REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE (EIN 85-0313268)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-16
IRS object ID: 202003219349323410
Schema version: 2019v5.1
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 I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-16T18:36:36-06:00	ReturnTs
Tax Period End	2019-12-31	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 STE 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	2019-01-01	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	2020-11-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jeanette Verrelli	PreparerPersonNm
PTIN	P00742631	PTIN
Phone	9727028262	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	70234720203215000008	FederalOriginalSubmissionId
Federal Original Submission Id	2020-11-16	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	E3F9B7EA3642DF85E71955FB87B428800731A9FD	AtSubmissionCreationDeviceId
At Submission Filing Device Id	EB976710118F518B8933A72D91D1D85239D99EDA	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$79,098,432	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	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	826	TotalEmployeeCnt
Total Volunteers	32	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,914,331	PYContributionsGrantsAmt
CY Contributions Grants	$2,967,625	CYContributionsGrantsAmt
PY Program Service Revenue	$82,263,927	PYProgramServiceRevenueAmt
CY Program Service Revenue	$75,842,516	CYProgramServiceRevenueAmt
PY Investment Income	$54,045	PYInvestmentIncomeAmt
CY Investment Income	$157,333	CYInvestmentIncomeAmt
PY Other Revenue	-$308,479	PYOtherRevenueAmt
CY Other Revenue	$130,958	CYOtherRevenueAmt
PY Total Revenue	$84,923,824	PYTotalRevenueAmt
CY Total Revenue	$79,098,432	CYTotalRevenueAmt
PY Grants And Similar Paid	$25,710	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$28,537	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$34,242,368	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$33,863,766	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$40,804,699	PYOtherExpensesAmt
CY Other Expenses	$45,920,059	CYOtherExpensesAmt
PY Total Expenses	$75,072,777	PYTotalExpensesAmt
CY Total Expenses	$79,812,362	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,851,047	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$713,930	CYRevenuesLessExpensesAmt
Total Assets BOY	$34,098,091	TotalAssetsBOYAmt
Total Assets EOY	$31,911,532	TotalAssetsEOYAmt
Total Liabilities BOY	$22,096,019	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$20,623,390	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$12,002,072	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$11,288,142	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	$41,420,764	ExpenseAmt
Grant	$28,537	GrantAmt
Revenue	$63,381,516	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	$13,428,818	ExpenseAmt
Revenue	$7,850,667	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	$4,396,404	ExpenseAmt
Revenue	$4,402,284	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	$2,090,858	ExpenseAmt
Revenue	$208,049	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$2,090,858	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$208,049	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$61,336,844	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	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	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	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	144	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	826	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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	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	false	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 (24 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	OfficerOfficerInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CHARLES JS GUIMARAES
PHYSICIAN	40.0	0.0	Yes (X)	$561,936	$0	$18,385
BHARATI KALYANI
PHYSICIAN	40.0	0.0	Yes (X)	$485,354	$0	$7,931
VALORY WANGLER
CMO	40.0	0.0		$349,993	$0	$14,581	Yes (X)
AEDRA ANDRADE
PHYSICIAN	40.0	0.0	Yes (X)	$340,027	$0	$13,435
THOMAS JOHN HERR
PHYSICIAN	40.0	0.0	Yes (X)	$320,508	$0	$14,833
JAY HODGES
CFO	40.0	0.0		$324,486	$0	$0		Yes (X)
COLIN BERRY
PHYSICIAN	40.0	0.0	Yes (X)	$302,724	$0	$13,435
CHRISTOPHER GONZAGA
PHYSICIAN	40.0	0.0		$231,624	$0	$15,616			Yes (X)
MARY L POEL
PHYSICIAN	40.0	0.0		$228,172	$0	$15,368			Yes (X)
FELICIA ADAMS
CNO	40.0	0.0		$169,190	$0	$10,027	Yes (X)
MICHAEL S NYE
COO	40.0	0.0		$152,034	$0	$8,785	Yes (X)
KENNETH D MIKOS
CIO	40.0	0.0		$148,088	$0	$7,628		Yes (X)
ADRIENNE PATEL
CQO	40.0	0.0		$123,002	$0	$503		Yes (X)
LAURA HAMMONS MD
CHAIR	1.0	0.0		$0	$0	$0		Yes (X)	Yes (X)
REVEREND LORELEI KAY
VICE-CHAIR	1.0	0.0		$0	$0	$0		Yes (X)	Yes (X)
PASTOR JOHN LUGINBUHL
TRUSTEE	1.0	0.0		$0	$0	$0			Yes (X)
DAVID DALLAGO
TRUSTEE	1.0	0.0		$0	$0	$0			Yes (X)
KLO ABEITA
treasurer	1.0	0.0		$0	$0	$0		Yes (X)	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)
kenneth zylstra
treasurer end: 08/19	1.0	0.0		$0	$0	$0		Yes (X)	Yes (X)
DAVID CONEJO
CEO	30.0	10.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,737,138	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$140,527	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	49	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	$1,381,112
ACCORDIAS HEALTHCARE SERVICES LLC
1161 MURFREESBORO PIKE	NASHVILLE	TN	37217	STAFF/CONSULTING	$1,470,830
HHS CULINARY AND NUTRITION SOLUTION
216 E 4TH STREET	AUSTIN	TX	78701	DIETARY SERVICES	$2,260,098
ONYX HEALTHCARE INC
3805 EDWARDS ROAD	CINCINNATI	OH	45029	STAFFING	$1,359,234
COMPHEALTH
PO BOX 972651	DALLAS	TX	75397	MEDICAL SERVICES	$1,225,349

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	47	CntrctRcvdGreaterThan100KCnt
Related Organizations	$460,248	RelatedOrganizationsAmt
Government Grants	$2,507,377	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Total Contributions	$2,967,625	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	621110	$69,086,676	$69,086,676
Safety Net Care Pool	621110	$3,926,241	$3,926,241
Other Operating Revenue	621110	$2,508,929	$2,508,929
Medical Office Rental Revenue	531120	$320,670	$320,670

Field	Value	IRS element (for citing)
Total Program Service Revenue	$75,842,516	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$157,333	TotalRevenueColumnAmt
Exclusion	$157,333	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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

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 (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Cafeteria Revenue	722514	$204,746	$204,746
Investment of Risk Retention Group	900099	-$73,788	-$73,788

Field	Value	IRS element (for citing)
Other Revenue Total	$130,958	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$79,098,432	TotalRevenueColumnAmt
Related Or Exempt Func Income	$75,842,516	RelatedOrExemptFuncIncomeAmt
Exclusion	$288,291	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	$18,537	TotalAmt
Program Services	$18,537	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$10,000	TotalAmt
Program Services	$10,000	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	$1,799,095	TotalAmt
Program Services	$490,780	ProgramServicesAmt
Management And General	$1,308,315	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$116,017	TotalAmt
Program Services	$99,202	ProgramServicesAmt
Management And General	$16,815	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$27,105,779	TotalAmt
Program Services	$24,193,734	ProgramServicesAmt
Management And General	$2,912,045	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$180,745	TotalAmt
Program Services	$146,816	ProgramServicesAmt
Management And General	$33,929	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,665,051	TotalAmt
Program Services	$1,774,103	ProgramServicesAmt
Management And General	$890,948	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,997,079	TotalAmt
Program Services	$1,710,925	ProgramServicesAmt
Management And General	$286,154	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,301,036	TotalAmt
Management And General	$1,301,036	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$466,559	TotalAmt
Management And General	$466,559	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$107,110	TotalAmt
Management And General	$107,110	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	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$20,103,798	TotalAmt
Program Services	$17,626,555	ProgramServicesAmt
Management And General	$2,477,243	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$91,131	TotalAmt
Program Services	$24	ProgramServicesAmt
Management And General	$91,107	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,814,140	TotalAmt
Program Services	$1,774,561	ProgramServicesAmt
Management And General	$1,039,579	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$330,613	TotalAmt
Program Services	$227,078	ProgramServicesAmt
Management And General	$103,535	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,042,177	TotalAmt
Program Services	$195,376	ProgramServicesAmt
Management And General	$2,846,801	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$588,482	TotalAmt
Program Services	$453,702	ProgramServicesAmt
Management And General	$134,780	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	$1,152,467	TotalAmt
Program Services	$14,392	ProgramServicesAmt
Management And General	$1,138,075	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$458,863	TotalAmt
Program Services	$48,462	ProgramServicesAmt
Management And General	$410,401	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,835,387	TotalAmt
Program Services	$373,438	ProgramServicesAmt
Management And General	$1,461,949	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$800,356	TotalAmt
Management And General	$800,356	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
bad debt expense	$6,297,430	$6,297,430
medical/facility supplies	$3,305,798	$3,305,798
repair & maintenance	$1,005,947	$664,601	$341,346
PHARMACEUTICALS EXPENSE	$1,890,896	$1,880,308	$10,588

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$327,869	TotalAmt
Program Services	$31,022	ProgramServicesAmt
Management And General	$296,847	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$79,812,362	TotalAmt
Program Services	$61,336,844	ProgramServicesAmt
Management And General	$18,475,518	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,035,996	BOYAmt
EOY	$170,351	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,037,482	BOYAmt
EOY	$4,821,250	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,568,311	BOYAmt
EOY	$7,778,137	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	$1,152,331	BOYAmt
EOY	$1,149,687	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$341,725	BOYAmt
EOY	$587,494	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$67,231,116	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$55,228,494	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$11,718,641	BOYAmt
EOY	$12,002,622	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	$2,197,390	BOYAmt
EOY	$2,262,140	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,046,215	BOYAmt
EOY	$3,139,851	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,098,091	BOYAmt
EOY	$31,911,532	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$14,173,799	BOYAmt
EOY	$14,401,692	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	$7,109,095	BOYAmt
EOY	$6,199,648	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	$813,125	BOYAmt
EOY	$22,050	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,096,019	BOYAmt
EOY	$20,623,390	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	$11,318,339	BOYAmt
EOY	$10,730,936	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$683,733	BOYAmt
EOY	$557,206	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,002,072	BOYAmt
EOY	$11,288,142	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$34,098,091	BOYAmt
EOY	$31,911,532	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$713,930	ReconcilationRevenueExpnssAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	$4,357	OtherActivitiesAmt
Total Lobbying Expenditures	$4,357	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	$28,303,043	OtherCostOrOtherBasisAmt
Depreciation	$23,462,540	DepreciationAmt
Book Value	$4,840,503	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,860,927	OtherCostOrOtherBasisAmt
Depreciation	$4,683,607	DepreciationAmt
Book Value	$1,177,320	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,018,643	OtherCostOrOtherBasisAmt
Depreciation	$27,082,347	DepreciationAmt
Book Value	$4,936,296	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$260,284	OtherCostOrOtherBasisAmt
Book Value	$260,284	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$12,002,622	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	$2,262,140	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,262,140	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
ESTIMATED DUE FROM 3RD PARTY	$2,149,584
property tax receivable	$890,567
other operating receivable	$99,700

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,139,851	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Due to Affiliate	Desc
Amt	$22,050	Amt

Field	Value	IRS element (for citing)
Total Liability	$22,050	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	false	FPGReferenceDiscountedCareInd
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	$479,591	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$479,591	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,679,382	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,257,817	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,421,565	NetCommunityBenefitExpnsAmt
Total Expense	0.10100	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,158,973	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,257,817	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,901,156	NetCommunityBenefitExpnsAmt
Total Expense	0.10750	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$386,234	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$386,234	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$539,402	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$592,460	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,537	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,537	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$954,173	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$592,460	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$414,771	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,113,146	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,850,277	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,315,927	NetCommunityBenefitExpnsAmt
Total Expense	0.11320	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,297,430	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,518,972	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$12,924,733	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$12,879,576	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$45,157	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	false	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	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	0.	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
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 Sisters House Kevin Foley, PhD, Executive Director, Nanizhoozhi 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, LINES 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 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 continues 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. In 2019 WellSpring received State approval for an Intensive Outpatient Program which is open to community members. RMCHCS 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 has been providing education to its providers in order to grow this service at RMCHCS. At a community level, RMCHCS participates in the Community Alcohol Task Force which is addressing Medical Detox and establishing a standardize process for all hospitals and clinics and providers. We received a psychiatry residency program grant and are exploring establishing a program in partnership with a University Program. RMCHCS has not had the staffing and funding to start an adolescent treatment 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. This project is currently on hold due to land availability and funding. 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. RMCHCS provides medical oversight for individuals they refer to the program. Going forward,the group is addressing additional housing solutions for this population. 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 2019 RMCHCS worked on plans to provide womens health services to women ages 15 and up through its mobile health unit. It began providing services in the Ramah-Navajo chapter, one of the rural areas in the region. The plan is to grow this service and provide additional needed services such as podiatry and eye exams. RMCHCS is working on expanding services to other areas in rural McKinley County. 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 is recruiting for its first year residents who will begin in July 2021. 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 2019 it added three family medicine physicians to its staff as well as two OB-GYN providers. RMCHCS will be bringing in new services such as hand and spine care and is in the process of growing its womens health, podiatry, and wound care programs. 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), Gallups 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 servces 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. Reproductive Health: RMCHCS is addressing this need by growing its Womens Health Program and providing more comprehensive services for the community. We have added two female OB-GYN physicians and two physicians Who are part of a program, where they spend six months in an underserved area such as McKinley County and 6 months in a foreign country. Reproductive Health will also be an important part of the Family Medicine residency Program. RMCHCS is also expanding access to reproductive health services through the mobile clinic and is working to expand mobile womens health services to other areas in the County.
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 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 IS IN THE PROCESS OF PREPARING AN IMPLEMENTATION STRATEGY CONNECTED TO THE 2019 CHNA. THE PREVIOUS IMPLEMENTATION STRATEGY WAS 2017-2019, COVERING THE CURRENT TAX YEAR. 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.

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 & FAMILY
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 I, LINE 3C	DISCOUNTED CARE: 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 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: A COST TO CHARGE RATIO WAS USED BASED ON THE OVERALL HOSPITAL COSTS.
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 FOR 2019.
SCHEDULE H, PART I, LINE 7, COLUMN F	PERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $6,297,430 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 I, SECTION C, LINE 9	COLLECTION PRACTICES: 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).

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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)
Recipient EIN	850349559	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$17,634	CashGrantAmt
Purpose Of Grant	GENERAL SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Scholarships	GrantTypeTxt
Recipient	11	RecipientCnt
Cash Grant	$10,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES TO MONITOR THE USE OF FUNDS IN THE U.S.: ALL SCHOLARSHIPS ARE PAID TO THE RECIPIENT INSTITUTION TO ENSURE IT IS USED FOR education. These are one time scholarship based on grade average and financial need must already be accepted to a medical field related program at an accredited institution. the grants given to western health foundation do not need to be monitored due to the nature of the relationship to the hospital.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	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 (12 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
JAY HODGES
CFO	$324,486	$0	$0	$0	$0	$0	$0	$0	$0	$0	$324,486	$0	$0	$0
VALORY WANGLER
CMO	$349,993	$0	$0	$0	$0	$0	$0	$0	$14,581	$0	$364,574	$0	$0	$0
FELICIA ADAMS
CNO	$159,190	$0	$10,000	$0	$0	$0	$0	$0	$10,027	$0	$179,217	$0	$0	$0
MICHAEL S NYE
COO	$152,034	$0	$0	$0	$0	$0	$854	$0	$7,931	$0	$160,819	$0	$0	$0
KENNETH D MIKOS
CIO	$148,088	$0	$0	$0	$0	$0	$0	$0	$7,628	$0	$155,716	$0	$0	$0
CHARLES JS GUIMARAES
PHYSICIAN	$458,831	$0	$93,672	$0	$9,433	$0	$4,950	$0	$13,435	$0	$580,321	$0	$0	$0
BHARATI KALYANI
PHYSICIAN	$485,354	$0	$0	$0	$0	$0	$0	$0	$7,931	$0	$493,285	$0	$0	$0
AEDRA ANDRADE
PHYSICIAN	$208,633	$0	$121,961	$0	$9,433	$0	$0	$0	$13,435	$0	$353,462	$0	$0	$0
THOMAS JOHN HERR
PHYSICIAN	$183,785	$0	$136,723	$0	$0	$0	$4,169	$0	$10,664	$0	$335,341	$0	$0	$0
COLIN BERRY
PHYSICIAN	$293,291	$0	$0	$0	$9,433	$0	$0	$0	$13,435	$0	$316,159	$0	$0	$0
CHRISTOPHER GONZAGA
PHYSICIAN	$213,685	$0	$8,506	$0	$9,433	$0	$2,181	$0	$13,435	$0	$247,240	$0	$0	$0
MARY L POEL
PHYSICIAN	$209,640	$0	$10,450	$0	$8,082	$0	$2,148	$0	$13,220	$0	$243,540	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	HOUSING ALLOWANCE: JAY HODGES - RESIDENCE - NOT INCLUDED IN TAXABLE WAGES FELICIA ADAMS - RESIDENCE - NOT INCLUDED IN TAXABLE WAGES KEN MIKOS - RESIDENCE - NOT INCLUDED IN TAXABLE WAGES THE HOSPITAL IS IN THE PROCESS OF CORRECTING THESE INDIVIDUALS' TAXABLE WAGES TO INCLUDE THE RESIDENCE ALLOWANCES.
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 3	COMPENSATION OF CEO/EXECUTIVE DIRECTOR: Compensation review by an independent company began in 2019 but was not finished prior to the CEO change made in 2020. THEREFORE, WE HAVE NOT CHECKED ANY OF THE BOXES IN PART I.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DALLAGO CORPORATION
DIRECTOR OWNED	$152,857	PROVIDES CONSTRUCTION SERVICES	false
HEALTHCARE INTEGRITY LLC
OFFICER OWNS 100%	$674,481	MANAGEMENT SERVICES	false
Richard Dean Adams
family of officer	$45,385	salaries/wages	false
carrie mikos
family of officer	$70,632	salaries/wages	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1A	DELEGATION OF AUTHORITY: THE ORGANIZATION HAS AN EXUCTIVE 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 2	RELATIONSHIPS BETWEEN KEY EMPLOYEES INCLUDE: KEN MIKOS AND CARRIE MIKOS, FELICIA AND DEAN ADAMS, ALL HAVE FAMILY RELATIONSHIPS.
FORM 990, PART VI, SECTION A, LINE 3	DELEGATION OF MANAGEMENT DUTIES: THE HOSPITAL HAD A MANAGEMENT AGREEMENT WITH HEALTHCARE INTEGRITY, LLC. UNDER THIS AGREEMENT, MANAGEMENT AND ADMINISTRATIVE SERVICES ARE PROVIDED TO THE HOSPITAL. THE CEO OF THE HOSPITAL IS PAID THROUGH THIS AGREEMENT. PER IRS INSTRUCTIONS NO COMPENSATION IS REPORTED ON PART VII FOR THIS INDIVIDUAL. DAVID CONEJO $674,481
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: In 2020 we began regular compliance committee meetings and conflict of interest is a standing agenda topic. RMCHCS currently is recruiting for a dedicated compliance officer.
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 EPISOF 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:776562
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEE TOTAL FEES:7842213
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR TOTAL FEES:4050390
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:7434633

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	12, TYPE I	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	Yes (true)	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	false	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	$460,248	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt