REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE (EIN 85-0313268)
- Tax period
- 2009-09-01 to 2010-08-31
- Filed
- 2011-07-15
- IRS object ID
- 201131969349300838
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-07-15T17:48:01-05:00 | Timestamp |
| Tax Period End Date | 2010-08-31 | 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 | 2009-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850313268 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rehoboth McKinley Christian Healthcare Services | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | REHO | NameControl |
| Phone | 5058637000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Red Rock Dr | AddressLine1 |
| City | Gallup | City |
| State | NM | State |
| ZIP Code | 87301 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Mark Hall | Name |
| Title | CFO | Title |
| Phone | 5058637000 | Phone |
| Date Signed | 2011-07-14 | 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 | 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 | Karen Lautermilch | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Red Rock Dr | AddressLine1 |
| City | Gallup | City |
| State | NM | State |
| ZIP Code | 87301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 67017798 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.rmch.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | NM | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES, INC. IS TO SERVE GOD BY PROVIDING HEALTHCARE AND PROMOTING WELLNESS FOR ALL PEOPLE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 644 | TotalNbrEmployees |
| Total Nbr Volunteers | 100 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 9882190 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1535700 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 57627128 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 65259282 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 8529 | InvestmentIncomePriorYear |
| Investment Income Current Year | 24778 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -16547 | OtherRevenuePriorYear |
| Other Revenue Current Year | 115952 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 67501300 | TotalRevenuePriorYear |
| Total Revenue Current Year | 66935712 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 755480 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 40000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 32950146 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 32957722 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 32067882 | OtherExpensePriorYear |
| Other Expenses Current Year | 31996066 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 65773508 | TotalExpensesPriorYear |
| Total Expenses Current Year | 64993788 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1727792 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1941924 | RevenuesLessExpensesCY |
| Total Assets BOY | 40683548 | TotalAssetsBOY |
| Total Assets EOY | 39815837 | TotalAssetsEOY |
| Total Liabilities BOY | 24944732 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 21985965 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15738816 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 17829872 | NetAssetsOrFundBalancesEOY |
| Mission Description | Rehoboth McKinley Christian Healthcare Services, Inc. (RMCHCS) will be the preferred healthcare provider organization for McKinley county and the surrounding communities. RMCHCS will be responsive to the healthcare needs of the entire community. RMCHCS will focus on improving financial and operational performance while solidifying ourselves as an integrated healthcare delivery system. We will be distinguished by: 1) demonstrated quality, customer services, and value, 2) superior access, 3) clinical specialty services, 4) Strong human and technological resources, and 5) a multi-cultural orientation. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 42364830 | Expense |
| Grants | 40000 | Grants |
| Revenue | 61858124 | Revenue |
| Description | Provide quality comprehensive healthcare to Gallup, NM and the hospital, three clinics and a 20 bed behavioral health treatment center. As part of their recognition to the needs of the entire community, services are provided to Medicare, Medicaid and direct charity patients. The hospital had 31,904 adjusted patient days. The total value of free and unreimbursed care, services to government programs, community services, and community contributions of the year ended August 31, 2010 is estimated conservatively at $1,859,902. The three clinics provide a broad range of services and specialties, including pediatrics, pulmonology, obstetrics/gynecology, neurology, endocrinology, urology, surgery, orthopedics and nephrology. The program service accomplishments combined clinics had 63,719 patient visits. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 883481 | Expense |
| Revenue | 842711 | Revenue |
| Description | Hospice and Home Health - the Hospice operation is a program for patients who have terminal illnesses. The Hospice staff provides 461 visits to community members during the year. The Home Health operation provides interim care to help patients transition from an acute illness to care at home. The Home Health operation, staffed by registered nurses and other certified health care personnel, provides over 4,129 home visits to community members per year. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1179997 | Expense |
