SAN JUAN REGIONAL MEDICAL CENTER INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- SAN JUAN REGIONAL MEDICAL CENTER INC (EIN 85-0127924)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-01
- IRS object ID
- 201201229349300920
- Schema version
- 2010v3.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-01T15:52:50-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TWO NORTH CENTRAL AVENUE STE 2300 | AddressLine1 |
| City | PHOENIX | City |
| State | AZ | State |
| ZIP Code | 85004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850127924 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAN JUAN REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SANJ | NameControl |
| Phone | 5053255011 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 WEST MAPLE STREET | AddressLine1 |
| City | FARMINGTON | City |
| State | NM | State |
| ZIP Code | 87401 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICK WALLACE | Name |
| Title | PRESIDENT/CEO | Title |
| Date Signed | 2012-05-01 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6023223000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICK WALLACE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 WEST MAPLE STREET | AddressLine1 |
| City | FARMINGTON | City |
| State | NM | State |
| ZIP Code | 87401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 271947840 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SANJUANREGIONAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1953 | YearFormation |
| State Legal Domicile | NM | StateLegalDomicile |
| Activity Or Mission Description | SAN JUAN REGIONAL MEDICAL CENTER'S MISSION IS TO PERSONALIZE HEALTH CARE AND CREATE ENTHUSIASM AND VITALITY IN HEALING. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1961 | TotalNbrEmployees |
| Total Nbr Volunteers | 196 | TotalNbrVolunteers |
| Total Gross UBI | 1854979 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 158477 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1541754 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3330805 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 251696747 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 263233116 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3294619 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5289552 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 256533120 | TotalRevenuePriorYear |
| Total Revenue Current Year | 271853473 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 497882 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 545532 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 123698748 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 139489221 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 112050508 | OtherExpensePriorYear |
| Other Expenses Current Year | 120915820 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 236247138 | TotalExpensesPriorYear |
| Total Expenses Current Year | 260950573 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 20285982 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 10902900 | RevenuesLessExpensesCY |
| Total Assets BOY | 307589892 | TotalAssetsBOY |
| Total Assets EOY | 333796571 | TotalAssetsEOY |
| Total Liabilities BOY | 94585208 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 106809500 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 213004684 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 226987071 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SAN JUAN REGIONAL MEDICAL CENTER'S MISSION IS TO PERSONALIZE HEALTH CARE AND CREATE ENTHUSIASM AND VITALITY IN HEALING. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 240669458 | Expense |
| Grants | 0 | Grants |
| Revenue | 261378137 | Revenue |
| Description | ALL ACTIVITY IS DIRECTLY RELATED TO PROVIDING PATIENT MEDICAL SERVICES AND QUALITY HEALTH CARE TO THE COMMUNITY AND SURROUNDING RURAL AREAS. SEE SCHEDULE O FOR OVERVIEW AND PROGRAMS. | Description |
| Total Program Service Expense | 240669458 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 415 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1961 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NM | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | J MICHAEL PHILIPS | NamePerson |
| Telephone Number | 5056096025 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 WEST MAPLE STREET | AddressLine1 |
| City | FARMINGTON | City |
| State | NM | State |
| ZIP Code | 87401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| MICHAEL JAKINO | ||||||||
| CHAIRMAN | 6.0 | X | X | 0 | 0 | 0 | ||
| SANDY WILLIAMS | ||||||||
| 1ST VICE CHAIRMAN | 6.0 | X | X | 0 | 0 | 0 | ||
| NORMAN TUCKER | ||||||||
| 2ND VICE CHAIRMAN | 6.0 | X | X | 0 | 0 | 0 | ||
| RONALD CALCOTE MD | ||||||||
| SECRETARY | 6.0 | X | X | 9728 | 0 | 0 | ||
| JAMES SHAHEEN | ||||||||
| TREASURER | 6.0 | X | X | 0 | 0 | 0 | ||
| JOSEPH RASOR | ||||||||
| MEMBER | 6.0 | X | 0 | 0 | 0 | |||
| JEFF BOWMAN | ||||||||
| MEMBER | 6.0 | X | 0 | 0 | 0 | |||
| PAUL DESHAYES | ||||||||
| MEMBER | 6.0 | X | 0 | 0 | 0 | |||
| CHARLENE SCOTT | ||||||||
| MEMBER | 6.0 | X | 0 | 0 | 0 | |||
| DWAYNE GIBBS MD | ||||||||
| CHIEF OF STAFF | 6.0 | X | 133799 | 0 | 0 | |||
| CHARLES HOFFMAN MD | ||||||||
| VICE CHIEF OF STAFF | 40.0 | X | 380675 | 0 | 25454 | |||
| RICHARD MENNING | ||||||||
| AUXILIARY REP. | 6.0 | X | 0 | 0 | 0 | |||
| SARA KAYNOR | ||||||||
| IMMEDIATE PAST CHAIRMAN | 6.0 | X | 0 | 0 | 0 | |||
| RICK WALLACE | ||||||||
| PRESIDENT/CEO | 40.0 | X | 372555 | 0 | 46052 | |||
| JOHN BUFFINGTON | ||||||||
| COO | 40.0 | X | 439855 | 0 | 57647 | |||
| J MICHAEL PHILIPS | ||||||||
| CSO | 40.0 | X | 362033 | 0 | 52594 | |||
| SUZANNE SMITH | ||||||||
| CHIEF NURSING OFFICER | 40.0 | 233597 | 0 | 40604 | X | |||
| EDWARD MAURIN MD | ||||||||
| DOCTOR | 40.0 | 639987 | 0 | 33704 | X | |||
| CHARLES WILKINS MD | ||||||||
