question, Persuade, and Refer (QPR) train the trainer coursework for approximately 20 staff, who will then proceed training other care providers within the organization. c. SLVH continues efforts to improve transitions of care through safe discharge planning, coordinated access to BH services in primary care settings, connecting patients to community-based services and resources, and ensuring follow up at appropriate intervals. d. SLVH participates with a practice improvement initiative to improve Integrated Care for Women and Babies (June 2020), expanding the number of providers inducting patients into MAT t
SCHEDULE H, PART V, SECTION B, LINE 16A	URL where FAP is made widely available on a website: https://www.sanluisvalleyhealth.org/documents/Financial-Assitance-Policy-S LVH-Update-02242023.pdf The financial assistance policy can also be found by going to the home page of organization's website, under quick links click on get financial assistance and there will be a Financial Assistance policy hyperlink.
SCHEDULE H, PART V, SECTION B, LINE 16B	URL where FAP application form is made widely available on a website: https://www.sanluisvalleyhealth.org/documents/charity_care_application.pdf THE FAP APPLICATION FORM CAN ALSO BE FOUND BY GOING TO THE HOME PAGE OF ORGANIZATION'S WEBSITE, UNDER QUICK LINKS CLICK ON "GET FINANCIAL ASSISTANCETHERE WILL BE AN "APPLICATION" HYPERLINK. ASSISTANCETHERE WILL BE AN "APPLICATION" HYPERLINK.
SCHEDULE H, PART V, SECTION B, LINE 16C	URL WHERE THE PLAIN LANGUAGE SUMMARY OF THE FAP IS MADE WIDELY AVAILABLE: https://www.sanluisvalleyhealth.org/documents/plain_language_summary.pdf THE PLAIN LANGUAGE SUMMARY CAN ALSO BE FOUND BY GOING TO THE HOME PAGE OF ORGANIZATION'S WEBSITE, UNDER QUICK LINKS CLICK ON "GET FINANCIAL ASSISTANCETHERE WILL BE A "PLAIN LANGUAGE SUMMARY" HYPERLINK.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
STUART AVENUE CLINIC
2115 STUART ST	ALAMOSA	CO	81101	PHYSICIAN CLINIC
RURAL HEALTH CLINIC - ANTONITO
115 MAIN ST	ANTONITO	CO	81120	RURAL HEALTH CLINIC
RURAL HEALTH CLINIC - LA JARA
509 MAIN ST	LA JARA	CO	81140	RURAL HEALTH CLINIC
RURAL HEALTH CLINIC - MONTE VISTA
103 CHICO COURT	MONTE VISTA	CO	81144	RURAL HEALTH CLINIC
MONTE VISTA PRO THERAPY
2360 SHERMAN AVENUE	MONTE VISTA	CO	81144	SPORTS MEDICINE physical therapy

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	DESCRIPTION OF FACTORS USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: IN ADDITION TO THE FEDERAL POVERTY GUIDELINES THE FOLLOWING ELIGIBILITY CRITERIA ARE ALSO USED TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY MEDICAL INDIGENCY, INSURANCE STATUS AND UNDERINSURANCE STATUS.
SCHEDULE H, PART I, LINE 7	THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A,7B AND 7C. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
SCHEDULE H, PART II, LINES 1 - 10	EACH ACTIVITY AND EXPENSE IN THIS CATEGORY IS RELATED TO THE LOCAL COMMUNITY BY PROMOTING OR SUPPORTING HABITAT FOR HUMANITY, PLAYGROUND CONSTRUCTION, SERVING AT THE LOCAL HOMELESS SHELTER, VOLUNTEERING AT THE LOCAL FOOD BANK, RAISING FUNDS FOR SCHOOL SUPPLIES, TRAUMA PREPARATION, WORKFORCE DEVELOPMENT, AND SAFETY OF FAMILIES AND CHILDREN THROUGH A BIKE/HELMET SAFETY EVENT.
