REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE (EIN 85-0313268)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-13
- IRS object ID
- 202143179349302109
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-13T13:31:50-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14241 DALLAS PARKWAY SUITE 1100 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75254 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850313268 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rehoboth McKinley Christian | BusinessNameLine1Txt |
| Business Name Line2 | Health Care Services | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARY K BEVIER | InCareOfNm |
| Business Name Control | REHO | BusinessNameControlTxt |
| Phone | 5058637000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Red Rock Drive | AddressLine1Txt |
| City | Gallup | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mary Bevier | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5058637000 | PhoneNum |
| Signature | 2021-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Mary | PersonFirstNm |
| Person Last | Bevier | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeanette Verrelli | PreparerPersonNm |
| PTIN | P00742631 | PTIN |
| Phone | 9727028262 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DON SMITHBURG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 RED ROCK DR | AddressLine1Txt |
| City | GALLUP | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $83,670,311 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RMCH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Activity Or Mission | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC. (RMCHCS) WILL BE THE PREFERRED HEALTH CARE PROVIDER ORGANIZATION FOR MCKINLEY COUNTY ... (CONTINUED ON SCH O) | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 790 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,967,625 | PYContributionsGrantsAmt |
| CY Contributions Grants | $21,799,240 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $75,842,516 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $57,806,002 | CYProgramServiceRevenueAmt |
| PY Investment Income | $157,333 | PYInvestmentIncomeAmt |
| CY Investment Income | $25,876 | CYInvestmentIncomeAmt |
| PY Other Revenue | $130,958 | PYOtherRevenueAmt |
| CY Other Revenue | $4,039,193 | CYOtherRevenueAmt |
| PY Total Revenue | $79,098,432 | PYTotalRevenueAmt |
| CY Total Revenue | $83,670,311 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $28,537 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,122 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $33,863,766 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $38,189,404 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $45,920,059 | PYOtherExpensesAmt |
| CY Other Expenses | $40,141,680 | CYOtherExpensesAmt |
| PY Total Expenses | $79,812,362 | PYTotalExpensesAmt |
| CY Total Expenses | $78,340,206 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$713,930 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,330,105 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,911,532 | TotalAssetsBOYAmt |
| Total Assets EOY | $42,937,497 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,623,390 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $26,141,459 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,288,142 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,796,038 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF RMCHCS IS TO SERVE GOD BY MAKING A PROFOUND AND LASTING DIFFERENCE IN THE HEALTH AND QUALITY OF LIFE FOR ALL PEOPLE IN THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $39,706,597 | ExpenseAmt |
| Grant | $9,122 | GrantAmt |
| Revenue | $51,648,788 | RevenueAmt |
| Desc | HOSPITAL INPATIENT SERVICES INCLUDE A MEDICAL SURGICAL UNIT, WOMEN'S HEALTH, PEDIATRIC AND NEWBORN NURSERY UNITS, INTENSIVE AND CRITICAL CARE UNITS, AND AN INPATIENT DIALYSIS UNIT. HOSPITAL ANCILLARY SERVICES INCLUDE A CARDIOPULMONARY REHABILITATION UNIT, DIAGNOSTIC IMAGING AND LABORATORY SERVICES, AS WELL AS PHYSICAL REHABILITATION SERVICES. THE MAIN CAMPUS IS ALSO HOME TO THE SURGICAL SERVICES UNIT AND THE EMERGENCY DEPARTMENT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,873,076 | ExpenseAmt |
| Revenue | $6,397,408 | RevenueAmt |
| Desc | PROVIDES PRIMARY CARE SERVICES TO PATIENTS THROUGH MULTI-SPECIALTY CLINICS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,214,462 | ExpenseAmt |
| Revenue | $3,587,365 | RevenueAmt |
| Desc | BEHAVIORAL HEALTH SERVICES OFFERS HIGH QUALITY, COMPREHENSIVE BEHAVIORAL HEALTH CARE TO THOSE OF ALL RACES WHO NEED IT. WE BELIEVE IN A HUMANISTIC APPROACH THAT MEETS THE INDIVIDUAL NEEDS OF CLIENTS AND THEIR FAMILIES WITH A SPIRIT OF DIGNITY AND CONFIDENTIALITY. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,004,329 | ExpenseAmt |
| Revenue | $169,537 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,004,329 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $169,537 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $58,798,464 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 179 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 790 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY K BEVIER | PersonNm |
| Phone | 5058637200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 RED ROCK DR | AddressLine1Txt |
| City | GALLUP | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|---|
| CHARLES JS GUIMARAES | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $614,213 | $0 | $19,594 | |||
| VALORY WANGLER | |||||||||
| CMO | 40.0 | 0.0 | $371,756 | $0 | $19,888 | Yes (X) | |||
| AEDRA ANDRADE | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $347,437 | $0 | $17,074 | |||
| ANDREA WALKER | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $333,402 | $0 | $9,816 | |||
| VALERIE JEAN CURLEY | |||||||||
| HOUSE SUPERVISOR | 40.0 | 0.0 | Yes (X) | $307,982 | $0 | $9,447 | |||
| COLIN BERRY | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $307,209 | $0 | $5,641 | |||
| MARY L POEL | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $241,761 | $0 | $18,855 | Yes (X) | |||
| CHRISTOPHER GONZAGA | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $232,783 | $0 | $20,201 | Yes (X) | |||
| FELICIA ADAMS | |||||||||
| CNO | 40.0 | 0.0 | $243,037 | $0 | $8,511 | Yes (X) | |||
| MICHAEL S NYE | |||||||||
| COO | 40.0 | 0.0 | $191,837 | $0 | $9,907 | Yes (X) | |||
| MARY K BEVIER | |||||||||
| CFO START: 04/20 | 40.0 | 1.0 | $185,577 | $0 | $9,243 | Yes (X) | |||
