TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL (EIN 85-0289839)
- Tax period
- 2010-06-01 to 2011-05-31
- Filed
- 2012-04-17
- IRS object ID
- 201221089349300727
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-04-17T10:48:38-05:00 | Timestamp |
| Tax Period End Date | 2011-05-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6100 UPTOWN BLVD NE STE 400 | AddressLine1 |
| City | ALBUQUERQUE | City |
| State | NM | State |
| ZIP Code | 87110 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-06-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850289839 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAOS HEALTH SYSTEMS INC DBA HOLY CROSS HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TAOS | NameControl |
| Phone | 5057588883 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1397 WEIMER RD | AddressLine1 |
| City | TAOS | City |
| State | NM | State |
| ZIP Code | 87571 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CFO | Name |
| Title | CFO | Title |
| Phone | 5057588883 | Phone |
| Date Signed | 2012-04-02 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARLA CASTNER | Name |
| Phone | 5058787200 | 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 | PETER HOFSTETTER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1397 WEIMER RD | AddressLine1 |
| City | TAOS | City |
| State | NM | State |
| ZIP Code | 87571 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 61634999 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.TAOSHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1980 | YearFormation |
| State Legal Domicile | NM | StateLegalDomicile |
| Activity Or Mission Description | HOLY 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 Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 520 | TotalNbrEmployees |
| Total Nbr Volunteers | 85 | TotalNbrVolunteers |
| Total Gross UBI | -9037 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -9037 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1206208 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1415148 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 57270123 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 55406396 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 211054 | InvestmentIncomePriorYear |
| Investment Income Current Year | 309968 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 527217 | OtherRevenuePriorYear |
| Other Revenue Current Year | 755082 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 59214602 | TotalRevenuePriorYear |
| Total Revenue Current Year | 57886594 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 31602625 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 32559660 | 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 | 28059718 | OtherExpensePriorYear |
| Other Expenses Current Year | 29224422 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 59662343 | TotalExpensesPriorYear |
| Total Expenses Current Year | 61784082 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -447741 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3897488 | RevenuesLessExpensesCY |
| Total Assets BOY | 47813812 | TotalAssetsBOY |
| Total Assets EOY | 44942199 | TotalAssetsEOY |
| Total Liabilities BOY | 8958665 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 9379352 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 38855147 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 35562847 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | HOLY 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 36013700 | Expense |
| Revenue | 53395571 | Revenue |
| Description | HOSPITAL: HOLY CROSS HOSPITAL IS A REGIONAL ACUTE CARE FACILITY AND WORKS ACTIVELY TO PROVIDE THE HIGHEST QUALITY OF CARE WHILE SERVING A DIVERSE CULTURAL COMMUNITY WITH A POVERTY RATE OF 21%. 35% ARE MEDICARE PATIENTS, 20% ARE MEDICAID PATIENTS AND 10% ARE UNINSURED. THE HOSPITAL PROVIDES A VARIETY OF SERVICES DESIGNED FOR THE EXPRESS GOOD OF THE COMMUNITY, EITHER AT REDUCED COST OR FOR FREE AND FACILITATES THE PROCESS OF PATIENTS APPLYING FOR THE COUNTY INDIGENT PROGRAM WHICH PAYS FOR HOSPITAL SERVICES. 1,294 PATIENTS SUCCESSFULLY APPLIED AND RECEIVED FINANCIAL ASSISTANCE THROUGH THE COUNTY INDIGENT PROGRAM IN FY2011. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | -414879 | Revenue |
