TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL (EIN 85-0289839)
Tax period
2011-06-01 to 2012-05-31
Filed
2013-02-26
IRS object ID
201300579349300410
Schema version
2011v1.5
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

FieldValueIRS element (for citing)
Timestamp2013-02-26T10:34:51-06:00Timestamp
Tax Period End Date2012-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN910189318EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line16100 UPTOWN BLVD NE STE 400AddressLine1
CityALBUQUERQUECity
StateNMState
ZIP Code87110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN850289839EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TAOS HEALTH SYSTEMS INC DBA HOLY CROSS HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTAOSNameControl
Phone5057588883Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11397 WEIMER RDAddressLine1
CityTAOSCity
StateNMState
ZIP Code87571ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRIC EISENRINGName
TitleCFOTitle
Phone5057588883Phone
Date Signed2013-02-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePAMELA ALEXANDERSONName
PTINP01218925PTIN
Phone5058787200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPETER HOFSTETTERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11397 WEIMER RDAddressLine1
CityTAOSCity
StateNMState
ZIP Code87571ZIPCode
FieldValueIRS element (for citing)
Gross Receipts66660724GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TAOSHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileNMStateLegalDomicile
Activity Or Mission DescriptionHOLY CROSS HOSPITAL'S MISSION IS TO CONTINUE TO BE THE REGIONAL HEALTH CARE PROVIDER OF CHOICE WHERE GREAT CARE COMES TOGETHER.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees556TotalNbrEmployees
Total Nbr Volunteers94TotalNbrVolunteers
Total Gross UBI103175TotalGrossUBI
Net Unrelated Business Txbl Income59704NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1415148ContributionsGrantsPriorYear
Contributions Grants Current Year1557153ContributionsGrantsCurrentYear
Program Service Revenue Prior Year55406396ProgramServiceRevenuePriorYear
Program Service Revenue CY60494533ProgramServiceRevenueCY
Investment Income Prior Year309968InvestmentIncomePriorYear
Investment Income Current Year532015InvestmentIncomeCurrentYear
Other Revenue Prior Year755082OtherRevenuePriorYear
Other Revenue Current Year1928481OtherRevenueCurrentYear
Total Revenue Prior Year57886594TotalRevenuePriorYear
Total Revenue Current Year64512182TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year32559660SalariesEtcPriorYear
Salaries Etc Current Year32679714SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year29224422OtherExpensePriorYear
Other Expenses Current Year32001658OtherExpensesCurrentYear
Total Expenses Prior Year61784082TotalExpensesPriorYear
Total Expenses Current Year64681372TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3897488RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-169190RevenuesLessExpensesCY
Total Assets BOY44942199TotalAssetsBOY
Total Assets EOY44162714TotalAssetsEOY
Total Liabilities BOY9379352TotalLiabilitiesBOY
Total Liabilities EOY9297425TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY35562847NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY34865289NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHOLY CROSS HOSPITAL'S MISSION IS TO CONTINUE TO BE THE REGIONAL HEALTH CARE PROVIDER OF CHOICE WHERE GREAT CARE COMES TOGETHER.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense37751324Expense
Revenue55308906Revenue
DescriptionHOSPITAL: HOLY CROSS HOSPITAL IS A REGIONAL ACUTE CARE FACLITY SERVING A DIVERSE CULTURAL COMMUNITY WITH A POVERTY RATE OF 21%. THE PAYOR MIX FOR THE HOSPITAL INCLUDES 36% MEDICARE PATIENTS, 17% MEDICAID PATIENTS AND 9% UNINSURED PATIENTS. THE HOSPITAL PROVIDES A VARIETY OF SERVICES DESIGNED FOR THE EXPRESS GOOD OF THE COMMUNITY EITHER AT REDUCED COST OR FOR FREE, SUCH AS DIABETES SELF MANAGEMENT SERVICES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Revenue-3863892Revenue
DescriptionCHARITY CARE: BENEFITING THE COMMUNITY WE SERVE IS AN ESSENTIAL EXPRESSION OF HOLY CROSS HOSPITAL'S MISSION. THE HOSPITAL ASSUMES THAT RESPONSIBILITY BY HEALTHCARE SERVICES TO THE COMMUNITY WHO ARE UNINSURED AND LACK THE ABILITY TO PAY. DURING FY2012 TAOS HEALTH SYSTEMS SERVED APPROXIMATELY 2033 PATIENTS WHO QUALIFIED FOR THE HOSPITAL'S CHARITY CARE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4934309Expense
Revenue2953236Revenue
