SAN JUAN REGIONAL MEDICAL CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SAN JUAN REGIONAL MEDICAL CENTER INC (EIN 85-0127924)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-13
IRS object ID: 202021959349304757
Schema version: 2018v3.3
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 K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-13T21:18:05-05:00	ReturnTs
Tax Period End	2019-06-30	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	111 South Tejon Suite 800	AddressLine1Txt
City	Colorado Springs	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	809039848	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	850127924	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAN JUAN REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JEFF BOURGEOIS	InCareOfNm
Business Name Control	SANJ	BusinessNameControlTxt
Phone	5056096114	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 WEST MAPLE STREET	AddressLine1Txt
City	FARMINGTON	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87401	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEFF BOURGEOIS	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	5056096114	PhoneNum
Signature	2020-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Adam R Smith CPA	PreparerPersonNm
PTIN	P00958966	PTIN
Phone	7194714290	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	84022720201955000115	FederalOriginalSubmissionId
Federal Original Submission Id	2020-07-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	19466AA61A357D31F4873695DF4DFE6460C1305A	AtSubmissionCreationDeviceId
At Submission Filing Device Id	19466AA61A357D31F4873695DF4DFE6460C1305A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JEFF BOURGEOIS CEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 WEST MAPLE STREET	AddressLine1Txt
City	FARMINGTON	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$366,399,826	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SANJUANREGIONAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	NM	LegalDomicileStateCd
Activity Or Mission	SAN JUAN REGIONAL MEDICAL CENTER'S MISSION IS TO PERSONALIZE HEALTH CARE AND CREATE ENTHUSIASM AND VITALITY IN HEALING.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2255	TotalEmployeeCnt
Total Volunteers	143	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,035,636	PYContributionsGrantsAmt
CY Contributions Grants	$2,190,014	CYContributionsGrantsAmt
PY Program Service Revenue	$321,154,927	PYProgramServiceRevenueAmt
CY Program Service Revenue	$251,289,744	CYProgramServiceRevenueAmt
PY Investment Income	$6,714,201	PYInvestmentIncomeAmt
CY Investment Income	$9,007,316	CYInvestmentIncomeAmt
PY Other Revenue	$2,369,752	PYOtherRevenueAmt
CY Other Revenue	$2,427,183	CYOtherRevenueAmt
PY Total Revenue	$331,274,516	PYTotalRevenueAmt
CY Total Revenue	$264,914,257	CYTotalRevenueAmt
PY Grants And Similar Paid	$166,346	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$64,020	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$180,788,417	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$174,648,455	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$133,265,391	PYOtherExpensesAmt
CY Other Expenses	$128,382,448	CYOtherExpensesAmt
PY Total Expenses	$314,220,154	PYTotalExpensesAmt
CY Total Expenses	$303,094,923	CYTotalExpensesAmt
PY Revenues Less Expenses	$17,054,362	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$38,180,666	CYRevenuesLessExpensesAmt
Total Assets BOY	$420,125,704	TotalAssetsBOYAmt
Total Assets EOY	$389,366,203	TotalAssetsEOYAmt
Total Liabilities BOY	$112,963,415	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$120,414,027	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$307,162,289	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$268,952,176	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SAN JUAN REGIONAL MEDICAL CENTER'S MISSION IS TO PERSONALIZE HEALTH CARE AND CREATE ENTHUSIASM AND VITALITY IN HEALING.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$273,779,892	ExpenseAmt
Grant	$64,020	GrantAmt
Revenue	$251,829,984	RevenueAmt
Desc	ALL ACTIVITY IS DIRECTLY RELATED TO PROVIDING PATIENT MEDICAL SERVICES AND QUALITY HEALTH CARE TO THE COMMUNITY AND SURROUNDING RURAL AREAS. SEE SCHEDULE O FOR OVERVIEW AND PROGRAMS.	Desc
Total Program Service Expenses	$273,779,892	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	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	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	88	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2255	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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	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	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JEFF BOURGEOIS	PersonNm
Phone	5056096110	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 WEST MAPLE STREET	AddressLine1Txt
City	FARMINGTON	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87401	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BRUCE GLADE
DIRECTOR	6.0	6.0	Yes (X)	$0	$0	$0
DAMON KALICH MD
CHIEF OF STAFF	40.0	0.0	Yes (X)	$748,369	$0	$31,935
EILEEN WHITE
DIRECTOR - AUXILIARY	6.0	8.0	Yes (X)	$0	$0	$0
JAMES SPENCE MD
DIRECTOR	6.0	0.0	Yes (X)	$0	$0	$0
JASON LUCAS DO
VICE CHIEF OF STAFF	6.0	0.0	Yes (X)	$0	$0	$0
JEFF HOWLE
DIRECTOR	6.0	0.0	Yes (X)	$0	$0	$0
JOHN BYROM
DIRECTOR	6.0	0.0	Yes (X)	$0	$0	$0
RONALD ROSEN
CHAIRPERSON	6.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
SHERRY GALLOWAY
1ST VICE CHAIRMAN	6.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
TERRI FORTNER
SECRETARY	6.0	6.0	Yes (X)	$0	$0	$0	Yes (X)
TONY ATKINSON
TREASURER	6.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
HYLA CALCOTE
DIRECTOR	6.0	0.0	Yes (X)	$0	$0	$0
John Parigi
INterim CFO	38.0	2.0		$43,332	$0	$0	Yes (X)
RUTH BROOKS-VPQUALITY
ACCREDITATION AND PROF SERVICE	40.0	0.0		$331,730	$0	$29,534		Yes (X)
MELANIE YEATS
CHIEF MEDICAL OFFICER	40.0	0.0		$527,739	$0	$19,028		Yes (X)
SUZANNE SMITH
CHIEF NURSING OFFICER	40.0	0.0		$276,241	$0	$33,940		Yes (X)
ROBERT UNDERWOOD
CHIEF MEDICAL OFFICER	40.0	0.0		$377,345	$0	$33,286		Yes (X)
FARAZ SANDHU
PHYSICIAN	40.0	0.0		$1,226,417	$0	$31,785			Yes (X)
GRAHAM TULL
PHYSICIAN	40.0	0.0		$705,888	$0	$23,211			Yes (X)
JONATHAN JONES
PHYSICIAN	40.0	0.0		$772,491	$0	$23,978			Yes (X)
DOMINIC CANNELLA
PHYSICIAN	40.0	0.0		$779,641	$0	$18,478			Yes (X)
JAMES BOYD
PHYSICIAN	40.0	0.0		$711,446	$0	$33,435			Yes (X)
JEFF BOURGEOIS
CEO	38.0	2.0		$850,058	$0	$85,275				Yes (X)
JOHN BUFFINGTON
FORMER - COO	0.0	0.0		$276,555	$0	$13,846				Yes (X)
KAREN MILLER
FORMER - CFO	0.0	0.0		$379,995	$0	$28,624				Yes (X)
Rick Wallace
FORMER - CEO	0.0	0.0		$241,154	$0	$19,307				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,248,401	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$425,662	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	222	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
ARAMARK
12483 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	HOUSEKEEPING SERVICE	$148,470,300
MIDLAND CAPITAL RESOURCES
5020 BOB BILLINGS RESOURCES	LAWRENCE	KS	66049	COLLECTIONS	$1,323,389
QUEST DIAGNOSTICS
3924 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	LAB TESTING	$797,066
CERNER CORPORATION
2800 ROCKCREEK PARKWAY	NORTH KANSAS CITY	MO	64117	INFORMATION TECH	$14,478,702
MEDICAL INFORMATION TECHNOLOGY
MEDITECH CIRCLE	WESTWOOD	MA	02090	SOFTWARE	$632,065