| Description | CHARITY CARE: BENEFITING THE COMMUNITY WE SERVE IS AN ESSENTIAL EXPRESSION OF OUR MISSION. THE HOSPITAL ASSUMES THAT RESPONSIBILITY BY PROVIDING HOSPITAL/HEALTHCARE SERVICES TO MEMBERS OF THE COMMUNITY WHO ARE UNINSURED AND LACK THE ABILITY TO PAY. DURING THE FISCAL YEAR 2011, TAOS HEALTH SYSTEMS SERVED APPROXIMATELY 959 PATIENTS WHO QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2883427 | Expense |
| Revenue | 2496062 | Revenue |
| Description | THE HOSPITAL OWNS AND ACTIVELY RECRUITS DOCTORS TO STAFF A WOMEN'S HEALTH CLINIC, A RURAL HEALTH CLINIC AND A SURGICAL SPECIALTIES CLINIC TO ENSURE THAT THE COMMUNITY'S NEED FOR THESE SERVICES ARE MET. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1190615 | Expense |
| Revenue | 290615 | Revenue |
| Description | OTHER MISCELLANEOUS PATIENT SERVICES TO INCLUDE COMMUNITY HEALTH FAIR, COMMUNITY WELLNESS PROGRAMS, COMMUNITY DEVELOPMENT PROGRAMS, DONATIONS TO COMMUNITY PROGRAMS AND COMMUNITY SCHOLARSHIP COSTS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 1190615 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 290615 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 40087742 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 94 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 520 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NM | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIC EISENRING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5057588883 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1397 WEIMER RD | AddressLine1 |
| City | TAOS | City |
| State | NM | State |
| ZIP Code | 87571 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| RON BURNHAM | |||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| TIM MARTINEZ | |||||||
| VICE-CHAIR | 1.00 | X | X | 0 | 0 | 0 | |
| ANDY TORRES | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PAMELA ROMERO | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| ANNA MARTINEZ | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| SYLVIA VILLAREAL | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL HOWARD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAN GUTMAN MD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JEANNIE MASTERS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| CHARLIE GONZALES | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| GUS CORDOVA | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| LINDA AUBRECHT | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| GEILAN ISMAIL | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PETER HOFSTETTER | |||||||
| CEO | 40.00 | X | 267260 | 0 | 40089 | ||
| RICHARD EISENRING | |||||||
| CFO | 40.00 | X | 161152 | 0 | 23715 | ||
| MARY ANNA ABEYTA | |||||||
| CHIEF CLINICAL OFFICER | 40.00 | X | 163274 | 0 | 9464 | ||
| RICHARD MASSEN | |||||||
| SURGEON | 40.00 | 349221 | 0 | 9464 | X | ||
| ALDEN G COCKBURN | |||||||
| SURGEON | 40.00 | 365883 | 0 | 0 | X | ||
| STEPHEN CETRULO | |||||||
| SURGEON | 40.00 | 300962 | 0 | 4869 | X | ||
| SHANTI MOHLING | |||||||
| OBSTETRICIAN | 40.00 | 303632 | 0 | 9464 | X | ||
| TIMOTHY MOORE | |||||||
| OBSTETRICIAN | 40.00 | 258631 | 0 | 4869 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2170015 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 101934 | TotalOtherCompensation |
| Number Individuals GT100 K | 34 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| QUORUM HEALTH RESOURCES LLC | |||||
| 105 CONTINENTAL PLACE | BRENTWOOD | TN | 37027 | MANAGEMENT CONTRACTOR | 1121285 |
| NORTHERN NM ANESTHESIA | |||||
| PO BOX 1235 | RANCHOS DE TAOS | NM | 87557 | ANESTHESIOLOGISTS | 1050919 |
| RURAL RADIOLOGY ASSOCIATES PLLC | |||||
| 12687 W CEDAR DR STE 200 | DENVER | CO | 80228 | RADIOLOGY | 574595 |
