ARTESIA GENERAL HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ARTESIA GENERAL HOSPITAL (EIN 74-2851819)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-02
- IRS object ID
- 202201229349301965
- Schema version
- 2020v4.0
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-02T16:03:29-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742851819 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARTESIA GENERAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ARTE | BusinessNameControlTxt |
| Phone | 5757488300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 702 N 13TH STREET | AddressLine1Txt |
| City | ARTESIA | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88210 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CORINA YATES | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5757488300 | PhoneNum |
| Signature | 2022-04-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CORINA | PersonFirstNm |
| Person Last | YATES | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2022-05-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOE SALGADO MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 702 N 13TH STREET | AddressLine1Txt |
| City | ARTESIA | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $75,179,197 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ARTESIAGENERAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE TO THE FAMILIES OF ARTESIA AND SURROUNDING COMMUNITIES WHILE CONTINUALLY IMPROVING QUALITY OF PATIENT CARE AND UTILIZING RESOURCES EFFECTIVELY AND EFFICIENTLY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 592 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $16,138,921 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,265,600 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $61,035,831 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $65,199,136 | CYProgramServiceRevenueAmt |
| PY Investment Income | $478,030 | PYInvestmentIncomeAmt |
| CY Investment Income | $404,821 | CYInvestmentIncomeAmt |
| PY Other Revenue | $492,702 | PYOtherRevenueAmt |
| CY Other Revenue | $309,640 | CYOtherRevenueAmt |
| PY Total Revenue | $78,145,484 | PYTotalRevenueAmt |
| CY Total Revenue | $75,179,197 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $27,735 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $16,743 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $42,724,348 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $39,754,330 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $18,902 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $32,053,432 | PYOtherExpensesAmt |
| CY Other Expenses | $31,760,866 | CYOtherExpensesAmt |
| PY Total Expenses | $74,805,515 | PYTotalExpensesAmt |
| CY Total Expenses | $71,531,939 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,339,969 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,647,258 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $77,214,120 | TotalAssetsBOYAmt |
| Total Assets EOY | $76,764,690 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,805,286 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,075,865 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $58,408,834 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $62,688,825 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE HEALTH CARE TO THE FAMILIES OF ARTESIA AND SURROUNDING COMMUNITIES WHILE CONTINUALLY IMPROVING QUALITY OF PATIENT CARE AND UTILIZING RESOURCES EFFECTIVELY AND EFFICIENTLY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $61,959,359 | ExpenseAmt |
| Grant | $16,743 | GrantAmt |
| Revenue | $65,199,136 | RevenueAmt |
| Desc | ARTESIA GENERAL HOSPITAL IS A 49-BED SOLE COMMUNITY HEALTH PROVIDER THAT SERVES ARTESIA SPECIAL HOSPITAL DISTRICT AND SURROUNDING COMMUNITIES (ARTESIA AND SOUTHEASTERN NEW MEXICO) PROVIDING GENERAL ACUTE CARE, CARDIOLOGY, PSYCHIATRIC, MEDICAL AND SURGICAL SERVICES INCLUDING OUTPATIENT AND EMERGENCY CARE SERVICES. DURING THE TAX YEAR, THE HOSPITAL HAD 1,447 ADMISSIONS, 2,464 PATIENT DAYS, 1,483 SURGERIES, 9,929 EMERGENCY ROOM VISITS, 18,673 OUTPATIENT DIAGNOSTIC VISITS AND 54,299 CLINIC VISITS. SEE CONTINUATION ON SCHEDULE O. | Desc |
