REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE (EIN 85-0313268)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2025-11-14
- IRS object ID
- 202543189349301514
- Schema version
- 2022v5.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-14T07:22:52-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | 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 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 | 2022-01-01 | 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 HEALTH CARE | BusinessNameLine1Txt |
| Business Name Line2 | SERVICES INC | 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 | DAVID MCGRAIL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5058637000 | PhoneNum |
| Signature | 2025-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMIE S FRIDLEY CPA | PreparerPersonNm |
| PTIN | P00380605 | PTIN |
| Phone | 5059983200 | PhoneNum |
| Preparation | 2025-11-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID MCGRAIL | 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 | $63,088,820 | 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 | RMCHCS STRIVES TO BE THE PREFERRED HEALTHCARE PROVIDER FOR MCKINLEY COUNTY (NM) AND THE SURROUNDING AREAS BY RESPONDING TO THE DIVERSE HEALTHCARE NEEDS OF THE ENTIRE COMMUNITY WITH A BROAD ARRAY OF HEALTHCARE SERVICES DELIVERED IN A VARIETY OF SETTINGS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 529 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,401,966 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,948,991 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $67,409,201 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $56,089,656 | CYProgramServiceRevenueAmt |
| PY Investment Income | $56,033 | PYInvestmentIncomeAmt |
| CY Investment Income | $21,925 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$452,425 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $70,414,775 | PYTotalRevenueAmt |
| CY Total Revenue | $63,060,572 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,025 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $44,793,011 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $28,971,950 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $37,738,225 | PYOtherExpensesAmt |
| CY Other Expenses | $55,971,772 | CYOtherExpensesAmt |
| PY Total Expenses | $82,531,236 | PYTotalExpensesAmt |
| CY Total Expenses | $84,944,747 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$12,116,461 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$21,884,175 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $34,587,674 | TotalAssetsBOYAmt |
| Total Assets EOY | $53,188,952 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $29,239,884 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $67,577,928 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,347,790 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$14,388,976 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF RMCHCS IS TO SERVE GOD BY MAKING A PROFOUND AND LASTING DIFFERENCE IN THE HEALTH AND QUALITY OF LIFE FOR ALL PEOPLE IN THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $61,009,077 | ExpenseAmt |
| Grant | $1,025 | GrantAmt |
| Revenue | $52,238,119 | RevenueAmt |
| Desc | HOSPITAL SERVICES INCLUDE MEDICAL CARE SERVICES AND/OR SURGICAL CARE SERVICES PROVIDED TO PATIENTS IN AN INPATIENT, OUTPATIENT AND/OR EMERGENCY SETTING. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,228,387 | ExpenseAmt |
| Revenue | $3,712,930 | RevenueAmt |
| Desc | CLINIC SERVICES INCLUDE PRIMARY CARE SERVICES AND/OR SPECIALTY CARE SERVICES PROVIDED TO PATIENTS IN A MEDICAL CLINIC SETTING. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $746,601 | ExpenseAmt |
| Revenue | $138,607 | RevenueAmt |