| SHARED IMAGING | |||||
| BOX 88544 | MILWAUKEE | WI | 53288 | RADIOLOGY | 514273 |
| WEATHERBY LOCUMS | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | CONTRACT DOCTORS | 417015 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 20 | NumberOfContractorsGT100K |
| Government Grants | 389994 | GovernmentGrants |
| All Other Contributions | 1025154 | AllOtherContributions |
| Noncash Contributions | 14999 | NoncashContributions |
| Total Contributions | 1415148 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE RE | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 55406396 | TotalRevenueColumn |
| Related Or Exempt Function Income | 55406396 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 55406396 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 179464 | TotalRevenueColumn |
| Exclusion | $179,464 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3855256 | Securities |
| Other | 23653 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3737806 | Securities |
| Other | 10599 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 117450 | Securities |
| Other | 13054 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 130504 | TotalRevenueColumn |
| Exclusion | $130,504 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| FOOD SERVICE | 722210 | 403146 | $403,146 | ||
| INCOME FROM TAOS SPORT | 624100 | 155500 | 155500 | ||
| MANAGEMENT SERVICES LE | 621910 | -9037 | -9037 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 205473 | TotalRevenueColumn |
| Related Or Exempt Function Income | 205473 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 755082 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 57886594 | TotalRevenueColumn |
| Related Or Exempt Function Income | 55767369 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -9037 | UnrelatedBusinessRevenue |
| Exclusion | $713,114 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 589066 | Total |
| Management And General | 589066 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27436898 | Total |
| Program Services | 24076691 | ProgramServices |
| Management And General | 3360207 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151411 | Total |
| Program Services | 132161 | ProgramServices |
| Management And General | 19250 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2649372 | Total |
| Program Services | 2322688 | ProgramServices |
| Management And General | 326684 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1732913 | Total |
| Program Services | 1519228 | ProgramServices |
| Management And General | 213685 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 628413 | Total |
| Management And General | 628413 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 819028 | Total |
| Management And General | 819028 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91838 | Total |
| Management And General | 91838 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36910 | Total |
| Management And General | 36910 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6444909 | Total |
| Program Services | 4302487 | ProgramServices |
| Management And General | 2142422 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187661 | Total |
| Management And General | 187661 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 831994 | Total |
| Program Services | 451502 | ProgramServices |
| Management And General | 380492 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 337359 | Total |
| Management And General | 337359 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 939337 | Total |
| Management And General | 939337 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 189622 | Total |
| Program Services | 87105 | ProgramServices |
| Management And General | 102517 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123402 | Total |
| Program Services | 81342 | ProgramServices |
| Management And General | 42060 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33731 | Total |
