SAN JUAN REGIONAL MEDICAL CENTER INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- SAN JUAN REGIONAL MEDICAL CENTER INC (EIN 85-0127924)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-06
- IRS object ID
- 201131269349301518
- Schema version
- 2009v1.7
- 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 | 2011-05-06T16:32:14-04:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | 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 | 2009-07-01 | 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 | J MICHAEL PHILIPS | Name |
| Title | CSO | Title |
| Date Signed | 2011-05-06 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6023223000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | 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 | 257207914 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1827 | TotalNbrEmployees |
| Total Nbr Volunteers | 179 | TotalNbrVolunteers |
| Total Gross UBI | 1680744 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 178014 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 10246658 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1541754 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 231483213 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 251696747 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -5847777 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3294619 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 235882094 | TotalRevenuePriorYear |
| Total Revenue Current Year | 256533120 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 497882 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 115129497 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 123698748 | 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 | 105700358 | OtherExpensePriorYear |
| Other Expenses Current Year | 112050508 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 220829855 | TotalExpensesPriorYear |
| Total Expenses Current Year | 236247138 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 15052239 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 20285982 | RevenuesLessExpensesCY |
| Total Assets BOY | 286466623 | TotalAssetsBOY |
| Total Assets EOY | 307589892 | TotalAssetsEOY |
| Total Liabilities BOY | 94512134 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 94585208 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 191954489 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 213004684 | NetAssetsOrFundBalancesEOY |
| 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 | 215808410 | Expense |
| Revenue | 250016033 | 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 COMMUNITY BENEFIT REPORT. | Description |
| Total Program Service Expense | 215808410 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| 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 |
| 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 |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 228 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1827 | 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 |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | 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 | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| 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 |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Sara Kaynor | ||||||||
| Chairman/Immedt. Past Chairman | 6.0 | X | 0 | 0 | 0 | |||
| Mike Jakino | ||||||||
| Chairman/1st Vice Chairman | 6.0 | X | 0 | 0 | 0 | X | ||
| Norman Tucker | ||||||||
| 2nd Vice Chairman | 6.0 | X | 0 | 0 | 0 | X | ||
| Ronald Calcote MD | ||||||||
| Secretary | 6.0 | X | 14041 | 0 | 0 | X | ||
| James Shaheen | ||||||||
| Treasurer | 6.0 | X | 0 | 0 | 0 | X | ||
| Joseph Rasor | ||||||||
| Member | 6.0 | X | 0 | 0 | 0 | |||
| Sandy Williams | ||||||||
| Member/1st Vice Chairman | 6.0 | X | 0 | 0 | 0 | X | ||
| Jeff Bowman | ||||||||
| Member | 6.0 | X | 0 | 0 | 0 | |||
| Paul Deshayes | ||||||||
| Member | 6.0 | X | 0 | 0 | 0 | |||
| Dwayne Gibbs MD | ||||||||
| Chief of Staff | 6.0 | X | 109665 | 0 | 0 | |||
| Charles Hoffman MD | ||||||||
| Vice Chief of Staff | 40.0 | X | 383633 | 0 | 24952 | |||
| Richard Menning | ||||||||
| Auxiliary Rep | 6.0 | X | 0 | 0 | 0 | |||
| Charlene Scott | ||||||||
| Member | 6.0 | X | 0 | 0 | 0 | |||
| Rick Wallace | ||||||||
| CEO (AS OF 02/09/10) | 40.0 | 0 | 0 | 0 | X | |||
