SAN JUAN REGIONAL MEDICAL CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: SAN JUAN REGIONAL MEDICAL CENTER INC (EIN 85-0127924)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-09
IRS object ID: 202401309349304340
Schema version: 2022v5.0
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-09T16:21:24-05:00	ReturnTs
Tax Period End	2023-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 South Tejon Suite 800	AddressLine1Txt
City	Colorado Springs	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	809039848	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	850127924	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAN JUAN REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JASON ROUNDS	InCareOfNm
Business Name Control	SANJ	BusinessNameControlTxt
Phone	5056096114	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 WEST MAPLE STREET	AddressLine1Txt
City	FARMINGTON	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87401	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JASON ROUNDS	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	5056096114	PhoneNum
Signature	2024-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JOHN	PersonFirstNm
Person Last	MAYER	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Adam R Smith CPA	PreparerPersonNm
PTIN	P00958966	PTIN
Phone	7194714290	PhoneNum
Preparation	2024-05-15	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JASON ROUNDS CEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 WEST MAPLE STREET	AddressLine1Txt
City	FARMINGTON	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$405,914,565	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SANJUANREGIONAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	NM	LegalDomicileStateCd
Activity Or Mission	BETTER IS OUR MISSION, IMPROVING LIVES THROUGH PERSONALIZED HEALTH AND CARE	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2061	TotalEmployeeCnt
Total Volunteers	88	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$12,997,385	PYContributionsGrantsAmt
CY Contributions Grants	$825,714	CYContributionsGrantsAmt
PY Program Service Revenue	$352,573,043	PYProgramServiceRevenueAmt
CY Program Service Revenue	$359,572,195	CYProgramServiceRevenueAmt
PY Investment Income	$9,516,501	PYInvestmentIncomeAmt
CY Investment Income	$778,913	CYInvestmentIncomeAmt
PY Other Revenue	$8,064,156	PYOtherRevenueAmt
CY Other Revenue	$2,848,912	CYOtherRevenueAmt
PY Total Revenue	$383,151,085	PYTotalRevenueAmt
CY Total Revenue	$364,025,734	CYTotalRevenueAmt
PY Grants And Similar Paid	$83,984	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$148,129	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$175,414,536	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$177,006,760	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$188,191,431	PYOtherExpensesAmt
CY Other Expenses	$185,836,116	CYOtherExpensesAmt
PY Total Expenses	$363,689,951	PYTotalExpensesAmt
CY Total Expenses	$362,991,005	CYTotalExpensesAmt
PY Revenues Less Expenses	$19,461,134	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,034,729	CYRevenuesLessExpensesAmt
Total Assets BOY	$475,684,248	TotalAssetsBOYAmt
Total Assets EOY	$504,635,640	TotalAssetsEOYAmt
Total Liabilities BOY	$148,153,251	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$161,822,900	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$327,530,997	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$342,812,740	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	BETTER IS OUR MISSION, IMPROVING LIVES THROUGH PERSONALIZED HEALTH AND CARE	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$345,061,071	ExpenseAmt
Grant	$148,129	GrantAmt
Revenue	$359,932,978	RevenueAmt
Desc	ALL ACTIVITY IS DIRECTLY RELATED TO PROVIDING PATIENT MEDICAL SERVICES AND QUALITY HEALTH CARE TO THE COMMUNITY AND SURROUNDING RURAL AREAS. SEE SCHEDULE O FOR OVERVIEW AND PROGRAMS.	Desc
Total Program Service Expenses	$345,061,071	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	458	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2061	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JASON ROUNDS	PersonNm
Phone	5056096114	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 WEST MAPLE STREET	AddressLine1Txt
City	FARMINGTON	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87401	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	OfficerOfficerInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Key EmployeeKeyEmployeeInd
FARAZ SANDHU
PHYSICIAN	40.0	0.0	Yes (X)	$1,818,785	$0	$46,654
DANIEL MANNAS
PHYSICIAN	40.0	1.0	Yes (X)	$927,679	$0	$47,671
PAUL DAVIS
PHYSICIAN	40.0	0.0	Yes (X)	$926,261	$0	$48,610
RONALD LI
PHYSICIAN	40.0	0.0	Yes (X)	$855,105	$0	$46,424
DOMINIC CANNELLA
PHYSICIAN	40.0	0.0	Yes (X)	$807,197	$0	$37,484
JEFF BOURGEOIS - THRU 322
CEO	38.0	2.0		$758,828	$0	$80,619	Yes (X)
JOHN MAYER
CFO/ INTERIM CEO	38.0	2.0		$588,949	$0	$72,987		Yes (X)
DAMON KALICH MD
CHIEF OF STAFF	40.0	0.0		$504,118	$0	$47,580			Yes (X)
MELANIA YEATS
PHYSICIAN	40.0	0.0		$507,991	$0	$38,366	Yes (X)
ROBERT UNDERWOOD
CHIEF MEDICAL OFFICER	40.0	0.0		$462,443	$0	$77,179				Yes (X)
RUTH BROOKS
ACCREDITATION AND PROF SERVICE	40.0	0.0		$456,419	$0	$55,007				Yes (X)
SUZANNE SMITH - THRU 522
CHIEF NURSING OFFICER	40.0	0.0		$296,747	$0	$41,227				Yes (X)
KAMMIE MONARCH
CHIEF NURSING OFFICER	40.0	0.0		$174,312	$0	$6,444				Yes (X)
BRUCE GLADE
DIRECTOR	6.0	0.0		$0	$0	$0			Yes (X)
EILEEN WHITE
DIRECTOR - AUXILIARY	6.0	8.0		$0	$0	$0			Yes (X)
JAMES SPENCE MD
DIRECTOR	6.0	1.0		$0	$0	$0			Yes (X)
JASON LUCAS DO
VICE CHIEF OF STAFF	6.0	0.0		$0	$0	$0			Yes (X)
JEFF HOWLE
DIRECTOR	6.0	0.0		$0	$0	$0			Yes (X)
JOHN BYROM
DIRECTOR	6.0	1.0		$0	$0	$0			Yes (X)
RONALD ROSEN
CHAIRPERSON	6.0	0.0		$0	$0	$0		Yes (X)	Yes (X)
SHERRY GALLOWAY
1ST VICE CHAIRMAN	6.0	1.0		$0	$0	$0		Yes (X)	Yes (X)
TERRI FORTNER
SECRETARY	6.0	6.0		$0	$0	$0		Yes (X)	Yes (X)
TONY ATKINSON
TREASURER	6.0	0.0		$0	$0	$0		Yes (X)	Yes (X)
HYLA CALCOTE
DIRECTOR	6.0	1.0		$0	$0	$0			Yes (X)
JASON ROUNDS - Begin 523
CEO	40.0	0.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,084,834	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$646,252	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	312	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUALIVIS LLC
PO BOX 123847	DALLAS	TX	753123847	LOCUMS	$19,081,992
CERNER CORP
PO BOX 959156	ST LOUIS	MO	631959156	INFO TECHNOLOGY	$11,952,446
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	753972633	LOCUMS	$6,236,914
AIR METHODS CORP
PO BOX 172892	DENVER	CO	802172892	MED TRANSPORTATION	$4,188,409
MEDICUS HOSPITALISTS WEST LLC
22 ROULSTON RD	WINDHAM	NH	03087	LOCUMS	$3,442,674

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$825,714	AllOtherContributionsAmt
Total Contributions	$825,714	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	621110	$355,084,478	$355,084,478
OTHER PROGRAM SERVICE REVENUE	621110	$2,182,786	$2,175,911	$6,875
EQUITY IN SJR HOLDING	900099	$2,214,105	$2,214,105
PROGRAM RELATED RENTAL INCOME	531120	$90,826	$90,826

Field	Value	IRS element (for citing)
Total Program Service Revenue	$359,572,195	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,702,679	TotalRevenueColumnAmt