| ADRIENNE PATEL | |||||||||
| CQO | 40.0 | 0.0 | $134,479 | $0 | $670 | Yes (X) | |||
| JAY HODGES | |||||||||
| CFO, End: 04/20 | 40.0 | 0.0 | $110,474 | $0 | $0 | Yes (X) | |||
| KENNETH D MIKOS | |||||||||
| CIO | 40.0 | 0.0 | $60,553 | $0 | $3,160 | Yes (X) | |||
| LAURA HAMMONS MD | |||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| PASTOR JOHN LUGINBUHL | |||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| KLO ABEITA | |||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| BRIAN MONEY | |||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| CYNTHIA POBLANO | |||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| SARA SAUCEDO | |||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| AYODELE ERINLE MD | |||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| GEORGE MUNOZ | |||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| REVEREND LORELEI KAY | |||||||||
| TRUSTEE END: 06/20 | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| DAVID DALLAGO | |||||||||
| TRUSTEE END: 06/20 | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| DON SMITHBURG | |||||||||
| CEO Start: 10/20 | 40.0 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| DAVID CONEJO | |||||||||
| CEO END:06/20 | 30.0 | 10.0 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,682,500 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $152,007 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 70 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMERICAN PHYSICIAN PARTNERS | |||||
| 5121 MARYLAND WAY | BRENTWOOD | TN | 37027 | MEDICAL SERVICES | $1,325,559 |
| ACCORDIAS HEALTHCARE SERVICES LLC | |||||
| 1161 MURFREESBORO PIKE | NASHVILLE | TN | 37217 | STAFF/CONSULTING | $764,830 |
| PINPOINT HC HOLDINGS LLC | |||||
| 1200 E COLLINS BLVD | RICHARDSON | TX | 75081 | MEDICAL SERVICES | $1,548,498 |
| TRS MANAGED SERVICES | |||||
| PO BOX 6419 | SILOAM SPRINGS | AR | 72761 | MEDICAL SERVICES | $1,270,468 |
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | MEDICAL SERVICES | $513,246 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 28 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $454,721 | RelatedOrganizationsAmt |
| Government Grants | $21,009,482 | GovernmentGrantsAmt |
| All Other Contributions | $335,037 | AllOtherContributionsAmt |
| Noncash Contributions | $41,948 | NoncashContributionsAmt |
| Total Contributions | $21,799,240 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621110 | $53,963,400 | $53,963,400 |
| Safety Net Care Pool | 621110 | $222,739 | $222,739 |
| Other Operating Revenue | 621110 | $3,256,850 | $3,256,850 |
| Medical Office Rental Revenue | 531120 | $363,013 | $363,013 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $57,806,002 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,777 | TotalRevenueColumnAmt |
| Exclusion | $7,777 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,099 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,099 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,099 | TotalRevenueColumnAmt |
| Exclusion | $18,099 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722514 | $79,208 | $79,208 | |
| Investment of Risk Retention Group | 900099 | -$37,111 | -$37,111 | |
| RECOVERY OF BAD DEBT | 900099 | $3,997,096 | $3,997,096 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,039,193 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $83,670,311 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $61,803,098 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $67,973 | 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 | $5,121 | TotalAmt |
| Program Services | $5,121 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,001 | TotalAmt |
| Program Services | $4,001 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,862,692 | TotalAmt |
| Program Services | $513,600 | ProgramServicesAmt |
| Management And General | $1,349,092 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,360 | TotalAmt |
| Program Services | $62,329 | ProgramServicesAmt |
| Management And General | $11,031 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,000,167 | TotalAmt |
| Program Services | $27,302,470 | ProgramServicesAmt |
| Management And General | $3,697,697 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,582 | TotalAmt |
| Program Services | $225,546 | ProgramServicesAmt |
| Management And General | $25,036 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,032,389 | TotalAmt |
| Program Services | $2,658,167 | ProgramServicesAmt |
| Management And General | $374,222 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,970,214 | TotalAmt |
| Program Services | $1,761,863 | ProgramServicesAmt |
| Management And General | $208,351 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $837,180 | TotalAmt |
| Management And General | $837,180 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,588 | TotalAmt |
| Management And General | $304,588 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,619 | TotalAmt |
| Management And General | $197,619 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,770 | TotalAmt |
| Management And General | $10,770 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,863,225 | TotalAmt |
| Program Services | $16,666,345 | ProgramServicesAmt |
| Management And General | $3,196,880 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,688 | TotalAmt |
| Program Services | $20 | ProgramServicesAmt |
| Management And General | $2,668 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,615,434 | TotalAmt |
| Program Services | $1,902,457 | ProgramServicesAmt |
| Management And General | $1,712,977 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $431,262 | TotalAmt |
| Program Services | $261,791 | ProgramServicesAmt |
| Management And General | $169,471 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,963,412 | TotalAmt |
| Program Services | $151,923 | ProgramServicesAmt |
| Management And General | $2,811,489 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,243 | TotalAmt |
| Program Services | $316,692 | ProgramServicesAmt |
| Management And General | $78,551 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $706,618 | TotalAmt |
| Program Services | $34,693 | ProgramServicesAmt |
| Management And General | $671,925 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,360 | TotalAmt |
| Program Services | $49,696 | ProgramServicesAmt |
| Management And General | $339,664 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,764,533 | TotalAmt |
