SAN JUAN REGIONAL REHABILITATION HOSPITAL INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- SAN JUAN REGIONAL REHABILITATION HOSPITAL INC (EIN 85-0441767)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-12
- IRS object ID
- 201611339349302831
- Schema version
- 2014v6.0
- 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 | 2016-05-12T12:05:33-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 South Tejon Suite 800 | AddressLine1Txt |
| City | Colorado Springs | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 809039848 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850441767 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | San Juan Regional Rehabilitation Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % KAREN S MILLER | InCareOfNm |
| Business Name Control | SANJ | BusinessNameControlTxt |
| Phone | 5056092625 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 525 South Schwartz 2 | AddressLine1Txt |
| City | Farmington | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFF EGBERT | PersonNm |
| Person Title | interim CEO | PersonTitleTxt |
| Phone | 5056092625 | PhoneNum |
| Signature | 2016-05-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rita F Worster CPA | PreparerPersonNm |
| PTIN | P00290681 | PTIN |
| Phone | 7194714290 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEFF EGBERT interim CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 WEST MAPLE STREET | AddressLine1Txt |
| City | FARMINGTON | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,722,342 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.sjrrh.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE ACUTE AND CHRONIC REHABILITATION TO PATIENTS IN THE FOUR CORNERS AREA AS THE ONLY ACUTE REHABILITATION HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 34 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $82,275 | PYContributionsGrantsAmt |
| CY Contributions Grants | $725 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,361,092 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,668,914 | CYProgramServiceRevenueAmt |
| PY Investment Income | $47,226 | PYInvestmentIncomeAmt |
| CY Investment Income | $52,703 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $4,490,593 | PYTotalRevenueAmt |
| CY Total Revenue | $3,722,342 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,849,352 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,913,563 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $908,442 | PYOtherExpensesAmt |
| CY Other Expenses | $999,318 | CYOtherExpensesAmt |
| PY Total Expenses | $3,757,794 | PYTotalExpensesAmt |
| CY Total Expenses | $3,912,881 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $732,799 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$190,539 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,305,482 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,019,011 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $974,288 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $921,933 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,331,194 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,097,078 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDE ACUTE AND CHRONIC REHABILITATION TO PATIENTS IN THE FOUR CORNERS AREA AS THE ONLY ACUTE REHABILITATION HOSPITAL. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,520,655 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,668,173 | RevenueAmt |
| Desc | San juan regional rehabilitation hospital is committed to helping members of the community who are experiencing physical, communication, or thought-related difficulties reach their highest level of ability to live, work and play in a healthy and safe environment. SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
| Total Program Service Expenses | $3,520,655 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 34 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KAREN S MILLER | PersonNm |
| Phone | 5056096114 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 WEST MAPLE STREET | AddressLine1Txt |
| City | FARMINGTON | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Barbara Cole | ||||||||
| Chairwoman | 6.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Jim Loleit | ||||||||
| Vice Chairman/Treasurer | 6.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Jamie Church | ||||||||
| Secretary thru 12/2014 | 6.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Karen Morrison | ||||||||
| Secretary | 6.0 | 6.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Bruce Black | ||||||||
| DIRECTOR | 6.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| Bruce Glade | ||||||||
| DIRECTOR | 6.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| Delores Cammon | ||||||||
| Vice Chairwoman | 6.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Rick Wallace | ||||||||
| CEO | 2.0 | 38.0 | Yes (X) | $0 | $464,146 | $81,668 | ||
| MICHAEL PHILIPS | ||||||||
| CFO - UNTIL 04/20/15 | 2.0 | 38.0 | Yes (X) | $0 | $332,026 | $62,404 | ||
| KAREN S MILLER | ||||||||
| CFO - STARTING 05/2015 | 2.0 | 38.0 | Yes (X) | $0 | $16,473 | $628 | ||
| Steven Gilkey | ||||||||
| Nurse | 40.0 | 0.0 | $149,402 | $0 | $17,743 | Yes (X) | ||
| Peggy Shoemaker | ||||||||
| Nurse | 40.0 | 0.0 | $130,728 | $0 | $13,830 | Yes (X) | ||
| Carol S Clay | ||||||||