| Total Program Service Expenses | $61,959,359 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 132 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 592 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CORINA YATES | PersonNm |
| Phone | 5757488300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 702 N 13TH STREET | AddressLine1Txt |
| City | ARTESIA | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88210 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| ANNA WHITMIRE | |||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MIKE DEANS | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BEN HARVEY | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| PAM HORNER | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MIKE PHIPPS | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DENNIS MAUPIN | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN BATTY MD | |||||||
| DIRECTOR/PHY | 40.00 | Yes (X) | $366,050 | $0 | $11,400 | ||
| MARSHALL BACA SR | |||||||
| DIRECTOR/PHY | 40.00 | Yes (X) | $1,008,630 | $0 | $25,646 | ||
| RICHARD GIBSON | |||||||
| CEO THRU OCT | 40.00 | Yes (X) | $315,921 | $0 | $14,766 | ||
| JOE SALGADO MD | |||||||
| CEO | 40.00 | Yes (X) | $340,826 | $0 | $23,768 | ||
| CORINA YATES | |||||||
| CFO | 40.00 | Yes (X) | $247,715 | $0 | $20,987 | ||
| ZHINIAN WAN | |||||||
| PHYSICIAN | 40.00 | $932,901 | $0 | $20,274 | Yes (X) | ||
| CASEY DELLABARCA | |||||||
| PHYSICIAN | 40.00 | $768,605 | $0 | $22,014 | Yes (X) | ||
| MOHMAD BULBUL | |||||||
| PHYSICIAN | 40.00 | $702,504 | $0 | $17,811 | Yes (X) | ||
| MICHAEL MANN | |||||||
| PHYSICIAN | 40.00 | $655,991 | $0 | $3,667 | Yes (X) | ||
| JEFFREY ZAPAWA | |||||||
| PHYSICIAN | 40.00 | $643,748 | $0 | $10,421 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,982,891 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $170,754 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALLSTATE SECURITY SERVICES | |||||
| PO BOX 4474 | ROSWELL | NM | 88202 | SECURITY SERV | $445,861 |
| MIKE BUTTERFIELD MD | |||||
| 6702 MOESER LANE | EL CERRITO | CA | 94530 | PHYSICIAN | $284,400 |
| WORKBEAST LLC | |||||
| PO BOX 823473 | PHILADELPHIA | PA | 19182 | STAFFING | $276,818 |
| COMPLEX HEALTHCARE SOLUTIONS | |||||
| 6040 CAMP BOWIE BLVD SUITE 24 | FORT WORTH | TX | 76116 | STAFFING | $259,023 |
| SPBS INC | |||||
| 4431 LONG PRAIRIE ROAD SUITE 100 | FLOWER MOUND | TX | 75028 | EQUIP SERVICING | $166,173 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $9,218,600 | GovernmentGrantsAmt |
| All Other Contributions | $47,000 | AllOtherContributionsAmt |
| Total Contributions | $9,265,600 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $61,502,741 | $61,502,741 |
| SAFETY NET CARE POOL | 622110 | $3,358,781 | $3,358,781 |
| PATIENT QUALITY INCENTIVES | 622110 | $261,007 | $261,007 |
| MEDICAL EDUCATION | 622110 | $38,442 | $38,442 |
| APD/JAIL REVENUE | 622110 | $19,600 | $19,600 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,565 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,565 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $65,199,136 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $404,821 | TotalRevenueColumnAmt |
| Exclusion | $404,821 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $31,146 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $31,146 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,146 | TotalRevenueColumnAmt |
| Exclusion | $31,146 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| COMMUNITY MEALS | 722514 | $82,979 | $82,979 |
| REBATES | 900099 | $82,648 | $82,648 |
| PATIENT ACCOUNT INTEREST | 900099 | $63,864 | $63,864 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,003 | TotalRevenueColumnAmt |
| Exclusion | $49,003 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $278,494 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75,179,197 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,199,136 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $714,461 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,743 | TotalAmt |
| Program Services | $16,743 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,169,964 | TotalAmt |
| Program Services | $1,850,818 | ProgramServicesAmt |
| Management And General | $319,146 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,639,769 | TotalAmt |
