2021-11-13T13:31:50-06:00 2020-12-31 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2020-01-01 850313268 Rehoboth McKinley Christian Health Care Services % MARY K BEVIER REHO 5058637000 1901 Red Rock Drive Gallup NM 87301 Mary Bevier CFO 5058637000 2021-11-15 true Mary Bevier 999009999 Jeanette Verrelli P00742631 9727028262 2 2020 2022-09-23 18:48:47Z DON SMITHBURG 1901 RED ROCK DR GALLUP NM 87301 83670311 false X WWW.RMCH.ORG X 1985 NM REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC. (RMCHCS) WILL BE THE PREFERRED HEALTH CARE PROVIDER ORGANIZATION FOR MCKINLEY COUNTY ... (CONTINUED ON SCH O) 9 7 790 20 0 0 2967625 21799240 75842516 57806002 157333 25876 130958 4039193 79098432 83670311 28537 9122 0 0 33863766 38189404 0 0 0 45920059 40141680 79812362 78340206 -713930 5330105 31911532 42937497 20623390 26141459 11288142 16796038 X 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. false false 39706597 9122 51648788 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. 12873076 6397408 PROVIDES PRIMARY CARE SERVICES TO PATIENTS THROUGH MULTI-SPECIALTY CLINICS. 4214462 3587365 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. 2004329 169537 SEE SCHEDULE O 2004329 169537 58798464 true true false true false false false false false false true true false false true false false true false false false false false false false false true true false false true false false false false false false true true true false false false false true true true false false true 179 0 790 true false false false false false false false false false false false false X 9 7 false true false false false true false true true false false false true true true true true true true false NM X MARY K BEVIER 5058637200 1901 RED ROCK DR GALLUP NM 87301 X CHARLES JS GUIMARAES PHYSICIAN 40.0 0.0 X 614213 0 19594 VALORY WANGLER CMO 40.0 0.0 X 371756 0 19888 AEDRA ANDRADE PHYSICIAN 40.0 0.0 X 347437 0 17074 ANDREA WALKER PHYSICIAN 40.0 0.0 X 333402 0 9816 VALERIE JEAN CURLEY HOUSE SUPERVISOR 40.0 0.0 X 307982 0 9447 COLIN BERRY PHYSICIAN 40.0 0.0 X 307209 0 5641 MARY L POEL PHYSICIAN 40.0 0.0 X 241761 0 18855 CHRISTOPHER GONZAGA PHYSICIAN 40.0 0.0 X 232783 0 20201 FELICIA ADAMS CNO 40.0 0.0 X 243037 0 8511 MICHAEL S NYE COO 40.0 0.0 X 191837 0 9907 MARY K BEVIER CFO START: 04/20 40.0 1.0 X 185577 0 9243 ADRIENNE PATEL CQO 40.0 0.0 X 134479 0 670 JAY HODGES CFO, End: 04/20 40.0 0.0 X 110474 0 0 KENNETH D MIKOS CIO 40.0 0.0 X 60553 0 3160 LAURA HAMMONS MD TRUSTEE 1.0 0.0 X 0 0 0 PASTOR JOHN LUGINBUHL TRUSTEE 1.0 0.0 X 0 0 0 KLO ABEITA TRUSTEE 1.0 0.0 X 0 0 0 BRIAN MONEY TRUSTEE 1.0 0.0 X 0 0 0 CYNTHIA POBLANO TRUSTEE 1.0 0.0 X 0 0 0 SARA SAUCEDO TRUSTEE 1.0 0.0 X 0 0 0 AYODELE ERINLE MD TRUSTEE 1.0 0.0 X 0 0 0 GEORGE MUNOZ TRUSTEE 1.0 0.0 X 0 0 0 REVEREND LORELEI KAY TRUSTEE END: 06/20 1.0 0.0 X 0 0 0 DAVID DALLAGO TRUSTEE END: 06/20 1.0 0.0 X 0 0 0 DON SMITHBURG CEO Start: 10/20 40.0 1.0 X 0 0 0 DAVID CONEJO CEO END:06/20 30.0 10.0 X 0 0 0 3682500 0 152007 70 false true false AMERICAN PHYSICIAN PARTNERS 5121 MARYLAND WAY BRENTWOOD TN 37027 MEDICAL SERVICES 1325559 ACCORDIAS HEALTHCARE SERVICES LLC 1161 MURFREESBORO PIKE NASHVILLE TN 37217 STAFF/CONSULTING 764830 PINPOINT HC HOLDINGS LLC 1200 E COLLINS BLVD RICHARDSON TX 75081 MEDICAL SERVICES 1548498 TRS MANAGED SERVICES PO BOX 6419 SILOAM SPRINGS AR 72761 MEDICAL SERVICES 1270468 COMPHEALTH PO BOX 972651 DALLAS TX 75397 MEDICAL SERVICES 513246 28 454721 21009482 335037 41948 21799240 Net Patient Service Revenue 621110 53963400 53963400 Safety Net Care Pool 621110 222739 222739 Other Operating Revenue 621110 3256850 3256850 Medical Office Rental Revenue 531120 363013 363013 57806002 7777 7777 0 0 0 0 0 18099 18099 18099 18099 0 0 0 0 0 0 0 0 0 CAFETERIA REVENUE 722514 79208 79208 Investment of Risk Retention Group 900099 -37111 -37111 RECOVERY OF BAD DEBT 900099 3997096 3997096 4039193 83670311 61803098 67973 X 5121 5121 4001 4001 0 0 1862692 513600 1349092 73360 62329 11031 31000167 27302470 3697697 250582 225546 25036 3032389 2658167 374222 1970214 1761863 208351 837180 837180 304588 304588 197619 197619 0 0 10770 10770 19863225 16666345 3196880 2688 20 2668 3615434 1902457 1712977 431262 261791 169471 0 2963412 151923 2811489 395243 316692 78551 0 706618 34693 671925 389360 49696 339664 0 1764533 356120 1408413 958250 958250 bad debt expense 477219 477219 medical/facility supplies 3022211 3022211 repair & maintenance 1523502 622626 900876 PHARMACEUTICALS EXPENSE 2081577 2069511 12066 596989 334063 262926 78340206 58798464 19541742 0 170351 5242242 4821250 10032609 0 529 7778137 9749856 0 0 0 0 0 0 1149687 1440932 587494 423433 69270259 56941416 12002622 12328843 0 0 2262140 2404281 0 0 0 50000 3139851 1264772 31911532 42937497 14392642 12285842 0 0 0 0 0 0 0 0 0 0 6199648 5008640 0 0 31100 8846977 20623390 26141459 X 10730936 16670825 557206 125213 11288142 16796038 31911532 42937497 5330105 177791 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4499 4499 false SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES: THE HOSPITAL PAYS VARIOUS DUES TO STATE AGENCIES, a portion of which is attributable TO LOBBYING. 788219 788219 27744460 23801591 3942869 6050063 4962719 1087344 34265390 28177106 6088284 422127 422127 12328843 INV. RISK RETENTION GROUP 2404281 F 2404281 0 Estimated amount due to third-party payers 5793731 PRF RECEIVED IN ADVANCE 3053246 8846977 SCHEDULE D, PART X, LINE 2 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. true true X true X 300. true X 500. true true false false 425935 425935 0.00550 27919425 17070720 10848705 0.13930 28345360 17070720 11274640 0.14480 160659 160659 0.00210 1341090 1276055 65035 0.00080 9122 9122 0.00010 1510871 1276055 234816 0.00300 29856231 18346775 11509456 0.14780 true 477219 190888 10745624 14215506 -3469882 X true true 1 1 RMCHCS HOSPITAL 1901 RED ROCK DRIVE GALLUP NM 87301 RMCH.ORG 6267 X X X RMCHCS HOSPITAL false false true X X X X X X X X X 19 true false false true X SEE PART V, SECTION C X true 20 true SEE PART V, SECTION C false true X 300. 500. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false 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. 6 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 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 X X true true X X true false false false false false false true false CHARLES JS GUIMARAES PHYSICIAN 472518 0 131899 0 9796 0 2520 0 17074 0 633807 0 0 0 AEDRA ANDRADE PHYSICIAN 226860 0 110781 0 9796 0 0 0 17074 0 364511 0 0 0 ANDREA WALKER PHYSICIAN 333402 0 0 0 0 0 0 0 9816 0 343218 0 0 0 VALERIE JEAN CURLEY HOUSE SUPERVISOR 307982 0 0 0 0 0 0 0 9447 0 317429 0 0 0 COLIN BERRY PHYSICIAN 301340 0 2604 0 3265 0 0 0 5641 0 312850 0 0 0 MARY K BEVIER CFO START: 04/20 180577 0 5000 0 0 0 0 0 9243 0 194820 0 0 0 VALORY WANGLER CMO 371756 0 0 0 0 0 2520 0 17368 0 391644 0 0 0 FELICIA ADAMS CNO 147785 0 36790 0 58462 0 1570 0 6941 0 251548 0 0 0 MICHAEL S NYE COO 128087 0 0 0 63750 0 460 0 9447 0 201744 0 0 0 CHRISTOPHER GONZAGA PHYSICIAN 222987 0 0 0 9796 0 2181 0 18020 0 252984 0 0 0 MARY L POEL PHYSICIAN 196611 0 36757 0 8393 0 2148 0 16707 0 260616 0 0 0 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 HEALTHCARE INTEGRITY LLC OFFICER OWNS 100% 242624 MANAGEMENT SERVICES false Richard Dean Adams family of officer 49886 salaries/wages false carrie mikos family of officer 23474 salaries/wages false X 1 492 FMV X VARIOUS PP&E 37 41456 FMV false false false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED: THE AMOUNTS REPORTED IN THIS COLUMN REFLECT THE NUMBER OF CONTRIBUTIONS RECEIVED. 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 WESTERN HEALTH FOUNDATION 1901 RED ROCK DRIVE GALLUP NM 87301 850349559 SUPPORT NM 501(C)(3) 7 RMCHCS true false false true false false false false false false false false false false true true false true false false WESTERN HEALTH FOUNDATION c 454721 FMV