OTERO COUNTY HOSPITAL ASSOCIATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- OTERO COUNTY HOSPITAL ASSOCIATION (EIN 85-0138775)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-05
- IRS object ID
- 202211259349302281
- Schema version
- 2020v4.2
- 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 F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-05T16:44:32-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6565 AMERICAS PARKWAY NE STE 600 | AddressLine1Txt |
| City | ALBUQUERQUE | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87110 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850138775 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OTERO COUNTY HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OTER | BusinessNameControlTxt |
| Phone | 5754396100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2669 SCENIC DRIVE | AddressLine1Txt |
| City | ALAMOGORDO | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 883110597 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BASHAR NASER | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 5754396100 | PhoneNum |
| Signature | 2022-05-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BASHAR | PersonFirstNm |
| Person Last | NASER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAMELA ALEXANDERSON | PreparerPersonNm |
| PTIN | P01218925 | PTIN |
| Phone | 5058787200 | PhoneNum |
| Preparation | 2022-05-02 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GERALD CHAMPION REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT JAMES HECKERT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2669 SCENIC DRIVE | AddressLine1Txt |
| City | ALAMOGORDO | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 883110597 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $408,075,245 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GCRMC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1947 | FormationYr |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Activity Or Mission | PROVISION OF HEALTH CARE SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 1189 | TotalEmployeeCnt |
| Total Volunteers | 103 | TotalVolunteersCnt |
| Total Gross UBI | -$444,345 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,008,345 | PYContributionsGrantsAmt |
| CY Contributions Grants | $345,768 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $176,077,988 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $205,513,631 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,897,807 | PYInvestmentIncomeAmt |
| CY Investment Income | $21,428,747 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$1,916,169 | PYOtherRevenueAmt |
| CY Other Revenue | -$3,883,115 | CYOtherRevenueAmt |
| PY Total Revenue | $196,067,971 | PYTotalRevenueAmt |
| CY Total Revenue | $223,405,031 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $941,121 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $857,324 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $73,493,448 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $82,160,164 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $95,189,459 | PYOtherExpensesAmt |
| CY Other Expenses | $101,572,566 | CYOtherExpensesAmt |
| PY Total Expenses | $169,624,028 | PYTotalExpensesAmt |
| CY Total Expenses | $184,590,054 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $26,443,943 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $38,814,977 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $298,922,139 | TotalAssetsBOYAmt |
| Total Assets EOY | $340,757,044 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $91,552,085 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $92,654,270 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $207,370,054 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $248,102,774 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO BE THE ORGANIZATION WHERE PATIENTS CHOOSE TO COME, PHYSICIANS WANT TO PRACTICE, AND PEOPLE WANT TO WORK. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $127,874,408 | ExpenseAmt |
| Grant | $857,324 | GrantAmt |
| Revenue | $205,273,868 | RevenueAmt |
| Desc | OTERO COUNTY HOSPITAL ASSOCIATION, D/B/A GERALD CHAMPION REGIONAL MEDICAL CENTER (GCRMC), PROVIDES COMPREHENSIVE HEALTH-CARE SERVICES THROUGH ITS 98-BED HOSPITAL, OUTPATIENT AMBULATORY CARE FACILITIES, AND A MULTI-SPECIALTY PHYSICIAN GROUP. GCRMC RECEIVES 80% OF ITS ADMISSIONS FROM OTERO COUNTY. THE GCRMC'S PRIMARY MARKETS ARE THE CITIES OF ALAMOGORDO AND TULAROSA WITH SECONDARY MARKETS EXPANDING TO MORE REMOTE AREAS OF OTERO COUNTY, LINCOLN COUNTY, CHAVEZ COUNTY, AND BEYOND. THE ORIGINAL FACILITY OPENED IN AUGUST 1949, AND THE CURRENT MEDICAL CENTER IS A STATE-OF-THE-ART ACUTE CARE FACILITY THAT OPENED IN DECEMBER 1999.THE ORIGINAL HOSPITAL OPENED IN 1949 WITH 26 BEDS. TODAY, GCRMC IS PROUD TO BE A 98-BED ACUTE CARE FACILITY ACCREDITED BY DNV, INCLUDING TWO DISTINCT PPS UNITS: LIFE TRANSITIONS (AKA BEHAVIORAL MEDICINE - TOTAL 36 BEDS) AND INPATIENT REHABILITATION (12 BEDS). GCRMC SHARES A UNIQUE RELATIONSHIP WITH HOLLOMAN AIR FORCE BASE AS THE FIRST HOSPITAL IN THE UNITED STATES WHERE ACTIVE-DUTY MILITARY PHYSICIANS PRACTICE IN A CIVILIAN HOSPITAL. THIS SPECIAL ARRANGEMENT ALLOWS ONE FACILITY TO MEET THE COMBINED COMMUNITY AND MILITARY NEEDS, WHILE SERVING AS A MODEL FOR THE DEPARTMENT OF DEFENSE IN CONSERVING RESOURCES.THE DELIVERY MECHANISMS OF CARE AT THE HOSPITAL INCLUDE BOTH INPATIENT AND OUTPATIENT SERVICES; ACUTE CARE INPATIENT THROUGH MEDICAL/SURGICAL, TELEMETRY, MATERNAL CHILD AND 10-BED INTENSIVE CARE UNITS; SURGERY DEPARTMENT SUPPORTED BY PRE-ADMIT, OUTPATIENT CARE UNIT AND POST-ANESTHESIA CARE UNIT; OUTPATIENT SURGERY CENTER; PROVIDER-BASED PHYSICIAN PRACTICES IN THE AREAS OF FAMILY PRACTICE, WOMEN'S SERVICES INCLUDING OBSTETRICS, MEDICAL AND RADIATION ONCOLOGY, MEDICAL CARDIOLOGY, GASTROENTEROLOGY AND ENDOCRINOLOGY, INTERNAL MEDICINE, ORTHOPEDICS, GENERAL SURGERY, PAIN MANAGEMENT AND NEUROLOGY; INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES; CARDIAC CATH LAB; INPATIENT REHABILITATION SERVICES, INCLUDING PHYSICAL AND OCCUPATIONAL REHAB SERVICES; INPATIENT AND OUTPATIENT CAP-CERTIFIED LABORATORY SERVICES WITH THE CAPABILITY TO PERFORM OVER 225 DIFFERENT PROFILES AND TESTS IN-HOUSE; INPATIENT AND OUTPATIENT DIAGNOSTIC IMAGING SERVICES, INCLUDING X-RAY, 64-SLICE CT AND PET SCAN, MRI, ULTRASOUND, INTERVENTIONAL RADIOLOGY, RADIOFREQUENCY ABLATION AND NUCLEAR MEDICINE; INPATIENT AND OUTPATIENT COMPREHENSIVE CARDIOPULMONARY SERVICES, INCLUDING BEHAVIOR SLEEP MEDICINE, HOLTER MONITORING, EVENT MONITORING, AND IMPEDANCE CARDIOGRAPHY. BY THE END OF 2021, GCRMC EMPLOYED APPROXIMATELY 930 PEOPLE. OF THESE EMPLOYEES THERE ARE APPROXIMATELY 563 ACTIVE MEDICAL STAFF MEMBERS, CONSISTING OF 36 PROVIDERS AND 25 NURSE PRACTITIONERS. IN ADDITION TO THOSE EMPLOYEES, GCRMC CONTRACTS FOR SERVICES IN VARIOUS DEPARTMENTS SUCH AS PHARMACY, ANESTHESIA, EMERGENCY DEPARTMENT, AND HOSPITALIST PROVIDERS.GCRMC CONTINUES TO SEEK OPPORTUNITIES TO EXPAND SERVICES AND IMPROVE QUALITY, WITH THE PHILOSOPHY OF NOT LIMITING ITS POTENTIAL BY THE DESIGNATION OF "RURAL HOSPITAL," BUT RATHER IDENTIFYING ITS SCOPE OF SERVICE BASED ON COMMUNITY NEEDS AS A REGIONAL MEDICAL CENTER. CONTINUED PROGRESS AND EXPANSION HAS ENHANCED GCRMC'S COMMITMENT TO STRIVE FOR OUTSTANDING SERVICE AND QUALITY, ACKNOWLEDGING THAT ITS FUTURE IS NOT IN ITS BUILDING OR TECHNOLOGY, BUT RATHER ITS PEOPLE. TO THIS END, WE SUPPORT THE PEOPLE OF OTERO COUNTY AND OUTLYING SERVICE AREAS WITH OUR EXPANDED SERVICES AND OUR FINANCIAL CONTRIBUTIONS. GCRMC HAS, SINCE ITS INCEPTION IN 1949, PROVIDED QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATIONS AND STABILITY OF GCRMC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND, FURTHER, THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH-CARE SERVICES AND HEALTH-CARE EDUCATION. THEREFORE, IN KEEPING WITH GCRMC'S COMMITMENT TO SERVE OUR COMMUNITY, WE PROVIDE: FREE CARE AND/OR SUBSIDIZED CARE - CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST; AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S ABILITY TO PAY COEXIST. MANAGEMENT EXPANDED THE FINANCIAL ASSISTANCE PROGRAM FROM 200% TO 300% OF FPL EFFECTIVE JULY 1, 2015. GCRMC MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. | Desc |