| Desc | HOME HEALTH SERVICES INCLUDE MEDICAL CARE SERVICES TO PATIENTS WHO ARE HOMEBOUND DUE TO INJURY, ILLNESS, OR CHRONIC CONDITIONS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $67,984,065 | 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 | Yes (1) | 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 | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | 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 | 60 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 529 | 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| LETITIA BRADFORD MD | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $594,563 | $0 | $0 | ||
| JOHN YORK | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $548,840 | $0 | $22,397 | ||
| CHARLES J S GUIMARAES | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $466,432 | $0 | $42,336 | ||
| KIMBERLY COLLINS MD | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $454,853 | $0 | $0 | ||
| BRANDON MURGUIA | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $359,038 | $0 | $0 | ||
| DON SMITHBURG | |||||||
| INTERIM CEO TO MARCH 2022 | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| ROBERT WHITAKER | |||||||
| CEO FROM APRIL 2022 | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| CHANTELLE VENTER | |||||||
| CFO TO APRIL 2022 | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| BLAISE BONDI | |||||||
| INTERIM CFO FROM MAY 2022 | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| WARNER ANDERSON MD | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MIKE HYATT | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| STEVE MCKERNAN | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DEBBIE GORENZ | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| GENEVIEVE ROBRAN | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| BILL LEE | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JEREMY GAY | |||||||
| TRUSTEE TO AUG 2022 | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| AYODELE ERINELE MD | |||||||
| TRUSTEE TO AUG 2022 | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,423,726 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $64,733 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 52 | 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 |
|---|---|---|---|---|---|
| AMEDISTAFF | |||||
| PO BOX 6419 | SILOAM SPRINGS | AR | 72761 | MEDICAL SERVICES | $5,300,143 |
| COMMUNITY HOSPITAL CONSULTING | |||||
| 7950 LEGACY DR STE 1000 | PLANO | TX | 75024 | STAFF/ CONSULTING | $1,545,525 |
| AMERICAN PHYSICIAN PARTNERS | |||||
| 5121 MARYLAND WAY | BRENTWOOD | TN | 37027 | MEDICAL SERVICES | $1,105,000 |
| ELEVATE HEALTHCARE CONSULTANTS | |||||
| 1700 PACIFIC AVENUE | DALLAS | TX | 75201 | MEDICAL SERVICES | $951,298 |
| OMKAR ULHAS VIADYA | |||||
| 8010 STATE LINE ROAD SUITE 100 | PRAIRIE VILLAGE | KS | 66208 | MEDICAL SERVICES | $819,589 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 28 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $125,845 | RelatedOrganizationsAmt |
| Government Grants | $3,574,651 | GovernmentGrantsAmt |
| All Other Contributions | $3,248,495 | AllOtherContributionsAmt |
| Total Contributions | $6,948,991 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $47,985,359 | $47,985,359 |
| OTHER OPERATING REVENUE | 621110 | $7,802,634 | $7,802,634 |
| MEDICAL OFFICE RENTAL REVENUE | 531120 | $301,663 | $301,663 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $56,089,656 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,173 | TotalRevenueColumnAmt |
| Exclusion | $50,173 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $28,248 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$28,248 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$28,248 | TotalRevenueColumnAmt |
| Exclusion | -$28,248 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,060,572 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,089,656 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $21,925 | 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 | $1,025 | TotalAmt |
| Program Services | $1,025 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,224,902 | TotalAmt |
| Program Services | $19,204,538 | ProgramServicesAmt |
| Management And General | $5,020,364 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,459,855 | TotalAmt |
