2016-05-12T12:05:33-05:00 2015-06-30 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2014-07-01 850441767 San Juan Regional Rehabilitation Hospital Inc % KAREN S MILLER SANJ 5056092625 525 South Schwartz 2 Farmington NM 87401 JEFF EGBERT interim CEO 5056092625 2016-05-16 true Rita F Worster CPA P00290681 7194714290 2014 2016-08-17 19:52:53Z JEFF EGBERT interim CEO 801 WEST MAPLE STREET FARMINGTON NM 87401 3722342 false X www.sjrrh.com X 1996 NM PROVIDE ACUTE AND CHRONIC REHABILITATION TO PATIENTS IN THE FOUR CORNERS AREA AS THE ONLY ACUTE REHABILITATION HOSPITAL. 6 6 34 6 0 82275 725 4361092 3668914 47226 52703 0 0 4490593 3722342 0 0 0 0 2849352 2913563 0 0 0 908442 999318 3757794 3912881 732799 -190539 8305482 8019011 974288 921933 7331194 7097078 X PROVIDE ACUTE AND CHRONIC REHABILITATION TO PATIENTS IN THE FOUR CORNERS AREA AS THE ONLY ACUTE REHABILITATION HOSPITAL. false false 3520655 0 3668173 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. 3520655 true false false true false false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false true 0 0 34 true false false false false false false false false false false X 6 6 false false false false true true true true true false false true true true true true true false false false NM X KAREN S MILLER 5056096114 801 WEST MAPLE STREET FARMINGTON NM 87401 Barbara Cole Chairwoman 6.0 0.0 X X 0 0 0 Jim Loleit Vice Chairman/Treasurer 6.0 0.0 X X 0 0 0 Jamie Church Secretary thru 12/2014 6.0 0.0 X X 0 0 0 Karen Morrison Secretary 6.0 6.0 X X 0 0 0 Bruce Black DIRECTOR 6.0 6.0 X 0 0 0 Bruce Glade DIRECTOR 6.0 6.0 X 0 0 0 Delores Cammon Vice Chairwoman 6.0 0.0 X X 0 0 0 Rick Wallace CEO 2.0 38.0 X 0 464146 81668 MICHAEL PHILIPS CFO - UNTIL 04/20/15 2.0 38.0 X 0 332026 62404 KAREN S MILLER CFO - STARTING 05/2015 2.0 38.0 X 0 16473 628 Steven Gilkey Nurse 40.0 0.0 X 149402 0 17743 Peggy Shoemaker Nurse 40.0 0.0 X 130728 0 13830 Carol S Clay CNO Nurse Admin 40.0 0.0 X 128265 0 12963 Mark Chavez Registered Nurse 40.0 0.0 X 114595 0 13232 Tama Hubbs Nurse 40.0 0.0 X 108560 0 23835 631550 812645 226303 6 false true false SAN JUAN REGIONAL MEDICAL CENTER 801 West Maple Street FARMINGTON NM 87401 admin/health svcs 144000 1 725 725 NET PATIENT SERVICE REVENUE 621400 3668045 3668045 OTHER OPERATING REVENUE 900099 869 128 741 3668914 50383 50383 0 0 0 0 0 2320 2320 2320 2320 0 0 0 0 3722342 3668173 53444 X 0 0 0 0 0 0 2285089 2139520 145569 0 108422 100581 7841 350511 341070 9441 169541 159639 9902 0 0 0 1728 1728 0 0 445099 294326 150773 0 246461 197689 48772 0 0 50910 47058 3852 1464 1464 0 1117 1117 0 0 103534 94349 9185 34302 30000 4302 MEDICAL SUPPLIES 47108 47108 BAD DEBT EXPENSE 14343 14343 EQUIPMENT RENTAL/MAINTENANCE 53252 52391 861 3912881 3520655 392226 0 3296408 1457917 1963168 1547941 0 0 1108521 941717 0 0 0 0 0 0 0 0 23667 21608 3804684 2023804 1913718 1780880 0 2268948 0 0 0 0 0 0 0 0 8305482 8019011 540726 513625 0 0 0 0 0 0 0 0 0 0 0 0 0 0 433562 408308 974288 921933 X 7331194 7097078 0 0 0 0 7331194 7097078 8305482 8019011 -190539 -43577 X false true X true false X false false false false false false false false true 1728 1728 false Schedule C, Part II-B, Line 1g Lobbying: A portion of the dues paid to american medical rehabilitation providers association is attributable to lobbying expenditures. 360083 360083 2784244 1498952 1285292 464609 401947 62662 195748 122905 72843 1780880 0 DUE TO MEDICARE/MEDICAID 325233 DUE RELATED ORGANIZATION 83075 408308 3664422 -43577 -43577 3707999 14343 14343 3722342 3898538 3898538 14343 14343 3912881 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 true true X true X true X true true true false true true 77393 0 77393 0.01990 735359 605152 130207 0.03340 60307 72292 -11985 0.00000 873059 677444 195615 0.05330 873059 677444 195615 0.05330 true 14343 6454 2298409 2408454 -110045 X true true 1 1 San Juan Regional Rehabilitation Hosp 525 South Schwartz 2 Farmington NM 87401 www.sjrrh.com 6578 X acute rehabilitation 1 San Juan Regional Rehabilitation Hosp 1 false false true X X X X X X X X 14 true true false true X SEE PART V, SECTION C FOR URL X SEE PART V, SECTION C FOR URL X true 11 false true false true X 200. 400. X X X X true true X X X X true X X X X true X false X X X X true X false false 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. 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. false true false false false false false false false Rick Wallace CEO 0 450371 0 0 0 13775 0 54573 0 27095 0 545814 0 0 MICHAEL PHILIPS CFO - UNTIL 04/20/15 0 331557 0 0 0 469 0 39930 0 22474 0 394430 0 0 Steven Gilkey Nurse 149229 0 150 0 23 0 4570 0 13173 0 167145 0 0 0 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 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 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 SJR HOLDING COMPANY INC 801 W MAPLE STREET FARMINGTON NM 87401 201126483 SUPPORT SERVICES NM SJRMC C-CORP false false false false true false false false false false false false false false true true false false false