| Steve Altmiller | ||||||||
| CEO (THROUGH 7/31/09) | 40.0 | 463720 | 0 | 25829 | X | |||
| J Michael Philips | ||||||||
| CSO | 40.0 | 332741 | 0 | 34752 | X | |||
| John Buffington | ||||||||
| COO | 40.0 | 352185 | 0 | 34752 | X | |||
| Douglas Frary | ||||||||
| V.P. Support Services | 40.0 | 216611 | 0 | 29708 | X | |||
| Ruth Brooks | ||||||||
| V.P. Professional Services | 40.0 | 179477 | 0 | 17826 | X | |||
| Tom Dean | ||||||||
| V.P. Legal | 40.0 | 202613 | 0 | 22974 | X | |||
| Robert Fabrey MD | ||||||||
| Chief Medical Officer | 40.0 | 369668 | 0 | 31700 | X | |||
| Suzanne Smith | ||||||||
| V.P. Nursing | 40.0 | 215305 | 0 | 30830 | X | |||
| Stephen Franken | ||||||||
| V.P. IT (PART-YEAR) | 40.0 | 180653 | 0 | 25125 | X | |||
| Catherine Zaharko | ||||||||
| V.P. Marketing | 40.0 | 170543 | 0 | 28054 | X | |||
| Edward Maurin MD | ||||||||
| Doctor | 40.0 | 608053 | 0 | 33202 | X | |||
| Charles Wilkins MD | ||||||||
| Doctor | 40.0 | 572412 | 0 | 34752 | X | |||
| Luther Weathers III MD | ||||||||
| Doctor | 40.0 | 525752 | 0 | 24870 | X | |||
| Tull Graham MD | ||||||||
| Doctor | 40.0 | 469958 | 0 | 32423 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5367030 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 431749 | TotalOtherCompensation |
| Number Individuals GT100 K | 140 | 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 AVE SUITE 202 | DURANGO | CO | 81301 | Construction | 1882425 |
| Aramark Healthcare Management | |||||
| PO Box 100401 | PASADENA | CA | 91189 | Housekeeping/Bio-Med | 1682602 |
| Total Renal Care | |||||
| 6000 Feldwood ROAD | COLLEGE PARK | GA | 30349 | Dialysis | 1474830 |
| Four Corners Anesthesiology | |||||
| 1515 E 20th St Suite A | FARMINGTON | NM | 87401 | Anesthesia Services | 1207465 |
| MASH | |||||
| Magnolia Ave | FT WORTH | TX | 76104 | Obtain Ins coverage | 534120 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 25 | NumberOfContractorsGT100K |
| Government Grants | 1468848 | GovernmentGrants |
| All Other Contributions | 72906 | AllOtherContributions |
| Noncash Contributions | 1334446 | NoncashContributions |
| Total Contributions | 1541754 | 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 | 244439417 | 244439417 | |
| MEDICAL OFFICE BLDG. RENTAL | 531120 | 2254072 | 2254072 | |
| AMBULANCE SERVICES | 621910 | 477822 | 477822 | |
| CAFETERIA | 722210 | 1088694 | 1088694 | |
| REFERENCE LABORATORY | 621511 | 1680744 | 1680744 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1755998 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1755998 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 251696747 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3282584 | TotalRevenueColumn |
| Exclusion | $3,282,584 | 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 | 686829 | Securities |
| Other | 0 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 674794 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 686829 | Securities |
| Other | -674794 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12035 | TotalRevenueColumn |
| Exclusion | $12,035 | 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 | 256533120 | TotalRevenueColumn |
| Related Or Exempt Function Income | 250016003 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1680744 | UnrelatedBusinessRevenue |
| Exclusion | $3,294,619 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 497882 | Total |
| Program Services | 497882 | 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 | 2769800 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2769800 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 122556 | Total |
| Program Services | 122556 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93219202 | Total |
| Program Services | 89071898 | ProgramServices |
| Management And General | 4147304 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3902814 | Total |
| Program Services | 3630096 | ProgramServices |
| Management And General | 272718 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17124481 | Total |
| Program Services | 15949676 | ProgramServices |
| Management And General | 1174805 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6559895 | Total |
| Program Services | 6122294 | ProgramServices |
| Management And General | 437601 | 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 | 182396 | Total |
| Program Services | 48486 | ProgramServices |