| Program Services | $356,120 | ProgramServicesAmt |
| Management And General | $1,408,413 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $958,250 | TotalAmt |
| Management And General | $958,250 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| bad debt expense | $477,219 | $477,219 | |
| medical/facility supplies | $3,022,211 | $3,022,211 | |
| repair & maintenance | $1,523,502 | $622,626 | $900,876 |
| PHARMACEUTICALS EXPENSE | $2,081,577 | $2,069,511 | $12,066 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $596,989 | TotalAmt |
| Program Services | $334,063 | ProgramServicesAmt |
| Management And General | $262,926 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,340,206 | TotalAmt |
| Program Services | $58,798,464 | ProgramServicesAmt |
| Management And General | $19,541,742 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,351 | BOYAmt |
| EOY | $5,242,242 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,821,250 | BOYAmt |
| EOY | $10,032,609 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $529 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,778,137 | BOYAmt |
| EOY | $9,749,856 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,149,687 | BOYAmt |
| EOY | $1,440,932 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $587,494 | BOYAmt |
| EOY | $423,433 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $69,270,259 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $56,941,416 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,002,622 | BOYAmt |
| EOY | $12,328,843 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,262,140 | BOYAmt |
| EOY | $2,404,281 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $50,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,139,851 | BOYAmt |
| EOY | $1,264,772 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,911,532 | BOYAmt |
| EOY | $42,937,497 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,392,642 | BOYAmt |
| EOY | $12,285,842 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,199,648 | BOYAmt |
| EOY | $5,008,640 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,100 | BOYAmt |
| EOY | $8,846,977 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,623,390 | BOYAmt |
| EOY | $26,141,459 | 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 | $10,730,936 | BOYAmt |
| EOY | $16,670,825 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $557,206 | BOYAmt |
| EOY | $125,213 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,288,142 | BOYAmt |
| EOY | $16,796,038 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,911,532 | BOYAmt |
| EOY | $42,937,497 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,330,105 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $177,791 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $4,499 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,499 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | OTHER ACTIVITIES: THE HOSPITAL PAYS VARIOUS DUES TO STATE AGENCIES, a portion of which is attributable TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $788,219 | OtherCostOrOtherBasisAmt |
| Book Value | $788,219 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,744,460 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,801,591 | DepreciationAmt |
| Book Value | $3,942,869 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,050,063 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,962,719 | DepreciationAmt |
| Book Value | $1,087,344 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,265,390 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,177,106 | DepreciationAmt |
| Book Value | $6,088,284 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $422,127 | OtherCostOrOtherBasisAmt |
| Book Value | $422,127 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,328,843 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INV. RISK RETENTION GROUP | Desc |
| Book Value | $2,404,281 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $2,404,281 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated amount due to third-party payers | $5,793,731 |
| PRF RECEIVED IN ADVANCE | $3,053,246 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,846,977 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $425,935 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $425,935 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,919,425 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,070,720 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,848,705 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13930 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,345,360 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,070,720 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,274,640 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14480 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $160,659 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $160,659 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,341,090 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,276,055 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $65,035 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,122 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,122 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,510,871 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,276,055 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $234,816 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,856,231 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,346,775 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,509,456 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14780 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $477,219 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $190,888 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $10,745,624 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,215,506 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,469,882 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RMCHCS HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 RED ROCK DRIVE | AddressLine1Txt |
| City | GALLUP | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | RMCH.ORG | WebsiteAddressTxt |