| Total Program Service Expenses | $127,874,408 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (1) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 149 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1189 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BASHAR NASER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5754437848 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2669 SCENIC DRIVE | AddressLine1Txt |
| City | ALAMOGORDO | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 883110597 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| NORM ARNOLD | |||||||||
| CHAIRMAN | 10.00 | 1.50 | Yes (X) | Yes (X) | $28,200 | $0 | $0 | ||
| BILL MERSHON | |||||||||
| VICE PRESIDENT (THROUGH OCT 2020) | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM MAYTON | |||||||||
| SECRETARY | 5.00 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANDREW LANCASTER | |||||||||
| BOARD MEMBER/PHYSICIAN | 40.00 | Yes (X) | $225,264 | $0 | $45,668 | ||||
| POLLY HICKMAN | |||||||||
| BOARD MEMBER/NURSE PRACTITIONER | 40.00 | Yes (X) | $106,975 | $0 | $44,678 | ||||
| GARY JACKSON | |||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| REX WILSON | |||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| BOBBY MARTINEZ | |||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| KATHY FULLER | |||||||||
| BOARD MEMBER | 3.00 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| JULIA GRINDER | |||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBIN FRENCH | |||||||||
| BOARD MEMBER (THROUGH JULY 2020) | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| BART GARRISON | |||||||||
| BOARD MEMBER (THROUGH FEB 2021) | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM POLLARD | |||||||||
| CMO | 40.00 | Yes (X) | $550,766 | $0 | $70,764 | ||||
| ROBERT JAMES HECKERT | |||||||||
| CEO | 40.00 | 1.50 | Yes (X) | $398,550 | $0 | $32,713 | |||
| BASHER NASER | |||||||||
| CFO | 40.00 | 1.50 | Yes (X) | $570,745 | $0 | $46,784 | |||
| ROBERT MIDDLETON | |||||||||
| CCO | 40.00 | Yes (X) | $281,660 | $0 | $49,534 | ||||
| KERRY BOLIN | |||||||||
| CNO/VP OF QUALITY/PATIENT SAFETY | 40.00 | 0.50 | Yes (X) | $166,924 | $0 | $25,973 | |||
| PETER SEAMAN | |||||||||
| VP OF FINANCE | 40.00 | $197,869 | $0 | $55,939 | Yes (X) | ||||
| ALBERT ESPARSEN | |||||||||
| VP OF PHYSICIAN PRACTICE | 40.00 | $176,808 | $0 | $32,804 | Yes (X) | ||||
| CHARLES RACE | |||||||||
| PHYSICIAN | 40.00 | $887,129 | $0 | $66,284 | Yes (X) | ||||
| FERIAL ABOOD | |||||||||
| PHYSICIAN | 40.00 | $696,048 | $0 | $43,934 | Yes (X) | ||||
| KATRINA ROLEN | |||||||||
| PHYSICIAN | 40.00 | $506,955 | $0 | $35,243 | Yes (X) | ||||
| ANDREW PIKE | |||||||||
| PHYSICIAN | 40.00 | $668,505 | $0 | $44,541 | Yes (X) | ||||
| JAMES DUMONT | |||||||||
| PHYSICIAN | 40.00 | $472,547 | $0 | $35,191 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,934,945 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $630,050 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 96 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ROBINS & MORTON GROUP | |||||
| 400 SHADES CREEK PARKWAY | BIRMINGHAM | AL | 35209 | CONSTRUCTION | $28,603,395 |
| SHIFTWISE INC | |||||
| 1800 SW 1ST AVE SUITE 510 | PORTLAND | OR | 97201 | CONTRACT NURSE AGENCY | $3,388,440 |
| CLINICAL COLLEAGUES | |||||
| 1765 E NINE MILE RD SUITE 1-229 | PENSACOLA | FL | 32514 | ANESTHESIA CONTRACT SERVICES | $3,016,260 |
| INPATIENT SERVICES OF NM | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | HEALTHCARE PROFESSIONAL CONTRACT SERVICE | $2,353,453 |
| MODULAR SOLUTIONS LTD | |||||
| 5439 S 43RD AVE | PHOENIX | AZ | 85041 | MODULAR BUILDINGS | $1,905,808 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $170,313 | GovernmentGrantsAmt |
| All Other Contributions | $175,455 | AllOtherContributionsAmt |
| Total Contributions | $345,768 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $196,067,996 | $196,067,996 | |
| 340B PHARMACY REVENUE | 446110 | $4,101,526 | $4,101,526 | |
| CARDIAC CATH LAB LLC | 621400 | $2,060,250 | $2,060,250 | |
| NM DSH ADJUSTMENT | 900099 | $837,744 | $837,744 | |
| PHARMACY REVENUE | 446110 | $828,328 | $596,831 | $231,497 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,617,787 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,609,521 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $8,266 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $205,513,631 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,958,580 | TotalRevenueColumnAmt |
| Exclusion | $1,958,580 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,047,250 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,930,365 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$3,883,115 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,883,115 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$684,108 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$3,199,007 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $199,160,326 | SecuritiesAmt |
| Other | $49,690 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $179,689,092 | SecuritiesAmt |
| Other | $50,757 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,471,234 | SecuritiesAmt |
| Other | -$1,067 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,470,167 | TotalRevenueColumnAmt |
| Exclusion | $19,470,167 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $223,405,031 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $205,273,868 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$444,345 | UnrelatedBusinessRevenueAmt |
| Exclusion | $18,229,740 | 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 | $772,252 | TotalAmt |
| Program Services | $772,252 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,072 | TotalAmt |
| Program Services | $85,072 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,369,402 | TotalAmt |
| Program Services | $1,002,451 | ProgramServicesAmt |
| Management And General | $2,366,951 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,817 | TotalAmt |
| Program Services | $87,817 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,499,804 | TotalAmt |
| Program Services | $46,567,522 | ProgramServicesAmt |
| Management And General | $15,932,282 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,719,333 | TotalAmt |
| Program Services | $1,117,566 | ProgramServicesAmt |
| Management And General | $601,767 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,984,169 | TotalAmt |
| Program Services | $6,489,710 | ProgramServicesAmt |
| Management And General | $3,494,459 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,499,639 | TotalAmt |
| Program Services | $2,699,783 | ProgramServicesAmt |
| Management And General | $1,799,856 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,990,789 | TotalAmt |
| Program Services | $6,284,740 | ProgramServicesAmt |
| Management And General | $706,049 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,220,355 | TotalAmt |
| Program Services | $117,883 | ProgramServicesAmt |
| Management And General | $1,102,472 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,477 | TotalAmt |