| Management And General | 133910 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276995 | Total |
| Program Services | 249370 | ProgramServices |
| Management And General | 27625 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63063 | Total |
| Program Services | 63063 | 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 | 384682 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 384682 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18661089 | Total |
| Program Services | 15546047 | ProgramServices |
| Management And General | 3115042 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 597941 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 597941 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41408388 | Total |
| Program Services | 40979740 | ProgramServices |
| Management And General | 428648 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2194626 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2194626 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3506286 | Total |
| Program Services | 3425638 | ProgramServices |
| Management And General | 80648 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1242548 | Total |
| Program Services | 931759 | ProgramServices |
| Management And General | 310789 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2528021 | Total |
| Program Services | 2275896 | ProgramServices |
| Management And General | 252125 | 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 | 10628778 | Total |
| Program Services | 9568746 | ProgramServices |
| Management And General | 1060032 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3050432 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 3050432 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BAD DEBT EXPENSE | Description |
| Total | 27325263 | Total |
| Program Services | 27325263 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 236247138 | Total |
| Program Services | 215808410 | ProgramServices |
| Management And General | 20438728 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15119893 | BOY |
| EOY | 16717138 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18334308 | BOY |
| EOY | 10349992 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 199473 | BOY |
| EOY | 326970 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24935492 | BOY |
| EOY | 23398409 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3204213 | BOY |
| EOY | 2914691 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2784927 | BOY |
| EOY | 3183135 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2259985 | BOY |
| EOY | 2441814 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 262870735 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 116664929 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 147806777 | BOY |
| EOY | 146205806 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61393311 | BOY |
| EOY | 92506241 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8615837 | BOY |
| EOY | 7828155 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1812407 | BOY |
| EOY | 1717541 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 286466623 | BOY |
| EOY | 307589892 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21882604 | BOY |
| EOY | 26045028 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62756549 | BOY |
| EOY | 60822390 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6284673 | BOY |
| EOY | 5385041 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3588308 | BOY |
| EOY | 2332749 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94512134 | BOY |
| EOY | 94585208 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 191954489 | BOY |
| EOY | 213004684 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 191954489 | BOY |
| EOY | 213004684 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 286466623 | BOY |
| EOY | 307589892 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $48,259 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $14,795 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 63054 | 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 $48,259 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 - $8,423 2) AMERICAN HOSPITAL ASSOCIATION - $6,372 | 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 | 5963865 | OtherCostOrOtherBasis |
| Book Value | 5963865 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 71440730 | OtherCostOrOtherBasis |