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	19	CntrctRcvdGreaterThan100KCnt
Related Organizations	$31,000	RelatedOrganizationsAmt
All Other Contributions	$2,159,014	AllOtherContributionsAmt
Total Contributions	$2,190,014	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$248,831,440	$248,831,440
OTHER PROGRAM SERVICE REVENUE	900099	$1,721,818	$1,721,818
MEANINGFUL USE REVENUE	900099	$30,014	$30,014
EQUITY IN SJR REHAB & SJR HOLDING	900099	$457,584	$457,584
PROGRAM RELATED RENTAL INCOME	900099	$248,888	$248,888

Field	Value	IRS element (for citing)
Total Program Service Revenue	$251,289,744	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,380,880	TotalRevenueColumnAmt
Exclusion	$8,380,880	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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$42,233	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$42,233	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,233	TotalRevenueColumnAmt
Exclusion	$42,233	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$101,073,143	SecuritiesAmt
Other	$1,038,862	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$100,030,881	SecuritiesAmt
Other	$1,454,688	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,042,262	SecuritiesAmt
Other	-$415,826	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$626,436	TotalRevenueColumnAmt
Exclusion	$626,436	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
OTHER REVENUE	722514	$1,119,209	$540,240	$578,969
CAFETERIA	900099	$1,265,741		$1,265,741

Field	Value	IRS element (for citing)
Other Revenue Total	$2,384,950	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$264,914,257	TotalRevenueColumnAmt
Related Or Exempt Func Income	$251,829,984	RelatedOrExemptFuncIncomeAmt
Exclusion	$10,894,259	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	$64,020	TotalAmt
Program Services	$64,020	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

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	$2,729,754	TotalAmt
Program Services	$173,340	ProgramServicesAmt
Management And General	$2,556,414	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,067,462	TotalAmt
Program Services	$362,367	ProgramServicesAmt
Management And General	$705,095	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$136,589,886	TotalAmt
Program Services	$124,687,903	ProgramServicesAmt
Management And General	$11,901,983	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,920,591	TotalAmt
Program Services	$2,805,212	ProgramServicesAmt
Management And General	$115,379	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$22,678,873	TotalAmt
Program Services	$20,831,010	ProgramServicesAmt
Management And General	$1,847,863	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,661,889	TotalAmt
Program Services	$7,944,081	ProgramServicesAmt
Management And General	$717,808	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$788,670	TotalAmt
Program Services	$16,459	ProgramServicesAmt
Management And General	$772,211	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$164,998	TotalAmt
Management And General	$164,998	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$70,239	TotalAmt
Management And General	$70,239	ManagementAndGeneralAmt

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	$641,534	TotalAmt
Management And General	$641,534	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$34,196,901	TotalAmt
Program Services	$32,855,909	ProgramServicesAmt
Management And General	$1,340,992	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,264,998	TotalAmt
Program Services	$408,477	ProgramServicesAmt
Management And General	$856,521	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,650,572	TotalAmt
Program Services	$17,739,778	ProgramServicesAmt
Management And General	$910,794	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$27,768,907	TotalAmt
Program Services	$25,351,369	ProgramServicesAmt
Management And General	$2,417,538	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,805,001	TotalAmt
Program Services	$2,704,863	ProgramServicesAmt
Management And General	$100,138	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$358,273	TotalAmt
Program Services	$252,449	ProgramServicesAmt
Management And General	$105,824	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	$835,167	TotalAmt
Program Services	$772,362	ProgramServicesAmt
Management And General	$62,805	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,131,092	TotalAmt
Program Services	$1,032,620	ProgramServicesAmt
Management And General	$98,472	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,588,118	TotalAmt
Program Services	$14,231,029	ProgramServicesAmt
Management And General	$1,357,089	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,888,329	TotalAmt
Program Services	$1,427,156	ProgramServicesAmt
Management And General	$2,461,173	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Equipment Rental	$6,807,143	$6,734,057	$73,086
Medical Supplies	$13,043,479	$13,043,280	$199
Miscellaneous Expense	$379,027	$342,151	$36,876	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$303,094,923	TotalAmt
Program Services	$273,779,892	ProgramServicesAmt
Management And General	$29,315,031	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,099,385	BOYAmt
EOY	$11,131,676	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$42,189,620	BOYAmt
EOY	$0	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	$53,175,543	BOYAmt
EOY	$41,543,441	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	$309,986	BOYAmt
EOY	$240,504	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,551,514	BOYAmt
EOY	$4,479,118	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,850,255	BOYAmt
EOY	$3,849,474	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$374,233,776	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$224,142,224	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$159,115,873	BOYAmt
EOY	$150,091,552	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$120,430,788	BOYAmt
EOY	$141,987,123	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,564,352	BOYAmt
EOY	$3,566,366	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$6,872,915	BOYAmt
EOY	$6,328,485	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	$13,965,473	BOYAmt
EOY	$26,148,464	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$420,125,704	BOYAmt
EOY	$389,366,203	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$35,465,550	BOYAmt
EOY	$36,443,866	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	$27,013,502	BOYAmt
EOY	$23,547,389	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	$28,412,974	BOYAmt
EOY	$24,496,535	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	$22,071,389	BOYAmt
EOY	$35,926,237	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$112,963,415	BOYAmt
EOY	$120,414,027	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$307,162,289	BOYAmt
EOY	$268,952,176	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$307,162,289	BOYAmt
EOY	$268,952,176	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$420,125,704	BOYAmt
EOY	$389,366,203	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$38,180,666	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$29,447	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$70,239	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$70,239	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 1g	FormAndLineReferenceDesc
Explanation	Lobbying: San Juan regional medical center paid New Mexico government affairs $49,085 for a lobbyist in Santa Fe, New Mexico who monitors New Mexico state legislative issues regarding hospital issues, keeps san juan regional medical center apprised of those issues and takes feedback to the state legislature. A portion of the dues paid to the healthcare associations by san juan regional medical center was allocable to lobbying activities. The amount for the fiscal year ended 06/30/18 was $21,154.	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	$8,092,297	OtherCostOrOtherBasisAmt
Book Value	$8,092,297	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$181,511,145	OtherCostOrOtherBasisAmt
Depreciation	$97,553,096	DepreciationAmt
Book Value	$83,958,049	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$89,427	OtherCostOrOtherBasisAmt
Depreciation	$89,427	DepreciationAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$161,884,080	OtherCostOrOtherBasisAmt
Depreciation	$116,314,390	DepreciationAmt
Book Value	$45,569,690	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,656,827	OtherCostOrOtherBasisAmt
Depreciation	$10,185,311	DepreciationAmt
Book Value	$12,471,516	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$150,091,552	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Bond Issuance Costs	$361,334
Insurance Receivable	$25,262,000
Due from Related Entity	$525,130

