REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE (EIN 85-0313268)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2024-07-16
- IRS object ID
- 202401989349300700
- Schema version
- 2021v4.2
- 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 D
- Schedule H
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-07-16T00:14:16-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 850203431 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REDW LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8801 Horizon Blvd NE Suite 401 | AddressLine1Txt |
| City | Albuquerque | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87113 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850313268 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rehoboth McKinley Christian Healthcare | BusinessNameLine1Txt |
| Business Name Line2 | Services | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | REHO | BusinessNameControlTxt |
| Phone | 5058637000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Red Rock Drive | AddressLine1Txt |
| City | Gallup | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Chris Dover | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5058637000 | PhoneNum |
| Signature | 2024-07-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Chris | PersonFirstNm |
| Person Last | Dover | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jamie S Fridley CPA | PreparerPersonNm |
| PTIN | P00380605 | PTIN |
| Phone | 5059983200 | PhoneNum |
| Preparation | 2024-07-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Don Smithburg | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Red Rock Drive | AddressLine1Txt |
| City | Gallup | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $70,425,107 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.rmch.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Activity Or Mission | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC. (RMCHCS) WILL BE THE PREFERRED HEALTH CARE PROVIDER ORGANIZATION FOR MCKINLEY COUNTY AND THE SURROUNDING COMMUNITIES. RMCHCS WILLBE RESPONSIVE TO THE HEALTHCARE NEEDS OF THE ENTIRE COMMUNITY. RMCHCS IMPROVING FINANCIAL AND OPERATIONAL PERFORMANCE WHILE SOLIDIFYING OURSELVES AS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. WE WILL BE DISTINGUISHED BY:1) DEMONSTRATED QUALITY, CUSTOMER SERVICE, AND VALUE,2) SUPERIOR ACCESS,3) CLINICAL SPECIALTY SERVICES,4) STRONG HUMAN AND TECHNOLOGICAL RESOURCES, AND5) A MULTI-CULTURAL ORIENTATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 700 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $21,799,240 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,401,966 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $57,806,002 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $67,409,201 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25,876 | PYInvestmentIncomeAmt |
| CY Investment Income | $56,033 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,039,193 | PYOtherRevenueAmt |
| CY Other Revenue | -$452,425 | CYOtherRevenueAmt |
| PY Total Revenue | $83,670,311 | PYTotalRevenueAmt |
| CY Total Revenue | $70,414,775 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $9,122 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $38,189,404 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,793,011 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $40,141,680 | PYOtherExpensesAmt |
| CY Other Expenses | $37,738,225 | CYOtherExpensesAmt |
| PY Total Expenses | $78,340,206 | PYTotalExpensesAmt |
| CY Total Expenses | $82,531,236 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,330,105 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$12,116,461 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $42,937,497 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,587,674 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $26,141,459 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $29,239,884 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,796,038 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,347,790 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC. (RMCHCS) WILL BE THE PREFERRED HEALTH CARE PROVIDER ORGANIZATION FOR MCKINLEY COUNTY AND THE SURROUNDING COMMUNITIES. RMCHCS WILLBE RESPONSIVE TO THE HEALTHCARE NEEDS OF THE ENTIRE COMMUNITY. RMCHCS IMPROVING FINANCIAL AND OPERATIONAL PERFORMANCE WHILE SOLIDIFYING OURSELVES AS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. WE WILL BE DISTINGUISHED BY:1) DEMONSTRATED QUALITY, CUSTOMER SERVICE, AND VALUE,2) SUPERIOR ACCESS,3) CLINICAL SPECIALTY SERVICES,4) STRONG HUMAN AND TECHNOLOGICAL RESOURCES, AND5) A MULTI-CULTURAL ORIENTATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $49,360,073 | ExpenseAmt |
| Revenue | $37,631,959 | RevenueAmt |
| Desc | Hospital inpatient services include a medical surgical unit, women's health, pediatric and newborn nursery units, intensive and critical care units, and an inpatient dialysis unit. Hospital ancillary services include a cardiopulmonary rehabilitation unit, diagnostic imaging and laboratory services, as well as physical surgical services unit and the emergency department. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,583,050 | ExpenseAmt |
| Revenue | $22,905,570 | RevenueAmt |
| Desc | Provides primary care services to patients through multi-specialty clinics. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $199,395 | ExpenseAmt |
| Revenue | $1,145,279 | RevenueAmt |
| Desc | Behavioral health services offers high quality, comprehensive behavioral healthcare to those of all races who need it. We believe in a humanistic approach that meets the individual needs of clients and their families with a spirit of dignity and confidentiality. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,395,763 | ExpenseAmt |
| Revenue | $5,726,393 | RevenueAmt |