| Program Services | $1,950,075 | ProgramServicesAmt |
| Management And General | $509,780 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,287,193 | TotalAmt |
| Program Services | $1,813,196 | ProgramServicesAmt |
| Management And General | $473,997 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $599,295 | TotalAmt |
| Program Services | $111,815 | ProgramServicesAmt |
| Management And General | $487,480 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,343 | TotalAmt |
| Program Services | $46,895 | ProgramServicesAmt |
| Management And General | $204,448 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,584,089 | TotalAmt |
| Program Services | $26,854,661 | ProgramServicesAmt |
| Management And General | $6,729,428 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,250 | TotalAmt |
| Program Services | $55,006 | ProgramServicesAmt |
| Management And General | $244 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,319 | TotalAmt |
| Program Services | $198,118 | ProgramServicesAmt |
| Management And General | $4,201 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,860 | TotalAmt |
| Program Services | $321,437 | ProgramServicesAmt |
| Management And General | $1,423 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,763,251 | TotalAmt |
| Program Services | $3,746,660 | ProgramServicesAmt |
| Management And General | $16,591 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $703,155 | TotalAmt |
| Program Services | $700,056 | ProgramServicesAmt |
| Management And General | $3,099 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $650,696 | TotalAmt |
| Program Services | $95,007 | ProgramServicesAmt |
| Management And General | $555,689 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,827,647 | TotalAmt |
| Program Services | $1,088,812 | ProgramServicesAmt |
| Management And General | $738,835 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,301,689 | TotalAmt |
| Management And General | $1,301,689 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES & PHARMACEUTIC | $9,082,092 | $8,191,826 | $890,266 |
| EQUIPMENT RENTAL | $1,151,367 | $1,146,292 | $5,075 |
| OTHER TAXES | $929,305 | $925,209 | $4,096 |
| REPAIRS & MAINTENANCE | $841,244 | $837,536 | $3,708 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $706,170 | TotalAmt |
| Program Services | $695,901 | ProgramServicesAmt |
| Management And General | $10,269 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,944,747 | TotalAmt |
| Program Services | $67,984,065 | ProgramServicesAmt |
| Management And General | $16,960,682 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,062,907 | BOYAmt |
| EOY | $3,104,519 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,731,871 | BOYAmt |
| EOY | $1,100,600 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,645,225 | BOYAmt |
| EOY | $9,596,596 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,121,106 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,347,137 | BOYAmt |
| EOY | $1,481,839 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $657,743 | BOYAmt |
| EOY | $511,438 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $68,623,828 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $57,818,484 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,687,163 | BOYAmt |
| EOY | $10,805,344 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,265,974 | BOYAmt |
| EOY | $1,237,726 | 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 | $1,018,548 | BOYAmt |
| EOY | $25,300,890 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,587,674 | BOYAmt |
| EOY | $53,188,952 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,474,006 | BOYAmt |
| EOY | $28,274,669 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,289,642 | BOYAmt |
| EOY | $21,087 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,699,176 | BOYAmt |
| EOY | $10,389,398 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,777,060 | BOYAmt |
| EOY | $28,892,774 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,239,884 | BOYAmt |
| EOY | $67,577,928 | 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 | $4,679,331 | BOYAmt |
| EOY | -$14,926,274 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $668,459 | BOYAmt |
| EOY | $537,298 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,347,790 | BOYAmt |
| EOY | -$14,388,976 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,587,674 | BOYAmt |
| EOY | $53,188,952 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$21,884,175 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $2,147,409 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| 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 | $32,424,983 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,921,888 | DepreciationAmt |
| Book Value | $4,503,095 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,989,226 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,899,106 | DepreciationAmt |
| Book Value | $90,120 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,031,650 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,997,490 | DepreciationAmt |
| Book Value | $5,034,160 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $389,750 | OtherCostOrOtherBasisAmt |
| Book Value | $389,750 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,805,344 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OPERATING LEASE RIGHT OF USE ASSET | $24,406,407 |
| FINANCE LEASE RIGHT OF USE ASSETS | $894,483 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $25,300,890 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED AMOUNT DUE TO THIRD PARTY | $356,697 |
| DEFERRED COMP LIABILITY | $387,167 |
| PATIENT REFUNDS | $2,515,702 |
| OPERATING FINANCE LEASE LIABILITIES | $24,724,968 |
| FINANCE LEASE LIABILITIES | $908,240 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $28,892,774 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE ENTITY IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HOSPITAL FILES AN EXEMPT ORGANIZATION RETURN, AND IF APPLICABLE, UNRELATED BUSINESS INCOME TAX OR OTHER RETURNS WITH INTERNAL REVENUE SERVICE, NEW MEXICO ATTORNEY GENERAL, AND NEW MEXICO DEPARTMENT OF TAXATION AND REVENUE. THE HOSPITAL IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR YEARS BEFORE FISCAL YEAR 2019 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 | $254,649 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $254,649 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,028,150 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,471,845 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,556,305 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13600 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,282,799 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,471,845 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,810,954 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13900 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $374,236 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $497,523 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $374,236 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $497,523 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,657,035 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,969,368 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,810,954 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13900 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,051,942 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,220,777 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $13,412,054 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $22,455,309 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,043,255 | 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 | WWW.RMCHCS.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 | 22 | 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 | WWW.RMCHCS.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.RMCHCS.ORG | 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 | WWW.RMCHCS.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.RMCHCS.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.RMCHCS.ORG | 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 |
| 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 5: 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 NATIVE AMERICANS 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 FOR THE 2022 CHNA:1. WORK FOR A STATE, LOCAL, TRIBAL, OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY:-MCKINLEY COUNTY EMERGENCY MANAGEMENT; POPULATION SERVED: GENERAL PUBLIC-NAVAJO NATION DEPARTMENT OF HEALTH; POPULATION SERVED: TRIBAL GROUP-GALLUP MCKINLEY COUNTY CHAMBER OF COMMERCE; POPULATION SERVED: UNDERSERVED, LOW INCOME, UN/UNDERINSURED- NAVAJO NATION; POPULATION SERVED: TRIBAL GROUP- NEW MEXICO DEPARTMENT OF HEALTH; POPULATION GROUP: GENERAL PUBLIC- CITY OF GALLUP COVID19 HOTEL SHELTER; POPULATION SERVED: GENERAL PUBLIC- STATE SENATOR DISTRICT 4; POPULATION SERVED: GENERAL PUBLIC-CITY OF GALLUP SENIOR CITIZENS CENTER; POPULATION SERVED: SENIORS, ELDERLY-CATHOLIC CHARITIES; POPULATION SERVED: LOW INCOME, UN/UNDERINSURED, GENERAL PUBLIC2. MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS:- GALLUP VETERANS CLINIC; POPULATION SERVED: VETERANS-RESIDENTS GALLUP, NEW MEXICO; POPULATION SERVED: GENERAL PUBLIC- MANUELITO CHILDREN'S HOME; POPULATION SERVED: PEDIATRICS- BATTERED FAMILY SHELTER; POPULATION SERVED: HOMELESS UN/UNDERINSURED- NA NIHZHOOZHI CENTER INC. DETOX AND INPATIENT SUBSTANCE USE REHAB; POPULATION SERVED: BEHAVIORAL HEALTH- MCKINLEY COUNTY HEALTH ALLIANCE; POPULATION SERVED: MEDICAID- GALLUP MCKINLEY COUNTY SCHOOLS; POPULATION SERVED: YOUTH/ADOLESCENT- GALLUP WOMEN, INFANTS AND CHILDREN OFFICE; POPULATION SERVED: OBSTETRICSCOMMUNITY LEADERS:-ZUNI COMPREHENSIVE HEALTH CENTER; POPULATION SERVED: GENERAL PUBLIC- SOUTHWEST INDIAN FOUNDATION PROJECT OFFICE; POPULATION SERVED: TRIBAL GROUP- LEXINGTON HOTEL; POPULATION SERVED: HOMELESS- PRESBYTERIAN MEDICAL SERVICES; POPULATION SERVED: BEHAVIORAL HEALTH- HOZHO CENTER FOR PERSONAL ENHANCEMENT; POPULATION SERVED: SENIORS/ELDERLY, MEDICALLY COMPLEX- REHOBOTH CHRISTIAN SCHOOL; POPULATION SERVED: YOUTH/ADOLESCENT- FOUR CORNERS RECOVERY CENTER; POPULATION SERVED: BEHAVIORAL HEALTH- GALLUP MCKINLEY COUNTY SCHOOLS (SUPPORT SERVICES); POPULATION SERVED: YOUTH/ADOLESCENT- BIG BROTHERS BIG SISTERS MOUNTAIN REGION CITY OF GALLUP; POPULATION SERVED: YOUTH, GENERAL PUBLIC- CHILDREN YOUTH & FAMILIES DEPARTMENT GALLUP OFFICE; POPULATION SERVED: YOUTH/FAMILIES- BETHANY DAY CARE; POPULATION SERVED: PEDIATRIC- FOUR CORNERS RECOVERY CENTER; POPULATION SERVED: BEHAVIORAL HEALTH |
| RMCHCS HOSPITAL | PART V, SECTION B, LINE 11: NEEDS ADDRESSED AND NOT ADDRESSED:HOSPITAL LEADERSHIP DECIDED TO ADDRESS FOUR OF THE FIVE OF THE RANKED HEALTH NEEDS. THE FINAL HEALTH PRIORITIES THAT RMCHCS WILL ADDRESS THROUGH ITS IMPLEMENTATION PLAN ARE LISTED BELOW:1. CONTINUED RECRUITMENT & RETENTION OF HEALTHCARE WORKFORCE: - LAUNCHING FAMILY MEDICINE RESIDENCY PROGRAM TO INCREASE PRIMARY CARE PROVIDERS.- FIRST-YEAR RESIDENTS BEGAN IN JULY 2021. GOAL: 12 RESIDENTS IN THE 3-YEAR PROGRAM BY 2022.- RESIDENCY INCLUDES PALLIATIVE CARE ROTATION, RESPONDING TO COMMUNITY NEEDS ASSESSMENT.- EXPANDING WOMEN'S HEALTH, PODIATRY, AND WOUND CARE SERVICES FOR BROADER COMMUNITY ACCESS.- COMMITMENTS TO BROADENING PRIMARY AND SOME SPECIALTY CARE, REDUCING PATIENT NEED TO TRAVEL LONG DISTANCES FOR SERVICES.- TELEMEDICINE PROGRAM GROWTH CONTINUES AFTER PANDEMIC; TELEHEALTH IS AN IMPORTANT PART OF CARE DELIVERY.2. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS:- INCREASED COMMUNITY ACCESS VIA OPENING URGENT CARE CENTER AND ESTABLISHING MOBILE HEALTH CLINIC PROGRAM.- MOBILE HEALTH UNIT BEGAN OFFERING WOMEN'S HEALTH SERVICES TO WOMEN AGED 15+ IN RURAL AREAS LIKE RAMAH-NAVAJO CHAPTER, ADDRESSING GAPS IN UNDERSERVED REGIONS.- SERVICE EXPANSION PLANNED FOR ADDITIONAL NEEDS, INCLUDING PODIATRY AND EYE EXAMS, WHICH ARE CRUCIAL FOR DIABETIC PATIENTS.- PLANS TO EXTEND MOBILE HEALTHCARE SERVICES TO MORE RURAL POPULATIONS THROUGHOUT MCKINLEY COUNTY IN THE NEXT THREE YEARS.3. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES:- RMCHCS, AS A MAJOR REGIONAL EMPLOYER, IS FOCUSED ON CREATING JOBS AND SUPPORTING FAIR WAGES FOR STAFF.- MEDICAL TRANSPORT IS AVAILABLE THROUGH HOSPITAL SOCIAL WORKERS AND THE MOBILE HEALTH UNIT, HELPING OVERCOME TRANSPORTATION BARRIERS TO HEALTHCARE.- ONGOING MARKET ANALYSIS AND COMMITMENT TO INTERNAL PAY EQUITY FOR ALL POSITIONS AND EMPLOYEES.4. PREVENTION, EDUCATION, AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, AND UNHEALTHY LIFESTYLES:- PARTNERSHIP WITH UNIVERSITY OF NEW MEXICO (UNM) GALLUP TO SUPPORT LOCAL NURSING PROGRAM AND CLINICAL EDUCATION FOR STUDENTS INCLUDING: JOINT EFFORTS WITH RMCHCS LEADERSHIP AND NURSING DIRECTOR TO STRENGTHEN NURSING WORKFORCE PIPELINE, RN SCHOLARSHIPS INITIATED IN MAY 2022, WITH THE INTENTION TO ESTABLISH A NURSE INTERN PROGRAM BY FALL 2022, PRIORITIZING SCHOLARSHIP RECIPIENTS AND PLANS UNDERWAY TO EXPAND ALLIED HEALTH OFFERINGS (E.G., MEDICAL ASSISTANT PROGRAM) AT LOCAL CAMPUSES.- BUILDING STRONG TIES WITH UNM MEDICAL SCHOOL, UNM COLLEGE OF NURSING, UNM GALLUP'S NURSING & ALLIED HEALTH, AND OTHER HEALTH EDUCATION ENTITIES STATEWIDE AND NATIONALLY. RMCHCS SERVES AS PRIMARY "HUB" FOR BURRELL COLLEGE OF MEDICINE STUDENTS IN LAS CRUCES, SUPPORTING ROBUST MEDICAL STUDENT ENGAGEMENT AND COMMUNITY LEARNING.- EXPANDED WOMEN'S HEALTH SERVICES: ADDED TWO FEMALE OB-GYN PHYSICIANS AND TWO VISITING FELLOWSHIP DOCTORS SET TO WORK SIX MONTHS IN MCKINLEY COUNTY. WOMEN'S HEALTH TO BE A MAJOR FOCUS WITHIN FAMILY MEDICINE RESIDENCY. MOBILE CLINIC IS GROWING WOMEN'S HEALTH OFFERINGS AND AIMS TO SERVE MORE COUNTY LOCATIONS.- RMCHCS BECAME NEW MEXICO'S NEWEST HUMAN MILK REPOSITORY STATION (HMRNM), ENABLING BREASTMILK DONATIONS FOR INFANT HEALTH.- CONTINUED INVESTMENT IN OB/GYN SERVICE LINE: RENOVATION OF WOMEN'S HEALTH UNIT (COMPLETION JUNE 2022) TO PROVIDE ADVANCED EQUIPMENT AND A MODERN, WELCOMING HEALTHCARE ENVIRONMENT.NEEDS NOT ADDRESSED:RMCHCS DECIDED NOT TO SPECIFICALLY ADDRESS "ACCESS TO DENTAL CARE SERVICES AND PROVIDERS." WHILE RMCHCS ACKNOWLEDGES THAT THIS IS A SIGNIFICANT NEED IN THE COMMUNITY, "ACCESS TO DENTAL CARE SERVICES AND PROVIDERS" IS NOT ADDRESSED LARGELY DUE TO THE FACT THAT IT IS NOT CORE BUSINESS FUNCTION OF THE HOSPITAL AND THE LIMITED CAPACITY OF THE HOSPITAL TO ADDRESS THIS NEED. RMCHCS WILL CONTINUE TO SUPPORT LOCAL ORGANIZATIONS AND EFFORTS TO ADDRESS THIS NEED IN THE COMMUNITY. |
| 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 (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEETS 4 AND 5 WAS COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT. |
| PART III, LINE 2: | THIS IS BASED ON ACTUAL WRITE-OFFS AFTER ALL COLLECTION EFFORTS ARE EXHAUSTED AND ESTIMATED BASED ON AGE OF THE ACCOUNT PER POLICY. |
| PART III, LINE 3: | MANY PATIENTS THAT WOULD OTHERWISE QUALIFY FOR CHARITY CARE, FAIL TO COMPLETE THE REQUIRED DOCUMENTATION AND INSTEAD LET THE ACCOUNTS GO TO COLLECTIONS AND ULTIMATELY TO BAD DEBT. THE BAD DEBT RELATED TO PATIENTS WHO MAY MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICY ARE ESTIMATED AT 40% OF TOTAL BAD DEBT. |
| PART III, LINE 4: | NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. |
| PART III, LINE 8: | THE HOSPITAL USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES.THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $9,043,255. THE HOSPITAL TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING CHARITY CARE AND COMMUNITY BENEFITS |
| PART III, LINE 9B: | A. IN COMPLIANCE WITH RELEVANT STATE AND FEDERAL LAWS, AND IN ACCORDANCE WITH THE PROVISIONS OUTLINED IN THIS BILLING AND COLLECTIONS POLICY, RMCHCS MAY ENGAGE IN COLLECTION ACTIVITIES-INCLUDING EXTRAORDINARY COLLECTION 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 THE DISCRETION OF RMCHCS. ACCOUNTS WILL BE REFERRED FOR COLLECTIONS ONLY WITH THE 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 DEBT IS THE FINANCIAL RESPONSIBILITY OF THE PATIENT. RMCHCS SHALL NOT BILL A PATIENT FOR ANY AMOUNT THAT AN INSURANCE COMPANY IS OBLIGATED TO PAY. RMCHCS WILL NOT REFER ACCOUNTS FOR COLLECTION WHILE A CLAIM ON THE ACCOUNT IS STILL PENDING PAYER PAYMENT. HOWEVER RMCHCS MAY CLASSIFY CERTAIN CLAIMS AS "DENIED" IF SUCH CLAIMS ARE STUCK IN "PENDING" MODE FOR AN 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 PATIENT LIABILITY 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 SPONSORED PROGRAM AND RMCHCS HAS NOT YET NOTIFIED THE PATIENT OF ITS DETERMINATION (PROVIDED THE PATIENT HAS COMPLIED WITH THE TIMELINE AND INFORMATION REQUESTS DELINEATED DURING THE APPLICATION PROCESS).B. REASONABLE EFFORTS AND EXTRAORDINARY COLLECTION ACTIONS (ECAS). BEFORE ENGAGING IN ECAS TO OBTAIN PAYMENT FOR CARE RMCHCS MUST MAKE CERTAIN REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER OUR FINANCIAL ASSISTANCE POLICY:ECAS MAY BEGIN ONLY WHEN 90 DAYS HAVE PASSED SINCE THE FIRST POST-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 THE AVAILABILITY OF FINANCIAL ASSISTANCE, LISTS POTENTIAL ECAS THAT MAY BE TAKEN TO OBTAIN PAYMENT FOR CARE, AND GIVES A DEADLINE AFTER WHICH ECAS MAY BE INITIATED (NO SOONER THAN 90 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT AND 30 DAYS AFTER THE WRITTEN NOTICE)-PROVIDE A PLAIN-LANGUAGE SUMMARY OF THE FAP ALONG WITH THE NOTICE DESCRIBED ABOVE-ATTEMPT TO NOTIFY THE INDIVIDUAL ORALLY ABOUT THE FAP AND HOW HE OR SHE MAY GET ASSISTANCE WITH THE APPLICATION PROCESS AFTER MAKING REASONABLE EFFORTS TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY AS OUTLINED ABOVE RMCHCS (OR ITS AUTHORIZED BUSINESS PARTNERS) MAY TAKE THE FOLLOWING ECATO OBTAIN PAYMENT FOR CARE:REPORT ADVERSE INFORMATION TO CREDIT REPORTING AGENCIES AND/OR CREDIT BUREAUS IF A PATIENT HAS AN OUTSTANDING BALANCE FOR PREVIOUSLY PROVIDED CARE, RMCHCS MAY ENGAGE IN THE ECA OF DEFERRING, DENYING, OR REQUIRING PAYMENT BEFORE PROVIDING ADDITIONAL MEDICALLY NECESSARY (BUT NON-EMERGENT) CARE ONLY WHEN THE FOLLOWING STEPS ARE TAKEN:-RMCHCS PROVIDES THE PATIENT WITH AN FAP APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FAP RMCHCS PROVIDES A WRITTEN NOTICE INDICATING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND SPECIFYING ANY DEADLINE AFTER WHICH A COMPLETED APPLICATION FOR ASSISTANCE FOR THE PREVIOUS CARE EPISODE WILL NO LONGER BE ACCEPTED. THIS DEADLINE MUST BE AT LEAST 30 DAYS AFTER THE NOTICE DATE OR 211 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT FOR PRIORCARE, WHICHEVER IS LATER.-RMCHCS MAKES A REASONABLE EFFORT TO ORALLY NOTIFY THE INDIVIDUAL ABOUT THE FINANCIAL ASSISTANCE POLICY AND EXPLAIN HOW TO RECEIVE ASSISTANCEWITH THE APPLICATION PROCESS.-RMCHCS PROCESSES ON AN EXPEDITED BASIS ANY FAP APPLICATIONS FOR PREVIOUS CARE RECEIVED WITHIN THE STATED DEADLINE PATIENT 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 WITH ANY OF THE ECAS OUTLINED IN THIS POLICY. |
| PART VI, LINE 3: | THE FINANCIAL ADVISOR GIVES ASSISTANCE TO THE PATIENT AT REGISTRATION, AT BEDSIDE OR AFTER DISCHARGE AS NEEDED FOR FINANCIAL COUNSELING, CHARITY APPLICATIONS, MEDICAID ELIGIBILITY AND ENROLLMENT AS WELL AS ANY OTHER PROGRAMS AVAILABLE. THIS IS ALSO AVAILABLE ON OUR WEBSITE ATWWW.RMCHCS.ORG. |
| 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 AMERICAN INDIAN DESCENT. GALLUP IS THE ECONOMIC CENTER OF THREE MAJOR INDIAN TRIBES, ZUNI, HOPI, AND NAVAJO AND SERVES THE SURROUNDING AREAS OF NEW MEXICO AND ARIZONA. THE PRIMARY SERVICE AREA (GALLUP) HAS A POPULATION OF 22,000 WITH A SECONDARY SERVICE AREA OF APPROXIMATELY 90,000 PEOPLE.GALLUP IS SITUATED AT 6,515 FEET AND HAS A MILD AND COMFORTABLE FOUR-SEASON CLIMATE. THE LANDSCAPE IS BEAUTIFUL, WITH RED MESAS SURROUNDING 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 YEARS YOUNGER THAN THE MEDIAN AGE IN THE UNITED STATES. HOWEVER, THE LIFE SPAN OF THE POPULATION IN MCKINLEY COUNTY IS FOUR YEARS LESS THAN THE AVERAGE AMERICAN. THE AVERAGE LIFE SPAN IN MCKINLEY COUNTY IS 74.4 YEARS VERSUS THE NATIONAL AVERAGE OF 78.8 YEARS. |
| PART VI, LINE 5: | PROMOTION OF COMMUNITY HEALTH: REHOBOTH MCKINLEY CHRISTIAN HOSPITAL IS THE MAIN CAMPUS. THIS 60-BED GENERAL ACUTE INPATIENT FACILITY OFFERS A WIDE RANGE OF MEDICAL AND DIAGNOSTIC SERVICES. HOSPITAL INPATIENT SERVICES INCLUDE A MEDICAL SURGICAL UNIT, INTENSIVE AND CRITICAL CARE UNITS. HOSPITAL ANCILLARY SERVICES INCLUDE A CARDIOPULMONARY REHABILITATION UNIT, DIAGNOSTIC IMAGING AND LABORATORY SERVICES, AS WELL AS PHYSICAL REHABILITATION SERVICES. THE MAIN CAMPUS IS ALSO HOME TO THE SURGICAL SERVICES UNIT AND THE EMERGENCY DEPARTMENT. |
| 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 | 0 | 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LETITIA BRADFORD MD | ||||||||||||||
| PHYSICIAN | $594,563 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $594,563 | $0 | $0 | $0 |
| JOHN YORK | ||||||||||||||
| PHYSICIAN | $548,840 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,397 | $0 | $571,237 | $0 | $0 | $0 |
| CHARLES J S GUIMARAES | ||||||||||||||
| PHYSICIAN | $466,432 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $42,336 | $0 | $508,768 | $0 | $0 | $0 |
| KIMBERLY COLLINS MD | ||||||||||||||
| PHYSICIAN | $454,853 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $454,853 | $0 | $0 | $0 |
| BRANDON MURGUIA | ||||||||||||||
| PHYSICIAN | $359,038 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $359,038 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | THE BEHAVIORAL HEALTH SERVICES PROGRAM WAS ENDED IN 2021. |
| FORM 990, PART VI, SECTION A, LINE 7A | ONE (1) TRUSTEE SHALL BE A MEMBER OF THE MEDICAL EXECUTIVE COMMITTEE (MEC), SELECTED BY THE MEC. THE REMAINING SIX (6) POSITIONS ON THE BOARD OF TRUSTEES ARE ELECTED ON A ROTATING SCHEDULE BY ALL OF THE VOTING MEMBERS OF THE BOARD OF TRUSTEES. IN ADDITION, THE COMMISSIONERS OF MCKINLEY COUNTY HAVE THE RIGHT TO APPOINT ONE (1) NON-VOTING, EX-OFFICIO MEMBER OF THE RMCHCS BOARD OF TRUSTEES |
| 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 FORM 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 THAT 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 INTEREST AND REPORTS THEM TO THE COMPLIANCE COMMITTEE. THE COMPLIANCE COMMITTEE REVIEWS POTENTIAL CONFLICTS OF INTEREST AND REPORTS THEM TO THE BOARD OF TRUSTEES. THE BOARD RECORDS NOTICE OF ALL CONFLICTS OF INTEREST IN THE 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 | ON SEPTEMBER 1, 2020, RMCHCS ENTERED INTO A MANAGEMENT SERVICES AGREEMENT (MSA) WITH COMMUNITY HOSPITAL CONSULTING, INC. (CHC) TO PROVIDE MANAGEMENT AND ADMINISTRATIVE PERSONNEL. WHILE CHC SUPPLIES QUALIFIED STAFF FOR KEY LEADERSHIP ROLESWITH APPOINTMENTS SUBJECT TO APPROVAL BY THE RMCHCS BOARD OF TRUSTEESRMCHCS RETAINS FULL RESPONSIBILITY FOR THE OPERATION AND MAINTENANCE OF THE HOSPITAL. NO POWERS, DUTIES, OR RESPONSIBILITIES VESTED IN THE RMCHCS BOARD ARE DELEGATED TO CHC. UNDER THE TERMS OF THE MSA, THE MARKET-SPECIFIC COMPENSATION OF SAID PERSONNEL MAY BE ADJUSTED ANNUALLY BY CHC IN ACCORDANCE WITH REASONABLE INCREASES OR MERIT INCREASES OR COST-OF-LIVING INCREASES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ARTICLES OF INCORPORATION, FINANCIAL STATEMENTS AND 990 ARE AVAILABLE TO THE PUBLIC ON THE WEBSITE OF THE NEW MEXICO DEPARTMENT OF JUSTICE. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 15,489,771. MANAGEMENT AND GENERAL EXPENSES 3,758,469. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,248,240. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 11,364,890. MANAGEMENT AND GENERAL EXPENSES 2,970,959. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,335,849. |
| FORM 990, PART XI, LINE 9: | PRIOR PERIOD AUDIT ADJUSTMENT - SEE AUDITED FINANCIAL STATEMENTS 2,147,409. |
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 | Yes (1) | 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 | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | 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 |
| Involved | $125,845 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Comments