| Depreciation | 20498972 | Depreciation |
| Book Value | 50941758 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 89046979 | OtherCostOrOtherBasis |
| Depreciation | 30904568 | Depreciation |
| Book Value | 58142411 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 86496543 | OtherCostOrOtherBasis |
| Depreciation | 61527414 | Depreciation |
| Book Value | 24969129 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9922618 | OtherCostOrOtherBasis |
| Depreciation | 3733975 | Depreciation |
| Book Value | 6188643 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 146205806 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO THIRD PARTY PAYORS | Description |
| Amount | $2,332,749 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2332749 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ASC 740 FOOTNOTE | Identifier |
| Return Reference | FORM 990, SCHEDULE D, PART X, LINE 2 | ReturnReference |
| Explanation | 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 | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 759 | PersonsServed |
| Total Community Benefit Expense | 2784168 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1326715 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1457453 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00700 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 759 | PersonsServed |
| Total Community Benefit Expense | 2784168 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1326715 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1457453 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00700 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 23140 | PersonsServed |
| Total Community Benefit Expense | 425416 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 425416 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 921 | PersonsServed |
| Total Community Benefit Expense | 491479 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 491479 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 144024 | PersonsServed |
| Total Community Benefit Expense | 69255157 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 49445897 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19809260 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09480 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 92 | PersonsServed |
| Total Community Benefit Expense | 499882 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 497882 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 168177 | PersonsServed |
| Total Community Benefit Expense | 70671934 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 49447897 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 21224037 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10160 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 168936 | PersonsServed |
| Total Community Benefit Expense | 73456102 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 50774612 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22681490 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10860 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 6848 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 6848 | NetCommunityBuildingExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1500 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1500 | NetCommunityBuildingExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1384135 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1384135 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00660 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1392483 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1392483 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00660 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $10,424,588 | BadDebtExpenseAmount |
| Amount Attributable To | 2606147 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 54629784 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 55608766 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -978982 | 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 | 0.37000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.63000 | PhysicansProfitOrOwnership |
Form990 Schedule H Part V Form990ScheduleHPartV (21 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| SAN JUAN REGIONAL MEDICAL CENTER | |||||||
| 801 West Maple Street | Farmington | NM | 87401 | X | X | X | |