| CNO Nurse Admin | 40.0 | 0.0 | $128,265 | $0 | $12,963 | Yes (X) | ||
| Mark Chavez | ||||||||
| Registered Nurse | 40.0 | 0.0 | $114,595 | $0 | $13,232 | Yes (X) | ||
| Tama Hubbs | ||||||||
| Nurse | 40.0 | 0.0 | $108,560 | $0 | $23,835 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $631,550 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $812,645 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $226,303 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SAN JUAN REGIONAL MEDICAL CENTER | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 West Maple Street | AddressLine1Txt |
| City | FARMINGTON | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | admin/health svcs | ServicesDesc |
| Compensation | $144,000 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $725 | AllOtherContributionsAmt |
| Total Contributions | $725 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | $3,668,045 | $3,668,045 | |
| OTHER OPERATING REVENUE | 900099 | $869 | $128 | $741 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,668,914 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,383 | TotalRevenueColumnAmt |
| Exclusion | $50,383 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,320 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,320 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,320 | TotalRevenueColumnAmt |
| Exclusion | $2,320 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,722,342 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,668,173 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $53,444 | 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 | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,285,089 | TotalAmt |
| Program Services | $2,139,520 | ProgramServicesAmt |
| Management And General | $145,569 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,422 | TotalAmt |
| Program Services | $100,581 | ProgramServicesAmt |
| Management And General | $7,841 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,511 | TotalAmt |
| Program Services | $341,070 | ProgramServicesAmt |
| Management And General | $9,441 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,541 | TotalAmt |
| Program Services | $159,639 | ProgramServicesAmt |
| Management And General | $9,902 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,728 | TotalAmt |
| Management And General | $1,728 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,099 | TotalAmt |
| Program Services | $294,326 | ProgramServicesAmt |
| Management And General | $150,773 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,461 | TotalAmt |
| Program Services | $197,689 | ProgramServicesAmt |
| Management And General | $48,772 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,910 | TotalAmt |
| Program Services | $47,058 | ProgramServicesAmt |
| Management And General | $3,852 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,464 | TotalAmt |
| Program Services | $1,464 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,117 | TotalAmt |
| Program Services | $1,117 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,534 | TotalAmt |
| Program Services | $94,349 | ProgramServicesAmt |
| Management And General | $9,185 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,302 | TotalAmt |
| Program Services | $30,000 | ProgramServicesAmt |
| Management And General | $4,302 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $47,108 | $47,108 | |
| BAD DEBT EXPENSE | $14,343 | $14,343 | |
| EQUIPMENT RENTAL/MAINTENANCE | $53,252 | $52,391 | $861 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,912,881 | TotalAmt |
| Program Services | $3,520,655 | ProgramServicesAmt |
| Management And General | $392,226 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,296,408 | BOYAmt |
| EOY | $1,457,917 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,963,168 | BOYAmt |
| EOY | $1,547,941 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,108,521 | BOYAmt |
| EOY | $941,717 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,667 | BOYAmt |
| EOY | $21,608 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,804,684 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,023,804 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,913,718 | BOYAmt |
| EOY | $1,780,880 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,268,948 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,305,482 | BOYAmt |
| EOY | $8,019,011 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $540,726 | BOYAmt |
| EOY | $513,625 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $433,562 | BOYAmt |
| EOY | $408,308 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $974,288 | BOYAmt |
| EOY | $921,933 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,331,194 | BOYAmt |
| EOY | $7,097,078 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,331,194 | BOYAmt |
| EOY | $7,097,078 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,305,482 | BOYAmt |
| EOY | $8,019,011 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$190,539 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$43,577 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $1,728 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,728 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1g | FormAndLineReferenceDesc |
| Explanation | Lobbying: A portion of the dues paid to american medical rehabilitation providers association is attributable to lobbying expenditures. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $360,083 | OtherCostOrOtherBasisAmt |
| Book Value | $360,083 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,784,244 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,498,952 | DepreciationAmt |
| Book Value | $1,285,292 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $464,609 | OtherCostOrOtherBasisAmt |
| Depreciation | $401,947 | DepreciationAmt |
| Book Value | $62,662 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $195,748 | OtherCostOrOtherBasisAmt |
| Depreciation | $122,905 | DepreciationAmt |
| Book Value | $72,843 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,780,880 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO MEDICARE/MEDICAID | $325,233 |
| DUE RELATED ORGANIZATION | $83,075 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $408,308 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $3,664,422 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$43,577 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$43,577 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,707,999 | RevenueSubtotalAmt |
| Other Revenues Not Included | $14,343 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $14,343 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,722,342 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,898,538 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $3,898,538 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $14,343 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $14,343 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,912,881 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 | UNCERTAIN TAX POSITIONS: Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. |
| Schedule D, Part XI, line 4b | Revenue on return, not on books: Bad Debt expense net with revenue on financials, treated as expense for 990 14,343 |
| Schedule D, Part XII, line 4b | Expense on return, not on books: Bad Debt expense net with revenue on financials, treated as expense for 990 14,343 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,393 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $77,393 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01990 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $735,359 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $605,152 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $130,207 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03340 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,307 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $72,292 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$11,985 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $873,059 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $677,444 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $195,615 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05330 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $873,059 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $677,444 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $195,615 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05330 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $14,343 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $6,454 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,298,409 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $2,408,454 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$110,045 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | San Juan Regional Rehabilitation Hosp | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 525 South Schwartz 2 | AddressLine1Txt |
| City | Farmington | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.sjrrh.com | WebsiteAddressTxt |
| State License | 6578 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | acute rehabilitation | OtherDesc |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | San Juan Regional Rehabilitation Hosp | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C FOR URL | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V, SECTION C FOR URL | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 11 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | As part of the Community Health Needs Assessment, five focus groups were held June 3 through June 5, 2014. Focus group participants included 39 key informants, including public health representatives; physicians; other health professionals; business leaders; and elected officials. One of the focus groups primarily related to the health concerns of the area's Native American population. The remaining four focus groups were undertaken to specifically address the four healthcare concerns identified in previous Community Health Needs Assessments : 1) weight status, 2) diabetes, 3) prenatal care and teen pregnancy and 4) access to healthcare services. Key Informant Focus Group: Native American Services Navajo Nation, Counselor Chapter Navajo Nation, Huerfano Chapter Navajo Nation, Nageezi Chapter Navajo Nation, Tse Daa K'aan Chapter Shiprock Navajo Area Agency on Aging (SRNAAA) Key Informant Focus Group: Business Leaders Farmington Chamber of Commerce Century 21 Sowesco Comfort Keepers Parker's Office Products Harmony Naprapathic Sylvan Learning Center Citizens Trust Corporation Key Informant Focus Group: Other Health Providers Partners Assisted Living Service New Mexico Department of Health Lifecare Center Northwest New Mexico Home Health and Hospice Adult Protective Services San Juan Rehabilitation Hospital Echo Food Bank SJCI Bloomfield PHO Basin Home Health and Hospice Key Informant Focus Group: Elected Officials City of Farmington San Juan County Key Informant Focus Group: Physicians San Juan Regional Medical Center Various private practices |