| Revenue | 2558447 | Revenue |
| Description | Behavioral Health Services (BHS) - BHS is licensed for 20 beds and also provides outpatient services to the community. BHS offers a high quality, comprehensive approach to the treatment of mental health and substance use disorders. BHS is JCAHO accredited. BHS provides residential treatment, day treatment and intensive outpatient substance-abuse treatment to adults. BHS also provides family and marital therapy and other counseling to children, adolescents, adults and families for psychiatric, emotional and substance use disorders. BHS had 3,605 outpatient visits. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 44428308 | 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 |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 0 | ScheduleORequired |
| Number Forms Transmitted With1096 | 138 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 644 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | 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 | 0 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Mary Lou Donkersloot | NamePerson |
| Telephone Number | 5058637004 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Red Rock Dr | AddressLine1 |
| City | Gallup | City |
| State | NM | State |
| ZIP Code | 87301 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Tony D Gonzales | ||||||||
| chairman | 1.00 | X | X | 0 | 0 | 0 | ||
| Kathy Head | ||||||||
| Vice Chairman | 1.00 | X | X | 0 | 0 | 0 | ||
| Priscilla Smith | ||||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | ||
| Eric D Begay | ||||||||
| treasurer | 1.00 | X | X | 0 | 0 | 0 | ||
| Oladipo Adeniyi DO | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Alan Beamsley DO | ||||||||
| trustee | 1.00 | X | 0 | 0 | 0 | |||
| David Bischoff | ||||||||
| trustee | 1.00 | X | 0 | 0 | 0 | |||
| Barry Butler | ||||||||
| trustee | 1.00 | X | 0 | 0 | 0 | |||
| Jennifer Dowling | ||||||||
| trustee | 1.00 | X | 0 | 0 | 0 | |||
| Sue Eddy | ||||||||
| trustee | 1.00 | X | 0 | 0 | 0 | |||
| lynn Isaacson | ||||||||
| trustee | 1.00 | X | 0 | 0 | 0 | |||
| Bill Lee | ||||||||
| trustee | 1.00 | X | 0 | 0 | 0 | |||
| John Mezoff MD | ||||||||
| trustee | 1.00 | X | 0 | 0 | 0 | |||
| Shelley Stam-Maclaren MD | ||||||||
| trustee | 32.00 | X | 164552 | 0 | 13941 | |||
| Shannon Tanner | ||||||||
| trustee | 1.00 | X | 0 | 0 | 0 | |||
| karen Lautermilch | ||||||||
| CEO | 38.00 | X | 112911 | 0 | 2341 | |||
| Mark Hall | ||||||||
| CFO | 38.00 | X | 179022 | 0 | 8265 | |||
| mary L Poel | ||||||||
| CMO | 40.00 | 237262 | 0 | 8866 | X | |||
| mary lou monahan | ||||||||
| coo | 40.00 | 94600 | 0 | 0 | X | |||
| Bryan Kamps | ||||||||
| Physician | 40.00 | 473731 | 0 | 16580 | X | |||
| Erwin Richard Elber | ||||||||
| physician | 40.00 | 334190 | 0 | 17506 | X | |||
| Carmlita Agodon | ||||||||
| physician | 40.00 | 323539 | 0 | 14408 | X | |||
| sharon smith-thomas | ||||||||
| physician | 40.00 | 318900 | 0 | 10180 | X | |||
| charles js guimaraes | ||||||||
| physician | 40.00 | 302102 | 0 | 16580 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2446209 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 108667 | TotalOtherCompensation |
| Number Individuals GT100 K | 49 | 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 |
|---|---|---|---|---|---|
| Apogee Medical Management | |||||
| 2525 E Camelback Rd Ste 1000 | Phoenix | AZ | 85016 | Professional Medical | 1290794 |
| Jacobus Consulting | |||||
| 29883 Santa Margarita pkwy | rancho st marg | CA | 92688 | Professional Medical | 1004914 |
| BE Smith | |||||
| 9777 Ridge Dr Ste 300 | Lenexa | KS | 66219 | Professional staffing | 949924 |
| Western NM Emergency Physicians PC | |||||
| PO Box 840393 | Dallas | TX | 75284 | professional Medical | 517606 |
| Integrated Document Solutions Inc | |||||
| 3511 West Commercial Blvd | Ft Lauderdale | FL | 33309 | transcription | 415156 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 31 | NumberOfContractorsGT100K |
| Related Organizations | 3985 | RelatedOrganizations |
| Government Grants | 1531715 | GovernmentGrants |
| Total Contributions | 1535700 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE | 624100 | 57060243 | 57060243 |
| medicaid/medicare | 624100 | 7897479 | 7897479 |
| other program services | 900099 | 301560 | 301560 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 65259282 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9734 | TotalRevenueColumn |
| Exclusion | $9,734 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 180757 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 64805 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 115952 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 115952 | TotalRevenueColumn |
| Exclusion | $115,952 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 32325 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 17281 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 15044 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15044 | TotalRevenueColumn |
| Exclusion | $15,044 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 66935712 | TotalRevenueColumn |