DescriptionTHE HOSPITAL OWNS AND ACTIVELY RECRUITS PHYSICIANS TO STAFF A WOMEN'S HEALTH CLINIC, A RURAL HEALTH CLINIC, A PHYSICAL MEDICINE AND REHABILITATION CLINIC, AND A SURGICAL SPECIALTIES CLINIC TO ENSURE THAT THE COMMUNITY'S NEED FOR THOSE SERVICES ARE MET.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense983999Expense
Revenue7525395Revenue
DescriptionOTHER MISCELLANEOUS PATIENT SERVICES TO INCLUDE COMMUNITY HEALTH FAIR, COMMUNITY WELLNESS PROGRAMS, COMMUNITY DEVELOPMENT PROGRAMS, DONATIONS TO COMMUNITY PROGRAMS AND COMMUNITY SCHOLARSHIP COSTS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp983999TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev7525395TotalOfOtherProgramServiceRev
Total Program Service Expense43669632TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096213NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees556NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNMStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RIC EISENRINGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5057588883TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11397 WEIMER RDAddressLine1
CityTAOSCity
StateNMState
ZIP Code87571ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
RON BURNHAM
CHAIRMAN1.00XX000
PAMELA ROMERO
TREASURER1.00XX000
ANNA MARTINEZ
SECRETARY1.00XX000
JEANNIE MASTERS
BOARD MEMBER1.00X000
ANNY TORRES
BOARD MEMBER1.00X000
SYLVIA VILLAREAL
BOARD MEMBER1.00X000
DAN GUTTMAN
BOARD MEMBER1.00X000
MICHAEL HOWARD
BOARD MEMBER1.00X000
LINDA AUBRECHT
BOARD MEMBER1.00X000
GUS CORODOVA
BOARD MEMBER1.00X000
CHARLIE GONZALES
BOARD MEMBER1.00X000
PETER HOFFSTETTER
CEO40.00X246260058797
RICHARD EISENRING
CFO40.00X149470035767
MARY ANNA ABEYTA
CNO40.00X15774705981
RICHARD MASSEN
SURGEON40.0033362007962X
ALDEN G COCKBURN
SURGEON40.0035744400X
STEPHEN CETRULO
SURGEON40.0029016002803X
SHANTI MOHLING
OBSTETRICIAN40.0027946707962X
TIMOTHY MOORE
OBSTETRICIAN40.0024955402806X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2063722TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation122078TotalOtherCompensation
Number Individuals GT100 K25NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NORTHERN NEW MEXICO ANESTHESIA
PO BOX 1235RANCHOS DE TAOSNM87557ANESTHESIOLOGISTS1515854
QUORUM HEALTH RESOURCES LLC
105 CONTINENTAL PLACEBRENTWOODTN37027MANAGEMENT CONTRACTOR980381
WEATHERBY LOCUMS
PO BOX 972633DALLASTX75397CONTRACT DOCTORS840952
RURAL RADIOLOGY ASSOCIATES PLLC
12687 W CEDAR DR STE 200DENVERCO80228RADIOLOGY631322
SHARED IMAGING INC
BOX 88544MILWAUKEEWI53288RADIOLOGY507922
FieldValueIRS element (for citing)
Number Of Contractors GT100 K32NumberOfContractorsGT100K
Government Grants313514GovernmentGrants
All Other Contributions1243639AllOtherContributions
Noncash Contributions15015NoncashContributions
Total Contributions1557153TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REDescription
Business Code624100BusinessCode
Total Revenue Column60494533TotalRevenueColumn
Related Or Exempt Function Income60494533RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue60494533TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column137766TotalRevenueColumn
Exclusion$137,766ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2536791Securities
Other6000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2148542Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities388249Securities
Other6000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column394249TotalRevenueColumn
Exclusion$394,249ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FOOD SERVICE722210396194$396,194
MANAGEMENT SERVICES541610103175103175
INCOME FROM TAOS SPORT6241006848968489

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1360623TotalRevenueColumn
Related Or Exempt Function Income1360623RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1928481TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column64512182TotalRevenueColumn
Related Or Exempt Function Income61923645RelatedOrExemptFunctionIncome
Unrelated Business Revenue103175UnrelatedBusinessRevenue
Exclusion$928,209ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total556647Total
Management And General556647ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total27581123Total
Program Services24781216ProgramServices
Management And General2799907ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total350608Total
Program Services308535ProgramServices
Management And General42073ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2425711Total
Program Services2134626ProgramServices
Management And General291085ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1765625Total
Program Services1553750ProgramServices
Management And General211875ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total839084Total
Management And General839084ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total305063Total
Management And General305063ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total114280Total
Management And General114280ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total32839Total
Management And General32839ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6842686Total
Program Services5504722ProgramServices
Management And General1337964ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total395079Total
Management And General395079ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3077638Total
Program Services1645333ProgramServices
Management And General1432305ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total385676Total
Management And General385676ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1098296Total
Management And General1098296ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total135649Total
Program Services39970ProgramServices
Management And General95679ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total132340Total
Program Services90374ProgramServices
Management And General41966ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total100576Total
Management And General100576ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2674810Total
Management And General2674810ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1387592Total
Program Services1260726ProgramServices
Management And General126866ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
BAD DEBT EXPENSES65531156553115
MEDICAL SUPPLIES56105465610546
REPAIRS & MAINTENANCE12333761233376
GRANT EXPENSE739210739210

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total343803Total
Program Services624ProgramServices
Management And General343179ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total64681372Total
Program Services43669632ProgramServices
Management And General21011740ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1816548BOY
EOY2898490EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3109804BOY
EOY3019603EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7647193BOY
EOY7582405EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1247678BOY
EOY2178818EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1752810BOY
EOY1660989EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY551891BOY
EOY1151383EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis41782239LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec20120257LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY22791317BOY
EOY21661982EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6024958BOY
EOY4009044EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY44942199BOY
EOY44162714EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5989660BOY
EOY6520583EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY119269BOY
EOY104291EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2748837BOY
EOY2235804EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY521586BOY
EOY436747EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9379352BOY
EOY9297425EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY35009358BOY
EOY33838771EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY553489BOY
EOY1026518EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY35562847BOY
EOY34865289EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY44942199BOY
EOY44162714EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-169190ReconcilationRevenueExpenses
Reconcilation Other Changes-528368ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2487338OtherCostOrOtherBasis
Book Value2487338BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12588195OtherCostOrOtherBasis
Depreciation3105569Depreciation
Book Value9482626BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3139457OtherCostOrOtherBasis
Depreciation1363837Depreciation
Book Value1775620BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis21948968OtherCostOrOtherBasis
Depreciation15650851Depreciation
Book Value6298117BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1618281OtherCostOrOtherBasis
Book Value1618281BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings21661982TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
ASSETS - LIMITED USE3548400
OTHER CURRENT ASSETS136377
INVESTMENT IN TAOS SPORTS MEDICINE SERVICES, LLC271785
INVESTMENT IN PHYSICIANS HEALTH ORGANIZATION, INC.52482
FieldValueIRS element (for citing)
Total Book Value Other Assets4009044TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEST THIRD PARTY PAYOR SETTLEMENTSDescription
Amount$436,747Amount