| Management And General | 33731 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2515908 | Total |
| Management And General | 2515908 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1174435 | Total |
| Program Services | 1070447 | ProgramServices |
| Management And General | 103988 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 5794873 | 5664564 | 130309 |
| BAD DEBT EXPENSES | 5404733 | 5404733 | |
| REPAIRS & MAINTENANCE | 1222320 | 1222320 | |
| EQUIPMENT RENTAL | 662113 | 345708 | 316405 |
| HOSPITAL RELATIONS | 253012 | 253012 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1532824 | Total |
| Program Services | 33819 | ProgramServices |
| Management And General | 1499005 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61784082 | Total |
| Program Services | 40087742 | ProgramServices |
| Management And General | 21696340 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3692795 | BOY |
| EOY | 1816548 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3059166 | BOY |
| EOY | 3109804 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7993950 | BOY |
| EOY | 7647193 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 280095 | BOY |
| EOY | 1247678 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1689651 | BOY |
| EOY | 1752810 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 831633 | BOY |
| EOY | 551891 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 40288536 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 17497219 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21790473 | BOY |
| EOY | 22791317 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8476049 | BOY |
| EOY | 6024958 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47813812 | BOY |
| EOY | 44942199 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5076420 | BOY |
| EOY | 5989660 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110508 | BOY |
| EOY | 119269 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1502759 | BOY |
| EOY | 2748837 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2268978 | BOY |
| EOY | 521586 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8958665 | BOY |
| EOY | 9379352 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38613647 | BOY |
| EOY | 35009358 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 241500 | BOY |
| EOY | 553489 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38855147 | BOY |
| EOY | 35562847 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47813812 | BOY |
| EOY | 44942199 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -3897488 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 605187 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | 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 D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2477720 | OtherCostOrOtherBasis |
| Book Value | 2477720 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12411419 | OtherCostOrOtherBasis |
| Depreciation | 2660246 | Depreciation |
| Book Value | 9751173 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3113783 | OtherCostOrOtherBasis |
| Depreciation | 1271820 | Depreciation |
| Book Value | 1841963 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21244222 | OtherCostOrOtherBasis |
| Depreciation | 13565153 | Depreciation |
| Book Value | 7679069 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1041392 | OtherCostOrOtherBasis |
| Book Value | 1041392 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 22791317 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ASSETS - LIMITED USE | 5370230 |
| NOTES & OTHER RECEIVABLES | 103069 |
| OTHER CURRENT ASSETS | 140093 |
| INVESTMENT IN TAOS SPORTS MEDICINE, LLC | 285088 |
| INVESTMENT IN PHYSICIANS HEALTH ORGANIZATION, INC. | 33217 |
| THIRD PARTY PAYOR SETTLEMENTS | 93261 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6024958 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | EST THIRD PARTY PAYOR SETTLEMENTS | Description |
