SAN LUIS VALLEY REGIONAL MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: SAN LUIS VALLEY REGIONAL MEDICAL CENTER (EIN 84-0255530)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-02
IRS object ID: 202541229349302219
Schema version: 2023v6.0
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	2025-05-02T12:09:50+00:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars 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	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	840255530	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
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	Shane Mortensen	PersonNm
Person Title	Chief Financial Officer	PersonTitleTxt
Phone	7195871204	PhoneNum
Signature	2025-05-02	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brandon Schulze	PreparerPersonNm
PTIN	P02051564	PTIN
Phone	7194714290	PhoneNum
Preparation	2025-05-02	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$130,605,705	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	sanluisvalleyhealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1928	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	To be a premier, fully integrated rural health care system providing exceptional patient-centered services to the San Luis Valley.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	886	TotalEmployeeCnt
Total Volunteers	15	TotalVolunteersCnt
Total Gross UBI	-$42,425	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,785,913	PYContributionsGrantsAmt
CY Contributions Grants	$1,613,144	CYContributionsGrantsAmt
PY Program Service Revenue	$120,220,616	PYProgramServiceRevenueAmt
CY Program Service Revenue	$127,630,574	CYProgramServiceRevenueAmt
PY Investment Income	$348,099	PYInvestmentIncomeAmt
CY Investment Income	$504,599	CYInvestmentIncomeAmt
PY Other Revenue	$312,475	PYOtherRevenueAmt
CY Other Revenue	$697,222	CYOtherRevenueAmt
PY Total Revenue	$124,667,103	PYTotalRevenueAmt
CY Total Revenue	$130,445,539	CYTotalRevenueAmt
PY Grants And Similar Paid	$24,096	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$77,116	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$65,822,215	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$66,362,026	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$510,827	CYTotalFundraisingExpenseAmt
PY Other Expenses	$57,431,381	PYOtherExpensesAmt
CY Other Expenses	$61,610,891	CYOtherExpensesAmt
PY Total Expenses	$123,277,692	PYTotalExpensesAmt
CY Total Expenses	$128,050,033	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,389,411	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,395,506	CYRevenuesLessExpensesAmt
Total Assets BOY	$115,778,291	TotalAssetsBOYAmt
Total Assets EOY	$117,181,584	TotalAssetsEOYAmt
Total Liabilities BOY	$31,857,937	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$29,540,649	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$83,920,354	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$87,640,935	NetAssetsOrFundBalancesEOYAmt
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	$101,569,467	ExpenseAmt
Grant	$77,116	GrantAmt
Revenue	$127,954,696	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$101,569,467	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	108	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	886	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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

Business Name BusinessName

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

Field	Value	IRS element (for citing)
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

Form990 Part VII Section A Form990PartVIISectionAGrp (24 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
Jim Ehrlich
Vice President	2.0	0.0	Yes (X)	Yes (X)	$700	$0	$0
Karla Hardesty
President	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Kendall Knaus
Sec/Treas	2.0	0.0	Yes (X)	Yes (X)	$1,000	$0	$0
Cheri Crowder
Trustee	2.0	0.0	Yes (X)		$700	$0	$0
Dennard Ellison
trustee, Physician	40.0	0.0	Yes (X)		$483,917	$0	$41,917
Donald Shawcroft
Trustee	2.0	0.0	Yes (X)		$1,000	$0	$0
Jan Gay
Trustee	2.0	0.0	Yes (X)		$1,000	$0	$0
Kasey Russell
Trustee	2.0	0.0	Yes (X)		$1,000	$0	$0
Kathy Lorenz
Trustee	2.0	0.0	Yes (X)		$1,000	$0	$0
Patrick Crowder
Trustee	2.0	0.0	Yes (X)		$500	$0	$0
Rosalie Martinez
Trustee	2.0	0.0	Yes (X)		$900	$0	$0
Susan Geiger
trustee, Physician	20.0	0.0	Yes (X)		$800	$0	$0
Antonio Gurule
CLINIC ADMINISTRATOR	40.0	0.0		Yes (X)	$224,544	$0	$22,563
Carmelo Hernandez
CMO	40.0	0.0		Yes (X)	$437,308	$0	$42,108
Christine Hettinger-Hunt
COO	40.0	0.0		Yes (X)	$249,158	$0	$30,406
Konnie Martin
CEO	40.0	2.0		Yes (X)	$544,424	$0	$35,491
Roberta Bean
COO	40.0	0.0		Yes (X)	$232,546	$0	$30,396
Shane Mortensen
CFO	40.0	1.0		Yes (X)	$265,516	$0	$32,160
Zachary Weiderspon
CCH ADMINISTRATOR	40.0	0.0		Yes (X)	$181,618	$0	$17,071
Carissa Tripi
Physician	40.0	0.0			$640,886	$0	$35,664	Yes (X)
Carla Christ
Physician	40.0	0.0			$594,192	$0	$25,526	Yes (X)
Jason Defee
Physician	40.0	0.0			$629,698	$0	$42,725	Yes (X)
Julian Maendel
Physician	40.0	0.0			$557,210	$0	$37,605	Yes (X)
Justin Buchholz
Physician	40.0	0.0			$458,271	$0	$40,856	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,507,888	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$434,488	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	125	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
AYA Healthcare Inc
Dept 3519 PO Box 123519	DALLAS	TX	735123519	Medical Staff	$2,899,792
Innova Emergency Medical Associates
PO Box 17028	DENVER	CO	80217	Medical Staff	$2,790,381
Weatherby Locums
PO Box 972633	DALLAS	TN	753972633	Medical Staff	$1,539,123
Avant Healthcare Professionals LLC
PO Box 744554	ATLANTA	GA	303744554	Medical Staff	$541,438
CHG Companies Inc
PO Box 972651	DALLAS	TX	753972651	Medical Staff	$534,049

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	17	CntrctRcvdGreaterThan100KCnt
Related Organizations	$58,683	RelatedOrganizationsAmt
Government Grants	$563,423	GovernmentGrantsAmt
All Other Contributions	$991,038	AllOtherContributionsAmt
Total Contributions	$1,613,144	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	561110	$124,577,513	$124,577,513
AMBULANCE DISTRICT REVENUE	561110	$683,389	$683,389
340B PAYMENTS	900099	$1,441,113	$1,441,113
OTHER REVENUE	621910	$928,559	$928,559

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$127,630,574	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$504,599	TotalRevenueColumnAmt
Exclusion	$504,599	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$79,616	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$160,166	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$80,550	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$80,550	TotalRevenueColumnAmt
Unrelated Business Revenue	-$42,425	UnrelatedBusinessRevenueAmt
Exclusion	-$38,125	ExclusionAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA SALES	722514	$396,029	$396,029
Rural Connectivity Program	900099	$180,000		$180,000
Miscellaneous Revenue	900099	$144,923	$801	$144,122