| State License | 6267 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RMCHCS HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | REPRESENTATIVES OF THE COMMUNITY: Over one hundred primary sources were interviewed and eight focus groups sessions were conducted with a range of community stakeholders for this report. These included; healthcare providers, social service providers, governmental agency representatives, educators, counselors, community activists, advocacy groups, coalitions, clients and patients. Many Native Americans as well as other ethnic groups were included, with primary participation from the Navajo Nation and Pueblo of Zuni, the two tribal entities who make up the majority of this Native American population in McKinley County. Persons the Hospital consulted: (these are folks that were consulted for the 2019 Needs Assessment) Theresa Alonzo, Administrative Specialist, Gallup Head Start Program Shana Arviso, Investigation Case Worker Protective Services, Children, Youth & Families Department Katherine Babcock, Counselor, Off Broadway Family Outreach Adrian Balboa, Executive Director, Strong Families New Mexico-Gallup Lisa Blanco, Title 1 Coordinator, Mckinney-Vento Liaison for Homeless Students, Gallup McKinley County Public Schools William Camarota, Aftercare Work program, WellSpring Recovery Center, RMCHCS Jason Carlisle, Fire Chief, McKinley County Fire and EMS Maria Cassidy Begay, New Mexico Breastfeeding Task Force Paul Charlton MD, Emergency Department Physician, Gallup Indian Medical Center (GIMC) Ben Chavez, Hearing Authority/Athletic Director, Gallup McKinley County Public Schools Brittany Chiapetti, McKinley County Coordinator, SNAPS SA Community Services Department Mark Clark, Health Promotion Team, New Mexico Department of Health Larry Curley, Director of Program Development, RMCHCS Juliana Dooley, Coordinator, RMCHCS Behavioral Health Collaborative Willard Eastman, Executive Director, Battered Families & My Sister's House Kevin Foley, PhD, Executive Director, Na'nizhoozhi Center, Gallup Detox Center Myra Francisco, Indian Health Service/Center for Disease Control, Johns Hopkins - Navajo Birth Cohort Study Mary Gaul, Health Education Specialist, Community Outreach Patient Empowerment (COPE) Christopher Gonzaga MD, Internal Medicine, Infectious Diseases physician, RMCHCS Naomi Green, Epidemiology, New Mexico Department of Health, Alcohol Outlet Density Study Reba Groten, Director, Public Health Nurses, GIMC Erika Hayes, BSW, LMSW, MAIS, PhD, Treatment Program Manager, McKinley County Adult Detention Center Thomas Herr MD, Pediatrician RMCHCS Colleen Hoskie, Health Promotion Specialist, GIMC Christopher Hudson, Coordinator, McKinley County Health Alliance Regina Huffman, Director, Avenues Early Childhood Services Hank Hughes, Executive Director, New Mexico Coalition to End Homelessness Mike Hyatt, Superintendent, Gallup McKinley Public Schools Mary Ippel RN, Labor & Delivery, OB-GYN RMCHCS Rachael Kilgore LPCC, Mental Health Therapist, Sexual Assault Services of Northwest New Mexico Gayla Kofler RN, Case Manager/Nurse Navigator RMCHCS Terri Laughlin, PFCE Specialist, Gallup Head Start Program Laura Leslie, Community Justice Worker, New Mexico Legal Aid, McKinley County Mary Lindenmeyer, Coordinator of Counseling, Media & Health Safety, Gallup McKinley County Public Schools Sheryl Livingston LADAC, LPCC, Behavioral Health Specialist, Emergency Dept. GIMC Elsa Lopez, Program Manager, Somos un Pueblo Unido Yvonne Mandagaran LPCC, Coordinator RMCHCS Outpatient Behavioral Health Services Katrina Marti, Case Manager, Treatment Program, McKinley County Adult Detention Center Stella Elise Martin, Director, First Nations Health Clinic Bernice Martinez, Administrative Director, RMCHCS WellSpring Recovery Center Deborah Martinez, Behavioral Health Program Manager, Behavioral Health Investment Zone, City of Gallup Jason Martinez, Statistician, New Mexico Human Services Department Behavioral Health Services William McCarthy, Executive Director, Southwest Indian Foundation Brian McPhee MD, Psychiatrist, Gallup Indian Medical Center Jerry Montoya, New Mexico Department of Health-Health Promotion Rachelle Morris PHN, Public Health Nurse Tohatchi, Indian Health Services Beatrice Nunuz RN, Labor & Delivery, OB-GYN, RMCHCS Christina Nye, Guidance Counselor, Gallup McKinley County Public Schools Alice Perez, Executive Director, Community Panty, Gallup and Grants Marilee Petronovich, Senior Public Relations Specialist, University of New Mexico, Gallup Curtis Phillips, Executive Director, HOzho Center Jean Phillips, Director, New Mexico Legal Aid, McKinley County Kristen Pikaart, Chaplain RMCHCS Sara Pikaart RN, Labor & Delivery, OB-GYN RMCHCS John Ratmeyer MD, Pediatrics, GIMC Charles Reado, Manager, County of Protective Services, New Mexico Children, Youth and Families Ophelia Reeder, Executive Director, RMCHCS WellSpring Recovery Center Natalie Rivera, Program Manager, Behavioral Health Planning Council, State of New Mexico Colleen Roan, Director, Growing in Beauty/Hozhogo Jinoosee, Early Childhood Intervention for Children with Disabilities Anna Rondon, Executive Director, New Mexico Social Justice & Equity Institute, McKinley Collaborative for Health Equity Sofia Rubaii MD, Emergency Department, GIMC Erick Sanders, Assistant, Story Garden Project, ATD Fourth World Maura Schanefelt, Executive Director, McKinley County DWI Program William Shunkamoloa PhD, Therapist/Director 4-Directions Behavioral Health Services, GIMC Helen Silva RN, Health Specialist, Gallup Head Start Program Savanah Six MPH, MSPI, HPDP, Specialist/Manager, Methamphetamine & Suicide Prevention Intervention GIMC Tina Spencer, Intake Coordinator, RMCHCS WellSpring Recovery Center Karen Stornelli, Director, Story Garden Project, ATD Fourth World Phriya Sudarsanam, Director, Avenues Eally Childhood Services Emerson Toledo, Health Promotion Specialist, Blue Cross Blue Shield of New Mexico Laura Tomedi MD, Alcohol Epidemiologist, New Mexico Department of Health Valory Wangler MD, Chief Medical Officer RMCHCS Gerald Watchman, Clinical Director, RMCHCS WellSpring Recovery Center Jennie Wei MD Internal Medicine, Alcohol Task Force, GIMC Gretchen Woods NP, APN, Therapist, Outpatient Behavioral Health, RMCHCS |
| SCHEDULE H, PART V, SECTION B, LINE 7A & 10A | CHNA & IMPLEMENTATION STRATEGY MADE AVAILABLE: THE HOSPITAL'S MOST RECENT CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING WEBSITE: http://www.rmch.org/getpage.php?name=community_health_needs |
| SCHEDULE H, PART V, SECTION B, LINE 16J | OTHER METHOD FOR PUBLICIZING FINANCIAL ASSISTANCE POLICY: ALL SELF-PAY PATIENTS WILL BE INFORMED AT, OR BEFORE, THE TIME OF ADMISSION OF THE AVAILABILITY OF ALTERNATIVE RESOURCES BASED ON FINANCIAL MEANS. |
| SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16C | FINANCIAL ASSISTANCE POLICY DOCUMENTS: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: http://www.rmch.org/getpage.php?name=financial_services&sub=Our%20Services |
| SCHEDULE H, PART V, SECTION B | 501R COMPLIANCE: UPON REVIEW OF THE FINANCIAL ASSISTANCE DOCUMENTS, MANAGEMENT BECAME AWARE OF A FEW ITEMS REGARDING THE FINANCIAL ASSISTANCE DOCUMENTS WHICH RESULTED IN NON-COMPLIANCE WITH THE FINAL 501R REGULATIONS. ALSO, THE HOSPITAL IS CURRENTLY MISSING A DOWNLOADABLE COPY OF THE FINANCIAL ASSISTANCE POLICY AND PLAIN LANGUAGE SUMMARY ON THE HOSPITAL'S WEBSITE. DURING THE REVIEW, IT WAS NOTED THAT THE FINANCIAL ASSISTANCE POLICY WAS MISSING LANGUAGE RELATED TO THE COLLECTION POLICIES OF THE ORGANIZATION SINCE THERE IS NO SEPARATE POLICY ON THE WEBSITE. IT IS ALSO MISSING LANGUAGE RELATED TO EXTRAORDINARY COLLECTION ACTIONS AND THE PROCEDURES OF NOTIFYING PATIENTS WITH WRITTEN NOTICES AND PLAIN LANGUAGE SUMMARIES 30 DAYS PRIOR TO INITIATING THOSE ACTIONS. THE HOSPITAL'S MANAGEMENT AND PERSONNEL ARE WORKING DILIGENTLY TO UPDATE THE WEBSITE AND THESE DOCUMENTS TO MAINTAIN COMPLIANCE. ANY ADDITIONAL FAILURES TO COMPLY WILL BE CORRECTED AS THEY ARE IDENTIFIED. |
| SCHEDULE H, PART V, SECTION B, LINE 11 | NEEDS ADDRESSED AND NOT ADDRESSED: THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THE FOLLOWING PRIORITY COMMUNITY HEALTH CONCERNS FOR MCKINLEY COUNTY: - SUBSTANCE ABUSE-ALCOHOL AND OPIODS - SOCIAL AND ENVIRONMENTAL CONDITIONS-POVERTY, ECONOMIC EQUITY, EMPLOYMENT, HOUSING, ACCESS TO SERVICES, TRANSPORTATION AND SAFETY - EDUCATION-EARLY EDUCATION, EARLY INTERVENTION, ELEMENTARY EDUCATION, MIDDLE SCHOOL, HIGH SCHOOL, HIGHER EDUCATION, CAREER TRAINING, MEDICAL EDUCATION - COLLABORATION AND COMMUNICATION - REPRODUCTIVE HEALTH RMCHCS IS ADDRESSING A NUMBER OF THE PRIORITIES FOUND IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENTS, EITHER THROUGH ITS OWN PROGRAMS OR BY SUPPORTING COMMUNITY-WIDE EFFORTS TO ADDRESS ISSUES. RMCHCS FOCUS IS ON PRIMARY AND SPECIALTY MEDICAL CARE SERVICES AND BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERS SERVICES. SUBSTANCE ABUSE IS A SIGNIFICANT HEALTH ISSUE IN THIS REGION. RMCHCS CONTINUED TO GROW ITS RESIDENTIAL ALCOHOL AND SUBSTANCE USE DISORDER TREATMENT PROGRAM AT WELLSPRING RECOVERY CENTER AND FURTHER DEVELOP ITS AFTERCARE PROGRAM. IN 2019 WELLSPRING GREW ITS CAPACITY TO 69 BEDS FOR ADULT MEN AND WOMEN AND WORKED TO ACHIEVE ACCREDITATION FROM THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). THIS WAS ACHIEVED IN 2020. RMCHC HAS AN AGREEMENT WITH THE MCKINLEY COUNTY DRUG COURT TO PROVIDE EARLY INTERVENTION FOR OFFENDERS THROUGH THE INTENSIVE OUTPATIENT PROGRAM. IN 2019 RMCHCS RECEIVED A PLANNING GRANT FOR OPIOID TREATMENT AND WE CONTINUE PROVIDING EDUCATION TO ITS PROVIDERS IN ORDER TO GROW THIS SERVICE AT RMCHCS. IN 2020, AT A COMMUNITY LEVEL, RMCHCS PARTICIPATED IN THE COMMUNITY ALCOHOL TASK FORCE WHICH ADDRESSES MEDICAL DETOX AND ESTABLISHES A STANDARDIZED PROCESS FOR ALL HOSPITALS, CLINICS AND PROVIDERS. WE RECEIVED A PSYCHIATRY RESIDENCY PROGRAM GRANT AND ARE EXPLORING ESTABLISHING A PROGRAM IN PARTNERSHIP WITH A UNIVERSITY PROGRAM. SOCIAL AND ENVIRONMENTAL CONDITIONS: THIS AREA COVERS A WIDE RANGE OF ISSUES FROM POVERTY, ECONOMIC EQUALITY, EMPLOYMENT, HOUSING, ACCESS TO SERVICES, TRANSPORTATION ETC. RMCHCS IS A PARTICIPANT IN COMMUNITY EFFORTS TO DEAL WITH HOUSING ISSUES FOR HOMELESS INDIVIDUALS, IN PARTICULAR A HOUSING FIRST PROGRAM FOR CHRONICALLY HOMELESS INDIVIDUALS. RMCHCS IS AN ACTIVE PARTICIPANT IN A COMMUNITY GROUP MADE UP OF REPRESENTATIVES FROM THE CITY OF GALLUP, MCKINLEY COUNTY, NEW MEXICO DEPARTMENT OF HEALTH AND HUMAN SERVICES AND GIMC THAT DEVELOPED A MOTEL RESPIRATORY PROGRAM FOR UNSHELTERED INDIVIDUALS NEEDING A SAFE PLACE TO QUARANTINE AND RECOVER FROM COVID-19. THE GALLUP HOTEL/MOTEL ISOLATION PROGRAM OPENED IN MARCH 2020 AND PROVIDED COVID/ISOLATION/QUARANTINE FOR OVER 1,675 INDIVIDUALS. RMCHCS PROVIDED MEDICAL OVERSIGHT FOR INDIVIDUALS THAT WERE REFERED TO THE PROGRAM. ACCESS TO MEDICAL CARE IS ONE OF RMCHCS' FOCUS AREAS. RMCHCS HAS INCREASED ACCESS TO SERVICES BY OPENING AN URGENT CARE CENTER AND DEVELOPING A MOBILE HEALTH CLINIC PROGRAM. IN 2020 RMCHCS POSTPONED WOMEN'S HEALTH SERVICES THROUGH ITS MOBILE HEALTH UNIT DUE TO THE PANDEMIC. RMCHCS' FAMILY MEDICINE RESIDENCY PROGRAM ADDRESSES THE NEED FOR MORE PRIMARY CARE PROVIDERS IN THE REGION AND ACCESS TO CARE. IN 2019 THE PROGRAM ACHIEVED ACCREDITATION AS A SPONSORING INSTITUTION AND IN 2020 IT ACHIEVED ACCREDITATION FOR THE PROGRAM. THE PROGRAM BEGAN IN JULY 2021 WITH THE INTAKE OF ITS FIRST FOUR RESIDENTS. PALLIATIVE CARE, A SPECIFIC NEED MENTIONED IN THE COMMUNITY NEEDS ASSESSMENT, IS INCLUDED AS A RESIDENCY PROGRAM ROTATION. RMCHCS CONTINUES TO RECRUIT ADDITIONAL PROVIDERS TO INCREASE ACCESS TO CARE AND IN 2020 IT ADDED TWO HOSPITALISTS, 1 OB/GYN, AND 2 ORTHOPEDISTS. RMCHCS BROUGHT IN NEW SERVICES SUCH AS HAND AND SPINE CARE AND STABILIZED ITS WOMEN'S HEALTH, PODIATRY, AND WOUND CARE PROGRAMS IN 2020. RMCHCS HAS BEGUN TO USE MORE TELEMEDICINE AND WILL BE FURTHER DEVELOPING THAT PROGRAM TO INCREASE ACCESS TO CARE. EDUCATION: AS A HEALTHCARE SYSTEM, RMCHCS' INVOLVEMENT IN EDUCATION IS FOCUSED ON HIGHER EDUCATION AND GRADUATE EDUCATION. RMCHCS WILL CONTINUE TO STRENGTHEN ITS CONNECTION WITH UNIVERSITY OF NEW MEXICO (UNM), GALLUP'S NURSING PROGRAM AS WELL AS OTHER HEALTH-RELATED PROGRAMS AND PROVIDE LEARNING OPPORTUNITIES FOR STUDENTS. RMCHCS PROVIDES OPPORTUNITIES FOR COLLEGE STUDENTS WHO ARE IN THE UNM BA/MD PROGRAM AND MEDICAL STUDENTS FROM VARIOUS INSTITUTIONS TO WORK WITH OUR MEDICAL STAFF. RMCHCS NOW SERVES AS A PRIMARY "HUB" FOR BURELL COLLEGE OF MEDICINE IN LAS CRUCES, NM, MARKED BY INCREASING MEDICAL STUDENT ENGAGEMENT IN THE COMMUNITY. WITH THE ADDITION OF THE FAMILY MEDICINE RESIDENCY PROGRAM, RMCHCS IS ALSO LOOKING INTO CONNECTING WITH MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS TO ENCOURAGE THEM TO CONSIDER A CAREER IN MEDICINE. RMCHCS ALSO HAS A ROBUST CONTINUING MEDICAL EDUCATION PROGRAM THAT PROVIDES TRAININGS FOR CLINICAL STAFF AND PHYSICIANS BEYOND RMCHCS. COLLABORATION AND COMMUNICATION: RMCHCS IS INVOLVED IN A NUMBER OF HEALTH-RELATED COLLABORATIVE COMMITTEES AND GROUPS THAT ADDRESS VARIOUS COMMUNITY HEALTH NEEDS. RMCHCS COLLABORATION WITH GIMC CONTINUES TO GROW, THOUGH THEY ARE TWO VERY DIFFERENT SYSTEMS. GIMC AND ZUNI HOSPITAL ARE INVOLVED WITH THE FAMILY MEDICINE RESIDENCY PROGRAM AND WILL SERVE AS TRAINING SITES FOR RESIDENT ROTATIONS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| RMCHCS COLLEGE CLINIC | ||||