| DOCTOR | 40.0 | 626454 | 0 | 32839 | X | |||
| LUTHER WEATHERS III MD | ||||||||
| DOCTOR | 40.0 | 555147 | 0 | 25372 | X | |||
| ROBERT SPRUNG MD | ||||||||
| DOCTOR | 40.0 | 466359 | 0 | 25614 | X | |||
| MARC FLITTER MD | ||||||||
| DOCTOR | 40.0 | 574608 | 35254 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4794797 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 375134 | TotalOtherCompensation |
| Number Individuals GT100 K | 187 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| OKLAND CONSTRUCTION | |||||
| 1099 MAIN ST | DURANGO | CO | 81301 | CONSTRUCTION | 6312708 |
| FOUR CORNERS ANESTHESIA | |||||
| 1515 E 20TH ST SUITE A | FARMINGTON | NM | 87401 | ANESTHESIA SERVICES | 1704004 |
| ARAMARK CLINICAL TECHNOLOGIES | |||||
| PO BOX 100401 | PASADENA | CA | 91189 | BIOMED/HOUSEKEEPING | 1650530 |
| TOTAL RENAL CARE | |||||
| 6000 FELDWOOD | COLLEGE PARK | GA | 30349 | DIALYSIS SERVICES | 1582955 |
| CREDIT BUREAU OF FARMINGTON | |||||
| 509 E 20TH STREET | FARMINGTON | NM | 87401 | COLLECTIONS | 811012 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 27 | NumberOfContractorsGT100K |
| Government Grants | 3054159 | GovernmentGrants |
| All Other Contributions | 276646 | AllOtherContributions |
| Noncash Contributions | 254076 | NoncashContributions |
| Total Contributions | 3330805 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICES REVENUE | 622110 | 257618575 | 257618575 | |
| MEDICAL OFFICE BLDG. RENTAL | 531120 | 400466 | 400466 | |
| CAFETERIA | 722210 | 1176533 | 1176533 | |
| REFERENCE LABORATORY | 621511 | 1854979 | 1854979 | |
| ALL OTHER PROGRAM SERVICE REVENUE | 900099 | 2182563 | 2182563 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 263233116 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3822062 | TotalRevenueColumn |
| Exclusion | $3,822,062 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1460595 | Securities |
| Other | 101262 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 94367 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1460595 | Securities |
| Other | 6895 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1467490 | TotalRevenueColumn |
| Exclusion | $1,467,490 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 271853473 | TotalRevenueColumn |
| Related Or Exempt Function Income | 261378137 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1854979 | UnrelatedBusinessRevenue |
| Exclusion | $5,289,552 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 545532 | Total |
| Program Services | 545532 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2964985 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2964985 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 157729 | Total |
| Program Services | 157729 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106093384 | Total |
| Program Services | 101789454 | ProgramServices |
| Management And General | 4303930 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4628950 | Total |
| Program Services | 4269924 | ProgramServices |
| Management And General | 359026 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18347428 | Total |
| Program Services | 16955678 | ProgramServices |
| Management And General | 1391750 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7296745 | Total |
| Program Services | 6829865 | ProgramServices |
| Management And General | 466880 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 257390 | Total |
| Program Services | 40038 | ProgramServices |
| Management And General | 217352 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 283775 | Total |
| Program Services | 255473 | ProgramServices |
| Management And General | 28302 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54658 | Total |
| Program Services | 54658 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 433731 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 433731 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18807030 | Total |
| Program Services | 17084130 | ProgramServices |
| Management And General | 1722900 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 668350 | Total |
| Program Services | 56226 | ProgramServices |
| Management And General | 612124 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42415818 | Total |
| Program Services | 39975908 | ProgramServices |
| Management And General | 2439910 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2901886 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2901886 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3872128 | Total |
| Program Services | 3647817 | ProgramServices |
| Management And General | 224311 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 443906 | Total |
| Program Services | 240035 | ProgramServices |
| Management And General | 203871 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1187612 | Total |
| Program Services | 976034 | ProgramServices |
| Management And General | 211578 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2555932 | Total |
| Program Services | 2301023 | ProgramServices |
| Management And General | 254909 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11802426 | Total |
| Program Services | 10625344 | ProgramServices |
| Management And General | 1177082 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4142408 | Total |
| Program Services | 3775820 | ProgramServices |
| Management And General | 366588 | ManagementAndGeneral |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BAD DEBT EXPENSE | Description |
| Total | 31088770 | Total |
| Program Services | 31088770 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 260950573 | Total |
| Program Services | 240669458 | ProgramServices |
| Management And General | 20281115 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16717138 | BOY |
| EOY | 15379305 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10349992 | BOY |
