SAN LUIS VALLEY REGIONAL MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SAN LUIS VALLEY REGIONAL MEDICAL CENTER (EIN 84-0255530)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-07
IRS object ID
201911279349300921
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-07T10:41:21-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Tejon Suite 800AddressLine1Txt
CityColorado SpringsCityNm
State AbbreviationCOStateAbbreviationCd
ZIP809039848ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840255530EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lutheran Hospital Association of the SanBusinessNameLine1Txt
Business Name Line2Luis ValleyBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% THE ORGANIZATIONInCareOfNm
Business Name ControlLUTHBusinessNameControlTxt
Phone7195892511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1106 BLANCA AVENUEAddressLine1Txt
CityALAMOSACityNm
State AbbreviationCOStateAbbreviationCd
ZIP81101ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKONNIE MARTINPersonNm
Person TitleCEOPersonTitleTxt
Phone7195892511PhoneNum
Signature2019-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAdam R Smith CPAPreparerPersonNm
PTINP00958966PTIN
Phone7194714290PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id84022720191275000017FederalOriginalSubmissionId
Federal Original Submission Id2019-05-07FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id19466AA61A357D31F4873695DF4DFE6460C1305AAtSubmissionCreationDeviceId
At Submission Filing Device Id19466AA61A357D31F4873695DF4DFE6460C1305AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1San Luis Valley HealthBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKONNIE MARTINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1106 BLANCA AVENUEAddressLine1Txt
CityALAMOSACityNm
State AbbreviationCOStateAbbreviationCd
ZIP81101ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$104,684,277GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SANLUISVALLEYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1928FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionTO BE A PREMIER, FULLY INTEGRATED RURAL HEALTH CARE SYSTEM PROVIDING EXCEPTIONAL PATIENT-CENTERED SERVICES TO THE SAN LUIS VALLEY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee831TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$422NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$891,320PYContributionsGrantsAmt
CY Contributions Grants$2,374,616CYContributionsGrantsAmt
PY Program Service Revenue$87,415,565PYProgramServiceRevenueAmt
CY Program Service Revenue$101,536,528CYProgramServiceRevenueAmt
PY Investment Income$200,051PYInvestmentIncomeAmt
CY Investment Income-$234,833CYInvestmentIncomeAmt
PY Other Revenue$411,125PYOtherRevenueAmt
CY Other Revenue$525,190CYOtherRevenueAmt
PY Total Revenue$88,918,061PYTotalRevenueAmt
CY Total Revenue$104,201,501CYTotalRevenueAmt
PY Grants And Similar Paid$78,942PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$89,352CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$50,204,609PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$51,454,230CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$275,224CYTotalFundraisingExpenseAmt
PY Other Expenses$36,347,411PYOtherExpensesAmt
CY Other Expenses$46,797,574CYOtherExpensesAmt
PY Total Expenses$86,630,962PYTotalExpensesAmt
CY Total Expenses$98,341,156CYTotalExpensesAmt
PY Revenues Less Expenses$2,287,099PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,860,345CYRevenuesLessExpensesAmt
Total Assets BOY$89,586,153TotalAssetsBOYAmt
Total Assets EOY$95,190,560TotalAssetsEOYAmt
Total Liabilities BOY$33,678,186TotalLiabilitiesBOYAmt
Total Liabilities EOY$33,582,836TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$55,907,967NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$61,607,724NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAN 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$76,784,714ExpenseAmt
Grant$89,352GrantAmt
Revenue$101,731,912RevenueAmt
DescSAN 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-FORPROFIT 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.Desc
Total Program Service Expenses$76,784,714TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document99IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee831EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTHE ORGANIZATIONPersonNm
Phone7195892511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1106 BLANCA AVENUEAddressLine1Txt
CityALAMOSACityNm
State AbbreviationCOStateAbbreviationCd
ZIP81101ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Karla Hardesty
President2.00.0Yes (X)Yes (X)$2,900$0$0
Jim Ehrlich
Vice President2.00.0Yes (X)Yes (X)$600$0$0
Kendall Knaus
Secretary/Treasurer30.00.0Yes (X)Yes (X)$51,400$0$0
Jan Gay
Trustee2.01.0Yes (X)$800$0$0
Patrick Crowder
Trustee2.00.0Yes (X)$1,000$0$0
Kathy Lorenz
Trustee2.01.0Yes (X)$800$0$0
Cheri Crowder
Trustee2.01.0Yes (X)$1,000$0$0
Rosalie Martinez
Trustee2.02.0Yes (X)$900$0$0
Donald Shawcroft
Trustee2.01.0Yes (X)$700$0$0
Kasey Russell
Trustee2.00.0Yes (X)$1,100$0$0
Susan Geiger
Trustee, Physician20.00.0Yes (X)$102,609$0$5,088
Dennard Ellison
Trustee, Physician40.00.0Yes (X)$456,126$0$32,742
Nuwan Pilapitiya
Trustee, Physician40.00.0Yes (X)$227,264$0$31,669
CArmelo Hernandez
Trustee, Physician40.00.0Yes (X)$334,996$0$32,936
Konnie Martin
CEO40.02.0Yes (X)$422,275$0$36,064
Shane Mortensen
CFO40.02.0Yes (X)$205,168$0$32,059
Patti Thompson
COO40.00.0Yes (X)$221,146$0$20,627
Greg McAuliffe
CMO - Through 3/1825.00.0Yes (X)$263,090$0$11,875
Kelly Gallegos
CCH Administrator40.00.0Yes (X)$171,191$0$27,806
Antonio Gurule
Clinic Administrator40.00.0Yes (X)$179,608$0$20,518
David Geiger
Interim CMO38.00.0Yes (X)$394,421$0$33,362
Maureen Cooper
Physician40.00.0$448,467$0$20,682Yes (X)
Carissa Tripi
Physician40.00.0$532,792$0$26,494Yes (X)
James Grigsby
Physician40.00.0$405,860$0$34,988Yes (X)
Jason Defee
Physician40.00.0$478,024$0$27,539Yes (X)
Donna Nelson
Physician40.00.0$392,057$0$33,047Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,296,294TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$427,496TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K74IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CARETECH SOLUTIONS INC
PO Box 674271DETROITMI48267IT Support$1,560,983
WEATHERBY LOCUMS
PO Box 972633DALLASTX75397Locum Physicians$347,875
INNOVA EMERGENCY MEDICAL ASSOCIATES
PO Box 912601DENVERCO802912601Locum Physcians$2,395,215
All Star Recruiting Locums LLC
PO Box 823424PHILADELPHIAPA191823424Locum Physicians$332,175
Medical Solutions INc
1010 N 102nd Street Suite 300OMAHANE68114Locum NUrses$206,083
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Related Organizations$1,524,430RelatedOrganizationsAmt
Government Grants$521,103GovernmentGrantsAmt
All Other Contributions$329,083AllOtherContributionsAmt
Total Contributions$2,374,616TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE561110$41,581,841$41,581,841
MEDICARE/MEDICAID561110$58,022,363$58,022,363
ELECTRONIC HEALTH RECORD PAYMENTS900099$276,731$276,731
AMBULANCE DISTRICT REVENUE621910$548,293$548,293
340B PAYMENTS900099$657,438$657,438

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$449,862TotalRevenueColumnAmt
Related Or Exempt Func Income$449,862RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$101,536,528TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$213,009TotalRevenueColumnAmt
Exclusion$213,009ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$32,172RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$34,934RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$2,762RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,762TotalRevenueColumnAmt
Exclusion-$2,762ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$447,842OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$447,842OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$447,842TotalRevenueColumnAmt
Exclusion-$447,842ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA SALES722514$244,283$244,283
ABSTRACTS REVENUE900099$33,405$31,294$2,111
MISCELLANEOUS REVENUE900099$250,264$56,991$193,273
FieldValueIRS element (for citing)
Other Revenue Total$527,952OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$104,201,501TotalRevenueColumnAmt
Related Or Exempt Func Income$101,731,912RelatedOrExemptFuncIncomeAmt
Exclusion$94,973ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$89,352TotalAmt
Program Services$89,352ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,177,885TotalAmt
Program Services$1,484,815ProgramServicesAmt
Management And General$1,677,203ManagementAndGeneralAmt
Fundraising$15,867FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$39,422,726TotalAmt
Program Services$32,348,799ProgramServicesAmt
Management And General$6,903,734ManagementAndGeneralAmt
Fundraising$170,193FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,409,371TotalAmt
Program Services$1,144,554ProgramServicesAmt