| Management And General | $277,477 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,240 | TotalAmt |
| Management And General | $8,240 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $406,211 | TotalAmt |
| Management And General | $406,211 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,173,973 | TotalAmt |
| Program Services | $33,352,729 | ProgramServicesAmt |
| Management And General | $2,821,244 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,878 | TotalAmt |
| Program Services | $29,621 | ProgramServicesAmt |
| Management And General | $258,257 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,221,771 | TotalAmt |
| Program Services | $1,522,510 | ProgramServicesAmt |
| Management And General | $1,699,261 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,435,257 | TotalAmt |
| Program Services | $296,295 | ProgramServicesAmt |
| Management And General | $1,138,962 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,470,137 | TotalAmt |
| Program Services | $1,020,755 | ProgramServicesAmt |
| Management And General | $2,449,382 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,257 | TotalAmt |
| Program Services | $60,563 | ProgramServicesAmt |
| Management And General | $45,694 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,017 | TotalAmt |
| Program Services | $102,852 | ProgramServicesAmt |
| Management And General | $65,165 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $987,093 | TotalAmt |
| Management And General | $987,093 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,620,036 | TotalAmt |
| Management And General | $7,620,036 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,360,042 | TotalAmt |
| Program Services | $397,443 | ProgramServicesAmt |
| Management And General | $3,962,599 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES/DRUGS | $21,966,232 | $21,966,232 | |
| TAXES | $3,255,586 | $1,432 | $3,254,154 |
| WRITE OFFS - BOND COSTS | $2,679,821 | $2,679,821 | |
| DIETARY SUPPLIES | $1,025,008 | $1,025,008 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,912,386 | TotalAmt |
| Program Services | $3,899,180 | ProgramServicesAmt |
| Management And General | $2,013,206 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,590,054 | TotalAmt |
| Program Services | $127,874,408 | ProgramServicesAmt |
| Management And General | $56,715,646 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,631,655 | BOYAmt |
| EOY | $3,821,212 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,948,681 | BOYAmt |
| EOY | $11,303,452 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,467,727 | BOYAmt |
| EOY | $27,961,482 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,198,978 | BOYAmt |
| EOY | $7,534,657 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,098,982 | BOYAmt |
| EOY | $5,036,206 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $302,840,392 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $164,498,101 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,174,078 | BOYAmt |
| EOY | $138,342,291 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,154,833 | BOYAmt |
| EOY | $129,209,787 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,205,913 | BOYAmt |
| EOY | $5,079,402 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $741,116 | BOYAmt |
| EOY | $737,085 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,300,176 | BOYAmt |
| EOY | $11,731,470 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $298,922,139 | BOYAmt |
| EOY | $340,757,044 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,630,625 | BOYAmt |
| EOY | $26,229,256 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $347,954 | BOYAmt |
| EOY | $152,102 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,519,578 | BOYAmt |
| EOY | $62,610,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,053,928 | BOYAmt |
| EOY | $3,662,912 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,552,085 | BOYAmt |
| EOY | $92,654,270 | 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 | $207,370,054 | BOYAmt |
| EOY | $248,102,774 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,370,054 | BOYAmt |
| EOY | $248,102,774 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $298,922,139 | BOYAmt |
| EOY | $340,757,044 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $38,814,977 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,917,743 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $8,240 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $8,240 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION'S CEO ATTENDED A MEETING OF THE AMERICAN HOSPITAL ASSOCIATION/NEW MEXICO HOSPITAL ASSOCIATION, IN WHICH DISCUSSIONS ON LEGISLATION WERE HELD WITH LEGISLATORS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,580,824 | OtherCostOrOtherBasisAmt |
| Book Value | $3,580,824 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $138,580,670 | OtherCostOrOtherBasisAmt |
| Depreciation | $88,376,627 | DepreciationAmt |
| Book Value | $50,204,043 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,822,115 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,342,939 | DepreciationAmt |
| Book Value | $1,479,176 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $77,282,117 | OtherCostOrOtherBasisAmt |
| Depreciation | $62,846,861 | DepreciationAmt |
| Book Value | $14,435,256 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $80,574,666 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,931,674 | DepreciationAmt |
| Book Value | $68,642,992 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $138,342,291 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE MEDICAL CENTER IS ORGANIZED AS A NEW MEXICO NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE MEDICAL CENTER IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE MEDICAL CENTER IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE MEDICAL CENTER FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. THE ASV AND GCSP CATH LAB ARE LIMITED LIABILITY COMPANIES FOR WHICH THE INCOME IS TAXED TO THE RESPECTIVE MEMBERS IN THEIR TAX RETURNS. THE MEDICAL CENTER BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE MEDICAL CENTER WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE, IF SUCH INTEREST AND PENALTIES ARE INCURRED. THE MEDICAL CENTER'S FEDERAL FORM 990-T FILINGS ARE NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2017. | ExplanationTxt |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | NORTH AMERICA (CANADA AND MEXICO | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | DONATION OF MEDICAL SUPPLIES | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $85,072 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $85,072 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $85,072 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | NORTH AMERICA (CANADA AND MEXICO | RegionTxt |
| Purpose Of Grant | MEDICAL ASSISTANCE | PurposeOfGrantTxt |
| Manner Of Cash Disbursement | N/A | MannerOfCashDisbursementTxt |
| Non Cash Assistance | $85,072 | NonCashAssistanceAmt |
| Description Of Non Cash Asst | DONATED MEDICAL SUPPLIES | DescriptionOfNonCashAsstTxt |
| Valuation Method Used | BOOK VALUE | ValuationMethodUsedDesc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3: | ACCRUAL |