| Desc | Home health is interim care to help patients transition from an acute illness to care at home. During the episode of the care, home health staff provide care for patients with a disease or long-term health issues. Hospice is a program for patients who have terminal illness. The program provides support and guidance to the end of life patients. Staff members see an average of five patients a day, with care focused on the family. The home care service area covers a distance of about 30 miles in all directions surrounding Gallup. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,395,763 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $5,726,393 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $56,538,281 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 109 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 700 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| 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 | 5058637000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Red Rock Drive | AddressLine1Txt |
| City | Gallup | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Laura Hammons MD | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Pastor John Luginbuhl | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Klo Abeita | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Brian Money | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Cynthia Poblano | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Sara Saucedo | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Ayodele Erinle MD | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| George Munoz | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Reverend Lorelei Kay | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| David Dallago | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael S Nye | ||||||||
| COO | 40.00 | $60,712 | $0 | $197 | Yes (X) | |||
| Mary K Bevier | ||||||||
| CFO | 40.00 | $159,903 | $0 | $0 | Yes (X) | |||
| Adrienne Patel | ||||||||
| CQO | 40.00 | $143,459 | $0 | $19,500 | Yes (X) | |||
| Don Smithburg | ||||||||
| CEO | 40.00 | $0 | $0 | $0 | Yes (X) | 1.00 | ||
| Rebecca Martell | ||||||||
| CHRO | 40.00 | $106,623 | $0 | $1,760 | Yes (X) | |||
| JOHN YORK | ||||||||
| Orthopedic Surgeon | 40.00 | $592,307 | $0 | $0 | Yes (X) | |||
| CHARLES J S GUIMARAES | ||||||||
| General Surgeon | 40.00 | $536,330 | $0 | $26,000 | Yes (X) | |||
| BRANDON MURGUIA | ||||||||
| Physician Intensivist | 40.00 | $369,982 | $0 | $0 | Yes (X) | |||
| VALORY WANGLER | ||||||||
| Physician Residency Program | 40.00 | $344,513 | $0 | $19,500 | Yes (X) | |||
| NEIL JACKSON | ||||||||
| Physician | 40.00 | $323,867 | $0 | $19,500 | Yes (X) | |||
| Mary L Poel | ||||||||
| Physician | 40.00 | $163,375 | $0 | $0 | Yes (X) | |||
| Christopher Gonzaga | ||||||||
| Physician | 40.00 | $209,511 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,010,582 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $86,457 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 65 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TRS Managed Services | |||||
| PO Box 6419 | Siloam Springs | AR | 72761 | Medical Services | $4,507,982 |
| American Physician Partners | |||||
| 5121 Maryland Way | Brentwood | TN | 37027 | Medical Services | $1,523,330 |
| Community Hospital Consulting | |||||
| 7950 Legacy Dr STE 1000 | Plano | TX | 75024 | Staff/ Consulting | $700,754 |
| Pinpoint HC Holdings LLC | |||||
| 1200 E Collins Blvd | Richardson | TX | 75081 | Medical Services | $592,688 |
| High Desert Surgery | |||||
| 1514 Plateau Dr | Gallup | NM | 87301 | Medical Services | $415,952 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $111,499 | RelatedOrganizationsAmt |
| Government Grants | $3,153,246 | GovernmentGrantsAmt |
| All Other Contributions | $137,221 | AllOtherContributionsAmt |
| Total Contributions | $3,401,966 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621110 | $57,622,454 | $57,622,454 |
| Other Operating Revenue | 621110 | $9,528,423 | $9,528,423 |
| Medical Office Rental Revenue | 531120 | $258,324 | $258,324 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $67,409,201 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,365 | TotalRevenueColumnAmt |
| Exclusion | $66,365 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10,332 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$10,332 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$10,332 | TotalRevenueColumnAmt |
| Exclusion | -$10,332 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Investment in Risk Retention Grou | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | -$452,425 | TotalRevenueColumnAmt |
| Exclusion | -$452,425 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$452,425 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,414,775 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $67,409,201 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$396,392 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,903,959 | TotalAmt |
| Program Services | $2,302,558 | ProgramServicesAmt |
| Management And General | $601,401 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,261,226 | TotalAmt |
| Program Services | $29,544,546 | ProgramServicesAmt |
| Management And General | $7,716,680 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,355,806 | TotalAmt |
| Program Services | $1,960,965 | ProgramServicesAmt |
| Management And General | $394,841 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,272,020 | TotalAmt |
| Program Services | $1,891,221 | ProgramServicesAmt |
| Management And General | $380,799 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $714,692 | TotalAmt |
| Program Services | $382,096 | ProgramServicesAmt |
| Management And General | $332,596 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,892 | TotalAmt |
| Program Services | $25,605 | ProgramServicesAmt |
| Management And General | $22,287 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,226,245 | TotalAmt |
| Program Services | $8,675,042 | ProgramServicesAmt |
| Management And General | $7,551,203 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $421,509 | TotalAmt |
| Program Services | $121,863 | ProgramServicesAmt |
| Management And General | $299,646 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $834,392 | TotalAmt |
| Program Services | $241,232 | ProgramServicesAmt |
| Management And General | $593,160 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $430,859 | TotalAmt |
| Program Services | $124,566 | ProgramServicesAmt |
| Management And General | $306,293 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,143,465 | TotalAmt |
| Program Services | $1,197,922 | ProgramServicesAmt |
| Management And General | $2,945,543 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,973 | TotalAmt |
| Program Services | $102,627 | ProgramServicesAmt |
| Management And General | $252,346 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $385,544 | TotalAmt |
| Program Services | $55,679 | ProgramServicesAmt |
| Management And General | $329,865 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,895,236 | TotalAmt |
| Program Services | $1,129,078 | ProgramServicesAmt |
| Management And General | $766,158 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $956,881 | TotalAmt |
| Program Services | $276,645 | ProgramServicesAmt |
| Management And General | $680,236 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies & Pharmaceutic | $8,970,901 | $7,825,595 | $1,145,306 |
| Other Taxes | $1,055,326 | $305,107 | $750,219 |
| Repairs & Maintenance | $1,032,346 | $298,463 | $733,883 |
| Bank Fees | $150,782 | $43,593 | $107,189 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,182 | TotalAmt |
| Program Services | $33,878 | ProgramServicesAmt |
| Management And General | $83,304 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,531,236 | TotalAmt |
| Program Services | $56,538,281 | ProgramServicesAmt |
| Management And General | $25,992,955 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,242,242 | BOYAmt |
| EOY | $1,062,907 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,032,609 | BOYAmt |
| EOY | $5,731,871 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $529 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,749,856 | BOYAmt |
| EOY | $9,645,225 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,121,106 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,440,932 | BOYAmt |
| EOY | $1,347,137 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $423,433 | BOYAmt |
| EOY | $657,743 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $68,990,794 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $56,303,631 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,328,843 | BOYAmt |
| EOY | $12,687,163 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,404,281 | BOYAmt |
| EOY | $1,265,974 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,000 | BOYAmt |
| EOY | $50,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,264,772 | BOYAmt |
| EOY | $1,018,548 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,937,497 | BOYAmt |
| EOY | $34,587,674 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,285,842 | BOYAmt |
| EOY | $12,474,006 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,053,246 | BOYAmt |
| EOY | $3,289,642 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,008,640 | BOYAmt |
| EOY | $8,699,176 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,793,731 | BOYAmt |
| EOY | $4,777,060 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,141,459 | BOYAmt |
| EOY | $29,239,884 | 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 | $16,670,825 | BOYAmt |
| EOY | $4,679,331 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,213 | BOYAmt |
| EOY | $668,459 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,796,038 | BOYAmt |
| EOY | $5,347,790 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,937,497 | BOYAmt |
| EOY | $34,587,674 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$12,116,461 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $668,213 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $788,219 | OtherCostOrOtherBasisAmt |
| Book Value | $788,219 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,316,769 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,465,179 | DepreciationAmt |
| Book Value | $4,851,590 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,989,226 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,877,539 | DepreciationAmt |
| Book Value | $111,687 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,889,859 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,960,913 | DepreciationAmt |
| Book Value | $6,928,946 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,721 | OtherCostOrOtherBasisAmt |
| Book Value | $6,721 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,687,163 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Amount Due to Third Party | $3,758,512 |
| Deferred Comp Liability | $1,018,548 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,777,060 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $70,414,775 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $70,414,775 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $70,414,775 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $82,531,236 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $82,531,236 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $82,531,236 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Hospital and the Foundation have been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of state law. However, the entities are subject to federal income tax on any unrelated business taxable income. The Hospital and the Foundation file an exempt organization return, and if applicable, unrelated business income tax or other returns with U.S. Internal Revenue Service, New Mexico Attorney General and New Mexico Department of Taxation and Revenue. The Hospital and Foundation are no longer subject to income tax examinations by taxing authorities for years before fiscal year 2018 for its federal and state filings. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $425,030 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $425,030 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,691,519 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,370,902 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,320,617 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13720 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,116,549 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,370,902 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,745,647 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14230 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $145,800 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $145,800 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $345,743 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $315,121 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,622 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $491,543 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $315,121 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $176,422 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,608,092 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,686,023 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,922,069 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14450 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $528,233 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $211,294 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $13,337,785 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $19,998,638 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,660,853 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RMCHCS HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Red Rock Drive | AddressLine1Txt |
| City | Gallup | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | RMCH.ORG | WebsiteAddressTxt |
| State License | 6267 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RMCHCS HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.RMCH.ORG/GETPAGE.PHP?NAME=COMMUNITY_HEALTH_NEEDS | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.RMCH.ORG/GETPAGE.PHP?NAME=COMMUNITY_HEALTH_NEEDS | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.RMCH.ORG/GETPAGE.PHP?NAME=FINANCIAL_SERVICES&SUB=OUR%20SERVICES | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.RMCH.ORG/GETPAGE.PHP?NAME=FINANCIAL_SERVICES&SUB=OUR%20SERVICES | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.RMCH.ORG/GETPAGE.PHP?NAME=FINANCIAL_SERVICES&SUB=OUR%20SERVICES | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| RMCHCS HOSPITAL | Part V, Section B, Line 3j: REPRESENTATIVES OF THE COMMUNITY:OVER ONE HUNDRED PRIMARY SOURCES WERE INTERVIEWED AND EIGHT FOCUS GROUPS SESSIONS WERE CONDUCTED WITH A RANGE OF COMMUNITY STAKEHOLDERS FOR THIS REPORT. THESE INCLUDED; HEALTHCARE PROVIDERS, SOCIAL SERVICE PROVIDERS, GOVERNMENTAL AGENCY REPRESENTATIVES, EDUCATORS, COUNSELORS, COMMUNITY ACTIVISTS, ADVOCACY GROUPS, COALITIONS, CLIENTS AND PATIENTS. MANY NATIVEAMERICANS AS WELL AS OTHER ETHNIC GROUPS WERE INCLUDED, WITH PRIMARY PARTICIPATION FROM THE NAVAJO NATION AND PUEBLO OF ZUNI, THE TWO TRIBAL ENTITIES WHO MAKE UP THE MAJORITY OF THIS NATIVE AMERICAN POPULATION IN MCKINLEY COUNTY.PERSONS THE HOSPITAL CONSULTED: (THESE ARE FOLKS THAT WERE CONSULTED FOR THE 2019 NEEDS ASSESSMENT)THERESA ALONZO, ADMINISTRATIVE SPECIALIST, GALLUP HEAD START PROGRAMSHANA ARVISO, INVESTIGATION CASE WORKER PROTECTIVE SERVICES, CHILDREN, YOUTH & FAMILIES DEPARTMENTKATHERINE BABCOCK, COUNSELOR, OFF BROADWAY FAMILY OUTREACHADRIAN BALBOA, EXECUTIVE DIRECTOR, STRONG FAMILIES NEW MEXICO-GALLUPLISA BLANCO, TITLE 1 COORDINATOR, MCKINNEY-VENTO LIAISON FOR HOMELESSSTUDENTS, GALLUP MCKINLEY COUNTY PUBLIC SCHOOLSWILLIAM CAMAROTA, AFTERCARE WORK PROGRAM, WELLSPRING RECOVERY CENTER, RMCHCSJASON CARLISLE, FIRE CHIEF, MCKINLEY COUNTY FIRE AND EMSMARIA CASSIDY BEGAY, NEW MEXICO BREASTFEEDING TASK FORCEPAUL CHARLTON MD, EMERGENCY DEPARTMENT PHYSICIAN, GALLUP INDIAN MEDICALCENTER (GIMC)BEN CHAVEZ, HEARING AUTHORITY/ATHLETIC DIRECTOR, GALLUP MCKINLEY COUNTYPUBLIC SCHOOLSBRITTANY CHIAPETTI, MCKINLEY COUNTY COORDINATOR, SNAPS SA COMMUNITYSERVICES DEPARTMENTMARK CLARK, HEALTH PROMOTION TEAM, NEW MEXICO DEPARTMENT OF HEALTHLARRY CURLEY, DIRECTOR OF PROGRAM DEVELOPMENT, RMCHCSJULIANA DOOLEY, COORDINATOR, RMCHCS BEHAVIORAL HEALTH COLLABORATIVEWILLARD EASTMAN, EXECUTIVE DIRECTOR, BATTERED FAMILIES & MY SISTER'SHOUSEKEVIN FOLEY, PHD, EXECUTIVE DIRECTOR, NA'NIZHOOZHI CENTER, GALLUP DETOXCENTERMYRA FRANCISCO, INDIAN HEALTH SERVICE/CENTER FOR DISEASE CONTROL, JOHNSHOPKINS - NAVAJO BIRTH COHORT STUDYMARY GAUL, HEALTH EDUCATION SPECIALIST, COMMUNITY OUTREACH PATIENTEMPOWERMENT (COPE)CHRISTOPHER GONZAGA MD, INTERNAL MEDICINE, INFECTIOUS DISEASES PHYSICIAN,RMCHCSNAOMI GREEN, EPIDEMIOLOGY, NEW MEXICO DEPARTMENT OF HEALTH, ALCOHOLOUTLET DENSITY STUDYREBA GROTEN, DIRECTOR, PUBLIC HEALTH NURSES, GIMCERIKA HAYES, BSW, LMSW, MAIS, PHD, TREATMENT PROGRAM MANAGER, MCKINLEYCOUNTY ADULT DETENTION CENTERTHOMAS HERR MD, PEDIATRICIAN RMCHCSCOLLEEN HOSKIE, HEALTH PROMOTION SPECIALIST, GIMCCHRISTOPHER HUDSON, COORDINATOR, MCKINLEY COUNTY HEALTH ALLIANCEREGINA HUFFMAN, DIRECTOR, AVENUES EARLY CHILDHOOD SERVICESHANK HUGHES, EXECUTIVE DIRECTOR, NEW MEXICO COALITION TO END HOMELESSNESSMIKE HYATT, SUPERINTENDENT, GALLUP MCKINLEY PUBLIC SCHOOLSMARY IPPEL RN, LABOR & DELIVERY, OB-GYN RMCHCSRACHAEL KILGORE LPCC, MENTAL HEALTH THERAPIST, SEXUAL ASSAULT SERVICES OFNORTHWEST NEW MEXICOGAYLA KOFLER RN, CASE MANAGER/NURSE NAVIGATOR RMCHCSTERRI LAUGHLIN, PFCE SPECIALIST, GALLUP HEAD START PROGRAMLAURA LESLIE, COMMUNITY JUSTICE WORKER, NEW MEXICO LEGAL AID, MCKINLEYCOUNTYMARY LINDENMEYER, COORDINATOR OF COUNSELING, MEDIA & HEALTH SAFETY,GALLUP MCKINLEY COUNTY PUBLIC SCHOOLSSHERYL LIVINGSTON LADAC, LPCC, BEHAVIORAL HEALTH SPECIALIST, EMERGENCYDEPT. GIMCELSA LOPEZ, PROGRAM MANAGER, SOMOS UN PUEBLO UNIDOYVONNE MANDAGARAN LPCC, COORDINATOR RMCHCS OUTPATIENT BEHAVIORAL HEALTHSERVICESKATRINA MARTI, CASE MANAGER, TREATMENT PROGRAM, MCKINLEY COUNTY ADULTDETENTION CENTERSTELLA ELISE MARTIN, DIRECTOR, FIRST NATIONS HEALTH CLINICBERNICE MARTINEZ, ADMINISTRATIVE DIRECTOR, RMCHCS WELLSPRING RECOVERYCENTERDEBORAH MARTINEZ, BEHAVIORAL HEALTH PROGRAM MANAGER, BEHAVIORAL HEALTHINVESTMENT ZONE, CITY OF GALLUPJASON MARTINEZ, STATISTICIAN, NEW MEXICO HUMAN SERVICES DEPARTMENTBEHAVIORAL HEALTH SERVICESWILLIAM MCCARTHY, EXECUTIVE DIRECTOR, SOUTHWEST INDIAN FOUNDATIONBRIAN MCPHEE MD, PSYCHIATRIST, GALLUP INDIAN MEDICAL CENTERJERRY MONTOYA, NEW MEXICO DEPARTMENT OF HEALTH-HEALTH PROMOTIONRACHELLE MORRIS PHN, PUBLIC HEALTH NURSE TOHATCHI, INDIAN HEALTH SERVICESBEATRICE NUNUZ RN, LABOR & DELIVERY, OB-GYN, RMCHCSCHRISTINA NYE, GUIDANCE COUNSELOR, GALLUP MCKINLEY COUNTY PUBLIC SCHOOLSALICE PEREZ, EXECUTIVE DIRECTOR, COMMUNITY PANTY, GALLUP AND GRANTSMARILEE PETRONOVICH, SENIOR PUBLIC RELATIONS SPECIALIST, UNIVERSITY OFNEW MEXICO, GALLUPCURTIS PHILLIPS, EXECUTIVE DIRECTOR, HOZHO CENTERJEAN PHILLIPS, DIRECTOR, NEW MEXICO LEGAL AID, MCKINLEY COUNTYKRISTEN PIKAART, CHAPLAIN RMCHCSSARA PIKAART RN, LABOR & DELIVERY, OB-GYN RMCHCSJOHN RATMEYER MD, PEDIATRICS, GIMCCHARLES READO, MANAGER, COUNTY OF PROTECTIVE SERVICES, NEW MEXICOCHILDREN, YOUTH AND FAMILIESOPHELIA REEDER, EXECUTIVE DIRECTOR, RMCHCS WELLSPRING RECOVERY CENTERNATALIE RIVERA, PROGRAM MANAGER, BEHAVIORAL HEALTH PLANNING COUNCIL,STATE OF NEW MEXICOCOLLEEN ROAN, DIRECTOR, GROWING IN BEAUTY/HOZHOGO JINOOSEE, EARLYCHILDHOOD INTERVENTION FOR CHILDREN WITH DISABILITIESANNA RONDON, EXECUTIVE DIRECTOR, NEW MEXICO SOCIAL JUSTICE & EQUITYINSTITUTE, MCKINLEY COLLABORATIVE FOR HEALTH EQUITYSOFIA RUBAII MD, EMERGENCY DEPARTMENT, GIMCERICK SANDERS, ASSISTANT, STORY GARDEN PROJECT, ATD FOURTH WORLDMAURA SCHANEFELT, EXECUTIVE DIRECTOR, MCKINLEY COUNTY DWI PROGRAMWILLIAM SHUNKAMOLOA PHD, THERAPIST/DIRECTOR 4-DIRECTIONS BEHAVIORALHEALTH SERVICES, GIMCHELEN SILVA RN, HEALTH SPECIALIST, GALLUP HEAD START PROGRAMSAVANAH SIX MPH, MSPI, HPDP, SPECIALIST/MANAGER, METHAMPHETAMINE &SUICIDE PREVENTION INTERVENTION GIMCTINA SPENCER, INTAKE COORDINATOR, RMCHCS WELLSPRING RECOVERY CENTERKAREN STORNELLI, DIRECTOR, STORY GARDEN PROJECT, ATD FOURTH WORLDPHRIYA SUDARSANAM, DIRECTOR, AVENUES EALLY CHILDHOOD SERVICESEMERSON TOLEDO, HEALTH PROMOTION SPECIALIST, BLUE CROSS BLUE SHIELD OFNEW MEXICOLAURA TOMEDI MD, ALCOHOL EPIDEMIOLOGIST, NEW MEXICO DEPARTMENT OF HEALTHVALORY WANGLER MD, CHIEF MEDICAL OFFICER RMCHCSGERALD WATCHMAN, CLINICAL DIRECTOR, RMCHCS WELLSPRING RECOVERY CENTERJENNIE WEI MD INTERNAL MEDICINE, ALCOHOL TASK FORCE, GIMCGRETCHEN WOODS NP, APN, THERAPIST, OUTPATIENT BEHAVIORAL HEALTH, RMCHCS |
| RMCHCS HOSPITAL | Part V, Section B, Line 11: NEEDS ADDRESSED AND NOT ADDRESSED:THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THE FOLLOWING PRIORITY COMMUNITY HEALTH CONCERNS FOR MCKINLEY COUNTY:- SUBSTANCE ABUSE-ALCOHOL AND OPIODS- SOCIAL AND ENVIRONMENTAL CONDITIONS-POVERTY, ECONOMIC EQUITY, EMPLOYMENT, HOUSING, ACCESS TO SERVICES, TRANSPORTATION AND SAFETY- EDUCATION-EARLY EDUCATION, EARLY INTERVENTION, ELEMENTARY EDUCATION, MIDDLE SCHOOL, HIGH SCHOOL, HIGHER EDUCATION, CAREER TRAINING, MEDICALEDUCATION- COLLABORATION AND COMMUNICATION- REPRODUCTIVE HEALTHRMCHCS IS ADDRESSING A NUMBER OF THE PRIORITIES FOUND IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENTS, EITHER THROUGH ITS OWN PROGRAMS OR BY SUPPORTING COMMUNITY-WIDE EFFORTS TO ADDRESS ISSUES. RMCHCS FOCUS IS ON PRIMARY AND SPECIALTY MEDICAL CARE SERVICES AND BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERS SERVICES. SUBSTANCE ABUSE IS A SIGNIFICANT HEALTH ISSUE IN THIS REGION. RMCHCSCONTINUED TO GROW ITS RESIDENTIAL ALCOHOL AND SUBSTANCE USE DISORDERTREATMENT PROGRAM AT WELLSPRING RECOVERY CENTER AND FURTHER DEVELOP ITSAFTERCARE PROGRAM. IN 2019 WELLSPRING GREW ITS CAPACITY TO 69 BEDS FORADULT MEN AND WOMEN AND WORKED TO ACHIEVE ACCREDITATION FROM THECOMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). THIS WASACHIEVED IN 2020. RMCHC HAS AN AGREEMENT WITH THE MCKINLEY COUNTY DRUGCOURT TO PROVIDE EARLY INTERVENTION FOR OFFENDERS THROUGH THE INTENSIVEOUTPATIENT PROGRAM. IN 2019 RMCHCS RECEIVED A PLANNING GRANT FOR OPIOIDTREATMENT AND WE CONTINUE PROVIDING EDUCATION TO ITS PROVIDERS IN ORDERTO GROW THIS SERVICE AT RMCHCS. IN 2020, AT A COMMUNITY LEVEL, RMCHCSPARTICIPATED IN THE COMMUNITY ALCOHOL TASK FORCE WHICH ADDRESSES MEDICALDETOX AND ESTABLISHES A STANDARDIZED PROCESS FOR ALL HOSPITALS, CLINICSAND PROVIDERS. WE RECEIVED A PSYCHIATRY RESIDENCY PROGRAM GRANT AND AREEXPLORING ESTABLISHING A PROGRAM IN PARTNERSHIP WITH A UNIVERSITYPROGRAM.SOCIAL AND ENVIRONMENTAL CONDITIONS: THIS AREA COVERS A WIDE RANGE OFISSUES FROM POVERTY, ECONOMIC EQUALITY, EMPLOYMENT, HOUSING, ACCESS TOSERVICES, TRANSPORTATION ETC. RMCHCS IS A PARTICIPANT IN COMMUNITYEFFORTS TO DEAL WITH HOUSING ISSUES FOR HOMELESS INDIVIDUALS, INPARTICULAR A HOUSING FIRST PROGRAM FOR CHRONICALLY HOMELESS INDIVIDUALS.RMCHCS IS AN ACTIVE PARTICIPANT IN A COMMUNITY GROUP MADE UP OFREPRESENTATIVES FROM THE CITY OF GALLUP, MCKINLEY COUNTY, NEW MEXICODEPARTMENT OF HEALTH AND HUMAN SERVICES AND GIMC THAT DEVELOPED A MOTEL RESPIRATORY PROGRAM FOR UNSHELTERED INDIVIDUALS NEEDING A SAFE PLACE TOQUARANTINE AND RECOVER FROM COVID-19. THE GALLUP HOTEL/MOTEL ISOLATIONPROGRAM OPENED IN MARCH 2020 AND PROVIDED COVID/ISOLATION/QUARANTINE FOROVER 1,675 INDIVIDUALS. RMCHCS PROVIDED MEDICAL OVERSIGHT FOR INDIVIDUALSTHAT WERE REFERED TO THE PROGRAM.ACCESS TO MEDICAL CARE IS ONE OF RMCHCS' FOCUS AREAS. RMCHCS HASINCREASED ACCESS TO SERVICES BY OPENING AN URGENT CARE CENTER ANDDEVELOPING A MOBILE HEALTH CLINIC PROGRAM. IN 2020 RMCHCS POSTPONEDWOMEN'S HEALTH SERVICES THROUGH ITS MOBILE HEALTH UNIT DUE TO THEPANDEMIC.RMCHCS' FAMILY MEDICINE RESIDENCY PROGRAM ADDRESSES THE NEED FOR MOREPRIMARY CARE PROVIDERS IN THE REGION AND ACCESS TO CARE. IN 2019 THEPROGRAM ACHIEVED ACCREDITATION AS A SPONSORING INSTITUTION AND IN 2020 ITACHIEVED ACCREDITATION FOR THE PROGRAM. THE PROGRAM BEGAN IN JULY 2021WITH THE INTAKE OF ITS FIRST FOUR RESIDENTS. PALLIATIVE CARE, A SPECIFICNEED MENTIONED IN THE COMMUNITY NEEDS ASSESSMENT, IS INCLUDED AS ARESIDENCY PROGRAM ROTATION. RMCHCS CONTINUES TO RECRUIT ADDITIONALPROVIDERS TO INCREASE ACCESS TO CARE AND IN 2020 IT ADDED TWOHOSPITALISTS, 1 OB/GYN, AND 2 ORTHOPEDISTS. RMCHCS BROUGHT IN NEWSERVICES SUCH AS HAND AND SPINE CARE AND STABILIZED ITS WOMEN'S HEALTH,PODIATRY, AND WOUND CARE PROGRAMS IN 2020. RMCHCS HAS BEGUN TO USE MORETELEMEDICINE AND WILL BE FURTHER DEVELOPING THAT PROGRAM TO INCREASEACCESS TO CARE. EDUCATION: AS A HEALTHCARE SYSTEM, RMCHCS' INVOLVEMENT IN EDUCATION ISFOCUSED ON HIGHER EDUCATION AND GRADUATE EDUCATION. RMCHCS WILL CONTINUETO STRENGTHEN ITS CONNECTION WITH UNIVERSITY OF NEW MEXICO (UNM),GALLUP'S NURSING PROGRAM AS WELL AS OTHER HEALTH-RELATED PROGRAMS ANDPROVIDE LEARNING OPPORTUNITIES FOR STUDENTS. RMCHCS PROVIDESOPPORTUNITIES FOR COLLEGE STUDENTS WHO ARE IN THE UNM BA/MD PROGRAM ANDMEDICAL STUDENTS FROM VARIOUS INSTITUTIONS TO WORK WITH OUR MEDICALSTAFF. RMCHCS NOW SERVES AS A PRIMARY "HUB" FOR BURELL COLLEGE OFMEDICINE IN LAS CRUCES, NM, MARKED BY INCREASING MEDICAL STUDENTENGAGEMENT IN THE COMMUNITY. WITH THE ADDITION OF THE FAMILY MEDICINERESIDENCY PROGRAM, RMCHCS IS ALSO LOOKING INTO CONNECTING WITH MIDDLESCHOOL AND HIGH SCHOOL STUDENTS TO ENCOURAGE THEM TO CONSIDER A CAREER INMEDICINE. RMCHCS ALSO HAS A ROBUST CONTINUING MEDICAL EDUCATION PROGRAMTHAT PROVIDES TRAININGS FOR CLINICAL STAFF AND PHYSICIANS BEYOND RMCHCS.COLLABORATION AND COMMUNICATION: RMCHCS IS INVOLVED IN A NUMBER OFHEALTH-RELATED COLLABORATIVE COMMITTEES AND GROUPS THAT ADDRESS VARIOUSCOMMUNITY HEALTH NEEDS. RMCHCS COLLABORATION WITH GIMC CONTINUES TO GROW,THOUGH THEY ARE TWO VERY DIFFERENT SYSTEMS. GIMC AND ZUNI HOSPITAL AREINVOLVED WITH THE FAMILY MEDICINE RESIDENCY PROGRAM AND WILL SERVE ASTRAINING SITES FOR RESIDENT ROTATIONS. |
| RMCHCS HOSPITAL | Part V, Section B, Line 16j: OTHER METHOD FOR PUBLICIZING FINANCIAL ASSISTANCE POLICY:ALL SELF-PAY PATIENTS WILL BE INFORMED AT, OR BEFORE, THE TIME OF ADMISSION OF THE AVAILABILITY OF ALTERNATIVE RESOURCES BASED ON FINANCIAL MEANS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - RMCHCS COLLEGE CLINIC | ||||
| 211 COLLEGE DRIVE | Gallup | NM | 87301 | PEDIATRICS, INTERNAL AND FAMILY CARE |
| 2 - RMCHCS RED ROCK CLINIC | ||||
| 1900 RED ROCK DRIVE | Gallup | NM | 87301 | OB/GYN ORTHOPEDICS |
| 3 - RMCH BEHAVIORAL HEALTH SVC | ||||
| 650 VANDEN BOSCH PKWY | Gallup | NM | 87301 | ADDICTION AND PSYCHIATRIC SERVICES |
| 4 - RMCH HOME HEALTHHOSPICE | ||||
| 211 E AZTEC DRIVE | Gallup | NM | 87301 | HOME HEALTH/HOSPICE |
| 5 - RMCHCS URGENT CARE LLC | ||||
| 520 HWY 564 | Gallup | NM | 87301 | URGENT CARE |
| 6 - RMCH CARE SERVICES | ||||
| 1910 RED ROCK DR | Gallup | NM | 87301 | WELLNESS CENTER |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THECALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRSWORKSHEETS 4 AND 5 WAS COMPUTED FROM THE MEDICARE COST REPORT, INCLUDINGDIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT. THECOST COMPUTED ON WORKSHEET 8 WAS FROM THE HOSPITAL'S INCOME STATEMENT ANDGRANT SCHEDULE. |
| Part II, Community Building Activities: | REHOBOTH MCKINLEY CHRISTIAN HOSPITAL IS THE MAIN CAMPUS. THIS 60-BEDGENERAL ACUTE INPATIENT FACILITY OFFERS A WIDE RANGE OF MEDICAL ANDDIAGNOSTIC SERVICES. HOSPITAL INPATIENT SERVICES INCLUDE A MEDICALSURGICAL UNIT, WOMEN'S HEALTH, PEDIATRIC, AND NEWBORN NURSERY UNITS,INTENSIVE AND CRITICAL CARE UNITS. HOSPITAL ANCILLARY SERVICES INCLUDE ACARDIOPULMONARY REHABILITATION UNIT, DIAGNOSTIC IMAGING AND LABORATORYSERVICES, AS WELL AS PHYSICAL REHABILITATION SERVICES. THE MAIN CAMPUS ISALSO HOME TO THE SURGICAL SERVICES UNIT AND THE EMERGENCY DEPARTMENT.THE MISSION OF THE REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES IS TOSERVE GOD BY PROVIDING HEALTH CARE AND PROMOTING WELLNESS FOR ALL PEOPLE.STATEMENT OF PHILOSOPHY - REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICESORIGINATES AND EXISTS ON THE BASIS OF THE BIBLICAL COMMAND TO LOVE GODAND TO LOVE OUR NEIGHBOR. REALIZING THAT HUMAN BEINGS ARE PLAGUED WITHMIND, BODY, AND SPIRIT, THIS INSTITUTION IS DEDICATED TO THEIR DIAGNOSIS,TREATMENT AND PREVENTION. IT IS THE GOAL OF THE CORPORATION TO EMBODY THE MEDICAL FACILITIES WITH A SPIRIT OF MERCY THAT RESULTS IN PHYSICALHEALING. MEDICAL KNOWLEDGE, SKILL, AND HEALING ARE GIFTS FROM GOD; AND,TO WHATEVER EXTENT, THEY ARE EFFECTED AT REHOBOTH MCKINLEY CHRISTIANHEALTHCARE SERVICES, INC., HIS NAME IS GLORIFIED AND HIS PURPOSE SERVED.IT IS THE COMPASSION AND LOVE OF CHRIST WHICH SET THE EXAMPLE FOR THESTAFF; AND IT IS HOPED THAT THIS PROVISION OF A CHRISTIAN SETTING WILLPROVIDE PATIENTS AN OPPORTUNITY TO ENCOUNTER CHRIST, THE GREAT PHYSICIAN.FOR ADDITIONAL INFORMATION SEE SCHEDULE H, PART V, LINE 11 DISCLOSURE |
| Part III, Line 2: | THIS IS BASED ON ACTUAL WRITE-OFFS AFTER ALL COLLECTION EFFORTS AREEXHAUSTED AND ESTIMATED BASED ON AGE OF THE ACCOUNT PER POLICY. |
| Part III, Line 3: | MANY PATIENTS THAT WOULD OTHERWISE QUALIFY FOR CHARITY CARE, FAIL TOCOMPLETE THE REQUIRED DOCUMENTATION AND INSTEAD LET THE ACCOUNTS GO TOCOLLECTIONS AND ULTIMATELY TO BAD DEBT. THE BAD DEBT RELATED TO PATIENTSWHO MAY MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICYARE ESTIMATED AT 40% OF TOTAL BAD DEBT. |
| Part III, Line 4: | NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITHCUSTOMERS. |
| Part III, Line 8: | THE HOSPITAL USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTSBASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARYCOSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES.THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $6,660,853.THE HOSPITAL TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETINGCHARITY CARE AND COMMUNITY BENEFITS |
| Part III, Line 9b: | A. IN COMPLIANCE WITH RELEVANT STATE AND FEDERAL LAWS, AND IN ACCORDANCEWITH THE PROVISIONS OUTLINED IN THIS BILLING AND COLLECTIONS POLICY,RMCHCS MAY ENGAGE IN COLLECTION ACTIVITIES-INCLUDING EXTRAORDINARYCOLLECTION ACTIONS (ECAS)-TO COLLECT OUTSTANDING PATIENT BALANCES.GENERAL COLLECTION ACTIVITIES MAY INCLUDE [FOLLOW-UP CALLS ON STATEMENTS]PATIENT BALANCES MAY BE REFERRED TO A THIRD PARTY FOR COLLECTION AT THEDISCRETION OF RMCHCS. ACCOUNTS WILL BE REFERRED FOR COLLECTIONS ONLY WITHTHE FOLLOWING CAVEATS:THERE IS A REASONABLE BASIS TO BELIEVE THE PATIENT OWES THE DEBT.ALL THIRD-PARTY PAYERS HAVE BEEN PROPERLY BILLED, AND THE REMAINING DEBTIS THE FINANCIAL RESPONSIBILITY OF THE PATIENT. RMCHCS SHALL NOT BILL APATIENT FOR ANY AMOUNT THAT AN INSURANCE COMPANY IS OBLIGATED TO PAY.RMCHCS WILL NOT REFER ACCOUNTS FOR COLLECTION WHILE A CLAIM ON THEACCOUNT IS STILL PENDING PAYER PAYMENT. HOWEVER RMCHCS MAY CLASSIFYCERTAIN CLAIMS AS "DENIED" IF SUCH CLAIMS ARE STUCK IN "PENDING" MODE FORAN UNREASONABLE LENGTH OF TIME DESPITE EFFORTS TO FACILITATE RESOLUTION.RMCHCS WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE CLAIM WAS DENIEDDUE TO A RMCHCS ERROR. HOWEVER, RMCHCS MAY STILL REFER THE PATIENTLIABILITY PORTION OF SUCH CLAIMS FOR COLLECTION IF UNPAID.RMCHCS WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE PATIENT HASINITIALLY APPLIED FOR FINANCIAL ASSISTANCE OR OTHER RMCHCS SPONSOREDPROGRAM AND RMCHCS HAS NOT YET NOTIFIED THE PATIENT OF ITS DETERMINATION(PROVIDED THE PATIENT HAS COMPLIED WITH THE TIMELINE AND INFORMATIONREQUESTS DELINEATED DURING THE APPLICATION PROCESS).B. REASONABLE EFFORTS AND EXTRAORDINARY COLLECTION ACTIONS (ECAS)BEFORE ENGAGING IN ECAS TO OBTAIN PAYMENT FOR CARE RMCHCS MUST MAKECERTAIN REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLEFOR FINANCIAL ASSISTANCE UNDER OUR FINANCIAL ASSISTANCE POLICY:ECAS MAY BEGIN ONLY WHEN 90 DAYS HAVE PASSED SINCE THE FIRSTPOST-DISCHARGE STATEMENT WAS PROVIDED.HOWEVER, AT LEAST 30 DAYS BEFORE INITIATING ECAS TO OBTAIN PAYMENT, RMCHCS SHALL DO THE FOLLOWING:-PROVIDE THE INDIVIDUAL WITH A WRITTEN NOTICE THAT INDICATES THEAVAILABILITY OF FINANCIAL ASSISTANCE, LISTS POTENTIAL ECAS THAT MAY BETAKEN TO OBTAIN PAYMENT FOR CARE, AND GIVES A DEADLINE AFTER WHICH ECASMAY BE INITIATED (NO SOONER THAN 90 DAYS AFTER THE FIRST POST-DISCHARGEBILLING STATEMENT AND 30 DAYS AFTER THE WRITTEN NOTICE)-PROVIDE A PLAIN-LANGUAGE SUMMARY OF THE FAP ALONG WITH THE NOTICEDESCRIBED ABOVE-ATTEMPT TO NOTIFY THE INDIVIDUAL ORALLY ABOUT THE FAP AND HOW HE OR SHEMAY GET ASSISTANCE WITH THE APPLICATION PROCESS AFTER MAKING REASONABLEEFFORTS TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY AS OUTLINED ABOVERMCHCS (OR ITS AUTHORIZED BUSINESS PARTNERS) MAY TAKE THE FOLLOWING ECATO OBTAIN PAYMENT FOR CARE:REPORT ADVERSE INFORMATION TO CREDIT REPORTING AGENCIES AND/OR CREDITBUREAUSIF A PATIENT HAS AN OUTSTANDING BALANCE FOR PREVIOUSLY PROVIDED CARE, RMCHCS MAY ENGAGE IN THE ECA OF DEFERRING, DENYING, OR REQUIRING PAYMENTBEFORE PROVIDING ADDITIONAL MEDICALLY NECESSARY (BUT NON-EMERGENT) CAREONLY WHEN THE FOLLOWING STEPS ARE TAKEN:-RMCHCS PROVIDES THE PATIENT WITH AN FAP APPLICATION AND A PLAIN LANGUAGESUMMARY OF THE FAPRMCHCS PROVIDES A WRITTEN NOTICE INDICATING THE AVAILABILITY OF FINANCIALASSISTANCE AND SPECIFYING ANY DEADLINE AFTER WHICH A COMPLETEDAPPLICATION FOR ASSISTANCE FOR THE PREVIOUS CARE EPISODE WILL NO LONGERBE ACCEPTED. THIS DEADLINE MUST BE AT LEAST 30 DAYS AFTER THE NOTICE DATEOR 211 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT FOR PRIORCARE, WHICHEVER IS LATER.-RMCHCS MAKES A REASONABLE EFFORT TO ORALLY NOTIFY THE INDIVIDUAL ABOUTTHE FINANCIAL ASSISTANCE POLICY AND EXPLAIN HOW TO RECEIVE ASSISTANCEWITH THE APPLICATION PROCESS.-RMCHCS PROCESSES ON AN EXPEDITED BASIS ANY FAP APPLICATIONS FOR PREVIOUSCARE RECEIVED WITHIN THE STATED DEADLINEPATIENT FINANCIAL SERVICES IS ULTIMATELY RESPONSIBLE FOR DETERMINING IFAN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. THIS BODY ALSO HAS FINAL AUTHORITY FOR DECIDING WHETHER THE ORGANIZATION MAY PROCEED WITHANY OF THE ECAS OUTLINED IN THIS POLICY. |
| Part VI, Line 2: | WE HAVE HAD MEETINGS WITH CHAPTER HOUSES IN THE NAVAJO RESERVATION INRELATION TO THE MOBILE HEALTH CLINIC TO GET INPUT ON THEIR NEEDS. INPREPARATION FOR THE RENOVATIONS OF OUR WOMEN'S HEALTH AND BIRTHING CENTERUNIT WE HAVE MET WITH A FOCUS GROUP OF FEMALE NATIVE AMERICANS TO BETTERUNDERSTAND AND MEET THEIR NEEDS SURROUNDING PRENATAL, BIRTH ANDPOSTPARTUM CARE NEEDS. WE ARE IMPLEMENTING A PLAN TO ADDRESS THE OPIOID CRISIS AND ARE TRAINING OUR PROVIDERS ON MAT. WE MEET WITH COUNTY, CITYAND STATE LEGISLATIVE BODIES TO GIVE THEM UPDATES ON OUR WORK. WE AREREGULAR PARTICIPANTS ON THE GALLUP EXECUTIVE DIRECTORS ALLIANCE (GEDA)MADE UP OF AREA LEADERS AND PROVIDER MONTHLY REPORTS ON WORK, PROGRESSAND ANY CHANGES AT RMCHCS. THROUGH GEDA WE MEET WITH CEO'S IN THE CITY TOKEEP THEM INFORMED ON THE PROGRESS AND CHANGES THAT RMCHCS IS MAKING. |
| Part VI, Line 3: | THE FINANCIAL ADVISOR GIVES ASSISTANCE TO THE PATIENT AT REGISTRATION, ATBEDSIDE OR AFTER DISCHARGE AS NEEDED FOR FINANCIAL COUNSELING, CHARITYAPPLICATIONS, MEDICAID ELIGIBILITY AND ENROLLMENT AS WELL AS ANY OTHERPROGRAMS AVAILABLE. THIS IS ALSO AVAILABLE ON OUR WEBSITE ATWWW.RMCH.ORG/GETPAGE.PHP?NAME=FINANCIAL_SERVICESANDSUB=OUR+SERVICES |
| Part VI, Line 4: | GALLUP, WHICH IS THE COUNTY SEAT OF MCKINLEY COUNTY, IS THE HEART OF THE INDIAN SOUTHWEST. SEVENTY-THREE PERCENT OF THE RESIDENTS ARE OF AMERICANINDIAN DESCENT. GALLUP IS THE ECONOMIC CENTER OF THREE MAJOR INDIANTRIBES, ZUNI, HOPI, AND NAVAJO AND SERVES THE SURROUNDING AREAS OF NEWMEXICO AND ARIZONA. THE PRIMARY SERVICE AREA (GALLUP) HAS A POPULATION OF22,000 WITH A SECONDARY SERVICE AREA OF APPROXIMATELY 90,000 PEOPLE.GALLUP IS SITUATED AT 6,515 FEET AND HAS A MILD AND COMFORTABLEFOUR-SEASON CLIMATE. THE LANDSCAPE IS BEAUTIFUL, WITH RED MESASSURROUNDING THE CITY. GALLUP HAS A UNIQUE BLEND OF INDIGENOUS CULTURE,WITH GENUINE AMERICAN INDIAN AND SOUTHWEST-HISPANIC ARTS AND CRAFTS INRICH ABUNDANCE.THE MEDIAN AGE IN MCKINLEY COUNTRY IS 30.7 YEARS. THAT IS SIX YEARSYOUNGER THAN THE MEDIAN AGE IN THE UNITED STATES. HOWEVER, THE LIFE SPANOF THE POPULATION IN MCKINLEY COUNTY IS FOUR YEARS LESS THAN THE AVERAGEAMERICAN. THE AVERAGE LIFE SPAN IN MCKINLEY COUNTY IS 74.4 YEARS VERSUSTHE NATIONAL AVERAGE OF 78.8 YEARS. |
| Part VI, Line 6: | PROMOTION OF COMMUNITY HEALTH:REHOBOTH MCKINLEY CHRISTIAN HOSPITAL IS THE MAIN CAMPUS. THIS 60-BEDGENERAL ACUTE INPATIENT FACILITY OFFERS A WIDE RANGE OF MEDICAL ANDDIAGNOSTIC SERVICES. HOSPITAL INPATIENT SERVICES INCLUDE A MEDICALSURGICAL UNIT, WOMEN'S HEALTH, PEDIATRIC, AND NEWBORN NURSERY UNITS,INTENSIVE AND CRITICAL CARE UNITS. HOSPITAL ANCILLARY SERVICES INCLUDE ACARDIOPULMONARY REHABILITATION UNIT, DIAGNOSTIC IMAGING AND LABORATORYSERVICES, AS WELL AS PHYSICAL REHABILITATION SERVICES. THE MAIN CAMPUS ISALSO HOME TO THE SURGICAL SERVICES UNIT AND THE EMERGENCY DEPARTMENT.THE MISSION OF THE REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES IS TOSERVE GOD BY PROVIDING HEALTH CARE AND PROMOTING WELLNESS FOR ALL PEOPLE.STATEMENT OF PHILOSOPHY - REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICESORIGINATES AND EXISTS ON THE BASIS OF THE BIBLICAL COMMAND TO LOVE GODAND TO LOVE OUR NEIGHBOR. REALIZING THAT HUMAN BEINGS ARE PLAGUED WITHMIND, BODY, AND SPIRIT, THIS INSTITUTION IS DEDICATED TO THEIR DIAGNOSIS,TREATMENT AND PREVENTION. IT IS THE GOAL OF THE CORPORATION TO EMBODY THE MEDICAL FACILITIES WITH A SPIRIT OF MERCY THAT RESULTS IN PHYSICALHEALING. MEDICAL KNOWLEDGE, SKILL, AND HEALING ARE GIFTS FROM GOD; AND,TO WHATEVER EXTENT, THEY ARE EFFECTED AT REHOBOTH MCKINLEY CHRISTIANHEALTHCARE SERVICES, INC., HIS NAME IS GLORIFIED AND HIS PURPOSE SERVED.IT IS THE COMPASSION AND LOVE OF CHRIST WHICH SET THE EXAMPLE FOR THESTAFF; AND IT IS HOPED THAT THIS PROVISION OF A CHRISTIAN SETTING WILLPROVIDE PATIENTS AN OPPORTUNITY TO ENCOUNTER CHRIST, THE GREAT PHYSICIAN.FOR ADDITIONAL INFORMATION SEE SCHEDULE H, PART V, LINE 11 DISCLOSURE. |
| Part VI, Line 7, Reports Filed With States | NM |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN YORK | ||||||||||||||
| Orthopedic Surgeon | $592,307 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $592,307 | $0 | $0 | $0 |
| CHARLES J S GUIMARAES | ||||||||||||||
| General Surgeon | $536,330 | $0 | $0 | $0 | $0 | $0 | $26,000 | $0 | $0 | $0 | $562,330 | $0 | $0 | $0 |
| BRANDON MURGUIA | ||||||||||||||
| Physician Intensivist | $369,982 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $369,982 | $0 | $0 | $0 |
| VALORY WANGLER | ||||||||||||||
| Physician Residency Program | $344,513 | $0 | $0 | $0 | $0 | $0 | $19,500 | $0 | $0 | $0 | $364,013 | $0 | $0 | $0 |
| NEIL JACKSON | ||||||||||||||
| Physician | $312,198 | $0 | $11,669 | $0 | $0 | $0 | $19,500 | $0 | $0 | $0 | $343,367 | $0 | $0 | $0 |
| Christopher Gonzaga | ||||||||||||||
| Physician | $209,511 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $209,511 | $0 | $0 | $0 |
| Mary L Poel | ||||||||||||||
| Physician | $163,375 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $163,375 | $0 | $0 | $0 |
| Adrienne Patel | ||||||||||||||
| CQO | $143,459 | $0 | $0 | $0 | $0 | $0 | $19,500 | $0 | $0 | $0 | $162,959 | $0 | $0 | $0 |
| Mary K Bevier | ||||||||||||||
| CFO | $159,903 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $159,903 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | MARY BEVIER RECEIVED HOUSING ALLOWANCE AND GROSS UP OF CERTAIN RELOCATION EXPENSES, ALL INCLUDED IN TAXABLE COMPENSATION. VALORY WANGLER RECEIVED GROSS UP OF CERTAIN RELOCATION EXPENSES INCLUDED IN HER TAXABLE COMPENSATION. |
| Part I, Line 4a | SEVERANCE PAY: SEVERANCE IS A VOLUNTARY AGREEMENT THAT SET FORTH THE AGREED UPON SEPARATION DATE FOR EMPLOYMENT AND BENEFITS COVERAGE, THE AMOUNT OF PAYMENT, A CONFIDENTIALITY AGREEMENT CONCERNING COMPANY INFORMATION AND MATERIALS, RETURN OF COMPANY MATERIALS, AND COOPERATION CONCERNING BUSINESS MATTERS. SEVERANCE WAS PAID TO THE FOLLOWING INDIVIDUALS: MICHAEL S. NYE, $ |
| Part I, Line 7 | THE BONUSES OF THE PHYSICIANS LISTED ARE DETERMINED BY A JOINT CONSULTATION BETWEEN THE CEO, CMO, CFO AND THE HR DIRECTOR. THIS IS INCORPORATED WITH MGMA DATA AND OTHER DATA SOURCES. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Chad Martell | |||
| Family member of Officer Rebecca Martell | $15,444 | Salaries/Wages | 0 |
| HEALTHCARE INTEGRITY LLC | |||
| Officer David Conejo Owns 100% | $53,434 | Management Services | 0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $37,586 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Column (b): | FormAndLineReferenceDesc |
| Explanation | NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED: THE AMOUNTS REPORTED IN THIS COLUMN REFLECT THE NUMBER OF CONTRIBUTIONS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1a | THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE THAT HAS THE POWER TO TRANSACT ALL REGULAR AND ROUTINE BUSINESS OF THE HOSPITAL BETWEEN BOARD MEETINGS. |
| Form 990, Part VI, Section A, line 3 | BEGINNING IN SEP 2020, RMCH ENTERED INTO AGREEMENT WITH COMMUNITY HOSPITAL CONSULTING (CHC) FOR THE PROVISION OF INTERIM CEO SERVICES BY MR. DON SMITHBURG. CHC WAS PAID A TOTAL OF $100,000 FOR THE SERVICES OF MR SMITHBURG IN 2021. |
| Form 990, Part VI, Section A, line 7a | THE MCKINLEY COUNTY COMMISSIONERS APPOINT 4 VOTING MEMBERS OF THE RMCHCS BOARD OF TRUSTEES. THE REMAINING POSITIONS ON THE BOARD OF TRUSTEES ARE ELECTED ON A ROTATING SCHEDULE BY ALL OF THE VOTING MEMBERS OF THE BOARD. |
| Form 990, Part VI, Section B, line 11b | THE CFO REVIEWS THE FORM 990 PREPARED BY THE INDEPENDENT ACCOUNTING FIRM WHICH ALSO PERFORMED THE ANNUAL AUDIT IN COMPLIANCE WITH GAAP. THE CFO PRESENTS THE 990 TO THE CEO FOR REVIEW AND APPROVAL FOR SUBMISSION. |
| Form 990, Part VI, Section B, line 12c | PROCESS TO MONITOR COMPLIANCE WITH CONFLICT OF INTEREST POLICY: RMCHCS FOLLOWS ITS ADOPTED CONFLICT OF INTEREST POLICY, WHICH MANDATES: -ALL OFFICERS AND BOARD MEMBERS MUST DISCLOSE POTENTIAL CONFLICTS OF INTEREST WHEN APPOINTED, AND THEN SUBSEQUENTLY IF NEW CONFLICTS ARISE, THROUGH A DISCLOSURE QUESTIONNAIRE. -THE COMPLIANCE OFFICER REVIEWS AND ANALYZES ALL POTENTIAL CONFLICTS OF INTERESTS AND REPORTS THEM TO THE COMPLIANCE COMMITTEE -THE COMPLIANCE COMMITTEE REVIEWS POTENTIAL CONFLICTS AND REPORTS TO THE BOARD OF TRUSTEES -THE BOARD RECORDS NOTICE OF ALL CONFLICTS IN BOARD MINUTES -THE BOARD ENFORCES THE RECUSAL OF ANY BOARD MEMBER OR OFFICER FROM ANY DELIBERATIONS WHERE THEY HAVE A POTENTIAL CONFLICT OF INTEREST |
| Form 990, Part VI, Section B, line 15 | COMPENSATION REVIEW BY AN INDEPENDENT COMPANY BEGAN IN 2019 BUT WAS NOT FINISHED PRIOR TO THE CEO CHANGE MADE IN 2020. THE GOVERNING BODY WILL WORK WITH AN INDEPENDENT COMPANY FOR CEO COMPENSATION FMV AT LEAST EVERY 3 YEARS AND WILL REVIEW AND APPROVE COMPENSATION ANNUALLY. ALL REVIEWS WILL BE DOCUMENTED IN BOARD MEETING MINUTES. COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES WAS REVIEWED USING 2018/2019 NEW MEXICO STATE COMPDATA SALARY SURVEY DATA. |
| Form 990, Part VI, Section C, line 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS OF RMCHCS ARE ALL AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICES, 1901 RED ROCK DRIVE, GALLUP, NEW MEXICO. |
| Form 990, Part IX, line 11g | Other Services: Program service expenses 8,675,042. Management and general expenses 7,551,203. Fundraising expenses 0. Total expenses 16,226,245. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTERN HEALTH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 RED ROCK DRIVE | AddressLine1Txt |
| City | Gallup | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850349559 | EIN |
| Primary Activities | Support | PrimaryActivitiesTxt |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RMCHCS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTERN HEALTH FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
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