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$26,148,464	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
MALPRACTICE LIABILITY	$31,920,000
BOND INTEREST PAYABLE	$94,232
Due to Medicare/Medicaid	$3,912,005

Field	Value	IRS element (for citing)
Total Liability	$35,926,237	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$264,884,810	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$29,447	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$29,447	RevenueNotReportedAmt
Revenue Subtotal	$264,914,257	RevenueSubtotalAmt
Total Revenue Per Form990	$264,914,257	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$303,094,923	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$303,094,923	ExpensesSubtotalAmt
Total Expenses Per Form990	$303,094,923	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2	FormAndLineReferenceDesc
Explanation	UNCERTAIN TAX POSITIONS: 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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,302,634	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,302,634	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$97,114,139	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$59,140,028	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,974,111	NetCommunityBenefitExpnsAmt
Total Expense	0.12530	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,944,587	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,080,313	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,864,274	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$104,361,360	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,220,341	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,141,019	NetCommunityBenefitExpnsAmt
Total Expense	0.14570	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	15317	PersonsServedCnt
Total Community Benefit Expns	$930,089	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$930,089	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	93	PersonsServedCnt
Total Community Benefit Expns	$1,012,364	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,012,364	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	166335	PersonsServedCnt
Total Community Benefit Expns	$39,908,768	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,193,610	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,715,157	NetCommunityBenefitExpnsAmt
Total Expense	0.02870	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,020	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$64,020	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	181745	PersonsServedCnt
Total Community Benefit Expns	$41,915,241	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,193,610	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,721,630	NetCommunityBenefitExpnsAmt
Total Expense	0.03530	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	181745	PersonsServedCnt
Total Community Benefit Expns	$146,276,601	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,413,951	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,862,649	NetCommunityBenefitExpnsAmt
Total Expense	0.18100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,754,415	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,139,487	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$73,725,843	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$76,116,983	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,391,140	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

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	SAN JUAN REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 WEST MAPLE STREET	AddressLine1Txt
City	FARMINGTON	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87401	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SANJUANREGIONAL.COM	WebsiteAddressTxt
State License	6291	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SAN JUAN REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	17	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	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 FOR URL	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C FOR URL	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	PART V, SECTION C FOR URL	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	PART V, SECTION C FOR URL	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	PART V, SECTION C FOR URL	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, DATA WAS OBTAINED FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH (THE PRC COMMUNITY HEALTH SURVEY) AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA); THESE QUANTITATIVE COMPONENTS ALLOW FOR TRENDING AND COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY. SURVEY PARTICIPANTS INCLUDED 67 KEY INFORMANTS, INCLUDING PHYSICIANS, PUBLIC HEALTH EXPERTS, OTHER HEALTH PROVIDERS, SOCIAL SERVICE REPRESENTATIVES AND COMMUNITY LEADERS. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATION WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. PARTICIPATION INCLUDED REPRESENTATION FROM THE FOLLOWING ORGANIZATIONS: - 4 CORNERS ECONOMIC DEVELOPMENT - ADULT PROTECTIVE SERVICES - CEDAR RIDGE INN NURSING HOME AND REHABILITATION - CITY OF AZTEC - CITY OF BLOOMFIELD - CITY OF FARMINGTON - DAILY TIMES - DEPARTMENT OF PUBLIC HEALTH - ECHO INC. - FARMINGTON CHAMBER OF COMMERCE - FARMINGTON MUNICIPAL SCHOOLS - FARMINGTON POLICE DEPARTMENT - FIRE DEPARTMENT - GUARDIAN ANGEL HOME HEALTH, INC. - LA MESA CHIROPRACTIC AND REHABILITATION CENTER INC. - LIFE CARE CENTER OF FARMINGTON - PESCO - PMS CHILDREN SERVICES - RAM STUDIOS INC. - SAN JUAN COUNTY PARTNERSHIP, INC. - SAN JUAN COUNTY PUBLIC HEALTH OFFICE - SAN JUAN COUNTY, NEW MEXICO - SAN JUAN REGIONAL REHABILITATION HOSPITAL
SCHEDULE H, PART V, SECTION B, LINE 6A	THE CHNA WAS CONDUCTED WITH SAN JUAN REGIONAL REHABILITATION HOSPITAL.
SCHEDULE H, PART V, SECTION B, LINE 7A	direct url for community health needs assessment on hospital's website: https://www.sanjuanregional.com/upload/docs/About%20Us/Community%20Reinves tment/2017CHNA.pdf
SCHEDULE H, PART V, SECTION B, LINE 11	SAN JUAN REGIONAL MEDICAL CENTER HAS CONDUCTED FOUR COMMUNITY HEALTH NEEDS ASSESSMENTS SINCE 2008 AND EVERY ASSESSMENT IDENTIFIED THE FOLLOWING AS TOP ISSUES: - CHRONIC DISEASE, ESPECIALLY DIABETES AND HEART DISEASE; - CULTURALLY SENSITIVE COMMUNICATION AND HEALTH INFORMATION; - GREATER PUBLIC OUTREACH; - SUICIDE PREVENTION THE BOARD OF DIRECTORS, THROUGH THE PARTNERSHIP SUB-COMMITTEE OF THE BOARD, PROVIDES GRANTS TO OTHER NOT FOR PROFIT ORGANIZATIONS THROUGH ITS COMMUNITY REINVESTMENT FUND. THE BOARD MADE THE DECISION TO LIMIT THE GRANTS TO ORGANIZATIONS THAT ADDRESS THE TOP ISSUES IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. WE ALSO MATCH THE DONATIONS OF OUR EMPLOYEES-DOLLAR FOR DOLLAR-TO THE UNITED WAY OF SAN JUAN COUNTY THROUGH THE COMMUNITY REINVESTMENT FUND. FURTHERMORE, WE ADDRESS THESE TOP ISSUES THROUGH ACTIVITIES WITHIN THE HOSPITAL. OUTREACH: - FLU CLINICS - HEALTH FAIRS - LOW COST BLOOD SCREENINGS CULTURALLY SENSITIVE COMMUNICATION AND HEALTH INFORMATION: - SPANISH TRANSLATION OF HEALTH INFORMATION - HEALTH INFORMATION SPOTS ON KNDN, THE NAVAJO RADIO STATION - TRANSLATION OF SIGNAGE - TRANSLATOR SERVICES CHRONIC DISEASE MANAGEMENT - DIABETES EDUCATION AND LIFESTYLE BALANCE - STROKE PREVENTION - DIETARY CONSULTS - OUTREACH AND EDUCATION OF CHILDREN THROUGH MR. JUAN HART AND HEALTHY FET KIDS - YEAR ROUND LOW COST BLOOD SCREENINGS SAN JUAN REGIONAL MEDICAL CENTER HAS EXPANDED MENTAL HEALTH SERVICES TO IMPROVE ACCESS TO BEHAVIORAL HEALTH CARE. IT IS NOT POSSIBLE, FROM A FINANCIAL OR HUMAN RESOURCE STANDPOINT TO ADDRESS ALL THE ISSUES IN THE CHNA, THEREFORE WE CHOSE THE TOP ISSUES THAT WE FELT WE COULD IMPACT. THE NEEDS NOT BEING ADDRESSED ARE CHRONIC DISEASE AND SUICIDE PREVENTION. SAN JUAN REGIONAL MEDICAL CENTER HAS EXPANDED MENTAL HEALTH SERVICES TO IMPROVE ACCESS TO BEHAVIORAL HEALTH CARE.
SCHEDULE H, PART V, SECTION B, LINE 16A-16C	WEBSITE URL WHERE YOU CAN FIND THE FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP: http://www.sanjuanregional.com/EnglishForms