| PART III ACCOUNTING METHOD: |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,091,635 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $78,620 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,013,015 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03260 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,637,572 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,344,503 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,293,069 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04490 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,729,207 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,423,123 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,306,084 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07750 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $515,243 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $515,243 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $70,819,032 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,492,749 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $56,326,283 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.30510 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $420,004 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $420,004 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $71,754,279 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,492,749 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $57,261,530 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.31020 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $103,483,486 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,915,872 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $71,567,614 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.38770 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,036 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,036 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $723,035 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $723,035 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $832,219 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $832,219 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,562,290 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,562,290 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00840 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,960,588 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $328,818 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $39,819,959 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $53,863,628 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,043,669 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 ALAMOGORDO SURGERY VENTURES | |||
| OUTPATIENT SURGERY CENTER | 0.45500 | 0.00000 | 0.54500 |
| 2 ALAMOGORDO IMAGING CENTER | |||
| OUTPATIENT RADIOLOGY CENTER | 0.29790 | 0.00000 | 0.70210 |
| 3 WHITE SANDS HEALTHCARE SYSTEMS LLC | |||
| PHYSICIAN HOSPITAL ORGANIZATION | 0.50000 | 0.00000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | GERALD CHAMPION REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2669 SCENIC DR | AddressLine1Txt |
| City | ALAMOGORDO | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88311 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.GCRMC.ORG | WebsiteAddressTxt |
| State License | 6016 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 33 PROVIDER CLINICS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GERALD CHAMPION REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.GCRMC.ORG/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SUPPLEMENTAL INFORMATION | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | 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 |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | 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 (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.GCRMC.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.GCRMC.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.GCRMC.ORG | 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 (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GERALD CHAMPION REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 3J: CHARTS RELATED TO AGE, GENDER, GENERAL LIFESTYLES, HEALTH-CARE METRICS |
| GERALD CHAMPION REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 5: THE MEDICAL CENTER CONDUCTED FOCUS GROUPS AND INDIVIDUAL INTERVIEWS. THE MEDICAL CENTER SOLICITED INPUT FROM MORE THAN 20 REPRESENTATIVES FROM THE COMMUNITY, INCLUDING EDUCATORS, LOCAL GOVERNMENT OFFICIALS, LOCAL HEALTH OFFICIALS, FINANCIAL ADVISORS, CHAPLAINS, NURSES, AND MILITARY PERSONNEL. |
| GERALD CHAMPION REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 6B: OTERO COUNTY COMMUNITY HEALTH COUNCILPRESBYTERIAN MEDICAL SERVICESALAMOGORDO PUBLIC SCHOOLSDEPARTMENT OF PUBLIC SAFETYALAMOGORDO CHAMBER OF COMMERCECOPE OUTREACHALAMOGORDO SENIOR CENTERTHE COUNSELING CENTER |
| GERALD CHAMPION REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 11: THE HOSPITAL'S WRITTEN IMPLEMENTATION STRATEGY IS INCLUDED IN THE FACILITY'S CHNA DOCUMENT. THIS DOCUMENT WAS REVIEWED BY THE HOSPITAL'S CPA AUDITORS AND BUSINESS ADVISORS. BASED ON THE RESULTS OF THIS REVIEW, MOST SIGNIFICANT NEEDS ARE BEING ADDRESSED IN THE ASSESSMENT. THE NEEDS IDENTIFIED INCLUDE: ACCESS TO AFFORDABLE PRIMARY CARE INSURANCE AND CHARITY CARE, OBESITY, DIABETES, CANCER, BEHAVIORAL HEALTHCARE, HEART DISEASE, AND HEALTH EDUCATION. THE STRATEGY TO ADDRESS THESE ISSUES INCLUDES EXPANDED HOSPITAL RESOURCES, SUCH AS ESTABLISHMENT OF A CARDIAC REHABILITATION PROGRAM, AND COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES TO ADDRESS THE NEEDS. FOR EXAMPLE, GCRMC PROVIDES $450,000 A YEAR IN FINANCIAL SUPPORT TO PRESBYTERIAN MEDICAL SERVICES, WHICH OPERATES FOUR FQHCS IN OTERO COUNTY, TO ASSIST IN RECRUITING QUALIFIED, LICENSED BEHAVIORAL AND OTHER HEALTH PROFESSIONALS. |
| PART V, SECTION B, LINE 10A: | HTTPS://WWW.GCRMC.ORG/WP-CONTENT/UPLOADS/2018/10/10.15.18-CHNA-IMPLEMENTATION-REPORT-FINAL-GERALD-CHAMPION.PDF |
| PART V, LINE 14: | CHARGE CALCULATIONS ARE BASED ON A VARIETY OF FACTORS, INCLUDING THE COST OF SUPPLIES, LABOR AND OVERHEAD NEEDED TO PROVIDE THE SERVICE. OTHER FACTORS INCLUDE THE MEDICARE ALLOWABLE FEE SCHEDULE, AND COMPARISON OF THE ORGANIZATION WITH THE IMMEDIATE COMPETITION'S CHARGE MASTERS. CHARGE PRICES ARE REVIEWED BY THE ORGANIZATION ON AN ANNUAL BASIS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 33 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (33 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ASV DBA SCENIC VIEW OUTPATIENT SURGERY CEN | ||||
| 2351 25TH STREET | ALAMOGORDO | NM | 88311 | OUTPATIENT SURGERY |
| 2 - ALAMOGORDO IMAGING CENTER | ||||
| 2539 MEDICAL DR STE 1010 | ALAMOGORDO | NM | 88310 | OUTPATIENT RADIOLOGY |
| 3 - GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC | ||||
| 2669 SCENIC DRIVE | ALAMOGORDO | NM | 88310 | CARDIAC CATH LAB |
| 4 - CHAMPION HOME HEALTH CARE LLC | ||||
| 1859 INDIAN WELLS RD | ALAMOGORDO | NM | 88310 | HOME HEALTH CARE FACILITY |
| 5 - CHAMPION CANCER CENTER | ||||
| 2559 MEDICAL DR SUITE G | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 6 - WHITE SANDS WOMEN'S HEALTH | ||||
| 2559 MEDICAL DR SUITE 2100 | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 7 - CHAMPION URGENT CARE | ||||
| 250 E 1ST ST | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 8 - CHAMPION ORTHOPEADICS | ||||
| 2559 MEDICAL DR SUITE 3100 | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 9 - GCRMC SURGICAL ASSOCIATES OF ALAMO - MOB | ||||
| 2559 MEDICAL DR SUITE 3200 | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 10 - BEHAVIORAL MEDICINE OP | ||||
| 2351 25TH ST COMPLEX B | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 11 - ALAMOGORDO CARDIOLOGY | ||||
| 2559 MEDICAL DR SUITE 2200 | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 12 - CHAMPION PAIN MANAGEMENT & ALAMOGORDO PAIN | ||||
| 2559 MEDICAL DR SUITE 3300 | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 13 - CHAMPION INTERNAL MEDICINE | ||||
| 2579 N SCENIC DR SUITE C | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 14 - PEDIATRICS OF ALAMO & CHAMPION PEDIATRICS | ||||