| 211 COLLEGE DRIVE | GALLUP | NM | 87301 | PEDIATRICS, INTERNAL AND FAMIL |
| RMCHCS RED ROCK CLINIC | ||||
| 1900 RED ROCK DRIVE | GALLUP | NM | 87301 | OB/GYN ORTHOPEDICS |
| RMCH BEHAVIORAL HEALTH SVC | ||||
| 650 VANDEN BOSCH PKWY | GALLUP | NM | 87301 | ADDICTION AND PSYCHIATRIC SERVICES |
| RMCH Home HealthHospice | ||||
| 211 E AZTEC DRIVE | GALLUP | NM | 87301 | HOME HEALTH/HOSPICE |
| RMCHCS URGENT CARE LLC | ||||
| 520 HWY 564 | GALLUP | NM | 87301 | URGENT CARE |
| rmch care services | ||||
| 1910 RED ROCK DR | GALLUP | NM | 87301 | WELLNESS CENTER |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART III, SECTION A, LINE 2 | BAD DEBT: THIS IS BASED ON ACTUAL WRITE-OFFS AFTER ALL COLLECTION EFFORTS ARE EXHAUSTED AND ESTIMATED BASED ON AGE OF THE ACCOUNT PER POLICY. |
| SCHEDULE H, PART III, SECTION A, LINE 3 | RATIONAL FOR INCLUDING BAD DEBT AS A COMMUNITY BENEFIT: MANY PATIENTS THAT WOULD OTHERWISE QUALIFY FOR CHARITY CARE, FAIL TO COMPLETE THE REQUIRED DOCUMENTATION AND INSTEAD LET THE ACCOUNTS GO TO COLLECTIONS AND ULTIMATELY TO BAD DEBT. THE BAD DEBT RELATED TO PATIENTS WHO MAY MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICY ARE ESTIMATED AT 40% OF TOTAL BAD DEBT. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | BAD DEBT FOOTNOTE: NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | COST METHODOLOGY & Medicare Shortfall: THE HOSPITAL USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $3,469,882. THE HOSPITAL TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING CHARITY CARE AND COMMUNITY BENEFITS. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT: WE HAVE HAD MEETINGS WITH CHAPTER HOUSES IN THE NAVAJO RESERVATION IN RELATION TO THE MOBILE HEALTH CLINIC TO GET INPUT ON THEIR NEEDS. IN PREPARATION FOR THE RENOVATIONS OF OUR WOMEN'S HEALTH AND BIRTHING CENTER UNIT WE HAVE MET WITH A FOCUS GROUP OF FEMALE NATIVE AMERICANS TO BETTER UNDERSTAND AND MEET THEIR NEEDS SURROUNDING PRENATAL, BIRTH AND POSTPARTUM CARE NEEDS. WE ARE IMPLEMENTING A PLAN TO ADDRESS THE OPIOID CRISIS AND ARE TRAINING OUR PROVIDERS ON MAT. WE MEET WITH COUNTY, CITY AND STATE LEGISLATIVE BODIES TO GIVE THEM UPDATES ON OUR WORK. WE ARE REGULAR PARTICIPANTS ON THE GALLUP EXECUTIVE DIRECTORS ALLIANCE (GEDA) MADE UP OF AREA LEADERS AND PROVIDER MONTHLY REPORTS ON WORK, PROGRESS AND ANY CHANGES AT RMCHCS. THROUGH GEDA WE MEET WITH CEO'S IN THE CITY TO KEEP THEM INFORMED ON THE PROGRESS AND CHANGES THAT RMCHCS IS MAKING. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE FINANCIAL ADVISOR GIVES ASSISTANCE TO THE PATIENT AT REGISTRATION, AT BEDSIDE OR AFTER DISCHARGE AS NEEDED FOR FINANCIAL COUNSELING, CHARITY APPLICATIONS, MEDICAID ELIGIBILITY AND ENROLLMENT AS WELL AS ANY OTHER PROGRAMS AVAILABLE. THIS IS ALSO AVAILABLE ON OUR WEBSITE AT WWW.RMCH.ORG/GETPAGE.PHP?NAME=FINANCIAL_SERVICESANDSUB=OUR+SERVICES |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION: GALLUP, WHICH IS THE COUNTY SEAT OF MCKINLEY COUNTY, IS THE HEART OF THE INDIAN SOUTHWEST. SEVENTY-THREE PERCENT OF THE RESIDENTS ARE OF AMERICAN INDIAN DESCENT. GALLUP IS THE ECONOMIC CENTER OF THREE MAJOR INDIAN TRIBES, ZUNI, HOPI, AND NAVAJO AND SERVES THE SURROUNDING AREAS OF NEW MEXICO AND ARIZONA. THE PRIMARY SERVICE AREA (GALLUP) HAS A POPULATION OF 22,000 WITH A SECONDARY SERVICE AREA OF APPROXIMATELY 90,000 PEOPLE. GALLUP IS SITUATED AT 6,515 FEET AND HAS A MILD AND COMFORTABLE FOUR-SEASON CLIMATE. THE LANDSCAPE IS BEAUTIFUL, WITH RED MESAS SURROUNDING THE CITY. GALLUP HAS A UNIQUE BLEND OF INDIGENOUS CULTURE, WITH GENUINE AMERICAN INDIAN AND SOUTHWEST-HISPANIC ARTS AND CRAFTS IN RICH ABUNDANCE. THE MEDIAN AGE IN MCKINLEY COUNTRY IS 30.7 YEARS. THAT IS SIX YEARS YOUNGER THAN THE MEDIAN AGE IN THE UNITED STATES. HOWEVER, THE LIFE SPAN OF THE POPULATION IN MCKINLEY COUNTY IS FOUR YEARS LESS THAN THE AVERAGE AMERICAN. THE AVERAGE LIFE SPAN IN MCKINLEY COUNTY IS 74.4 YEARS VERSUS THE NATIONAL AVERAGE OF 78.8 YEARS. |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH: REHOBOTH MCKINLEY CHRISTIAN HOSPITAL IS THE MAIN CAMPUS. THIS 60-BED GENERAL ACUTE INPATIENT FACILITY OFFERS A WIDE RANGE OF MEDICAL AND DIAGNOSTIC SERVICES. HOSPITAL INPATIENT SERVICES INCLUDE A MEDICAL SURGICAL UNIT, WOMEN'S HEALTH, PEDIATRIC, AND NEWBORN NURSERY UNITS, INTENSIVE AND CRITICAL CARE UNITS. HOSPITAL ANCILLARY SERVICES INCLUDE A CARDIOPULMONARY REHABILITATION UNIT, DIAGNOSTIC IMAGING AND LABORATORY SERVICES, AS WELL AS PHYSICAL REHABILITATION SERVICES. THE MAIN CAMPUS IS ALSO HOME TO THE SURGICAL SERVICES UNIT AND THE EMERGENCY DEPARTMENT. THE MISSION OF THE REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES IS TO SERVE GOD BY PROVIDING HEALTH CARE AND PROMOTING WELLNESS FOR ALL PEOPLE. STATEMENT OF PHILOSOPHY - REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES ORIGINATES AND EXISTS ON THE BASIS OF THE BIBLICAL COMMAND TO LOVE GOD AND TO LOVE OUR NEIGHBOR. REALIZING THAT HUMAN BEINGS ARE PLAGUED WITH MIND, BODY, AND SPIRIT, THIS INSTITUTION IS DEDICATED TO THEIR DIAGNOSIS, TREATMENT AND PREVENTION. IT IS THE GOAL OF THE CORPORATION TO EMBODY THE MEDICAL FACILITIES WITH A SPIRIT OF MERCY THAT RESULTS IN PHYSICAL HEALING. MEDICAL KNOWLEDGE, SKILL, AND HEALING ARE GIFTS FROM GOD; AND, TO WHATEVER EXTENT, THEY ARE EFFECTED AT REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES, INC., HIS NAME IS GLORIFIED AND HIS PURPOSE SERVED. IT IS THE COMPASSION AND LOVE OF CHRIST WHICH SET THE EXAMPLE FOR THE STAFF; AND IT IS HOPED THAT THIS PROVISION OF A CHRISTIAN SETTING WILL PROVIDE PATIENTS AN OPPORTUNITY TO ENCOUNTER CHRIST, THE GREAT PHYSICIAN. FOR ADDITIONAL INFORMATION SEE SCHEDULE H, PART V, LINE 11 DISCLOSURE. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM: N/A |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT: THE COMMUNITY BENEFIT REPORT WAS NOT FILED IN 2020. |
| SCHEDULE H, PART I, LINE 7, COLUMN F | PERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $477,219 WAS INCLUDED IN TOTAL EXPENSE ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSE IN COLUMN (F). |
| SCHEDULE H, PART I, LINE 7 | COST METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEETS 4 AND 5 WAS COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT. THE COST COMPUTED ON WORKSHEET 8 WAS FROM THE HOSPITAL'S INCOME STATEMENT AND GRANT SCHEDULE. |