Field	Value	IRS element (for citing)
Facility	25	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SJRMC CARDIOLOGY
407 S SCHWARTZ SUITE 202	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC INTERNAL MEDICINE
407 S SCHWARTZ SUITE 201	FARMINGTON	NM	87401	MEDICAL CLINIC
SAN JUAN NEURODIAGNOSTIC CENTER
407 S SCHWARTZ SUITE 101	FARMINGTON	NM	87401	MEDICAL CLINIC
SAN JUAN PEDIATRICS
407 S SCHWARTZ SUITE 102	FARMINGTON	NM	87401	MEDICAL CLINIC
FOUR CORNERS NEUROSURGERY
407 S SCHWARTZ SUITE 101	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC MIDWIFERY CLINIC
655 WEST PINON	FARMINGTON	NM	87401	MEDICAL CLINIC
OUTPATIENT BEHAVIORAL HEALTH CLINIC
555 S SCHWARTZ	FARMINGTON	NM	87401	MEDICAL CLINIC
URGENT CARE CENTER
4820 E MAIN STREET	FARMINGTON	NM	87402	MEDICAL CLINIC
SJR WOUND CARE CENTER
4251 ENGLISH ROAD	FARMINGTON	NM	87402	MEDICAL CLINIC
SJR CANCER TREATMENT CENTER
731 W ANIMAS STREET	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC OUTPATIENT DIAGNOSTIC CENTER
2300 E 30TH STREET BLDG C	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #1
730 S LAKE STREET	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #2
902 W BROADWAY	BLOOMFIELD	NM	87412	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #3
484 S OLIVER STREET	AZTEC	NM	87410	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #4
4 CR 3660	KIRTLAND	NM	87117	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #5
3782 ENGLISH ROAD	FARMINGTON	NM	87402	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #6
2014 E 16TH STREET	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #10
737 W ANIMAS STREET	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC AZTEC CLINIC
120 LLANO STREET	AZTEC	NM	87410	MEDICAL CLINIC
GENERAL SURGERY CLINIC
630 W MAPLE	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC AUDIOLOGY
816 W MAPLE	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC OUTPATIENT REHABILITATION
301 S AUBURN AVE	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC PEDIATRIC OUTPATIENT REHAB
810 W MAPLE	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC BARKMAN
102 LLANO ST	AZTEC	NM	87410	MEDICAL CLINIC
SJRMC ENDOSCOPY
950 W PINON	FARMINGTON	NM	87401	MEDICAL CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, Line 3c	Description of Additional criteria used in determining eligibility for financial assistance: IN addition to the federal poverty guidelines SJRMC also considers the patient asset level, medical Indigency, insurance status, underinsurance status and residency.
SCHEDULE H, PART I, LINE 7	THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A - 7C. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E - 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
SCHEDULE H, PART I, LINE 7G	SAN JUAN REGIONAL MEDICAL CENTER (SJRMC) PROVIDES NUMEROUS SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. INCLUDED IN THE SUBSIDIZED SERVICES ARE FREESTANDING PHYSICIAN CLINICS WHICH ALLOW SJRMC TO BRING IN MORE SPECIALTIES AND BETTER SERVE THE COMMUNITY. THE NEAREST CITY THAT WOULD HAVE SIMILAR SERVICES THAT THE CLINICS OFFER WOULD BE ABOUT AN HOUR AWAY. THERE ARE SOME INDEPENDENTLY OWNED CLINICS WITHIN THIS COMMUNITY, BUT HAVE VERY STRINGENT GUIDELINES ON WHICH PATIENTS THEY WILL TAKE. THE TOTAL COSTS RELATED TO THE PHYSICIAN CLINICS INCLUDED ON LINE 7G ARE $39,908,768 WITH DIRECT OFFSETTING REVENUE OF $31,193,610, RESULTING IN A NET COMMUNITY BENEFIT EXPENSE OF $8,715,157.
SCHEDULE H, PART III, SECTION A, LINE 2	THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED June 30, 2019. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
SCHEDULE H, PART III, SECTION A, LINE 3	THE AMOUNT ON LINE 3 IS AN ESTIMATE BASED ON MANAGEMENT'S BELIEF OF THE PERCENTAGE OF ADDITIONAL FINANCIAL ASSISTANCE COST IF THE PATIENTS WOULD COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THIS AMOUNT IS CURRENTLY ESTIMATED BETWEEN 45-60%, WHICH IS INCLUDED IN OUR BAD DEBT.
SCHEDULE H, PART III, SECTION B, LINE 8	THE AMOUNT OF MEDICARE SHORTFALL REPORTED ON LINE 7 IS $-2,391,143. THIS AMOUNT IS A RESULT OF THE TOTAL REVENUE AND ALLOWABLE COST CALCULATION ON OUR FISCAL YEAR 19 COST REPORT. THE HOSPITAL'S ACTUAL EXPENSES ARE ENTERED INTO THE COST REPORT SOFTWARE AND THE ALLOWABLE COSTS ARE DETERMINED BY MEDICARE REGULATIONS. THIS MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE, ABSENT THIS PROGRAM, MANY INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE AND OTHER NEEDS- BASED PROGRAMS. BY ACCEPTING PAYMENTS BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF THE GOVERNMENT ARE RELIEVED, AND THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.