| Related Or Exempt Function Income | 65259282 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $140,730 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25000 | Total |
| Program Services | 25000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15000 | Total |
| Program Services | 15000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2499047 | Total |
| Program Services | 1037893 | ProgramServices |
| Management And General | 1461154 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26008419 | Total |
| Program Services | 20547108 | ProgramServices |
| Management And General | 5461311 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 537883 | Total |
| Program Services | 373928 | ProgramServices |
| Management And General | 163955 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1960632 | Total |
| Program Services | 1390426 | ProgramServices |
| Management And General | 570206 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1951741 | Total |
| Program Services | 1449601 | ProgramServices |
| Management And General | 502140 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97351 | Total |
| Management And General | 97351 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100535 | Total |
| Management And General | 100535 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6255164 | Total |
| Program Services | 4254841 | ProgramServices |
| Management And General | 2000323 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133944 | Total |
| Program Services | 584 | ProgramServices |
| Management And General | 133360 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3420955 | Total |
| Program Services | 673904 | ProgramServices |
| Management And General | 2747051 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 561076 | Total |
| Program Services | 61398 | ProgramServices |
| Management And General | 499678 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2958293 | Total |
| Program Services | 1131848 | ProgramServices |
| Management And General | 1826445 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 323848 | Total |
| Program Services | 216242 | ProgramServices |
| Management And General | 107606 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4573 | Total |
| Program Services | 1737 | ProgramServices |
| Management And General | 2836 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 484947 | Total |
| Management And General | 484947 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2543797 | Total |
| Management And General | 2543797 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1209418 | Total |
| Management And General | 1209418 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| bad debt | 5844248 | 5844248 | |
| medical supplies | 3732195 | 3731206 | 989 |
| contract labor | 3025272 | 2379930 | 645342 |
| pharmaceuticals | 1300450 | 1293414 | 7036 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64993788 | Total |
| Program Services | 44428308 | ProgramServices |
| Management And General | 20565480 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6131326 | BOY |
| EOY | 8317637 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2320780 | BOY |
| EOY | 1610028 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6366020 | BOY |
| EOY | 6941235 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4500 | BOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5005193 | BOY |
| EOY | 3848144 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 866009 | BOY |
| EOY | 819901 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 774966 | BOY |
| EOY | 804388 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 57348269 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 42913649 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15727331 | BOY |
| EOY | 14434620 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2556434 | BOY |
| EOY | 2118536 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 930989 | BOY |
| EOY | 921348 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40683548 | BOY |
| EOY | 39815837 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7711173 | BOY |
| EOY | 7446137 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 7893 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7145000 | BOY |
| EOY | 6870000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 897605 | BOY |
| EOY | 290947 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9190954 | BOY |
| EOY | 7370988 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24944732 | BOY |
| EOY | 21985965 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15738816 | BOY |
| EOY | 17829872 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15738816 | BOY |
| EOY | 17829872 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40683548 | BOY |
| EOY | 39815837 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| 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 | 734969 | OtherCostOrOtherBasis |
| Book Value | 734969 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24241694 | OtherCostOrOtherBasis |
| Depreciation | 17551557 | Depreciation |
| Book Value | 6690137 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3335516 | OtherCostOrOtherBasis |
| Depreciation | 1300088 | Depreciation |
| Book Value | 2035428 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27602319 | OtherCostOrOtherBasis |