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$56,820	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$56,820	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$777,772	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$130,445,539	TotalRevenueColumnAmt
Related Or Exempt Func Income	$127,954,696	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$42,425	UnrelatedBusinessRevenueAmt
Exclusion	$920,124	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$29,064	TotalAmt
Program Services	$29,064	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$48,052	TotalAmt
Program Services	$48,052	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,461,774	TotalAmt
Program Services	$2,183,038	ProgramServicesAmt
Management And General	$1,265,874	ManagementAndGeneralAmt
Fundraising	$12,862	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$68,623	TotalAmt
Program Services	$68,623	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$50,880,315	TotalAmt
Program Services	$38,971,775	ProgramServicesAmt
Management And General	$11,788,701	ManagementAndGeneralAmt
Fundraising	$119,839	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,620,934	TotalAmt
Program Services	$1,255,685	ProgramServicesAmt
Management And General	$356,990	ManagementAndGeneralAmt
Fundraising	$8,259	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,413,598	TotalAmt
Program Services	$4,919,243	ProgramServicesAmt
Management And General	$1,462,145	ManagementAndGeneralAmt
Fundraising	$32,210	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,916,782	TotalAmt
Program Services	$2,995,163	ProgramServicesAmt
Management And General	$902,035	ManagementAndGeneralAmt
Fundraising	$19,584	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$99,429	TotalAmt
Management And General	$99,429	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$150,000	TotalAmt
Management And General	$150,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$9,392	TotalAmt
Management And General	$9,392	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,437,645	TotalAmt
Program Services	$12,914,351	ProgramServicesAmt
Management And General	$3,523,294	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$146,177	TotalAmt
Program Services	$104,594	ProgramServicesAmt
Management And General	$41,583	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,965,170	TotalAmt
Program Services	$2,239,116	ProgramServicesAmt
Management And General	$724,416	ManagementAndGeneralAmt
Fundraising	$1,638	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$746,644	TotalAmt
Program Services	$245,587	ProgramServicesAmt
Management And General	$500,383	ManagementAndGeneralAmt
Fundraising	$674	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,235,589	TotalAmt
Program Services	$64,021	ProgramServicesAmt
Management And General	$1,171,568	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$465,991	TotalAmt
Program Services	$251,090	ProgramServicesAmt
Management And General	$214,901	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$84,747	TotalAmt
Management And General	$84,747	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$785,022	TotalAmt
Program Services	$588,766	ProgramServicesAmt
Management And General	$196,256	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,467,899	TotalAmt
Program Services	$4,057,029	ProgramServicesAmt
Management And General	$1,410,870	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,176,140	TotalAmt
Program Services	$435,301	ProgramServicesAmt
Management And General	$740,839	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$20,830,211	$20,830,211
PROVIDER FEES	$6,920,952	$6,920,952
REPAIRS & MAINTENANCE	$2,882,485	$1,597,684	$1,284,801
BOOKS/DUES/SUBSCRIPTIONS	$653,450	$611,935	$41,515

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$553,948	TotalAmt
Program Services	$238,187	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$315,761	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$128,050,033	TotalAmt
Program Services	$101,569,467	ProgramServicesAmt
Management And General	$25,969,739	ManagementAndGeneralAmt
Fundraising	$510,827	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,235,185	BOYAmt
EOY	$3,382,739	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,747,926	BOYAmt
EOY	$7,815,420	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$244,486	BOYAmt
EOY	$196,860	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$17,502,307	BOYAmt
EOY	$21,398,651	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)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,585,112	BOYAmt
EOY	$3,535,486	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,033,261	BOYAmt
EOY	$2,873,204	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$112,406,127	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$60,630,343	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$55,268,125	BOYAmt
EOY	$51,775,784	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$21,652,584	BOYAmt
EOY	$23,127,458	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$666,028	BOYAmt
EOY	$916,452	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,831,277	BOYAmt
EOY	$2,147,530	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$115,778,291	BOYAmt
EOY	$117,181,584	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,787,707	BOYAmt
EOY	$10,797,918	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$239,349	BOYAmt
EOY	$225,030	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$17,717,743	BOYAmt
EOY	$15,998,490	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,113,138	BOYAmt
EOY	$2,519,211	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$31,857,937	BOYAmt
EOY	$29,540,649	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$83,254,301	BOYAmt
EOY	$86,724,457	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$666,053	BOYAmt
EOY	$916,478	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$83,920,354	BOYAmt
EOY	$87,640,935	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$115,778,291	BOYAmt
EOY	$117,181,584	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,395,506	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,075,451	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$250,425	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)
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	$9,392	OtherActivitiesAmt
Total Lobbying Expenditures	$9,392	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 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$420,990	BeginningYearBalanceAmt
Contributions	$21,525	ContributionsAmt
Investment Earnings Or Losses	$47,833	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$36	AdministrativeExpensesAmt
End Year Balance	$490,312	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$368,233	BeginningYearBalanceAmt
Contributions	$15,197	ContributionsAmt
Investment Earnings Or Losses	$37,560	InvestmentEarningsOrLossesAmt
End Year Balance	$420,990	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
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	$68,832,918	OtherCostOrOtherBasisAmt
Depreciation	$34,459,220	DepreciationAmt
Book Value	$34,373,698	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,337,934	OtherCostOrOtherBasisAmt
Depreciation	$20,328,510	DepreciationAmt
Book Value	$5,009,424	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,802,593	OtherCostOrOtherBasisAmt
Depreciation	$5,842,613	DepreciationAmt
Book Value	$8,959,980	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$51,775,784	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ASSET RETIREMENT OBLIGATION	$270,531
DUE TO RELATED PARTY	$402,509
LEASE LIABILITY	$1,846,171

Field	Value	IRS element (for citing)
Total Liability	$2,519,211	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$131,828,587	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,075,451	NetUnrealizedGainsInvstAmt
Other Revenue	$148,232	OtherRevenueAmt
Revenue Not Reported	$1,223,683	RevenueNotReportedAmt
Revenue Subtotal	$130,604,904	RevenueSubtotalAmt
Other Revenues Not Included	-$160,166	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$160,166	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$130,444,738	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$128,358,431	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$160,166	OtherExpensesIncludedAmt
Expenses Not Reported	$160,166	ExpensesNotReportedAmt
Expenses Subtotal	$128,198,265	ExpensesSubtotalAmt
Other Expenses Not Included	-$148,232	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	-$148,232	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$128,050,033	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 V, Line 4 Intended uses of 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 XI, Line 2(d) Other revenues in audited financial statements not in form 990	EMPLOYEE BENEFIT - 148232
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	RENTAL EXPENSE RECLASSED FROM EXPENSE TO REVENUE - -160166
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	RENTAL EXPENSE RECLASSED FROM EXPENSE TO REVENUE - 160166
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	CONTRA EXPENSE - -148232

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	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	$4,022,471	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$324,891	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,697,580	NetCommunityBenefitExpnsAmt
Total Expense	0.0288	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,660,179	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,182,143	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,478,036	NetCommunityBenefitExpnsAmt
Total Expense	0.0427	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,405,460	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$949,970	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,455,490	NetCommunityBenefitExpnsAmt
Total Expense	0.0270	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$51,088,110	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,457,004	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,631,106	NetCommunityBenefitExpnsAmt
Total Expense	0.0985	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100,713	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$100,713	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$633,850	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$633,850	NetCommunityBenefitExpnsAmt
Total Expense	0.0049	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,861,854	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,834,104	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,750	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,064	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$29,064	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,625,481	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,834,104	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$791,377	NetCommunityBenefitExpnsAmt
Total Expense	0.0062	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$53,713,591	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,291,108	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,422,483	NetCommunityBenefitExpnsAmt
Total Expense	0.1047	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,919	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,919	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,160	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,160	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,469	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$42,469	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,385	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,385	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,539	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,539	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$102,472	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$102,472	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,492,429	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$18,272,411	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$17,890,225	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$382,186	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	Critical Access HospitalCriticalAccessHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd
Conejos County Hospital
2	19021 US Hwy 285	La Jara	CO	81140	www.sanluisvalleyhealth.org	011020	Yes (X)	Yes (X)	Yes (X)	A
Lutheran Hospital of the SLV
1	106 Blanca Ave	Alamosa	CO	81101	www.sanluisvalley.org	011001	Yes (X)		Yes (X)	A	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	2	FacilityNum
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
Other	Yes (X)	OtherInd
CHNA Conducted	22	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	HTTPS://WWW.SANLUISVALLEYHEALTH.ORG/DOCUMENTS/1219_001.PDF	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.SANLUISVALLEYHEALTH.ORG/DOCUMENTS/1219_001.PDF	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	100.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.0	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	HTTPS://WWW.SANLUISVALLEYHEALTH.ORG/DOCUMENTS/CHARITY_CARE_APPLICATION.PDF	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.SANLUISVALLEYHEALTH.ORG/DOCUMENTS/CHARITY_CARE_APPLICATION.PDF	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.SANLUISVALLEYHEALTH.ORG/DOCUMENTS/CHARITY_CARE_APPLICATION.PDF	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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - LUTHERAN HOSPITAL ASSOC OF THE SAN LUIS. SLVH LEADERSHIP REPRESENTATIVES, IN COLLABORATION WITH COLORADO RURAL HEALTH CENTER, CONDUCTED A SURVEY OF INTERESTED SAN LUIS VALLEY RESIDENTS. THE SURVEY INCLUDED 44 QUESTIONS ON A VARIETY OF HEALTH AND PROVIDER ISSUES. THE HEALTH QUESTIONNAIRE FOR SLVH WAS DISTRIBUTED BY THE HOSPITAL AND THE COMMUNITY GROUP MEMBERS USING PAPER AND WEB-BASED SURVEYS. THEY WERE GIVEN TO THE COMMUNITY GROUP FOLLOWING THE FIRST MEETING AND PARTICIPANTS WERE ENCOURAGED TO HAVE THEIR COLLEAGUES, FRIENDS, AND FAMILY COMPLETE THE SURVEY AS WELL. TO AID LEADERSHIP REPRESENTATIVES IN THE ASSESSMENT OF THE COMMUNITY'S HEALTH NEEDS, THE COMMUNITY GROUP WAS COMPRISED OF INTERESTED AGENCIES AND ORGANIZATIONS SERVING HEALTH, EDUCATION, COMMERCIAL AND GOVERNMENT INTERESTS IN THE SAN LUIS VALLEY. - ADAMS STATE UNIVERSITY - ADAMS STATE UNIVERSITY VETERANS PROGRAM - BLUE PEAKS DEVELOPMENTAL SERVICES - CITY OF ALAMOSA AND CITY COUNCIL - CITY OF MONTE VISTA AND CITY COUNCIL - RIO GRANDE COUNTY PUBLIC HEALTH - SAN LUIS VALLEY BEHAVIORAL HEALTH GROUP - SAN LUIS VALLEY DEVELOPMENT RESOURCE GROUP - SAN LUIS VALLEY PUBLIC HEALTH PARTNERSHIPS - SAN LUIS VALLEY SMALL BUSINESS DEVELOPMENT CENTER - VALLEY WIDE HEALTH SYSTEMS - VALLEY WIDE HEALTH SYSTEMS, NURSE - FAMILY PARTNERSHIPS