Exclusion	$3,702,679	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$26,958	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$26,958	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,958	TotalRevenueColumnAmt
Exclusion	$26,958	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$38,965,065	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$41,888,831	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$2,923,766	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,923,766	TotalRevenueColumnAmt
Exclusion	-$2,923,766	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
OTHER REVENUE	722514	$960,311	$340,700	$619,611
CAFETERIA	900099	$1,276,876		$1,276,876
CHILDREN'S DISCOVERY PLACE	624400	$584,767		$584,767

Field	Value	IRS element (for citing)
Other Revenue Total	$2,821,954	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$364,025,734	TotalRevenueColumnAmt
Related Or Exempt Func Income	$359,906,020	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,294,000	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$148,129	TotalAmt
Program Services	$148,129	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,749,807	TotalAmt
Management And General	$3,749,807	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$200,672	TotalAmt
Program Services	$197,617	ProgramServicesAmt
Management And General	$3,055	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$142,187,752	TotalAmt
Program Services	$140,350,746	ProgramServicesAmt
Management And General	$1,837,006	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,907,877	TotalAmt
Program Services	$2,825,750	ProgramServicesAmt
Management And General	$82,127	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$22,042,539	TotalAmt
Program Services	$21,420,141	ProgramServicesAmt
Management And General	$622,398	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,918,113	TotalAmt
Program Services	$5,792,202	ProgramServicesAmt
Management And General	$125,911	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$896,540	TotalAmt
Management And General	$896,540	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$330,669	TotalAmt
Management And General	$330,669	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$72,132	TotalAmt
Management And General	$72,132	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$956,048	TotalAmt
Management And General	$956,048	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$27,790,237	TotalAmt
Program Services	$23,114,728	ProgramServicesAmt
Management And General	$4,675,509	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$722,720	TotalAmt
Program Services	$172,461	ProgramServicesAmt
Management And General	$550,259	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$98,056,002	TotalAmt
Program Services	$96,681,787	ProgramServicesAmt
Management And General	$1,374,215	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$20,028,336	TotalAmt
Program Services	$18,974,484	ProgramServicesAmt
Management And General	$1,053,852	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,844,519	TotalAmt
Program Services	$3,689,987	ProgramServicesAmt
Management And General	$154,532	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$458,510	TotalAmt
Program Services	$431,300	ProgramServicesAmt
Management And General	$27,210	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$757,727	TotalAmt
Program Services	$713,907	ProgramServicesAmt
Management And General	$43,820	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,309,973	TotalAmt
Program Services	$1,245,726	ProgramServicesAmt
Management And General	$64,247	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,727,164	TotalAmt
Program Services	$12,102,776	ProgramServicesAmt
Management And General	$624,388	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,070,835	TotalAmt
Program Services	$3,876,471	ProgramServicesAmt
Management And General	$194,364	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
EQUIPMENT RENTAL & MAINTENANCE	$3,253,282	$3,223,101	$30,181
RENTS & LEASES	$1,122,452	$1,085,369	$37,083
MEDICAL SUPPLIES	$9,438,970	$9,014,389	$424,581

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$362,991,005	TotalAmt
Program Services	$345,061,071	ProgramServicesAmt
Management And General	$17,929,934	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$74,854,667	BOYAmt
EOY	$67,225,801	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$43,535,468	BOYAmt
EOY	$56,495,212	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$5,598,893	BOYAmt
EOY	$3,831,288	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,030,185	BOYAmt
EOY	$8,553,144	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,185,107	BOYAmt
EOY	$5,102,371	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$415,355,031	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$283,213,770	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$133,737,327	BOYAmt
EOY	$132,141,261	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$168,125,338	BOYAmt
EOY	$190,888,714	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,122,945	BOYAmt
EOY	$3,617,957	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$36,494,318	BOYAmt
EOY	$36,779,892	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$475,684,248	BOYAmt
EOY	$504,635,640	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$45,576,324	BOYAmt
EOY	$60,683,314	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$444,284	BOYAmt
EOY	$246,075	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$37,084,377	BOYAmt
EOY	$34,571,696	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$13,536,326	BOYAmt
EOY	$10,142,564	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$51,511,940	BOYAmt
EOY	$56,179,251	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$148,153,251	BOYAmt
EOY	$161,822,900	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$327,530,997	BOYAmt
EOY	$342,812,740	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$327,530,997	BOYAmt
EOY	$342,812,740	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$475,684,248	BOYAmt
EOY	$504,635,640	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,034,729	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$11,729,663	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,517,351	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$66,332	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$66,332	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1g	FormAndLineReferenceDesc
Explanation	LOBBYING: SAN JUAN REGIONAL MEDICAL CENTER PAID NEW MEXICO GOVERNMENT AFFAIRS $48,000 FOR A LOBBYIST IN SANTA FE, NEW MEXICO WHO MONITORS NEW MEXICO STATE LEGISLATIVE ISSUES REGARDING HOSPITAL ISSUES, KEEPS SAN JUAN REGIONAL MEDICAL CENTER APPRISED OF THOSE ISSUES AND TAKES FEEDBACK TO THE STATE LEGISLATURE. A PORTION OF THE DUES PAID TO THE HEALTHCARE ASSOCIATIONS BY SAN JUAN REGIONAL MEDICAL CENTER WAS ALLOCABLE TO LOBBYING ACTIVITIES. THE AMOUNT FOR THE FISCAL YEAR ENDED 06/30/23 WAS $18,332.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,774,329	OtherCostOrOtherBasisAmt
Book Value	$12,774,329	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$192,212,934	OtherCostOrOtherBasisAmt
Depreciation	$114,536,573	DepreciationAmt