SCHEDULE H, PART III, SECTION C, LINE 9B	SAN JUAN REGIONAL MEDICAL CENTER'S (SJRMC) POLICY ON PATIENT ACCOUNT COLLECTIONS STATES SJRMC WILL NOT ATTEMPT TO COLLECT FROM A PATIENT WHO IS APPLYING FOR THE SAN JUAN COUNTY INDIGENT FUND AS LONG AS THE PATIENT IS COOPERATING WITH THE APPLICATION PROCESS. THE POLICY ALSO STATES SJRMC WILL NOT COLLECT FROM A PATIENT APPLYING FOR THE COMMUNITY SERVICE FUND (FINANCIAL ASSISTANCE) AS LONG AS THE PATIENT IS COOPERATING WITH THE APPLICATION PROCESS.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS CONDUCTED BY SAN JUAN REGIONAL MEDICAL CENTER TO DETERMINE THE HEALTH NEEDS FOR SAN JUAN COUNTY AND THE FOUR CORNERS REGION AS PERCEIVED BY THOSE SERVED BY THE HOSPITAL. THE CHNA IS CONDUCTED VIA TELEPHONE SURVEYS IN BOTH ENGLISH AND SPANISH, INTERVIEWS CONDUCTED WITH NATIVE AMERICAN RESPONDENTS, KEY SHAREHOLDERS IN THE PROVISION OF HEALTH CARE IN SAN JUAN COUNTY, AND A SERIES OF FOCUS GROUPS. THE SURVEY IS ALSO SHARED WITH KEY COMMUNITY GROUPS IN A SERIES OF OPEN FORUMS. THE MOST RECENT CHNA OCCURRED IN CY 2017 (FY 2017). THE NEEDS WHICH WERE IDENTIFIED FROM THIS SURVEY INCLUDE: ACCESS TO HEALTH CARE SERVICES, CANCER, DIABETES, HEART DISEASE AND STROKE, INFANT HEALTH AND FAMILY PLANNING, INJURY AND VIOLENCE, MENTAL HEALTH, NUTRITION, PHYSICAL ACTIVITY AND WEIGHT, POTENTIALLY DISABLING CONDITIONS, RESPIRATOTY DISEASES, SUBSTANCE ABUSE, AND TOBACCO. THE SAN JUAN REGIONAL MEDICAL CENTER BOARD OF DIRECTORS AND HOSPITAL ADMINISTRATION CONDUCTS THE SURVEY FOR THE PURPOSE OF DETERMINING HOW BEST TO DIRECT RESOURCES TO IMPROVE THE HEALTH OF THE FOUR CORNERS WITH THREE GOALS IN MIND -TO IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE - TO REDUCE HEALTH DISPARITIES AMONG RESIDENTS BY IDENTIFYING POPULATION SEGMENTS WHO ARE MOST AT-RISK FOR VARIOUS DISEASES AND INJURIES. INTERVENTION PLANS AIMED AT TARGETING THESE INDIVIDUALS ARE ALSO DEVELOPED TO COMBAT SOME OF THE SOCIO-ECONOMIC FACTORS WHICH HAVE HISTORICALLY HAD A NEGATIVE IMPACT ON RESIDENTS' HEALTH - TO INCREASE ACCESSIBILITY TO PREVENTATIVE SERVICES FOR ALL COMMUNITY RESIDENTS, MORE ACCESSIBLE PREVENTIVE SERVICES WILL PROVE BENEFICIAL IN ACCOMPLISHING THE FIRST GOAL (IMPROVING HEALTH STATUS, INCREASING LIFE SPANS, AND ELEVATING QUALITY OF LIFE), AS WELL AS LOWERING THE COSTS ASSOCIATED WITH CARING FOR LATE-STAGE DISEASES RESULTING FROM A LACK OF PREVENTIVE CARE.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SAN JUAN REGIONAL MEDICAL CENTER EMPLOYS A NUMBER OF FINANCIAL COUNSELORS AND CUSTOMER SERVICE REPRESENTATIVES WHO WORK ALONGSIDE PATIENTS TO HELP THEM NAVIGATE THEIR PAYMENT, BILLING AND ASSISTANCE OPTIONS. INFORMATION IS DISSEMINATED TO PATIENTS THROUGH ONLINE AND PAPER RESOURCES LOCATED THROUGHOUT THE HOSPITAL. A WIDELY DISTRIBUTED BROCHURE TITLED PAYING FOR HOSPITAL SERVICES AT SAN JUAN REGIONAL MEDICAL CENTER IS SPECIFICALLY DESIGNED TO HELP PATIENTS UNDERSTAND THEIR HOSPITAL BILL AND INFORM THEM OF THEIR OPTIONS FOR PAYMENT AND ASSISTANCE INCLUDING INFORMATION ON THE AVAILABILITY OF INDIAN HEALTH SERVICE ASSISTANCE, CASH DISCOUNTS, BILL REDUCTION THROUGH A COMMUNITY SERVICE FUND, SPECIAL FUNDS THROUGH THE SAN JUAN COUNTY INDIGNANT FUND, OR MEDICAL HARDSHIP WAIVERS. THE HOSPITAL'S VISION IS TO BE KNOWN AS THE MOST PERSONALIZED QUALITY HEALTHCARE PROVIDER. SAN JUAN REGIONAL MEDICAL CENTER IS ALSO A VALUES-DRIVEN ORGANIZATION WITH A CENTURY OF SERVICE TO THE FOUR CORNERS REGION- DRIVEN BY A SIMPLE, YET POWERFUL PRINCIPLE, DO THE RIGHT THING FOR THE PATIENT, NO MATTER WHAT. AN INTEGRAL PART OF THIS SACRED TRUST THE COMMUNITY HAS IN ITS HOSPITAL IS ENSURING THAT NO PATIENT FEELS ALONE AND DISCONNECTED DURING AND AFTER THEIR TREATMENT. THEREFORE, IT IS IN THE SPIRIT OF THE HOSPITAL'S VISION AND MISSION TO ENSURE THAT PATIENTS RECEIVE A HIGH LEVEL OF ASSISTANCE WHEN FIGURING OUT THEIR BILL AND OPTIONS. NOT ONLY DOES THE HOSPITAL HAVE FINANCIAL COUNSELORS TO EDUCATE ITS PATIENTS, IT HAS AN IN-HOUSE MEDICAL ADVOCACY SERVICE FOR HEALTHCARE PROGRAM (MASH) FOR SELF-PAY INDIVIDUALS. THROUGH THE MASH PROGRAM, PATIENT ADVOCATES STAND HAND-IN-HAND WITH PATIENTS TO EXPLORE EVERY POSSIBILITY OF ASSISTANCE POLICY.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: SAN JUAN REGIONAL MEDICAL CENTER SERVES THE FOUR CORNERS REGION OF THE UNITED STATES, WHICH IS MOSTLY RURAL. THE HOSPITAL IS LOCATED IN THE REGION'S LARGEST CITY AND ONLY METROPOLITAN AREA, WHICH IS FARMINGTON, NEW MEXICO. OTHER CITIES IN THE REGION INCLUDE CORTEZ AND DURANGO IN COLORADO, MONTICELLO AND BLANDING IN UTAH, KAYENTA AND CHINLE IN ARIZONA, AND SHIPROCK, AZTEC, AND BLOOMFIELD IN NEW MEXICO. THIS REGION ALSO INCLUDES THE NAVAJO NATION. STATISTICS GATHERED FOR THE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT IN 2011 FOR SAN JUAN COUNTY (POPULATION 130,044)- WHICH IS THE PRINCIPAL COUNTY SERVED BY SAN JUAN REGIONAL MEDICAL CENTER- INDICATE THE FOLLOWING POPULATION CHARACTERISTICS: MEN 49.6%, WOMEN 50.4%, AGES 18 AND UNDER 29%, AGES 65+ 10.8%, WHITE 51.6% AMERICAN INDIAN AND ALASKA NATIVE 36.6% HISPANIC 19.1%. THE MEDIAN HOUSEHOLD INCOME FOR SAN JUAN COUNTY IS $46,007.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: IN THE CONSTANT EFFORT TO MEET COMMUNITY NEEDS, SJRMC SEEKS TO IMPROVE PHYSICIAN ACCESS THROUGH A VIGOROUS RECRUITING PROGRAM AND TO PROVIDE COMMUNITY EDUCATION AND MANY OTHER COMMUNITY BENEFIT PROGRAMS. IN FISCAL YEAR 2019, SAN JUAN REGIONAL MEDICAL CENTER PROVIDED BENEFITS TO THE INDIGENT AND BROADER COMMUNITY OF OVER $54,862,649
Schedule H, Part VI, Line 6	description of Affiliated Healthcare system: The Affiliated Healthcare system includes San Juan Regional Medical Center (SJRMC) and San Juan regional Rehabilitation Hospital (SJRRH). - SJRMC serves the community as the main hospital for the region. - SJRRH serves the community as a rehabilitation hospital.