FieldValueIRS element (for citing)
Total Of Amounts436747TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE HOSPITAL IS A TAX-EXEMPT ORGANIZATION AND IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES, EXCEPT FOR UNRELATED BUSINESS INCOME, IN ACCORDANCE WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE HOSPITAL QUALIFIED FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. UNRELATED BUSINESS INCOME TAX, IF ANY, IS INSIGNIFICANT AND NO TAX PROVISION HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL RECOGNIZES THE TAX BENEFIT FROM FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKLIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE HOSPITAL HAD NO UNCERTAIN TAX BENEFITS AT MAY 31, 2012 OR 2011.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent0FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served2033PersonsServed
Total Community Benefit Expense1896785TotalCommunityBenefitExpense
Direct Offsetting Revenue1392636DirectOffsettingRevenue
Net Community Benefit Expense504149NetCommunityBenefitExpense
Percent Of Total Expense0.00870PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense8375258TotalCommunityBenefitExpense
Direct Offsetting Revenue11333425DirectOffsettingRevenue
Net Community Benefit Expense-2958167NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served2033PersonsServed
Total Community Benefit Expense10272043TotalCommunityBenefitExpense
Direct Offsetting Revenue12726061DirectOffsettingRevenue
Net Community Benefit Expense-2454018NetCommunityBenefitExpense
Percent Of Total Expense0.00870PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs22NumberOfActivitiesOrPrograms
Persons Served185960PersonsServed
Total Community Benefit Expense813978TotalCommunityBenefitExpense
Net Community Benefit Expense813978NetCommunityBenefitExpense
Percent Of Total Expense0.01400PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served86PersonsServed
Total Community Benefit Expense112750TotalCommunityBenefitExpense
Net Community Benefit Expense112750NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served65834PersonsServed
Total Community Benefit Expense19320TotalCommunityBenefitExpense
Net Community Benefit Expense19320NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs25NumberOfActivitiesOrPrograms
Persons Served251880PersonsServed
Total Community Benefit Expense946048TotalCommunityBenefitExpense
Net Community Benefit Expense946048NetCommunityBenefitExpense
Percent Of Total Expense0.01620PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs25NumberOfActivitiesOrPrograms
Persons Served253913PersonsServed
Total Community Benefit Expense11218091TotalCommunityBenefitExpense
Direct Offsetting Revenue12726061DirectOffsettingRevenue
Net Community Benefit Expense-1507970NetCommunityBenefitExpense
Percent Of Total Expense0.02490PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$6,521,046BadDebtExpenseAmount
Amount Attributable To4246219AmountAttributableTo
Amount Reimbursed By Medicare11382280AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare30302849CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-18920569MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOLY CROSS HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11397 WEIMER RDAddressLine1
CityTAOSCity
StateNMState
ZIP Code87571ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HOLY CROSS HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis0ExplainsBasis
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

ExplanationExplanation
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 6553115.
PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. ESTIMATED PROVISIONS FOR DOUBTFUL ACCOUNTS ARE RECORDED TO THE EXTENT IS IT PROBABLE A PORTION OR ALL OF A PARTICULAR ACCOUNT WILL NOT BE COLLECTED. THE HOSPITAL DETERMINES IF PATIENT ACCOUNTS RECEIVABLE ARE PAST DUE BASED ON THE DATE THE SERVICE WAS PERFORMED AND THE HOSPITAL DOES NOT CHARGE INTEREST ON PAST DUE ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE COMPANY CONSIDERS A NUMBER OF FACTORS, INCLUDING THE AGE OF THE ACCOUNTS, CHANGES IN COLLECTION PATTERNS, THE COMPOSITION OF PATIENT ACCOUNTS BY PAYOR TYPE, THE STATUS OF ONGOING DISPUTES WITH THIRD PARTY PAYORS AND GENERAL INDUSTRY CONDITIONS. THE COSTING METHODOLOGY USED WAS A COST TO CHARGE RATIO. THE RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AMOUNTS AS COMMUNITY BENEFIT IS THAT BASED ON THE FACT THAT THE COMMUNITY HAS A 21% POVERTY RATE, MANY PATIENTS WHO ARE UNABLE TO PAY FOR THEIR MEDICAL SERVICES WOULD LIKELY QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE FINANCIAL ASSISTANCE APPLICATION.
PART III, LINE 8: ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE HOSPITALS MUST TREAT PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE GOVERNMENT SETS NON-NEGOTIABLE MEDICARE RATES, WHICH ARE SOMETIMES OUT OF LINE WITH THE TRUE COST TO TREAT MEDICARE PATIENTS. BY TREATING MEDICARE ELIGIBLE PATIENTS, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THE DATA USED TO EVALUATE THE MEDICARE SHORTFALL WAS OBTAINED FROM THE FY2012 MEDICARE COST REPORT.
PART III, LINE 9B: WHEN AN ACCOUNT IS FINAL BILLED AND IDENTIFIED AS SELF PAY, A LETTER IS SENT TO THE PATIENT REQUESTING EITHER PAYMENT OR THE PATIENT CONTACT THE HOSPITAL TO DISCUSS FINANCIAL ASSISTANCE. PAYMENT PLANS WORKED OUT AND INDIGENT FUND APPLICATIONS CAN BE OBTAINED. ON SELF PAY ACCOUNTS UNDER $1,000 NO CALLS ARE MADE TO THE PATIENT AND COLLECTION EFFORTS ARE THE SAME FOR ALL ACCOUNTS UNLESS THE PATIENT IS MAKING PAYMENTS OR HAD INDICATED THAT THEY WILL APPLY FOR FINANCIAL ASSISTANCE. ON SELF PAY ACCOUNTS $1,000-$5,000 THE PATIENT WILL BE CONTACTED AT LEAST 3 TIMES BY TELEPHONE TO ENCOURAGE THEM TO DISCUSS THEIR BILL AND APPLY FOR ASSISTANCE. PATIENTS AGREEING TO APPLY FOR THE INDIGENT FUND WILL BE GIVEN APPLICATIONS AND ASSISTED IN COMPLETING IF NECESSARY. ON ACCOUNTS UNDER $2,000, INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. ON ACCOUNTS OVER $2,000, WE WILL ACCEPT ALL APPLICATIONS AND CALL THE PATIENT WEEKLY FOR 3 WEEKS TO OBTAIN THE MISSING INFORMATION. AFTER 3 WEEKS, WE WILL MAIL THE APPLICATION TO THE PATIENT EXPLAINING THAT WE WERE UNABLE TO PROCESS AND TO BRING THE APPLICATION BACK TO US WHEN IT IS COMPLETE. WHEN PATIENTS APPLY BUT FAIL TO QUALIFY FOR THE INDIGENT FUND WE WILL STILL WORK WITH THEM TO GIVE THEM CHARITY CARE UNDER THE HOSPITALS GUIDELINES. ON SELF PAY ACCOUNTS OVER $5000 THE PATIENT WILL BE CALLED AS SOON AS THE ACCOUNT IS 'IDENTIFIED'. THE PATIENT WILL ALSO BE CALLED PRIOR TO EACH ADDITIONAL COLLECTION LETTER BEING SENT. AFTER ALL APPROPRIATE COLLECTION LETTERS HAVE BEEN SENT AND TELEPHONE CALLS HAVE BEEN MADE AND THE PATIENT HAS NOT MADE AN ATTEMPT TO MAKE SUITABLE ARRANGEMENTS, THE ACCOUNT WILL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY.
PART VI, LINE 2: THE TAOS HEALTH SYSTEMS COMMUNITY BENEFIT COORDINATOR RELIES ON THE MOST UP TO DATE STATE AND FEDERAL DATA TO CREATE AN OVERVIEW OF HEALTH STATUS FOR OUR COMMUNITY. THE COMMUNITY BENEFIT TEAM IS IN THE PROCESS OF CONDUCTING AN EXTENSIVE UPDATED NEEDS ASSESSMENT FOR REGIONAL GROWTH AND DEVELOPMENT IN THE COMMUNITY FOR FY 2012. THIS YEAR, NEEDS WERE DETERMINED FROM THE MOST RECENT STATE AND FEDERAL DATA AND FROM THE COMMUNITY HEALTH PROFILE CREATED IN 2009, AN EXTENSIVE STUDY OF COMMUNITY NEEDS CREATED FROM DATA COMPILATION, FOCUS GROUPS, KEY INFORMANT INTERVIEWS, AND SURVEYS CREATED IN COLLABORATION WITH COMMUNITY COALITIONS AND NETWORKS.
PART VI, LINE 3: THE POLICY IS ATTACHED TO BILLING INVOICES AND IS POSTED ON THE HOSPITAL'S WEBSITE. IT IS ALSO AVAILABLE IN THE HOSPITAL'S BILLING OFFICE.
PART VI, LINE 4: TAOS HEALTH SYSTEMS SERVES RESIDENTS OF TAOS COUNTY AND PARTS OF WESTERN COLFAX AND NORTHERN RIO ARRIBA COUNTIES - APPROXIMATELY 51,000 PEOPLE SPREAD ACROSS A GEOGRAPHIC REGION OF MORE THAN 2,500 SQUARE MILES, OR TWO AND A HALF TIMES THE SIZE OF RHODE ISLAND. THE POPULATION OF TAOS COUNTY IS 56.1% HISPANIC OR LATINO AND 7.3% NATIVE AMERICAN. NEARLY 20% OF OUR POPULATION IS 65 AND OVER, COMPARED TO 13.6% NATIONWIDE, SO WE SEE DISPROPORTIONATELY HIGH ONSET IN CHRONIC DISEASES. DESPITE BEING A DESTINATION FOR RETIREES AND HOSTING A WORLD-CLASS SKI RESORT (WHICH DRIVES OUR MEDIAN INCOME NUMBERS HIGHER THAN IS TRULY REPRESENTATIVE OF THE LOW INCOMES OF THE MAJORITY OF PEOPLE HERE), THE REGION IS ISOLATED AND MEDICALLY UNDERSERVED. OUR RURAL/FRONTIER REGION IS IMPOVERISHED, WITH 17% OF THE POPULATION IN TAOS COUNTY LIVING BELOW THE POVERTY LEVEL AND A MEDIAN PER CAPITA INCOME OF $22,145. THE PROPORTION OF TAOS COUNTY CHILDREN IN IMPOVERISHED OR LOW-INCOME FAMILIES REMAINS ONE OF THE HIGHEST IN THE COUNTRY, WITH MORE THAN 25% OF ALL CHILDREN IN POVERTY, 43% NEAR POVERTY, AND MORE THAN HALF LOW-INCOME. RECENT DEPARTMENT OF LABOR STATISTICS TELL US THAT THE CURRENT TAOS UNEMPLOYMENT RATE IS 9.1% (FOR APRIL 2012), BUT OUR OUTLYING COMMUNITIES FACE MUCH HIGHER UNEMPLOYMENT RATES, RANGING FROM 13-16%.
PART VI, LINE 5: TAOS HEALTH SYSTEMS (THS) HAS HOLY CROSS HOSPITAL AS ITS REGIONAL HUB AND INCLUDES THE WOMENS HEALTH INSTITUTE, TAOS SURGICAL SPECIALTIES, TWO RURAL HEALTHCARE CLINICS, AND A PHYSICAL THERAPY AND REHABILITATION CENTER, ALL SERVING THREE RURAL AND FRONTIER COUNTIES IN NORTHERN NEW MEXICO. TAOS HEALTH SYSTEMS IS A LOCAL, INDEPENDENT, NON-PROFIT ORGANIZATION. THS AND HOLY CROSS HOSPITAL HAVE ALWAYS BEEN COMMUNITY-FOCUSED. THROUGHOUT THE HOSPITALS 75-YEAR HISTORY, OUR MISSION HAS BEEN AND CONTINUES TO BE TO PROVIDE PREVENTATIVE, CURATIVE, AND SUPPORTIVE HEALTHCARE SERVICES WHILE MAINTAINING HIGH QUALITY STANDARDS AND UTILIZING INNOVATIVE, EDUCATIONAL, AND COST-EFFECTIVE APPROACHES FOR ALL MEMBERS OF OUR CULTURALLY DIVERSE REGION. HOLY CROSS HOSPITAL HAS A LOCAL GOVERNING BOARD THAT INCLUDES PHYSICIANS AND COMMUNITY MEMBERS, WITH EQUAL REPRESENTATION FROM THE OUTLYING VILLAGES IN OUR AREA. THS BELIEVES THAT HEALTH STARTS EARLY, AND SUPPORTS LOCAL ORGANIZATIONS THAT IDENTIFY AND RESPOND TO COMMUNITY HEALTH NEEDS, WITH A SPECIAL FOCUS ON SUPPORT FOR CHILDREN AND FAMILY SERVICES. OUR COMMUNITY SERVICE PROGRAMS TARGET POPULATIONS FROM PRENATAL CARE TO HIGH SCHOOL STUDENTS TO SUPPORT FOR ELDERS WITH CHRONIC DISEASE. SERVICES ADDRESS TOBACCO CESSATION, CHRONIC DISEASE SUPPORT, REDUCTION OF PARENT STRESS, AND MORE WITH SHARED LONG-TERM GOALS OF REDUCING OUR POPULATION'S DISPROPORTIONATELY HIGH RATES OF CHRONIC DISEASE. IN ALL PROGRAMS, OUR APPROACH FOCUSES ON HOW FAMILIES WORK TOGETHER AND CAN BE SUPPORTED TOGETHER, AN APPROACH CONSISTENT WITH THE VALUES OF OUR TRI-CULTURAL COMMUNITY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PETER HOFFSTETTER
2390000007260000587970305057000
RICHARD EISENRING
1494700000000357670185237000
MARY ANNA ABEYTA
15764701000000059810163728000
RICHARD MASSEN
33309805220000079620341582000
ALDEN G COCKBURN
35688705570000000357444000
STEPHEN CETRULO
28991402460000028030292963000
SHANTI MOHLING
27904904180000079620287429000
TIMOTHY MOORE
24919403600000028060252360000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3CONTRACTED TO QUORUM HEALTH RESOURCES FOR MANAGEMENT SERVICES.
FORM 990, PART VI, SECTION B, LINE 11AFTER THE RETURN IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, THE CFO AND CEO REVIEW A COPY OF THE FORM 990 FOR COMPLETENESS AND ACCURACY. ONCE APPROVED BY THE CEO AND CFO, A COPY IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. THE BOARD OF DIRECTORS THEN APPROVES THE FINAL COPY AND THE RETURN IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE COMPLIANCE COMMITTEE MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY. BOARD MEMBERS, SENIOR LEADERS, DIRECTORS AND KEY EMPLOYEES MUST COMPLETE A CONFLICT OF INTEREST POLICY ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15AN INDEPENDENT MANAGEMENT COMPANY UTILIZES SURVEYS AND COMPARATIVE DATA TO DETERMINE COMPENSATION FOR THE CEO, TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 18THE FORM 990 AND FORM 1023 ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND ALL OTHER GOVERNING AND ORGANIZING DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -491,022. CONSOLIDATED INCOME 64,577. BOOK/TAX DIFFERENCE IN TSM K-1 -68,489. UNRELATED BUSINESS INCOME EXPENSE -33,434. TOTAL TO FORM 990, PART XI, LINE 5: -528,368.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1TAOS PROFESSIONAL SERVICESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11397 WEIMER RDAddressLine1
CityTAOSCity
StateNMState
ZIP Code87571ZIPCode
FieldValueIRS element (for citing)
EIN274259044EIN
Primary ActivitiesCLINICSPrimaryActivities
Legal Domicile StateNMLegalDomicileState
Total Income-1990073TotalIncome

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1TAOS HEALTH SYSTEMSBusinessNameLine1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1TAOS SPORTS MEDICINE SERVICES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11398 WEIMER RD STE 103AddressLine1
CityTAOSCity
StateNMState
ZIP Code87571ZIPCode
FieldValueIRS element (for citing)
EIN850473650EIN
Primary ActivityPHSYICAL THERAPY REHABILITATIONPrimaryActivity
Legal Domicile StateNMLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HCHBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income45094ShareOfTotalIncome
Share Of EOY Assets273553ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
Percentage Ownership0.67280PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
TAOS SPORTS MEDICINE SERVICES LLC
A797
TAOS SPORTS MEDICINE SERVICES LLC
R58396

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