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Nonprofiteer
← SAN LUIS VALLEY REGIONAL MEDICAL CENTER

Form 990 for tax year 2022

Filed by SAN LUIS VALLEY REGIONAL MEDICAL CENTER.

Totals

Total revenue
$124,667,103
Total expenses
$123,277,692
Contributions and grants received
$3,785,913
Grants paid
$24,096
Program service revenue
$120,220,616
Investment income
$348,099
Other revenue
$312,475
Total assets, end of year
$115,778,291
Total liabilities, end of year
$31,857,937
Net assets or fund balances, end of year
$83,920,354
Program services expenses (Part IX)
$92,413,654
Management and general expenses
$30,334,991
Fundraising expenses
$529,047
Program service expenses (Part III)
$92,413,654

Program services were 75.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Carissa Tripi

    Physician

    Total calculated
    $692,102
    From this org
    $665,488
    From related orgs
    $0
    Other
    $26,614
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $539,207
    Bonus
    $125,741
    Other
    $540
    Deferred
    $14,811
    Nontaxable benefits
    $11,803
    Filer's total
    $692,102

  • Jason Defee

    Physician

    Total calculated
    $660,845
    From this org
    $628,129
    From related orgs
    $0
    Other
    $32,716
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $589,604
    Bonus
    $37,283
    Other
    $1,242
    Deferred
    $15,250
    Nontaxable benefits
    $17,466
    Filer's total
    $660,845

  • Carla Christ

    Physician

    Total calculated
    $568,965
    From this org
    $546,937
    From related orgs
    $0
    Other
    $22,028
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $440,599
    Bonus
    $105,927
    Other
    $411
    Deferred
    $15,250
    Nontaxable benefits
    $6,778
    Filer's total
    $568,965

  • Konnie Martin

    CEO

    Total calculated
    $565,332
    From this org
    $538,452
    From related orgs
    $0
    Other
    $26,880
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $407,724
    Bonus
    $127,164
    Other
    $3,564
    Deferred
    $15,250
    Nontaxable benefits
    $11,630
    Filer's total
    $565,332

  • Julian Maendel

    Physician

    Total calculated
    $539,887
    From this org
    $507,957
    From related orgs
    $0
    Other
    $31,930
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $429,926
    Bonus
    $77,571
    Other
    $460
    Deferred
    $14,679
    Nontaxable benefits
    $17,251
    Filer's total
    $539,887

  • James Grigsby

    Physician

    Total calculated
    $496,780
    From this org
    $473,468
    From related orgs
    $0
    Other
    $23,312
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $418,747
    Bonus
    $47,862
    Other
    $6,859
    Deferred
    $15,250
    Nontaxable benefits
    $8,062
    Filer's total
    $496,780

  • Dennard Ellison

    Trustee, Physician

    Total calculated
    $453,098
    From this org
    $420,658
    From related orgs
    $0
    Other
    $32,440
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $397,755
    Bonus
    $19,339
    Other
    $3,564
    Deferred
    $15,250
    Nontaxable benefits
    $17,190
    Filer's total
    $453,098

  • Carmelo Hernandez

    CMO

    Total calculated
    $442,402
    From this org
    $410,320
    From related orgs
    $0
    Other
    $32,082
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $326,707
    Bonus
    $81,291
    Other
    $2,322
    Deferred
    $14,973
    Nontaxable benefits
    $17,109
    Filer's total
    $442,402

  • Shane Mortensen

    CFO

    Total calculated
    $290,591
    From this org
    $266,094
    From related orgs
    $0
    Other
    $24,497
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $212,911
    Bonus
    $50,056
    Other
    $3,127
    Deferred
    $13,296
    Nontaxable benefits
    $11,201
    Filer's total
    $290,591

  • Christine Hettinger-Hunt

    COO

    Total calculated
    $268,498
    From this org
    $246,493
    From related orgs
    $0
    Other
    $22,005
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $198,320
    Bonus
    $45,276
    Other
    $2,897
    Deferred
    $10,854
    Nontaxable benefits
    $11,151
    Filer's total
    $268,498

  • Roberta Bean

    COO

    Total calculated
    $248,482
    From this org
    $225,895
    From related orgs
    $0
    Other
    $22,587
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $190,407
    Bonus
    $34,726
    Other
    $762
    Deferred
    $11,473
    Nontaxable benefits
    $11,114
    Filer's total
    $248,482

  • Antonio Gurule

    Clinic Administrator

    Total calculated
    $242,751
    From this org
    $224,079
    From related orgs
    $0
    Other
    $18,672
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $182,682
    Bonus
    $39,724
    Other
    $1,673
    Deferred
    $11,158
    Nontaxable benefits
    $7,514
    Filer's total
    $242,751

  • Zachary Weiderspon

    CCH Administrator

    Total calculated
    $197,112
    From this org
    $181,950
    From related orgs
    $0
    Other
    $15,162
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $149,711
    Bonus
    $32,141
    Other
    $98
    Deferred
    $9,093
    Nontaxable benefits
    $6,069
    Filer's total
    $197,112

  • Karla Hardesty

    President

    Total calculated
    $2,900
    From this org
    $2,900
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Cheri Crowder

    Trustee

    Total calculated
    $1,100
    From this org
    $1,100
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Jan Gay

    Trustee

    Total calculated
    $1,100
    From this org
    $1,100
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Kendall Knaus

    Sec/Treas

    Total calculated
    $1,100
    From this org
    $1,100
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Rosalie Martinez

    Trustee

    Total calculated
    $1,100
    From this org
    $1,100
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Donald Shawcroft

    Trustee

    Total calculated
    $1,000
    From this org
    $1,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Kasey Russell

    Trustee

    Total calculated
    $1,000
    From this org
    $1,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Patrick Crowder

    Trustee

    Total calculated
    $1,000
    From this org
    $1,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Kathy Lorenz

    Trustee

    Total calculated
    $800
    From this org
    $800
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Susan Geiger

    Trustee, Physician

    Total calculated
    $800
    From this org
    $800
    From related orgs
    $0
    Other
    $0
    Hours/week
    20

  • Jim Ehrlich

    Vice President

    Total calculated
    $700
    From this org
    $700
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 6a · Pay contingent on this organization's net earnings
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 6A
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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202411169349301511

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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