SCHEDULE H, PART III, SECTION A, LINE 2	THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2022. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
SCHEDULE H, PART III, SECTION A, LINE 3	THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, SECTION B, LINE 8	ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE HOSPITALS ARE REQUIRED TO TREAT PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A RURAL HOSPITAL IN SOUTHERN COLORADO, SAN LUIS VALLEY HEALTH, IS CRITICAL TO PROVIDING HEALTHCARE IN AN AREA THAT HAS LIMITED ACCESS TO SPECIALTY CARE. ACCESSIBLE, HIGH-QUALITY HEALTHCARE IS NEEDED FOR THE OVERALL HEALTH OF THE RESIDENTS OF THE SAN LUIS VALLEY EVEN IF MEDICARE REIMBURSEMENT DOES NOT MEET THE COST OF PROVIDING THAT CARE. RURAL HEALTHCARE IS OFTEN MORE COSTLY AS PATIENTS TEND TO HAVE A HIGHER THAN AVERAGE ACUITY AND LENGTH OF STAY DUE TO LIMITED SPECIALTY CARE IN THE TREATMENT AND PATIENT CARE FOLLOW PROCESS. THE MEDICARE SHORTFALL REFLECTS THE EXCESS OF COSTS CONSISTENTLY DRIVEN UP BY REGULATORY REQUIREMENTS, SKILLED LABOR SHORTAGES AND EVOLVING MEDICAL AND INFORMATION TECHNOLOGY, ABOVE NON-NEGOTIABLE PAYMENTS BASED ON UPDATES THAT HAVE FALLEN BEHIND ACTUAL HEALTHCARE COST INFLATION. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE COST OF CARE REPORTED.
SCHEDULE H, PART III, SECTION C, LINE 9B	FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, THE COLLECTION PROCESS FOLLOWS THESE STEPS: A. PATIENTS ARE CONTACTED BY BROCHURE, MAIL AND PHONE CALLS FROM A FINANCIAL COUNSELOR, OR THE PATIENT ACCESS MANAGER. LETTERS SENT, BROCHURES GIVEN AND OUTBOUND PHONE CALLS AND RESPONSES ARE NOTED IN PATIENT NOTES IN THE PATIENT'S PROFILE. B. PATIENTS WHO QUALIFY FOR ASSISTANCE WILL PRESENT INFORMATION TO THE FINANCIAL COUNSELORS WHO WILL UPDATE THE REGISTRATION SECTION OF THE PATIENT PROFILE. BILINGUAL COUNSELORS OR INTERPRETERS ARE AVAILABLE. C. PATIENTS WILL BE INFORMED OF THEIR RESPONSIBILITY TO PAY CO PAYMENTS OR OTHER SLIDING FEE PATIENT RESPONSIBILITY AMOUNTS. THEY WILL BE INFORMED IN PERSON AND BY PHONE WHENEVER POSSIBLE. PAYMENT PLANS ARE ALWAYS OFFERED FOR PATIENTS WHO CANNOT AFFORD THEIR PORTION. D. PATIENTS WHO DO NOT PAY THEIR PORTION OR CO-PAYMENT WILL RECEIVE AN INVOICE, PRINTED IN ENGLISH AND SPANISH, DIRECTING THEM TO PAY OR TO CALL. IF THE PATIENT CALLS AND REQUESTS ASSISTANCE FROM THE FINANCIAL COUNSELOR, THEY WILL BE DIRECTED TO THE CUSTOMER SERVICE PHONE NUMBER. E. PATIENTS WILL RECEIVE UP TO 3 LETTERS AND 2 PHONE CALLS FROM A CONTRACTED, 3RD PARTY VENDOR WHO HAVE BILINGUAL SPECIALISTS. WHEN 90 DAYS HAVE PASSED WITHOUT ANY RESPONSE FROM THE PATIENT, THE ACCOUNT WILL BE REVIEWED BY THE PATIENT ACCESS MANAGER AS WELL AS THE PATIENT ACCOUNT MANAGER-CASH POSTING, BOTH MEMBERS OF THE BUSINESS REVENUE CYCLE TEAM. F. UPON REVIEW, IF THE PORTION IS DEEMED TO BE THE RESPONSIBILITY OF THE PATIENT, THE PROCESS TOWARD COLLECTIONS WILL BEGIN. A LETTER IS SENT TO THE PATIENT FROM THE THIRD PARTY COMPANY. THE THIRD PARTY COLLECTION COMPANY FOLLOWS LEGAL PROCEEDINGS AT THIS POINT.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: SLV HEALTH SUBMITS MANY GRANTS EVERY YEAR TO IMPROVE COMMUNITY HEALTH. EACH GRANT INCLUDES A SUMMARY OF KNOWN HEALTH DATA TO JUSTIFY THE NEED FOR THE FUNDS. AS A CONSEQUENCE WE ARE VERY ATTUNED TO OUR COMMUNITY HEALTH NEEDS. THROUGH COMMUNICATION WITH PROVIDERS AND COMMUNITY NON PROFITS, THIS NEED IS ADDRESSED AS REQUIRED. SAMPLE CURRENT AND PAST PROGRAMMING HAVE INCLUDED FREE COLONOSCOPIES, BREAST HEALTH RELATED TESTING, PSA TESTING AND MUCH MORE.