| Amount | $521,586 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 521586 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THE HOSPITAL ADOPTED THE PROVISIONS OF FASB, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS ON JUNE 1, 2009, WHICH HAD NO FINANCIAL STATEMENT IMPACT TO THE HOSPITAL. THE HOSPITAL RECOGNIZES THE TAX BENEFIT FROM ANY 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. ANY SUCH TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE HOSPITAL HAD NO UNRECOGNIZED TAX BENEFITS WHICH WOULD REQUIRE AN ADJUSTMENT TO THE JUNE 1, 2009 BEGINNING BALANCE OF NET ASSETS AND HAD NO UNRECOGNIZED TAX BENEFITS AT MAY 31, 2011 OR 2010. THE HOSPITAL FILES AN EXEMPT ORGANIZATION RETURN WITH THE INTERNAL REVENUE SERVICE (IRS). THE HOSPITAL IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE IRS FOR TAX YEARS THROUGH MAY 31, 2008. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 0 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2253 | PersonsServed |
| Total Community Benefit Expense | 2368177 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1301894 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1066283 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01890 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9980850 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13124381 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -3143531 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2253 | PersonsServed |
| Total Community Benefit Expense | 12349027 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14426275 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -2077248 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01890 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 144 | NumberOfActivitiesOrPrograms |
| Persons Served | 54833 | PersonsServed |
| Total Community Benefit Expense | 901999 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 901999 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01600 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 144 | NumberOfActivitiesOrPrograms |
| Persons Served | 54833 | PersonsServed |
| Total Community Benefit Expense | 901999 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 901999 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01600 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 144 | NumberOfActivitiesOrPrograms |
| Persons Served | 57086 | PersonsServed |
| Total Community Benefit Expense | 13251026 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14426275 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -1175249 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03490 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $2,702,810 | BadDebtExpenseAmount |
| Amount Attributable To | 1899337 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 10317075 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 22998865 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -12681790 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| 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 | HOLY CROSS HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1397 WEIMER RD | AddressLine1 |
| City | TAOS | City |
| State | NM | State |
| ZIP Code | 87571 | 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 | NOT REQUIRED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
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 $ 5404733. |
| 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 AMOUNTS. 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.A HIGH NUMBER OF PATIENTS IN TAOS COUNTY ARE FINANCIALLY UNABLE TO PAY THEIR DEBTS. THE HOSPITAL IS COMMITTED TO SERVING THE COMMUNITIES HEALTHCARE NEEDS INCLUDING THOSE PATIENTS WHO MAY NOT BE ABLE TO AFFORD THE HOSPITAL SERVICES THEY NEED. WE CANNOT ALWAYS IDENTIFY THOSE PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE AT THE TIME OF SERVICE BUT RECOGNIZE THAT MANY OF THOSE PATIENTS WOULD BE ELIGIBLE FOR THE HOSPITAL'S CHARITY CARE. |