| SCHEDULE H, PART III, SECTION C, LINE 9 | COLLECTION PRACTICES: A. IN COMPLIANCE WITH RELEVANT STATE AND FEDERAL LAWS, AND IN ACCORDANCE WITH THE PROVISIONS OUTLINED IN THIS BILLING AND COLLECTIONS POLICY, RMCHCS MAY ENGAGE IN COLLECTION ACTIVITIES-INCLUDING EXTRAORDINARY COLLECTION ACTIONS (ECAS)-TO COLLECT OUTSTANDING PATIENT BALANCES. GENERAL COLLECTION ACTIVITIES MAY INCLUDE [FOLLOW-UP CALLS ON STATEMENTS] PATIENT BALANCES MAY BE REFERRED TO A THIRD PARTY FOR COLLECTION AT THE DISCRETION OF RMCHCS. ACCOUNTS WILL BE REFERRED FOR COLLECTIONS ONLY WITH THE FOLLOWING CAVEATS: THERE IS A REASONABLE BASIS TO BELIEVE THE PATIENT OWES THE DEBT. ALL THIRD-PARTY PAYERS HAVE BEEN PROPERLY BILLED, AND THE REMAINING DEBT IS THE FINANCIAL RESPONSIBILITY OF THE PATIENT. RMCHCS SHALL NOT BILL A PATIENT FOR ANY AMOUNT THAT AN INSURANCE COMPANY IS OBLIGATED TO PAY. RMCHCS WILL NOT REFER ACCOUNTS FOR COLLECTION WHILE A CLAIM ON THE ACCOUNT IS STILL PENDING PAYER PAYMENT. HOWEVER RMCHCS MAY CLASSIFY CERTAIN CLAIMS AS "DENIED" IF SUCH CLAIMS ARE STUCK IN "PENDING" MODE FOR AN UNREASONABLE LENGTH OF TIME DESPITE EFFORTS TO FACILITATE RESOLUTION. RMCHCS WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE CLAIM WAS DENIED DUE TO A RMCHCS ERROR. HOWEVER, RMCHCS MAY STILL REFER THE PATIENT LIABILITY PORTION OF SUCH CLAIMS FOR COLLECTION IF UNPAID. RMCHCS WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE PATIENT HAS INITIALLY APPLIED FOR FINANCIAL ASSISTANCE OR OTHER RMCHCS SPONSORED PROGRAM AND RMCHCS HAS NOT YET NOTIFIED THE PATIENT OF ITS DETERMINATION (PROVIDED THE PATIENT HAS COMPLIED WITH THE TIMELINE AND INFORMATION REQUESTS DELINEATED DURING THE APPLICATION PROCESS). B. REASONABLE EFFORTS AND EXTRAORDINARY COLLECTION ACTIONS (ECAS) BEFORE ENGAGING IN ECAS TO OBTAIN PAYMENT FOR CARE RMCHCS MUST MAKE CERTAIN REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER OUR FINANCIAL ASSISTANCE POLICY: ECAS MAY BEGIN ONLY WHEN 90 DAYS HAVE PASSED SINCE THE FIRST POST-DISCHARGE STATEMENT WAS PROVIDED. HOWEVER, AT LEAST 30 DAYS BEFORE INITIATING ECAS TO OBTAIN PAYMENT, RMCHCS SHALL DO THE FOLLOWING: -PROVIDE THE INDIVIDUAL WITH A WRITTEN NOTICE THAT INDICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE, LISTS POTENTIAL ECAS THAT MAY BE TAKEN TO OBTAIN PAYMENT FOR CARE, AND GIVES A DEADLINE AFTER WHICH ECAS MAY BE INITIATED (NO SOONER THAN 90 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT AND 30 DAYS AFTER THE WRITTEN NOTICE) -PROVIDE A PLAIN-LANGUAGE SUMMARY OF THE FAP ALONG WITH THE NOTICE DESCRIBED ABOVE -ATTEMPT TO NOTIFY THE INDIVIDUAL ORALLY ABOUT THE FAP AND HOW HE OR SHE MAY GET ASSISTANCE WITH THE APPLICATION PROCESS AFTER MAKING REASONABLE EFFORTS TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY AS OUTLINED ABOVE RMCHCS (OR ITS AUTHORIZED BUSINESS PARTNERS) MAY TAKE THE FOLLOWING ECA TO OBTAIN PAYMENT FOR CARE: REPORT ADVERSE INFORMATION TO CREDIT REPORTING AGENCIES AND/OR CREDIT BUREAUS IF A PATIENT HAS AN OUTSTANDING BALANCE FOR PREVIOUSLY PROVIDED CARE, RMCHCS MAY ENGAGE IN THE ECA OF DEFERRING, DENYING, OR REQUIRING PAYMENT BEFORE PROVIDING ADDITIONAL MEDICALLY NECESSARY (BUT NON-EMERGENT) CARE ONLY WHEN THE FOLLOWING STEPS ARE TAKEN: -RMCHCS PROVIDES THE PATIENT WITH AN FAP APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FAP RMCHCS PROVIDES A WRITTEN NOTICE INDICATING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND SPECIFYING ANY DEADLINE AFTER WHICH A COMPLETED APPLICATION FOR ASSISTANCE FOR THE PREVIOUS CARE EPISODE WILL NO LONGER BE ACCEPTED. THIS DEADLINE MUST BE AT LEAST 30 DAYS AFTER THE NOTICE DATE OR 211 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT FOR PRIOR CARE, WHICHEVER IS LATER. -RMCHCS MAKES A REASONABLE EFFORT TO ORALLY NOTIFY THE INDIVIDUAL ABOUT THE FINANCIAL ASSISTANCE POLICY AND EXPLAIN HOW TO RECEIVE ASSISTANCE WITH THE APPLICATION PROCESS. -RMCHCS PROCESSES ON AN EXPEDITED BASIS ANY FAP APPLICATIONS FOR PREVIOUS CARE RECEIVED WITHIN THE STATED DEADLINE PATIENT FINANCIAL SERVICES IS ULTIMATELY RESPONSIBLE FOR DETERMINING IF AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. THIS BODY ALSO HAS FINAL AUTHORITY FOR DECIDING WHETHER THE ORGANIZATION MAY PROCEED WITH ANY OF THE ECAS OUTLINED IN THIS POLICY. |
| SCHEDULE H, PART I, LINE 3C | FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: RMCHCS'S FINANCIAL ASSISTANCE POLICY INDICATES THAT THE CRITERIA TO BE ELIGIBLE FOR ASSISTANCE REQUIRES THE PATIENT TO BE UNINSURED OR UNDERINSURED AND NOT QUALIFY FOR ANY OTHER PAYMENT METHOD. OTHER CRITERIA: -ASSET LEVEL -MEDICAL INDIGENCY -INSURANCE STATUS |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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 JS GUIMARAES | ||||||||||||||
| PHYSICIAN | $472,518 | $0 | $131,899 | $0 | $9,796 | $0 | $2,520 | $0 | $17,074 | $0 | $633,807 | $0 | $0 | $0 |
| AEDRA ANDRADE | ||||||||||||||
| PHYSICIAN | $226,860 | $0 | $110,781 | $0 | $9,796 | $0 | $0 | $0 | $17,074 | $0 | $364,511 | $0 | $0 | $0 |
| ANDREA WALKER | ||||||||||||||
| PHYSICIAN | $333,402 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,816 | $0 | $343,218 | $0 | $0 | $0 |
| VALERIE JEAN CURLEY | ||||||||||||||
| HOUSE SUPERVISOR | $307,982 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,447 | $0 | $317,429 | $0 | $0 | $0 |
| COLIN BERRY | ||||||||||||||
| PHYSICIAN | $301,340 | $0 | $2,604 | $0 | $3,265 | $0 | $0 | $0 | $5,641 | $0 | $312,850 | $0 | $0 | $0 |
| MARY K BEVIER | ||||||||||||||
| CFO START: 04/20 | $180,577 | $0 | $5,000 | $0 | $0 | $0 | $0 | $0 | $9,243 | $0 | $194,820 | $0 | $0 | $0 |
| VALORY WANGLER | ||||||||||||||
| CMO | $371,756 | $0 | $0 | $0 | $0 | $0 | $2,520 | $0 | $17,368 | $0 | $391,644 | $0 | $0 | $0 |
| FELICIA ADAMS | ||||||||||||||
| CNO | $147,785 | $0 | $36,790 | $0 | $58,462 | $0 | $1,570 | $0 | $6,941 | $0 | $251,548 | $0 | $0 | $0 |
| MICHAEL S NYE | ||||||||||||||
| COO | $128,087 | $0 | $0 | $0 | $63,750 | $0 | $460 | $0 | $9,447 | $0 | $201,744 | $0 | $0 | $0 |
| CHRISTOPHER GONZAGA | ||||||||||||||
| PHYSICIAN | $222,987 | $0 | $0 | $0 | $9,796 | $0 | $2,181 | $0 | $18,020 | $0 | $252,984 | $0 | $0 | $0 |
| MARY L POEL | ||||||||||||||
| PHYSICIAN | $196,611 | $0 | $36,757 | $0 | $8,393 | $0 | $2,148 | $0 | $16,707 | $0 | $260,616 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A | EMPLOYEE BENEFITS: MARY BEVIER RECEIVED HOUSING ALLOWANCE AND GROSS UP OF CERTAIN RELOCATION EXPENSES, ALL INCLUDED IN TAXABLE COMPENSATION. VALORY WANGLER RECEIVED GROSS UP OF CERTAIN RELOCATION EXPENSES INCLUDED IN HER TAXABLE COMPENSATION. |