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SLV HEALTH PROVIDES A PATIENT FINANCIAL COUNSELOR WHO IDENTIFIES RESOURCES AND ELIGIBILITY ASSESSMENT FOR PROGRAMS THROUGH FEDERAL AND STATE GOVERNMENT PROGRAMS, AS WELL AS GRANT FUNDED PROGRAM. WE ALSO PROVIDE A SLIDING FEE SCALE FOR SERVICE FOR THOSE SELF PAY PATIENTS NOT FITTING WITHIN ANY OF THESE PROGRAMS. PAY PLANS ARE ALSO SET UP FOR SELF PAY PATIENTS.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: LOCATED IN SOUTH-CENTRAL COLORADO, THE SAN LUIS VALLEY (SLV) IS THE LARGEST AND HIGHEST VALLEY IN NORTH AMERICA, SURROUNDED BY THREE MOUNTAIN RANGES THAT EFFECTIVELY ISOLATE THE VALLEY FROM OTHER MEDICAL RESOURCES. THE SLV CONSISTS OF THREE RURAL AND THREE FRONTIER COUNTIES COVERING 8194 SQUARE MILES (2,000,000 ACRES), LARGER THAN THE STATE OF CONNECTICUT. FRONTIER AREAS, DEFINED AS COUNTIES HAVING A POPULATION DENSITY OF SIX OR FEWER PEOPLE PER SQUARE MILE, FACE CHALLENGES IN PROVIDING ACCESS TO HEALTH AND HUMAN SERVICES WHICH ARE EVEN GREATER THAN THE CHALLENGES FACED BY OTHER RURAL COMMUNITIES. FIVE OF THE SIX COUNTIES ARE FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA (AREAS/POPULATIONS THAT LACK ACCESS TO PRIMARY CARE SERVICES) AND ALL SIX COUNTIES ARE FEDERALLY DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (SHORTAGES OF PRIMARY MEDICAL CARE, DENTAL OR MENTAL HEALTH PROVIDERS). THE SLV HAS A DIVERSE POPULATION OF 47,049, WITH 45% WHO IDENTIFY WITH A HISPANIC, LATINO, OR SPANISH ORIGIN [STATE DEMOGRAPHY OFFICE]. ADDITIONALLY, THERE IS A LARGE POPULATION OF INDIGENT AND MIGRANT FARM WORKERS. PREDOMINANTLY AGRICULTURAL IN NATURE, THE SLV IS ONE OF THE POOREST AREAS IN COLORADO (CO) WITH 19% LIVING IN POVERTY, COMPARED TO 9.6% FOR THE ENTIRE STATE, AND THE MEDIAN HOUSEHOLD INCOME IS $39,773, COMPARED TO $68,811 FOR CO [US CENSUS 2014-2018]. CENSUS DATA ALSO STATES FIVE OF THE SIX SLV COUNTIES HAVE THE HIGHEST PERCENT OF RESIDENTS THAT SPEAK A LANGUAGE OTHER THAN ENGLISH (OVER 33%), COMPARED TO CO AT 17%. THE SLV'S UNINSURED RATE IS 13% COMPARED TO 8% FOR CO, AND 43% OF SLV RESIDENTS ARE ON MEDICAID, COMPARED TO 24% OF COLORADOANS [COLORADO HEALTH INSTITUTE].
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: SLVH IS ACTIVE IN THE COMMUNITY AND SUPPORTS STAFF WHO PROVIDE COMMUNITY RESOURCES IN AREAS THAT INCLUDE HEALTH EDUCATION AND INFORMATION, PROMOTING SAFETY AND WELLNESS TO THE GENERAL POPULATION, AND SPONSORS BEHAVIORAL HEALTH SUPPORT GROUPS. HOSPITAL LEADERSHIP AND CLINICAL PROVIDERS CONDUCT HEALTH EDUCATION INFORMATION IN THE AREAS OF ADOLESCENT HEALTH, ARE FOR PATIENTS WITH DEMENTIA, SKIN CARE, AND WOMEN'S HEALTH. SLVH STAFF ALSO PARTICIPATE IN COMMUNITY HEALTH INITIATIVES SUCH AS ADOLESCENT PREVENTION COALITIONS, OPIOID USE/ABUSE TASK FORCE, A NEONATAL TASK FORCE, COORDINATION OF HEALTH CARE SERVICES ACROSS THE CONTINUUM, AND WORKFORCE DEVELOPMENT ISSUES. PATIENT AND FAMILY ADVISORY COUNCILS HAVE ALSO BEEN ESTABLISHED TO BRING THE VOICE OF PATIENTS AND THEIR FAMILIES INTO PROGRAM DESIGN AND IMPROVEMENT PROCESSES.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: SLV HEALTH HAS A PROFESSIONAL AFFILIATION WITH CENTURA HEALTH SYSTEMS TO COORDINATE CARE FOR OUR SHARED PATIENTS.