| SJRMC CARDIOLOGY | |||||||
| 407 S SCHWARTZ SUITE 201 | FARMINGTON | NM | 87401 | MEDICAL CLININC | |||
| 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 | |||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | 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. | AnnualCommunityBenefitExpln |
| Costing Method Used | SJRMC USES A COST ACCOUNTING SYSTEM WHICH IS A PART OF ITS HOSPITAL INFORMATION SYSTEM. THE SYSTEM ADDRESSES ALL PATIENT SEGMENTS. | CostingMethodUsed |
| Subsidized Health Services Expln | OF THE AMOUNT REPORTED ON LINE 7G, $11,117,204 WAS RELATED TO SUBSIDIZED SERVICES FOR PHYSICIAN CLINICS. | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | BAD DEBT EXPENSE OF $27,325,263 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE OF NET COMMUNITY BENEFIT. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | 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 CHARITY CARE COST IF THE PATIENTS WOULD COMPLETE THE CHARITY CARE APPLICATION. THIS AMOUNT IS CURRENTLY ESTIMATED AT 25% THAT IS INCLUDED IN THE COST OF BAD DEBT. | BadDebtFootnote |
| Shortfall As Community Benefit | THE AMOUNT OF MEDICARE SHORTFALL REPORTED ON LINE 7 IS $978,982 THIS AMOUNT IS A RESULT OF THE TOTAL REVENUE AND ALLOWABLE COST CALCULATION ON OUR FY 10 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 CHARITY CARE 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 CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | 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 (CHARITY CARE) AS LONG AS THE PATIENT IS COOPERATING WITH THE APPLICATION PROCESS." | DebtCollectionPolicy |
| 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 NEXT SCHEDULED ASSESSMENT WILL OCCUR IN FY2012. THE NEEDS WHICH WERE IDENTIFIED FROM THE HOSPITAL'S MOST RECENT SURVEY INCLUDE: ADD/ADHD BARRIERS TO ACCESSING HEALTHCARE SERVICES CIRRHOSIS AND LIVER DISEASE DIABETES FLU VACCINATIONS 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 VIOLENT CRIME 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. | NeedsAssessment |
| Patient Education 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 PROGRAM FOR SELF-PAY INDIVIDUALS. THROUGH THE PROGRAM, PATIENT ADVOCATES STAND HAND-IN-HAND WITH PATIENTS TO EXPLORE EVERY POSSIBILITY OF ASSISTANCE. | PatientEducationAssistance |
| 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 124,131)-WHICH IS THE PRINCIPAL COUNTY SERVED BY SAN JUAN REGIONAL MEDICAL CENTER-INDICATE THE FOLLOWING POPULATION CHARACTERISTICS: MEN: 43.3% WOMEN: 51.7% AGES 18 TO 39: 43.5% AGES 40 TO 64: 44.2% AGES 65+: 12.3% WHITE: 44.5% NATIVE AMERICAN: 36.2% HISPANIC: 15.7% LIVING BELOW FEDERAL POVERTY LEVEL: 20% THE MEDIAN HOUSEHOLD INCOME FOR SAN JUAN COUNTY IS $45,971 | CommunityInformation |
| Community Building Activities | SJRMC COMMUNITY BUILDING ACTIVITIES ARE A COMBINATION OF PHYSICIAN RECRUITMENT, UNITED WAY PRESENTATIONS AND A PROGRAM WITH BIG BROTHERS BIG SISTERS IN WHICH EMPLOYEES GIVE TIME MENTORING CHILDREN. THE 4 CORNERS REGION HAS BEEN DESIGNATED BY HRSA AS AN AREA WITH A PHYSICIAN SHORTAGE IN PRIMARY CARE, MENTAL HEALTH, DENTAL, AND MEDICALLY UNDERSERVED AREA/POPULATION. FOR THIS REASON SJRMC SPENDS A SIGNIFICANT AMOUNT OF MONEY RECRUITING PHYSICIANS, $1,384,135 IN FISCAL YEAR 2010. | CommunityBuildingActivities |
| Other Information | THE COMMUNITY HEALTHCARE NEEDS ASSESSSMENT THAT WAS PERFORMED IN FY08 CONTINUES TO GUIDE SJRMC IN PLANNING AND INITIATING PROGRAMS THAT ADDRESS THE IDENTIFED REQUIREMENTS OF OUR COMMUNITY. THE NEXT NEEDS ASSESSMENT IS PLANNED TO BE CONDUCTED DURING FY 2012. IN THE CONSTANT EFFORT TO MEET COMMUNITY NEED SJRMC SEEKS TO IMPROVE PHYSICIAN ACCESS THROUGH A VIGOROUS RECRUITING PROGRAM; PROVIDE COMMUNITY EDUCATION AND MANY OTHER COMMUNITY BENEFIT PROGRAMS. IN FISCAL YEAR 2010, SAN JUAN REGIONAL MEDICAL CENTER PROVIDED BENEFITS TO THE POOR AND THE BROADER COMMUNITY OF OVER $24 MILLION. | OtherInformation |
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 Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|---|---|---|---|---|---|---|---|
| SAN JUAN COLLEGE | ||||||||||
| 4601 COLLEGE | FARMINGTON | NM | 87402 | 850295969 | 501(C)(3) | 19332 | FMV | NURSE INSTRUCT TIME | PROVIDE INSTRUCTION TO NURSING STUDENTS | |
| ECHO FOOD BANK | ||||||||||
| 1921 E MURRAY DR | FARMINGTON | NM | 87401 | 850196667 | 501(C)(3) | PURCHASE COOLER FOR FOOD STORAGE | 50000 | |||
