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In 2006, recognizing the number of suitable sites were finite and dwindling, the Hospital District Board of Directors began working to secure a home for a new facility.




2016 marked a major pivot in our efforts to secure the future home for our medical center. And while a Mountain Village site had so many ideal qualities, in ending our pursuit for the wetland permit for that location behind the grocery store, the Telluride Hospital District board of directors have since gained new momentum from conversations with other regional players, like the Lawson Hill Owners Association and San Miguel Valley Corporation.

View our entire timeline from 2006-2017 here.


The Current Facility

  • We have outgrown the 10,000 square-foot building built in the 1960s

  • The Telluride Hospital District does not own the land the current facility sits on; further renovation is not prudent

  • To bring the facility up to current Medical, Life Safety, Building and Energy Codes would require increasing the facility to approximately 20,000-square-feet, all without any added patient care capacity according to Mahlum Architects

  • Our facility does not allow for adequate handicap accessibility, or for privacy at check in/out

  • The exam room to provider ratio does not meet medical standards

  • Our programs, services, staff and patient visits have increased significantly since 1978

  • Our facility cannot handle multiple and simultaneous emergencies

  • Separating the Emergency and Primary Care between locations is not cost effective


The Search for a New Home

After a process spanning more than 18 months, in the fall of 2016, the Telluride Hospital District, upon consultation with the Town of Mountain Village, withdrew its wetlands permit application to the United States Army Corps of Engineers and began anew the search for a future home for the region’s healthcare.

And while the Mountain Village site had many ideal qualities, in ending the pursuit for the wetland permit for that location behind the grocery store, the Hospital District board of directors has since gained new momentum for conversations with other regional players, like the Lawson Hill Owners Association and San Miguel Valley Corporation.

One thing hasn’t changed: The new site must be accessible for patients, ambulance and helicopter; suitable for current and projected needs; available for future expansion; financially feasible with funding mechanisms; and with a minimal environmental impact.

The latest: On September, 12, 2018, the San Miguel Valley Corporation (SMVC) initiated a discussion with the San Miguel County Planning Commission, in a public meeting, about donating a parcel of land (2.6 acres) within their Society Turn Parcel to be used as a site for a new medical facility. 

The Telluride Hospital District announced on April 30, 2019 a Memo of Understanding (MoU) has been signed with Genesee Properties regarding the potential donation of a 2.6 acre parcel of land at Society Turn for development of a new medical facility.

According to the Telluride Hospital District, the governing body of the Telluride Medical Center, the MoU is an agreement between Genesee Properties and the Telluride Hospital District to work together to secure all the necessary approvals for development of the entire parcel. Keep reading here.

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Studies, Reports & Community Involvement

  • Financial, legal, philanthropic, architectural, environmental, helicopter, safety, traffic and medical experts have all been enlisted to study the feasibility of a new facility from multiple angles

  • The financial viability of a new facility has been verified by multiple independent feasibility studies

  • Since 2014 the Hospital District has hosted over 17 public forums to foster transparency and collaboration with the community

  • Community outreach has also included a Facility Advisory Committee and a Community Advisory Committee

  • Over 60% of patients come from outside of the town of Telluride (Mountain Village; Lawson; Other) according to the THD Capacity Report (available at

New Facility : Community Benefits

  • A suitable home for our region’s only Primary Care and Level V Trauma Center

  • Additional primary/urgent care rooms and by adding patient waiting areas and behavioral health offices

  • Ability to accommodate modern, efficient and expanded services to our growing region

  • A facility designed to support synergies and collaboration among doctors, nurses, visiting specialists, staff, local health care professionals, pharmacies, patients and families

  • Observation beds, for post acute recovery and rehabilitation

  • Surgical and procedure rooms for endoscopic surgery, colonoscopies, etc.

  • Expanded radiology, MRI, mammography, bone density services

  • Space for diagnostic and therapeutic support

  • Patient friendly location

  • A helipad for emergency transports to save time and live

  • Enhanced financial stability as a Critical Access Hospital, with Medicare reimbursements will be at 101% of cost – driving down the overall cost of care at the new facility

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