| Program Services | $28,638,207 | ProgramServicesAmt |
| Management And General | $3,000,720 | ManagementAndGeneralAmt |
| Fundraising | $842 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $762,738 | TotalAmt |
| Program Services | $721,542 | ProgramServicesAmt |
| Management And General | $41,174 | ManagementAndGeneralAmt |
| Fundraising | $22 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,887,160 | TotalAmt |
| Program Services | $2,617,560 | ProgramServicesAmt |
| Management And General | $269,527 | ManagementAndGeneralAmt |
| Fundraising | $73 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,294,699 | TotalAmt |
| Program Services | $2,072,241 | ProgramServicesAmt |
| Management And General | $222,401 | ManagementAndGeneralAmt |
| Fundraising | $57 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,329 | TotalAmt |
| Management And General | $181,329 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,287 | TotalAmt |
| Management And General | $67,287 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,021,107 | TotalAmt |
| Program Services | $7,308,312 | ProgramServicesAmt |
| Management And General | $1,706,437 | ManagementAndGeneralAmt |
| Fundraising | $6,358 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,838 | TotalAmt |
| Program Services | $1,278 | ProgramServicesAmt |
| Management And General | $193,560 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,464,457 | TotalAmt |
| Program Services | $2,137,810 | ProgramServicesAmt |
| Management And General | $326,512 | ManagementAndGeneralAmt |
| Fundraising | $135 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $551,433 | TotalAmt |
| Program Services | $504,850 | ProgramServicesAmt |
| Management And General | $46,583 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,856,729 | TotalAmt |
| Program Services | $1,503,576 | ProgramServicesAmt |
| Management And General | $352,336 | ManagementAndGeneralAmt |
| Fundraising | $817 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,004 | TotalAmt |
| Program Services | $48,212 | ProgramServicesAmt |
| Management And General | $791 | ManagementAndGeneralAmt |
| Fundraising | $1 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,779 | TotalAmt |
| Program Services | $69,095 | ProgramServicesAmt |
| Management And General | $29,683 | ManagementAndGeneralAmt |
| Fundraising | $1 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,647,557 | TotalAmt |
| Program Services | $3,157,757 | ProgramServicesAmt |
| Management And General | $487,257 | ManagementAndGeneralAmt |
| Fundraising | $2,543 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,374,681 | TotalAmt |
| Program Services | $721,088 | ProgramServicesAmt |
| Management And General | $653,593 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $7,807,249 | $7,807,249 | ||
| REPAIRS & MAINTENANCE | $2,500,191 | $2,450,263 | $42,397 | $7,531 |
| RECRUITMENT | $129,672 | $86,619 | $43,053 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,816,553 | TotalAmt |
| Program Services | $246,139 | ProgramServicesAmt |
| Management And General | $1,569,892 | ManagementAndGeneralAmt |
| Fundraising | $522 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,531,939 | TotalAmt |
| Program Services | $61,959,359 | ProgramServicesAmt |
| Management And General | $9,553,678 | ManagementAndGeneralAmt |
| Fundraising | $18,902 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,534,345 | BOYAmt |
| EOY | $23,228,858 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $843,159 | BOYAmt |
| EOY | $850,752 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,440,033 | BOYAmt |
| EOY | $5,037,903 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,444,809 | BOYAmt |
| EOY | $1,472,948 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,251,784 | BOYAmt |
| EOY | $1,579,017 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $54,253,804 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $29,668,307 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,313,901 | BOYAmt |
| EOY | $24,585,497 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,295,503 | BOYAmt |
| EOY | $18,446,715 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,090,586 | BOYAmt |