| COMMUNITY HEALTHCARE FUND | ||||||||||
| 1601 E 20TH | FARMINGTON | NM | 87401 | 113750115 | 501(C)(3) | DONATION FOR OPERATIONS | 11000 | |||
| SAN JUAN UNITED WAY | ||||||||||
| 903 W APACHE | FARMINGTON | NM | 87401 | 850165322 | 501(C)(3) | MATCH EMPLOYEE DONATIONS TO UNITED WAY | 112159 | |||
| BLOOMFIELD SENIOR CENTER | ||||||||||
| 124 W ASH | BLOOMFIELD | NM | 87413 | 856004832 | 501(C)(3) | DIABETES MEALS PROGRAM | 32000 | |||
| BOYS AND GIRLS CLUB | ||||||||||
| 1825 E 19TH | FARMINGTON | NM | 87401 | 856000129 | 501(C)(3) | FITNESS PROGRAM | 13900 | |||
| HOME FOR WOMEN & CHILDREN | ||||||||||
| PO BOX 1805 | SHIPROCK | NM | 87420 | 850307031 | 501(C)(3) | LEASE PAYMENTS FOR BUILDING | 56139 | |||
| HOPE CHILDRENS FUND | ||||||||||
| PO BOX 110 | FARMINGTON | NM | 87499 | 850330156 | 501(C)(3) | DONATION FOR OPERATIONS | 30000 | |||
| SAN JUAN UNITED WAY | ||||||||||
| 903 W APACHE | FARMINGTON | NM | 87401 | 850165322 | 501(C)(3) | CONTRIBUTE TO FUND TO PROVIDE PROPRANE | 12500 | |||
| NM MEDICAL SOCIETY | ||||||||||
| 7770 JEFFERSON NE 400 | ALBUQUERQUE | NM | 87109 | 850096808 | 501(c)(3) | SPEAKER FEE FOR ANNUAL CONFERENCE AT NM Medical Society | 32861 | |||
| SACRED HEART CATHOLIC CHURCH | ||||||||||
| 404 N ALLEN | FARMINGTON | NM | 87401 | 850414034 | 501(C)(1) | MUSIC PROGRAM AND FOUNDATION | 20000 | |||
| SAN JUAN ECONOMIC DEVELOPMENT | ||||||||||
| 5101 COLLEGE | FARMINGTON | NM | 87401 | 850171302 | 501(C)(3) | PROGRAM SUPPORT | 10000 | |||
| SAN JUAN MEDICAL FOUNDATION | ||||||||||
| PO BOX 110 | FARMINGTON | NM | 87499 | 850330156 | 501(C)(3) | GOLFING EVENTS | 13000 | |||
| SAN JUAN OPEN FOUNDATION | ||||||||||
| 5775 COUNTRY CLUB | FARMINGTON | NM | 87401 | 342041577 | 501(C)(3) | SAN JUAN OPEN FOUNDATION GOLF TOURN./CHARITY | 6500 | |||
| SAN JUAN SYMPHONY | ||||||||||
| PO BOX 1073 | DURANGO | CO | 81302 | 237414147 | 501(C)(3) | DONATION FOR OPERATIONS | 20000 | |||
| 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. For 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 | false | 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 (15 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 | |||||||||||||
| 338273 | 0 | 38160 | 0 | 7200 | 0 | 7350 | 0 | 17602 | 0 | 408585 | 0 | 0 | 0 |
| Steve Altmiller | |||||||||||||
| 353143 | 0 | 110522 | 0 | 55 | 0 | 15030 | 0 | 10799 | 0 | 489549 | 0 | 0 | 0 |
| J Michael Philips | |||||||||||||
| 248509 | 0 | 68589 | 0 | 15643 | 0 | 17150 | 0 | 17602 | 0 | 367493 | 0 | 0 | 0 |
| John Buffington | |||||||||||||
| 269429 | 0 | 66153 | 0 | 16603 | 0 | 17150 | 0 | 17602 | 0 | 386937 | 0 | 0 | 0 |
| Douglas Frary | |||||||||||||
| 169677 | 0 | 46906 | 0 | 28 | 0 | 12106 | 0 | 17602 | 0 | 246319 | 0 | 0 | 0 |
| Ruth Brooks | |||||||||||||
| 144014 | 0 | 35441 | 0 | 22 | 0 | 10014 | 0 | 7812 | 0 | 197303 | 0 | 0 | 0 |
| Tom Dean | |||||||||||||
| 173986 | 0 | 28614 | 0 | 13 | 0 | 6532 | 0 | 16442 | 0 | 225587 | 0 | 0 | 0 |
| Robert Fabrey MD | |||||||||||||
| 285760 | 0 | 67267 | 0 | 16641 | 0 | 14328 | 0 | 17372 | 0 | 401368 | 0 | 0 | 0 |
| Suzanne Smith | |||||||||||||
| 171967 | 0 | 43309 | 0 | 29 | 0 | 13228 | 0 | 17602 | 0 | 246135 | 0 | 0 | 0 |
| Stephen Franken | |||||||||||||
| 136483 | 0 | 44106 | 0 | 64 | 0 | 11018 | 0 | 14107 | 0 | 205778 | 0 | 0 | 0 |
| Catherine Zaharko | |||||||||||||
| 135508 | 0 | 35015 | 0 | 20 | 0 | 10534 | 0 | 17520 | 0 | 198597 | 0 | 0 | 0 |
| Edward Maurin MD | |||||||||||||
| 599828 | 0 | 0 | 0 | 8225 | 0 | 15600 | 0 | 17602 | 0 | 641255 | 0 | 0 | 0 |
| Charles Wilkins MD | |||||||||||||
| 555719 | 0 | 0 | 0 | 16693 | 0 | 17150 | 0 | 17602 | 0 | 607164 | 0 | 0 | 0 |
| Luther Weathers III MD | |||||||||||||
| 525684 | 0 | 0 | 0 | 68 | 0 | 7350 | 0 | 17520 | 0 | 550622 | 0 | 0 | 0 |
| Tull Graham MD | |||||||||||||
| 453000 | 0 | 0 | 0 | 16958 | 0 | 14913 | 0 | 17510 | 0 | 502381 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL COMPENSATION INFORMATION | Identifier |
| Explanation | 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. SCHEDULE J-2 THE COMPENSATION REPORTED FOR DWAYNE GIBBS, M.D. IS FOR A DIRECTORSHIP STIPEND, NOT FOR SERVICES RENDERED AS A BOARD MEMBER. THE COMPENSATION REPORTED FOR RONALD CALCOTE, M.D. IS FOR A MEDICAL DIRECTOR FET PROGRAM, NOT FOR SERVICES RENDERED AS A BOARD MEMBER. THE COMPENSATION REPORTED FOR CHARLES HOFFMAN M.D. IS FROM HIS CURRENT EMPLOYMENT, NOT FOR SERVICES RENDERED AS A BOARD MEMBER. PART VII AND SCHEDULE J SUPPLEMENTAL INFORMATION NO COMPENSATION IS REPORTED FOR RICK WALLACE BECAUSE HE DID NOT BEGIN SERVICE UNTIL FEBRUARY 2010 AND THE COMPENSATION REPORTED ON PART VII IS FOR THE CALENDAR YEAR 2009. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| CITY OF FARMINGTON | ||||||