| EOY | 7205526 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 326970 | BOY |
| EOY | 336523 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23398409 | BOY |
| EOY | 28548327 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2914691 | BOY |
| EOY | 2696387 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3183135 | BOY |
| EOY | 3562331 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2441814 | BOY |
| EOY | 3158268 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 284775795 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 127856495 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146205806 | BOY |
| EOY | 156919300 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92506241 | BOY |
| EOY | 106815387 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7828155 | BOY |
| EOY | 7365653 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1717541 | BOY |
| EOY | 1809564 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 307589892 | BOY |
| EOY | 333796571 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26045028 | BOY |
| EOY | 26039957 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60822390 | BOY |
| EOY | 67636747 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5385041 | BOY |
| EOY | 10791375 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2332749 | BOY |
| EOY | 2341421 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94585208 | BOY |
| EOY | 106809500 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213004684 | BOY |
| EOY | 226987071 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213004684 | BOY |
| EOY | 226987071 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 307589892 | BOY |
| EOY | 333796571 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 10902900 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 3079487 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $41,832 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $12,826 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 54658 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE C, PART II-B | Identifier |
| Explanation | LINE 1G - SAN JUAN REGIONAL MEDICAL CENTER PAID NEW MEXICO GOVERNMENT AFFAIRS $41,832 FOR A LOBBYIST IN SANTA FE, NEW MEXICO WHO MONITORS NEW MEXICO STATE LEGISLATIVE ISSUES WITH REGARD TO HOSPITAL ISSUES, KEEPS SAN JUAN REGIONAL MEDICAL CENTER APPRISED OF THOSE ISSUES AND TAKES FEEDBACK TO THE STATE LEGISLATURE. LINE 1I - A PORTION OF THE DUES PAID TO HEALTHCARE ASSOCIATIONS BY SAN JUAN REGIONAL MEDICAL CENTER WAS ALLOCABLE TO LOBBYING ACTIVITIES: 1) NEW MEXICO HOSPITALS AND HEALTH SYSTEMS ASSOCIATION - $8,690 2) AMERICAN HOSPITAL ASSOCIATION - $4,136 | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5889671 | OtherCostOrOtherBasis |
| Book Value | 5889671 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 101526328 | OtherCostOrOtherBasis |
| Depreciation | 27234817 | Depreciation |
| Book Value | 74291511 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 65946028 | OtherCostOrOtherBasis |
| Depreciation | 33483209 | Depreciation |
| Book Value | 32462819 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 100578505 | OtherCostOrOtherBasis |
| Depreciation | 67138469 | Depreciation |
| Book Value | 33440036 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10835263 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 10835263 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 156919300 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO THIRD PARTY PAYORS | $1,955,158 |
| 457(F) EXECUTIVE PENSION LIABILITY | $386,263 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2341421 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ASC 740 FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PART X, LINE 2 | ReturnReference |
| Explanation | ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, PRESCRIBES CRITERIA FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. IN ACCORDANCE WITH THIS ACCOUNTING GUIDANCE, MANAGEMENT HAS REVIEWED ALL OPEN TAX YEARS AND HAS DETERMINED THAT THE COMPANY HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 400. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 838 | PersonsServed |
| Total Community Benefit Expense | 2360042 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1455336 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 904706 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00390 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 838 | PersonsServed |
| Total Community Benefit Expense | 2360042 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1455336 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 904706 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00390 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11525 | PersonsServed |
| Total Community Benefit Expense | 682794 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 682794 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 216 | PersonsServed |
| Total Community Benefit Expense | 981503 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 981503 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00430 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 170655 | PersonsServed |
| Total Community Benefit Expense | 164264701 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 133240081 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 31024620 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13500 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 371934 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 371934 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 182396 | PersonsServed |
| Total Community Benefit Expense | 166300932 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 133240081 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 33060851 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14390 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 183234 | PersonsServed |
| Total Community Benefit Expense | 168660974 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 134695417 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 33965557 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14780 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1550 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1550 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2094811 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2094811 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00910 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2096361 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2096361 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00910 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $12,054,758 | BadDebtExpenseAmount |
| Amount Attributable To | 3013690 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 57684968 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 63359062 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5674094 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOUR CORNERS ASC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | AMBULATORY SURGERY CENTER | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.38000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.62000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAN JUAN REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 West Maple Street | AddressLine1 |
| City | Farmington | City |
| State | NM | State |
| ZIP Code | 87401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAN JUAN REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 21 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (21 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| SJRMC CARDIOLOGY | ||||
| 407 S SCHWARTZ SUITE 201 | FARMINGTON | NM | 87401 | MEDICAL CLINIC |
| SJRMC INTERNAL MEDICINE | ||||
| 407 S SCHWARTZ SUITE 101 | FARMINGTON | NM | 87401 | MEDICAL CLINIC |
| SJRMC BLOOMFIELD CLINIC | ||||
| 100 N CHURCH STREET | BLOOMFIELD | NM | 87413 | MEDICAL CLINIC |
| SAN JUAN NEURODIAGNOSTIC CENTER | ||||
| 2700 FARMINGTON AVENUE SUITE G | FARMINGTON | NM | 87401 | MEDICAL CLINIC |
| SAN JUAN PEDIATRICS | ||||
| 622 WEST MAPLE STREET SUITE F | FARMINGTON | NM | 87401 | MEDICAL CLINIC |
| FOUR CORNERS NEUROSURGERY | ||||
| 555 S SCHWARTZ AVENUE | FARMINGTON | NM | 87401 | MEDICAL CLINIC |
| SJRMC MIDWIFERY CLINIC | ||||
| 655 WEST PINON | FARMINGTON | NM | 87401 | MEDICAL CLINIC |
| OUTPATIENT BEHAVIORAL HEALTH CLINIC | ||||
| 1930 SAN JUAN BLVD SUITE K | FARMINGTON | NM | 87401 | MEDICAL CLINIC |
| URGENT CARE CENTER | ||||
| 4820 E MAIN STREET | FARMINGTON | NM | 87402 | URGENT CARE CENTER |
| SJR WOUND CARE CENTER | ||||
| 4820 E MAIN | FARMINGTON | NM | 87402 | WOUND CARE CENTER |
| SJR CANCER TREATMENT CENTER | ||||
| 731 W ANIMAS STREET | FARMINGTON | NM | 87401 | CANCER TREATMENT |
| SJRMC OUTPATIENT DIAGNOSTIC CENTER | ||||
| 2300 E 30TH STREET BLDG C | FARMINGTON | NM | 87401 | DIAGNOSTIC CENTER |
| SJRMC EMS STATION - MEDIC #1 | ||||
| 730 S LAKE STREET | FARMINGTON | NM | 87401 | EMS STATION |
| SJRMC EMS STATION - MEDIC #2 | ||||
| 902 W BROADWAY | BLOOMFIELD | NM | 87412 | EMS STATION |
| SJRMC EMS STATION - MEDIC #3 | ||||
| 484 S OLIVER STREET | AZTEC | NM | 87410 | EMS STATION |
| SJRMC EMS STATION - MEDIC #4 | ||||
| 4 CR 3660 | KIRTLAND | NM | 87117 | EMS STATION |
| SJRMC EMS STATION - MEDIC #5 | ||||
| 3782 ENGLISH RD | FARMINGTON | NM | 87410 | EMS STATION |
| SJRMC EMS STATION - MEDIC #6 | ||||
| 2014 E 16TH STREET | FARMINGTON | NM | 87401 | EMS STATION |
| SJRMC EMS STATION - MEDIC #10 | ||||
| 737 W ANIMAS STREET | FARMINGTON | NM | 87401 | EMS STATION |
| SJRMC AZTEC CLINIC | ||||
| 120 Llano | AZTEC | NM | 87410 | Clinic |
| GENERAL SURGERY CLINIC | ||||
| 630 WEST MAPLE | FARMINGTON | NM | 87401 | CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART I, LINE 6A: | AN ANNUAL REPORT IS PREPARED AND MAILED TO THE CITIZENS OF FARMINGTON, NM AND THE SURROUNDING COMMUNITIES. IN THE ANNUAL REPORT IS FINANCIAL INFORMATION FOR THE HOSPITAL, STORIES OF CARE, AND INFORMATION ABOUT NEW PROGRAMS OR SERVICES PROVIDED BY THE HOSPITAL. |
| PART I, LINE 7: | SJRMC USES A COST ACCOUNTING SYSTEM WHICH IS A PART OF ITS HOSPITAL INFORMATION SYSTEM. THE SYSTEM ADDRESSES ALL PATIENT SEGMENTS. |
| PART I, LINE 7E: | THE AMOUNTS SUMMARIZED INCLUDE PROGRAMS FOR COMMUNITY HEALTH EDUCATION WHICH INCLUDES: HEALTH FAIRS AND HEALTH EDUCATION SEMINARS LACTATION CONSULTATION AND OUTPATIENT DIETITIAN SERVICES |
| PART I, LINE 7G: | SAN JUAN REGIONAL MEDICAL CENTER PROVIDES NUMEROUS SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SUBSIDIZED HEALTH SERVICES ARE: EMERGENCY AND TRAUMA SERVICES 2,602,788 AMBULATORY CARE CENTERS 16,031,035 ORTHOPEDICS 2,011,604 ONCOLOGY 47,080 BEHAVIORAL HEALTH-IP 1,227,193 CARDIAC REHAB 283,373 OUTPATIENT NURSING/WOUND CARE 2,073,948 OUTPATIENT THERAPIES 1,192,580 OBSTETRIC/NURSERY 2,260,343 OTHER 3,294,676 ---------- TOTAL 31,024,620 ========== |
| PART I, LINE 7, COLUMN F: | THE AMOUNT OF BAD DEBT EXPENSE WHICH IS SUBTRACTED FROM TOTAL EXPENSES IN THE DENOMINATOR FOR DETERMINING BENEFITS AS A PERCENTAGE OF TOTAL EXPENSES FOR THIS COLUMN IS $31,088,770. COMMUNITY BUILDING ACTIVITIES PART II THE FEDERAL GOVERNMENT THROUGH HRSA HAS DESIGNATED SAN JUAN COUNTY AS A SHORTAGE AREA FOR PHYSICIANS. IN ORDER TO REDUCE THIS SHORTAGE SAN JUAN REGIONAL MEDICAL CENTER HAS BEEN RECRUITING FOR PHYSICIANS AND IN THIS EFFORT SPENT OVER $2,000,000 IN FY 2011. |
| PART III, LINE 4: | THERE IS NO FOOTNOTE IN THE ORGANIZATIONS AUDITED FINANCIALS REGARDING BAD DEBT EXPENSE. THE COST OF OUR BAD DEBT EXPENSE WAS CALCULATED USING A COST-TO-CHARGE RATIO. THE AMOUNT IN 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 AT 25% THAT IS INCLUDED IN THE COST OF BAD DEBT. |
| PART III, LINE 8: | THE AMOUNT OF MEDICARE SHORTFALL REPORTED ON LINE 7 IS $(5,674,094). THIS AMOUNT IS A RESULT OF THE TOTAL REVENUE AND ALLOWABLE COST CALCULATION ON OUR FY 11 COST REPORT. THE HOSPITAL'S ACTUAL EXPENSES ARE ENTERED INTO THE COST REPORT SOFTWARE AND THE ALLOWABLE COSTS ARE DETERMINED BY THE MEDICARE REGULATIONS. THIS 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 PAYMENT 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. PART III, LINE 9B: SJRMC POLICY ON PATIENT ACCOUNTS COLLECTIONS STATES "SJRMC 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 "SJRMC 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." |
| NEEDS ASSESSMENT: | A COMMUNITY NEEDS ASSESSMENT IS CONDUCTED BY SAN JUAN REGIONAL MEDICAL CENTER TO DETERMINE THE HEALTH NEEDS FOR SAN JUAN COUNTY-AND THE FOUR CORNERS REGION-AS PERCEIVED BY THOSE SERVED BY THE HOSPITAL. THE NEEDS ASSESSMENT IS CONDUCTED VIA TELEPHONE SURVEYS IN BOTH ENGLISH AND SPANISH; INTERVIEWS CONDUCTED WITH NATIVE AMERICAN RESPONDENTS; AND A SERIES OF FOCUS GROUPS. THE SURVEY IS ALSO SHARED WITH KEY COMMUNITY GROUPS IN A SERIES OF OPEN FORUMS. THE MOST RECENT ASSESSMENT OCCURRED IN CY 2011 (FY 2012). THE NEEDS WHICH WERE IDENTIFIED FROM THIS SURVEY INCLUDE: CANCER BARRIERS TO ACCESSING HEALTHCARE SERVICES IMMUNIZATION & INFECTIOUS DISEASES DIABETES MENTAL HEALTH OBESITY AND WEIGHT LOSS ORAL HEALTH PRENATAL CARE RESPIRATORY DISEASE ROUTINE CHECKUPS AND PREVENTIVE SCREENINGS SEXUALLY TRANSMITTED DISEASES TEEN BIRTHS AND UNWED MOTHERS UNINTENTIONAL INJURY SUBSTANCE/TOBACCO USE THE SAN JUAN REGIONAL MEDICAL CENTER BOARD OF DIRECTORS AND HOSPITAL ADMINISTRATION CONDUCTS THE SURVEY FOR THE PURPOSE OF DETERMINING HOW BEST TO DIRECT RESOURCES TO IMPROVE THE HEALTH OF THE FOUR CORNERS WITH THREE GOALS IN MIND: - TO IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE. - TO REDUCE HEALTH DISPARITIES AMONG RESIDENTS BY IDENTIFYING POPULATION SEGMENTS WHO ARE MOST AT-RISK FOR VARIOUS DISEASES AND INJURIES. INTERVENTION PLANS AIMED AT TARGETING THESE INDIVIDUALS ARE ALSO DEVELOPED TO COMBAT SOME OF THE SOCIO-ECONOMIC FACTORS WHICH HAVE HISTORICALLY HAD A NEGATIVE IMPACT ON RESIDENTS' HEALTH. - TO INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS. MORE ACCESSIBLE PREVENTIVE SERVICES WILL PROVE BENEFICIAL IN ACCOMPLISHING THE FIRST GOAL (IMPROVING HEALTH STATUS, INCREASING LIFE SPANS, AND ELEVATING QUALITY OF LIFE), AS WELL AS LOWERING THE COSTS ASSOCIATED WITH CARING FOR LATE-STAGE DISEASES RESULTING FROM A LACK OF PREVENTIVE CARE. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: | SAN JUAN REGIONAL MEDICAL CENTER EMPLOYS 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. THE HOSPITAL'S VISION IS TO BE KNOWN AS THE MOST PERSONALIZED QUALITY HEALTHCARE PROVIDER. SAN JUAN REGIONAL MEDICAL CENTER IS ALSO A VALUES-DRIVEN ORGANIZATION WITH A CENTURY OF SERVICE TO THE FOUR CORNERS REGION-DRIVEN BY A SIMPLE YET POWERFUL PRINCIPLE: DO THE RIGHT THING FOR THE PATIENT NO MATTER WHAT. AN INTEGRAL PART OF THIS SACRED TRUST THE COMMUNITY HAS IN ITS HOSPITAL IS ENSURING THAT NO PATIENT FEELS ALONE AND DISCONNECTED DURING AND AFTER THEIR TREATMENT. THEREFORE, IT IS IN THE SPIRIT OF THE HOSPITAL'S VISION AND MISSION TO ENSURE THAT PATIENTS RECEIVE A HIGH LEVEL OF ASSISTANCE WHEN FIGURING OUT THEIR BILL AND OPTIONS. NOT ONLY DOES THE HOSPITAL HAVE FINANCIAL COUNSELORS TO EDUCATE ITS PATIENTS, IT HAS AN IN-HOUSE MASH PROGRAM FOR SELF-PAY INDIVIDUALS. THROUGH THE MASH PROGRAM, PATIENT ADVOCATES STAND HAND-IN-HAND WITH PATIENTS TO EXPLORE EVERY POSSIBILITY OF ASSISTANCE. |
| COMMUNITY INFORMATION: | SAN JUAN REGIONAL MEDICAL CENTER 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 2008 FOR SAN JUAN COUNTY (POPULATION 130,044)-WHICH IS THE PRINCIPAL COUNTY SERVED BY SAN JUAN REGIONAL MEDICAL CENTER-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 & ALASKA NATIVE: 36.6% HISPANIC: 19.1% THE MEDIAN HOUSEHOLD INCOME FOR SAN JUAN COUNTY IS $46,007. |
| PROMOTION OF COMMUNITY HEALTH: | IN THE CONSTANT EFFORT TO MEET COMMUNITY NEED, SJRMC SEEKS TO IMPROVE PHYSICIAN ACCESS THROUGH A VIGOROUS RECRUITING PROGRAM AND TO PROVIDE COMMUNITY EDUCATION AND MANY OTHER COMMUNITY BENEFIT PROGRAMS. IN FISCAL YEAR 2011, SAN JUAN REGIONAL MEDICAL CENTER PROVIDED BENEFITS TO THE POOR AND THE BROADER COMMUNITY OF OVER $36 MILLION. PROGRAM PERSONS SERVED COMMUNITY BENEFIT TRADITIONAL FINANCIAL ASSISTANCE 490 904,706 COMMUNITY HEALTH EDUCATION 9,526 230,031 DIABETES EDUCATION AND SUPPORT PROGRAMS 1,162 207,275 COMMUNITY FLU VACCINES 857 13,522 HEALTH CARE SUPPORT SERVICES 22,000 231,028 HEALTH PROFESSIONS EDUCATION: PHYSICIANS AND MEDICAL STUDENTS 185 502,995 NURSES/NURSING STUDENTS 31 236,615 SUBSIDIZED HEALTH SERVICES: EMERGENCY SERVICES 21,944 2,603,041 WOMEN'S AND CHILDREN SERVICES 3,514 2,484,500 RENAL DIALYSIS SERVICES 869 158,203 BEHAVIORAL HEALTH SERVICES 816 1,227,193 OUTPATIENT SERVICES 128,617 19,297,563 OTHER SUBSIDIZED HEALTH SERVICES 5,254,120 SAN JUAN UNITED WAY (CORPORATE MATCH) 114,614* FINANCIAL AND IN-KIND CONTRIBUTIONS 50 371,934 OTHER COMMUNITY SERVICES 14,385 2,224,578 ------- --------- TOTAL 204,446 36,061,918 OUR FINANCIAL AND IN-KIND CONTRIBUTIONS WENT TO VARIOUS LOCAL CHARITIES SUCH AS NAVAJO MINISTRIES, FAMILY CRISIS CENTER, LOCAL SCHOOL DISTRICTS, SENIOR CENTERS AND TOTAH BEHAVIORAL HEALTH. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (15 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|---|---|
| SAN JUAN COLLEGE | ||||||||||
| 4601 COLLEGE | FARMINGTON | NM | 87402 | 850295969 | SCHOOL | 55000 | PROGRAM SUPPORT - | |||
| LADIES CHARITY GOLF CLASSIC | ||||||||||
| 5701 TEE DR | FARMINGTON | NM | 87402 | 742828869 | 501(C)(3) | 7000 | PROGRAM SUPPORT - | |||
| SAN JUAN COLLEGE FOUNDATION | ||||||||||
| 4601 COLLEGE | FARMINGTON | NM | 87402 | 850295969 | 501(C)(3) | 65000 | DEV MEDICAL ASST | |||
| SAN JUAN ROTARY CLUB | ||||||||||
| P O BOX 2105 | FARMINGTON | NM | 87499 | 270412204 | 501(C)(3) | 7500 | PROGRAM SUPPORT - | |||
| SAN JUAN COLLEGE | ||||||||||
| 4601 COLLEGE | FARMINGTON | NM | 87402 | 850295969 | SCHOOL | PROGRAM SUPPORT - | 91936 | COST | EQUIPMENT | |
| SAN JUAN COUNTY FAIR ASSOCIATION | ||||||||||
| PO BOX 187 | FARMINGTON | NM | 874990187 | 850315651 | 501(C)(3) | 7574 | DONATE TO FOOD | |||
| SAN JUAN UNITED WAY | ||||||||||
| 903 W APACHE | FARMINGTON | NM | 87401 | 850165322 | 501(C)(3) | 114614 | PROGRAM SUPPORT - | |||
| KNOWLEDGE EQUIPS INC | ||||||||||
| PO BOX 178 | AZTEC | NM | 87410 | 263130570 | 501(C)(3) | 15000 | PROGRAM SUPPORT - | |||
| FOUR CORNERS PROFESSIONAL CONF | ||||||||||
| 308 N LOCKE | FARMINGTON | NM | 87401 | 870022801 | 501(C)(3) | 15000 | DONATION FOR | |||
| SAN JUAN ECONOMIC DEVELOPMENT | ||||||||||
| 5101 COLLEGE | FARMINGTON | NM | 87401 | 850171302 | 501(C)(3) | 11000 | PROGRAM SUPPORT - | |||
| LEADERSHIP NEW MEXICO | ||||||||||
| 320 GOLD SW STE 221 | ALBUQUERQUE | NM | 87102 | 850437219 | 501(C)(3) | 6000 | PROGRAM SUPPORT - | |||
| MASADA HOUSE | ||||||||||
| 2404 E 20TH ST | FARMINGTON | NM | 87401 | 264661551 | 501(C)(3) | 30000 | PROGRAM SUPPORT - | |||
| HOPE CHILDRENS FUND | ||||||||||
| PO BOX 110 | FARMINGTON | NM | 87499 | 850330156 | 501(C)(3) | 15000 | PROGRAM SUPPORT - | |||
| BLOOMFIELD SENIOR CENTER | ||||||||||
| 124 W ASH | BLOOMFIELD | NM | 87413 | 856004832 | 501(C)(3) | 16000 | PROGRAM SUPPORT - | |||
| SANE | ||||||||||
| 812 W MAPLE | FARMINGTON | NM | 87401 | 203187125 | 501(C)(3) | 68908 | PROGRAM SUPPORT - | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 15 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, Schedule I | Identifier |
| Return Reference | Description of Organization's Procedures for Monitoring the Use of Grants | ReturnReference |
| Explanation | Event Funding/Sponsorship Request GUIDELINES San Juan Regional Medical Center (SJRMC) recognizes the value of community partnerships and, on a limited basis, offers support to its community partners by sharing our resources including the time and talent of our physicians and employees, as well as our financial and in-kind support. San Juan Regional Medical Center has established criteria to ensure alignment with our mission and to allow us to strategically focus our limited resources in order to maximize their impact. Sponsorship requests are evaluated based on, but not limited to, the following criteria: - Alignment with SJRMC's mission: To personalize healthcare and create enthusiasm and vitality in healing. - Alignment and opportunity to promote strategic service lines and business objectives - Community and neighborhood development - Magnitude of impact and reach (number of individuals served) - Depth and breadth of partnership with requesting organization All requests must be received at least 4 weeks in advance of the sponsorship deadline. Sponsorship requests are reviewed through our Marketing Department. The request should provide appropriate and complete details regarding the sponsorship request. Please be prepared to provide the additional information about your request, if needed. Sponsorship requests of more than $3,000 must be reviewed by the Partnership Committee of SJRMC's Board of Directors. I. APPLICANT INFORMATION: - Must be written on official letterhead - Name of person or organization requesting funding and/or sponsorship - Name, email address, and phone number of primary contact for the request/ individual filling out the request II. EVENT DETAILS: 1. Description (250 words maximum): - Describe how the event being sponsored relates to SJRMC's mission - Describe the purpose of the event being sponsored and the target audience 2. Logistics: - If available, provide the title, date, and time of the event - If available and applicable, list the proposed event layout (e.g., panel, conference, seminar, etc.) and agenda for the event 3. Funding: - Indicate amount requested from SJRMC - Describe the expenses SJRMC's funds will be used to cover - Provide what other organizations are supporting your event (indicating amounts requested, which are pending, and which are confirmed) - What will SJRMC receive in exchange for its contribution PLEASE SUBMIT ALL MATERIALS TO: Roberta Rogers, Marketing Manager c/o San Juan Regional Medical Center 657 West Maple Street Farmington, NM 87401 e-mail: rrogers@sjrmc.net (505) 609-2240 | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES HOFFMAN MD | |||||||||||||
| 336333 | 0 | 44342 | 0 | 0 | 0 | 7350 | 0 | 18104 | 0 | 406129 | 0 | 0 | 0 |
| RICK WALLACE | |||||||||||||
| 344468 | 0 | 20000 | 0 | 8087 | 0 | 30744 | 0 | 15308 | 0 | 418607 | 0 | 0 | 0 |
| JOHN BUFFINGTON | |||||||||||||
| 322137 | 0 | 101100 | 0 | 16618 | 0 | 39543 | 0 | 18104 | 0 | 497502 | 0 | 0 | 0 |
| J MICHAEL PHILIPS | |||||||||||||
| 263067 | 0 | 82306 | 0 | 16660 | 0 | 34490 | 0 | 18104 | 0 | 414627 | 0 | 0 | 0 |
| SUZANNE SMITH | |||||||||||||
| 184046 | 0 | 48299 | 0 | 1252 | 0 | 22500 | 0 | 18104 | 0 | 274201 | 0 | 0 | 0 |
| EDWARD MAURIN MD | |||||||||||||
| 627747 | 0 | 12240 | 0 | 0 | 0 | 15600 | 0 | 18104 | 0 | 673691 | 0 | 0 | 0 |
| CHARLES WILKINS MD | |||||||||||||
| 586604 | 0 | 23150 | 0 | 16700 | 0 | 14735 | 0 | 18104 | 0 | 659293 | 0 | 0 | 0 |
| LUTHER WEATHERS III MD | |||||||||||||
| 534940 | 0 | 20100 | 0 | 107 | 0 | 7350 | 0 | 18022 | 0 | 580519 | 0 | 0 | 0 |
| ROBERT SPRUNG MD | |||||||||||||
| 446187 | 0 | 20000 | 0 | 172 | 0 | 7350 | 0 | 18264 | 0 | 491973 | 0 | 0 | 0 |
| MARC FLITTER MD | |||||||||||||
| 567761 | 6180 | 667 | 17150 | 18104 | 609862 | 0 | |||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4B | SAN JUAN REGIONAL MEDICAL CENTER HAS A 457F 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 2010 CONTRIBUTIONS TO THE 457(F) PLAN ARE INCLUDED IN SCHEDULEJ, PART II, COL C AS DEFERRED COMPENSATION: RUTH BROOKS $ 6,925 JOHN BUFFINGTON $22,393 THOMAS DEAN $ 8,836 ROBERT FABREY $16,286 DOUGLAS FRARY $ 7,746 WILLIAM NOEL $ 6,720 J. MICHAEL PHILIPS $17,340 SUZANNE SMITH $ 8,014 RICK WALLACE $23,394 CATHERINE ZAHARKO $ 6,391 |
| NON-FIXED PAYMENTS | SCHEDULE J, PART I, LINE 7 | SAN JUAN REGIONAL MEDICAL CENTER (SJRMC) HAS A SENIOR MANAGEMENT INCENTIVE COMPENSATION PLAN FOR SELECTED SENIOR MANAGEMENT POSITIONS. AN AWARD TARGET IS ESTABLISHED FOR EACH PARTICIPANT. PERFORMANCE IS BASED ON EIGHT GOALS, TWO OF WHICH ARE HOSPITAL EXCESS OF REVENUES OVER EXPENSES PERCENTAGE AND TOTAL HOSPITAL EARNINGS. THE AWARD IS A PERCENTAGE OF BASE PAY IF CERTAIN TARGETS ARE MET. |
| SUPPLEMENTAL COMPENSATION INFORMATION | THE COMPENSATION REPORTED FOR DWAYNE GIBBS MD IS FOR A DIRECTORSHIP STIPEND, NOT FOR SERVICES RENDERED AS A BOARD MEMBER. THE COMPENSATION REPORTED FOR RONALD CALCOTE MD IS FOR A MEDICAL DIRECTOR FET PROGRAM, NOT FOR SERVICES RENDERED AS A BOARD MEMBER. THE COMPENSATION REPORTED FOR CHARLES HOFFMAN MD IS FROM HIS CURRENT EMPLOYMENT, NOT FOR SERVICES RENDERED AS A BOARD MEMBER. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CITY OF FARMINGTON NM - 2007A | |||||||
| 856000129 | 311428BN5 | 2007-06-28 | 12290518 | CONSTRUCTION OF CANCER TRMT CENTER | false | false | false |
| CITY OF FARMINGTON NM - 2004A | |||||||
| 856000129 | 311428AZ9 | 2004-03-25 | 16982883 | CONSTRUCTION OF TOWER/NEW EQUIP | false | false | false |
| NM HOSPITAL EQUIPMENT LOAN COUNCIL - 2010A2010 | |||||||
| 840426875 | 2010-12-21 | 25773000 | REFUND 2004B; FINANCE EQUP & CONST | false | false | false | |
| NM HOSPITAL EQUIPMENT LOAN COUNCIL - 2010B | |||||||
| 840426875 | 647370FK6 | 2010-12-21 | 8800000 | CONST MOB PEDS/NEURO RETIRE 07B | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1135000 | 0 | 12457932 | 0 | 151201 | 0 | 245810 | 0 | 0 | 12212122 | 0 | 0 | 2010 | false | false | true | true |
| 540000 | 0 | 17087788 | 0 | 0 | 0 | 339658 | 0 | 0 | 16748130 | 0 | 0 | 2007 | false | false | true | true |
| 0 | 0 | 25773063 | 0 | 0 | 0 | 205429 | 0 | 0 | 1714115 | 0 | 485064 | 2011 | false | false | true | true |
| 0 | 0 | 8800248 | 0 | 13498 | 0 | 13200 | 0 | 0 | 6446891 | 0 | 3523109 | 2011 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| false | false | false | false | false | false |
| true | false | false | false | false | false |
| false | false | false | false | false | false |
| false | true | false | false | false | false |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART II, LINE 3, COLUMN A-D | THE EXCESS OF "TOTAL PROCEEDS" OVER "ISSUE PRICE" IS DUE TO INVESTMENT EARNINGS. |
| PART I, LINE C | THE 2010 LEASE PROJECT OBLIGATION PORTION OF THIS ISSUE IN THE AMOUNT OF $8,103,000 HAS NOT BEEN DESIGNATED AS A QUALIFIED TAX-EXEMPT OBLIGATION. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| ANNA BUFFINGTON | |||
| JOHN BUFFINGTON / COO | 112923 | EMPLOYEE PAY | false |
| ERIC BUFFINGTON | |||
| JOHN BUFFINGTON / COO | 44806 | EMPLOYEE PAY | false |
| FOUR CORNERS RADIOLOGY ASSOCIATES | |||
| RUTH BROOKS/KEY EMPLOYEE | 221008 | MEDICAL SERVICES | false |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods |
Cars And Other Vehicles CarsAndOtherVehicles
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 56355 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COST/SELLING PRICE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty | |
| Securities Publicly Traded | SecuritiesPubliclyTraded | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory | |
| Drugs And Medical Supplies | DrugsAndMedicalSupplies | |
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | FIXED ASSETS - SAN JUAN | Description |
| Number Of Contributions | 4 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 197721 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COST/SELLING PRICE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| VOLUNTEERS | FORM 990, PART I, LINE 6 | SJRMC HAS A TOTAL OF 196 VOLUNTEERS THAT PROVIDE SERVICE TO THE FOLLOWING AREAS: ADMINISTRATIVE SUPPORT, CANCER TREATMENT CENTER, CARDIAC REHABILITATION, COURIER/PATIENT TRANSPORT, CRAFTY CREATIONS, DIETARY, GIFT MARKET, INFORMATION DESK, MAIL CALL, MEDICAL RECORDS AND AUXILIARY MEMBERSHIP. |
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4 | SAN JUAN REGIONAL MEDICAL CENTER (SJRMC) IS A MODERN ACUTE-CARE HOSPITAL LOCATED IN ONE OF THE MOST RURAL AREAS OF THE AMERICAN SOUTHWEST: SAN JUAN COUNTY, NM. A 2010 ESTIMATE OF THE POPULATION OF SAN JUAN COUNTY SHOWS THE COUNTY POPULATION HAS GROWN 14.3% FROM THE YEAR 2000 TO 2010 AND NOW NUMBERS APPROXIMATELY 130,044; 37% OF WHICH IS AMERICAN INDIAN AND ALASKA NATIVE PERSONS. SJRMC IS A SOLE COMMUNITY PROVIDER AND DISPROPORTIONATE SHARE HOSPITAL PROVIDING NEEDED HEALTHCARE TO RESIDENTS OF THE FOUR CORNERS REGION OF NEW MEXICO, ARIZONA, UTAH AND COLORADO. SAN JUAN REGIONAL MEDICAL CENTER'S MISSION IS TO PERSONALIZE HEALTHCARE AND CREATE ENTHUSIASM AND VITALITY IN HEALING. OUR CORE VALUES ARE ACTIVELY TAUGHT, AND REINFORCED, TO STAFF, MANAGEMENT AND PHYSICIANS SO THAT THE ORGANIZATION MAY ACHIEVE EXCELLENCE AND CONSISTENCY IN PATIENT CARE. SJRMC IS A COMMUNITY GOVERNED HOSPITAL THAT WAS FOUNDED IN 1910 BY DRS. A. M. SMITH AND G. W. SAMMONS. THE HOSPITAL CORPORATION IS AN ADVISORY BODY COMPOSED OF UP TO THREE REPRESENTATIVES FROM EACH OF 90 NON-PROFIT ORGANIZATIONS IN SAN JUAN COUNTY. THE CORPORATION MEETS QUARTERLY, AND, AT THEIR ANNUAL MEETING, THEY NOMINATE AND ELECT 9 MEMBERS TO THE GOVERNING BOARD OF DIRECTORS. THE CORPORATION RECEIVES REPORTS FROM THE BOARD OF DIRECTORS AND HOSPITAL ADMINISTRATION ON HOSPITAL OPERATIONS INCLUDING QUALITY AND FINANCE AND PROVIDES FEEDBACK ON COMMUNITY HEALTH ISSUES. SJRMC PROVIDES MEDICAL, SURGICAL, PEDIATRICS, ONCOLOGY, OBSTETRICS, CARDIOLOGY, AND BEHAVIORAL HEALTH INPATIENT CARE. AMBULATORY CARE INCLUDES DAY SURGERY, URGENT CARE, OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES. SJRMC IS A LEVEL III TRAUMA CENTER THAT PROVIDES GROUND AMBULANCE AND AIR AMBULANCE SERVICE WITH A HELICOPTER AND A FIXED WING AIRCRAFT AS WELL AS SERVICES THROUGH ITS EMERGENCY DEPARTMENT TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. SOME OF OUR OUTPATIENT SERVICES ARE PHYSICIAN CLINICS SPECIALIZING IN CARDIOLOGY, BEHAVIORAL HEALTH, INTERNAL MEDICINE, NEUROSURGERY, NEURODIAGNOSTICS, URGENT CARE CENTER AND PEDIATRICS. OUR FINANCIAL AND IN-KIND CONTRIBUTIONS WENT TO VARIOUS LOCAL CHARITIES SUCH AS NAVAJO MINISTRIES, FAMILY CRISIS CENTER, LOCAL SCHOOL DISTRICTS, SENIOR CENTERS AND TOTAH BEHAVIORAL HEALTH. THE OTHER COMMUNITY SERVICES NOTED ABOVE PROVIDE CARE FOR: SURGERY, GASTROINTESTINAL, ORTHOPEDICS, ONCOLOGY, NEURO AND CARDIAC REHAB. |
| BUSINESS AND FAMILY RELATIONSHIPS | FORM 990, PART VI, LINE 2 | DWAYNE GIBBS, M.D. AND RONALD CALCOTE, M.D. HAVE A BUSINESS RELATIONSHIP. |
| MEMBERS AND THEIR RIGHTS | FORM 990, PART VI, LINES 6 AND 7A | SAN JUAN REGIONAL MEDICAL CENTER IS A COMMUNITY-GOVERNED HOSPITAL. THE HOSPITAL CORPORATION IS AN ADVISORY BODY COMPOSED OF TWO REPRESENTATIVES FROM ABOUT 90 NON-PROFIT ORGANIZATION MEMBERS IN SAN JUAN COUNTY. AFTER TEN YEARS OF SERVICE AS A REPRESENTATIVE, AN INDIVIDUAL MAY BE DESIGNATED BY THE CORPORATION AS A SENIOR CORPORATE DELEGATE AND SHALL NO LONGER BE CONSIDERED TO BE THE REPRESENTATIVE OF THE MEMBER ORGANIZATION. THE MEMBER ORGANIZATION MAY THEN DESIGNATE ANOTHER REPRESENTATIVE IN ADDITION TO THE SENIOR CORPORATE DELEGATE. THE HOSPITAL CORPORATION MEETS QUARTERLY. AT THEIR ANNUAL MEETING, THEY NOMINATE AND ELECT NINE VOTING MEMBERS TO SJRMC'S BOARD OF DIRECTORS. OF THE NINE, THREE MUST BE ELECTED FROM THE MEMBER REPRESENTATIVES OR SENIOR CORPORATE DELEGATES. IN ADDITION TO THE NINE ELECTED DIRECTORS, THE SJRMC CHIEF OF THE STAFF AND VICE CHIEF OF STAFF AND A HOSPITAL AUXILIARY APPOINTEE ALSO SERVE AS SJRMC DIRECTORS FOR A TOTAL OF TWELVE VOTING MEMBERS OF THE BOARD OF DIRECTORS. |
| DESCRIPTION OF PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW | FORM 990 | FORM 990, PART VI, LINE 11 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 WITH MANAGEMENT. ANY QUESTIONS ARE ADDRESSED AND ANY NECESSARY CHANGES ARE MADE TO THE RETURN. THE FINAL DRAFT OF THE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE ALONG WITH A BRIEF EDUCATION SESSION CONDUCTED BY THE ACCOUNTING FIRM TO DISCUSS THE HIGHLIGHTS OF THE FORM. THE FINAL DRAFT OF THE FORM 990 IS THEN PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING. |
| DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST | FORM 990, PART VI, LINE 12C | SAN JUAN REGIONAL MEDICAL CENTER HAS A CONFLICT OF INTEREST POLICY THAT EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE IS REQUIRED TO FILL OUT ON AN ANNUAL BASIS. THIS CONFLICT OF INTEREST POLICY SPECIFICALLY ASKS QUESTIONS REGARDING BUSINESS AND PERSONAL RELATIONSHIPS THAT THEY MAY HAVE WITH ANY OTHER BOARD MEMBER, OFFICER AND KEY EMPLOYEE OF ANY BUSINESS THAT DEALS WITH SAN JUAN REGIONAL MEDICAL CENTER OR ANY OF ITS AFFILIATES. IF A CONFLICT IS IDENTIFIED, IT MUST BE REPORTED TO THE COMPLIANCE OFFICER, AND IF IT CONSTITUTES A BREACH OF EMPLOYMENT, IT MAY LEAD TO DISCIPLINARY ACTION. |
| PROCESS FOR DETERMINING COMPENSATION | FORM 990, PART VI, LINES 15A & 15B | THE BOARD OF DIRECTORS FOR SAN JUAN REGIONAL MEDICAL CENTER USES THE FOLLOWING COMPARABLE DATA WHEN DETERMINING THE COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT; REGIONAL / LOCAL AREA NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SIZE, NATIONAL NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SIZE, AND OTHER RELEVANT COMPARATORS (E.G., FOR PROFIT HEALTHCARE AND/OR GENERAL INDUSTRY ORGANIZATIONS) OF COMPARABLE SIZE AND COMPLEXITY, ONLY WHEN COMPETITIVE CIRCUMSTANCES WARRANT THESE MARKETS. ADDITIONALLY, THE BOARD BI-ANNUALLY HAS AN INDEPENDENT OUTSIDE FIRM COMPARE THE CEO'S COMPENSATION WITH OTHER HEALTHCARE ORGANIZATIONS TO REMAIN COMPETITIVE. THE PROCESS WAS LAST COMPLETED IN 2009. THE PROCESS IS DOCUMENTED IN THE BOARD MINUTES WHEN PRESENTED TO THEM. |
| AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND | FINANCIAL STATEMENTS TO THE GENERAL PUBLIC | FORM 990, PART VI, LINE 19 SAN JUAN REGIONAL MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| HOURS DEVOTED TO RELATED ORGANIZATIONS | PART VII | NORMAN TUCKER, JOSEPH RASOR, AND RICHARD MENNING EACH DEVOTED 2 HOURS PER WEEK AS BOARD MEMBERS TO SAN JUAN REGIONAL REHABILITATION HOSPITAL INC, A RELATED TAX-EXEMPT ORGANIZATION. |
| OTHER CHANGES IN FUND BALANCE | FORM 990, PART XI, LINE 5 | NET UNREALIZED GAIN $3,079,487 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| SAN JUAN HEALTH PARTNERS INC | |||||||||
| 801 WEST MAPLE | FARMINGTON | NM | 87401 | 272367549 | INACTIVE | NM | 501(C)(3) | 3 | NA |
| SAN JUAN REGIONAL REHABILITATION HOSP | |||||||||
| 525 SOUTH SCHWARTZ 2 | FARMINGTON | NM | 87401 | 850441767 | HEALTHCARE | NM | 501(C)(3) | 3 | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SJR HOLDING COMPANY INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 W MAPLE STREET | AddressLine1 |
| City | FARMINGTON | City |
| State | NM | State |
| ZIP Code | 87401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201126483 | EIN |
| Primary Activity | SUPPORT SERVICES | PrimaryActivity |
| Legal Domicile State | NM | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SJRMC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C-CORP | TypeOfEntity |
| Share Of Total Income | 597414 | ShareOfTotalIncome |
| Share Of EOY Assets | 1587850 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| SJR HOLDING COMPANY INC | |
| C | 500000 |
| SAN JUAN REGIONAL REHABILITATION HOSPITAL | |
| P | 112524 |
| SAN JUAN REGIONAL REHABILITATION HOSPITAL | |
| P | 221109 |
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