| 2559 MEDICAL DR SUITE D | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 15 - GASTROENTEROLOGY OF ALAMOGORDO | ||||
| 2539 MEDICAL DR SUITE 107 | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 16 - CHAMPION PAIN MANAGEMENT - ROSWELL | ||||
| 400 PENNSYLVANIA AVE | ROSWELL | NM | 88201 | OUTPATIENT CLINIC |
| 17 - OTERO COUNTY NEPHROLOGY | ||||
| 2579 N SCENIC DR SUITE B | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 18 - CHAMPION FAMILY MEDICINE | ||||
| 250 E 1ST ST | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 19 - CHAMPION MEDICAL GROUP | ||||
| 923 E 9TH ST SUITE A | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 20 - ENDOCRINOLOGY & DIABETES CARE | ||||
| 2579 N SCENIC DR SUITE B | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 21 - JOURNEY TO WELLNESS | ||||
| 1401 TENTH ST SUITE A | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 22 - INTERNAL MEDICINE ASSOCIATES OF ALAMO AL | ||||
| 1101 9TH ST SUITE A | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 23 - CHAMPION PRIMARY CARE GROUP | ||||
| 1212 9TH ST SUITE C | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 24 - CHAMPION NEUROLOGY & DIAGNOSTICS | ||||
| 2050 SCENIC DR | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 25 - JOURNEY TO WELLNESS - RUIDOSO | ||||
| 101 5TH ST | RUIDOSO | NM | 88345 | OUTPATIENT CLINIC |
| 26 - FAMILY PRACTICE OF ALAMOGORDO | ||||
| 1315 E 12TH ST | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 27 - PULMONOLOGY | ||||
| 2474 INDIAN WELLS RD SUITE B | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 28 - CHAMPION OCCUPATIONAL HEALTH SERVICES | ||||
| 2539 MEDICAL DR SUITE 105 | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 29 - FRACTURE LIAISON SERVICE | ||||
| 2539 MEDICAL DR SUITE 110 | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 30 - CHAMPION NEUROLOGY | ||||
| 2539 MEDICAL DR SUITE 104 | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 31 - COUMADIN CLINIC | ||||
| 2579 N SCENIC DR SUITE A | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 32 - NM CENTER FOR CLINICALBEHAVIORAL SLEEP | ||||
| 2474 INDIAN WELLS RD SUITE B | ALAMOGORDO | NM | 88310 | OUTPATIENT CLINIC |
| 33 - NM CENTER FOR CLINICALBEHAVIORAL SLEEP RU | ||||
| 101 5TH ST | RUIDOSO | NM | 88345 | OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES WHEN DETERMINING FREE CARE. PATIENTS WHO HAVE HOUSEHOLD INCOME AT OR BELOW 300% OF THE FPG ARE ELIGIBLE TO RECEIVE FREE CARE. THE ORGANIZATION OFFERS AN AUTOMATIC 25% DISCOUNT TO SELF-PAY PATIENTS AND WILL OFFER AN ADDITIONAL 10% DISCOUNT TO SELF-PAY PATIENTS WHO PAY THE BALANCE OF THEIR BILL WITHIN 30 DAYS OF THE BILLING DATE. IN ADDITION, THE FACILITY WILL WORK WITH PATIENTS ON SETTLEMENTS ON A CASE-BY-CASE BASIS BASED ON SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF GCRMC. DETERMINING FAMILY NEED IS ALSO BASED ON AN APPLICATION PROCESS WHICH TAKES INTO ACCOUNT THE PATIENT'S AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT. |
| PART I, LINE 7: | THE HOSPITAL'S COSTING METHODOLOGY IS BASED ON COST TO CHARGE RATIOS IN THE MEDICARE COST REPORT. IT CURRENTLY DOES NOT USE A COST ACCOUNTING SYSTEM. |
| PART I, LINE 7G: | AMOUNTS REPORTED ARE BASED ON THE MEDICARE COST REPORT FIGURES. LINE 7G INCLUDES $52,162,866 OF COSTS ATTRIBUTABLE TO PHYSICIANS' CLINICS. |
| PART II, LINE 2: | THE ORGANIZATION SUPPORTS THE ALAMOGORDO CHAMBER OF COMMERCE AND THE OTERO COUNTY ECONOMIC DEVELOPMENT COUNCIL, WHICH WORK TO FACILITATE THE CREATION AND PROMOTION OF NEW INDUSTRIES, AND ASSIST IN THE RETENTION AND EXPANSION OF EXISTING BUSINESSES IN THE HOSPITAL'S SERVICE AREA. |
| PART II, LINE 3: | THE ORGANIZATION OFFERS ECONOMIC SUPPORT TO VARIOUS ORGANIZATIONS THAT: PROVIDE ASSISTANCE TO INDIVIDUALS IN NEED OF BASIC MEDICAL ASSISTANCE, FOR RESEARCH IN HEALTH-RELATED CONDITIONS, AND TO PROMOTE CULTURAL ACTIVITIES AND EVENTS FOR THE BENEFIT OF THE COMMUNITY. |
| PART II, LINE 5: | THE ORGANIZATION SUPPORTS THE ALAMOGORDO ROTARY CLUB, WHICH WORKS TO TRAIN AND PROMOTE LEADERS IN THE COMMUNITY. |
| PART II, LINE 8: | THE ORGANIZATION RELIES ON WORKFORCE DEVELOPMENT, I.E. RECRUITMENT OF DOCTORS TO MEET THE NEED FOR MAINTAINING ADEQUATE MEDICAL STAFF. THE HOSPITAL'S SERVICE AREA FACES A CRITICAL SHORTAGE OF PRIMARY CARE PHYSICIANS. OTERO COUNTY IS DESIGNATED BY THE US CENSUS BUREAU AS A MEDICALLY UNDERSERVED AREA. RECENT DATA SUGGESTS THAT THERE WILL BE A SHORTAGE OF 40 PRIMARY CARE PHYSICIANS NEEDED TO SERVE THE HEALTHCARE NEEDS OF THE TOTAL SERVICE AREA BY 2023. THERE ARE A NUMBER OF FACTORS THAT HAVE CREATED THIS SHORTAGE. THESE INCLUDE THE AGING POPULATION OF PROVIDERS IN OUR MARKET. THE AVERAGE AGE OF THE ORGANIZATION'S PHYSICIAN STAFF IS NOW OVER 60 YEARS OF AGE. NEW MEXICO HAS THE HIGHEST PERCENTAGE IN THE COUNTRY OF PHYSICIANS APPROACHING RETIREMENT AGE. IN ADDITION, NEW MEXICO'S GEOGRAPHICALLY SPARSE, AGING AND RACIALLY DIVERSE POPULATION PUTS PRESSURE ON ITS HEALTH CARE SYSTEMS. EXCESS MORTALITY FROM ALL CAUSES IN NON-METROPOLITAN AREAS CONTINUES TO RISE. THE ORGANIZATION STRIVES TO INCREASE ACCESS TO COMPREHENSIVE QUALITY HEALTH CARE SERVICES; TO PROMOTE HEALTH, PREVENT AND MANAGE DISEASES, AND REDUCE DISABILITY AND PREMATURE DEATH BY ELIMINATING THE INADEQUATE SUPPLY AND UNEVEN DISTRIBUTION OF PRIMARY CARE AND SPECIALTY PROVIDERS THROUGH CONTINUED WORKFORCE DEVELOPMENT. |
| PART III, LINE 2: | DISCOUNTS AND PAYMENTS ARE TAKEN INTO CONSIDERATION WHEN DETERMINING BAD DEBT. PAYMENTS APPLIED TO PATIENT ACCOUNTS OFFSET ACCOUNTS RECEIVABLE AND ARE ELIMINATED FROM THE CALCULATION OF BAD DEBT, WHICH IS DETERMINED BASED ON AGING OF ACCOUNTS RECEIVABLE AFTER PATIENT DISCHARGE.IN CERTAIN CIRCUMSTANCES, GCRMC WILL NEGOTIATE PAYMENT TERMS FOR PATIENTS WHOSE FAMILY INCOME EXCEEDS THE INCOME GUIDELINES OF THE FINANCIAL ASSISTANCE AND UNINSURED POLICY. THIS IS APPLICABLE TO PATIENTS WITH CATASTROPHIC ILLNESSES OR UNUSUAL CIRCUMSTANCES. SUCH DETERMINATIONS ARE MADE BY THE PATIENT FINANCIAL SERVICES DEPARTMENT WORKING WITH GCRMC MANAGEMENT. SEE ALSO THE DISCLOSURE IN THE AUDITED FINANCIAL STATEMENTS REGARDING BAD DEBT.PATIENTS WHOSE FAMILY INCOME IS AT OR BELOW 300% OF THE FPL ARE ELIGIBLE TO RECEIVE FREE CARE. |
| PART III, LINE 3: | THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. PATIENT CHARGES FOR SERVICES PROVIDED UNDER THE CHARITY POLICY ARE WRITTEN OFF. THE AMOUNT OF THESE SERVICES PROVIDED IN THE YEAR ENDED JUNE 30, 2021, WERE APPROXIMATELY $2,342,327.25.MEDICAL CARE IS GIVEN TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY, AND THEREFORE, THIS IS A COMMUNITY BENEFIT. |
| PART III, LINE 4: | FROM NOTE 1, PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS:PATIENT RECEIVABLES - PATIENT RECEIVABLES ARE UNCOLLATERALIZED PATIENT AND THIRD-PARTY PAYOR OBLIGATIONS. PAYMENTS OF PATIENT RECEIVABLES ARE ALLOCATED TO THE SPECIFIC CLAIMS IDENTIFIED IN THE REMITTANCE ADVICE OR, IF UNSPECIFIED, ARE APPLIED TO THE EARLIEST UNPAID CLAIM. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. |
| PART III, LINE 9B | GCRMC HAS IMPLEMENTED A NUMBER OF DIFFERENT POLICY AND PROCEDURE STATEMENTS TO GOVERN THE DETAILS OF HOW ITS COLLECTION PRACTICES ARE IMPLEMENTED AND HOW DISCOUNTING AND COLLECTION POLICIES APPLY TO VARIOUS CLASSES OF PATIENTS. IN GENERAL, ALL PATIENT ACCOUNT GUARANTORS WHO REQUEST FINANCIAL ASSISTANCE OR A PAYMENT PLAN ARE ASKED TO PROVIDE DETAILED INFORMATION REGARDING THEIR INCOME AND ASSETS.FOR PATIENTS WHO QUALIFY FOR CHARITY, GCRMC WILL NOT IMPOSE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES, WILL NOT SEND UNPAID BILLS TO COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. |
