2021-04-20T17:14:40-05:00 2020-06-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2019-07-01 742851819 ARTESIA GENERAL HOSPITAL ARTE 5757488300 702 N 13TH STREET ARTESIA NM 88210 CORINA YATES CFO 5757488300 2021-03-01 true THOMAS DINGUS P00951009 5092420874 2021-04-20 2019 2022-09-23 18:48:47Z JOE SALGADO MD 702 N 13TH STREET ARTESIA NM 88210 78145484 false X WWW.ARTESIAGENERAL.COM X 1997 NM 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. 8 6 628 0 5165166 16138921 61438240 61035831 526283 478030 452610 492702 67582299 78145484 202637 27735 0 38780379 42724348 0 100994 30971320 32053432 69954336 74805515 -2372037 3339969 62994704 77214120 8246121 18805286 54748583 58408834 X 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. false false 64608838 27735 61035831 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 1,126 ADMISSIONS, 1,957 PATIENT DAYS, 1,324 SURGERIES, 11,187 EMERGENCY ROOM VISITS, 18,027 OUTPATIENT DIAGNOSTIC VISITS AND 61,956 CLINIC VISITS. 64608838 true false false true false false false false false false true false false false true true true false false false false false false false false false true true true false true false false false false false false false false false false false false false false false false false true 222 0 true 628 true false false false false false false false false false false false false X 8 6 false false false false true true true true true false false true true true true true true true true false NM X CORINA YATES 5757488300 702 N 13TH STREET ARTESIA NM 88210 ANNA WHITMIRE CHAIR 2.00 X X 0 0 0 MIKE DEANS VICE CHAIR 2.00 X X 0 0 0 BEN HARVEY DIRECTOR 2.00 X 0 0 0 MIKE PHIPPS DIRECTOR 2.00 X 0 0 0 PAM HORNER DIRECTOR 2.00 X 0 0 0 DENNIS MAUPIN DIRECTOR 2.00 X 0 0 0 JOHN BATTY MD DIRECTOR/PHY 40.00 X 392258 0 48086 JOE SALGADO MD CHIEF OF STA 40.00 X 382990 0 48341 RICHARD GIBSON CEO 40.00 X 326898 0 58547 CORINA YATES CFO 40.00 X 207661 0 38571 MARSHALL BACA SR PHYSICIAN 40.00 X 986876 0 68812 ZHINIAN WAN PHYSICIAN 40.00 X 793651 0 49040 CASEY DELLABARCA PHYSICIAN 40.00 X 750362 0 39747 ZAFAR PARVEZ PHYSICIAN 40.00 X 670524 0 9820 MARSHALL BACA JR PHYSICIAN 40.00 X 625139 0 65441 5136359 426405 75 false true false GE HEALTHCARE SERVICE PO BOX 96483 CHICAGO IL 60693 MAINTENANCE 488871 ALSCO INC 404 N UNIVERSITY AVENUE LUBBOCK TX 79415 LAUNDRY SERVICE 463556 MEDICUS HEALTHCARE SOLUTIONS 22 ROULSTON RD WINDHAM NH 03087 STAFFING 369806 HOLOGIC 24506 NETWORK PLACE CHICAGO IL 606731245 IMAGING SERVICE 348378 APF FBO WORKBEAST LLC PO BOX 823473 PHILADELPHIA PA 191823473 MEDICAL STAFFIN 344367 7 16136681 2240 16138921 NET PATIENT SERVICE REVENUE 622110 58776507 58776507 SAFETY NET CARE POOL 622110 2221433 2221433 MEALS ON WHEELS 624210 20102 20102 APD/JAIL REVENUE 622110 17789 17789 61035831 478030 478030 29337 29337 29337 29337 OTHER REVENUE 900099 197762 197762 COMMUNITY MEALS 722514 152421 152421 PATIENT ACCOUNT INTEREST 900099 94017 94017 19165 19165 463365 78145484 61035831 970732 X 27735 27735 1492297 766335 725962 35315093 32222984 3091274 835 559229 559214 15 2775962 2539302 236595 65 2581767 2320938 260770 59 271096 271096 77878 77878 9145409 7471925 1593865 79619 340976 2324 324383 14269 2952429 2481200 471073 156 646542 616805 29737 2258234 2070931 186212 1091 129294 115995 13287 12 121324 102538 18786 3690213 3368687 319009 2517 1271714 814902 456812 MEDICAL SUPPLIES & DRUGS 6957043 6957043 REPAIRS & MAINTENANCE 1788296 1738806 47144 2346 RECRUITMENT 393952 26044 367908 2009032 405130 1603892 10 74805515 64608838 10095683 100994 5978019 22534345 839846 843159 7009783 6440033 1357914 1444809 1260820 1251784 52334651 26020750 28872241 26313901 16404264 17295503 1271817 1090586 62994704 77214120 7472863 7771539 5312667 773258 5721080 8246121 18805286 X 54748583 58408834 54748583 58408834 62994704 77214120 3339969 320282 X false true X true false X false false false false false false false false true 8513 8513 false SCHEDULE C, PART II-B, LINE 1 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. 130270 130270 17589472 2844627 14744845 1749820 579832 1169988 32383463 22596291 9787172 481626 481626 26313901 MEDICARE ACCELERATED PAYMENTS 5721080 5721080 X 78465766 320282 320282 78145484 78145484 74805515 74805515 74805515 SCHEDULE D, PAGE 3, PART X 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. true true true X true X true true false true true 501592 501592 0.00670 13859925 12393880 1466045 0.01960 14361517 12393880 1967637 0.02630 13 645 9353 9353 0.00010 5187344 1869836 3317508 0.04430 27735 27735 0.00040 13 645 5224432 1869836 3354596 0.04480 13 645 19585949 14263716 5322233 0.07110 23000 23000 0.00030 23000 23000 0.00030 true 14317135 1223394 14398052 26190586 -11792534 X true true 1 1 ARTESIA GENERAL HOSPITAL 702 NORTH 13TH STREET ARTESIA NM 88210 WWW.ARTESIAGENERAL.COM 006788 X X X ARTESIA GENERAL HOSPITAL 1 false false true X X X X X X X X X X 19 true false false true X WWW.ARTESIAGENERAL.COM X true 19 true WWW.ARTESIAGENERAL.COM false false true X 200.000000000000 400.000000000000 X X X X true true X X X X true X WWW.ARTESIAGENERAL.COM X WWW.ARTESIAGENERAL.COM X X X X X true X false X X X X true X false false 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. 13 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 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 5,187,344 IN COLUMN C AND 1,869,836 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 9 ON PAGE 14 OF THE AUDITED FINANCIAL STATEMENTS AND ALSO INCLUDES THE PROVISION FOR BAD DEBTS. 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 PROVIDED "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 HOLD VARIOUS EDUCATIONAL CLASSES DURING THE YEAR. THE HOSPITAL WORKED WITH THE SCHOOL SYSTEM TO DEVELOP INFORMATIONAL SESSIONS FOR STUDENTS. THE HOSPITAL WORKED WITH UNITED WAY AND OTHER ORGANIZATIONS IN COMMUNITY ACTIVITIES. THE HOSPITAL PROVIDED PHYSICAL EXAMINATIONS AT REDUCED RATES FOR STUDENT ATHLETES AND WORKED 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 ABOVE ACTIVITIES MAY HAVE BEEN LIMITED DUE TO COVID RESTRICTIONS DURING 2020. 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 true ARTESIA ARTS COUNCIL INC 310 WEST MAIN STREET ARTESIA NM 88210 510140418 501C3 12000 COMMUNITY ACTIVITIES 1 SCHEDULE I, PAGE 1, PART I, LINE 2 THE HOSPITAL IDENTIFIES AND PRIORITIZES COMMUNITY NEEDS; SOLICITS, RECEIVES, AND PRIORITIZES APPLICATIONS FOR FUNDING AND APPROVES BENEFICIARY FUNDING. FUNDED ORGANIZATIONS ARE ASKED TO SUBMIT A SUMMARY REPORT OF THE PROJECT AND ITS OUTCOMES TO THE HOSPITAL BOARD. X X X X X false false false false false false false false false JOHN BATTY MD DIRECTOR/PHYSICIAN 390513 102 1643 36200 11886 440344 JOE SALGADO MD CHIEF OF STAFF 320847 50102 12041 31851 16490 431331 RICHARD GIBSON CEO 326796 102 55200 3347 385445 CORINA YATES CFO 207560 101 31875 6696 246232 MARSHALL BACA SR PHYSICIAN 936774 50102 55200 13612 1055688 ZHINIAN WAN PHYSICIAN 650774 142877 36200 12840 842691 CASEY DELLABARCA PHYSICIAN 750260 102 28957 10790 790109 ZAFAR PARVEZ PHYSICIAN 645524 25000 9820 680344 MARSHALL BACA JR PHYSICIAN 612537 102 12500 48951 16490 690580 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 1,223,394 FOR CHARITY CARE, 48,751,904 FOR MEDICARE, 23,632,247 FOR MEDICAID AND 27,721,598 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 SOURCE UTILIZED BY THE HOSPITAL IN REGARDS TO FAIR MARKET VALUE IN SALARIES IS SULLIVAN COTTER. 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, 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 7,471,925 1,593,865 79,619