| Depreciation | 22991744 | Depreciation |
| Book Value | 4610575 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1433771 | OtherCostOrOtherBasis |
| Depreciation | 1070260 | Depreciation |
| Book Value | 363511 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 14434620 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| series 2007 bond funds | 733223 | F |
| investment risk retention group | 1385313 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 2118536 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | estimated 3rd party settlement | Description |
| Amount | $7,370,988 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7370988 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 1 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 0 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 30 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 1145732 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1145732 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01760 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10403250 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10015536 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 387714 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00600 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4237347 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5407641 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -1170294 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 30 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 15786329 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15423177 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 363152 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02360 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 93668 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 93668 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 46915 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 46915 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 517957 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 517957 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00800 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 658540 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 658540 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01010 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 30 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 16444869 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15423177 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1021692 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03370 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,438,961 | BadDebtExpenseAmount |
| Amount Attributable To | 1219400 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 19254467 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 11697095 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 7557372 | 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 |
Form990 Schedule H Part V Form990ScheduleHPartV (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| RMCHCS HOSPITAL | |||||||
| 1901 RED ROCK DRIVE | GALLUP | NM | 87301 | X | X | X | |
| COLLEGE CLINIC | |||||||
| 2111 COLLEGE DRIVE | GALLUP | NM | 87301 | X | PEDIATRICS, INTERNAL & FAMILY | ||
| RED ROCK CLINIC | |||||||
| 1900 RED ROCK DRIVE | GALLUP | NM | 87301 | X | OB/GYN, ORTHOPEDICS, ENT | ||
| VANDEN BOSCH CLINIC | |||||||
| 650 VANDEN BOSCH PARKWAY | GALLUP | NM | 87301 | X | ENDOCRINOLOGY, DIABETES CARE | ||
| BEHAVIORAL HEALTH SERVICES | |||||||
| 650 VANDEN BOSCH PARKWAY | GALLUP | NM | 87301 | ADDICTION & PSYCHIATRIC SERVICES | |||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Footnote | Part III, Line 4: The allowance for doubtful patient accounts receivable is that amount which, in management's judgment, is considered adequate to reduce patient accounts receivable to an amount that is considered to be ultimately collectible. The Hospital calculates its allowance for doubtful accounts based on percentages of accounts receivable aging categories that consider historical write-offs by major payor categories over the past several years.The bad debt related to charity patients is 50% of total bad debt. This is due to the fact that many patients that would otherwise qualify for charity care, fail to complete the required documentation and instead let the accounts go to collections and ultimately to bad debt.Contractual allowances represent the amounts which reduce patient accounts receivable to amounts that are considered to be due from third-party payors based on existing contracts the hospital has with these payors. The contractual allowance percentages are updated several times per year by payor class and line of business and are based upon the accounts within that payor category that have been adjusted over the previous six months for which the total of the payments and adjustments recorded to the account were greater than 90% of the original gross charges. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: A cost to charge ratio was used based on the overall hospital.The medicare cost report is prepared based on the typical method of eliminating unallowable cost, reclassifying other costs, and dividing the result by total total hospital, or applicable charges. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: If a patient is determined to qualify for charity care, the account is written off to a charity care account. If a patient is determined self-pay, the self-pay discounts are posted to the applicable accounts. If the remaining balance is uncollectible, it is written off to bad debt. A financial counselor will provide the patient with forms to fill out. By these forms, it will be determined under the FPG if the account qualifies for a charity care writeoff. If the patient is determined to fall uner the charity care guidelines, the account will be approved by the patient financial services director, and the account will be written off to charity care. Hospital patients who qualify for charity care have no further collection activity. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: Community needs are assessed through the Board of Directors and input from other community healthcare leaders. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Patients who present without insurance or ability to pay are seen by a financial counselor who will provide information and forms to apply for assistance through various federal and state programs, as well as criteria for charity write offs. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Gallup, which is the county seat of Mckinley County, is the heart of the Indian Southwest. Seventy-five percent of the residents are of American Indian decent. Gallup is the economic center of three major Indian tribes, Zuni, Hopi, and Navajo and serves the surrounding areas of New Mexico and Arizona. The primary service area (Gallup) has a population of 20,000 with a secondary service area of approximately 90,000 people. Gallup is situated at 6,515 feet and has a mild and comfortable four-season climate. The landscape is beautiful, with red mesas surrounding the City. Gallup has a unique blend of indigenous culture, with genuine American Indian and Southwest-Hispanic arts and crafts in rich abundance. | CommunityInformation |
| Other Information | Part VI, Line 6: Rehoboth McKinley Christian Hospital is the main campus. This 69-bed general acute care inpatient facility offers a wide range of medical and diagnostic services. Hospital inpatient services include Medical Surgical, Women's Health, Pediatric, Newborn Nursery, and Intensive and Critical Care Units. Hospital ancillary services include a Cardiopulmonary Rehabilitation, Diagnostic Imaging, sleep lab, and Laboratory Services, as well as Physical Rehabilitation Services. The main campus is also home to the Surgical Services Unit and the Emergency Department. The mission of Rehoboth McKinley Christian Health Care Services is to serve God by providing health care and promoting wellness for all people. Statement of Philosophy- Rehoboth McKinley Christian Health Care Services originates and exists on the basis of the Biblical Command to love God and to love our neighbor. Realizing that human beings are plagued with problems of mind, body, and spirit, this institution is dedicated to their diagnosis, treatment, and prevention. It is the goal of the Corporation to embody the medical facilities with a spirit of mercy that results in physical healing. Medical knowledge, skill, and healing are gifts from God; and, to whatever extent, they are effected at Rehoboth McKinley Christian Health Care Services, Inc., His name is glorified and His purpose served. It is the compassion and love of Christ which set the example for the staff; and it is hoped that this provision of a Christian setting will provide patients an opportunity to encounter Christ, the great Physician. | OtherInformation |
| Reports Filed With States | NM | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RMCHCS Foundation | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Red Rock Dr | AddressLine1 |
| City | Gallup | City |
| State | NM | State |
| ZIP Code | 87301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 850349559 | EINOfRecipient |
| IRC Section | 501c3 | IRCSection |
| Amount Of Cash Grant | 25000 | AmountOfCashGrant |
| Method Of Valuation | FMV | MethodOfValuation |
| Purpose Of Grant | Capital Donation | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 15 | NumberOfRecipients |
| Amount Of Cash Grant | 15000 | AmountOfCashGrant |
| Method Of Valuation | FMV | MethodOfValuation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Shelley Stam-Maclaren MD | |||||||||||||
| 115852 | 0 | 43526 | 0 | 5174 | 0 | 6630 | 0 | 7311 | 0 | 178493 | 0 | 0 | 0 |
| Mark Hall | |||||||||||||
| 179022 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8265 | 0 | 187287 | 0 | 0 | 0 |
| mary L Poel | |||||||||||||
| 204683 | 0 | 32579 | 0 | 0 | 0 | 7886 | 0 | 980 | 0 | 246128 | 0 | 0 | 0 |
| Bryan Kamps | |||||||||||||
| 468557 | 0 | 0 | 0 | 5174 | 0 | 9200 | 0 | 7380 | 0 | 490311 | 0 | 0 | 0 |
| Erwin Richard Elber | |||||||||||||
| 328932 | 0 | 0 | 0 | 5258 | 0 | 9200 | 0 | 8306 | 0 | 351696 | 0 | 0 | 0 |
| Carmlita Agodon | |||||||||||||
| 264847 | 0 | 57855 | 0 | 837 | 0 | 9200 | 0 | 5208 | 0 | 337947 | 0 | 0 | 0 |
| sharon smith-thomas | |||||||||||||
| 202930 | 0 | 115970 | 0 | 0 | 0 | 9200 | 0 | 980 | 0 | 329080 | 0 | 0 | 0 |
| charles js guimaraes | |||||||||||||