| PART VI, LINE 2: | IN 2021, MANAGEMENT AT GCRMC ENLISTED THE SERVICES OF QUORUM HEALTH RESOURCES TO DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT AND TO PROVIDE INFORMATION FROM SECONDARY DATA SOURCES TO ASSIST IN IDENTIFYING NEEDS THAT EXIST IN THE COMMUNITY. THIS INCLUDES DATA FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION TO EXAMINE TRENDS FOR STROKE, DIABETES, HEART DISEASE AND CANCER. IT ALSO INCLUDES DATA THAT IDENTIFY SHORTAGES IN HEALTH-CARE PROFESSIONALS BY LOCATION. THE HEALTH NEEDS IDENTIFIED AS SIGNIFICANT IN THIS ASSESSMENT INCLUDED CANCER, ACCESS TO PRIMARY CARE, DIABETES, OBESITY, AND BEHAVIORAL HEALTH. THE CONCLUSIONS REACHED IN THIS ASSESSMENT WERE IMPLEMENTED IN 2021. |
| PART VI, LINE 3: | THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY - GERALD CHAMPION REGIONAL MEDICAL CENTER (GCRMC) WILL PROVIDE UNDERSTANDABLE, WRITTEN GUIDELINES TO STAFF AND PATIENTS RELATIVE TO HOW THE HOSPITAL EVALUATES AND DETERMINES: 1) A PATIENT'S ELIGIBILITY FOR CHARITY CARE; 2) AN UNINSURED PATIENT'S ELIGIBILITY FOR DISCOUNTS; AND 3) A PATIENT'S ELIGIBILITY FOR ALTERNATE PAYMENT PLANS. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE EMERGENCY ROOM AND THROUGHOUT THE ENTIRE HOSPITAL. THE PATIENTS ARE ALSO INFORMED THROUGH DIRECT COMMUNICATION WITH FINANCIAL COUNSELORS, AND THESE POLICIES ARE EXPLAINED IN DETAIL TO GUARANTORS WHO ADVISE GCRMC THAT THEY ARE UNABLE TO PAY THEIR ACCOUNT OR NEED HELP IN STRUCTURING AN AFFORDABLE PAYMENT PLAN FOR THEIR ACCOUNT.THE HOSPITAL PROVIDES SERVICES TO ANYONE IN NEED OF MEDICAL CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR SUCH SERVICES. CHARITY CARE AND DISCOUNTS FOR THE UNINSURED WILL BE AVAILABLE FOR MEDICALLY NECESSARY HOSPITAL CARE PROVIDED TO PERSONS WHO MEET THE FINANCIAL AND DOCUMENTATION CRITERIA DEFINED IN THIS POLICY. DETERMINATIONS HEREUNDER WILL BE BASED SOLELY ON THE PATIENT'S ABILITY TO PAY AND WILL NOT BE MADE ON THE BASIS OF AGE, SEX, RACE, CREED, DISABILITY, SEXUAL ORIENTATION OR NATIONAL ORIGIN.GCRMC PROVIDES FINANCIAL ASSISTANCE TO PATIENTS BASED ON THEIR INCOME, ASSETS, AND NEEDS. THROUGH OUR FINANCIAL COUNSELING SERVICES, WE ASSIST PATIENTS WITH MEDICAID ELIGIBILITY OR LOW-COST HEALTH INSURANCE THROUGH THE EXCHANGE (BE WELL NEW MEXICO), OR WORK WITH PATIENTS TO ARRANGE A MANAGEABLE PAYMENT PLAN.UNINSURED PATIENTS ARE ELIGIBLE FOR A 25% DISCOUNT. A 25% DISCOUNT IS APPLIED TO THE TOTAL CHARGES OF A SELF-PAY PATIENT AT THE TIME OF SERVICE OR THE FIRST BILLING. NOTICE WILL BE SENT AT THE TIME OF THE FIRST BILLING INFORMING THE PATIENT/GUARANTOR THAT AN ADDITIONAL 10% WILL BE DEDUCTED IF THE ACCOUNT IS PAID WITHIN 30 DAYS OF THE DATE OF SERVICE. |
| PART VI, LINE 4: | OTERO COUNTY HOSPITAL ASSOCIATION D/B/A GERALD CHAMPION REGIONAL MEDICAL CENTER ("GCRMC") ACTIVITIES ARE CONDUCTED ON ITS 66-ACRE CAMPUS LOCATED IN ALAMOGORDO, NEW MEXICO. ALAMOGORDO IS APPROXIMATELY 89 MILES NORTH OF EL PASO, TEXAS, AND 209 MILES SOUTHEAST OF ALBUQUERQUE, NEW MEXICO. GCRMC OWNS AND OPERATES A 98-BED CARE HOSPITAL (THE "HOSPITAL") ON THE CAMPUS. IN ADDITION TO THE MAIN CAMPUS, THE HOSPITAL HAS SATELLITE LOCATIONS INCLUDING CLINICS AND PHYSICIAN OFFICES THROUGHOUT THE CITY. THE COMBINED OPERATING SPACE OF THE MAIN CAMPUS AND THESE ADDITIONAL OFFICES TOTALS APPROXIMATELY 432,000 SQUARE FEET. OTHER FACILITIES THAT THE HOSPITAL OWNS LOCATED ON THE MAIN CAMPUS INCLUDE TWO MEDICAL OFFICE BUILDINGS, COMPLEX A AND B THAT HAVE AN OUTPATIENT SURGERY CENTER AND AN IMAGING CENTER OWNED AND OPERATED BY LIMITED LIABILITY COMPANIES IN WHICH GCRMC HAS AN INTEREST. GCRMC ALSO OWNS SIX FACILITIES LOCATED OFF THE MAIN CAMPUS THAT ARE EITHER LEASED TO INDEPENDENT PRIMARY CARE/SPECIALTY CARE PROVIDERS OR OCCUPIED BY EMPLOYED PHYSICIANS. GCRMC'S PRIMARY SERVICE AREA IS NORTHWESTERN OTERO COUNTY FROM WHICH 84% OF ITS ADMISSIONS ORIGINATE. GCRMC IS THE SOLE COMMUNITY PROVIDER IN ITS PRIMARY SERVICE AREA WITH THE NEAREST TERTIARY CARE HOSPITAL LOCATED APPROXIMATELY 70 MILES FROM THE HOSPITAL. THE DELIVERY MECHANISMS OF CARE AT THE HOSPITAL INCLUDE BOTH INPATIENT AND OUTPATIENT SERVICES: 24-HOUR STAFFED LEVEL III TRAUMA EMERGENCY DEPARTMENT; ACUTE CARE INPATIENT THROUGH MEDICAL/SURGICAL, INTENSIVE CARE, TELEMETRY, MATERNAL CHILD, 36-BED BEHAVIORAL MEDICINE, AND 12-BED INPATIENT REHABILITATION; SURGERY DEPARTMENT SUPPORTED BY PRE-ADMIT, OUTPATIENT CARE UNIT AND POST-ANESTHESIA CARE UNIT; HOSPITAL-OWNED PHYSICIAN PRACTICES IN THE AREAS OF FAMILY PRACTICE, WOMEN'S SERVICES INCLUDING OBSTETRICS, ORTHOPEDICS, NEPHROLOGY, INTERNAL MEDICINE, OUTPATIENT BEHAVIORAL MEDICINE, PEDIATRICS, GASTROENTEROLOGY, ENDOCRINOLOGY, PAIN MANAGEMENT AND NEUROLOGY; PATHOLOGIST; CAP CERTIFIED LABORATORY SERVICES WITH THE CAPABILITY TO PERFORM OVER 225 DIFFERENT PROFILES AND TESTS IN-HOUSE; INPATIENT AND OUTPATIENT DIAGNOSTIC IMAGING SERVICES, INCLUDING X-RAY, 64-SLICE/CT AND PET/CT WITH 20 SLICE CT SCAN, MRI, ULTRASOUND, INTERVENTIONAL RADIOLOGY, RADIOFREQUENCY ABLATION AND NUCLEAR MEDICINE; INPATIENT AND OUTPATIENT COMPREHENSIVE CARDIOPULMONARY SERVICES INCLUDING BEHAVIOR SLEEP MEDICINE, HOLTER MONITORING, EVENT MONITORING AND IMPEDANCE CARDIOGRAPHY. GCRMC AND THE HOLLOMAN AIR FORCE BASE (HAFB) 49TH MEDICAL GROUP, A GROUP OF APPROXIMATELY 15 MILITARY PROVIDERS AND SUPPORT STAFF FROM THE HAFB, HAVE ENJOYED A CLOSE WORKING RELATIONSHIP, AND HAVE HAD SHARED COVERAGE ARRANGEMENTS. SUCH ARRANGEMENTS INCLUDED LABORATORY AND X-RAY SERVICES IN A DISASTER, OBSTETRICAL COVERAGE, AND COVERAGE FOR THE HAFB 49TH MEDICAL GROUP WHEN THEY WERE DEPLOYED FOR DESERT STORM IN 1991. FOLLOWING DESERT STORM AND THE RETURN OF THE HAFB 49TH MEDICAL GROUP, THE DEPARTMENT OF DEFENSE MADE THE DECISION TO LEAVE ALL THE OBSTETRICAL SERVICES WITH GCRMC AND THE LOCAL OBSTETRICIANS. AS OF 2017, HOLLOMAN SUPPORTS ABOUT 21,000 ACTIVE DUTY, GUARD, RESERVE, RETIREES, DEPARTMENT OF DEFENSE CIVILIANS AND THEIR FAMILY MEMBERS. GCRMC'S PRIMARY SERVICE AREA (THE "PSA") IS IN NORTHWESTERN OTERO COUNTY, FROM WHICH MOST OF GCRMC'S ADMISSIONS ORIGINATE. LOCATED IN SOUTHEASTERN NEW MEXICO, OTERO COUNTY ENCOMPASSES 6,627 SQUARE MILES AND INCLUDES THE CITIES OF ALAMOGORDO AND TULAROSA. ACCORDING TO THE U.S. CENSUS BUREAU, THE POPULATION OF OTERO COUNTY IN 2020 WAS 68,853. THE HOSPITAL IS THE ONLY ACUTE CARE HOSPITAL WITHIN THE PSA AND IS A SOLE COMMUNITY PROVIDER. THE ACUTE CARE HOSPITALS THAT GCRMC CONSIDERS ITS MAIN COMPETITORS THAT DRAW FROM THE PSA ARE MOUNTAIN VIEW REGIONAL MEDICAL CENTER AND MEMORIAL MEDICAL CENTER, BOTH LOCATED APPROXIMATELY 75 MILES WEST OF ALAMOGORDO IN LAS CRUCES, NEW MEXICO. MANAGEMENT OF GCRMC ESTIMATES THAT THE MARKET SHARE OF ADMISSIONS TO THE MOUNTAIN VIEW REGIONAL MEDICAL CENTER AND MEMORIAL MEDICAL CENTER FROM THE PSA AVERAGES 10% AND 5%, RESPECTIVELY. THE SECONDARY SERVICE AREA COVERS A SUBSTANTIAL PORTION OF THE REMAINDER OF OTERO COUNTY, AS WELL AS THE SOUTH CENTRAL PORTION OF LINCOLN COUNTY. THE SECONDARY SERVICE AREA INCLUDES RUIDOSO, THE POPULATION OF WHICH WAS 8,377 IN 2021. THE TERTIARY SERVICE AREA COVERS A SMALL PORTION OF OTERO COUNTY AND CHAVES COUNTY. THERE ARE NO OTHER MAJOR MEDICAL CENTERS WITHIN OTERO COUNTY. |