Book Value	$77,676,361	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$89,427	OtherCostOrOtherBasisAmt
Depreciation	$89,427	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$183,939,593	OtherCostOrOtherBasisAmt
Depreciation	$152,969,666	DepreciationAmt
Book Value	$30,969,927	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,338,748	OtherCostOrOtherBasisAmt
Depreciation	$15,618,104	DepreciationAmt
Book Value	$10,720,644	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$132,141,261	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Operating Leases	$7,772,892
Insurance Receivable	$27,342,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$36,779,892	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
MALPRACTICE LIABILITY	$42,686,000
BOND INTEREST PAYABLE	$121,617
Due to Medicare/Medicaid	$3,534,762
Operating Lease Liability	$7,805,993

Field	Value	IRS element (for citing)
Total Liability	$56,179,251	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$378,272,748	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$11,729,663	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$11,729,663	RevenueNotReportedAmt
Revenue Subtotal	$366,543,085	RevenueSubtotalAmt
Other Revenues Not Included	-$2,517,351	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$2,517,351	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$364,025,734	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$362,996,391	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$89,496	OtherExpensesIncludedAmt
Expenses Not Reported	$89,496	ExpensesNotReportedAmt
Expenses Subtotal	$362,906,895	ExpensesSubtotalAmt
Other Expenses Not Included	$84,110	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$84,110	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$362,991,005	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2	UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 4B	REVENUE ON RETURN, NOT ON BOOKS: 2,517,351 - INCOME FROM GRANTOR TRUST
SCHEDULE D, PART XII, LINE 2D	EXPENSE ON BOOKS, NOT ON RETURN: 89,494 - DEPRECIATION EXPENSE
SCHEDULE D, PART XII, LINE 4B	EXPENSES ON BOOKS, NOT ON RETURN 84,110 - GRANT TO RELATED ORGANIZATION

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$494,672	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$494,672	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$119,927,563	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,130,396	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,797,167	NetCommunityBenefitExpnsAmt
Total Expense	0.09310	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,322,513	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,056,532	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$125,744,748	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$92,186,928	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,291,839	NetCommunityBenefitExpnsAmt
Total Expense	0.09450	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	1824	PersonsServedCnt
Total Community Benefit Expns	$992,317	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$992,317	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	88	PersonsServedCnt
Total Community Benefit Expns	$2,551,374	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,551,374	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	1034	PersonsServedCnt
Total Community Benefit Expns	$36,290,801	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,764,191	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,526,610	NetCommunityBenefitExpnsAmt
Total Expense	0.03730	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,020	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$64,020	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	2946	PersonsServedCnt
Total Community Benefit Expns	$39,898,512	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,764,191	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,134,321	NetCommunityBenefitExpnsAmt
Total Expense	0.04720	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	2946	PersonsServedCnt
Total Community Benefit Expns	$165,643,260	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,951,119	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,426,160	NetCommunityBenefitExpnsAmt
Total Expense	0.14170	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,175,016	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,192,795	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$66,280,660	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$65,599,569	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$681,091	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAN JUAN REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 WEST MAPLE STREET	AddressLine1Txt
City	FARMINGTON	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87401	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SANJUANREGIONAL.COM	WebsiteAddressTxt
State License	6291	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SAN JUAN REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C FOR URL	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C FOR URL	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	PART V, SECTION C FOR URL	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	PART V, SECTION C FOR URL	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	PART V, SECTION C FOR URL	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, DATA WAS OBTAINED FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH (THE PRC COMMUNITY HEALTH SURVEY) AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA); THESE QUANTITATIVE COMPONENTS ALLOW FOR TRENDING AND COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY. SURVEY PARTICIPANTS INCLUDED KEY INFORMANTS, INCLUDING PHYSICIANS, PUBLIC HEALTH EXPERTS, OTHER HEALTH PROVIDERS, SOCIAL SERVICE REPRESENTATIVES AND COMMUNITY LEADERS. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATION WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. PARTICIPATION INCLUDED REPRESENTATION FROM THE FOLLOWING ORGANIZATIONS: - KEY COMMUNITY STAKEHOLDERS - STATE OF NEW MEXICO - SCHOOLS - SOCIAL SERVICES - BUSINESS LEADERS - SAN JUAN COUNTY ELECTED OFFICIALS - OTHER HEALTHCARE WORKERS - PHYSICIANS - CHURCHES - Animas Pediatric Dental Group - Bloomfield Chamber of Commerce - Child Protective Services - City of Aztec - City of Bloomfield - City of Farmington - Family Foot Health Specialists of Farmington - Farmington Board of Education - Farmington Chamber of Commerce - Four Corners Economic Development - Four Corners Radiology - Just Click Printing, Inc. - La Mesa Chiropractic Center - Life Care Center - Mental Wellness Resource Center - Merrion Oil & Gas - Neon Kids Dental - New Mexico Department of Health, Farmington - New Mexico Legislature - Orthopedic Associates - Pion Family Practice - Pion Hills Ear, Nose & Throat - Process Equipment & Service Company - San Juan College - San Juan County - San Juan County Partnership - San Juan Health Partners - San Juan Public Health Department - San Juan Regional Rehabilitation Hospital - School Nurses/Health Services, Farmington Municipal Schools - Webb Chevrolet IN MANY CASES, SEVERAL REPRESENTATIVES FROM EACH ORGANIZATION PARTICIPATED.