Management And General$258,810ManagementAndGeneralAmt
Fundraising$6,007FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,749,508TotalAmt
Program Services$3,782,285ProgramServicesAmt
Management And General$946,820ManagementAndGeneralAmt
Fundraising$20,403FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,694,740TotalAmt
Program Services$2,131,128ProgramServicesAmt
Management And General$552,004ManagementAndGeneralAmt
Fundraising$11,608FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$88,229TotalAmt
Management And General$88,229ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$117,407TotalAmt
Management And General$117,407ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$6,274TotalAmt
Management And General$6,274ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,056,936TotalAmt
Program Services$6,185,892ProgramServicesAmt
Management And General$3,871,044ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$139,387TotalAmt
Management And General$137,738ManagementAndGeneralAmt
Fundraising$1,649FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,522,685TotalAmt
Program Services$337,476ProgramServicesAmt
Management And General$1,179,392ManagementAndGeneralAmt
Fundraising$5,817FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,741,058TotalAmt
Program Services$775,239ProgramServicesAmt
Management And General$965,819ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$876,042TotalAmt
Program Services$517,370ProgramServicesAmt
Management And General$358,672ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$422,117TotalAmt
Program Services$277,941ProgramServicesAmt
Management And General$144,096ManagementAndGeneralAmt
Fundraising$80FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$21,682TotalAmt
Management And General$21,682ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$671,116TotalAmt
Management And General$671,116ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,911,612TotalAmt
Program Services$2,192,717ProgramServicesAmt
Management And General$718,895ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,027,203TotalAmt
Program Services$515,397ProgramServicesAmt
Management And General$510,688ManagementAndGeneralAmt
Fundraising$1,118FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$13,130,232$13,130,232
PROVIDER FEES$2,972,333$2,972,333
BAD DEBT$6,943,596$6,943,596
REPAIRS & MAINTENANCE$1,572,868$1,420,676$152,192

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,576,797TotalAmt
Program Services$534,912ProgramServicesAmt
Management And General$1,999,403ManagementAndGeneralAmt
Fundraising$42,482FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$98,341,156TotalAmt
Program Services$76,784,714ProgramServicesAmt
Management And General$21,281,218ManagementAndGeneralAmt
Fundraising$275,224FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$993,780BOYAmt
EOY$1,379,188EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,372,909BOYAmt
EOY$14,128,047EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,861BOYAmt
EOY$7,245EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,808,096BOYAmt
EOY$11,510,059EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,710,359BOYAmt
EOY$1,949,447EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,078,969BOYAmt
EOY$2,486,884EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$80,508,056LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$42,974,166LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$32,770,311BOYAmt
EOY$37,533,890EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$21,627,042BOYAmt
EOY$22,031,034EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$12,100BOYAmt
EOY$12,100EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$759,406BOYAmt
EOY$359,913EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,445,320BOYAmt
EOY$3,792,753EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$89,586,153BOYAmt
EOY$95,190,560EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,488,811BOYAmt
EOY$13,055,923EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$171,139BOYAmt
EOY$244,538EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$20,743,030BOYAmt
EOY$20,011,550EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$275,206BOYAmt
EOY$270,825EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,678,186BOYAmt
EOY$33,582,836EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$55,148,569BOYAmt
EOY$61,247,809EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$759,398BOYAmt
EOY$359,915EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$55,907,967BOYAmt
EOY$61,607,724EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$89,586,153BOYAmt
EOY$95,190,560EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,860,345ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$238,897NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$399,485OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$6,274OtherActivitiesAmt
Total Lobbying Expenditures$6,274TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line Referenceschedule c, Part II-B, Line 1iFormAndLineReferenceDesc
ExplanationDescription 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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,388BeginningYearBalanceAmt
Contributions$14,360ContributionsAmt
Investment Earnings Or Losses$18InvestmentEarningsOrLossesAmt
End Year Balance$24,766EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,373BeginningYearBalanceAmt
Contributions$6,009ContributionsAmt
Investment Earnings Or Losses$6InvestmentEarningsOrLossesAmt
End Year Balance$10,388EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,405,489OtherCostOrOtherBasisAmt
Depreciation$22,254,492DepreciationAmt
Book Value$23,150,997BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,428,450OtherCostOrOtherBasisAmt
Depreciation$19,888,434DepreciationAmt
Book Value$5,540,016BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,241,435OtherCostOrOtherBasisAmt
Depreciation$831,240DepreciationAmt
Book Value$5,410,195BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$37,533,890TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ASSET RETIREMENT OBLIGATION$270,531
OTHER LIABILITY$294
FieldValueIRS element (for citing)
Total Liability$270,825TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$97,470,070TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$238,897NetUnrealizedGainsInvstAmt
Other Revenue-$474,574OtherRevenueAmt
Revenue Not Reported-$235,677RevenueNotReportedAmt
Revenue Subtotal$97,705,747RevenueSubtotalAmt
Other Revenues Not Included$6,495,754OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$6,495,754RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$104,201,501TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$91,770,313TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$75,089OtherExpensesIncludedAmt
Expenses Not Reported-$75,089ExpensesNotReportedAmt
Expenses Subtotal$91,845,402ExpensesSubtotalAmt
Other Expenses Not Included$6,495,754OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$6,495,754ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$98,341,156TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4Describe 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 2Uncertain 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 2DREVENUE ON BOOKS, NOT ON RETURN: change in investment in foundation (399,485) Change in SSA Account (110,023) rental expenses reclassed from expense to revenue 34,934 Total (474,574)
SCHEDULE D, PART XI, LINE 4BREVENUE ON RETURN, NOT ON BOOKS: BAD DEBT EXPENSE RECLASSED FROM EXPENSE TO REVENUE 6,943,596 Loss on Sale of Assets (447,842) Total 6,495,754
SCHEDULE D, PART XII, LINE 2DEXPENSE ON BOOKS, NOT ON RETURN: RENTAL EXPENSES RECLASSED FROM EXPENSE TO REVENUE 34,934 Change in SSA Account (110,023) Total ( 75,089)
SCHEDULE D, PART XII, LINE 4BEXPENSE ON RETURN, NOT ON BOOKS: BAD DEBT EXPENSE RECLASSED FROM EXPENSE TO REVENUE 6,943,596 Loss on Sale of Assets (447,842) TOTAL 6,495,754

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$627,747TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,180DirectOffsettingRevenueAmt
Net Community Benefit Expns$576,567NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,179,492TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,962,259DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,217,233NetCommunityBenefitExpnsAmt
Total Expense0.05710TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$631,428TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$957,596DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,438,667TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,971,035DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,793,800NetCommunityBenefitExpnsAmt
Total Expense0.06340TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$197,199TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,426DirectOffsettingRevenueAmt
Net Community Benefit Expns$188,774NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$343,406TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$343,406NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,252,663TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$995,999DirectOffsettingRevenueAmt
Net Community Benefit Expns$256,664NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,280TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$27,280NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,820,548TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,004,425DirectOffsettingRevenueAmt
Net Community Benefit Expns$816,124NetCommunityBenefitExpnsAmt
Total Expense0.00900TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,259,215TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,975,460DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,609,924NetCommunityBenefitExpnsAmt
Total Expense0.07240TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,773TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,773NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,722TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,722NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,572TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,572NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,096TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,096NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,275TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,275NetCommunityBenefitExpnsAmt

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,612TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,612NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$66,050TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$66,050NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,943,596BadDebtExpenseAmt
Reimbursed By Medicare$23,325,451ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$21,156,797CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,168,654MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdCritical Access HospitalCriticalAccessHospitalInd
Lutheran Hospital of SLV
1106 Blanca AvenueAlamosaCO81101www.sanluisvalleyhealth.org011001Yes (X)Yes (X)Yes (X)Yes (X)1
Conejos County Hospital
219021 US Hwy 285La JaraCO81140www.sanluisvalleyhealth.org011020Yes (X)Yes (X)1Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line11BusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION C FOR URLOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION C FOR URLStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLpart v, section c for urlFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLpart v, section c for urlFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLpart v, section c for urlFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5INPUT 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 COMMUNITYS 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 7AHospital facility's website where CHNA is made Widely Available: http://www.sanluisvalleyhealth.org/sites/default/files/images/chna_final_r eport-slvh-6-16.pdf The CHNA can also be found by going to the home page of organization's website under quick links, click on "get financial assistancea link to the most recent CHNA is listed under the community needs assessment heading.
SCHEDULE H, PART V, SECTION B, LINE 10AWebsite where the Implementation strategy is made widely available: HTTP://WWW.SANLUISVALLEYHEALTH.ORG/SITES/DEFAULT/FILES/IMAGES/CHNA_FINAL_R EPORT-SLVH-6-16.PDF THE IMPLEMENTATION STRATEGY IS LOCATED ON PAGE 10 OF THE CHNA EXECUTIVE SUMMARY WHICH CAN BE FOUND by going to the home page of organization's website, under quick links click on "get financial assistance," click on the "2016 executive summary."
SCHEDULE H, PART V, SECTION B, LINE 11SAN LUIS VALLEY HEALTH (SLVH) DEVELOPED RESPONSES TO IDENTIFIED COMMUNITY NEEDS BASED ON ORGANIZATIONAL CAPACITY AND MISSION OF THE CORPORATION. THE PRIMARY NEED IDENTIFIED BY THE SURVEY WAS FOR SUBSTANCE ABUSE SERVICES. SLVH HAS HIRED AN ADDITIONAL BEHAVIORAL HEALTH THERAPIST AND HAS INCREASED CARE COORDINATION SERVICES IN ITS BUSIEST PRIMARY HEALTH CARE CLINIC WHERE SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) SCREENINGS ARE COMPLETED. SLVH HAS ALSO COORDINATED CASE CONFERENCES AND COMMUNITY DIALOGUES WITH SAN LUIS VALLEY BEHAVIORAL HEALTH GROUP TO WORK ON IDENTIFIED CHALLENGES AND OPPORTUNITIES FOR IMPROVEMENT ON AN ONGOING AND AS NEEDED BASIS. HOSPITAL AND CLINIC STAFF PARTICIPATE IN THE SLV NEONATAL TASK FORCE, AND RECENTLY THE OUTPATIENT QUALITY IMPROVEMENT COMMITTEE HAS BEGUN WORK TO UPDATE OPIOID PAIN MANAGEMENT GUIDELINES FOR THE ORGANIZATION. SLVH DEVELOPED STRATEGIES, OR IS ALREADY ADDRESSING ALL OTHER NEEDS IDENTIFIED IN THE 2016 CHNA. SAN LUIS VALLEY HEALTH CONTINUED TO WORK ON THE NEEDS IDENTIFIED IN THE 2016 CHNA IN 2018 THROUGH THE FOLLOWING INITIATIVES. THE PRIMARY NEED IDENTIFIED IN THE 2016 NEED ASSESSMENT WAS FOR SUBSTANCE ABUSE SERVICES AND MENTAL HEALTH CARE. All SLVH primary care clinics provide Screening Brief Intervention Referral and Treatment, Drug Abuse Screening Tests (DAST), Pain Management Agreements, prescription drug monitoring, referral to Medication Assistance Treatment, social supports and care coordination for patients at risk or using substances. Other ancillary supports include physical therapy and chiropractic treatment. SLVH Emergency Departments are implementing clinical guidelines for alternatives to opioids to help address the opioid epidemic. Implementation of The Colorado Health Foundation Grant, Advancement of Integrated Behavioral Health, supported hiring seven full-time staff and the opportunity to recruit an Advanced Practice Psychiatric Nurse; this position is currently pending. SLVH joined the Colorado Health Associations Alternatives to Long Term Opioid Use Initiative in its two emergency departments helping address substance use disorders, particularly with opioids and their cheaper street alternatives. The principles of this initiative encourage the use of alternative practices as a first line treatment for pain management. SLVH aims to expand these efforts in the inpatient setting. SLVH was awarded a grant from The Colorado Health Foundation to advance behavioral health and care coordination in the SLVH system of care. Two FTE staff have been hired and a third position is in process. These staff will participate in the development of integrated behavioral health treatment plans and follow up on emergency room and hospital utilization in order to positively impact clinical outcomes, patient/provider satisfaction, and cost of care. Implementation of The Colorado Health Foundation Grant, Advancement of Integrated Behavioral Health, supported hiring seven full-time staff and the opportunity to recruit an Advanced Practice Psychiatric Nurse; this position is currently pending. the Second need ientified in the 2017 Need Assessment was for wellness San Luis Valley Health continued to work on these needs in the following areas. SLVH continues to participate in several initiatives aimed at improving clinic access and provider/health team availability - Team-based Care, CPC+, and TCPI. An organizational area of focus has been the correct identification and documentation of patients primary care providers in order to facilitate patient care services and follow up appropriately and in a timely manner. SLVH has collaborated with other San Luis Valley health care organizations in this effort. SLVH has continued other collaborative efforts such as the Rural Residency Training Program, sponsoring Lids for Kids, and is currently participating in a School-Based Health Clinic planning process. SLVH participated in a School-Based Health Clinic planning process with the local the Federally Qualified Health Center.
Schedule H, Part V, Section B, Line 16aURL 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 16BURL 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 16CURL 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.
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Stuart Avenue Clinic
2115 Stuart StAlamosaCO81101Physician Clinic
Rural Health Clinic - Antonito
115 Main StAntonitoCO81120Rural Health Clinic
Rural Health Clinic - La Jara
509 Main StLa JaraCO81140Rural Health Clinic
Rural Health Clinic - Monte Vista
103 Chico CourtMonte VistaCO81144Rural Health Clinic
Monte Vista Pro Therapy
2360 Sherman AvenueMonte VistaCO81144sports medicine physical therapy

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, Part I, Line 7THE 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 = 6,943,596.
SCHEDULE H, PART IIEACH 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 2THE 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 3THE 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 4THE 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 8THE 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. THE DOLLAR AMOUNT PAID TO MEDICARE WITH THE 6/30/18 COST REPORTS WAS $1,780,422.
SCHEDULE H, PART III, Section C, LINE 9bFOR 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 2NEEDS 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 3PATIENT 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 4COMMUNITY 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 COLORADOS 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 COLORADOS $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 5PROMOTION 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 WOMENS 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 6AFFILIATED 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 7STATE FILING OF COMMUNITY BENEFIT REPORT: THE COMMUNITY BENEFIT REPORT IS FILED IN COLORADO.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ADAMS STATE University FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1208 EDGEMONT BLVDAddressLine1Txt
CityALAMOSACityNm
State AbbreviationCOStateAbbreviationCd
ZIP81101ZIPCd
FieldValueIRS element (for citing)
Recipient EIN846027518RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$8,230CashGrantAmt
Purpose Of GrantEDUCATIONPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2FormAndLineReferenceDesc
ExplanationOrganization's procedures for monitoring the use of grant funds: FUNDS YRE 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

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Dennard Ellison
Trustee, Physician$393,714$60,000$2,412$9,954$22,788$488,868
Nuwan Pilapitiya
Trustee, Physician$226,769$495$11,650$20,019$258,933
Konnie Martin
CEO$323,864$95,999$2,412$13,500$22,564$458,339
Shane Mortensen
CFO$170,009$33,525$1,634$10,613$21,446$237,227
Patti Thompson
COO$184,083$35,334$1,729$10,437$10,190$241,773
Greg McAuliffe
CMO - Through 3/18$208,610$48,149$6,331$11,875$274,965
Kelly Gallegos
CCH Administrator$142,875$27,844$472$5,415$22,391$198,997
Antonio Gurule
Clinic Administrator$150,276$28,592$740$8,602$11,916$200,126
Maureen Cooper
Physician$441,609$6,858$13,500$7,182$469,149
David Geiger
Interim CMO$354,068$36,789$3,564$13,500$19,862$427,783
Carissa Tripi
Physician$512,306$20,000$486$13,500$12,994$559,286
James Grigsby
Physician$402,295$3,565$13,500$21,488$440,848
CArmelo Hernandez
Trustee, Physician$292,170$41,584$1,242$13,500$19,436$367,932
Jason Defee
Physician$427,370$50,000$654$27,539$505,563
Donna Nelson
Physician$386,493$2,000$3,564$13,500$19,547$425,104

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 7FormAndLineReferenceDesc
ExplanationNON-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 DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DAVID GEIGER
See Part V$467,652employment wagesfalse
Susan Geiger
See Part V$108,730Employment Wagesfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, COLUMN BFormAndLineReferenceDesc
ExplanationRelationship between interest person and the organization: BOARD MEMBER SUSAN GEIGER HAS A FAMILY RELATIONSHIP WITH Interim Chief Medical Officer DAVID GEIGER, WHO RECEIVED EMPLOYMENT WAGES FROM THE ORGANIZATION DURING THE YEAR. 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 (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2FAMILY/BUSINESS RELATIONSHIPS: BOARD OF DIRECTOR MEMBERS CHERI CROWDER AND PATRICK CROWDER HAVE A FAMILY RELATIONSHIP. BOARD MEMBER SUSAN GEIGER IS MARRIED TO DAVID GEIGER, INTERIM CHIEF MEDICAL OFFICER.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS 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 12CPROCESS 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 15AREVIEW 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 15BREVIEW 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 19DESCRIBE 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 9Other changes in net assets: change in investment in foundation (399,485)
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT LABOR TOTAL FEES:5178337
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT SERVICES TOTAL FEES:2766623
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING TOTAL FEES:568150
FORM 990 PART IX LINE 11GDESCRIPTION:LAB TESTING TOTAL FEES:434239
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL PROFESSIONSALS TOTAL FEES:21280
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTIONS TOTAL FEES:841383
FORM 990 PART IX LINE 11GDESCRIPTION:LAUNDRY SERVICE TOTAL FEES:246924

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SAN LUIS VALLEY HEALTH FOUNDATION
106 BLANCA AVENUEALAMOSACO81101203799814FUNDRAISINGCO501(C)(3)LINE 7SLVHYes (true)
CONEJOS COUNTY HOSPITAL FOUNDATION
19021 US HWY 285LA JARACO81140320379184FUNDRAISINGCO501(C)(3)LINE 7SLVHYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SAN LUIS Valley Health FOUNDATION
C$1,391,845Interco Amount
Conejos Country Hospital Foundation
C$153,995Interco Amount

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