SCHEDULE H, PART VI, LINE 7	DESCRIPTION OF STATE FILINGS: SLV HEALTH FILES A COMMUNTIY BENEFIT REPORT ANNUALLY WITH COLORADO.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	San Luis Valley RETAC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8900 Independence Way	AddressLine1Txt
City	Alamosa	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81101	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	841567701	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$10,000	CashGrantAmt
Purpose Of Grant	AMBULANCE SERVICES	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: FUNDS ARE PROVIDED TO BE USED FOR DESIGNATED PURPOSES ONLY. ALL GRANTEES ARE SELECTED AND STRICTLY SCREENED BY THE MEDICAL CENTER. MULTI-YEAR AGREEMENTS ARE MADE WITH THE RECIPIENT ORGANIZATIONS AND ARE EVALUATED ON AN ANNUAL BASIS BEFORE FUNDING IS CONTINUED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
Antonio Gurule
Clinic Administrator	$174,031	$0	$45,798	$0	$1,580	$0	$11,008	$0	$10,383	$0	$242,800	$0
Carissa Tripi
Physician	$568,476	$0	$117,340	$0	$540	$0	$14,400	$0	$17,163	$0	$717,919	$0
Carmelo Hernandez
CMO	$332,679	$0	$79,720	$0	$2,322	$0	$14,139	$0	$23,456	$0	$452,316	$0
Christine Hettinger-Hunt
COO	$183,112	$0	$51,828	$0	$2,656	$0	$10,959	$0	$16,878	$0	$265,433	$0
Dennard Ellison
Trustee, Physician	$397,655	$0	$28,893	$0	$3,564	$0	$14,195	$0	$23,537	$0	$467,844	$0
James Grigsby
Physician	$415,896	$0	$66,687	$0	$3,564	$0	$14,400	$0	$17,163	$0	$517,710	$0
Jason Defee
Physician	$588,230	$0	$48,222	$0	$1,242	$0	$14,400	$0	$23,536	$0	$675,630	$0
Julian Maendel
Physician	$405,323	$0	$82,430	$0	$431	$0	$14,287	$0	$20,414	$0	$522,885	$0
Konnie Martin
CEO	$396,051	$0	$140,324	$0	$2,322	$0	$12,728	$0	$22,872	$0	$574,297	$0
Maureen Cooper
Physician	$458,783	$0	$27,588	$0	$11,125	$0	$14,214	$0	$801	$0	$512,511	$0
Roberta Bean
COO	$187,292	$0	$42,743	$0	$731	$0	$5,394	$0	$13,620	$0	$249,780	$0
Shane Mortensen
CFO	$198,853	$0	$57,334	$0	$2,908	$0	$13,298	$0	$16,916	$0	$289,309	$0
Zachary Weiderspon
CCH Administrator	$140,497	$0	$33,177	$0	$90	$0	$355	$0	$8,070	$0	$182,189	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 6A	ALL ORGANIZATIONAL OFFICERS, AS WELL AS DIRECTORS, ARE ELIGIBLE FOR AN ANNUAL VARIABLE PAY BONUS BASED UPON A NUMBER OF MEASURES, ONE OF THEM BEING THAT THE ORGANIZATION AS A WHOLE MEETS BUDGETED PROFITABILITY.