SCHEDULE H, PART V, SECTION B, LINE 7A	DIRECT URL FOR COMMUNITY HEALTH NEEDS ASSESSMENT ON HOSPITAL'S WEBSITE: https://www.sanjuanregional.com/upload/docs/About%20Us/Community%20Reinves tment/CNHA%202023%20with%20Implementation.pdf
SCHEDULE H, PART V, SECTION B, LINE 10A	DIRECT URL FOR IMPLEMENTATION STRATEGY IS ON HOSPITAL'S WEBSITE: https://www.sanjuanregional.com/upload/docs/About%20Us/Community%20Reinves tment/CNHA%202023%20with%20Implementation.pdf
SCHEDULE H, PART V, SECTION B, LINE 11	San Juan Regional Medical Center: Addressing Community Needs in Fiscal Year 2023 Introduction: In fiscal year 2023, San Juan Regional Medical Center (SJRMC) prioritized community health initiatives, focusing on key areas such as Diabetes, Access to Care, and Cancer. The organization implemented a range of targeted programs and services to address the unique healthcare needs of the community, ensuring accessibility, education, and cutting-edge treatments. Diabetes: A. Ongoing Community Diabetes Education: SJRMC extended its commitment to diabetes education by offering free community sessions throughout the fiscal year reaching 219 individuals. These educational programs aimed to empower individuals with the knowledge and tools needed to manage diabetes effectively. B. Endocrinology Services by Dr. Shauna Frost and Dr. Ting: To enhance diabetes care, SJRMC enlisted the expertise of Dr. Ting and Shauna Frost for endocrinology services. This collaboration allowed for specialized consultations and referrals, ensuring comprehensive care for patients dealing with diabetes. C. Community Health Library Articles: SJRMC facilitated access to valuable resources through its Community Health Library. Articles on meal planning, diabetes diagnosis, and other relevant topics were made available online, offering a convenient and informative resource for community members. . Meal Planning . Diagnosing Diabetes . And more Access to Care: A. San Juan Health Partners Providing Access to Care: Recognizing the importance of primary care, SJRMC ensured access to healthcare services through San Juan Health Partners. This initiative targeted those without a primary care provider, offering essential medical services to enhance overall community health. B. Low-Cost Blood Screening: To assist individuals without insurance, SJRMC conducted low-cost blood screening programs. In fiscal year 2023, 365 participants benefited from these screenings, promoting early detection and preventive care. C. Free Community Flu Clinics: SJRMC actively addressed community well-being by organizing free flu clinics, with 236 individuals receiving vaccinations. This initiative aimed to protect community members from seasonal illnesses, contributing to overall public health. D. Ongoing Updates to Community Health Library: SJRMC remained committed to providing up-to-date health information through continuous updates to its online Health Library. Accessible resources ensured that community members could make informed decisions about their health. Cancer: A. Purchase of New Radiation Therapy Machine: In a significant step towards advancing cancer treatment, SJRMC invested in a new radiation therapy machine for San Juan Regional Cancer Center. This state-of-the-art equipment aimed to enhance the precision and effectiveness of cancer treatments. B. Locum Tenens Support During Oncologist Search: While actively searching for a permanent oncologist, SJRMC ensured uninterrupted cancer care by providing locum tenens support. This commitment to patient care demonstrated SJRMC's dedication to maintaining high standards in cancer treatment. C. Community Health Articles: SJRMC continued to educate the community on cancer-related topics through its online Health Library. Articles on cancer, breast cancer screening, and more were easily accessible, empowering individuals with knowledge about cancer prevention and treatment. . About Cancer . Breast Cancer Screening . And more Conclusion: In fiscal year 2023, San Juan Regional Medical Center demonstrated a steadfast commitment to addressing community needs. By focusing on Diabetes, Access to Care, and Cancer, SJRMC has made significant strides in providing comprehensive and accessible healthcare services, furthering its mission to enhance the well-being of our community in the Four Corners Region. SAN JUAN REGIONAL MEDICAL CENTER IS NOT ADDRESSING THE FOLLOWING SIGNIFCANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA: 1. HEART DISEASE AND STROKE 2. INFANT HEALTH AND FAMILY PLANNING 3. INJURY AND VIOLENCE 4. MENTAL HEALTH 5. NUTRITION, PHYSICAL ACITIVTY AND WEIGHT 6. RESPRITATORY DISEASE 7. SEXUAL HEALTH 8. SUBSTANCE ABUSE In crafting our CHNA Implementation Plan, we recognized the importance of addressing the diverse health needs of our community. However, due to resource constraints and the need for effective allocation of resources, we have chosen to focus our efforts primarily on the areas where we can make the most significant impact: Access to Care, Diabetes, and Cancer. Below are the reasons for our strategic focus: 1. Community Impact: Through extensive analysis and stakeholder engagement, we identified Access to Care, Diabetes, and Cancer as key health issues affecting the well-being of our community. By concentrating our efforts on these priority areas, we can maximize the positive impact on community health outcomes. 