| EOY | $1,563,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,214,120 | BOYAmt |
| EOY | $76,764,690 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,771,539 | BOYAmt |
| EOY | $7,639,230 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,312,667 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,721,080 | BOYAmt |
| EOY | $6,436,635 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,805,286 | BOYAmt |
| EOY | $14,075,865 | 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 | $58,408,834 | BOYAmt |
| EOY | $62,688,825 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,408,834 | BOYAmt |
| EOY | $62,688,825 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,214,120 | BOYAmt |
| EOY | $76,764,690 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,647,258 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $632,733 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $8,804 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,804 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO STATE AND NATIONAL HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $130,270 | OtherCostOrOtherBasisAmt |
| Book Value | $130,270 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,842,510 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,649,243 | DepreciationAmt |
| Book Value | $14,193,267 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,756,186 | OtherCostOrOtherBasisAmt |
| Depreciation | $746,941 | DepreciationAmt |
| Book Value | $1,009,245 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,491,124 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,272,123 | DepreciationAmt |
| Book Value | $9,219,001 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,714 | OtherCostOrOtherBasisAmt |
| Book Value | $33,714 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $24,585,497 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| MEDICARE ACCELERATED PAYMENTS | $5,261,410 |
| CAPITAL LEASE OBLIGATION | $1,175,225 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,436,635 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $75,811,930 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $632,733 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $632,733 | RevenueNotReportedAmt |
| Revenue Subtotal | $75,179,197 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $75,179,197 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $71,531,939 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $71,531,939 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $71,531,939 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE HOSPITAL EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $458,802 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $458,802 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,827,566 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,875,341 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,952,225 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05530 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,286,368 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,875,341 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,411,027 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06170 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 17207 | PersonsServedCnt |
| Total Community Benefit Expns | $451,839 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $451,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $85,947 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,442 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $47,505 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,603,408 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,640,192 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,963,216 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05540 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,743 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,743 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 17207 | PersonsServedCnt |
| Total Community Benefit Expns | $9,157,937 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,678,634 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,479,303 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06260 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 17207 | PersonsServedCnt |
| Total Community Benefit Expns | $22,444,305 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,553,975 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,890,330 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12430 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $85,811 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $85,811 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $85,811 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $85,811 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,270,638 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $11,155,382 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,601,911 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,446,529 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | 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 | ARTESIA GENERAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 702 NORTH 13TH STREET | AddressLine1Txt |
| City | ARTESIA | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ARTESIAGENERAL.COM | WebsiteAddressTxt |
| State License | 006788 | 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 | ARTESIA GENERAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.ARTESIAGENERAL.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.ARTESIAGENERAL.COM | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.ARTESIAGENERAL.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.ARTESIAGENERAL.COM | FAPAppAvailableOnWebsiteURLTxt |
| 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 Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | 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 (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, ARTESIA GENERAL HOSPITAL - PART V, LINE 3E | IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS ARE ADDRESSED ON PAGE 40 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. |
| FACILITY 1, ARTESIA GENERAL HOSPITAL - PART V, LINE 5 | IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL TOOK INTO ACCOUNT PERSONS INPUT WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WHO LIVE IN THE GEOGRAPHIC AREAS FROM WHICH THE HOSPITAL DRAWS THEIR PATIENTS. ALL PATIENTS WERE USED TO DETERMINE THE SERVICE AREA WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITALS FINANCIAL ASSISTANCE POLICY. COMMUNITY STAKEHOLDERS PARTICIPATED IN AN ONLINE SURVEY FOR THEIR INPUT INTO THE COMMUNITY'S HEALTH. 190 SURVEYS WERE COMPLETED. THE THREE-MONTH PROCESS CENTERED ON GATHERING AND ANALYZING DATA AS WELL AS RECEIVING INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY AND HAD SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH TO PROVIDE DIRECTION FOR THE COMMUNITY AND HOSPITAL TO CREATE A PLAN TO IMPROVE THE HEALTH OF THE COMMUNITY. |
| FACILITY 1, ARTESIA GENERAL HOSPITAL - PART V, LINE 11 | THE MOST RECENT CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS: MENTAL HEALTH, ACCESS TO CARE, AND CHRONIC DISEASES. THE HOSPITAL HAS AN IMPLEMENTATION STRATEGY AND ASSOCIATED COMMUNITY BENEFIT PLAN WITH OBJECTIVES TO ADDRESS THESE PRIORITIES. THE HOSPITAL WAS NOT ABLE TO ADDRESS ALL HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA DUE TO NOT CURRENTLY HAVING THE STAFF OR FINANCIAL RESOURCES TO DEVOTE TO THE NEED. THE NEEDS IDENTIFIED BUT NOT SPECIFICALLY ADDRESSED INCLUDE SUBSTANCE USE DISORDER, MORE HEALTHY EATING, ACTIVE LIVING OPTIONS, OBESITY, AFFORDABLE HEALTH INSURANCE, AND AFFORDABLE HEALTHCARE. THE HOSPITAL IS A RURAL HOSPITAL WITH LIMITED RESOURCES. THE RURAL AREA THAT THE HOSPITAL IS LOCATED IN MAKES IT DIFFICULT FOR RECRUITING PROVIDERS AND STAFF. SOME TYPES OF PROVIDERS ARE EXCESSIVELY MORE DIFFICULT TO RECRUIT THAN OTHERS TO RURAL AREAS. IN ORDER TO ACHIEVE THE COMMUNITY'S NEEDS LISTED IN THE ASSESSMENT, WITH LIMITED RESOURCES, THE HOSPITAL FORMS A COLLABORATIVE VENTURE WITH OTHER PROVIDERS, CITIZENS, LOCAL GOVERNMENT, SCHOOLS, CHURCHES, OTHER NON-PROFIT ORGANIZATIONS, AND LOCAL BUSINESSES. THE HOSPITAL ALSO OFFERS A FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL PROVIDES VACCINATIONS TO PEOPLE IN THE COMMUNITY AND GAVE EQUIPMENT TO THE CITY TO PROVIDE EXERCISE FOR PEOPLE WALKING AND USING THE GREEN BELT. THEY ROUTINELY MEET WITH VARIOUS GROUPS IN THE CITY AND HOSPITAL DISTRICT TO DISCUSS NEEDS AND HOW THE HOSPITAL CAN HELP MEET THOSE NEEDS. THESE DISCUSSIONS OFTEN RESULT IN AN UNDERSTANDING BY THE COMMUNITY OF WHAT IS PROVIDED BY THE HOSPITAL. THE HOSPITAL OFFERS ARTHRITIS, DIABETES, CARDIOLOGY, AND OTHER CLASSES FOR GROUPS OF INDIVIDUAL COMMUNITY MEMBERS AND FOR BUSINESSES THAT REQUEST THEM. THE HOSPITAL HAS ADDED A SIGNIFICANT NUMBER OF SPECIALTY CLINICS THE LAST YEAR SUCH AS ORTHOPEDIC, UROLOGY, AND BEHAVIORAL HEALTH AND PROVIDERS CONTINUE TO BE RECRUITED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 13 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| ARTESIA HEALTH PROFESSIONALS | ||||
| 612 N 13TH STREET | ARTESIA | NM | 88210 | OUTPATIENT CLINIC |
| MEMORIAL FAMILY PRACTICE | ||||
| 702 N 13TH STREET | ARTESIA | NM | 88210 | OUTPATIENT CLINIC |
| ORTHOPEDIC SPECIALISTS | ||||
| 2411 OSBORNE DRIVE | CARLSBAD | NM | 88220 | OUTPATIENT CLINIC |
| ARTESIA HEALTH PROFESSIONALS | ||||
| 201 N ALAMEDA STREET | CARLSBAD | NM | 88220 | OUTPATIENT CLINIC |
| ARTESIA HEALTH PROFESSIONALS | ||||
| 606 N 13TH STREET | ARTESIA | NM | 88210 | OUTPATIENT CLINIC |
| ARTESIA HEALTH PROFESSIONALS | ||||
| 608 N 13TH STREET | ARTESIA | NM | 88210 | OUTPATIENT CLINIC |
| WOUND CARE TREATMENT CENTER | ||||
| 608 N 13TH STREET | ARTESIA | NM | 88210 | OUTPATIENT CLINIC |
| ARTESIA HEALTH PROFESSIONALS | ||||
| 702 N 13TH STREET | ARTESIA | NM | 88210 | OUTPATIENT CLINIC |
| ARTESIA HEALTH PROFESSIONALS | ||||
| 1101 W PIERCE STREET | CARLSBAD | NM | 88220 | OUTPATIENT CLINIC |
| ARTESIA HEALTH PROFESSIONALS | ||||
| 2319 W PIERCE STREET | CARLSBAD | NM | 88220 | OUTPATIENT CLINIC |
| ARTESIA HEALTH PROFESSIONALS | ||||
| 2405 W PIERCE STREET | CARLSBAD | NM | 88220 | OUTPATIENT CLINIC |
| ARTESIA GENERAL HEALTHCARE | ||||
| 1415 N 8TH STREET | CARLSBAD | NM | 88220 | OUTPATIENT CLINIC |
| ARTESIA GENERAL HEALTHCARE | ||||
| 2319 W PIERCE STREET | CARLSBAD | NM | 88220 | OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7G | THE HOSPITAL HAS INCLUDED COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G IN THE AMOUNT OF 5,046,581 COLUMN C AND 1,378,194 IN COLUMN D. |
| SCHEDULE H, PART II | EDDY COUNTY IS DESIGNATED AS MEDICALLY UNDERSERVED AND HAS A SHORTAGE IN THE AREA OF HEALTH PROFESSIONALS. THE HOSPITAL IS CONTINUALLY RECRUITING PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO ITS RURAL SERVICE AREA TO HELP IMPROVE ACCESS TO HEALTHCARE SERVICES AS IDENTIFIED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT. |
| SCHEDULE H, PART III, LINE 2 | THE HOSPITAL REPORTED ACTUAL BAD DEBTS FROM THE AUDITED FINANCIALS. |
| SCHEDULE H, PART III, LINE 3 | THE HOSPITAL SHALL LIMIT ITS CHARGES TO UNINSURED PATIENTS BY EXTENDING A SELF PAY DISCOUNT PERCENTAGE EQUAL TO THE HOSPITAL'S BLENDED AVERAGE OF COMMERCIAL MANAGED CARE CONTRACT DISCOUNTED RATES FOR INPATIENT, OUTPATIENT AND CLINIC SERVICES FROM THE PRIOR FISCAL YEAR. THE HOSPITAL SHALL REVIEW AND UPDATE THIS BLENDED AVERAGE DISCOUNT ANNUALLY. THE HOSPITAL REPORTED ACTUAL CHARITY CARE FROM THE AUDITED FINANCIALS. |
| SCHEDULE H, PART III, LINE 4 | THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 5 ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS. THE PATIENT SERVICE REVENUE FOOTNOTE 10 INCLUDES THE PROVISION FOR BAD DEBTS BEGINNING ON PAGE 14 OF THE AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, LINE 8 | ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS IS THE AMOUNT OF COST THAT THE HOSPITAL DID NOT RECOVER FROM THE MEDICARE PROGRAM AND ARE NOT COUNTED AS COMMUNITY BENEFIT. AS SUCH, THE HOSPITAL ABSORBED THE COST FOR THE BENEFIT OF THE PATIENT AND THE COMMUNITY IT SERVES. WITHOUT THIS ACTION, THE PATIENTS COULD NOT HAVE BEEN TREATED AT THE HOSPITAL. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. |
| SCHEDULE H, PART III, LINE 9B | THE HOSPITAL USES STANDARD BUSINESS PRACTICES TO DETERMINE BAD DEBT AND MEDICALLY INDIGENT PATIENTS. IF A PATIENT CANNOT PAY THE ENTIRE BILL WITHIN THE TIMELINE SPECIFIED IN THE BILLING/COLLECTION POLICY, AN INTERVIEW WITH THE PATIENT IS CONDUCTED. EACH PERSON THAT PRESENTED OR WAS CALLED ABOUT THEIR ACCOUNT WAS PROVIDED WITH A FINANCIAL ASSISTANCE QUESTIONNAIRE. THE HOSPITAL PROVIDED SPECIALLY TRAINED EMPLOYEES TO WORK WITH PATIENTS TO HELP DETERMINE ELIGIBILITY. COLLECTION PRACTICES WERE APPROACHED WITH HELPING THE PATIENT AND DETERMINING THEIR ABILITY OR INABILITY TO PAY FOR THEIR SERVICES. |
| SCHEDULE H, PART VI, LINE 2 | THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH REGULAR SEMINARS AND MEETINGS WITH LOCAL AND COUNTY OFFICIALS. THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AND COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING URL: HTTPS://ARTESIAGENERAL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| SCHEDULE H, PART VI, LINE 3 | FINANCIAL ASSISTANCE POLICIES ARE DISTRIBUTED TO THE COMMUNITY IN A VARIETY OF WAYS. PEOPLE ARE INFORMED THROUGH OUR WEBSITE, UPON ADMISSION AND DISCHARGE, AND LATER THROUGH PHONE CALLS OR LETTERS. |
| SCHEDULE H, PART VI, LINE 4 | THE COMMUNITY SERVED IS RURAL AND IS HEAVILY RELIANT ON OIL AND GAS PRODUCTION. EDDY COUNTY IS DESIGNATED AS MEDICALLY UNDERSERVED AND HAS A SHORTAGE IN THE AREA OF HEALTH PROFESSIONALS. THE SERVICE AREA POPULATION IS ESTIMATED AT APPROXIMATELY 190,000 AND IS PROJECTED TO GROW BY 1.37% THROUGH 2020. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS 51,108 AND THE MEDIAN AGE IS 38 YEARS. AREAS OF HEALTH IMPROVEMENT ARE MAMMOGRAPHY SCREENING, OBESITY EDUCATION, SMOKING CESSATION AND INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS. PERCENT UNINSURED OR UNDERINSURED IS ESTIMATED AT 48%. THE NUMBER OF RESIDENTS ELIGIBLE FOR MEDICAID AND SELF-PAY PATIENTS CONTINUES TO GROW WITH THE DECLINE IN OIL AND GAS REVENUES AND JOBS. 26% OF THE POPULATION IS IN THE LOWER INCOME BRACKET AND MAKES LESS THAN 25,000. APPROXIMATELY 500 HOUSEHOLDS MAKE LESS THAN 15,000 PER YEAR. THESE STATISTICS ARE BEFORE THE DECLINE IN OIL AND GAS JOBS. |
| SCHEDULE H, PART VI, LINE 5 | THE BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY MEMBERS REPRESENTING MULTIPLE FACETS OF OUR COMMUNITY FROM BUSINESS OWNERS TO COMMUNITY PROFESSIONALS TO RETIREES. THIS VOLUNTEER BOARD HAS DEDICATED THEIR TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. MEDICAL STAFF PRIVILEGES AT THE HOSPITAL ARE AVAILABLE TO QUALIFIED AND INTERESTED PHYSICIANS IN THE COMMUNITY WE SERVE. WE ENCOURAGE PRACTITIONERS FROM NUMEROUS SPECIALTIES TO MEET THE EVER GROWING HEALTHCARE NEEDS OF THE COMMUNITY. ANY SURPLUS FUNDS ARE REINVESTED INTO OUR FACILITIES, EQUIPMENT, AND PROFESSIONAL EDUCATION OF OUR EMPLOYEES IN ORDER TO PROVIDE THE HIGHEST QUALITY HEALTHCARE POSSIBLE. THE HOSPITAL ALSO ASSESSES THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY TO DETERMINE IF ADDITIONAL SERVICES TO OUR PATIENTS ARE NEEDED. THE HOSPITAL ROUTINELY PROVIDES "LUNCH AND LEARN", RADIO HEALTH EDUCATION, ACTIVITIES AT SEVERAL AREA BUSINESSES, SCHOOLS, AND SENIOR CENTERS EDUCATIONAL CONTENT. THE HOSPITAL GOES TO VARIOUS BUSINESSES TO CONDUCT EDUCATION FOR EMPLOYEES AND HOLDS VARIOUS EDUCATIONAL CLASSES DURING THE YEAR. THE HOSPITAL WORKS WITH THE SCHOOL SYSTEM TO DEVELOP INFORMATIONAL SESSIONS FOR STUDENTS. THE HOSPITAL WORKS WITH UNITED WAY AND OTHER ORGANIZATIONS IN COMMUNITY ACTIVITIES. THE HOSPITAL PROVIDES PHYSICAL EXAMINATIONS AT REDUCED RATES FOR STUDENT ATHLETES AND WORKS IN VARIOUS COMMUNITY ACTIVITIES, HEALTH WALK, AND OTHERS. THE HOSPITAL ALSO PROMOTES HEALTH IN THE COMMUNITY BY PARTICIPATING IN MANY ACTIVITIES THAT INCLUDE THE FOLLOWING: 1. EACH OCTOBER THE HOSPITAL OFFERS DISCOUNTED MAMMOGRAM SCREENINGS AS PART OF BREAST CANCER AWARENESS MONTH 2. THE HOSPITAL PREPARES AND DONATES A PORTION OF THE COST OF THE MEALS FOR AREA MEALS ON WHEELS PROGRAM 3. THE HOSPITAL HOSTS AN ANNUAL HEALTH FAIR AND QUARTERLY HEALTH SCREENINGS FOR RESIDENTS OF THE SURROUNDING AREAS SCREENINGS INCLUDE BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE 4. THE HOSPITAL SPONSORS MONTHLY HEALTH RELATED EDUCATIONAL TOPICS VIA RADIO AND TELEVISION TOPICS INCLUDE ASTHMA, SUICIDE PREVENTION, WOMEN'S HEALTH SCREENINGS AND SMOKING CESSATION, AS WELL AS OTHER HEALTH AWARENESS TOPICS 5. ARTHRITIS SEMINARS ARE CONDUCTED ROUTINELY TO BRING AWARENESS OF TREATMENT AVAILABLE. SOME OF THE ROUTINELY PERFORMED ACTIVITIES ABOVE MAY HAVE BEEN LIMITED OR TEMPORARILY SUSPENDED DUE TO COVID RESTRICTIONS DURING 2021. THE HOSPITAL IS WORKING CONTINUALLY WITH LOCAL OFFICIALS TO PROVIDE NEEDED SERVICES AND DONATE TIME AND EFFORT TO THE COMMUNITY. WE PROVIDE SUBSTANTIAL AMOUNTS OF UNCOMPENSATED CARE TO INDIVIDUALS THAT ARE IN NEED. |
| SCHEDULE H, PART VI, LINE 6 | THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH SYSTEM. |
| SCHEDULE H, PART VI, LINE 7 | NEW MEXICO |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| JOHN BATTY MD | ||||||
| DIRECTOR/PHYSICIAN | $350,948 | $15,102 | $11,400 | $377,450 | ||
| MARSHALL BACA SR | ||||||
| DIRECTOR/PHYSICIAN | $958,528 | $50,102 | $11,400 | $1,034,276 | $14,246 | |
| RICHARD GIBSON | ||||||
| CEO THRU OCT | $139,646 | $10,620 | $330,687 | $4,146 | $176,275 | |
| JOE SALGADO MD | ||||||
| CEO | $340,724 | $102 | $7,955 | $364,594 | $15,813 | |
| CORINA YATES | ||||||
| CFO | $247,613 | $102 | $10,331 | $268,702 | $10,656 | |
| ZHINIAN WAN | ||||||
| PHYSICIAN | $715,602 | $217,299 | $11,400 | $953,175 | $8,874 | |
| CASEY DELLABARCA | ||||||
| PHYSICIAN | $768,503 | $102 | $11,400 | $790,619 | $10,614 | |
| MOHMAD BULBUL | ||||||
| PHYSICIAN | $702,504 | $5,992 | $720,315 | $11,819 | ||
| MICHAEL MANN | ||||||
| PHYSICIAN | $655,889 | $102 | $3,505 | $659,658 | $162 | |
| JEFFREY ZAPAWA | ||||||
| PHYSICIAN | $623,646 | $20,102 | $654,169 | $10,421 | ||
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MARSHALL BACA JR | |||
| FAMILY OF DIR | $621,692 | EMPLOYEE OF ORG | false |
| TERRY MAUPIN | |||
| FAMILY OF DIR | $66,956 | EMPLOYEE OF ORG | false |
| KIMBERLY SALGADO | |||
| FAMILY OF CEO | $53,964 | EMPLOYEE OF ORG | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 | THE HOSPITAL SERVES COMMUNITIES IN THE ARTESIA SPECIAL HOSPITAL DISTRICT WHICH INCLUDES EDDY COUNTY, NEW MEXICO AND SURROUNDING AREAS. ARTESIA SPECIAL HOSPITAL DISTRICT IS A DISTRICT PURSUANT TO THE NEW MEXICO SPECIAL HOSPITAL DISTRICT ACT, SECTION 4-48A-1 ET. SEQ., NMSA THAT LEASES THE HOSPITAL FACILITY TO ARTESIA GENERAL HOSPITAL FOR THE OPERATION AND MAINTENANCE OF THE HOSPITAL UPON SUCH TERMS AND CONDITIONS AS THE DISTRICT BOARD MAY DETERMINE. |
| FORM 990, PART III | THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED CHARGES OF PROVIDING CARE TO THESE PATIENTS WERE 1,349,417 FOR CHARITY CARE, 57,157,246 FOR MEDICARE, 32,211,574 FOR MEDICAID AND 34,249,883 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. |
| FORM 990, PAGE 6, PART VI, LINE 6 | ARTESIA SPECIAL HOSPITAL DISTRICT IS THE SOLE MEMBER OF THE HOSPITAL. |
| FORM 990, PAGE 6, PART VI, LINE 7A | TWO DIRECTORS OF THE BOARD ARE APPOINTED BY THE SOLE MEMBER OF THE HOSPITAL. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE BOARD OF DIRECTORS MAY AUTHORIZE AND THE HOSPITAL MAY MAKE DISTRIBUTIONS, SUBJECT TO THE APPROVAL OF THE SOLE MEMBER. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CEO, CFO AND THE BOARD SECRETARY/TREASURER, WHO REVIEW THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. THE 990 IS ALSO PRESENTED TO THE ENTIRE BOARD. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS OFF ON THE FORM 8879-EO BEFORE THE RETURN IS E-FILED BY THE PREPARER. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES AND OTHER MANAGEMENT OFFICIALS (COVERED PERSONS) ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT IDENTIFYING ANY POTENTIAL CONFLICT OF INTEREST. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL, OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON(S) OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, FOR ITS OWN BENEFIT, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT, OR CONTRACT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE HOSPITAL UTILIZES SULLIVAN COTTER IN REGARDS TO FAIR MARKET VALUE IN SALARIES. COTTER GATHERS DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS' COMPENSATION. COTTER RECOMMENDS APPROPRIATE COMPARISON DATA AND UTILIZES SURVEY DATA FORM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET THE HOSPITAL'S COMPENSATION PHILOSOPHY. THE BOARD THEN REVIEWS WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, PREVIOUS CEO'S COMPENSATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE FORM 990, PART VI, LINE 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | 7,308,312 1,706,437 6,358 |
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