| 259891 | 0 | 37037 | 0 | 5174 | 0 | 9200 | 0 | 7380 | 0 | 318682 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NM Hospital Equipment Loan Council | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 850426875 | IssuerEIN |
| CUSIP Number | 647370ed3 | CUSIPNumber |
| Date Issued | 2007-03-01 | DateIssued |
| Issue Price | 7245000 | IssuePrice |
| Description Of Purpose | Refunding PY proceeds & capital expenditures | DescriptionOfPurpose |
| Defeased | 1 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 7233936 | TotalProceeds |
| Amount In Reserve Fund | 645300 | AmountInReserveFund |
| Amount Defeased | 3924311 | AmountDefeased |
| Issuance Costs From Proceeds | 144679 | IssuanceCostsFromProceeds |
| Capital Expenditures | 2519647 | CapitalExpenditures |
| Year Of Subst Completion | 2007 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| Post Issuance Compliance Procdrs | 0 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Western NM Emergency Physicians | |||
| Dr. Beamsley, trustee has an ownership interest | 517606 | Contract to cover ER | 0 |
| elite laundry & Dry Cleaning | |||
| Owned by sister of Priscilla Smith, Trustee | 121711 | Contract for laundry services | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 7a | The McKinley County Commissioners appoint 3 of the 13 voting members of the RMCHCS Board of Trustees. The 10 remaining positions on the Board of Trustees are elected on a rotating schedule by all of the 13 voting members of the Board. | |
| Form 990, Part VI, Section B, line 11 | The CFO reviews the Form 990 prepared by an independent accounting firm. The CFO presents the Form 990 at the monthly meeting of the Finance Committee of the Board of Trustees. At the next regularly scheduled monthly meeting of the full Board of Trustees, the Treasurer reviews the key points on the Form 990 with the Board, and the Finance Committee recommends acceptance of the Form 990. The Form 990 is then filed with the IRS. | |
| Form 990, Part VI, Section B, line 12c | Each officer, key employee, and member of the board of directors complete a written conflict of interest disclosure form at the time of appointment. They must review and submit a conflict of disclosure form annually. The Board of directors review all conflicts and the person with a conflict is not allowed to vote on such matters. | |
| Form 990, Part VI, Section B, line 15a | Every 3-5 years, the Board of Trustees contracts with an independent outside entity for a compensation review and recommendation for the salary and benefits provided to the CEO. Every year the CEO's compensation package is reviewed by the Executive Committee of the Board of Trustees during the annual evaluation of the CEO. The compensation of the CFO and all other key employees is determined by the CEO. | |
| Form 990, Part VI, Section C, line 18 | The Form 990 and Form 1023 are available upon request. A public disclosure copy is also available to the public at the administrative offices of the organization. | |
| Form 990, Part VI, Section C, line 19 | The governing documents, conflict of interest policy, and financial statements are all available upon request. Copies are also available to the public at the administrative offices of the organization. | |
| Form 990, Schedule H, Part I, Line 6b community benefit report The hospital does not currently make the community benefit report available to the public. They are in the process of making it available on their website as soon as they have a final revision of the report. | ||
| Form 990, Part IV, LIne 12a | The organization was audited by an independent accounting firm and is included in a consolidated financial statement with related entity, RMCHCS Foundation. The organization has changed their year end to December 31 effective in 2010. As a result, the audit for the current year included 16 months (September 1, 2009 - December 31, 2010). For the current year, there is not an audit report that covers the reportable tax year of September 1, 2009 - August 31, 2010. | Audited Financial Statements |
| Form 990, Part XI, Line 2b | The organization was audited by an independent accounting firm and is included in a consolidated financial statement with related entity, RMCHCS Foundation. The organization has changed their year end to December 31 effective in 2010. As a result, the audit for the current year included 16 months (September 1, 2009 - December 31, 2010). For the current year, there is not an audit report that covers the reportable tax year of September 1, 2009 - August 31, 2010. The organization has a board finance committee that is responsible for oversight of the audit. This process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RMCHCS FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 RED ROCK DRIVE | AddressLine1 |
| City | GALLUP | City |
| State | NM | State |
| ZIP Code | 87301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850349559 | EIN |
| Primary Activities | SUPPORT RMCHCS | PrimaryActivities |
| Legal Domicile State | NM | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | Line 11c, III-FI | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | 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 | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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