2. Expertise and Resources: Our organization possesses specialized expertise, resources, and partnerships that enable us to implement targeted interventions and initiatives in the areas of Access to Care, Diabetes, and Cancer. By leveraging these strengths, we can effectively address the root causes of these health disparities and promote equitable access to quality healthcare services. 3. Measurable Outcomes: Focusing on a select number of priority areas allows us to set clear and achievable goals, track progress, and measure outcomes more effectively. This approach enhances accountability, transparency, and the ability to demonstrate meaningful results to our stakeholders and the broader community
SCHEDULE H, PART V, SECTION B, LINE 16A-16C	WEBSITE URL WHERE YOU CAN FIND THE FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP: https://www.sanjuanregional.com/EnglishForms

Field	Value	IRS element (for citing)
Facility	26	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SJRMC CARDIOLOGY
407 S SCHWARTZ SUITE 202	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC INTERNAL MEDICINE
407 S SCHWARTZ SUITE 201	FARMINGTON	NM	87401	MEDICAL CLINIC
SAN JUAN NEURODIAGNOSTIC CENTER
407 S SCHWARTZ SUITE 101	FARMINGTON	NM	87401	MEDICAL CLINIC
SAN JUAN PEDIATRICS
407 S SCHWARTZ SUITE 102	FARMINGTON	NM	87401	MEDICAL CLINIC
FOUR CORNERS NEUROSURGERY
407 S SCHWARTZ SUITE 101	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC MIDWIFERY CLINIC
655 WEST PINON	FARMINGTON	NM	87401	MEDICAL CLINIC
OUTPATIENT BEHAVIORAL HEALTH CLINIC
555 S SCHWARTZ	FARMINGTON	NM	87401	MEDICAL CLINIC
SJR WOUND CARE CENTER
4251 ENGLISH ROAD	FARMINGTON	NM	87402	MEDICAL CLINIC
SJR CANCER TREATMENT CENTER
731 W ANIMAS STREET	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC OUTPATIENT DIAGNOSTIC CENTER
2300 E 30TH STREET BLDG C	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #1
730 S LAKE STREET	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #2
902 W BROADWAY	BLOOMFIELD	NM	87412	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #3
484 S OLIVER STREET	AZTEC	NM	87410	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #4
4 CR 3660	KIRTLAND	NM	87117	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #5
3782 ENGLISH ROAD	FARMINGTON	NM	87402	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #6
2014 E 16TH STREET	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #10
737 W ANIMAS STREET	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC AZTEC CLINIC
120 LLANO STREET	AZTEC	NM	87410	MEDICAL CLINIC
GENERAL SURGERY CLINIC
630 W MAPLE	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC AUDIOLOGY
816 W MAPLE	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC OUTPATIENT REHABILITATION
301 S AUBURN AVE	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC PEDIATRIC OUTPATIENT REHAB
810 W MAPLE	FARMINGTON	NM	87401	MEDICAL CLINIC
URGENT CARE CENTER
4820 E MAIN STREET	FARMINGTON	NM	87402	MEDICAL CLINIC
SJRMC BARKMAN
102 LLANO ST	AZTEC	NM	87410	MEDICAL CLINIC
SJRMC ENDOSCOPY
950 W PINON	FARMINGTON	NM	87401	MEDICAL CLINIC
SAN JUAN REGIONAL REHABILITATION UNIT
525 S SCHWARTZ AVE	FARMINGTON	NM	87401	INPATIENT REHABILITATION

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	DESCRIPTION OF ADDITIONAL CRITERIA USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE: IN ADDITION TO THE FEDERAL POVERTY GUIDELINES SJRMC ALSO CONSIDERS THE PATIENT ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY.
SCHEDULE H, PART I, LINE 7	THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A - 7C. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E - 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
SCHEDULE H, PART III, SECTION A, LINE 2	THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
SCHEDULE H, PART III, SECTION A, LINE 3	THE AMOUNT ON LINE 3 IS AN ESTIMATE BASED ON MANAGEMENT'S BELIEF OF THE PERCENTAGE OF ADDITIONAL FINANCIAL ASSISTANCE COST IF THE PATIENTS WOULD COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. SJRMC IS USING SAN JUAN COUNTY'S POPULATION POVERTY PERCENTAGE FROM THE 2023 COMMUNNITY HEALTH NEEDS ASSESSMENT, WHICH THIS AMOUNT IS CURRENTLY ESTIMATED AS 23.5%, WHICH IS INCLUDED IN OUR BAD DEBT.