| PART VI, LINE 5: | THE BUSINESS AND AFFAIRS OF GCRMC ARE SUBJECT TO THE OVERALL GOVERNANCE AND DIRECTION OF ITS BOARD OF DIRECTORS. THE BOARD OF DIRECTORS CONSISTED OF 9 MEMBERS AS OF JUNE 30, 2021. EACH MEMBER IS APPOINTED BY THE BOARD OF DIRECTORS AND SERVES A THREE-YEAR TERM IN A SELF-PERPETUATING BOARD. THE BOARD OF DIRECTORS FILLS VACANCIES THAT MAY OCCUR. OFFICERS OF THE BOARD OF DIRECTORS INCLUDE A CHAIRMAN, VICE CHAIRMAN, AND SECRETARY/TREASURER. MOST OF THE BOARD OF DIRECTORS ARE BUSINESS PEOPLE OF THE PRIMARY SERVICE AREA, WITH NO OTHER CONNECTION. ONE CURRENT BOARD MEMBER IS A PHYSICIAN AT THE MEDICAL CENTER; ANOTHER CURRENT BOARD MEMBER IS A NURSE PRACTITIONER AT THE MEDICAL CENTER.GCRMC'S MEDICAL STAFF IS ORGANIZED INTO DIVISIONS OF MEDICINE, MEDICAL SUBSPECIALTIES, SURGERY AND OUTPATIENT SERVICES. IN ADDITION TO SPECIALIZED MEDICAL/SURGICAL SERVICES PROVIDED BY BOTH EMPLOYED AND CONTRACTED PHYSICIANS AND MEDICAL GROUPS, GCRMC ALSO OFFERS EMERGENCY MEDICAL SERVICES, INCLUDING A HELICOPTER SERVICE WHICH IS NOT OWNED BY GCRMC BUT IS ON-SITE 24 HOURS A DAY. GCRMC EMPLOYS AROUND-THE-CLOCK HOSPITALISTS (I.E., PHYSICIANS WHO DEVOTE THEIR PROFESSIONAL TIME TO THE CARE OF HOSPITALIZED PATIENTS). THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. A PORTION OF RETAINED EARNINGS ARE RE-INVESTED INTO THE PURCHASE OF CAPITAL EQUIPMENT, ELECTRONIC MEDICAL RECORD SOFTWARE, CONTINUING EDUCATION FOR CLINICAL STAFF INCLUDING PHYSICIANS, AND A PROFESSIONALLY MANAGED DIVERSIFIED PORTFOLIO OF MARKETABLE SECURITIES. GCRMC VIEWS THE POSITION OF SOLE PROVIDER AS A SIGNIFICANT COMMITMENT TO THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY. IN ADDITION TO ITS FOCUS ON PROVIDING QUALITY HEALTHCARE, THE ORGANIZATION STRIVES TO FACILITATE AND SHARE OPPORTUNITIES TO EDUCATE AND MOTIVATE A PHILOSOPHY OF WELLNESS IN THE COMMUNITY. THE PRIMARY TARGET IS THE DISEASE PROCESS THAT WE KNOW CAN BE ELIMINATED OR IMPROVED BY CHANGING OR MODIFYING HUMAN BEHAVIOR. AS WITH ANY COMMUNITY, THE POPULATION HAS A VARIETY OF EDUCATIONAL BACKGROUNDS. THE GOAL IS TO DEVELOP PROGRAMS THAT TARGET THE NEEDS AND UNDERSTANDING OF THE COMMUNITY. PHYSICIANS/PROVIDERS ARE UTILIZED TO PROVIDE OPEN FORUMS THAT PRESENT HEALTH-RELATED ISSUES, I.E. ARTHRITIS, NEPHROLOGY, NEUROLOGY, ORTHOPEDIC ISSUES, ETC., FOLLOWED BY QUESTIONS AND TIME FOR INDIVIDUAL DISCUSSION. THIS TYPE OF PROGRAM IS OFFERED WITH A FREE LUNCH, EDUCATIONAL MATERIALS, AND IF APPROPRIATE, FREE SCREENINGS, SUCH AS GLUCOSE OR BLOOD PRESSURE. THERE IS AN AVERAGE OF 90 PARTICIPANTS IN EACH OF THESE SEMINARS. THE ORGANIZATION IS VERY COMMUNITY-MINDED IN ITS EFFORTS TO PROMOTE HEALTH. STAFF PARTICIPATES IN HEALTH FAIRS IN THE PUBLIC SCHOOLS, AND HOSTS AN ANNUAL FREE SPORTS PHYSICAL CLINIC FOR SCHOOL-AGE CHILDREN. AT GCRMC, WE FEEL IT IS IMPORTANT TO EMBRACE COMMUNITY NEEDS THAT PROMOTE GOOD CITIZENSHIP. AS AN ORGANIZATION WE SUPPORT EMPLOYEE INVOLVEMENT IN OUTSIDE ACTIVITIES THROUGH CONTRIBUTIONS, DEDICATED TIME AND SPONSORSHIP. ADMINISTRATION AND STAFF MEMBERS SERVE ON COMMUNITY BOARDS, DEDICATING MANY HOURS OF SUPPORT TO THOSE ORGANIZATIONS. THE FOLLOWING CLASSES ARE PROVIDED FOR THE COMMUNITY IN OUR CONFERENCE ROOM CENTER: DIABETIC EDUCATION, NARCOTICS ANONYMOUS, CHILDBIRTH CLASSES, NEW BABY CLASS AND CPR/BASIC LIFE SUPPORT TO NAME A FEW. GCRMC HAS BEEN A TOP SUPPORTER OF THE THRIVE, WHICH PROVIDES MONEY FOR MANY OF THE LOCAL COMMUNITY ORGANIZATIONS. AN ANNUAL HEALTH FAIR IS HELD AT THE HOSPITAL EACH YEAR. WE AUGMENT THE ANNUAL HEALTH FAIR WITH ONSITE MINI HEALTH SCREENINGS THROUGHOUT THE YEAR. THIS IS OFFERED TO BUSINESSES, CIVIC ORGANIZATIONS AND CHURCHES WITH MINIMAL TO NO CHARGE. WE OFFER FREE BLOOD PRESSURE SCREENINGS ON A WALK-IN BASIS WITH EDUCATIONAL MATERIALS IN BOTH SPANISH AND ENGLISH. THIS ALLOWS US TO ADDRESS THE HIGH RATE OF HYPERTENSION IN OUR COMMUNITY, ITS SIGNIFICANT EFFECT ON OTHER DISEASES, AND AN OVERALL WELLNESS PICTURE. GCRMC PARTNERS WITH THE AMERICAN CANCER SOCIETY TO OFFER THE LOOK GOOD FEEL GOOD PROGRAM AND THE GIFT CLOSET. THE PROGRAM IS HOUSED OFF CAMPUS IN A LEASED BUILDING AND HAS BROUGHT A HIGHLY VALUED SERVICE TO OUR COMMUNITY. THE GIFT CLOSET PROVIDES FREE WIGS, PROSTHESES, SUPPLIES, EDUCATION AND SUPPORT TO CANCER PATIENTS AND THEIR FAMILIES. THE OPPORTUNITY TO UTILIZE OUR SPEAKER'S BUREAU IS AVAILABLE TO ANY ORGANIZATION IN THE COMMUNITY. A PRESENTATION REGARDING HEALTH-RELATED TOPICS CAN BE PREPARED WITH LIMITED NOTICE TO MEET THE NEEDS OF THE ORGANIZATION. THE WEALTH OF KNOWLEDGE IN OUR ORGANIZATION ALLOWS US TO CREATE AN APPROPRIATE FIT FOR THE REQUESTED NEED. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NM |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| PMS CHAPARRAL NM CLINIC | |||||||
| 204 ANGELINA | CHAPARRAL | NM | 88081 | 850206810 | 501(C)(3) | $200,004 | PUBLIC HEALTH. |
| PMS ALAMOGORDO | |||||||
| 1501 TENTH STREET | ALAMOGORDO | NM | 88310 | 850206810 | 501(C)(3) | $120,000 | PUBLIC HEALTH. |
| THRIVE | |||||||
| PO BOX 14 | ALAMOGORDO | NM | 88311 | 850197559 | 501(C)(3) | $104,788 | CAMPAIGN HOSPITAL MATCH FOR COMMUNITY BENEFIT |
| PMS SACRAMENTO MOUNTAIN CENTER | |||||||
| PO BOX 686 | CLOUDCROFT | NM | 88317 | 850206810 | 501(C)(3) | $100,000 | PUBLIC HEALTH. |
| OTERO COUNTY FAIR ASSOCIATION | |||||||
| 401 FAIRGROUNDS ROADS | ALAMOGORDO | NM | 88310 | 856011829 | 501(C)(3) | $70,373 | COMMUNITY BENEFIT. |
| FLICKINGER CENTER | |||||||
| 1110 N NEW YORK AVE | ALAMOGORDO | NM | 88310 | 850326369 | 501(C)(3) | $50,000 | SPONSORSHIP ON BANNERS AND SHIRTS. |
| GERALD CHAMPION REGIONAL MEDICAL CENTER FOUNDATION INC | |||||||
| 2669 SCENIC DRIVE | ALAMOGORDO | NM | 88310 | 850352051 | 501(C)(3) | $15,000 | GENERAL SUPPORT |
| AMERICAN CANCER SOCIETY | |||||||
| 2120 FIRST AVE | ALAMOGORDO | NM | 88310 | 841316555 | 501(C)(3) | $12,000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION GAVE GRANTS TO GOVERNMENT AND OTHER TAX-EXEMPT ORGANIZATIONS. PRIOR TO GRANTING FURTHER FUNDS AND AT A MINIMUM YEARLY, GCRMC REVIEWS GRANTS TO OTHER ORGANIZATIONS WITH THE GRANTEES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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 | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES RACE | ||||||||||||||
| PHYSICIAN | $591,672 | $0 | $40,800 | $0 | $254,657 | $0 | $29,250 | $0 | $37,034 | $0 | $953,413 | $0 | $0 | $0 |
| FERIAL ABOOD | ||||||||||||||
| PHYSICIAN | $354,846 | $0 | $314,611 | $0 | $26,591 | $0 | $29,250 | $0 | $14,684 | $0 | $739,982 | $0 | $0 | $0 |
| ANDREW PIKE | ||||||||||||||
| PHYSICIAN | $589,105 | $0 | $79,400 | $0 | $0 | $0 | $29,250 | $0 | $15,291 | $0 | $713,046 | $0 | $0 | $0 |
| WILLIAM POLLARD | ||||||||||||||
| CMO | $314,851 | $0 | $118,325 | $0 | $117,590 | $0 | $29,250 | $0 | $41,514 | $0 | $621,530 | $0 | $0 | $0 |
| BASHER NASER | ||||||||||||||
| CFO | $279,813 | $0 | $276,488 | $0 | $14,444 | $0 | $9,750 | $0 | $37,034 | $0 | $617,529 | $0 | $0 | $0 |
| KATRINA ROLEN | ||||||||||||||
| PHYSICIAN | $468,365 | $0 | $24,418 | $0 | $14,172 | $0 | $9,750 | $0 | $25,493 | $0 | $542,198 | $0 | $0 | $0 |
| JAMES DUMONT | ||||||||||||||
| PHYSICIAN | $361,512 | $0 | $17,929 | $0 | $93,106 | $0 | $9,750 | $0 | $25,441 | $0 | $507,738 | $0 | $0 | $0 |
| ROBERT JAMES HECKERT | ||||||||||||||
| CEO | $369,082 | $0 | $8,640 | $0 | $20,828 | $0 | $29,250 | $0 | $3,463 | $0 | $431,263 | $0 | $0 | $0 |
| ROBERT MIDDLETON | ||||||||||||||
| CCO | $212,048 | $0 | $48,740 | $0 | $20,872 | $0 | $9,750 | $0 | $39,784 | $0 | $331,194 | $0 | $0 | $0 |
| ANDREW LANCASTER | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $212,823 | $0 | $1,800 | $0 | $10,641 | $0 | $8,903 | $0 | $36,765 | $0 | $270,932 | $0 | $0 | $0 |
| PETER SEAMAN | ||||||||||||||
| VP OF FINANCE | $140,522 | $0 | $48,890 | $0 | $8,457 | $0 | $28,265 | $0 | $27,674 | $0 | $253,808 | $0 | $0 | $0 |
| ALBERT ESPARSEN | ||||||||||||||
| VP OF PHYSICIAN PRACTICE | $139,054 | $0 | $33,640 | $0 | $4,114 | $0 | $7,311 | $0 | $25,493 | $0 | $209,612 | $0 | $0 | $0 |
| KERRY BOLIN | ||||||||||||||
| CNO/VP OF QUALITY/PATIENT SAFETY | $147,808 | $0 | $18,640 | $0 | $476 | $0 | $6,665 | $0 | $19,308 | $0 | $192,897 | $0 | $0 | $0 |
| POLLY HICKMAN | ||||||||||||||
| BOARD MEMBER/NURSE PRACTITIONER | $105,085 | $0 | $1,800 | $0 | $90 | $0 | $4,788 | $0 | $39,890 | $0 | $151,653 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | THE HOSPITAL MADE CONTRIBUTIONS TO ITS 457(F) DEFERRED COMPENSATION PLAN IN FY 2021 FOR THE FOLLOWING INDIVIDUALS: ROBERT JAMES HECKERT: $19,500 |
| PART I, LINE 6 | THE ORGANIZATION'S OFFICERS LISTED IN PART VII, SECTION A, ARE EVALUATED ANNUALLY BASED ON A SET OF EVIDENCE-BASED GOALS THAT DETERMINE THEIR ELIGIBILITY FOR ADDITIONAL COMPENSATION. THE SELECT GOALS ARE WEIGHTED IN A HIERARCHY OF CORE AND JOB-SPECIFIC COMPETENCIES, WHICH INCLUDE QUALITY OF CARE, FINANCIAL PERFORMANCE, AND PATIENT PERCEPTION OF CARE MEASURE. ONE OF THE CRITERIA DESIGNED TO ENHANCE ALIGNMENT OF THE ORGANIZATION'S GOAL FOR CONTINUED FINANCIAL STABILITY IS IMPROVEMENT OF NET EARNINGS OF BOTH THE HOSPITAL AND ITS RELATED ORGANIZATIONS. |
| PART I, LINE 7 | BONUSES WERE AWARDED FOR ALL EMPLOYEES FOR MEETING ORGANIZATIONAL GOALS AND WERE APPROVED BY THE BOARD. |
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 | 850426875 | BondIssuerEIN |
| CUSIP | 647370FS9 | CUSIPNum |
| Bond Issued | 2012-09-19 | BondIssuedDt |
| Issue Price | $70,004,797 | IssuePriceAmt |
| Purpose | HOSPITAL IMPROVEMENTS INCL. NEW PATIENT TOWER; REFUND BONDS ISSUED 11/15/07 | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $10,920,000 | RetiredAmt |
| Total Proceeds | $70,011,320 | TotalProceedsAmt |
| In Reserve Fund | $5,821,966 | InReserveFundAmt |
| Issuance Costs From Proceeds | $1,400,096 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $32,310,994 | CapitalExpendituresAmt |
| Other Spent Proceeds | $30,905,623 | OtherSpentProceedsAmt |
| Substantial Completion | 2012 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.08000 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.08000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AMY GRAHAM | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | DAUGHTER-IN-LAW OF VP BILL MERSHON. MR. MERSHON PASSED AWAY IN OCT. 2020 | RelationshipDescriptionTxt |
| Transaction | $87,817 | TransactionAmt |
| Transaction | EMPLOYMENT | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE JOINT FINANCE AND EXECUTIVE COMMITTEE IS CHAIRED BY THE VICE CHAIRMAN OF THE BOARD OF DIRECTORS. IN THE ABSENCE OF THE VICE CHAIRMAN, THE CHAIRMAN OF THE BOARD OR SECRETARY OF THE BOARD SHALL CHAIR THE COMMITTEE IN THAT ORDER. THE COMPOSITION OF THE JOINT FINANCE AND EXECUTIVE COMMITTEE SHALL BE DETERMINED BY THE BOARD OF DIRECTORS AT THE ANNUAL MEETING. THE POWERS AND RESPONSIBILITIES OF THE COMMITTEE SHALL INCLUDE: SCREEN BOARD BUSINESS AND MAKE RECOMMENDATIONS FOR APPROVAL IN ORDER TO ENABLE THE FULL BOARD TO EFFECTIVELY UTILIZE ITS DISCUSSION TIME; EXERCISE EMERGENCY POWERS IN EXTRAORDINARY CIRCUMSTANCES AND MAKE DECISIONS OTHERWISE RESERVED TO THE BOARD OF DIRECTORS WHEN THE BOARD IS NOT IN SESSION; EXERCISE THE POWER AND AUTHORITY TO TRANSACT CORPORATION BUSINESS THAT REQUIRES IMMEDIATE ACTION; SERVE AS THE AUDIT COMMITTEE FOR THE CORPORATION; SERVE AS THE ETHICS COMMITTEE FOR THE CORPORATION AND BE PRIMARILY RESPONSIBLE FOR IMPLEMENTING THE CONFLICTS OF INTEREST POLICY OF THE CORPORATION; REVIEW AND MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS CONCERNING THE PERFORMANCE, COMPETENCE AND TERMS OF EMPLOYMENT OF THE CHIEF EXECUTIVE OFFICER; AND ACT IN SUCH OTHER SITUATIONS AND CAPACITIES AS THE BOARD OF DIRECTORS MAY DESIGNATE OR SPECIFY. |
| FORM 990, PART VI, SECTION A, LINE 3 | COMPLETERX MANAGES THE PHARMACY DEPARTMENT AT GERALD CHAMPION REGIONAL MEDICAL CENTER. X-RAY ASSOCIATES OF NEW MEXICO MANAGES THE MEDICAL CENTER'S OUTPATIENT IMAGING CENTER, OF WHICH THE HOSPITAL OWNS 29.8%. ALAMOGORDO SURGERY VENTURES, LLC, MANAGES THE MEDICAL CENTER'S OUTPATIENT SURGERY CENTER, OF WHICH THE HOSPITAL OWNS 45.5% |
| FORM 990, PART VI, SECTION B, LINE 11B | THE RETURN IS REVIEWED BY THE CEO AND CFO PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE FORMS ARE INITIALLY REVIEWED BY THE CFO. IF ANY CONFLICTS EXIST, THEY ARE REVIEWED BY THE BOARD OF DIRECTORS. A PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO AND CFO REPORT TO THE GCRMC BOARD OF DIRECTORS, AND THEIR COMPENSATION PACKAGE IS DETERMINED BY THE BOARD. THE BOARD USES AN INDEPENDENT THIRD-PARTY CONSULTANT, THE COKER GROUP, TO EVALUATE THE COMPENSATION. THE BOARD OBTAINED COMPARATIVE SALARY DATA FROM THE COKER GROUP TO ASSESS THE FMV OF COMPENSATION. COMPENSATION WAS LAST DETERMINED IN 2021. A FULL COMPENSATION REVIEW OF ALL OFFICERS WAS PROVIDED BY THE COKER GROUP AT THAT TIME. GCRMC USES THE MGMA DATA THAT IS PUBLISHED ANNUALLY TO DETERMINE PHYSICIAN SALARIES LINKED TO THEIR PRODUCTIVITY LEVEL. THE SALARIES OF ALL NEWLY HIRED PHYSICIANS ARE APPROVED BY THE BOARD OF DIRECTORS. IN ADDITION, ANY MODIFICATION TO EMPLOYED PHYSICIAN SALARY IS APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONSULTANTS: PROGRAM SERVICE EXPENSES 1,116,584. MANAGEMENT AND GENERAL EXPENSES 403,302. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,519,886. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 1,552,508. MANAGEMENT AND GENERAL EXPENSES 1,685,978. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,238,486. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 10,545,519. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,545,519. AGENCY PERSONNEL: PROGRAM SERVICE EXPENSES 8,351,811. MANAGEMENT AND GENERAL EXPENSES 221,466. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,573,277. CONTRACT DEPARTMENT FEES: PROGRAM SERVICE EXPENSES 1,055,589. MANAGEMENT AND GENERAL EXPENSES 510,498. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,566,087. GC-SP CATH LAB CLINICAL SERVICE FEES: PROGRAM SERVICE EXPENSES 9,692,453. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,692,453. 340(B) PROCESSING FEES: PROGRAM SERVICE EXPENSES 1,038,265. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,038,265. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GERALD CHAMPION REGIONAL MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2669 SCENIC DRIVE | AddressLine1Txt |
| City | ALAMOGORDO | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88310 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850352051 | EIN |
| Primary Activities | TO DIRECTLY SUPPORT THE MISSION OF THE OTERO COUNTY HOSPITAL ASSOCIATION | PrimaryActivitiesTxt |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OTERO COUNTY HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALAMOGORDO SURGERY VENTURES LLC | ||||||||||||||
| 2351 25TH STREET | ALAMOGORDO | NM | 88310 | 061791828 | OUTPATIENT SURGERY CENTER | NM | GERALD CHAMPION REGIONAL MEDICAL CENTER | RELATED | $177,507 | $1,516,386 | 0 | Yes (1) | 0.45500 | |
| GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB | ||||||||||||||
| 2669 SCENIC DRIVE | ALAMOGORDO | NM | 88310 | 611753921 | CARDIAC CATH LAB | NM | GERALD CHAMPION REGIONAL MEDICAL CENTER | RELATED | $2,204,005 | $4,934,469 | 0 | Yes (1) | 0.51000 | |
| WHITE SANDS HEALTH CARE SYSTEMS LP | ||||||||||||||
| 3310 N WHITE SANDS BLVD | ALAMOGORDO | NM | 88310 | 850438529 | PROVIDER NETWORK | NM | RELATED | $1,343 | $220,041 | 0 | Yes (1) | 0.50000 | N/A | |
| CHAMPION HOME HEALTH CARE LLC | ||||||||||||||
| 2669 SCENIC DRIVE | ALAMOGORDO | NM | 88310 | 850860214 | HOME HEALTH CARE | NM | GERALD CHAMPION REGIONAL MEDICAL CENTER | RELATED | -$191,576 | -$91,115 | 0 | Yes (1) | 0.51000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB LLC | ||
| A | $188,772 | FAIR MARKET VALUE |
| GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB LLC | ||
| F | $1,119,450 | FAIR MARKET VALUE |
| GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB LLC | ||
| M | $9,692,453 | FAIR MARKET VALUE |
| ALAMOGORDO SURGERY VENTURES | ||
| M | $4,916,450 | FAIR MARKET VALUE |
| ALAMOGORDO SURGERY VENTURES | ||
| P | $51,357 | FAIR MARKET VALUE |