| SCHEDULE H, PART V, SECTION B, LINE 6a | THE CHNA WAS CONDUCTED WITH San Juan Regional Regional Medical Center. |
| SCHEDULE H, PART V, SECTION B, LINE 7a | direct url for community health needs assessment on hospital's website: http://sjrmc.uberflip.com/i/310857-2011-prc-chna-report-r-5-14 |
| SCHEDULE H, PART V, SECTION B, LINE 7b | direct url for community health needs assessment on other website: http://www.sanjuanregional.com/community-assessment |
| SCHEDULE H, PART V, SECTION B, LINE 11 | San Juan Regional Rehabilitation Hospital has conducted three Community Health Needs Assessments since 2008 and every assessment identified the following as top issues: - Chronic Disease, especially diabetes and heart disease; - Culturally sensitive communication and health information; - Greater public outreach; - Suicide Prevention. The Board of Directors, through the Partnership sub-committee of the Board, provides grants to other not for profit organizations through its Community Reinvestment Fund. The Board made the decision to limit the grants to organizations that address the top issues in the Community Health Needs Assessment. We also match the donations of our employees-dollar for dollar-to the United Way of San Juan County through the Community Reinvestment Fund. Furthermore, we address these top issues through activities within the hospital. Outreach - Flu Clinics - Health Fairs - Low Cost Blood Screenings Culturally sensitive communication and health information - Spanish translation of health information - Health information spots on KNDN, the Navajo radio station - Translation of signage - Translator services Chronic Disease Management - Diabetes Education and Lifestyle Balance - Dietary Consults - Outreach and education of children through Mr. Juan Hart and Healthy FET Kids - Low Cost Blood Screenings San Juan Regional Medical Center has expanded mental health services to improve access to behavioral health care. It is not possible, from a financial or human resource standpoint to address all the issues in the CHNA therefore we chose the top issues that we felt we could impact. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | The organization used a cost-to-charge ratio for line 7a-7c. The cost-to-charge ratio was derived from worksheet 2, ratio of patient care cost-to-charges. |
| SCHEDULE H, PART I, LINE 7, COLUMN F | BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT EXCLUDED FOR PURPOSES OF CALCULATING PERCENTAGES IN THIS COLUMN EQUAL $14,343. |
| SCHEDULE H, PART III, Section A, LINE 2 | The Organization analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. |
| SCHEDULE H, PART III, Section A, LINE 3 | The amount on line 3 is an estimate based on management's belief of the percentage of additional financial assistance cost if the patients would complete the financial assistance application. This amount is currently estimated between 45-60%, what is included in our bad debt. |
| SCHEDULE H, PART III, Section A, LINE 4 | The footnote to the organization's financial statements that describes bad debt expenses is located in footnote 1 on page 7 of the attached financial statements. |
| SCHEDULE H, PART III, Section B, LINE 8 | The hospital's actual expenses are entered into the cost report software and the allowable costs are determined by Medicare Regulations. Medicare shortfall should be treated as community benefit because, absent this program, many individuals would qualify for financial assistance and other needs- based programs. By accepting payments below cost to treat these individuals, the burdens of the government are relieved, and the amount spent to cover the Medicare shortfall is money not available to cover financial assistance and other community benefit needs. |
| SCHEDULE H, PART III, Section C, LINE 9b | San Juan Regional Rehabilitation Hospital's (SJRRH) policy on patient account collections states "SJRRH will not attempt to collect from a patient who is applying for the San Juan County Indigent Fund as long as the patient is cooperating with the application process". The policy also states "SJRRH will not collect from a patient applying for the community service fund (Financial Assistance) as long as the patient is cooperating with the application process." |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT: San Juan Rehabilitation hospital (SJRRH) is controlled by San Juan Regional Medical Center. The community health needs assessment (CHNA) conducted with SJRMC is used by SJRRH for any rehabilitation needs brought out by the CHNA. The CHNA that was performed in fiscal year 2015 guides SJRMC and SJRRH in planning and initiating programs that address the identified needs of our community. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: San Juan Rehabilitation Hospital provides for a number of financial counselors and customer service representatives who work alongside patients to help them navigate their payment, billing and assistance options. Information is disseminated to patients through online and paper resources located throughout the hospital. A widely distributed brochure titled "Paying for Hospital Services at San Juan Regional Medical Center" is specifically designed to help patients understand their hospital bill and inform them of their options for payment and assistance including information on the availability of Indian Health Service Assistance, cash discounts, bill reduction through a Community service fund, special funds through the San Juan County Indigent Fund, or Medical Hardship Waivers. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION: San Juan Rehabilitation Hospital (SJRRH) serves the Four Corners Region of the United States, which is mostly rural. The hospital is located in the region's largest city and only metropolitan area, which is Farmington, New Mexico. Other cities in the region include Cortez and Durango in Colorado, Monticello and Blanding in Utah, Kayenta and Chinle in Arizona, and Shiprock, Aztec, and Bloomfield in New Mexico. This region also includes the Navajo Nation. Statistics gathered for the hospital's community needs assessment in 2014 for San Juan County (Population 130,044)- which is the principal county served by SJRRH - indicate the following population characteristics: Men 49.6%, Women 50.4%, Ages 18 and Under 29%, Ages 65+ 10.8%, White 51.6% American Indian and Alaka Native 36.6% Hispanic 19.1%. The median household income for San Juan County is $46,007. |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH: The board of directors is made up of medical and business professionals from the community. These volunteers give countless hours of service to the hospital in their oversight role. Medical staff privileges are offered to all qualified physicians in the community. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rick Wallace | ||||||||||||||
| CEO | $0 | $450,371 | $0 | $0 | $0 | $13,775 | $0 | $54,573 | $0 | $27,095 | $0 | $545,814 | $0 | $0 |
| MICHAEL PHILIPS | ||||||||||||||
| CFO - UNTIL 04/20/15 | $0 | $331,557 | $0 | $0 | $0 | $469 | $0 | $39,930 | $0 | $22,474 | $0 | $394,430 | $0 | $0 |
| Steven Gilkey | ||||||||||||||
| Nurse | $149,229 | $0 | $150 | $0 | $23 | $0 | $4,570 | $0 | $13,173 | $0 | $167,145 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3 | ESTABLISHING COMPENSATION OF THE CEO: COMPENSATION FOR THE CEO IS PAID THROUGH SAN JUAN REGIONAL MEDICAL CENTER, A RELATED ORGANIZATION. PLEASE SEE SCHEDULE O, LINE 15A NARRATIVE ON HOW COMPENSATION IS DETERMINED. |
| SCHEDULE J, PART I, LINE 4B | Supplemental nonqualified plan: San Juan Regional Medical Center (sjrmc) has a 457(F) deferred compensation plan that allows certain executives to contribute money on a pre-tax basis into investments and to accumulate tax-deferred earnings. The following pre-tax calendar year 2014 contributions to the 457(F) plan are included in schedule J, Part II, column (C) as deferred compensation: Rick Wallace $36,373 Michael Philips $21,730 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | PROGRAM SERVICE ACCOMPLISHMENTS: san juan regional rehabilitation hospital (sjrrh) is a free-standing 16 bed, inpatient rehabilitation facility. sjrrh was founded as a joint venture in 1989 and became a tax-exempt hospital in 1996. sjrrh is the only licensed acute rehabilitation hospital in the four corners area and serves patients in colorado, utah, arizona and new mexico. sjrrh treats patients with acute and chronic rehabilitation needs regardless of the patient's ability to pay. approximately 240 patients are treated annually. this includes many conditions such as stroke, spinal cord injuries, brain injuries, amputations and other orthopedic injuries, to name a few. at sjrrh, patients relearn and practice life skills so they can return home as soon as possible. stroke, accident, or illness can rob a person of their independence and self-reliance in an instant if the loss is severe enough. the person's only hope of regaining the ability to work, play and live their life independently is by receiving the highest level of rehabilitation possible. sjrrh provides that hope. at sjrrh, a rehabilitation team, made up of a specialist physician, physical, occupational, and speech therapists, rehabilitation nurses, and a case manager designs a personalized plan for the patient. that rehabilitation plan is based on the patient's unique circumstances-their condition, their goals and their lifestyle. sjrrh is active in providing information to the community on fall protection, healthy lifestyles and injury prevention. this is done through health fairs, open houses and the stroke support group. |
| Form 990, Part VI, Section A, Line 6 | MEMBERS: SAN JUAN REGIONAL MEDICAL CENTER, A TAX-EXEMPT ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF SAN JUAN REGIONAL REHABILITATION HOSPITAL. |
| Form 990, Part VI, Section A, Line 7a | Members who can elect members of the governing body: SAN JUAN REGIONAL MEDICAL CENTER, AS THE SOLE CORPORATE MEMBER OF SAN JUAN REGIONAL REHABILITATION HOSPITAL (SJRRH), HAS THE RIGHT TO AUTHORIZE OR APPROVE THE ELECTION OF ANY BOARD MEMBER OR OFFICER OF SJRRH. |
| Form 990, Part VI, Section A, Line 7b | Decisions of governing body subject to approval by members: San juan regional medical center, as the sole corporate member of san juan regional rehabilitation hospital, has the following reserved powers: a) adopt or approve any annual or long-term capital or operating budget of the corporation, b) incur any obligation, not provided for in an annual or long-term capital or operating budget approved by the member, where the amount involved exceeds $50,000 per item or $100,000 in aggregate, c) authorize or approve any sale, mortgage or other disposition of all or substantially all of the corporation's assets, d) authorize or approve sale, conveyance, mortgage, disposition or acquisition of real estate, e) authorize or approve any new, or any change to existing, long-term or master institutional plans of the corporation, f) authorize or approve any plan or agreement of merger or consolidation of the corporation with or into another entity, or any change or transfer of control or membership of the corporation, g) set the compensation of corporation officers and physician employees of the corporation, h) adopt a plan of or authorize a petition for dissolution, liquidation, bankruptcy or reorganization of the corporation, i) authorize or approve organization, formation or acquisition of any subsidiary or affiliate of the corporation, including any corporation, association, partnership, trust, joint venture or other entity directly or indirectly controlling, controlled by or under common control with the corporation, j) authorize or approve any debt instrument, note, pledge or guaranty with a term in excess of one year, k) authorize or approve the corporation's appointment of, or the corporation's contract with, the president and chief executive officer of the corporation, or l) authorize or approve any amendment, repeal, restatement, or revision of the articles of organization or by laws of the corporation |
| Form 990, Part VI, Section B, line 11b | Process to Review the Form 990: THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM BASED ON DATA PROVIDED BY MANAGEMENT. A DRAFT COPY OF THE 990 IS PROVIDED TO MANAGEMENT FOR REVIEW. A MEETING IS CONDUCTED BY THE ACCOUNTING FIRM TO REVIEW THE RETURN IN DETAIL. ANY QUESTIONS ARE ADDRESSED AND ANY NECESSARY CHANGES ARE MADE TO THE RETURN. THE FINAL DRAFT OF THE FORM 990 IS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING ALONG WITH A BRIEF EDUCATION SESSION CONDUCTED BY THE ACCOUNTING FIRM TO DISCUSS THE HIGHLIGHTS OF THE FORM. |
| Form 990, Part VI, Section B, line 12c | Process for Monitoring Compliance with Conflict of Interest Policy: The conflict of interest policy is distributed on a yearly basis to the board of directors and Managers at san juan regional rehabilitation hospital. it is required to be filled out and then reviewed by the executive director and the board in order to find out if any conflicts or potential conflicts exist. any identified conflicts have to be reported to the compliance officer who then reviews and determines if the conflict constitutes breach of employment and may lead to disciplinary action. |
| Form 990, Part VI, Section B, line 15a | Describe process for determining compensation: THE BOARD OF DIRECTORS FOR SAN JUAN REGIONAL MEDICAL CENTER, THE SOLE MEMBER OF SAN JUAN REGIONAL REHABILITATION HOSPITAL (SJRRH), USES THE FOLLOWING COMPARABLE DATA WHEN DETERMINING THE COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL OF SJRRH. REGIONAl/LOCAL AREA NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SIZE, NATIONAL NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SIZE, AND OTHER RELEVANT COMPARATORS (EG, FOR PROFIT HEALTHCARE AND/OR GENERAL INDUSTRY ORGANIZATIONS) OF COMPARABLE SIZE AND COMPLEXITY, ONLY WHEN COMPETITIVE CIRCUMSTANCES WARRANT THESE MARKETS. ADDITIONALLY, THE BOARD BIANNUALLY HAS AN OUTSIDE FIRM COMPARE THE CEO'S COMPENSATION WITH OTHER HEALTHCARE ORGANIZATIONS TO REMAIN COMPETITIVE. THE PROCESS WAS LAST COMPLETED ON JULY 10, 2015. THE PROCESS IS DOCUMENTED IN THE BOARD MINUTES WHEN PRESENTED TO THE INDIVIDUALS. THE PROCESS IS DOCUMENTED WITHIN THE BOARD MINUTES. NO OTHER OFFICERS ARE COMPENSATED AND THERE ARE NO KEY EMPLOYEES, THEREFORE, LINE 15B IS ANSWERED NO. |
| Form 990, Part VI, Section C, line 19 | Governing Documents Available to the Public: SAN JUAN REGIONAL REHABILITATION HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT SERVICES TOTAL FEES:445099 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SAN JUAN REGIONAL MEDICAL CENTER (sjrmc) | ||||||||||
| 801 WEST MAPLE STREET | FARMINGTON | NM | 87401 | 850127924 | HEALTHCARE | NM | 501(C)(3) | LINE 3 | na | false |
| SAN JUAN HEALTH PARTNERS INC | ||||||||||
| 801 WEST MAPLE STREET | FARMINGTON | NM | 87401 | 272367549 | HEALTHCARE | NM | 501(C)(3) | LINE 3 | SJRMC | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SJR HOLDING COMPANY INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 W MAPLE STREET | AddressLine1Txt |
| City | FARMINGTON | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201126483 | EIN |
| Primary Activities | SUPPORT SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | NM | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SJRMC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C-CORP | EntityTypeTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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