SCHEDULE H, PART III, SECTION C, LINE 9B	SAN JUAN REGIONAL MEDICAL CENTER'S (SJRMC) POLICY ON PATIENT ACCOUNT COLLECTIONS STATES SJRMC WILL NOT ATTEMPT TO COLLECT FROM A PATIENT WHO IS APPLYING FOR THE SAN JUAN COUNTY INDIGENT FUND AS LONG AS THE PATIENT IS COOPERATING WITH THE APPLICATION PROCESS. THE POLICY ALSO STATES SJRMC WILL NOT COLLECT FROM A PATIENT APPLYING FOR THE COMMUNITY SERVICE FUND (FINANCIAL ASSISTANCE) AS LONG AS THE PATIENT IS COOPERATING WITH THE APPLICATION PROCESS.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 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 CHNA IS CONDUCTED VIA TELEPHONE SURVEYS IN BOTH ENGLISH AND SPANISH,INTERVIEWS CONDUCTED WITH NATIVE AMERICAN RESPONDENTS, KEY SHAREHOLDERS IN THE PROVISION OF HEALTH CARE IN SAN JUAN COUNTY, AND A SERIES OF FOCUS GROUPS. THE SURVEY IS ALSO SHARED WITH KEY COMMUNITY GROUPS IN A SERIES OF OPEN FORUMS. THE MOST RECENT CHNA OCCURRED IN CY 2023 (FY 2023). THE NEEDS WHICH WERE IDENTIFIED FROM THIS SURVEY INCLUDE: ACCESS TO HEALTH CARE SERVICES, CANCER, DIABETES, HEART DISEASE & STROKE, MENTAL HEALTH, RESPIRATORY DISEASE, AND SUBSTANCE USE. OTHER AT-RISK POPULATIONS (THOSE WITH UNDERLYING HEALTH CONDITIONS) WERE ALSO SEVERELY IMPACTED. AS A HEALTHCARE LEADER IN SAN JUAN COUNTY, SJRMC SHOULD BE A CATALYST IN ADDRESSING HEALTH DISPARITIES AND BE PART OF SOLUTIONS TO MAKE POSITIVE IMPACTS ON SOCIAL DETERMINANTS OF HEALTH. 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 PREVENTATIVE 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.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SAN JUAN REGIONAL MEDICAL CENTER EMPLOYS A NUMBER OF FINANCIAL COUNSELORS AND CUSTOMER SERVICE REPRESENTATIVES WHO WORK ALONGSIDE PATIENTS TO HELP THEM NAVIGATE THEIR PAYMENT, BILLING AND ASSISTANCE OPTIONS. INFORMATION IS DISSEMINATED TO PATIENTS THROUGH ONLINE AND PAPER RESOURCES LOCATED THROUGHOUT THE HOSPITAL. A WIDELY DISTRIBUTED BROCHURE TITLED PAYING FOR HOSPITAL SERVICES AT SAN JUAN REGIONAL MEDICAL CENTER IS SPECIFICALLY DESIGNED TO HELP PATIENTS UNDERSTAND THEIR HOSPITAL BILL AND INFORM THEM OF THEIR OPTIONS FOR PAYMENT AND ASSISTANCE INCLUDING INFORMATION ON THE AVAILABILITY OF INDIAN HEALTH SERVICE ASSISTANCE, CASH DISCOUNTS, BILL REDUCTION THROUGH A COMMUNITY SERVICE FUND, SPECIAL FUNDS THROUGH THE SAN JUAN COUNTY INDIGENT FUND, OR MEDICAL HARDSHIP WAIVERS. THE HOSPITAL'S VISION IS TO BE KNOWN AS THE MOST PERSONALIZED QUALITY HEALTHCARE PROVIDER. SAN JUAN REGIONAL MEDICAL CENTER IS ALSO A VALUES-DRIVEN ORGANIZATION WITH A CENTURY OF SERVICE TO THE FOUR CORNERS REGION- DRIVEN BY A SIMPLE, YET POWERFUL PRINCIPLE, DO THE RIGHT THING FOR THE PATIENT, NO MATTER WHAT. AN INTEGRAL PART OF THIS SACRED TRUST THE COMMUNITY HAS IN ITS HOSPITAL IS ENSURING THAT NO PATIENT FEELS ALONE AND DISCONNECTED DURING AND AFTER THEIR TREATMENT. THEREFORE, IT IS IN THE SPIRIT OF THE HOSPITAL'S VISION AND MISSION TO ENSURE THAT PATIENTS RECEIVE A HIGH LEVEL OF ASSISTANCE WHEN FIGURING OUT THEIR BILL AND OPTIONS. NOT ONLY DOES THE HOSPITAL HAVE FINANCIAL COUNSELORS TO EDUCATE ITS PATIENTS, IT HAS AN IN-HOUSE MEDICAL ADVOCACY SERVICE FOR HEALTHCARE PROGRAM (MASH) FOR SELF-PAY INDIVIDUALS. THROUGH THE MASH PROGRAM, PATIENT ADVOCATES STAND HAND-IN-HAND WITH PATIENTS TO EXPLORE EVERY POSSIBILITY OF ASSISTANCE POLICY.