| 856000129 | 311428BB1 | 2004-03-25 | 15000000 | CONSTRUCTION OF TOWER/NEW EQUIPMEN | false | false |
| CITY OF FARMINGTON | ||||||
| 856000129 | 311428BN5 | 2007-06-28 | 12290518 | CONSTRUCTION OF CANCER CENTER | false | false |
| CITY OF FARMINGTON | ||||||
| 856000129 | 311428AZ9 | 2004-03-25 | 16982883 | CONSTRUCTION OF TOWER/NEW EQUIPMEN | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Amount DefeasedAmountDefeased | Amount UnspentAmountUnspent | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 15689398 | 0 | 0 | 0 | 363203 | 0 | 15326195 | 2007 | false | false | true | true |
| 12457893 | 0 | 0 | 0 | 245810 | 0 | 12212083 | 2010 | false | false | true | true |
| 17087725 | 0 | 0 | 0 | 339658 | 0 | 16748067 | 2007 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 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 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| true | true | false | false | false | false |
| false | false | false | false | false | false |
| true | false | false | false | false | false |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| ANNA BUFFINGTON | |||
| JOHN BUFFINGTON / COO | 100726 | COMPENSATION AS EMPLOYEE | false |
| ERIC BUFFINGTON | |||
| JOHN BUFFINGTON / COO | 20086 | COMPENSATION AS EMPLOYEE | false |
| SAN JUAN PROFESSIONAL ASSOCIATES | |||
| GIBBS/V.COS, CALCOTE/SECY | 153653 | RENTAL PAYMENTS | false |
| FOUR CORNERS RADIOLOGY ASSOCIATES | |||
| RUTH BROOKS/KEY EMPLOYEE | 239378 | PAYMENT FOR 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 | |
| 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 | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1334446 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COST/SELLING PRICE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | VOLUNTEERS FORM 990, PART I, QUESTION 6 SJRMC HAS A TOTAL OF 179 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, QUESTION 4 2009 SAN JUAN REGIONAL MEDICAL CENTER COMMUNITY BENEFIT 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 2008 ESTIMATE OF THE POPULATION OF SAN JUAN COUNTY SHOWS THE COUNTY POPULATION HAS GROWN 7.6% FROM THE YEAR 2000 TO 2008 AND NOW NUMBERS APPROXIMATELY 122,500; 37% OF WHICH IS AMERICAN INDIAN AND ALASKA NATIVE PERSONS. SJRMC IS 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, QUESTION 2 DWAYNE GIBBS, M.D. AND RONALD CALCOTE, M.D. HAVE A BUSINESS RELATIONSHIP. MEMBERS AND THEIR RIGHTS FORM 990, PART VI, QUESTION 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 ORGANIZATIONS IN SAN JUAN COUNTY. THE CORPORATION MEETS QUARTERLY. AT THEIR ANNUAL MEETING, THEY NOMINATE AND ELECT 12 VOTING MEMBERS OF SJRMC'S BOARD OF DIRECTORS. DESCRIPTION OF PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW FORM 990 FORM 990, PART VI, QUESTION 11A 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, QUESTION 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. DESCRIPTION OF PROCESS USED TO DETERMINE COMPENSATION FORM 990, PART VI, QUESTIONS 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 ANNUALLY HAS AN OUTSIDE FIRM COMPARE THE CEO'S COMPENSATION WITH OTHER HEALTHCARE ORGANIZATIONS TO REMAIN COMPETITIVE. THE PROCESS WAS LAST COMPLETED IN 2009. AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC FORM 990, PART VI, QUESTION 19 SAN JUAN REGIONAL MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. METHOD USED TO DETERMINE AMOUNTS IN SCHEDULE R SCHEDULE R, PART V, LINE 2 THE AMOUNTS REPORTED ON SCHEDULE R, PART V, LINE 2 ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING. THE AMOUNTS REPORTED ON SCHEDULE R, PART V, LINE 2 ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING. | Explanation |
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 | HEALTH CARE | 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 | 606776 | ShareOfTotalIncome |
| Share Of EOY Assets | 1626564 | 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 | 650000 |
| SAN JUAN REGIONAL REHABILITATION HOSPITAL | |
| P | 886011 |
| SAN JUAN HEALTH PARTNERS INC | |
| 0 | |
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