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	SEXUAL ASSAULT SERVICES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	622 W MAPLE STE H	AddressLine1Txt
City	FARMINGTON	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87401	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	203187125	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$64,020	CashGrantAmt
Purpose Of Grant	program support	PurposeOfGrantTxt

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Question 2	FormAndLineReferenceDesc
Explanation	Organization's procedures for monitoring the use of grant funds: Event Funding/Sponsorship request guidelines: San Juan Regional Medical Center (SJRMC) recognizes the value of community partnerships and, on a limited basis, offers support to its community partners by sharing our resources including the time and talent of our physicians and employees, as well as our financial and in-kind support. San Juan Regional Medical Center has established criteria to ensure alignment with our mission and to allow us to strategically focus our limited resources in order to maximize their impact. Sponsorship requests are evaluated based on, but not limited to, the following criteria: - alignment with SJRMC's mission to personalize healthcare and create enthusiasm and vitality in healing - alignment and opportunity to promote strategic service lines and business objectives-community and neighborhood development - magnitude of impact and reach (number of individuals served) - depth and breadth of partnership with requesting organization.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	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 (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
DAMON KALICH MD
CHIEF OF STAFF	$543,100	$0	$204,729	$0	$540	$0	$6,875	$0	$25,060	$0	$780,304	$0
JEFF BOURGEOIS
CEO	$610,155	$0	$175,199	$0	$64,704	$0	$58,715	$0	$26,560	$0	$935,333	$0	$62,382
JOHN BUFFINGTON
FORMER - COO	$276,555	$0	$0	$0	$0	$0	$13,846	$0	$0	$0	$290,401	$0
KAREN MILLER
FORMER - CFO	$305,432	$0	$51,497	$0	$23,066	$0	$22,783	$0	$5,841	$0	$408,619	$0	$20,923
FARAZ SANDHU
PHYSICIAN	$673,363	$0	$552,064	$0	$990	$0	$5,225	$0	$26,560	$0	$1,258,202	$0
GRAHAM TULL
PHYSICIAN	$602,244	$0	$103,149	$0	$495	$0	$5,189	$0	$18,022	$0	$729,099	$0
JONATHAN JONES
PHYSICIAN	$626,409	$0	$145,272	$0	$810	$0	$5,500	$0	$18,478	$0	$796,469	$0
DOMINIC CANNELLA
PHYSICIAN	$776,077	$0	$0	$0	$3,564	$0	$0	$0	$18,478	$0	$798,119	$0
JAMES BOYD
PHYSICIAN	$504,027	$0	$206,394	$0	$1,025	$0	$6,875	$0	$26,560	$0	$744,881	$0
RUTH BROOKS-VPQUALITY
ACCREDITATION AND PROF SERVICE	$285,807	$0	$43,116	$0	$2,807	$0	$23,206	$0	$6,328	$0	$361,264	$0
MELANIE YEATS
CHIEF MEDICAL OFFICER	$526,497	$0	$0	$0	$1,242	$0	$5,500	$0	$13,528	$0	$546,767	$0
SUZANNE SMITH
CHIEF NURSING OFFICER	$226,422	$0	$46,082	$0	$3,737	$0	$20,412	$0	$13,528	$0	$310,181	$0
ROBERT UNDERWOOD
CHIEF MEDICAL OFFICER	$341,245	$0	$33,868	$0	$2,232	$0	$23,456	$0	$9,830	$0	$410,631	$0
Rick Wallace
FORMER - CEO	$241,154						$6,299		$13,008		$260,461