| PART III, LINE 8: THE ENTIRE AMOUNT OF MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. MEDICARE PATIENTS REPRESENT A SIGNIFICANT PORTION OF THE HOSPITAL'S BUSINESS, APPROXIMATELY 38%. MEDICARE RATES ARE OFTEN OUT OF LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. BY SERVING MEDICARE PATIENTS, THE HOSPITAL ALLEVIATES THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING SERVICES AND THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE SHORTFALL WAS COMPUTED BY OBTAINING COST AND REIMBURSEMENT INFORMATION FROM THE FY2011 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: HOLY CROSS HOSPITAL CONTINUES TO COLLABORATE WITH COMMUNITY COALITIONS AND NETWORKS TO ASSESS COMMUNITY HEALTH NEEDS. THE RESULTING COMMUNITY HEALTH PROFILE RESULTS FROM WORK OF COMMUNITY PARTNERS INVOLVED IN EARLY CHILDHOOD EDUCATION NETWORK, DRUG-FREE PARTNERSHIP, TOBACCO-FREE POLICY WORK GROUP AND AFTER SCHOOL NETWORK. COMMUNITY BENEFIT RELIES ON THE MOST UP TO DATE STATE AND FEDERAL DATA TO CREATE ON OVERVIEW OF HEALTH STATUS FOR OUR COMMUNITY AND A NEEDS ASSESSMENT FOR REGIONAL GROWTH AND DEVELOPMENT. |
| PART VI, LINE 3: ON EACH BILL THAT IS MAILED TO THE PATIENT A NOTE IS ATTACHED TELLING THE PATIENT TO CONTACT THE HOSPITAL IF THEY NEED FINANCIAL ASSISTANCE AND A PHONE NUMBER IS PROVIDED. WHEN SELF PAY ACCOUNTS ARE IDENTIFIED, A LETTER IS SENT REQUESTING PAYMENT OF THE BILL OR THE PATIENT TO CONTACT THE HOSPITAL TO DISCUSS FINANCIAL ASSISTANCE. |
| PART VI, LINE 4: HOLY CROSS HOSPITAL EXISTS IN A COMMUNITY WHERE AMERICAN INDIAN, HISPANIC AND ANGLO CULTURES WITH DIVERSE SENSES OF FAMILY, TIME, WORK AND ENVIRONMENT CO-EXIST. THESE CULTURAL THREADS HAVE CREATED A RICH AND COMPLEX LOCAL HERITAGE. TO THE EAST IS THE HIGHEST MOUNTAIN IN THE STATE (WHEELER PEAK AT 13,630 FEET) AND TO THE WEST, A DESERT MESA WHERE WATER IS NOT EASILY ACCESSIBLE AND MANY PEOPLE LIVE WITHOUT INDOOR PLUMBING. THERE IS A DEEP HOPE AND SPIRITUALITY CONTRASTED BY DEEP DESPAIR AND DISENFRANCHISEMENT. WE HAVE THE STRENGTHS OF EXTENDED FAMILIES, SMALL TOWN SOCIAL NETWORKS, AND EXPANSIVE WILDERNESS, YET HAVE SOME OF THE HARSHEST SOCIAL AND ECONOMIC CONDITIONS IN OUR COUNTRY. THE MEDIAN HOME PRICE IS $273,000 AND THE POVERTY RATE IS 21% WHICH IS ROUGHLY 120% THE NM RATE AND NEARLY 200% THE US RATE. THE MEDIAN INCOME IS $25,883 IN PENASCO (A VILLAGE WE SERVE) AND IS $16,875 IN PICURIS PUEBLO COMPARED TO $50,046 NATIONALLY. THE PROPORTION OF TAOS COUNTRY CHILDREN IN IMPOVERISHED OR LOW-INCOME FAMILIES REMAINS AMONG THE HIGHEST IN THE COUNTRY, WITH MORE THAN 25% OF ALL CHILDREN IN POVERTY, 43% NEAR POVERTY, AND MORE THAN HALF LOW-INCOME. UNEMPLOYMENT IS 13%, AND LESS THAN 10% OF EMPLOYERS OFFER HEALTH INSURANCE BENEFITS. THE REGION CONTAINS TWO AMERICAN INDIAN PUEBLOS - TAOS AND PICURIS. OUR SERVICE AREA ENCOMPASSES 23,000 MILES AND 40,000 PEOPLE, 55% OF WHOM ARE HISPANIC, 37% WHITE AND 7.4% NATIVE AMERICAN (US CENSUS BUREAU 2008). |
| PART VI, LINE 6: TAOS HEALTH SYSTEMS, LOCALLY KNOWN AS HOLY CROSS HOSPITAL (HCH) SERVICES FOUR RURAL AND FRONTIER COUNTIES IN NORTHERN NEW MEXICO. WE ARE A LOCAL, INDEPENDENT, NON-PROFIT ORGANIZATION WITH HOLY CROSS HOSPITAL (HCH) AS ITS REGIONAL HUB. HCH HAS ALWAYS BEEN COMMUNITY-FOCUSED. FROM THE DAY IT OPENED UNTIL TODAY, THE DRIVE BEHIND THE HOSPITAL'S PROSPERITY, AND VERY EXISTENCE, HAS COME FROM THE LOCAL RESIDENTS. THROUGHOUT ITS 74 YEAR HISTORY, IT HAS BEEN ABLE TO PROVIDE CARE ONLY BECAUSE OF THE DEDICATION AND HARD WORK OF OUR COMMUNITY. IT IS THIS CERTAINTY WHICH INSPIRES OUR MISSION: 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 THE CULTURALLY-DIVERSE TAOS COMMUNITY AND SURROUNDING AREAS. AS A NON-PROFIT, HCH HAS A LOCAL GOVERNING BOARD THAT INCLUDES PHYSICIANS AND COMMUNITY MEMBERS, WITH EQUAL REPRESENTATION FROM THE OUTLYING VILLAGES OF OUR REGION. IN 1985, THE BOARD OF DIRECTORS TURNED THE HOSPITALS FINANCIAL SITUATION AROUND FROM NEAR-FORECLOSURE; IN 1991, LOCAL VOTERS APPROVED A .5% TAX TO FINANCE A NEW MEDICAL COMPLEX, WHICH OPENED IN 1994. THIS 49 BED MEDICAL COMPLEX IS WHERE HCH IS CURRENTLY HOUSED. IN 2006, NM GOVERNOR BILL RICHARDSON AWARDED $1.1 MILLION TO BUILD A PEDIATRIC CLINIC, WHICH OPENED IN 2010, AND HCH IS PLANNING FOR ITS NEXT EXPANSION. WE EMPLOY PRIMARY CARE PROVIDERS, PEDIATRICIANS, SURGEONS, THE COUNTY'S ONLY OB/GYNS, AND WE OPERATE A REHABILITATION AND PHYSCIAL THERAPY CENTER. THESE SERVICES HAVE GROWN AS COMMUNITY NEEDS HAVE BEEN IDENTIFIED. LOCAL COMMUNITY MEMBERS, ALONGSIDE HOSPITAL ADMINISTRATORS, HAVE DEVELOPED SUSTAINABLE BUSINESS MODELS FOR CONTINUED PROVISION OF THESE SERVICES. OUR COMMUNITY SERVICE PROGRAMS TARGET POPULATIONS FROM PRENATAL CARE TO HIGH SCHOOL STUDENT OUTREACH TO SUPPORT FOR ELDERS WITH CHRONIC DISEASES. THEY ADDRESS SMOKING, CHRONIC DISEASE SUPPORT, HEALTHY PARENTING, AND OTHER TOPICS. IN ALL PROGRAMS, HCH'S APPROACH FOCUSES ON UNDERSTANDING HOW FAMILIES WORK TOGETHER AND CAN BE SUPPORTED TOGETHER, CONSISTENT WITH OUR COMMUNITY'S HISPANIC AND AMERICAN INDIAN TRADITIONS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PETER HOFSTETTER | |||||||||||||
| 239000 | 0 | 11000 | 0 | 17260 | 0 | 0 | 0 | 40089 | 0 | 307349 | 0 | 0 | 0 |
| RICHARD EISENRING | |||||||||||||
| 145588 | 0 | 9822 | 0 | 5742 | 0 | 0 | 0 | 23715 | 0 | 184867 | 0 | 0 | 0 |
| MARY ANNA ABEYTA | |||||||||||||
| 163274 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9464 | 0 | 172738 | 0 | 0 | 0 |
| RICHARD MASSEN | |||||||||||||
| 349221 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9464 | 0 | 358685 | 0 | 0 | 0 |
| ALDEN G COCKBURN | |||||||||||||
| 346562 | 0 | 7784 | 0 | 11537 | 0 | 0 | 0 | 0 | 0 | 365883 | 0 | 0 | 0 |
| STEPHEN CETRULO | |||||||||||||
| 296762 | 0 | 0 | 0 | 4200 | 0 | 0 | 0 | 4869 | 0 | 305831 | 0 | 0 | 0 |
| SHANTI MOHLING | |||||||||||||
| 280349 | 0 | 0 | 0 | 23283 | 0 | 0 | 0 | 9464 | 0 | 313096 | 0 | 0 | 0 |
| TIMOTHY MOORE | |||||||||||||
| 255631 | 0 | 0 | 0 | 3000 | 0 | 0 | 0 | 4869 | 0 | 263500 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | CONTRACTED TO QUORUM HEALTH RESOURCES FOR MANAGEMENT SERVICES. | |
| FORM 990, PART VI, SECTION B, LINE 11 | AFTER 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. | |
| THE 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 12C | |
| AN 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 B, LINE 15 | |
| THE FORM 990 AND FORM 1023 ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 18 | |
| THE AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND ALL OTHER GOVERNING AND ORGANIZING DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS ALSO DISPLAYED ON THE ORGANIZATIONS WEBSITE AND ON POSTERS THROUGHOUT THE HOSPITAL. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 653,666. CONSOLIDATED INCOME 107,021. BOOK/TAX DIFFERENCE IN TSM K-1 -155,500. TOTAL TO FORM 990, PART XI, LINE 5: 605,187. | FORM 990, PART XI, LINE 5: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| TAOS SURGICAL SPECIALTIES LLC | |||||||||
| 1397 WEIMER RD | TAOS | NM | 87571 | 208900049 | SURGERY CLINIC | NM | 1221463 | 299101 | TAOS HEALTH SYSTEMS |
| MOMS LLC | |||||||||
| 1397 WEIMER RD | TAOS | NM | 87571 | 208131606 | OBSTETRICS & GYN CLINIC | NM | 1051196 | 237976 | TAOS HEALTH SYSTEMS |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAOS SPORTS MEDICINE SERVICE LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1398 WEIMER RD STE 103 | AddressLine1 |
| City | TAOS | City |
| State | NM | State |
| ZIP Code | 87571 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850473650 | EIN |
| Primary Activity | PHSYICAL THERAPY REHABILITATION | PrimaryActivity |
| Legal Domicile State | NM | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HCH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 155500 | ShareOfTotalIncome |
| Share Of EOY Assets | 286855 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| Percentage Ownership | 0.63960 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| TAOS SPORTS MEDICINE SERVICES LLC | |
| R | 145693 |
| TAOS SPORTS MEDICINE SERVICES LLC | |
| A | 1242 |
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