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - LUTHERAN HOSPITAL ASSOC OF THE SAN LUIS. SAN LUIS VALLEY HEALTH (SLVH) COMPLETED THEIR COMMUNITY HEALTH NEEDS ASSESSMENT IN THE SPRING/SUMMER OF 2022. THE FOLLOWING PRIORITIES WERE IDENTIFIED AS PRESSING COMMUNITY HEALTH NEEDS FOR THE SAN LUIS VALLEY (SLV) REGION: 1. ACCESS TO CARE A. AS AN INTEGRATED HEALTH CARE ORGANIZATION, SLVH ASPIRES TO ACHIEVE THE QUADRUPLE AIM IN MEETING THE HEALTH CARE NEEDS OF PATIENTS. THIS INCLUDES: 1) ENHANCING ACCESS AND PATIENT SATISFACTION; 2) IMPROVING OUTCOMES; 3) REDUCING COST, AND 4) IMPROVING PROVIDER AND STAFF SATISFACTION. SLVH MONITORS PATIENT EXPERIENCES OF CARE (PEC) THROUGH PARTICIPATION IN INNOVATIVE PRIMARY CARE TRANSFORMATION MODELS FOCUSED ON THE WHOLE PERSON, IN A PATIENT-CENTERED MODEL. CLINIC MEASURES INCLUDE TIMELY APPOINTMENTS, CARE, AND INFORMATION; HOW WELL PROVIDERS COMMUNICATE; ATTENTION TO CARE FROM OTHER PROVIDERS; PROVIDERS SUPPORT PATIENT IN TAKING CARE OF OWN HEALTH; AND PATIENT RATING OF PROVIDER AND CARE. IN ADDITION, SLVH PARTICIPATES IN ANALYTICS AND STRATEGIC ADVISORY SOLUTIONS THROUGH PRESS GANEY AND INCLUDES SEVERAL MEASURES AS STRATEGIC PRIORITIES, REVIEWED QUARTERLY BY SLVH DEPARTMENTS, LEADERSHIP, SENIOR TEAM, AND THE GOVERNING BOARD. TO PROMOTE ADVANCEMENT TOWARD ORGANIZATIONAL GOALS AND OBJECTIVES, MEASURES THAT FALL BELOW ORGANIZATIONAL GOALS ARE IDENTIFIED FOR PERFORMANCE AND PROCESS IMPROVEMENTS. B. SLVH HAS DEVELOPED PROCESSES TO INCREASE ACCESS TO PATIENT CARE BY OPTIMIZING CLINIC SCHEDULES AND STAFFING PATTERNS SO THAT PATIENTS ARE SCHEDULED WITH THEIR PRIMARY CARE PROVIDER (PCP) AS A FIRST CHOICE OR ANOTHER PROVIDER ON THEIR HEALTH CARE TEAM AS A SECOND CHOICE, OR OFFERED AN ACUTE CARE VISIT WITH THE ACUTE CARE PROVIDER. PRIMARY CARE CLINICS HAVE ALSO EXTENDED WEEKDAY HOURS OF OPERATION WEEKDAYS. IN RESPONSE TO THE COVID-19 PANDEMIC, SLVH TELEHEALTH AND TELEMEDICINE SERVICES WERE IMPLEMENTED USING A SECURE, HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) PLATFORM. TELEHEALTH SERVICES PROVIDE AN IMPORTANT METHOD TO STAY CONNECTED TO SOME OF THE ORGANIZATION'S MOST VULNERABLE PATIENT POPULATIONS WHILE ACCOUNTING FOR SOCIAL DISTANCING FOR PATIENTS AND STAFF. THIS GROUP OF PATIENTS INCLUDES THOSE WITH SERIOUS HEALTH CARE CONDITIONS, INCLUDING CANCER, DIABETES, CARDIAC, AND PRENATAL CONDITIONS, AS WELL AS THOSE WHO HAVE SIGNIFICANT SOCIAL BARRIERS INCLUDING TRANSPORTATION, FINANCIAL, AND OTHER SOCIAL EMOTIONAL ISSUES. THE SERVICE QUICKLY MET OR EXCEEDED PATIENTS' EXPECTATIONS OF CONVENIENT AND QUALITY. TELEHEALTH AIMS TO PROVIDE AN ALTERNATIVE VISIT OPTION FOR PATIENTS, AS PART OF BEST PRACTICES ENCOURAGED THROUGH TEAM BASED CARE AND ALTERNATIVE PAYMENT MODEL BEST PRACTICES. BY MAKING VISITS MORE CONVENIENT AND ACCESSIBLE, SLVH EXPECTS TO BETTER-ADDRESS POPULATION HEALTH THROUGH ENHANCING CARE PLAN ADHERENCE. SLVH ALSO OPENED A DEDICATED RESPIRATORY CLINIC AT THE ONSET OF THE PANDEMIC FOR ACUTE RESPIRATORY CONDITIONS, INCLUDING COVID. THIS HELPED SEGREGATE PATIENT POPULATIONS SEEKING MEDICAL CARE. C. SLVH CONTINUES TO EVALUATE AND ASSESS POTENTIAL SERVICE LINES TO BENEFIT THE HEALTH NEEDS OF OUR PATIENT POPULATION. NEPHROLOGY SERVICE DAYS HAVE RECENTLY BEEN INCREASED, AND CARDIOLOGY SERVICE EXPANSIONS ARE UNDER CONSIDERATION. MONITOR CLINIC ACCESS AND MEASURE 3RD NEXT AVAILABLE APPOINTMENTS WITHIN 3 DAYS OF DEMAND. (ACCORDING TO RESEARCH, 3RD NEXT AVAILABLE NATIONAL AVERAGE FOR HOSPITAL-OWNED CLINICS IS 3 DAYS PER MGMA, BUT BEST PRACTICE/THE ULTIMATE GOAL IS 0 DAYS FOR PRIMARY CARE.) SLVH'S GOAL IS AN AVERAGE OF 3 DAYS AMONG ITS PRIMARY CARE CLINIC SITES (INCLUDING WOMEN'S HEALTH AND PEDIATRIC CLINICS. PRIMARY CARE PROVIDER (PCP) SCHEDULES ALSO ALLOW ACCESS FOR POST-HOSPITAL AND EMERGENCY DEPARTMENT FOLLOW UP TO ENSURE PATIENTS CONNECT TO THEIR PCP FOR CONTINUITY OF CARE. PROVIDERS ALSO MAINTAIN TWO ACUTE, SAME DAY APPOINTMENTS. SLVH IS CURRENTLY ABLE TO OFFER THE NEXT AVAILABLE APPOINTMENT WITHIN 3.75 DAYS. PRIMARY CARE PROVIDER RECRUITMENT EFFORTS HAVE AN INCREASED FOCUS DUE TO PROVIDER VACANCIES AND CONTINUED HIGHER DEMANDS FOR CARE D. ON MARCH 10, 2020, IN RESPONSE TO THE GLOBAL COVID-19 PANDEMIC, SLVH LEADERSHIP INITIATED IT'S HOSPITAL EMERGENCY INCIDENT COMMAND SYSTEM. ORGANIZATIONAL OBJECTIVES WERE: CARING FOR OUR COMMUNITY BY PROVIDING ESSENTIAL HEALTH CARE SERVICES; AND, ENSURING THE SAFETY AND WELLBEING OF OUR TEAM. OVERALL COMMUNITY SUPPORT INCLUDED PARTICIPATION ON THE SLV HEALTH CARE COALITION, ESTABLISHING A NURSE TELEPHONE TRIAGE SYSTEM TO HELP DIRECT AND GUIDE PATIENTS APPROPRIATELY, AND ESTABLISHING