SAN LUIS VALLEY REGIONAL MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: SAN LUIS VALLEY REGIONAL MEDICAL CENTER (EIN 84-0255530)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-11
IRS object ID: 201801319349302050
Schema version: 2016v3.1
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	2018-05-11T09:46:11-05:00	ReturnTs
Tax Period End	2017-06-30	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	2016-07-01	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 Association 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	2018-05-15	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	84022720181315000004	FederalOriginalSubmissionId
Federal Original Submission Id	2018-05-11	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B98F60208C01E221655A9D02B96D47F177C0D12C	AtSubmissionCreationDeviceId
At Submission Filing Device Id	7E88F371C52F321CAC265BAA5887B5821BA85A3C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$88,987,565	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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	829	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$1,623,975	PYContributionsGrantsAmt
CY Contributions Grants	$891,320	CYContributionsGrantsAmt
PY Program Service Revenue	$84,893,888	PYProgramServiceRevenueAmt
CY Program Service Revenue	$87,415,565	CYProgramServiceRevenueAmt
PY Investment Income	$84,996	PYInvestmentIncomeAmt
CY Investment Income	$200,051	CYInvestmentIncomeAmt
PY Other Revenue	$286,657	PYOtherRevenueAmt
CY Other Revenue	$411,125	CYOtherRevenueAmt
PY Total Revenue	$86,889,516	PYTotalRevenueAmt
CY Total Revenue	$88,918,061	CYTotalRevenueAmt
PY Grants And Similar Paid	$22,221	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$78,942	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$44,015,010	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$50,204,609	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$269,571	CYTotalFundraisingExpenseAmt
PY Other Expenses	$38,932,263	PYOtherExpensesAmt
CY Other Expenses	$36,347,411	CYOtherExpensesAmt
PY Total Expenses	$82,969,494	PYTotalExpensesAmt
CY Total Expenses	$86,630,962	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,920,022	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,287,099	CYRevenuesLessExpensesAmt
Total Assets BOY	$84,611,576	TotalAssetsBOYAmt
Total Assets EOY	$89,586,153	TotalAssetsEOYAmt
Total Liabilities BOY	$31,577,655	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$33,678,186	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$53,033,921	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$55,907,967	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	$65,428,875	ExpenseAmt
Grant	$78,942	GrantAmt
Revenue	$87,333,505	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 600 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 $190M 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	$65,428,875	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	Yes (true)	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
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	90	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	829	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	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
Karla Hardesty
President	2.0	0.0	Yes (X)	Yes (X)	$2,750	$0	$0
Jim Ehrlich
Vice President	2.0	0.0	Yes (X)	Yes (X)	$600	$0	$0
Kendall Knaus
Secretary/Treasurer	2.0	0.0	Yes (X)	Yes (X)	$51,500	$0	$0
Jan Gay
Trustee	2.0	1.0	Yes (X)		$800	$0	$0
Patrick Crowder
Trustee	2.0	0.0	Yes (X)		$900	$0	$0
Kathy Lorenz
Trustee	2.0	1.0	Yes (X)		$600	$0	$0
Cheri Crowder
Trustee	2.0	1.0	Yes (X)		$1,000	$0	$0
Rosalie Martinez
Trustee	2.0	2.0	Yes (X)		$500	$0	$0
Donald Shawcroft
Trustee	2.0	1.0	Yes (X)		$500	$0	$0
Richard Martin
Trustee	2.0	0.0	Yes (X)		$600	$0	$0
Kasey Russell
Trustee	2.0	0.0	Yes (X)		$300	$0	$0
Susan Geiger
Trustee, Physician	40.0	0.0	Yes (X)		$107,431	$0	$5,317
Dennard Ellison
Trustee, Physician	40.0	0.0	Yes (X)		$395,838	$0	$25,676
Nuwan Pilapitiya
Trustee, Physician	40.0	0.0	Yes (X)		$227,071	$0	$24,046
CArmelo Hernandez
Trustee, Physician	40.0	0.0	Yes (X)		$297,282	$0	$18,725
Konnie Martin
CEO	40.0	2.0		Yes (X)	$370,785	$0	$25,713
Shane Mortensen
CFO	40.0	2.0		Yes (X)	$201,273	$0	$22,695
Patti Thompson
COO	40.0	0.0		Yes (X)	$215,549	$0	$17,391
Greg McAuliffe
CMO	25.0	0.0		Yes (X)	$342,724	$0	$12,810
Kelly Gallegos
CCH Administrator	40.0	0.0		Yes (X)	$158,560	$0	$13,270
Antonio Gurule
Clinic Administrator	40.0	0.0		Yes (X)	$118,500	$0	$14,646
Robert Marshall
Physician	40.0	0.0			$421,362	$0	$25,713	Yes (X)
Maureen Cooper
Physician	40.0	0.0			$447,602	$0	$25,587	Yes (X)
David Geiger
Physician	38.0	0.0			$407,020	$0	$25,257	Yes (X)
Carissa Tripi
Physician	40.0	0.0			$533,988	$0	$25,713	Yes (X)
James Grigsby
Physician	40.0	0.0			$404,588	$0	$25,713	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,709,623	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$308,272	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	68	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CARETECH SOLUTIONS INC
PO Box 674271	DETROIT	MI	48267	CONTRACT SERVICES	$1,452,750
WEATHERBY LOCUMS
PO Box 972633	DALLAS	TX	75397	CONTRACT LABOR	$247,419
Hankins Orthapaedic
2708 S Pennisula Dr	DAYTONA BEACH	FL	32118	CONTRACT LABOR	$455,400
Mountain Iron Services
281 Tall Spruce Circle	BRIGHTON	CO	80601	CONTRACT SERVICES	$346,691
INNOVA EMERGENCY MEDICAL ASSOCIATES
PO Box 912601	DENVER	CO	802912601	CONTRACT LABOR	$2,235,925

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Related Organizations	$28,693	RelatedOrganizationsAmt
Government Grants	$74,319	GovernmentGrantsAmt
All Other Contributions	$788,308	AllOtherContributionsAmt
Noncash Contributions	$12,250	NoncashContributionsAmt
Total Contributions	$891,320	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	561110	$43,712,460	$43,712,460
MEDICARE/MEDICAID	561110	$42,327,450	$42,327,450
ELECTRONIC HEALTH RECORD PAYMENTS	900099	$458,562	$458,562
AMBULANCE DISTRICT REVENUE	621910	$375,060	$375,060
340B PAYMENTS	900099	$324,242	$324,242

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$217,791	TotalRevenueColumnAmt
Related Or Exempt Func Income	$217,791	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$87,415,565	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$200,051	TotalRevenueColumnAmt
Exclusion	$200,051	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	$49,388	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$69,504	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$20,116	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$20,116	TotalRevenueColumnAmt
Exclusion	-$20,116	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA SALES	722514	$223,083	$223,083
ABSTRACTS REVENUE	900099	$23,508	$21,642	$1,866
MISCELLANEOUS REVENUE	900099	$184,650	$53,443	$131,207

Field	Value	IRS element (for citing)
Other Revenue Total	$431,241	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$88,918,061	TotalRevenueColumnAmt
Related Or Exempt Func Income	$87,548,638	RelatedOrExemptFuncIncomeAmt
Exclusion	$478,103	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$78,942	TotalAmt
Program Services	$78,942	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	$2,982,939	TotalAmt
Program Services	$1,515,969	ProgramServicesAmt
Management And General	$1,451,963	ManagementAndGeneralAmt
Fundraising	$15,007	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$454,776	TotalAmt
Program Services	$454,776	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$38,290,779	TotalAmt
Program Services	$30,979,315	ProgramServicesAmt
Management And General	$7,146,696	ManagementAndGeneralAmt
Fundraising	$164,768	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,229,219	TotalAmt
Program Services	$999,980	ProgramServicesAmt
Management And General	$223,963	ManagementAndGeneralAmt
Fundraising	$5,276	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,730,920	TotalAmt
Program Services	$3,764,400	ProgramServicesAmt
Management And General	$946,154	ManagementAndGeneralAmt
Fundraising	$20,366	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,515,976	TotalAmt
Program Services	$1,989,754	ProgramServicesAmt
Management And General	$515,385	ManagementAndGeneralAmt
Fundraising	$10,837	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	$163,161	TotalAmt
Management And General	$163,161	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$120,201	TotalAmt
Management And General	$120,201	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$4,858	TotalAmt
Management And General	$4,858	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	$5,007,909	TotalAmt
Program Services	$3,114,414	ProgramServicesAmt
Management And General	$1,893,495	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$83,961	TotalAmt
Management And General	$82,901	ManagementAndGeneralAmt
Fundraising	$1,060	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,607,942	TotalAmt
Program Services	$283,562	ProgramServicesAmt
Management And General	$1,320,447	ManagementAndGeneralAmt
Fundraising	$3,933	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,989,381	TotalAmt
Program Services	$854,530	ProgramServicesAmt
Management And General	$1,134,851	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$842,327	TotalAmt
Program Services	$528,737	ProgramServicesAmt
Management And General	$313,590	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$419,809	TotalAmt
Program Services	$264,702	ProgramServicesAmt
Management And General	$155,097	ManagementAndGeneralAmt
Fundraising	$10	FundraisingAmt

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	$17,539	TotalAmt
Management And General	$17,539	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$857,361	TotalAmt
Management And General	$857,361	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,097,315	TotalAmt
Program Services	$2,336,444	ProgramServicesAmt
Management And General	$760,871	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,211,224	TotalAmt
Program Services	$511,924	ProgramServicesAmt
Management And General	$697,853	ManagementAndGeneralAmt
Fundraising	$1,447	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$11,565,127	$11,565,127
PROVIDER FEES	$2,958,246	$2,958,246
BAD DEBT	$1,758,532	$1,758,532
REPAIRS & MAINTENANCE	$2,297,607	$1,082,526	$1,215,081

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,344,911	TotalAmt
Program Services	$386,995	ProgramServicesAmt
Management And General	$1,911,049	ManagementAndGeneralAmt
Fundraising	$46,867	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$86,630,962	TotalAmt
Program Services	$65,428,875	ProgramServicesAmt
Management And General	$20,932,516	ManagementAndGeneralAmt
Fundraising	$269,571	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,082,910	BOYAmt
EOY	$993,780	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$18,752,351	BOYAmt
EOY	$23,982,564	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,139	BOYAmt
EOY	$7,861	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,132,401	BOYAmt
EOY	$11,808,096	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	$1,332,005	BOYAmt
EOY	$1,710,359	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,165,053	BOYAmt
EOY	$2,078,969	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$74,567,080	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$41,796,769	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$32,619,857	BOYAmt
EOY	$32,770,311	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$11,615,599	BOYAmt
EOY	$10,017,387	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	$416,948	BOYAmt
EOY	$759,406	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	$5,467,213	BOYAmt
EOY	$5,445,320	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$84,611,576	BOYAmt
EOY	$89,586,153	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,703,161	BOYAmt
EOY	$12,488,811	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	$74,786	BOYAmt
EOY	$171,139	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	$21,529,177	BOYAmt
EOY	$20,743,030	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	$270,531	BOYAmt
EOY	$275,206	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$31,577,655	BOYAmt
EOY	$33,678,186	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$52,616,975	BOYAmt
EOY	$55,148,569	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$416,946	BOYAmt
EOY	$759,398	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	$53,033,921	BOYAmt
EOY	$55,907,967	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$84,611,576	BOYAmt
EOY	$89,586,153	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,287,099	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$244,489	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$342,458	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	$4,858	OtherActivitiesAmt
Total Lobbying Expenditures	$4,858	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	$35,345	BeginningYearBalanceAmt
Contributions	$10,980	ContributionsAmt
Investment Earnings Or Losses	$43	InvestmentEarningsOrLossesAmt
End Year Balance	$46,368	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,373	BeginningYearBalanceAmt
Contributions	$6,009	ContributionsAmt
Investment Earnings Or Losses	$6	InvestmentEarningsOrLossesAmt
End Year Balance	$10,388	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,701	BeginningYearBalanceAmt
Contributions	$668	ContributionsAmt
Investment Earnings Or Losses	$4	InvestmentEarningsOrLossesAmt
End Year Balance	$4,373	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	$42,433,623	OtherCostOrOtherBasisAmt
Depreciation	$21,351,858	DepreciationAmt
Book Value	$21,081,765	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,005,934	OtherCostOrOtherBasisAmt
Depreciation	$19,702,889	DepreciationAmt
Book Value	$5,303,045	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,694,841	OtherCostOrOtherBasisAmt
Depreciation	$742,022	DepreciationAmt
Book Value	$2,952,819	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$32,770,311	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
HUD REFINANCING COSTS	$1,314,954
MOUNTAIN STATE SSA RECEIVABLE	$677,652
MALPRACTICE RECEIVABLE	$275,000
HUD ESCROW	$3,177,714

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$5,445,320	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ASSET RETIREMENT OBLIGATION	$270,531
OTHER LIABILITY	$4,675

Field	Value	IRS element (for citing)
Total Liability	$275,206	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$87,523,181	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$244,489	NetUnrealizedGainsInvstAmt
Other Revenue	$196,829	OtherRevenueAmt
Revenue Not Reported	$441,318	RevenueNotReportedAmt
Revenue Subtotal	$87,081,863	RevenueSubtotalAmt
Other Revenues Not Included	$1,836,198	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,836,198	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$88,918,061	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$84,649,135	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$69,504	OtherExpensesIncludedAmt
Expenses Not Reported	$69,504	ExpensesNotReportedAmt
Expenses Subtotal	$84,579,631	ExpensesSubtotalAmt
Other Expenses Not Included	$2,051,331	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$2,051,331	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$86,630,962	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: change in investment in foundation 342,458 rental expenses reclassed from expense to revenue 69,504 Change in SSA Account (215,133) Total 196,829
SCHEDULE D, PART XI, LINE 4B	REVENUE ON RETURN, NOT ON BOOKS: BAD DEBT EXPENSE RECLASSED FROM EXPENSE TO REVENUE 1,758,532 CONTRIBUTIONS REVENUE RECLASSED FROM EXPENSE 77,666 Total 1,836,198
SCHEDULE D, PART XII, LINE 2D	EXPENSE ON BOOKS, NOT ON RETURN: RENTAL EXPENSES RECLASSED FROM EXPENSE TO REVENUE 69,504
SCHEDULE D, PART XII, LINE 4B	EXPENSE ON RETURN, NOT ON BOOKS: BAD DEBT EXPENSE RECLASSED FROM EXPENSE TO REVENUE 1,758,532 CONTRIBUTIONS REVENUE RECLASSED FROM EXPENSE 77,666 Change in SSA Account 215,133 TOTAL 2,051,331

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
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$468,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,993	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$423,507	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,379,863	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,307,067	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,072,796	NetCommunityBenefitExpnsAmt
Total Expense	0.02450	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$292,749	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$166,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$126,169	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,141,112	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,518,640	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,622,472	NetCommunityBenefitExpnsAmt
Total Expense	0.03100	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$278,953	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,121	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$234,812	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$247,939	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$247,939	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$171,298	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$97,345	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,953	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$589	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$589	NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$91,229	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$91,229	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$790,008	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$141,466	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$648,522	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,931,120	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,660,106	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,270,994	NetCommunityBenefitExpnsAmt
Total Expense	0.03870	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,352	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,352	NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,666	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,666	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,323	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,323	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$467	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$467	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,339	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,339	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,449	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,449	NetCommunityBenefitExpnsAmt

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,263	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,263	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,859	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$75,859	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,758,532	BadDebtExpenseAmt
Reimbursed By Medicare	$21,376,672	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$19,937,955	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,438,717	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 SLV
1	106 Blanca Avenue	Alamosa	CO	81101	www.sanluisvalleyhealth.org	011001	Yes (X)	Yes (X)	Yes (X)	Yes (X)	1
Conejos County Hospital
2	19021 US Hwy 285	La Jara	CO	81140	www.sanluisvalleyhealth.org	011020	Yes (X)			Yes (X)	1	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	1	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	15	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	15	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	200.	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 (7 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 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 7A	Hospital 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 10A	Website 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 11	San 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 2017 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 tO TREATMENT (SBIRT), DRUG ABUSE SCREENING TESTS (DAST), PAIN MANAGEMENT AGREEMENTS, PRESCRIPTION DRUG MONITORING, REFERRAL TO MEDICATION ASSISTED TREATMENT (MAT), 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 (ALTO) TO HELP ADDRESS THE OPIOID EPIDEMIC. SLVH STAFF CONTINUE TO PARTICIPATE IN COMMUNITY COLLABORATIONS TO STRENGTHEN SUBSTANCE ABUSE RESOURCES IN THE SAN LUIS VALLEY. ADDITIONALLY, SLVH WAS AWARDED GRANT FUNDING TO ADVANCE BEHAVIORAL HEALTH AND CARE COORDINATION IN ITS SYSTEM OF CARE. TWO FTE 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.
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 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 = 1,758,532.
SCHEDULE H, PART II	ALL COMMUNITY BUILDING ACTIVITIES ARE IMPLEMENTED BASED UPON THE COMMUNITY NEEDS IDENTIFIED IN THE COMMUNITY NEEDS ASSESSMENT CONDUCTED EVERY THREE YEARS, AS WELL AS VARIOUS COMMUNITY PARTNERSHIP MEETINGS.
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 AFTER THE END OF THE YEAR THERE MAY BE ADDITIONAL REVENUES DUE THE HOSPITAL OR AMOUNTS DUE BACK TO MEDICARE. THE SURPLUS OR (SHORTFALL) FOR THE LAST THREE YEARS IS AS FOLLOWS: 6/30/15 85,840 6/30/16 (631,830) 6/30/17 1,438,717
SCHEDULE H, PART III, Section C, LINE 9b	For patients who are known to qualify for financial assistance, the collection process follows these steps: a. Patients are contacted by brochure, mail and phone calls from a Financial Counselor, or the Patient Access Manager. Letters sent, brochures given and outbound phone calls and responses are noted in patient notes in the patient's profile. b. Patients who qualify for assistance will present information to the Financial Counselors who will update the registration section of the patient profile. Bilingual counselors or interpreters are available. c. Patients will be informed of their responsibility to pay co-payments or other sliding fee patient responsibility amounts. They will be informed in person and by phone whenever possible. Payment plans are always offered for patients who cannot afford their portion. d. Patients who do not pay their portion or co-payment will receive an invoice, printed in English and Spanish, directing them to pay or to call. If the patient calls and requests assistance from the Financial Counselor, they will be directed to the customer service phone number. e. Patients will receive up to 3 letters and 2 phone calls from a contracted, 3rd party vendor who have bilingual specialists. When 90 days have passed without any response from the patient, the account will be reviewed by the Patient Access Manager as well as the Patient Account Manager-Cash Posting, both members of the Business Revenue Cycle team. f. Upon review, if the portion is deemed to be the responsibility of the patient, the process toward collections will begin. A letter is sent to the patient from the third party company. The third party collection company follows legal proceedings at this point.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: SLV HEALTH SUBMITS MANY GRANTS EVERY YEAR TO IMPROVE COMMUNITY HEALTH. EACH GRANT INCLUDES A SUMMARY OF KNOWN HEALTH DATA TO JUSTIFY THE NEED FOR THE FUNDS. AS A CONSEQUENCE WE ARE VERY ATTUNED TO OUR COMMUNITY HEALTH NEEDS. THROUGH 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 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 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 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 6	AFFILIATED HEALTH CARE SYSTEM: SLV HEALTH HAS A PROFESSIONAL AFFILIATION WITH CENTURA HEALTH SYSTEMS TO COORDINATE CARE FOR OUR SHARED PATIENTS.
Schedule H, Part VI, Line 7	State Filing of Community Benefit Report: The community Benefit report is filed in Colorado.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	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	$8,350	CashGrantAmt
Purpose Of Grant	EDUCATION	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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 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

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 (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
Dennard Ellison
Trustee, Physician	$393,516	$2,322	$13,213	$12,463	$421,514
Nuwan Pilapitiya
Trustee, Physician	$226,628	$443	$11,610	$12,436	$251,117
Konnie Martin
CEO	$291,061	$1,242	$13,250	$12,463	$396,498	$78,482
Shane Mortensen
CFO	$166,867	$1,532	$10,386	$12,309	$223,968	$32,874
Patti Thompson
COO	$179,428	$1,614	$10,862	$6,529	$232,940	$34,507
Greg McAuliffe
CMO	$282,353	$6,858	$12,180	$630	$355,534	$53,513
Kelly Gallegos
CCH Administrator	$132,208	$415	$1,045	$12,225	$171,830	$25,937
Robert Marshall
Physician	$385,840	$2,412	$13,250	$12,463	$447,075	$33,110
Maureen Cooper
Physician	$440,744	$6,858	$13,250	$12,337	$473,189
David Geiger
Physician	$370,504	$3,701	$13,250	$12,007	$432,277	$32,815
Carissa Tripi
Physician	$508,502	$486	$13,250	$12,463	$559,701	$25,000
James Grigsby
Physician	$402,266	$2,322	$13,250	$12,463	$430,301
CArmelo Hernandez
Trustee, Physician	$296,040	$1,242	$13,250	$5,475	$316,007

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

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	DAVID GEIGER	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	see part V	RelationshipDescriptionTxt
Transaction	$454,776	TransactionAmt
Transaction	employment wages	TransactionDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, COLUMN B	FormAndLineReferenceDesc
Explanation	Relationship between interest person and the organization: BOARD MEMBER SUSAN GEIGER HAS A FAMILY RELATIONSHIP WITH EMPLOYEE DAVID 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.
FORM 990, PART VI, SECTION B, LINE 11B	Process to Review the Form 990: THE 990 IS PREPARED BY A THIRD PARTY ORGANIZATION, REVIEWED BY THE CFO AND CEO, AND APPROVED BY THE FINANCE COMMITTEE. THE BOARD OF DIRECTORS IS ALSO PROVIDED A COPY OF THE 990 FOR REVIEW PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	Process for Monitoring Compliance with Conflict of Interest Policy: SAN LUIS VALLEY HEALTH HAS A CURRENT CONFLICT OF INTEREST POLICY THAT IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES AND THE CEO. THE REVIEW PROCESS IS CONDUCTED FIRST WITH THE CEO AND THEN THE BOARD OF TRUSTEES. WHEN NECESSARY, THE POLICY HAS BEEN REVIEWED BY LEGAL COUNSEL. EACH YEAR, TRUSTEES ARE ASKED TO REVIEW THE POLICY AND CONFIRM AND AMEND ANY POTENTIAL CONFLICT. THESE CONFLICTS ARE REVIEWED BY THE CEO AND THE ENTIRE BOARD. CONFLICTS ARE ROUTINELY DISCUSSED AND ARE THE RESPONSIBILITY OF ALL BOARD MEMBERS TO DISCLOSE; EITHER FOR THEMSELVES OR OTHERS. THE BOARD CHAIRMAN WILL MAKE A DECISION AS TO THE NATURE OF THE CONFLICT AND THE APPROPRIATE ACTION ACCORDING TO THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15A	Review of CEO or Top Management Official Compensation: HUMAN RESOURCES PROVIDES THE EXECUTIVE COMMITTEE OF THE BOARD WITH SALARY SURVEY DATA FROM CHA, AHA, AND HFMA. AFTER STUDYING THE DATA, THE EXECUTIVE COMMITTEE MAKES RECOMMENDATIONS TO THE FULL BOARD IN EXECUTIVE SESSION. THE FULL BOARD APPROVES THE CEO'S COMPENSATION. SLVH CONDUCTS AN ANNUAL EVALUATION AND QUARTERLY REVIEWS OF THE CEO'S PERFORMANCE, WHICH IS DOCUMENTED. COMPENSATION FOR THE CEO IS DETERMINED ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15B	Review of Other Officer or Key Employees Compensation: HUMAN RESOURCES GATHERS COMPENSATION SURVEY DATA FROM CHA, AHA, AND HFMA. HUMAN RESOURCES MAKES RECOMMENDATIONS FOR OTHER OFFICERS' COMPENSATION AND PROVIDES SURVEY DATA TO THE CEO. THE CEO PERFORMS EVALUATIONS AND DETERMINES ALL OF THE WAGE CHANGES FOR THE OTHER OFFICERS ON AN ANNUAL BASIS. ALL CHANGES ARE DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19	Describe how Governing Documents are made Available to the Public: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9	Other changes in net assets: change in investment in foundation 342,458 CHANGE IN SSA Account (215,133) Total 127,325

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SAN LUIS VALLEY HEALTH FOUNDATION
106 BLANCA AVENUE	ALAMOSA	CO	81101	203799814	FUNDRAISING	CO	501(C)(3)	LINE 7	SLVH	Yes (true)
CONEJOS COUNTY HOSPITAL FOUNDATION
19021 US HWY 285	LA JARA	CO	81140	320379184	FUNDRAISING	CO	501(C)(3)	LINE 7	SLVH	Yes (true)

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