Lutheran Hospital Assoc of the San Luis Valley

What it reported doing in 2024

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.

Financial Efficiency

• Mission deployment rate: 74%; rating input score 74
• Program expense ratio: 75.8%; rating input score 76
• Fundraising efficiency: $6.77 raised per $1 spent on fundraising; rating input score 30; 30th percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 54.3%; rating input score 54; 11th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 83.3%; rating input score 83; 31st percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 2.4%; rating input score 45; 45th percentile among comparable filings
• Total-asset coverage ratio: 0.92; rating input score 37; 37th percentile among comparable filings
• Liabilities to assets ratio: 0.25; rating input score 62; 62nd percentile among comparable filings
• Officer compensation ratio: 5.3%; rating input score 15; 15th percentile among comparable filings

Growth

• Program expense growth: 5.2% per year; rating input score 100; 42nd percentile among comparable filings
• Revenue growth: 5.8% per year; rating input score 100; 50th percentile among comparable filings
• Asset growth: 5.1% per year; rating input score 100; 37th percentile among comparable filings