SCHEDULE J, PART I, LINE 7	NON-FIXED PAYMENTS: PHYSICIANS MAY EARN A PRODUCTIVITY BONUS. SENIOR MANAGEMENT IS ELIGIBLE FOR ANNUAL VARIABLE PAY UP TO 35% FOR CEO AND 20% FOR ALL OTHER SENIOR MANAGEMENT BASED UPON CRITERIA INCLUDING HOSPITAL WIDE MEASURES AND POSITION SPECIFIC GOALS. VARIABLE PAY IS AWARDED AT THE DISCRETION OF THE BOARD FOR THE CEO AND THE CEO FOR ALL OTHER SENIOR MANAGEMENT.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DAVID GEIGER
SEE PART V	$316,772	EMPLOYMENT WAGES	false
SUSAN GEIGER
SEE PART V	$17,483	EMPLOYMENT WAGES	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, COLUMN B	FormAndLineReferenceDesc
Explanation	Relationship between interested person and the organization: BOARD MEMBER SUSAN GEIGER HAS A FAMILY RELATIONSHIP WITH Former Interim Chief Medical Officer DAVID GEIGER, WHO RECEIVED EMPLOYMENT WAGES FROM THE ORGANIZATION DURING THE YEAR. Former Interim Chief Medical Officer David Geiger has a family relationship with Board Member Susan Geiger, Who Received Employment Wages from the organization during the year.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	FAMILY/BUSINESS RELATIONSHIPS: BOARD OF DIRECTOR MEMBERS CHERI CROWDER AND PATRICK CROWDER HAVE A FAMILY RELATIONSHIP. BOARD MEMBER SUSAN GEIGER IS MARRIED TO DAVID GEIGER, FORMER INTERIM CHIEF MEDICAL OFFICER.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW THE FORM 990: THE 990 IS PREPARED BY A THIRD PARTY ORGANIZATION, REVIEWED BY THE CFO AND CEO, AND APPROVED BY THE FINANCE COMMITTEE. THE BOARD OF DIRECTORS IS ALSO PROVIDED A COPY OF THE 990 FOR REVIEW PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: SAN LUIS VALLEY HEALTH HAS A CURRENT CONFLICT OF INTEREST POLICY THAT IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES AND THE CEO. THE REVIEW PROCESS IS CONDUCTED FIRST WITH THE CEO AND THEN THE BOARD OF TRUSTEES. WHEN NECESSARY, THE POLICY HAS BEEN REVIEWED BY LEGAL COUNSEL. EACH YEAR, TRUSTEES ARE ASKED TO REVIEW THE POLICY AND CONFIRM AND AMEND ANY POTENTIAL CONFLICT. THESE CONFLICTS ARE REVIEWED BY THE CEO AND THE ENTIRE BOARD. CONFLICTS ARE ROUTINELY DISCUSSED AND ARE THE RESPONSIBILITY OF ALL BOARD MEMBERS TO DISCLOSE; EITHER FOR THEMSELVES OR OTHERS. THE BOARD CHAIRMAN WILL MAKE A DECISION AS TO THE NATURE OF THE CONFLICT AND THE APPROPRIATE ACTION ACCORDING TO THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15A	REVIEW OF CEO OR TOP MANAGEMENT OFFICIAL COMPENSATION: HUMAN RESOURCES PROVIDES THE EXECUTIVE COMMITTEE OF THE BOARD WITH SALARY SURVEY DATA FROM CHA, AHA, AND HFMA. AFTER STUDYING THE DATA, THE EXECUTIVE COMMITTEE MAKES RECOMMENDATIONS TO THE FULL BOARD IN EXECUTIVE SESSION. THE FULL BOARD APPROVES THE CEO'S COMPENSATION. SLVH CONDUCTS AN ANNUAL EVALUATION AND QUARTERLY REVIEWS OF THE CEO'S PERFORMANCE, WHICH IS DOCUMENTED. COMPENSATION FOR THE CEO IS DETERMINED ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15B	REVIEW OF OTHER OFFICER OR KEY EMPLOYEES COMPENSATION: HUMAN RESOURCES GATHERS COMPENSATION SURVEY DATA FROM CHA, AHA, AND HFMA. HUMAN RESOURCES MAKES RECOMMENDATIONS FOR OTHER OFFICERS' COMPENSATION AND PROVIDES SURVEY DATA TO THE CEO. THE CEO PERFORMS EVALUATIONS AND DETERMINES ALL OF THE WAGE CHANGES FOR THE OTHER OFFICERS ON AN ANNUAL BASIS. ALL CHANGES ARE DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19	DESCRIBE HOW GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part XI, Line 9	Other Changes in Net Assets Change in investment in foundation 89,011

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SAN LUIS VALLEY HEALTH FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	106 BLANCA AVENUE	AddressLine1Txt
City	ALAMOSA	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81101	ZIPCd

Field	Value	IRS element (for citing)
EIN	203799814	EIN
Primary Activities	FUNDRAISING	PrimaryActivitiesTxt
Legal Domicile State	CO	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 7	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SLVH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd