2025-11-14T07:22:52-06:00 2022-12-31 850203431 REDW LLC 8801 HORIZON BLVD NE 401 ALBUQUERQUE NM 87113 990 2022-01-01 850313268 REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES INC REHO 5058637000 1901 RED ROCK DRIVE GALLUP NM 87301 DAVID MCGRAIL CFO 5058637000 2025-11-12 1 1 JAMIE S FRIDLEY CPA P00380605 5059983200 2025-11-12 2022 2025-03-06 01:10:19Z DAVID MCGRAIL 1901 RED ROCK DRIVE GALLUP NM 87301 63088820 0 X WWW.RMCH.ORG X 1985 NM 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. 7 6 529 0 0 0 3401966 6948991 67409201 56089656 56033 21925 -452425 0 70414775 63060572 0 1025 0 0 44793011 28971950 0 0 0 37738225 55971772 82531236 84944747 -12116461 -21884175 34587674 53188952 29239884 67577928 5347790 -14388976 X 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. 0 1 61009077 1025 52238119 HOSPITAL SERVICES INCLUDE MEDICAL CARE SERVICES AND/OR SURGICAL CARE SERVICES PROVIDED TO PATIENTS IN AN INPATIENT, OUTPATIENT AND/OR EMERGENCY SETTING. 6228387 3712930 CLINIC SERVICES INCLUDE PRIMARY CARE SERVICES AND/OR SPECIALTY CARE SERVICES PROVIDED TO PATIENTS IN A MEDICAL CLINIC SETTING. 746601 138607 HOME HEALTH SERVICES INCLUDE MEDICAL CARE SERVICES TO PATIENTS WHO ARE HOMEBOUND DUE TO INJURY, ILLNESS, OR CHRONIC CONDITIONS. 67984065 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 60 0 1 529 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NM X THE ORGANIZATION 5058637000 1901 RED ROCK DRIVE GALLUP NM 87301 X LETITIA BRADFORD MD PHYSICIAN 40.00 X 594563 0 0 JOHN YORK PHYSICIAN 40.00 X 548840 0 22397 CHARLES J S GUIMARAES PHYSICIAN 40.00 X 466432 0 42336 KIMBERLY COLLINS MD PHYSICIAN 40.00 X 454853 0 0 BRANDON MURGUIA PHYSICIAN 40.00 X 359038 0 0 DON SMITHBURG INTERIM CEO TO MARCH 2022 40.00 X 0 0 0 ROBERT WHITAKER CEO FROM APRIL 2022 40.00 X 0 0 0 CHANTELLE VENTER CFO TO APRIL 2022 40.00 X 0 0 0 BLAISE BONDI INTERIM CFO FROM MAY 2022 40.00 X 0 0 0 WARNER ANDERSON MD TRUSTEE 1.00 X 0 0 0 MIKE HYATT TRUSTEE 1.00 X 0 0 0 STEVE MCKERNAN TRUSTEE 1.00 X 0 0 0 DEBBIE GORENZ TRUSTEE 1.00 X 0 0 0 GENEVIEVE ROBRAN TRUSTEE 1.00 X 0 0 0 BILL LEE TRUSTEE 1.00 X 0 0 0 JEREMY GAY TRUSTEE TO AUG 2022 1.00 X 0 0 0 AYODELE ERINELE MD TRUSTEE TO AUG 2022 1.00 X 0 0 0 2423726 0 64733 52 0 1 0 AMEDISTAFF PO BOX 6419 SILOAM SPRINGS AR 72761 MEDICAL SERVICES 5300143 COMMUNITY HOSPITAL CONSULTING 7950 LEGACY DR STE 1000 PLANO TX 75024 STAFF/ CONSULTING 1545525 AMERICAN PHYSICIAN PARTNERS 5121 MARYLAND WAY BRENTWOOD TN 37027 MEDICAL SERVICES 1105000 ELEVATE HEALTHCARE CONSULTANTS 1700 PACIFIC AVENUE DALLAS TX 75201 MEDICAL SERVICES 951298 OMKAR ULHAS VIADYA 8010 STATE LINE ROAD SUITE 100 PRAIRIE VILLAGE KS 66208 MEDICAL SERVICES 819589 28 125845 3574651 3248495 6948991 NET PATIENT SERVICE REVENUE 621110 47985359 47985359 OTHER OPERATING REVENUE 621110 7802634 7802634 MEDICAL OFFICE RENTAL REVENUE 531120 301663 301663 56089656 50173 50173 28248 -28248 -28248 -28248 63060572 56089656 0 21925 X 1025 1025 24224902 19204538 5020364 2459855 1950075 509780 2287193 1813196 473997 599295 111815 487480 251343 46895 204448 33584089 26854661 6729428 55250 55006 244 202319 198118 4201 322860 321437 1423 3763251 3746660 16591 703155 700056 3099 650696 95007 555689 1827647 1088812 738835 1301689 1301689 SUPPLIES & PHARMACEUTIC 9082092 8191826 890266 EQUIPMENT RENTAL 1151367 1146292 5075 OTHER TAXES 929305 925209 4096 REPAIRS & MAINTENANCE 841244 837536 3708 706170 695901 10269 84944747 67984065 16960682 0 1062907 3104519 5731871 1100600 9645225 9596596 1121106 1347137 1481839 657743 511438 68623828 57818484 12687163 10805344 1265974 1237726 50000 50000 1018548 25300890 34587674 53188952 12474006 28274669 3289642 21087 8699176 10389398 4777060 28892774 29239884 67577928 X 4679331 -14926274 668459 537298 5347790 -14388976 34587674 53188952 X -21884175 2147409 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 788219 788219 32424983 27921888 4503095 1989226 1899106 90120 33031650 27997490 5034160 389750 389750 10805344 OPERATING LEASE RIGHT OF USE ASSET 24406407 FINANCE LEASE RIGHT OF USE ASSETS 894483 25300890 ESTIMATED AMOUNT DUE TO THIRD PARTY 356697 DEFERRED COMP LIABILITY 387167 PATIENT REFUNDS 2515702 OPERATING FINANCE LEASE LIABILITIES 24724968 FINANCE LEASE LIABILITIES 908240 28892774 X PART X, LINE 2: 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. 1 1 X 1 X 300.000000000000 1 X 500.000000000000 1 1 0 0 254649 254649 0.00300 28028150 16471845 11556305 0.13600 28282799 16471845 11810954 0.13900 374236 497523 0 0.00000 374236 497523 0 0.00000 28657035 16969368 11810954 0.13900 1 8051942 3220777 13412054 22455309 -9043255 X 1 1 1 1 RMCHCS HOSPITAL 1901 RED ROCK DRIVE GALLUP NM 87301 WWW.RMCHCS.ORG 6267 X X X RMCHCS HOSPITAL 0 0 1 X X X X X X X X X 22 1 0 0 1 X WWW.RMCHCS.ORG X 1 22 1 WWW.RMCHCS.ORG 0 1 X 300.000000000000 500.000000000000 X X X 1 1 X X X 1 X WWW.RMCHCS.ORG X WWW.RMCHCS.ORG X WWW.RMCHCS.ORG X X X X X X X 1 X 0 X X X 1 X 0 0 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. 6 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 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 X X 0 0 X X 0 0 0 0 0 0 0 1 0 LETITIA BRADFORD MD PHYSICIAN 594563 0 0 0 0 0 0 0 0 0 594563 0 0 0 JOHN YORK PHYSICIAN 548840 0 0 0 0 0 0 0 22397 0 571237 0 0 0 CHARLES J S GUIMARAES PHYSICIAN 466432 0 0 0 0 0 0 0 42336 0 508768 0 0 0 KIMBERLY COLLINS MD PHYSICIAN 454853 0 0 0 0 0 0 0 0 0 454853 0 0 0 BRANDON MURGUIA PHYSICIAN 359038 0 0 0 0 0 0 0 0 0 359038 0 0 0 PART I, LINE 7 THE BONUSES OF THE PHYSICIANS LISTED ARE DETERMINED BY A JOINT CONSULTATION BETWEEN THE CEO, CMO, CFO AND THE HR DIRECTOR. THIS IS INCORPORATED WITH MGMA DATA AND OTHER DATA SOURCES. 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. WESTERN HEALTH FOUNDATION 1901 RED ROCK DRIVE GALLUP NM 87301 850349559 SUPPORT NM 501(C)(3) LINE 7 RMCHCS 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 WESTERN HEALTH FOUNDATION C 125845 FMV