2024-04-29T11:32:59-05:00 2023-06-30 FORVIS LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2022-07-01 203799814 SAN LUIS VALLEY HEALTH FOUNDATION % LUTHERAN HSP ASSN SLV SANL 7195892511 106 BLANCA AVENUE ALAMOSA CO 81101 JEFFREY MOTZ PRESIDENT 7195892511 2024-05-15 true JEFFREY MOTZ 999009999 Adam R Smith CPA P00958966 7194714290 2024-05-15 2 2022 2023-04-26 12:10:37Z JEFFREY MOTZ 106 BLANCA AVENUE ALAMOSA CO 81101 226895 false X WWW.SANLUISVALLEYHEALTH.ORG/FOUNDATION/ X 2006 CO TO SUPPORT THE LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY. 9 9 0 9 0 0 92633 107733 0 0 6860 8482 69783 106549 169276 222764 10125 307239 0 0 0 0 0 0 0 93 118 10218 307357 159058 -84593 721443 666053 0 0 721443 666053 ACQUIRE AND MANAGE ASSETS IN SUPPORT OF LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY. false false 307239 307239 0 TO SUPPORT THE LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY. 307239 true true false false false false false false true false false false true false false false false false false false false false false true false false true false true false false false false false false false false false false false false false true false false true 0 0 0 false false false false false true true false false false false false false X 9 9 false false false false false false false true true false false false true true true false false false false false X LUTHERAN HSP ASSN SLV 7195892511 106 BLANCA AVE ALAMOSA CO 81101 KONNIE MARTIN CEO 2.0 38.0 X 0 538452 26880 shane mortensen cfo 1.0 39.0 X 0 266094 24497 KELLY GURULE FOUNDATION DIRECTOR 34.0 6.0 X 0 87838 11471 Russell Achatz Director 2.0 0.0 X 0 0 0 Duane Bussey Director/Treasurer 2.0 0.0 X X 0 0 0 Sheila Hicks Director 2.0 0.0 X 0 0 0 Rosalie Martinez Director 2.0 0.0 X 0 0 0 ROXANN SITTLER Director/SECRETARY 2.0 0.0 X 0 0 0 Jeff Motz Director/President 2.0 0.0 X X 0 0 0 AMY MCKINLEY Director 2.0 0.0 X 0 0 0 Delzia Pavlovsky-Worley Director 2.0 0.0 X 0 0 0 Lori Laske Director/Vice President 2.0 0.0 X X 0 0 0 0 892384 62848 0 false true false 0 21471 86262 107733 0 8482 8482 0 0 0 0 0 0 110680 21471 4131 106549 106549 0 0 0 0 0 0 0 222764 115031 307239 307239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 116 0 0 2 2 0 0 0 0 0 0 0 0 0 0 307357 307239 118 0 16960 15111 21213 12998 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347020 407992 0 0 0 0 0 0 336250 229952 721443 666053 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 721443 666053 0 0 721443 666053 721443 666053 -84593 29203 X false false false X 103600 101985 315963 92633 107733 721914 0 0 103600 101985 315963 92633 107733 721914 249784 472130 762 3003 6769 6860 8482 25876 44631 81322 20326 69783 106549 322611 0 1070401 0.44108 0.48485 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 368233 15197 37560 420990 417934 12662 -62363 368233 179871 156879 81184 417934 15629 160259 3983 179871 15600 29 15629 1.00000 false false RELATED PARTY RECEIVABLE 229952 229952 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. 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. BOLOS & BOOTS 89529 11031 78498 3131 CLAY SHOOT 4250 4250 2 38372 10440 27932 1000 132151 21471 110680 4131 4131 106549 true LUTHERAN HOSPITAL ASSOC OF THE SAN LUIS VALLEY 106 BLANCA AVENUE ALAMOSA CO 81101 840255530 501(C)(3) 307239 SUPPORT ORGANIZATION 1 0 SCHEDULE I, PART I, LINE 2 ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: FUNDS ARE PROVIDED TO BE USED FOR DESIGNATED PURPOSES ONLY. ALL GRANTEES ARE SELECTED AND STRICTLY SCREENED BY THE FOUNDATION. ALL GRANTS PROVIDED DURING THE CURRENT TAX WERE PROVIDED TO A RELATED ORGANIZATIONS AND MONITORED THROUGH THE MUTUAL RELATIONSHIP. KONNIE MARTIN CEO 0 407724 0 127164 0 3564 0 15250 0 11630 0 565332 0 0 shane mortensen cfo 0 212911 0 50056 0 3127 0 13296 0 11201 0 290591 0 0 FORM 990, PART VI, SECTION A, LINE 2 DESCRIPTION OF FAMILY OR BUSINESS RELATIONSHIP: KONNIE MARTIN AND SHANE MORTENSEN HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY A THIRD PARTY, REVIEWED BY THE FINANCE DIRECTOR, FOUNDATION DIRECTOR AND FOUNDATION BOARD PRESIDENT. THE FOUNDATION BOARD OF DIRECTORS IS ALSO PROVIDED A COPY OF THE FORM 990 FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: SAN LUIS VALLEY HEALTH FOUNDATION 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: THE CEO'S COMPENSATION IS DETERMINED BY THE RELATED ORGANIZATION USING THE FOLLOWING PROCESS. HUMAN RESOURCES PROVIDES THE RELATED ORGANIZATION'S 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: THE OTHER OFFICER AND KEY EMPLOYEES' COMPENSATION IS DETERMINED BY THE RELATED ORGANIZATION USING THE FOLLOWING PROCESS. 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 B, 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. LUTHERAN HOSPITAL ASSOC OF THE SLV 106 BLANCA AVENUE ALAMOSA CO 81101 840255530 HOSPITAL CO 501(C)(3) LINE 3 NA false false true false true false false false false false false false true true true true true true false false