TELEMED AND VIRTUAL VISITS FOR PATIENTS TO MAINTAIN ACCESS TO MEDICAL SERVICES. VACCINATION PODS (POINT OF DISTRIBUTION) WERE IMPLEMENTED TO ADMINISTER VACCINATIONS TO LARGE GROUPS OF THE ELIGIBLE POPULATION, EVENTUALLY TRANSITIONING VACCINATION DELIVERY IN TO DAY-TO-DAY OPERATIONS WITHIN CLINIC SETTINGS. E. TRANSPORTATION ISSUES AND BARRIERS OFTEN DETER MAXIMAL HEALTH CARE UTILIZATION. SLVH PROVIDED A $25,000 DONATION TOWARD THE PURCHASE OF A TRANSPORT VEHICLE THAT IS SPECIALLY EQUIPPED TO ACCOMMODATE PATIENTS IN WHEELCHAIRS. THE NEW VAN WAS PURCHASED BY VALLEY-WIDE HEALTH SYSTEMS, INC., AND ADDS TO THE FLEET OF VEHICLES OFFERED BY THE "VALLEY-WIDE RIDE" PROGRAM TO HELP ADDRESS TRANSPORTATION NEEDS FOR MEDICAL AND NON-MEDICAL APPOINTMENTS FOR THE SLV POPULATION 2. CHRONIC DISEASE MANAGEMENT A. SLVH HAS WORKED TO IMPROVE COMMUNICATION THROUGH APPROPRIATE EXCHANGE OF INFORMATION THROUGH THE CONTINUUM OF CARE TO SUPPORT OVERALL HEALTH CARE MANAGEMENT. EMPHASIS HAS BEEN PLACED ON THE USE OF CARE COORDINATION TO ENSURE PATIENTS AND THEIR INFORMATION FOLLOWS THEM AT ALL CARE LEVELS. IN OCTOBER 2020, SLVH TRANSITIONED THEIR ELECTRONIC HEALTH RECORD TO A COMPREHENSIVE AND INTEGRATED SYSTEM THAT SUPPORTS AVAILABILITY OF INFORMATION AT EVERY LEVEL OF CARE WITHIN SLVH INCLUDING ALL FUNCTIONS OF HEALTH CARE SERVICES, BILLING, DATA AND ANALYSIS TO SUPPORT APPROPRIATE UTILIZATION, EVALUATION, AND PERFORMANCE IMPROVEMENT PROCESSES. FOCUSING ON THE IDENTIFICATION OF PATIENTS' PCP WILL HELP DRIVE CHRONIC DISEASE MANAGEMENT WHILE IMPROVING PATIENT/PROVIDER RELATIONSHIPS AND EXPERIENCES, ACCESS, CONTINUITY OF CARE, TRANSITIONS OF CARE, AND COMMUNICATION AMONG PROVIDERS. B. SLVH CONTINUES TO ORGANIZE, PARTICIPATE, AND CONTRIBUTE TO LOCAL FOOD BANKS AND HELPS ASSEMBLE AND DISTRIBUTE FOOD BOXES DURING THE HOLIDAYS.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - LUTHERAN HOSPITAL ASSOC OF THE SAN LUIS. 3. MENTAL HEALTH PREVENTION AND IMPROVEMENT A. IN ORDER TO IMPROVE PATIENT SAFETY, ADVANCE INTEGRATED BEHAVIORAL HEALTH (BH) SERVICES AND SCREENINGS IN EMERGENCY DEPARTMENTS (ED) HELP IDENTIFY HIGH-RISK PATIENTS, SLVH HAS CONTINUED TO DEVELOP ITS BH DEPARTMENT AND HIRED AN ADDITIONAL LICENSED CLINICAL SOCIAL WORKER TO PROVIDE DIRECT THERAPY SERVICES. THE DEPARTMENT IS WORKING TO EXPAND BEHAVIORAL HEALTH SERVICES AND INCREASE A BEHAVIOR HEALTH CONSULTANT FTE TO WORK IN THE INPATIENT SETTING TO PROVIDE BRIEF INTERVENTIONS, WARM HAND-OFFS AND REFERRALS INTO AMBULATORY CARE. SLVH HAS EXPANDED MEDICATION ASSISTED THERAPY (MAT) IN CLINIC SETTINGS,AND CONTINUES TO PARTNER WITH EXTERNAL AGENCIES TO IMPLEMENT AND/OR SUPPORT BEHAVIORAL HEALTH RESOURCES WITHIN THE ORGANIZATION AS WELL AS WITHIN THE COMMUNITY. BEHAVIORAL HEALTH WORKFORCE SHORTAGES CHALLENGE RECRUITMENT AND RETENTION ORGANIZATIONALLY AS WELL AS AMONG COMMUNITY PARTNERS. IN ADDITION, COVID HAS LIMITED THE ROLE OF COMMUNITY PARTNERS PROVIDING IN-PERSON CRISIS-LEVEL EVALUATIONS. B. SLVH STANDARDIZED SCREENINGS IN EDS TO BE MORE EFFECTIVE IN ADDRESSING AND PROVIDING PROTECTIVE FACTORS DURING CLINICAL VISITS. THIS BEGINS WITH GENERAL SCREENING DURING NURSE TRIAGE TO IDENTIFY PATIENTS AT RISK, FOLLOWED BY MORE INTENSE SCREENING, FOLLOWING THE EVIDENCE-BASED COLUMBIA SUICIDE SEVERITY RATING SCALE. SLVH HAS ALSO UPDATED ITS POLICY AND PROCEDURES FOR PATIENTS WHO ARE AT RISK FOR SELF-DESTRUCTIVE BEHAVIOR TO PROVIDE, AS BEST AS POSSIBLE, A SAFE ENVIRONMENT, APPROPRIATE MEDICAL SCREENING, AND CRISIS BEHAVIORAL HEALTH CARE SERVICES. I. SEPTEMBER 2020, SLVH PARTICIPATED IN NATIONAL SUICIDE PREVENTION MONTH THROUGH SLV VOICES, A LOCAL PODCAST DISCUSSION, TO HELP LISTENER LEARN MORE ABOUT TOOLS AND STRATEGIES TO COPE WITH STRESS AND LIFE CHALLENGES, AND SERVICES AVAILABLE TO HELP. II. SLVH HAS INITIATED A SYSTEM-WIDE APPROACH TO SUICIDE PREVENTION THROUGH THE ZERO SUICIDE INITIATIVE. DURING THE MONTH OF FEBRUARY 2022, SLVH WILL OFFER QUESTION, PERSUADE, AND REFER (QPR) TRAIN THE TRAINER COURSEWORK FOR APPROXIMATELY 20 STAFF, WHO WILL THEN PROCEED TRAINING OTHER CARE PROVIDERS WITHIN THE ORGANIZATION. C. SLVH CONTINUES EFFORTS TO IMPROVE TRANSITIONS OF CARE THROUGH SAFE DISCHARGE PLANNING, COORDINATED ACCESS TO BH SERVICES IN PRIMARY CARE SETTINGS, CONNECTING PATIENTS TO COMMUNITY-BASED SERVICES AND RESOURCES, AND ENSURING FOLLOW UP AT APPROPRIATE INTERVALS. D. SLVH PARTICIPATES WITH A PRACTICE IMPROVEMENT INITIATIVE TO IMPROVE INTEGRATED CARE FOR WOMEN AND BABIES (JUNE 2020), EXPANDING THE NUMBER OF PROVIDERS INDUCTING PATIENTS INTO MAT THERAPY AND INCREASING AVAILABILITY OF BEHAVIOR HEALTH SERVICES IN ITS WOMEN'S HEALTH CLINIC. E. SLVH INCREASED STAFFING RESOURCES FOR DISCHARGE PLANNING AT ITS CONEJOS COUNTY HOSPITAL. F. SLVH'S COO PARTICIPATES ON THE LAW ENFORCEMENT ASSISTED DIVERSION (LEAD) ADVISORY BOARD. REPRESENTATION HAS LED TO AN IMPORTANT PARTNERSHIP BETWEEN SLVH CLINICAL SERVICES AND THE PROGRAM TO DEVELOP A COMMUNITY REFERRAL PATHWAY USING ORGANIZATIONAL CONTACTS. 4. SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY A. SLVH, ALONG WITH OTHER COMMUNITY PARTNERS, HAVE DEMONSTRATED A LONG-STANDING COMMITMENT TO SERVE PATIENTS WITH SUBSTANCE USE DISORDERS. THIS INCLUDES REGION-WIDE STANDARDIZED PAIN MANAGEMENT AGREEMENTS, IMPLEMENTATION OF EVIDENCE-BASED STANDARDS AND BEST PRACTICES TO LIMIT OPIOID USE AND INCREASE ALTERNATIVES TO OPIOIDS AS A FIRST LINE TREATMENT IN EDS AND DURING HOSPITALIZATIONS, IMPLEMENT HARM REDUCTION STRATEGIES, AND COMPLETE REFERRALS FOR SUBSTANCE USE TREATMENT. SLVH HAS CONTINUED TO PARTICIPATE IN COMMUNITY-WIDE EFFORTS TO DEVELOP COMMUNITY-BASED RESOURCES AND SERVICES TO INCLUDE PATIENT ADVOCATES, PUBLIC SAFETY, AND EARLY DIVERSION FROM THE CRIMINAL JUSTICE SYSTEM. B. SLVH PARTICIPATED IN THE COLORADO HEALTH ASSOCIATION'S CLINICIANS UNITED TO RESOLVE THE EPIDEMIC (CURE) INITIATIVE IN ACCORDANCE WITH THE NATION'S FIRST COMPREHENSIVE, MULTISPECIALTY MEDICAL GUIDELINES. GUIDELINES FOLLOWED THE FOUR PILLARS OF LIMITING OPIOID USE; INCREASING ALTERNATIVES TO OPIOIDS AS A FIRST LINE TREATMENT; IMPLEMENTING HARM REDUCTION STRATEGIES; AND IMPROVING TREATMENT AND REFERRAL OF PATIENTS WITH OPIOID USE DISORDER. C. SLVH CONTINUES EFFORTS TO USE A MULTISPECIALTY MEDICAL APPROACH TO ADDRESS OPIOID MANAGEMENT, IMPROVE TRANSITIONS OF CARE THROUGH A SAFE DISCHARGE PLAN, IMPROVE ACCESS TO INTEGRATED PRIMARY HEALTH CARE SERVICES, CARE COORDINATION, AND FOLLOW UP IN THE LOCAL HEALTH CARE SYSTEM. 5. POVERTY MITIGATION A. SLVH IS COMMITTED TO WORKING WITH COMMUNITY PARTNERS ON FOCUS GROUPS, WORKFORCE COMMITTEES AND ACTIVITIES DEVELOPED AND INTENDED TO STRENGTHEN BOTH THE LOCAL WORKFORCE PIPELINE AND STRENGTHEN THE LOCAL ECONOMY. B. SLVH REALIZES ITS STAFF IS ITS MOST VALUABLE ASSET IN ACHIEVING ITS MISSION AND VISION. SLVH CONTINUES TO INVEST IN A COST-EFFECTIVE, SUSTAINABLE EDUCATION PLAN TO ADDRESS THE NEEDS OF THE WORKFORCE AND SUPPORT THE ORGANIZATION'S MISSION. SPECIAL ATTENTION HAS BEEN DEVOTED TO DEVELOPING EMERGING STAFF AND PROVIDER LEADERS THROUGH INTERNAL AND EXTERNAL SOURCES. SLVH HAS AN ESTABLISHED EDUCATION COMMITTEE THAT FINANCIALLY SUPPORTS EMPLOYEES WHO ADVANCE THEIR KNOWLEDGE, SKILLS, AND COMPETENCIES THROUGH FORMAL TRAINING. EMPLOYEES ARE ASKED FOR AN EMPLOYMENT COMMITMENT OF UP TO FIVE YEARS FOLLOWING THE COMPLETION OF THETRAINING/EDUCATION PROGRAM. THESE EFFORTS HAVE HAD POSITIVE RESULTS IN RECRUITING AND RETAINING STAFF POSITIONS INCLUDING HEALTH CARE PROVIDERS, NURSES, PARAMEDICS, AND ANCILLARY STAFF POSITIONS. POSITIVE STAFFING IMPACTS ARE OFTEN MORE ALIGNED TO THE COMMUNITY ORGANIZATIONAL OBJECTIVES, AND IMPORTANTLY MISSION AND VISION AND SUPPORT LONGER-TERM EMPLOYMENT COMMITMENTS. SLVH ALSO OFFERS A NURSING RESIDENCY PROGRAM, HOSTING MEDICAL AND NURSING STUDENTS AND INTERNS, AND MENTORING MASTER-LEVEL CANDIDATE. SLVH DEVELOPMENT EFFORTS INCLUDE: NURSE RESIDENT PROGRAM - 60 PARTICIPANTS AND EMPLOYED BY SLVH NURSE INTERNS GROW-YOUR-OWN TECHNICAL STAFF CARDIAC SONOGRAPHER U/S SONOGRAPHER MEDICAL LABORATORY TECHNICIAN EDUCATION COMMITTEE - INVESTING IN 33 EMPLOYEES IN 2020, AND 10 IN 2021 NURSING PROGRAMS BREASTFEEDING CERTIFICATION CERTIFIED CODERS INTERPRETATION MEDITECH TRAINING C. SLVH HAS ESTABLISHED ORGANIZATIONAL GOALS TO IMPROVE OR MAINTAIN TURNOVER RATES: I. ALL STAFF GOAL - <22% II. PROVIDER STAFF GOAL - <16% D. SLVH HAS ESTABLISHED RATES TO RETAIN STAFF WITH A GOAL OF 80%. SEVERAL TACTICS SUPPORT THESE EFFORTS TO ACHIEVE THIS MEASURE. *WHILE SLVH HAS HISTORICALLY MET AND EXCEEDED THESE GOALS THE LAST SEVERAL YEARS, COVID HAS HAD AN UNPRECEDENTED AND SIGNIFICANT EFFECT ON FILLING STAFF VACANCIES, THE NEED TO CROSS-TRAIN STAFF TO COVER VACANT SHIFTS, AND THE STAFF WHO HAVE LEFT THE ORGANIZATION TO TAKE MUCH MORE LUCRATIVE (BUT SHORT-TERM) TRAVEL AND LOCUM ASSIGNMENTS. MULTI-PRONGED APPROACHES HAVE BEEN IMPLEMENTED TO ADDRESS WORKFORCE CHALLENGES.
Schedule H, Part V, Section B, Line 16 Facility A, 1	Facility A, 1 - LUTHERAN HOSPITAL ASSOC OF THE SAN LUIS. THE FINANCIAL ASSISTANCE POLICY CAN ALSO BE FOUND BY GOING TO THE HOME PAGE OF ORGANIZATION'S WEBSITE, UNDER QUICK LINKS CLICK ON GET FINANCIAL ASSISTANCE AND THERE WILL BE A FINANCIAL ASSISTANCE POLICY HYPERLINK. 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 ASSISTANCE THERE WILL BE AN "APPLICATION" HYPERLINK. 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 ASSISTANCE THERE 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 (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	IN ADDITION TO THE FEDERAL POVERTY GUIDELINES THE FOLLOWING ELIGIBILITY CRITERIA ARE ALSO USED TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY MEDICAL INDIGENCY, INSURANCE STATUS AND UNDERINSURANCE STATUS.
Schedule H, Part II LINES 1-10	EACH OF THE COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY BY SUPPORTING COMMUNITY INITIATIVES SUCH AS ADOPT-A-FAMILY AT CHRISTMAS, PREPARING FOOD BOXES AT THE LOCAL FOOD BANK, HIGHWAY CLEAN UP, EARLY CHILDHOOD COUNCILS, ETC.
Schedule H, Part III, Line 8	ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE HOSPITALS ARE REQUIRED TO TREAT PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A RURAL HOSPITAL IN SOUTHERN COLORADO, SAN LUIS VALLEY HEALTH, IS CRITICAL TO PROVIDING HEALTHCARE IN AN AREA THAT HAS LIMITED ACCESS TO SPECIALTY CARE. ACCESSIBLE, HIGH-QUALITY HEALTHCARE IS NEEDED FOR THE OVERALL HEALTH OF THE RESIDENTS OF THE SAN LUIS VALLEY EVEN IF MEDICARE REIMBURSEMENT DOES NOT MEET THE COST OF PROVIDING THAT CARE. RURAL HEALTHCARE IS OFTEN MORE COSTLY AS PATIENTS TEND TO HAVE A HIGHER THAN AVERAGE ACUITY AND LENGTH OF STAY DUE TO LIMITED SPECIALTY CARE IN THE TREATMENT AND PATIENT CARE FOLLOW PROCESS. THE MEDICARE SHORTFALL REFLECTS THE EXCESS OF COSTS CONSISTENTLY DRIVEN UP BY REGULATORY REQUIREMENTS, SKILLED LABOR SHORTAGES AND EVOLVING MEDICAL AND INFORMATION TECHNOLOGY, ABOVE NON-NEGOTIABLE PAYMENTS BASED ON UPDATES THAT HAVE FALLEN BEHIND ACTUAL HEALTHCARE COST INFLATION. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE COST OF CARE REPORTED.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A,7B AND 7C. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2024. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	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, Line 9b Collection practices for patients eligible for financial assistance	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 V, Section B, Line 16a FAP website	A - Lutheran Hospital of the SLV: Line 16a URL: HTTPS://WWW.SANLUISVALLEYHEALTH.ORG/DOCUMENTS/CHARITY_CARE_APPLICATION.PDF; A - Conejos County Hospital: Line 16a URL: www.sanluisvalleyhealth.org;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - Lutheran Hospital of the SLV: Line 16b URL: HTTPS://WWW.SANLUISVALLEYHEALTH.ORG/DOCUMENTS/CHARITY_CARE_APPLICATION.PDF; A - Conejos County Hospital: Line 16b URL: www.sanluisvalleyhealth.org;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - Lutheran Hospital of the SLV: Line 16c URL: HTTPS://WWW.SANLUISVALLEYHEALTH.ORG/DOCUMENTS/CHARITY_CARE_APPLICATION.PDF; A - Conejos County Hospital: Line 16c URL: www.sanluisvalleyhealth.org;
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 COMMUNITYHEALTH NEEDS. THROUGH COMMUNICATION WITH PROVIDERS AND COMMUNITY NON PROFITS, THIS NEED IS ADDRESSED AS REQUIRED. SAMPLE CURRENT AND PAST PROGRAMMING HAVE INCLUDED FREE COLONOSCOPIES, BREAST HEALTH RELATED TESTING, PSA TESTING AND MUCH MORE.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	SLV HEALTH PROVIDES A PATIENT FINANCIAL COUNSELOR WHO IDENTIFIES RESOURCES AND ELIGIBILITY ASSESSMENT FOR PROGRAMS THROUGH FEDERAL AND STATE GOVERNMENT PROGRAMS, AS WELL AS GRANT FUNDED PROGRAM. WE ALSO PROVIDE A SLIDING FEE SCALE FOR SERVICE FOR THOSE SELF PAY PATIENTS NOT FITTING WITHIN ANY OF THESE PROGRAMS. PAY PLANS ARE ALSO SET UP FOR SELF PAY PATIENTS.
Schedule H, Part VI, Line 4 Community information	LOCATED IN SOUTH-CENTRAL COLORADO, THE SAN LUIS VALLEY (SLV) IS THE LARGEST AND HIGHEST VALLEY IN NORTH AMERICA, SURROUNDED BY MOUNTAIN RANGES THAT EFFECTIVELY ISOLATE THE SLV FROM OTHER MEDICAL RESOURCES. THE SLV CONSISTS OF THREE RURAL AND THREE FRONTIER* COUNTIES COVERING 8194 SQUARE MILES, LARGER THAN THE STATE OF DELAWARE. FIVE OF THE SIX COUNTIES ARE FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED AND ALL SIX COUNTIES ARE FEDERALLY DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS, INDICATING SHORTAGES IN PRIMARY CARE MEDICAL SERVICES, DENTAL CARE, OR MENTAL HEALTH CARE. THE SLV HAS A DIVERSE POPULATION OF APPROXIMATELY 47,000 RESIDENTS, WITH 45% WHO IDENTIFY AS HISPANIC, LATINO, OR OF SPANISH ORIGIN. ADDITIONALLY THERE IS A LARGE POPULATION OF MIGRANT FARM WORKERS PREDOMINANTLY AGRICULTURAL IN NATURE. FIVE OF THE SIX COUNTIES HAVE THE HIGHEST PERCENT OF RESIDENTS THAT SPEAK A LANGUAGE OTHER THAN ENGLISH COMPARED TO THE STATE OVERALL. THE SLV IS ONE OF THE POOREST AREAS IN COLORADO WITH 21.4% LIVING IN POVERTY COMPARED TO 9.6% FOR THE STATE. THE SLV'S UNINSURED RATE IS 13% COMPARED TO 9% FOR COLORADO, AND 38.4% OF SLV RESIDENTS ARE ON MEDICAID. *FRONTIER AREAS DEFINED AS COUNTIES HAVING A POPULATION DENSITY OF SIX OR FEWER PEOPLE PER SQUARE MILE, FACE CHALLENGES IN PROVIDING ACCESS TO HEALTH AND HUMAN SERVICES WHICH ARE EVEN GREATER THAN THE CHALLENGES FACED BY OTHER RURAL COMMUNITIES.
Schedule H, Part VI, Line 5 Promotion of community health	SLVH IS ACTIVE IN THE COMMUNITY AND SUPPORTS STAFF WHO PROVIDE COMMUNITY RESOURCES IN AREAS THAT INCLUDE HEALTH EDUCATION AND INFORMATION, PROMOTING SAFETY AND WELLNESS TO THE GENERAL POPULATION, AND SPONSORS BEHAVIORAL HEALTH SUPPORT GROUPS. HOSPITAL LEADERSHIP AND CLINICAL PROVIDERS CONDUCT HEALTH EDUCATION INFORMATION IN THE AREAS OF ADOLESCENT HEALTH, ARE FOR PATIENTS WITH DEMENTIA, SKIN CARE, AND WOMEN'S HEALTH. SLVH STAFF ALSO PARTICIPATE IN COMMUNITY HEALTH INITIATIVES SUCH AS ADOLESCENT PREVENTION COALITIONS, OPIOID USE/ABUSE TASK FORCE, A NEONATAL TASK FORCE, COORDINATION OF HEALTH CARE SERVICES ACROSS THE CONTINUUM, AND WORKFORCE DEVELOPMENT ISSUES. PATIENT AND FAMILY ADVISORY COUNCILS HAVE ALSO BEEN ESTABLISHED TO BRING THE VOICE OF PATIENTS AND THEIR FAMILIES INTO PROGRAM DESIGN AND IMPROVEMENT PROCESSES
Schedule H, Part VI, Line 6 Affiliated health care system	SLV HEALTH HAS A PROFESSIONAL AFFILIATION WITH CENTURA HEALTH SYSTEMS TO COORDINATE CARE FOR OUR SHARED PATIENTS.
Schedule H, Part VI, Line 7 State filing of community benefit report	CO

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8900 INDEPENDENCE WAY	AddressLine1Txt
City	ALAMOSA	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81101	ZIPCd

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

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	10	RecipientCnt
Cash Grant	$48,052	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	FUNDS ARE PROVIDED TO BE USED FOR DESIGNATED PURPOSES ONLY. ALL GRANTEES ARE SELECTED AND STRICTLY SCREENED BY THE MEDICAL CENTER. MULTI-YEAR AGREEMENTS ARE MADE WITH THE RECIPIENT ORGANIZATIONS AND ARE EVALUATED ON AN ANNUAL BASIS BEFORE FUNDING IS CONTINUED.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Dennard Ellison
trustee, Physician	$446,713	$0	$36,483	$0	$721	$0	$15,900	$0	$26,017	$0	$525,834	$0	$0	$0
Konnie Martin
CEO	$416,824	$0	$126,879	$0	$721	$0	$16,500	$0	$18,991	$0	$579,915	$0	$0	$0
Carmelo Hernandez
CMO	$355,784	$0	$80,793	$0	$731	$0	$16,221	$0	$25,887	$0	$479,416	$0	$0	$0
Shane Mortensen
CFO	$220,201	$0	$44,594	$0	$721	$0	$13,598	$0	$18,562	$0	$297,676	$0	$0	$0
Christine Hettinger-Hunt
COO	$206,185	$0	$42,252	$0	$721	$0	$11,893	$0	$18,513	$0	$279,564	$0	$0	$0
Roberta Bean
COO	$194,601	$0	$37,224	$0	$721	$0	$11,921	$0	$18,475	$0	$262,942	$0	$0	$0
Antonio Gurule
CLINIC ADMINISTRATOR	$187,237	$0	$36,586	$0	$721	$0	$11,184	$0	$11,379	$0	$247,107	$0	$0	$0
Zachary Weiderspon
CCH ADMINISTRATOR	$150,399	$0	$30,498	$0	$721	$0	$8,825	$0	$8,246	$0	$198,689	$0	$0	$0
Carissa Tripi
Physician	$540,142	$0	$100,023	$0	$721	$0	$16,500	$0	$19,164	$0	$676,550	$0	$0	$0
Jason Defee
Physician	$589,376	$0	$39,601	$0	$721	$0	$16,500	$0	$26,225	$0	$672,423	$0	$0	$0
Carla Christ
Physician	$497,471	$0	$96,000	$0	$721	$0	$16,500	$0	$9,026	$0	$619,718	$0	$0	$0
Julian Maendel
Physician	$490,353	$0	$66,136	$0	$721	$0	$16,500	$0	$21,105	$0	$594,815	$0	$0	$0
Justin Buchholz
Physician	$339,512	$0	$118,038	$0	$721	$0	$14,996	$0	$25,860	$0	$499,127	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization	ALL ORGANIZATIONAL OFFICERS, AS WELL AS DIRECTORS, ARE ELIGIBLE FOR AN ANNUAL VARIABLE PAY BONUS BASED UPON A NUMBER OF MEASURES, ONE OF THEM BEING THAT THE ORGANIZATION AS A WHOLE MEETS BUDGETED PROFITABILITY.
Schedule J, Part I, Line 7 Non-fixed payments	PHYSICIANS MAY EARN A PRODUCTIVITY BONUS. SENIOR MANAGEMENT IS ELIGIBLE FOR ANNUAL VARIABLE PAY UP TO 35% FOR CEO AND 20% FOR ALL OTHER SENIOR MANAGEMENT BASED UPON CRITERIA INCLUDING HOSPITAL WIDE MEASURES AND POSITION SPECIFIC GOALS. VARIABLE PAY IS AWARDED AT THE DISCRETION OF THE BOARD FOR THE CEO AND THE CEO FOR ALL OTHER SENIOR MANAGEMENT.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$68,623	TransactionAmt
Transaction	EMPLOYMENT WAGES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV, Column (b)	FormAndLineReferenceDesc
Explanation	BOARD MEMBER SUSAN GEIGER HAS A FAMILY RELATIONSHIP WITH FORMER INTERIM CHIEF MEDICAL OFFICER DAVID GEIGER, WHO RECEIVED EMPLOYMENT WAGES FROM THE ORGANIZATION DURING THE YEAR.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENT	SAN LUIS VALLEY HEALTH WAS FORMED JULY 1, 2013. PRIOR TO THE MERGER THAT CREATED SAN LUIS VALLEY HEALTH, THE HOSPITAL OPERATED AS AN INDEPENDENT, NOT FOR PROFIT HOSPITAL FOR OVER 83 YEARS. THE MERGER BROUGHT TOGETHER SAN LUIS VALLEY REGIONAL MEDICAL CENTER AND CONEJOS COUNTY HOSPITAL. PRIOR TO THE MERGER, CONEJOS COUNTY HOSPITAL HAD BEEN MANAGED BY SAN LUIS VALLEY REGIONAL MEDICAL CENTER SINCE 2003. SLV HEALTH SERVES THE SIX COUNTIES OF THE SAN LUIS VALLEY WITH A POPULATION OF JUST UNDER 50,000 AND AN AREA OF OVER 8,200 SQUARE MILES; LARGER THAN THE STATE OF NEW JERSEY. SLV HEALTH EMPLOYS OVER 650 EMPLOYEES AND IS THE LARGEST EMPLOYER IN THE SAN LUIS VALLEY. THE TRUSTEES, PROVIDERS AND STAFF OF SLV HEALTH ARE UNDERSTANDABLY PROUD OF THEIR TRADITION FOR PROVIDING CARE AND SERVICE TO OUR COMMUNITIES. SERVING OUR LOW-INCOME COMMUNITY MEANS THAT WE HAVE A CHALLENGING PAYER MIX WITH HIGH MEDICAID, UNINSURED AND RELATIVELY LOW COMMERCIAL PERCENTAGES. THIS HAS LED TO OUR ORGANIZATION BEING RESOURCEFUL, CREATIVE AND INNOVATIVE IN ORDER TO CONTINUE SERVICE WITH POSITIVE OPERATING MARGINS. OVER THE LAST TEN YEARS, OUR GROSS REVENUE HAS INCREASED FROM $20M TO IN EXCESS OF $200M AND THE NUMBER OF PATIENTS SERVED HAS EXPANDED SEVERAL FOLD. NEW SERVICES HAVE BEEN ADDED IN MEDICATION ONCOLOGY, INPATIENT REHABILITATION, SLEEP DISORDERS, WOMEN'S IMAGING CENTER, FIXED WING MEDICAL TRANSPORTATION, GENETIC COUNSELING, BEHAVIORAL HEALTH, CARDIOLOGY, CHIROPRACTIC, ONCOLOGY/INFUSION THERAPY, UROLOGY, AND MORE.
Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS	BOARD OF DIRECTOR MEMBERS CHERI CROWDER AND PATRICK CROWDER HAVE A FAMILY RELATIONSHIP. BOARD MEMBER SUSAN GEIGER IS MARRIED TO DAVID GEIGER, FORMER INTERIM CHIEF MEDICAL OFFICER.
Form 990, Part VI, Line 11b Review of form 990 by governing body	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, Line 12c 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, Line 15a Process to establish compensation of top management official	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, Line 15b Process to establish compensation of other employees	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, Line 19 Required documents available to the public	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	- Total Revenue: 56820, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 56820;
Form 990, Part IX, Line 11g Other Fees	CONTRACT LABOR - Total Expense: 10792163, Program Service Expense: 10784850, Management and General Expenses: 7313, Fundraising Expenses: ; CONTRACT SERVICES - Total Expense: 4332091, Program Service Expense: 1665699, Management and General Expenses: 2666392, Fundraising Expenses: ; CONSULTING - Total Expense: 1076663, Program Service Expense: 463802, Management and General Expenses: 612861, Fundraising Expenses: ; DATA PROCESSING - Total Expense: 186902, Program Service Expense: 0, Management and General Expenses: 186902, Fundraising Expenses: ; COLLECTIONS - Total Expense: 49826, Program Service Expense: 0, Management and General Expenses: 49826, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN INVESTMENT INTHE FOUNDATION - 250425;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	106 Blanca Avenue	AddressLine1Txt
City	Alamosa	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81101	ZIPCd

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

Direct Controlling Entity Name DirectControllingEntityName

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

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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	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	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

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

Field	Value	IRS element (for citing)
Transaction Type	E	TransactionTypeTxt
Involved	$402,509	InvolvedAmt
Method Of Amount Determination	BOOK VALUE	MethodOfAmountDeterminationTxt