SCHEDULE H, PART VI, LINE 4	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 2020 FOR SAN JUAN COUNTY (POPULATION 136,560)- WHICH IS THE PRINCIPAL COUNTY SERVED BY SAN JUAN REGIONAL MEDICAL CENTER- INDICATE THE FOLLOWING POPULATION CHARACTERISTICS: MEN 49.6%, WOMEN 50.4%, AGES 18 AND UNDER 23.1%, AGES 65+ 13.8%, WHITE 47% AMERICAN INDIAN AND ALASKA NATIVE 40% HISPANIC 21%. THE MEDIAN HOUSEHOLD INCOME FOR SAN JUAN COUNTY IS $46,996.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: IN THE CONSTANT EFFORT TO MEET COMMUNITY NEEDS, SJRMC SEEKS TO IMPROVE PHYSICIAN ACCESS THROUGH A VIGOROUS RECRUITING PROGRAM AND TO PROVIDE COMMUNITY EDUCATION AND MANY OTHER COMMUNITY BENEFIT PROGRAMS. IN FISCAL YEAR 2022, SAN JUAN REGIONAL MEDICAL CENTER PROVIDED BENEFITS TO THE INDIGENT AND BROADER COMMUNITY OF OVER $78,238,668.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
SEXUAL ASSAULT SERVICES
622 W MAPLE STE H	FARMINGTON	NM	87401	203187125	501(C)(3)	$64,020	Program Support
SAN JUAN REGIONAL REHABILITATION HOSPITAL
525 SOUTH SCHWARTZ	FARMINGTON	NM	87401	850441767	501(C)(3)		SUPPORT ORGANIZATION	$84,109	BOOK VALUE	FIXED ASSETS

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Question 2	FormAndLineReferenceDesc
Explanation	Organization's procedures for monitoring the use of grant funds: 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
DAMON KALICH MD
CHIEF OF STAFF	$503,578	$0	$0	$0	$540	$0	$10,096	$0	$37,484	$0	$551,698	$0
JEFF BOURGEOIS - THRU 322
CEO	$642,310	$0	$0	$0	$116,518	$0	$43,782	$0	$36,837	$0	$839,447	$0	$115,559
JOHN MAYER
CFO/ INTERIM CEO	$441,260	$0	$146,447	$0	$1,242	$0	$45,146	$0	$27,841	$0	$661,936	$0
FARAZ SANDHU
PHYSICIAN	$1,144,115	$0	$673,860	$0	$810	$0	$9,775	$0	$36,879	$0	$1,865,439	$0
DANIEL MANNAS
PHYSICIAN	$733,477	$0	$193,716	$0	$486	$0	$10,187	$0	$37,484	$0	$975,350	$0
PAUL DAVIS
PHYSICIAN	$835,759	$0	$86,938	$0	$3,564	$0	$12,250	$0	$36,360	$0	$974,871	$0
DOMINIC CANNELLA
PHYSICIAN	$779,638	$0	$20,701	$0	$6,858	$0	$0	$0	$37,484	$0	$844,681	$0
RONALD LI
PHYSICIAN	$482,955	$0	$371,340	$0	$810	$0	$10,064	$0	$36,360	$0	$901,529	$0
SUZANNE SMITH - THRU 522
CHIEF NURSING OFFICER	$255,905	$0	$0	$0	$40,842	$0	$13,882	$0	$27,345	$0	$337,974	$0	$38,298
KAMMIE MONARCH
CHIEF NURSING OFFICER	$129,005	$0	$43,600	$0	$1,707	$0	$6,444	$0	$0	$0	$180,756	$0
RUTH BROOKS
ACCREDITATION AND PROF SERVICE	$278,206	$0	$72,023	$0	$106,190	$0	$26,362	$0	$28,645	$0	$511,426	$0	$102,626
MELANIA YEATS
PHYSICIAN	$505,669	$0	$0	$0	$2,322	$0	$10,000	$0	$28,366	$0	$546,357	$0
ROBERT UNDERWOOD
CHIEF MEDICAL OFFICER	$366,341	$0	$93,780	$0	$2,322	$0	$40,303	$0	$36,876	$0	$539,622	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4B	Supplemental nonqualified plan: San Juan Regional Medical Center (sjrmc) has a 457(F) deferred compensation plan that allows certain executives to contribute money on a pre-tax basis into investments and to accumulate tax-deferred earnings. The following pre-tax calendar year 2021 contributions to the 457(F) plan are included in schedule J, Part II, column (C) as deferred compensation: $ 6,220 - Suzanne Smith $31,281 - Jeff Bourgeois $17,671 - Ruth Brooks $29,287 - Robert Underwood $34,436 - John Mayer $ 6,444 - Kammie Monarch $34,436 - John Mayer $ 6,444 - Kammie MOnarch
Schedule J, Part I, line 7	EXPLANATION OF NON-FIXED PAYMENTS: MANAGEMENT INCENTIVE PLAN- 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. PHYSICIAN INCENTIVE PLAN- PHYSICIANS INCENTIVES ARE PERFORMANCE BASED AND RELATIVE VALUE UNITS ARE USED AS A MEASURE.
Schedule J, Part II, Column (f)	Description of Compensation reported in a prior period: The amounts listed in Column F are the accrual payouts of the 457(f) plan that line 4b discusses. The amounts in column f are the accruals from prior years that are paid out in 2021. $115,559 - Jeff Bourgeois $102,626 - Ruth Brooks $ 38,298 - Suzanne Smith

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NEW MEXICO HOSPITAL EQUIPMENT LOAN COUNCIL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	840426875	BondIssuerEIN
CUSIP	647370JW6	CUSIPNum
Bond Issued	2020-09-24	BondIssuedDt
Issue Price	$41,882,678	IssuePriceAmt
Purpose	HOSPITAL SYSTEM REFUNDING AND IMPR	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$6,833,907	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$41,882,678	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$40,120,305	OtherSpentProceedsAmt
Unspent	$1,762,373	UnspentAmt
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	false	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	Yes (true)	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	AARON BUFFINGTON	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$200,672	TransactionAmt
Transaction	Employee Pay	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV, Line 1(B)	FormAndLineReferenceDesc
Explanation	Description of Relationship between Interested Person: Aaron Buffington is a Family Member of a Former Officer	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6	VOLUNTEERS: SJRMC HAS A TOTAL OF 78 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 RECO AND AUXILIARY MEMBERSHIP. SJRMC: HAS AN ADDITIONAL 10 VOLUNTEER BOARD MEMBERS INCLUDED IN THE TOTAL VOLUNTEER COUNT.
FORM 990, PART III, LINE 4A	PROGRAM SERVICE CONT. 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, NEW MEXICO. A 2019 ESTIMATE OF THE POPULATION OF SAN JUAN COUNTY SHOWS THE COUNTY POPULATION HAS DECLINED 4.7% FROM THE YEAR 2010 TO 2020 NUMBERING APPROXIMATELY 123,958, 41.1% OF WHICH IS AMERICAN INDIAN AND ALASKA NATIVE PERSONS. SJRMC IS A SOLE COMMUNITY PROVIDER AND DISPROPORTIONATE SHARE HOSPITAL PROVIDING NEEDED HEALTHCARE TO RESIDENTS OF THE FOUR CORNERS REGION OF NEW MEXICO, ARIZONA, UTAH AND COLORADO. SAN JUAN REGIONAL MEDICAL CENTER'S MISSION IS TO PERSONALIZE HEALTHCARE AND CREATE ENTHUSIASM AND VITALITY IN HEALING. OUR CORE VALUES ARE ACTIVELY TAUGHT, AND REINFORCED TO STAFF, MANAGEMENT, AND PHYSICIANS SO THAT THE ORGANIZATION MAY ACHIEVE EXCELLENCE AND CONSISTENCY IN PATIENT CARE. SJRMC IS A COMMUNITY GOVERNED HOSPITAL THAT WAS FOUNDED IN 1910 BY DOCTORS 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 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 TOTAL BEHAVIORAL HEALTH. THE OTHER COMMUNITY SERVICES NOTED ABOVE PROVIDE CARE FOR SURGERY, GASTROINTESTINAL, ORTHOPEDICS, ONCOLOGY, NEURO AND CARDIAC REHAB.
FORM 990, PART VI, SECTION A, LINE 6 & 7A	CLASSES OF MEMBERS OR STOCKHOLDERS: SAN JUAN REGIONAL MEDICAL CENTER (SJRMC) IS A COMMUNITY-GOVERNED HOSPITAL. THE HOSPITAL CORPORATION IS AN ADVISORY BODY COMPOSED OF TWO REPRESENTATIVES FROM ABOUT 90 NON-PROFIT ORGANIZATION MEMBERS IN SAN JUAN COUNTY. AFTER TEN YEARS OF SERVICE AS A REPRESENTATIVE, AN INDIVIDUAL MAY BE DESIGNATED BY THE CORPORATION AS A SENIOR CORPORATE DELEGATE AND SHALL NO LONGER BE CONSIDERED TO BE THE REPRESENTATIVE OF THE MEMBER ORGANIZATION. THE MEMBER ORGANIZATION MAY THEN DESIGNATE ANOTHER REPRESENTATIVE IN ADDITION TO THE SENIOR CORPORATE DELEGATE. THE HOSPITAL CORPORATION MEETS QUARTERLY AT THEIR ANNUAL MEETING, IN WHICH THEY NOMINATE AND ELECT NINE VOTING MEMBERS TO SJRMC'S BOARD OF DIRECTORS. OF THE NINE, THREE MUST BE ELECTED FROM THE MEMBER REPRESENTATIVES OR SENIOR CORPORATE DELEGATES. IN ADDITION TO THE NINE ELECTED DIRECTORS, THE SJRMC CHIEF OF THE STAFF AND VICE CHIEF OF STAFF AND A HOSPITAL AUXILIARY APPOINTEE ALSO SERVE AS SJRMC DIRECTORS FOR A TOTAL OF TWELVE VOTING MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW THE FORM 990: 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 AND A MEETING IS CONDUCTED BY THE ACCOUNTING FIRM TO REVIEW THE RETURN IN DETAIL. ANY QUESTIONS ARE ADDRESSED AND ANY NECESSARY CHANGES ARE MADE TO THE RETURN. THE FINAL DRAFT OF THE FORM 990 IS REVIEWED BY THE CFO. AFTER FILING, A BRIEF EDUCATION SESSION IS CONDUCTED BY THE ACCOUNTING FIRM TO DISCUSS THE HIGHLIGHTS OF THE FORM TO THE BOARD. THE FINAL DRAFT OF THE FORM 990 IS THEN PROVIDED TO EACH BOARD MEMBER.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT-OF-INTEREST POLICY: 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.
FORM 990, PART VI, SECTION B, LINE 15A	DESCRIBE PROCESS FOR DETERMINING COMPENSATION: THE BOARD OF DIRECTORS FOR SAN JUAN REGIONAL MEDICAL CENTER USES THE FOLLOWING COMPARABILITY 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 (EG, FOR-PROFIT HEALTHCARE AND/OR GENERAL INDUSTRY ORGANIZATIONS) OF COMPARABLE SIZE AND COMPLEXITY. ADDITIONALLY, THE BOARD BI-ANNUALLY HAS AN INDEPENDENT OUTSIDE FIRM COMPARE THE CEO'S, AND OTHER OFFICER'S COMPENSATION WITH OTHER HEALTHCARE ORGANIZATIONS TO REMAIN COMPETITIVE. THE PROCESS WAS LAST COMPLETED IN 2022 BY TOWERS WATSON. THE PROCESS IS DOCUMENTED IN THE BOARD MINUTES WHEN PRESENTED TO THE INDIVIDUALS.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: SAN JUAN REGIONAL MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LIne 9	DESCRIPTION OF OTHER CHANGE IN NET ASSETS, 2,517,351 - NET INCOME RECOGNIZED FROM GRANTOR TRUST STATEMENT

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SAN JUAN HEALTH PARTNERS INC
801 WEST MAPLE STREET	FARMINGTON	NM	87401	272367549	HEALTHCARE	NM	501(C)(3)	LINE 3	SJRMC	Yes (true)
AUXILIARY OF SAN JUAN REGIONAL MED CTR
801 WEST MAPLE STREET	FARMINGTON	NM	87401	237164296	HOSP SUPPORT	NM	501(C)(3)	LINE 12C	NA	false
SAN JUAN REGIONAL REHABILITATION HOSPITA
525 SOUTH SCHWARTZ AVE	FARMINGTON	NM	87401	850441767	HEALTHCARE	NM	501(C)(3)	LINE 3	SJRMC	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SJR HOLDING COMPANY INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 W MAPLE STREET	AddressLine1Txt
City	FARMINGTON	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87401	ZIPCd

Field	Value	IRS element (for citing)
EIN	201126483	EIN
Primary Activities	SUPPORT SVCS	PrimaryActivitiesTxt
Legal Domicile State	NM	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SJRMC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C-CORP	EntityTypeTxt
Share Of Total Income	$1,486,660	ShareOfTotalIncomeAmt
Share Of EOY Assets	$3,310,917	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SAN JUAN REGIONAL REHABILITATION HOSPITA
B	$84,109	Interco Amount
SJR HOLDING COMPANY INC
S	$2,000,000	INTERCO AMOUNT