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 4B

Supplemental nonqualified plan: San Juan Regional Medical Center (sjrmc) has a 457(F) deferred compensation plan that allows certain executives to contribute money on a pre-tax basis into investments and to accumulate tax-deferred earnings. The following pre-tax calendar year 2017 contributions to the 457(F) plan are included in schedule J, Part II, column (C) as deferred compensation: Karen Miller $13,044 Suzanne Smith $11,454 Jeff Bourgeois $53,215 Ruth Brooks $14,993 Robert Underwood $12,456

Schedule J, Part I, line 7

EXPLANATION OF NON-FIXED PAYMENTS: MANAGEMENT INCENTIVE PLAN- SJRMC HAS A SENIOR MANAGEMENT INCENTIVE COMPENSATION PLAN FOR SELECTED SENIOR MANAGEMENT POSITIONS. AN AWARD TARGET IS ESTABLISHED FOR EACH PARTICIPANT. PERFORMANCE IS BASED ON EIGHT GOALS, TWO OF WHICH ARE HOSPITAL EXCESS OF REVENUES OVER EXPENSES PERCENTAGE AND TOTAL HOSPITAL EARNINGS. THE AWARD IS A PERCENTAGE OF BASE PAY IF CERTAIN TARGETS ARE MET. PHYSICIAN INCENTIVE PLAN- PHYSICIANS INCENTIVES ARE PERFORMANCE BASED AND RELATIVE VALUE UNITS ARE USED AS A MEASURE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY FARMINGTON NEW MEXICO
A	856000129	311428AZ9	2004-03-25	$16,982,883	Construction of Tower/New Equipmen	false	false	false
CITY FARMINGTON NEW MEXICO
B	856000129	311428BNS	2007-06-28	$12,290,518	Constructions of Cancer Trmt CTR	false	false	false
NEW MEXICO HOSPITAL EQUIPMENT LOAN COUNCIL
C	840426875		2010-12-21	$25,773,000	Refund 2004B, Finance Equip/Cost	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$9,541,963	$0	$17,087,788	$0	$0	$0	$339,658	$0	$0	$16,748,130	$0	$0	2007	false	false	Yes (true)	Yes (true)
B	$5,757,450	$0	$12,457,932	$0	$151,021	$0	$245,810	$0	$0	$12,060,921	$0	$0	2010	false	false	Yes (true)	Yes (true)
C	$16,200,000	$0	$25,773,063	$0	$0	$0	$205,249	$0	$0	$10,565,327	$15,002,307	$0	2011	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	Yes (true)	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
C	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
schedule k, part ii, line 3	THE EXCESS OF THE TOTAL PROCEEDS ON PART II, LINE 3 OVER ISSUE PRICE ON PART I, COLUMN E IS DUE TO INVESTMENT EARNINGS.
schedule k, part I, LINE C	THE 2010A LEASE PROJECT OBLIGATION PORTION OF THIS ISSUE IN THE AMOUNT OF $8,103,000 HAS NOT BEEN DESIGNATED AS A QUALIFIED TAX-EXEMPT OBLIGATION. THESE ARE BUILD AMERICA BONDS.
schedule k, part IV, LINE 2c, column B	The most recent rebate calculation for the 2007A issue was completed on July 19, 2017 for the time period June 28, 2007 to June 28,2017.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Cassie Buffington
Family Member of Officer	$79,981	employee pay	false
Eric buffington
Family Member of Officer	$316,722	employee pay	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6	VOLUNTEERS: SJRMC HAS A TOTAL OF 143 VOLUNTEERS THAT PROVIDE SERVICE TO THE FOLLOWING AREAS: ADMINISTRATIVE SUPPORT, CANCER TREATMENT CENTER, CARDIAC REHABILITATION, COURIER/PATIENT TRANSPORT, CRAFTY CREATIONS, DIETARY, GIFT MARKET, INFORMATION DESK, MAIL CALL, MEDICAL RECORDS AND AUXILIARY MEMBERSHIP.
FORM 990, PART III, LINE 4A	Program Service cont. San Juan Regional Medical center (SJRMC) is a modern acute-care hospital located in one of the most rural areas of the American southwest, San Juan County, New Mexico. A 2019 ESTIMATE OF THE POPULATION OF SAN JUAN COUNTY SHOWS THECOUNTY POPULATION HAS DECLINED 4.7% FROM THE YEAR 2010 TO 2019 NUMBERING APPROXIMATELY 123,958, 41.1% OF WHICH IS AMERICAN INDIAN AND ALASKA NATIVE PERSONS. SJRMC is a sole community provider and disproportionate share hospital providing needed healthcare to residents of the four corners region of New Mexico, Arizona, Utah and Colorado. San Juan Regional Medical Center's mission is to personalize healthcare and create enthusiasm and vitality in healing. Our core values are actively taught, and reinforced to staff, management, and physicians so that the organization m achieve excellence and consistency in patient care. SJRMC is a community governed hospital that was founded in 1910 by Doctors A M Smith and G W Sammons. The hospital corporation is an advisory body composed of up to three representatives from each of 90 non-profit organizations in San Juan County. The corporation meets quarterly, and at annual meeting, they nominate and elect 9 members to the governing board of directors. The corporation receives reports from the board of directors and hospital administration on hospital operations, including quality and finance and provides feedback on community health issues. SJRMC provides medical, surgical, pediatrics, oncology, obstetrics, cardiology, and behavioral health inpatient care. Ambulatory care includes day surgery, urgent care, outpatient diagnostic and treatment services. SJRMC is a level III trauma center that provides ground ambulance and air ambulance service with a helicopter and a fixed wing aircraft as well as services through its emergency department to all persons regardless of their ability to pay. Some of our outpatient Services are physician clinics specializing in cardiology, behavioral heal internal medicine, neurosurgery, neurodiagnostics, urgent care center and pediatrics. Our financial and in-kind contributions went to various local charities such as Navajo ministries, family crisis center, local school districts, senior centers and Total Behavioral Health. The other community services noted above provide care for surgery, gastrointestinal, orthopedics, oncology, neuro and cardiac rehab.
FORM 990, PART VI, SECTION A, LINE 6 & 7a	CLASSES OF MEMBERS OR STOCKHOLDERS: SAN JUAN REGIONAL MEDICAL CENTER (SJRMC) IS A COMMUNITY-GOVERNED HOSPITAL. THE HOSPITAL CORPORATION IS AN ADVISORY BODY COMPOSED OF TWO REPRESENTATIVES FROM ABOUT 90 NON-PROFIT ORGANIZATION MEMBERS IN SAN JUAN COUNTY. AFTER TEN YEARS OF SERVICE AS A REPRESENTATIVE, AN INDIVIDUAL MAY BE DESIGNATED BY THE CORPORATION AS A SENIOR CORPORATE DELEGATE AND SHALL NO LONGER BE CONSIDERED TO BE THE REPRESENTATIVE OF THE MEMBER ORGANIZATION. THE MEMBER ORGANIZATION MAY THEN DESIGNATE ANOTHER REPRESENTATIVE IN ADDITION TO THE SENIOR CORPORATE DELEGATE. THE HOSPITAL CORPORATION MEETS QUARTERLY AT THEIR ANNUAL MEETING, IN WHICH THEY NOMINATE AND ELECT NINE VOTING MEMBERS TO SJRMC'S BOARD OF DIRECTORS. OF THE NINE, THREE MUST BE ELECTED FROM THE MEMBER REPRESENTATIVES OR SENIOR CORPORATE DELEGATES. IN ADDITION TO THE NINE ELECTED DIRECTORS, THE SJRMC CHIEF OF THE STAFF AND VICE CHIEF OF STAFF AND A HOSPITAL AUXILIARY APPOINTEE ALSO SERVE AS SJRMC DIRECTORS FOR A TOTAL OF TWELVE VOTING MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM BASED ON DATA PROVIDED BY MANAGEMENT. A DRAFT COPY OF THE 990 IS PROVIDED TO MANAGEMENT FOR REVIEW AND A MEETING IS CONDUCTED BY THE ACCOUNTING FIRM TO REVIEW THE RETURN IN DETAIL. ANY QUESTIONS ARE ADDRESSED AND ANY NECESSARY CHANGES ARE MADE TO THE RETURN. THE FINAL DRAFT OF THE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE ALONG WITH A BRIEF EDUCATION SESSION CONDUCTED BY THE ACCOUNTING FIRM TO DISCUSS THE HIGHLIGHTS OF THE FORM. THE FINAL DRAFT OF THE FORM 990 IS THEN PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: SAN JUAN REGIONAL MEDICAL CENTER HAS A CONFLICT OF INTEREST POLICY THAT EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE IS REQUIRED TO FILL OUT ON AN ANNUAL BASIS. THIS CONFLICT OF INTEREST POLICY SPECIFICALLY ASKS QUESTIONS REGARDING BUSINESS AND PERSONAL RELATIONSHIPS THAT THEY MAY HAVE WITH ANY OTHER BOARD MEMBER, OFFICER AND KEY EMPLOYEE OF ANY BUSINESS THAT DEALS WITH SAN JUAN REGIONAL MEDICAL CENTER OR ANY OF ITS AFFILIATES. IF A CONFLICT IS IDENTIFIED, IT MUST BE REPORTED TO THE COMPLIANCE OFFICER, AND IF IT CONSTITUTES A BREACH OF EMPLOYMENT, IT MAY LEAD TO DISCIPLINARY ACTION.
FORM 990, PART VI, SECTION B, LINE 15A & 15b	DESCRIBE PROCESS FOR DETERMINING COMPENSATION: THE BOARD OF DIRECTORS FOR SAN JUAN REGIONAL MEDICAL CENTER USES THE FOLLOWING COMPARABILITY DATA WHEN DETERMINING THE COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT. REGIONAL/LOCAL AREA NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SIZE, NATIONAL NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SIZE, AND OTHER RELEVANT COMPARATORS (EG, FOR-PROFIT HEALTHCARE AND/OR GENERAL INDUSTRY ORGANIZATIONS) OF COMPARABLE SIZE AND COMPLEXITY. ADDITIONALLY, THE BOARD BI-ANNUALLY HAS AN INDEPENDENT OUTSIDE FIRM COMPARE THE CEO'S, and Other Officer's COMPENSATION WITH OTHER HEALTHCARE ORGANIZATIONS TO REMAIN COMPETITIVE. THE PROCESS WAS LAST COMPLETED IN APRIL 2018 BY TOWERS WATSON. THE PROCESS IS DOCUMENTED IN THE BOARD MINUTES WHEN PRESENTED TO THE INDIVIDUALS.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: SAN JUAN REGIONAL MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII	THE COMPENSATION REPORTED ON PART VII, LINE 1 FOR DAMON KALCICH IS FROM HIS CURRENT EMPLOYMENT WITH SJRMC, NOT FOR SERVICES RENDERED AS A BOARD MEMBER.
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL PROFESSIONAL FEES TOTAL FEES:8635793
FORM 990 PART IX LINE 11G	DESCRIPTION:CALL SERVICES TOTAL FEES:718000
FORM 990 PART IX LINE 11G	DESCRIPTION:TRANSCRIPTION SERVICES TOTAL FEES:191091
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT & CONSULTING TOTAL FEES:23902089
FORM 990 PART IX LINE 11G	DESCRIPTION:SOBERING HOUSE TOTAL FEES:534767
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:215161

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SAN JUAN HEALTH PARTNERS INC
801 WEST MAPLE STREET	FARMINGTON	NM	87401	272367549	HEALTHCARE	NM	501(C)(3)	LINE 3	SJRMC	Yes (true)
SAN JUAN REGIONAL REHABILITATION HOSP
525 SOUTH SCHWARTZ AVE	FARMINGTON	NM	87401	850441767	HEALTHCARE	NM	501(C)(3)	LINE 3	SJRMC	Yes (true)
AUXILIARY OF SAN JUAN REGIONAL MED CTR
801 WEST MAPLE STREET	FARMINGTON	NM	87401	237164296	HOSP SUPPORT	NM	501(C)(3)	LINE 12C	NA	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SJR HOLDING COMPANY INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 W MAPLE STREET	AddressLine1Txt
City	FARMINGTON	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87401	ZIPCd

Field	Value	IRS element (for citing)
EIN	201126483	EIN
Primary Activities	SUPPORT SERVI	PrimaryActivitiesTxt
Legal Domicile State	NM	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SJRMC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C-CORP	EntityTypeTxt
Share Of Total Income	$1,617,847	ShareOfTotalIncomeAmt
Share Of EOY Assets	$3,683,294	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SAN JUAN REGIONAL REHABILITATION HOSPITAL
D	$525,130	interco amount
SAN JUAN REGIONAL REHABILITATION HOSPITAL
Q	$144,000	interco amount
SJR Holding Company INC
S	$1,420,993	INTERCO AMOUNT