SAN LUIS VALLEY REGIONAL MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SAN LUIS VALLEY REGIONAL MEDICAL CENTER (EIN 84-0255530)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-02
IRS object ID: 202001849349302160
Schema version: 2018v3.3
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	2020-07-02T18:52:43-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD 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	2018-07-01	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	BusinessNameLine1Txt
Business Name Line2	Luis 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	CEO	PersonTitleTxt
Phone	7195892511	PhoneNum
Signature	2020-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Adam R Smith CPA	PreparerPersonNm
PTIN	P00958966	PTIN
Phone	7194714290	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	84022720201845000015	FederalOriginalSubmissionId
Federal Original Submission Id	2020-07-02	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	19466AA61A357D31F4873695DF4DFE6460C1305A	AtSubmissionCreationDeviceId
At Submission Filing Device Id	19466AA61A357D31F4873695DF4DFE6460C1305A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	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	$109,183,083	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	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	937	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$2,374,616	PYContributionsGrantsAmt
CY Contributions Grants	$691,645	CYContributionsGrantsAmt
PY Program Service Revenue	$101,536,528	PYProgramServiceRevenueAmt
CY Program Service Revenue	$107,589,031	CYProgramServiceRevenueAmt
PY Investment Income	-$234,833	PYInvestmentIncomeAmt
CY Investment Income	$389,507	CYInvestmentIncomeAmt
PY Other Revenue	$525,190	PYOtherRevenueAmt
CY Other Revenue	$480,029	CYOtherRevenueAmt
PY Total Revenue	$104,201,501	PYTotalRevenueAmt
CY Total Revenue	$109,150,212	CYTotalRevenueAmt
PY Grants And Similar Paid	$89,352	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$42,619	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$51,454,230	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$56,149,758	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$287,906	CYTotalFundraisingExpenseAmt
PY Other Expenses	$46,797,574	PYOtherExpensesAmt
CY Other Expenses	$46,674,343	CYOtherExpensesAmt
PY Total Expenses	$98,341,156	PYTotalExpensesAmt
CY Total Expenses	$102,866,720	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,860,345	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,283,492	CYRevenuesLessExpensesAmt
Total Assets BOY	$95,190,560	TotalAssetsBOYAmt
Total Assets EOY	$104,788,043	TotalAssetsEOYAmt
Total Liabilities BOY	$33,582,836	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$36,563,623	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$61,607,724	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$68,224,420	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	$79,616,631	ExpenseAmt
Grant	$42,619	GrantAmt
Revenue	$107,645,507	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 $100M 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. COUNSELING, BEHAVIORAL HEALTH, CARDIOLOGY, CHIROPRACTIC, ONCOLOGY/INFUSION THERAPY, UROLOGY AND MORE.	Desc
Total Program Service Expenses	$79,616,631	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	93	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	937	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	14	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 (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Karla Hardesty
President	2.0	0.0	Yes (X)	Yes (X)	$2,800	$0	$0
Jim Ehrlich
Vice President	2.0	0.0	Yes (X)	Yes (X)	$800	$0	$0
Kendal Knaus
Secretary/Treasurer	30.0	0.0	Yes (X)	Yes (X)	$7,821	$0	$0
Jan Gay
Trustee	2.0	0.0	Yes (X)		$1,100	$0	$0
Patrick Crowder
Trustee	2.0	0.0	Yes (X)		$800	$0	$0
Kathy Lorenz
Trustee	2.0	0.0	Yes (X)		$900	$0	$0
Cheri Crowder
Trustee	2.0	0.0	Yes (X)		$1,100	$0	$0
Rosalie Martinez
Trustee	2.0	2.0	Yes (X)		$700	$0	$0
Donald Shawcroft
Trustee	2.0	0.0	Yes (X)		$0	$0	$0
Kasey Russell
Trustee	2.0	0.0	Yes (X)		$1,100	$0	$0
Carmelo Hernandez
Trustee, Physician/CMO	40.0	0.0	Yes (X)	Yes (X)	$349,601	$0	$27,823
Susan Geiger
Trustee, Physician	20.0	0.0	Yes (X)		$109,640	$0	$5,432
Dennard Ellison
Trustee, Physician	40.0	0.0	Yes (X)		$413,922	$0	$26,703
Nuwan Pilapitiya
Trustee, Physician	40.0	0.0	Yes (X)		$232,595	$0	$25,531
Konnie Martin
CEO	40.0	2.0		Yes (X)	$450,402	$0	$27,885
Shane Mortensen
CFO	40.0	2.0		Yes (X)	$221,732	$0	$24,868
Patti Thompson
COO - Through January 2019	40.0	0.0		Yes (X)	$230,199	$0	$18,735
Kelly Gallegos
CCH Administrator	40.0	0.0		Yes (X)	$186,116	$0	$20,558
Antonio Gurule
Clinic Administrator	40.0	0.0		Yes (X)	$190,787	$0	$16,704
Christine Hettinger-Hunt
COO - Beginning April 2019	40.0	0.0		Yes (X)	$128,846	$0	$19,847
Jason Defee
Physician	40.0	0.0			$552,310	$0	$21,592	Yes (X)
Carissa Tripi
Physician	40.0	0.0			$547,010	$0	$27,938	Yes (X)
Maureen Cooper
Physician	40.0	0.0			$454,902	$0	$14,497	Yes (X)
James Grigsby
Physician	40.0	0.0			$449,124	$0	$27,938	Yes (X)
Olivier De Raet
Physician	0.0	0.0			$411,468	$0	$27,780	Yes (X)
David Geiger
Physician - Former CMO	38.0	0.0			$496,500	$0	$27,822		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,442,275	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$361,653	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	70	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
VITALANT
PO Box 53022	PHOENIX	AZ	850723022	Medical Supplier	$454,356
WEATHERBY LOCUMS
PO Box 972633	DALLAS	TX	75397	Locum Physicians	$242,609
INNOVA EMERGENCY MEDICAL ASSOCIATES
PO Box 912601	DENVER	CO	802912601	Locum Physcians	$2,527,150
All Star Recruiting Locums LLC
PO Box 823424	PHILADELPHIA	PA	191823424	Locum Physicians	$337,387
Medical Solutions INc
1010 N 102nd Street Suite 300	OMAHA	NE	68114	Locum NUrses	$392,484

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Related Organizations	$133,089	RelatedOrganizationsAmt
Government Grants	$399	GovernmentGrantsAmt
All Other Contributions	$558,157	AllOtherContributionsAmt
Total Contributions	$691,645	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue	561110	$43,579,810	$43,579,810
Medicare Medicaid	561110	$60,770,905	$60,770,905
Electronic Health Record Payments	900099	$325,906	$325,906
Ambulance District Revenue	621910	$417,480	$417,480
340B Payments	900099	$2,191,985	$2,191,985

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$302,945	TotalRevenueColumnAmt
Related Or Exempt Func Income	$302,945	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$107,589,031	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$374,803	TotalRevenueColumnAmt
Exclusion	$374,803	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	$19,686	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$19,876	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$190	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$190	TotalRevenueColumnAmt
Exclusion	-$190	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$27,699	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$12,995	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$14,704	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,704	TotalRevenueColumnAmt
Exclusion	$14,704	ExclusionAmt

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	$339,168	$339,168
Abstract Revenue	900099	$28,291	$27,497	$794
Miscellaneous Revenue	900099	$55,682		$55,682

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$57,078	TotalRevenueColumnAmt
Exclusion	$57,078	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$480,219	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$109,150,212	TotalRevenueColumnAmt
Related Or Exempt Func Income	$107,645,507	RelatedOrExemptFuncIncomeAmt
Exclusion	$813,060	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$42,619	TotalAmt
Program Services	$42,619	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	$2,545,722	TotalAmt
Program Services	$1,152,191	ProgramServicesAmt
Management And General	$1,379,071	ManagementAndGeneralAmt
Fundraising	$14,460	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$452,012	TotalAmt
Program Services	$204,580	ProgramServicesAmt
Management And General	$244,865	ManagementAndGeneralAmt
Fundraising	$2,567	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$44,622,692	TotalAmt
Program Services	$35,937,180	ProgramServicesAmt
Management And General	$8,506,316	ManagementAndGeneralAmt
Fundraising	$179,196	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,533,717	TotalAmt
Program Services	$1,221,188	ProgramServicesAmt
Management And General	$304,933	ManagementAndGeneralAmt
Fundraising	$7,596	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,984,170	TotalAmt
Program Services	$3,119,405	ProgramServicesAmt
Management And General	$844,919	ManagementAndGeneralAmt
Fundraising	$19,846	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,011,445	TotalAmt
Program Services	$2,331,160	ProgramServicesAmt
Management And General	$665,228	ManagementAndGeneralAmt
Fundraising	$15,057	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	$108,637	TotalAmt
Management And General	$108,637	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$127,734	TotalAmt
Management And General	$127,734	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$7,536	TotalAmt
Management And General	$7,536	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	$8,869,639	TotalAmt
Program Services	$5,882,069	ProgramServicesAmt
Management And General	$2,987,570	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$167,666	TotalAmt
Management And General	$167,666	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,627,930	TotalAmt
Program Services	$320,238	ProgramServicesAmt
Management And General	$1,303,197	ManagementAndGeneralAmt
Fundraising	$4,495	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,273,532	TotalAmt
Management And General	$2,273,532	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$916,197	TotalAmt
Program Services	$575,262	ProgramServicesAmt
Management And General	$340,935	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$414,022	TotalAmt
Program Services	$246,215	ProgramServicesAmt
Management And General	$167,807	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	$44,824	TotalAmt
Management And General	$44,824	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$708,810	TotalAmt
Management And General	$708,810	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,032,854	TotalAmt
Program Services	$2,127,110	ProgramServicesAmt
Management And General	$905,744	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$974,213	TotalAmt
Program Services	$485,787	ProgramServicesAmt
Management And General	$487,922	ManagementAndGeneralAmt
Fundraising	$504	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$13,702,547	$13,702,547
Provider Fees	$4,618,973	$4,618,973
Bad Debt Expense	$5,552,907	$5,552,907
Repairs & Maintenance	$1,734,824	$1,468,907	$265,917

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,791,498	TotalAmt
Program Services	$628,293	ProgramServicesAmt
Management And General	$1,119,020	ManagementAndGeneralAmt
Fundraising	$44,185	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$102,866,720	TotalAmt
Program Services	$79,616,631	ProgramServicesAmt
Management And General	$22,962,183	ManagementAndGeneralAmt
Fundraising	$287,906	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,379,188	BOYAmt
EOY	$1,620,662	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$14,128,047	BOYAmt
EOY	$11,485,909	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,245	BOYAmt
EOY	$36,285	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,510,059	BOYAmt
EOY	$11,669,799	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	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	$1,949,447	BOYAmt
EOY	$2,030,690	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,486,884	BOYAmt
EOY	$2,214,947	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$95,736,067	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$46,126,069	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$37,533,890	BOYAmt
EOY	$49,609,998	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$22,031,034	BOYAmt
EOY	$23,887,093	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$12,100	BOYAmt
EOY	$12,100	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$359,913	BOYAmt
EOY	$377,355	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	$3,792,753	BOYAmt
EOY	$1,843,205	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$95,190,560	BOYAmt
EOY	$104,788,043	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,055,923	BOYAmt
EOY	$11,570,563	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	$244,538	BOYAmt
EOY	$855,563	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	$20,011,550	BOYAmt
EOY	$23,866,966	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	$270,825	BOYAmt
EOY	$270,531	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,582,836	BOYAmt
EOY	$36,563,623	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$61,247,809	BOYAmt
EOY	$67,847,065	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$359,915	BOYAmt
EOY	$377,355	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$61,607,724	BOYAmt
EOY	$68,224,420	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$95,190,560	BOYAmt
EOY	$104,788,043	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,283,492	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$315,764	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$17,440	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	$7,536	OtherActivitiesAmt
Total Lobbying Expenditures	$7,536	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	$15,600	BeginningYearBalanceAmt
Investment Earnings Or Losses	$29	InvestmentEarningsOrLossesAmt
End Year Balance	$15,629	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$35,345	BeginningYearBalanceAmt
Contributions	$10,980	ContributionsAmt
Investment Earnings Or Losses	$43	InvestmentEarningsOrLossesAmt
End Year Balance	$46,368	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,766	BeginningYearBalanceAmt
Contributions	$10,547	ContributionsAmt
Investment Earnings Or Losses	$32	InvestmentEarningsOrLossesAmt
End Year Balance	$35,345	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,388	BeginningYearBalanceAmt
Contributions	$14,360	ContributionsAmt
Investment Earnings Or Losses	$18	InvestmentEarningsOrLossesAmt
End Year Balance	$24,766	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	$48,250,838	OtherCostOrOtherBasisAmt
Depreciation	$24,055,340	DepreciationAmt
Book Value	$24,195,498	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,512,030	OtherCostOrOtherBasisAmt
Depreciation	$21,000,351	DepreciationAmt
Book Value	$5,511,679	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,540,517	OtherCostOrOtherBasisAmt
Depreciation	$1,070,378	DepreciationAmt
Book Value	$16,470,139	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$49,609,998	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Asset retirement Obligation	Desc
Amt	$270,531	Amt

Field	Value	IRS element (for citing)
Total Liability	$270,531	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$103,950,385	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$315,764	NetUnrealizedGainsInvstAmt
Other Revenue	$37,316	OtherRevenueAmt
Revenue Not Reported	$353,080	RevenueNotReportedAmt
Revenue Subtotal	$103,597,305	RevenueSubtotalAmt
Other Revenues Not Included	$5,552,907	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$5,552,907	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$109,150,212	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$97,333,689	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$19,876	OtherExpensesIncludedAmt
Expenses Not Reported	$19,876	ExpensesNotReportedAmt
Expenses Subtotal	$97,313,813	ExpensesSubtotalAmt
Other Expenses Not Included	$5,552,907	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$5,552,907	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$102,866,720	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 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: 17,440 - change in investment in foundation 19,876 - Rental Expense reclassed from Expense to Revenue 37,316 - Total
SCHEDULE D, PART XI, LINE 4B	REVENUE ON RETURN, NOT ON BOOKS: 5,552,907 - BAD DEBT EXPENSE RECLASSED FROM Revenue to expense
SCHEDULE D, PART XII, LINE 2d	Expense on Books, Not on Return: 19,876 - Rental Expense Reclassed from Expense to Revenue
SCHEDULE D, PART XII, LINE 4B	EXPENSE ON RETURN, NOT ON BOOKS: 5,552,907 - BAD DEBT EXPENSE RECLASSED FROM Revenue to expense

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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$908,762	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$156,130	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$752,632	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,558,608	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,844,076	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,714,532	NetCommunityBenefitExpnsAmt
Total Expense	0.01760	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$862,059	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,156,165	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,329,429	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,156,371	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,467,164	NetCommunityBenefitExpnsAmt
Total Expense	0.02530	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,729	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$72,729	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$110,343	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$110,343	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$690	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$690	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,232	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,232	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$213,994	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$213,994	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,543,423	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,156,371	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,681,158	NetCommunityBenefitExpnsAmt
Total Expense	0.02740	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,674	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,674	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,437	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,437	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,727	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,727	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,340	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,340	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$861	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$861	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,039	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$55,039	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,552,907	BadDebtExpenseAmt
Reimbursed By Medicare	$23,711,546	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$22,852,916	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$858,630	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	SEE PART V, SECTION C FOR URL	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: https://www.sanluisvalleyhealth.org/documents/about%20us/2019-CHNA-report- final.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 2019. The following priorities were identified as pressing community health needs for the San Luis Valley 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 with Press Ganey throughout the organization and has included several measures as strategic priorities that are reviewed by SLVH departments, Leadership, Senior Team, and the Governing Board on a quarterly basis. Monitors that fall below organizational goals are identified for performance and process improvements to promote advancement toward organizational goals and objectives. 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 hours of operation from 7:00 a.m. 7:00 pm. four days a week, and additional weekend hours of operation are under consideration. 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 provided an important method to stay connected to some of the organizations 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 for example, as well as those who have significant social barriers including transportation, financial, and other social emotional issues that were best suited to accommodate through telehealth. The service quickly met or exceeded patients expectations of convenience 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. 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. 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 that patients and their information follows them at all care levels. As SLVH works to transition their electronic health record system in October 2020, the new product will be comprehensive and integrated to support availability of information at every level of care within SLVH including all functions of health care services, billing, and data and analysis to support appropriate utilization, evaluation, and performance improvement processes. SLVH continues to work on the identification of identifying patients primary care providers (PCP) to help improve patient/provider relationships and experiences, patient access, continuity of care, transitions of care, and communication among providers. 3. Mental Health Prevention and Improvement a. In order to improve patient safety, advance integrated BH services and screenings in Emergency Departments (ED) to identify high-risk patients, SLVH has continued to develop its Behavioral Health (BH) department and has recently hired an additional Licensed Clinical Social Worker to provide direct therapy services. SLVH has also partnered with several health care agencies to expand 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. b. SLVH has 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 intensive screening using 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. c. SLVH continues efforts to improve transitions of care through safe discharge planning, coordinated access of BH services into primary care settings, connect patients to community-based services and resources, and ensure follow up at appropriate intervals. 4. Substance Abuse Prevention, Treatment and Recovery a. SLVH, along with other community partners, have demonstrated a long-standing commitment to serve patients with substance use disorders including region-wide standardized pain management agreements, implementation of evidence-based standards and best practices to limit opioid use and increase alternatives to opioids as a first line treatment in EDs and during hospitalizations, implement harm reduction strategies, and complete referrals for substance use treatment. SLVH has continued to participate in community-wide efforts to develop community-based resources and services to include patient advocates, public safety, and early diversion from the criminal justice system. b. SLVH continues efforts to use a multispecialty medical approach to address opioid management, improve transitions of care through a safe discharge plan, improve access to integrated primary health care services, care coordination, and follow up in the local health care system. 5. Poverty Mitigation a. SLVH is committed to working with community partners on focus groups, workforce committees and activities developed and intended to strengthen both the local workforce pipeline and strengthen the local economy. b. SLVH realizes its staff is its most valuable asset in achieving its mission and vision. SLVH continues to invest in a cost-effective, sustainable education plan to address the needs of the workforce and support the organizations mission. Special attention has been devoted to developing emerging staff and provider leaders through internal and external sources. SLVH has established an Education Committee that financially supports employees who advance their knowledge, skills, and competencies through formal training. Employees are asked for an employment commitment of up to five years following the completion of the training/education program. These efforts have had positive results in recruiting and retaining staff positions including health care providers, nurses, paramedics, and ancillary staff positions. Positive staffing impacts are often more aligned to the community organizational objectives, and importantly mission and vision and support longer-term employment commitments. SLVH also offers a nursing residency program, hosting medical and nursing students and interns, and mentoring master-level candidate.
Schedule H, Part V, Section B, Line 16a	URL where FAP is made widely available on a website: http://www.sanluisvalleyhealth.org/sites/default/files/images/financial_as sistance_policy_0.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 assistancethere 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: http://www.sanluisvalleyhealth.org/sites/default/files/images/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.
Schedule H, Part V, Section B, Line 16C	URL where the plain language summary of the fap is made widely available on a website: http://www.sanluisvalleyhealth.org/sites/default/files/images/plain_langua ge_summary_3252016.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 (14 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 & 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 I, LINE 7, COLUMN (F)	TOTAL BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR PRIOR TO THE PERCENTAGE CALCULATION = 5,552,907.
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 ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
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 A, LINE 4	THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSES IS LOCATED IN FOOTNOTE 1 ON PAGE 9 OF THE ATTACHED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 8	THE COSTING METHODOLOGY TO DETERMINE LINE 6 WAS THE OVERALL FACILITY COST-TO-CHARGE RATIO. THE TIMING OF REVENUES FROM MEDICARE WILL NOT ALWAYS CORRESPOND TO THE TIMING OF THE EXPENSES. BASED ON MEDICARE COST REPORTS FILED. SUBSEQUENT TO YEAR END, THERE MAY BE ADDITIONAL REVENUES DUE THE HOSPITAL OR AMOUNTS DUE BACK TO MEDICARE.
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 COPAYMENT 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 COMMUICATION WITH PROVIDERS AND COMMUNITY NON-PROFITS, THIS NEED IS ADDRESSED AS REQURIRED. 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 ASSESMENT 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: FIVE OUT OF SIX COUNTIES SERVED BY SLVH ARE DESIGNATED AS A MEDICALLY UNDERSERVED AREA AND AS HEALTH PROFESSIONAL SHORTAGE AREAS, AND HAVE ONE OF THE HIGHEST MEDICAID POPULATIONS IN THE STATE. WITH AN AVERAGE HOUSEHOLD INCOME 1/2 THAT OF COLORADO?S AVERAGE, THE CHALLENGES ARE DAUNTING IN PROVIDING HEALTHCARE IN A LOW INCOME, MEDICALLY UNDERSERVED AREA. INDIVIDUALS BELOW POVERTY LEVEL IN THE SLV REGION AVERAGE 20.2% WHICH IS HIGHER THAN THE STATE AVERAGE (12.7%) AND RANK AMONG THE HIGHEST IN PERCENTAGE OF POVERTY IN THE STATE; MEDIAN HOUSEHOLD INCOMES ($36,926) ARE FAR SHORT OF COLORADO?S $60,629 [2011-2015 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES]. THE MAJORITY OF SLVH PATIENTS ARE REPRESENTATIVE OF LOW-INCOME POPULATIONS WITH NEARLY 71% OF PATIENTS ENROLLED IN MEDICARE AND/OR MEDICAID IN 2016. THE SLV ALSO HAS POCKETS OF DIVERSE POPULATIONS INCLUDING COLLEGE STUDENTS, GUATEMALAN, AMISH, SEASONAL AND MIGRANT FARMWORKERS, AND OTHER INTERNATIONAL RELIGIOUS SECTORS THAT ALL HAVE UNIQUE NEEDS.
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, CARE 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 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	ADAmS STATE University FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	208 EDGEMONT BLVD	AddressLine1Txt
City	ALAMOSA	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81101	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	846027518	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$7,000	CashGrantAmt
Purpose Of Grant	Education	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	false	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 (14 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
Carmelo Hernandez
Trustee, Physician/CMO	$298,329	$0	$48,950	$0	$2,322	$0	$13,750	$0	$14,073	$0	$377,424	$0
Dennard Ellison
Trustee, Physician	$401,600	$0	$10,000	$0	$2,322	$0	$12,515	$0	$14,188	$0	$440,625	$0
Nuwan Pilapitiya
Trustee, Physician	$232,100	$0		$0	$495	$0	$11,550	$0	$13,981	$0	$258,126	$0
Konnie Martin
CEO	$348,095	$0	$99,895	$0	$2,412	$0	$13,750	$0	$14,135	$0	$478,287	$0
Shane Mortensen
CFO	$185,541	$0	$34,482	$0	$1,709	$0	$11,001	$0	$13,867	$0	$246,600	$0
Patti Thompson
COO - Through January 2019	$192,564	$0	$35,853	$0	$1,782	$0	$11,421	$0	$7,314	$0	$248,934	$0
Kelly Gallegos
CCH Administrator	$156,335	$0	$29,295	$0	$486	$0	$6,781	$0	$13,777	$0	$206,674	$0
Antonio Gurule
Clinic Administrator	$160,654	$0	$29,363	$0	$770	$0	$9,501	$0	$7,203	$0	$207,491	$0
David Geiger
Physician - Former CMO	$426,575	$0	$66,224	$0	$3,701	$0	$13,750	$0	$14,072	$0	$524,322	$0
Jason Defee
Physician	$550,000	$0	$1,500	$0	$810	$0	$7,404	$0	$14,188	$0	$573,902	$0
Carissa Tripi
Physician	$515,000	$0	$31,486	$0	$524	$0	$13,750	$0	$14,188	$0	$574,948	$0
Maureen Cooper
Physician	$448,044	$0		$0	$6,858	$0	$13,750	$0	$747	$0	$469,399	$0
James Grigsby
Physician	$429,160	$0	$16,400	$0	$3,564	$0	$13,750	$0	$14,188	$0	$477,062	$0
Olivier De Raet
Physician	$388,992	$0	$21,800	$0	$676	$0	$13,750	$0	$14,030	$0	$439,248	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 7	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DAVID GEIGER
See Part V	$452,013	Employment Wages	false
Susan Geiger
See Part V	$144,257	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 ACURRENT 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 17,440

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	Yes (true)	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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SAN LUIS Valley Health FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$133,089	InvolvedAmt
Method Of Amount Determination	Interco Amount	MethodOfAmountDeterminationTxt