| SCHEDULE J, PART I, LINE 7 | NON-FIXED PAYMENTS: THE BONUSES OF THE PHYSICIANS LISTED ARE DETERMINED BY A JOINT CONSULTATION BETWEEN THE CEO, CMO, CFO AND THE HR DIRECTOR. THIS IS INCORPORATED WITH MGMA DATA AND OTHER DATA SOURCES. |
| SCHEDULE J, PART I, LINE 4a | SEVERANCE PAY: SEVERANCE IS A VOLUNTARY AGREEMENT THAT SET FORTH THE AGREED UPON SEPARATION DATE FOR EMPLOYMENT AND BENEFITS COVERAGE, THE AMOUNT OF PAYMENT, A CONFIDENTIALITY AGREEMENT CONCERNING COMPANY INFORMATION AND MATERIALS, RETURN OF COMPANY MATERIALS, AND COOPERATION CONCERNING BUSINESS MATTERS. SEVERANCE WAS PAID TO THE FOLLOWING INDIVIDUALS: MICHAEL S. NYE, $63,750 FELICIA ADAMS, $58,462 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| HEALTHCARE INTEGRITY LLC | |||
| OFFICER OWNS 100% | $242,624 | MANAGEMENT SERVICES | false |
| Richard Dean Adams | |||
| family of officer | $49,886 | salaries/wages | false |
| carrie mikos | |||
| family of officer | $23,474 | salaries/wages | false |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $492 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | VARIOUS PP&E | Desc |
| Contribution | 37 | ContributionCnt |
| Noncash Contributions Rpt F990 | $41,456 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, COLUMN B | FormAndLineReferenceDesc |
| Explanation | NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED: THE AMOUNTS REPORTED IN THIS COLUMN REFLECT THE NUMBER OF CONTRIBUTIONS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | DELEGATION OF AUTHORITY: THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE THAT HAS THE POWER TO TRANSACT ALL REGULAR AND ROUTINE BUSINESS OF THE HOSPITAL BETWEEN BOARD MEETINGS. |
| FORM 990, PART VI, SECTION A, LINE 3 | DELEGATION OF MANAGEMENT DUTIES: THE HOSPITAL HAD A MANAGEMENT AGREEMENT WITH HEALTHCARE INTEGRITY, LLC. UNTIL ITS TERMINATION ON JUNE 11, 2020. UNDER THIS AGREEMENT, MANAGEMENT AND ADMINISTRATIVE SERVICES WERE PROVIDED TO THE HOSPITAL. THE CEO OF THE HOSPITAL WAS PAID THROUGH THIS AGREEMENT. PER IRS INSTRUCTIONS NO COMPENSATION IS REPORTED ON PART VII FOR THIS INDIVIDUAL. DAVID CONEJO $242,624 BEGINNING IN SEP 2020, RMCH ENTERED INTO AGREEMENT WITH COMMUNITY HOSPITAL CONSULTING (CHC) FOR THE PROVISION OF INTERIM CEO SERVICES BY MR. DON SMITHBURG. CHC WAS PAID A TOTAL OF $136,500 FOR THE SERVICES OF MR SMITHBURG IN 2020. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS WITH POWER TO ELECT OR APPOINT GOVERNING BODY: THE MCKINLEY COUNTY COMMISSIONERS APPOINT 4 VOTING MEMBERS OF THE RMCHCS BOARD OF TRUSTEES. THE REMAINING POSITIONS ON THE BOARD OF TRUSTEES ARE ELECTED ON A ROTATING SCHEDULE BY ALL OF THE VOTING MEMBERS OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | REVIEW OF FORM 990: THE CFO REVIEWS THE FORM 990 PREPARED BY THE INDEPENDENT ACCOUNTING FIRM WHICH ALSO PERFORMED THE ANNUAL AUDIT IN COMPLIANCE WITH GAAP. THE CFO PRESENTS THE 990 TO THE CEO FOR REVIEW AND APPROVAL FOR SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCESS TO MONITOR COMPLIANCE WITH CONFLICT OF INTEREST POLICY: RMCHCS FOLLOWS ITS ADOPTED CONFLICT OF INTEREST POLICY, WHICH MANDATES: -ALL OFFICERS AND BOARD MEMBERS MUST DISCLOSE POTENTIAL CONFLICTS OF INTEREST WHEN APPOINTED, AND THEN SUBSEQUENTLY IF NEW CONFLICTS ARISE, THROUGH A DISCLOSURE QUESTIONNAIRE. -THE COMPLIANCE OFFICER REVIEWS AND ANALYZES ALL POTENTIAL CONFLICTS OF INTERESTS AND REPORTS THEM TO THE COMPLIANCE COMMITTEE -THE COMPLIANCE COMMITTEE REVIEWS POTENTIAL CONFLICTS AND REPORTS TO THE BOARD OF TRUSTEES -THE BOARD RECORDS NOTICE OF ALL CONFLICTS IN BOARD minutes -THE BOARD ENFORCES THE RECUSAL OF ANY BOARD MEMBER OR OFFICER FROM ANY DELIBERATIONS WHERE THEY HAVE A POTENTIAL CONFLICT OF INTEREST |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | COMPENSATION REVIEW: COMPENSATION REVIEW BY AN INDEPENDENT COMPANY BEGAN IN 2019 BUT WAS NOT FINISHED PRIOR TO THE CEO CHANGE MADE IN 2020. THE GOVERNING BODY WILL WORK WITH AN INDEPENDENT COMPANY FOR CEO COMPENSATION FMV AT LEAST EVERY 3 YEARS AND WILL REVIEW AND APPROVE COMPENSATION ANNUALLY. ALL REVIEWS WILL BE DOCUMENTED IN BOARD MEETING MINUTES. COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES WAS REVIEWED USING 2018/2019 NEW MEXICO STATE COMPDATA SALARY SURVEY DATA. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABILITY OF DOCUMENTS: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS OF RMCHCS ARE ALL AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICES, 1901 RED ROCK DRIVE, GALLUP, NEW MEXICO. |
| FORM 990, PART III, LINE 4D | PROGRAM ACCOMPLISHMENTS: HOME HEALTH IS INTERIM CARE TO HELP PATIENTS TRANSITION FROM AN ACUTE ILLNESS TO CARE AT HOME. DURING THE EPISODE OF CARE, HOME HEALTH STAFF PROVIDE CARE FOR PATIENTS WITH A DISEASE OR LONG-TERM HEALTH ISSUES. HOSPICE IS A PROGRAM FOR PATIENTS WHO HAVE A TERMINAL ILLNESS. THE PROGRAM PROVIDES SUPPORT AND GUIDANCE TO THE END OF LIFE PATIENTS. STAFF MEMBERS SEE AN AVERAGE OF 5 PATIENTS A DAY, WITH CARE FOCUSED ON THE FAMILY. THE HOME CARE SERVICE AREA COVERS A DISTANCE OF ABOUT 30 MILES IN ALL DIRECTIONS SURROUNDING GALLUP. |
| FORM 990, PART I, LINE 1 | SIGNIFICANT ACTIVITIES: (CONTINUED FROM PAGE 1) ... AND THE SURROUNDING COMMUNITIES. RMCHCS WILL BE RESPONSIVE TO THE HEALTHCARE NEEDS OF THE ENTIRE COMMUNITY. RMCHCS IMPROVING FINANCIAL AND OPERATIONAL PERFORMANCE WHILE SOLIDIFYING OURSELVES AS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. WE WILL BE DISTINGUISHED BY: 1) DEMONSTRATED QUALITY, CUSTOMER SERVICE, AND VALUE, 2) SUPERIOR ACCESS, 3) CLINICAL SPECIALTY SERVICES, 4) STRONG HUMAN AND TECHNOLOGICAL RESOURCES, AND 5) A MULTI-CULTURAL ORIENTATION. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTION FEES TOTAL FEES:340407 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:7109924 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT LABOR TOTAL FEES:4373378 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:8039516 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTERN HEALTH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 RED ROCK DRIVE | AddressLine1Txt |
| City | GALLUP | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850349559 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RMCHCS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTERN HEALTH FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | c | TransactionTypeTxt |
| Involved | $454,721 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |