2020-11-16T18:36:36-06:00 2019-12-31 BKD LLP 14241 DALLAS PARKWAY STE 1100 DALLAS TX 75254 990 2019-01-01 850313268 Rehoboth Mckinley Christian Health Care Services % MARY K BEVIER REHO 5058637000 1901 Red Rock Drive Gallup NM 87301 MARY BEVIER cfo 5058637000 2020-11-16 true Jeanette Verrelli P00742631 9727028262 167.68.126.162 70234720203215000008 2020-11-16 P E3F9B7EA3642DF85E71955FB87B428800731A9FD EB976710118F518B8933A72D91D1D85239D99EDA 2019 2021-01-29 14:40:06Z don smithburg 1901 RED ROCK DR GALLUP NM 87301 79098432 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) 11 8 826 32 0 0 2914331 2967625 82263927 75842516 54045 157333 -308479 130958 84923824 79098432 25710 28537 0 0 34242368 33863766 0 0 0 40804699 45920059 75072777 79812362 9851047 -713930 34098091 31911532 22096019 20623390 12002072 11288142 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 41420764 28537 63381516 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. 13428818 7850667 PROVIDES PRIMARY CARE SERVICES TO PATIENTS THROUGH MULTI-SPECIALTY CLINICS. 4396404 4402284 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. 2090858 208049 SEE SCHEDULE O 2090858 208049 61336844 true true false true false false false false false false true true false true true false false true false false false false false false false false true true true true true false false false false false false true true false false false false false true true true false false true 144 0 826 true false false false false false false false false false false false false X 11 8 true true false false false true false true true false false false true true false 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 561936 0 18385 BHARATI KALYANI PHYSICIAN 40.0 0.0 X 485354 0 7931 VALORY WANGLER CMO 40.0 0.0 X 349993 0 14581 AEDRA ANDRADE PHYSICIAN 40.0 0.0 X 340027 0 13435 THOMAS JOHN HERR PHYSICIAN 40.0 0.0 X 320508 0 14833 JAY HODGES CFO 40.0 0.0 X 324486 0 0 COLIN BERRY PHYSICIAN 40.0 0.0 X 302724 0 13435 CHRISTOPHER GONZAGA PHYSICIAN 40.0 0.0 X 231624 0 15616 MARY L POEL PHYSICIAN 40.0 0.0 X 228172 0 15368 FELICIA ADAMS CNO 40.0 0.0 X 169190 0 10027 MICHAEL S NYE COO 40.0 0.0 X 152034 0 8785 KENNETH D MIKOS CIO 40.0 0.0 X 148088 0 7628 ADRIENNE PATEL CQO 40.0 0.0 X 123002 0 503 LAURA HAMMONS MD CHAIR 1.0 0.0 X X 0 0 0 REVEREND LORELEI KAY VICE-CHAIR 1.0 0.0 X X 0 0 0 PASTOR JOHN LUGINBUHL TRUSTEE 1.0 0.0 X 0 0 0 DAVID DALLAGO TRUSTEE 1.0 0.0 X 0 0 0 KLO ABEITA treasurer 1.0 0.0 X 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 kenneth zylstra treasurer end: 08/19 1.0 0.0 X X 0 0 0 DAVID CONEJO CEO 30.0 10.0 X 0 0 0 3737138 0 140527 49 false true false AMERICAN PHYSICIAN PARTNERS 5121 MARYLAND WAY BRENTWOOD TN 37027 MEDICAL SERVICES 1381112 ACCORDIAS HEALTHCARE SERVICES LLC 1161 MURFREESBORO PIKE NASHVILLE TN 37217 STAFF/CONSULTING 1470830 HHS CULINARY AND NUTRITION SOLUTION 216 E 4TH STREET AUSTIN TX 78701 DIETARY SERVICES 2260098 ONYX HEALTHCARE INC 3805 EDWARDS ROAD CINCINNATI OH 45029 STAFFING 1359234 COMPHEALTH PO BOX 972651 DALLAS TX 75397 MEDICAL SERVICES 1225349 47 460248 2507377 0 2967625 Net Patient Service Revenue 621110 69086676 69086676 Safety Net Care Pool 621110 3926241 3926241 Other Operating Revenue 621110 2508929 2508929 Medical Office Rental Revenue 531120 320670 320670 75842516 157333 157333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria Revenue 722514 204746 204746 Investment of Risk Retention Group 900099 -73788 -73788 130958 79098432 75842516 288291 X 18537 18537 10000 10000 0 0 1799095 490780 1308315 116017 99202 16815 27105779 24193734 2912045 180745 146816 33929 2665051 1774103 890948 1997079 1710925 286154 1301036 1301036 466559 466559 107110 107110 0 0 0 20103798 17626555 2477243 91131 24 91107 2814140 1774561 1039579 330613 227078 103535 0 3042177 195376 2846801 588482 453702 134780 0 1152467 14392 1138075 458863 48462 410401 0 1835387 373438 1461949 800356 800356 bad debt expense 6297430 6297430 medical/facility supplies 3305798 3305798 repair & maintenance 1005947 664601 341346 PHARMACEUTICALS EXPENSE 1890896 1880308 10588 327869 31022 296847 79812362 61336844 18475518 0 1035996 170351 5037482 4821250 0 0 8568311 7778137 0 0 0 0 0 0 1152331 1149687 341725 587494 67231116 55228494 11718641 12002622 0 0 2197390 2262140 0 0 0 0 4046215 3139851 34098091 31911532 14173799 14401692 0 0 0 0 0 0 0 0 0 0 7109095 6199648 0 0 813125 22050 22096019 20623390 X 11318339 10730936 683733 557206 12002072 11288142 34098091 31911532 -713930 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4357 4357 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 28303043 23462540 4840503 5860927 4683607 1177320 32018643 27082347 4936296 260284 260284 12002622 Inv. Risk Retention Group 2262140 F 2262140 ESTIMATED DUE FROM 3RD PARTY 2149584 property tax receivable 890567 other operating receivable 99700 3139851 0 Due to Affiliate 22050 22050 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. false true true false false 479591 479591 0.00650 25679382 18257817 7421565 0.10100 26158973 18257817 7901156 0.10750 386234 386234 0.00530 539402 592460 28537 28537 0.00040 954173 592460 414771 0.00570 27113146 18850277 8315927 0.11320 true 6297430 2518972 12924733 12879576 45157 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 false 17 true SEE PART V, SECTION C false true X 300. 0. 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 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 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. 6 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 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). true WESTERN HEALTH FOUNDATION 1901 RED ROCK DRIVE GALLUP NM 87301 850349559 501(c)(3) 17634 GENERAL SUPPORT 1 Scholarships 11 10000 SCHEDULE I, PART I, LINE 2 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. X true true false false false false false false false true false JAY HODGES CFO 324486 0 0 0 0 0 0 0 0 0 324486 0 0 0 VALORY WANGLER CMO 349993 0 0 0 0 0 0 0 14581 0 364574 0 0 0 FELICIA ADAMS CNO 159190 0 10000 0 0 0 0 0 10027 0 179217 0 0 0 MICHAEL S NYE COO 152034 0 0 0 0 0 854 0 7931 0 160819 0 0 0 KENNETH D MIKOS CIO 148088 0 0 0 0 0 0 0 7628 0 155716 0 0 0 CHARLES JS GUIMARAES PHYSICIAN 458831 0 93672 0 9433 0 4950 0 13435 0 580321 0 0 0 BHARATI KALYANI PHYSICIAN 485354 0 0 0 0 0 0 0 7931 0 493285 0 0 0 AEDRA ANDRADE PHYSICIAN 208633 0 121961 0 9433 0 0 0 13435 0 353462 0 0 0 THOMAS JOHN HERR PHYSICIAN 183785 0 136723 0 0 0 4169 0 10664 0 335341 0 0 0 COLIN BERRY PHYSICIAN 293291 0 0 0 9433 0 0 0 13435 0 316159 0 0 0 CHRISTOPHER GONZAGA PHYSICIAN 213685 0 8506 0 9433 0 2181 0 13435 0 247240 0 0 0 MARY L POEL PHYSICIAN 209640 0 10450 0 8082 0 2148 0 13220 0 243540 0 0 0 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. DALLAGO CORPORATION DIRECTOR OWNED 152857 PROVIDES CONSTRUCTION SERVICES false HEALTHCARE INTEGRITY LLC OFFICER OWNS 100% 674481 MANAGEMENT SERVICES false Richard Dean Adams family of officer 45385 salaries/wages false carrie mikos family of officer 70632 salaries/wages false 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 WESTERN HEALTH FOUNDATION 1901 RED ROCK DRIVE GALLUP NM 87301 850349559 SUPPORT NM 501(C)(3) 12, TYPE I RMCHCS true false true true false false false false false false false false false false true true false false false false WESTERN HEALTH FOUNDATION C 460248 FMV