REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE (EIN 85-0313268)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201913199349318826
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T19:30:21-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	14241 DALLAS PARKWAY SUITE 1100	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75254	ZIPCd

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	850313268	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Rehoboth Mckinley Christian	BusinessNameLine1Txt
Business Name Line2	Healthcare Services	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% GREGG MAGERS	InCareOfNm
Business Name Control	REHO	BusinessNameControlTxt
Phone	5058637000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1901 Red Rock Drive	AddressLine1Txt
City	Gallup	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87301	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID CONEJO	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	5058637000	PhoneNum
Signature	2019-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

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

Field	Value	IRS element (for citing)
Federal Original Submission Id	70234720193195000001	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	98C67C06075FADA3594A58B7FA41D63CA3097B7E	AtSubmissionCreationDeviceId
At Submission Filing Device Id	EB976710118F518B8933A72D91D1D85239D99EDA	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID CONEJO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1901 RED ROCK DR	AddressLine1Txt
City	GALLUP	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87301	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$84,923,824	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RMCH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	NM	LegalDomicileStateCd
Activity Or Mission	REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES, INC. (RMCHCS) WILL BE THE PREFERRED HEALTHCARE PROVIDER ORGANIZATION FOR MCKINLEY COUNTY ... (CONTINUED ON SCH O)	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	897	TotalEmployeeCnt
Total Volunteers	35	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,855,410	PYContributionsGrantsAmt
CY Contributions Grants	$2,914,331	CYContributionsGrantsAmt
PY Program Service Revenue	$63,449,258	PYProgramServiceRevenueAmt
CY Program Service Revenue	$82,263,927	CYProgramServiceRevenueAmt
PY Investment Income	$41,152	PYInvestmentIncomeAmt
CY Investment Income	$54,045	CYInvestmentIncomeAmt
PY Other Revenue	$1,412,256	PYOtherRevenueAmt
CY Other Revenue	-$308,479	CYOtherRevenueAmt
PY Total Revenue	$68,758,076	PYTotalRevenueAmt
CY Total Revenue	$84,923,824	CYTotalRevenueAmt
PY Grants And Similar Paid	$25,581	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$25,710	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$34,395,704	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$34,242,368	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$37,483,973	PYOtherExpensesAmt
CY Other Expenses	$40,804,699	CYOtherExpensesAmt
PY Total Expenses	$71,905,258	PYTotalExpensesAmt
CY Total Expenses	$75,072,777	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,147,182	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$9,851,047	CYRevenuesLessExpensesAmt
Total Assets BOY	$29,582,666	TotalAssetsBOYAmt
Total Assets EOY	$34,098,091	TotalAssetsEOYAmt
Total Liabilities BOY	$27,431,641	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$22,096,019	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,151,025	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$12,002,072	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	The mission of RMCHCS is to serve God by making a profound and lasting difference in the health and quality of life for all people in the community.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$38,984,327	ExpenseAmt
Grant	$25,710	GrantAmt
Revenue	$68,747,883	RevenueAmt
Desc	HOSPITAL INPATIENT SERVICES INCLUDE A MEDICAL SURGICAL UNIT, WOMEN'S HEALTH, PEDIATRIC AND NEWBORN NURSERY UNITS, INTENSIVE AND CRITICAL CARE UNITS, AND AN INPATIENT DIALYSIS UNIT. HOSPITAL ANCILLARY SERVICES INCLUDE A CARDIOPULMONARY REHABILITATION UNIT, DIAGNOSTIC IMAGING AND LABORATORY SERVICES, AS WELL AS PHYSICAL REHABILITATION SERVICES. THE MAIN CAMPUS IS ALSO HOME TO THE SURGICAL SERVICES UNIT AND THE EMERGENCY DEPARTMENT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$12,638,913	ExpenseAmt
Revenue	$8,515,365	RevenueAmt
Desc	PROVIDES PRIMARY CARE SERVICES TO PATIENTS THROUGH MULTI-SPECIALTY CLINICS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$4,137,801	ExpenseAmt
Revenue	$4,775,015	RevenueAmt
Desc	BEHAVIORAL HEALTH SERVICES OFFERS HIGH QUALITY, COMPREHENSIVE BEHAVIORAL HEALTH CARE TO THOSE OF ALL RACES WHO NEED IT. WE BELIEVE IN A HUMANISTIC APPROACH THAT MEETS THE INDIVIDUAL NEEDS OF CLIENTS AND THEIR FAMILIES WITH A SPIRIT OF DIGNITY AND CONFIDENTIALITY.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$1,967,870	ExpenseAmt
Revenue	$225,664	RevenueAmt
Desc	See Schedule O	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,967,870	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$225,664	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$57,728,911	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	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	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
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	173	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	897	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	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	GREGG MAGERS	PersonNm
Phone	5058637347	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1901 RED ROCK DR	AddressLine1Txt
City	GALLUP	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87301	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (23 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
CHARLES JS GUIMARAES
chief of staff	40.0	0.0	Yes (X)	$466,223	$0	$13,435
KEN ZYLSTRA
treasurer	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JOHN LUGINBUHL
governance chair	1.0	0.0	Yes (X)	$0	$0	$0
DAVID DALLAGO
chair	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
SONLATSA MARTIN
trustee	1.0	0.0	Yes (X)	$0	$0	$0
LORELEI KAY
trustee	1.0	0.0	Yes (X)	$0	$0	$0
LAURA HAMMONS
trustee	1.0	0.0	Yes (X)	$0	$0	$0
KLO ABEITA
trustee	1.0	0.0	Yes (X)	$0	$0	$0
genevieve jackson
trustee	1.0	0.0	Yes (X)	$0	$0	$0
gregg magers
cfo 03/18 - 11/18	40.0	0.0		$185,000	$0	$0	Yes (X)
KIMBERLY KAREN JONES
CHIEF ML	40.0	0.0		$159,693	$0	$5,508	Yes (X)
DAVID CONEJO
CEO	40.0	0.0		$0	$0	$0	Yes (X)
JOHN MCMULLIN
CFO End: 04/18	40.0	0.0		$84,208	$0	$6,606	Yes (X)
JAY HODGES
CFO start: 10/18	40.0	0.0		$67,695	$0	$0	Yes (X)
Randolph Myers
CIO End: 10/18	40.0	0.0		$113,049	$0	$5,948	Yes (X)
Ken Mikos
CIO Start: 11/18	40.0	0.0		$10,962	$0	$0	Yes (X)
William Kiefer
COO	40.0	0.0		$329,204	$0	$7,837		Yes (X)
VALORY WANGLER
CMO	40.0	0.0		$161,819	$0	$3,805		Yes (X)
WAYNE VINTON
CRNA	40.0	0.0		$340,882	$0	$7,326			Yes (X)
FRANCISCA LYTLE
PHYSICIAN	40.0	0.0		$339,788	$0	$11,839			Yes (X)
COLIN BERRY
PHYSICIAN	40.0	0.0		$308,896	$0	$13,435			Yes (X)
AEDRA ANDRADE
PHYSICIAN	40.0	0.0		$304,621	$0	$13,435			Yes (X)
Mital Patel
Physician	40.0	0.0		$291,091	$0	$7,249			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,163,131	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$96,423	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	44	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AMERICAN PHYSICIAN PARTNERS
5121 MARYLAND WAY	BRENTWOOD	TN	37027	MEDICAL SERVICES	$1,620,844
ACCORDIAS HEALTHCARE SERVICES LLC
1161 MURFREESBORO PIKE	NASHVILLE	TN	37217	STAFF/CONSULTING	$1,234,250
HHS CULINARY AND NUTRITION SOLUTION
216 E 4TH STREET	AUSTIN	TX	78701	DIETARY SERVICES	$1,116,210
HEALTH CAROUSEL LLC
1700 MADISON ROAD	CINCINNATI	OH	45206	STAFFING	$884,132
COMPHEALTH
PO BOX 972651	DALLAS	TX	75397	MEDICAL SERVICES	$827,360

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	35	CntrctRcvdGreaterThan100KCnt
Related Organizations	$132,582	RelatedOrganizationsAmt
Government Grants	$2,756,748	GovernmentGrantsAmt
All Other Contributions	$25,001	AllOtherContributionsAmt
Total Contributions	$2,914,331	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$70,692,388	$70,692,388
SAFETY NET CARE POOL	621110	$5,760,038	$5,760,038
OTHER OPERATING REVENUE	621110	$5,456,608	$5,456,608
MEDICAL OFFICE RENTAL REVENUE	531120	$354,893	$354,893

Field	Value	IRS element (for citing)
Total Program Service Revenue	$82,263,927	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54,045	TotalRevenueColumnAmt
Exclusion	$54,045	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	722514	$102,688	$102,688
INVESTMENT OF RISK RETENTION GROUP	900099	-$83,452	-$83,452
LOSS ON UNAMORTIZED DEBT	900099	-$327,715	-$327,715

Field	Value	IRS element (for citing)
Other Revenue Total	-$308,479	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$84,923,824	TotalRevenueColumnAmt
Related Or Exempt Func Income	$82,263,927	RelatedOrExemptFuncIncomeAmt
Exclusion	-$254,434	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	$15,710	TotalAmt
Program Services	$15,710	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$10,000	TotalAmt
Program Services	$10,000	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,620,991	TotalAmt
Program Services	$479,658	ProgramServicesAmt
Management And General	$1,141,333	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$57,181	TotalAmt
Program Services	$19,320	ProgramServicesAmt
Management And General	$37,861	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$27,519,223	TotalAmt
Program Services	$24,823,430	ProgramServicesAmt
Management And General	$2,695,793	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,413	TotalAmt
Program Services	$2,074	ProgramServicesAmt
Management And General	$339	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,032,250	TotalAmt
Program Services	$1,947,004	ProgramServicesAmt
Management And General	$1,085,246	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,010,310	TotalAmt
Program Services	$1,739,198	ProgramServicesAmt
Management And General	$271,112	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$305,441	TotalAmt
Management And General	$305,441	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$189,838	TotalAmt
Management And General	$189,838	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$113,841	TotalAmt
Management And General	$113,841	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$17,459,724	TotalAmt
Program Services	$14,060,934	ProgramServicesAmt
Management And General	$3,398,790	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$48,595	TotalAmt
Management And General	$48,595	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,945,391	TotalAmt
Program Services	$2,061,772	ProgramServicesAmt
Management And General	$883,619	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$406,093	TotalAmt
Program Services	$270,322	ProgramServicesAmt
Management And General	$135,771	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,960,926	TotalAmt
Program Services	$154,392	ProgramServicesAmt
Management And General	$2,806,534	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$469,552	TotalAmt
Program Services	$285,192	ProgramServicesAmt
Management And General	$184,360	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	$805,751	TotalAmt
Program Services	$26,818	ProgramServicesAmt
Management And General	$778,933	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$661,235	TotalAmt
Program Services	$180,399	ProgramServicesAmt
Management And General	$480,836	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,880,343	TotalAmt
Program Services	$372,860	ProgramServicesAmt
Management And General	$1,507,483	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$667,087	TotalAmt
Management And General	$667,087	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$4,909,463	$4,909,463
MEDICAL FACILITY SUPPLIES	$3,734,717	$3,734,717
REPAIRS & MAINTENANCE	$909,999	$559,176	$350,823
PHARMACEUTICALS EXPENSE	$1,695,762	$1,680,947	$14,815

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$640,941	TotalAmt
Program Services	$395,525	ProgramServicesAmt
Management And General	$245,416	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$75,072,777	TotalAmt
Program Services	$57,728,911	ProgramServicesAmt
Management And General	$17,343,866	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,055,048	BOYAmt
EOY	$1,035,996	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$5,037,482	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	$7,984,429	BOYAmt
EOY	$8,568,311	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	$3,228,106	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,131,460	BOYAmt
EOY	$1,152,331	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$237,272	BOYAmt
EOY	$341,725	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$65,158,472	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$53,439,831	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$12,659,822	BOYAmt
EOY	$11,718,641	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,286,529	BOYAmt
EOY	$2,197,390	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$4,046,215	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,582,666	BOYAmt
EOY	$34,098,091	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,901,212	BOYAmt
EOY	$14,173,799	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	$4,170,131	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,041,103	BOYAmt
EOY	$7,109,095	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	$4,319,195	BOYAmt
EOY	$813,125	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,431,641	BOYAmt
EOY	$22,096,019	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,151,025	BOYAmt
EOY	$11,318,339	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$683,733	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	$2,151,025	BOYAmt
EOY	$12,002,072	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$29,582,666	BOYAmt
EOY	$34,098,091	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$9,851,047	ReconcilationRevenueExpnssAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$8,514	OtherActivitiesAmt
Total Lobbying Expenditures	$8,514	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	OTHER ACTIVITIES: THE HOSPITAL PAYS VARIOUS DUES TO STATE AGENCIES a portion of which is attributable TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$788,219	OtherCostOrOtherBasisAmt
Book Value	$788,219	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,709,694	OtherCostOrOtherBasisAmt
Depreciation	$22,994,141	DepreciationAmt
Book Value	$4,715,553	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,860,927	OtherCostOrOtherBasisAmt
Depreciation	$4,402,630	DepreciationAmt
Book Value	$1,458,297	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,667,620	OtherCostOrOtherBasisAmt
Depreciation	$26,043,060	DepreciationAmt
Book Value	$4,624,560	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$132,012	OtherCostOrOtherBasisAmt
Book Value	$132,012	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$11,718,641	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	GROUP	Desc
Book Value	$2,197,390	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,197,390	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
ESTIMATED DUE FROM 3RD PARTY	$2,980,641
PROPERTY TAX RECEIVABLE	$977,244
OTHER OPERATING RECEIVABLE	$88,330

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$4,046,215	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ESTIMATED DUE TO 3RD PARTIES	$810,934
DUE TO AFFILIATE	$2,191

Field	Value	IRS element (for citing)
Total Liability	$813,125	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2	FormAndLineReferenceDesc
Explanation	ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$620,909	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$620,909	NetCommunityBenefitExpnsAmt
Total Expense	0.00880	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,364,701	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,743,761	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,620,940	NetCommunityBenefitExpnsAmt
Total Expense	0.08010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,985,610	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,743,761	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,241,849	NetCommunityBenefitExpnsAmt
Total Expense	0.08890	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$177,439	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$177,439	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$552,610	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$640,434	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,710	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,710	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$755,759	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$640,434	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$203,149	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,741,369	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,384,195	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,444,998	NetCommunityBenefitExpnsAmt
Total Expense	0.09180	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,460	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$42,460	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,460	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$42,460	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,909,463	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,963,786	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$13,383,536	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$12,495,319	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$888,217	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	false	WrittenDebtCollectionPolicyInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1901 RED ROCK DRIVE	AddressLine1Txt
City	GALLUP	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87301	ZIPCd

Field	Value	IRS element (for citing)
Website Address	RMCH.ORG	WebsiteAddressTxt
State License	6267	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	REPRESENTATIVES OF THE COMMUNITY: RMCHCS INTERVIEWED VARIOUS PERSONS FROM THE COMMUNITY USING A STRUCTURED INTERVIEW FORMAT. THE FOLLOWING COMMUNITY MEMBERS WERE INTERVIEWED: CARLTON ALBERT, NEW MEXICO EMS FOR PUEBLO OF ZUNI, FORMER PUEBLO OF ZUNI COUNCIL MEMBER JOHN ALLEN, DEPUTY CHIEF OF POLICE, CITY OF GALLUP, NEW MEXICO HELEN ALONZO, RN, SCHOOL NURSE, HEAD START, GALLUP, NEW MEXICO JAY AZUA, LADAC, CPSW, DIRECTOR, HOZHO CENTER/COUNSELOR, RMCHCS INPATIENT BEHAVIORAL HEALTH CARLA BAHA-ALCHESAY, DIVISION DIRECTOR, PUBLIC HEALTH AND NATIVE MEDICINE, INDIAN HEALTH SERVICE SINDY BALANOS-SACOMAN, SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) ALAN BEAMSLEY, DO, EMERGENCY MEDICINE, EMERGENCY DEPARTMENT, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES FRANCIS BEE, EXECUTIVE DIRECTOR, GALLUP NEW MEXICO BUSINESS IMPROVEMENT DISTRICT/MAIN STREET PROGRAM NORMAN D. BENALLY, MA CHIEF ADMINISTRATOR, NAVAHO HOUSING AUTHORITY GEORGE BRASINIKAS, MD, PATHOLOGIST, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES/GALLUP INDIAN MEDICAL CENTER ALLISON BYRNES, SUPERVISOR, DEVELOPMENTAL DISABILITY SERVICES, NEW MEXICO PUBLIC HEALTH DEPARTMENT RITA CANTSEE, PREVENTION SPECIALIST, NAVAJO NATION DEPARTMENT OF BEHAVIORAL HEALTH SERVICES, PREVENTION PROGRAMS DONNA CASTILLE, BUSINESS MANAGER, NORTHSIDE CLINIC, PMS (PRESBYTERIAN MEDICAL SERVICES FQHC) GALLUP, NEW MEXICO LETICIA CHAVEZ, DIRECTOR, WIC, WOMEN'S, INFANTS AND CHILDREN PROGRAM, NEW MEXICO DEPARTMENT OF HEALTH JIM CHRISTIAN, SUPERINTENDENT, MANUELITO NAVAJO CHILDREN'S HOME DENISE CLARK, RN, MSN, CHIEF NURSING OFFICER, REHOBOTH MCKINLEY CHRISTIAN HOSPITAL DAVID CONEJO, CHIEF EXECUTIVE OFFICER, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES RANDY COPELAND, MD, ORTHOPEDIC SURGEON, GALLUP INDIAN MEDICAL CENTER JOHN COYLE, CLINICAL ADMINISTRATOR, PRESBYTERIAN WESTERN NEW MEXICO MEDICAL GROUP, OUTPATIENT BEHAVIORAL HEALTH ALBERTA CURLEY, PREVENTION ADMINISTRATOR, NAVAJO NATION DEPARTMENT OF BEHAVIORAL HEALTH SERVICES, PREVENTION PROGRAMS LARRY CURLEY, MPA, DIRECTOR OF PROGRAM DEVELOPMENT, RMCHCS, FORMER DIRECTOR OF HEALTH, NAVAJO NATION CARMELITA DARWIN, PHN, DIRECTOR OF PUBLIC HEALTH NURSES, GALLUP INDIAN MEDICAL CENTER JASON DODD, OUTREACH COUNSELOR, OFFICE OF OUTREACH AND SUPPORT, DEPARTMENT OF VETERAN'S AFFAIRS JULIANA DOOLEY, COORDINATOR, BEHAVIORAL HEALTH INVESTMENT ZONE (BHIZ) /REALTOR, GALLUP, NEW MEXICO KEVIN FOLEY, PHD, CLINICAL DIRECTOR, NA'NIZHOOZHI CENTER, INC. (NCI) DETOX CENTER, GALLUP, NEW MEXICO LARRY FOSTER, BA, DIRECTOR, SOCIAL HYGIENE, INDIAN HEALTH SERVICE, GALLUP INDIAN MEDICAL CENTER MARK FREELAND, EXECUTIVE STAFF ASSISTANT TO PRESIDENT AND VICE -PRESIDENT, NAVAJO NATION CECILIA GADDY, DIRECTOR, NAVAJO NATION PROGRAM FOR SELF-RELIANCE GALLUP OFFICE, DIVISION OF SOCIAL SERVICES, NAVAJO NATION (TEMPORARY ASSISTANCE TO NEEDY FAMILIES-TANF) THERESA GRIEGO, OFFICE MANAGER, HEAD START, GALLUP, NEW MEXICO JONATHAN HALE, CHAIRMAN OF THE HEALTH, EDUCATION AND HUMAN SERVICES COMMITTEE, NAVAJO NATION, 23RD NAVAJO NATION COUNCIL AVA HANAWEEKE, RMCHCS BOARD MEMBER, FORMER TRIBAL ADMINISTRATOR, PUEBLO OF ZUNI SU HODGMAN, EXECUTIVE DIRECTOR, NORTHWEST NEW MEXICO FIRST BORN PROGRAM, MCKINLEY AND SAN JUAN COUNTIES JOHN HUBBARD, RETIRED, FORMER REGIONAL DIRECTOR, INDIAN HEALTH SERVICE REGINA HUFFMAN, DIRECTOR, AVENUES EARLY CHILDHOOD SERVICES, MCKINLEY COUNTY MARY IPPEL, RN, OB/GYN, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES TRISTAN KELLER, MSW, OUTREACH SOCIAL WORKER/COORDINATOR OF HOUSING, DEPARTMENT OF VETERAN'S AFFAIRS WILLIAM KIEFER, DNP, CHIEF OPERATING OFFICER, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES RACHAEL KILGORE, ACTING DIRECTOR, BATTERED FAMILY SERVICES, INC., GALLUP AND PUEBLO OF ZUNI, AND DIRECTOR SEXUAL ASSAULT SERVICES OF NORTHWEST NEW MEXICO, GALLUP NEW MEXICO GREG KIRK, DIRECTOR OF PHYSICAL THERAPY, REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES TERRI LAUGHLIN, PARENT, FAMILY AND CHILD EDUCATOR SPECIALIST, HEAD START, GALLUP, NEW MEXICO ROBERT LEWIS, READJUSTMENT COUNSELING AND OUTREACH COUNSELOR, NM DEPARTMENT OF VETERANS AFFAIRS TOMMY LEWIS, PHD, SUPERINTENDENT OF SCHOOLS, DEPARTMENT OF DIN EDUCATION, NAVAJO NATION MARY LINDENMEYER, MA, MSW, COORDINATOR OF COUNSELORS, GALLUP MCKINLEY COUNTY SCHOOLS KARL LOHMAN, RETIRED TEACHER, GALLUP MCKINLEY COUNTY SCHOOLS, VOLUNTEER LEADER, NATIONAL INDIAN YOUTH LEADERSHIP PROGRAM, YOUTH CONSERVATION CORPS, BOYS AND GIRLS CLUB, MCKINLEY COUNTY NICOLE LUJAN, CASE MANAGER, BEHAVIORAL HEALTH INVESTMENT ZONE, FORMER DISEASE PREVENTION AND HARM REDUCTION SPECIALIST, NEW MEXICO DEPARTMENT OF HEALTH BARBARA L. MCANENY, MD, CEO, NEW MEXICO CANCER CENTER/NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS, LTD./FORMER CHAIR, AMERICAN MEDICAL ASSOCIATION (AMA) NILES MCCALL, MA, DIRECTOR OF EDUCATION, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES WILLIAM MCCARTHY, EXECUTIVE DIRECTOR, SOUTHWEST INDIAN FOUNDATION JACKIE MCKINNEY, MAYOR, CITY OF GALLUP, NEW MEXICO JOHN MCMULLIN, CHIEF FINANCIAL OFFICER, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES SAM MACBRIDE, MD, CHIEF MEDICAL OFFICER, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES DEBRA MARTINEZ, COORDINATOR, MCKINLEY COUNTY DWI PROGRAM LINDA MORALES, DIRECTOR, BETHANY DAY CARE CENTER, GALLUP, NEW MEXICO BETTY NEZ, DIRECTOR, PUEBLO OF ZUNI SOCIAL SERVICES BENSON NDOLO, EXECUTIVE DIRECTOR, NEW LIFE LEARNING CENTER, NATIVE AMERICAN NEW LIFE MINISTRIES JENNY NOTAH, ACTING AREA STATISTICAL OFFICER, OFFICE OF PROGRAM PLANNING AND STATISTICS, NAVAJO AREA, INDIAN HEALTH SERVICE BEATRICE NU EZ, RN, LABOR AND DELIVERY NURSE, OB/GYN, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES MICHAEL NYE, CHIEF OFFICER OF COMPLIANCE AND PROFESSIONAL SERVICES, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES TONY OSBORNE, CNP, PRESBYTERIAN MEDICAL SERVICES NORTHSIDE CLINIC (FQHC), GALLUP, NEW MEXICO YVONNE PEPPERZAK BLAKE, DIABETES EDUCATOR, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES ALICE PEREZ, EXECUTIVE DIRECTOR, COMMUNITY PANTRY, GALLUP AND GRANTS, NEW MEXICO BONITA PETRONOVICH, DIRECTOR OF EARLY CHILDHOOD PROGRAMMING, GALLUP MCKINLEY COUNTY SCHOOLS KRIS PIKAART, CHAPLAIN, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES SARA PIKAART, RN, OB/GYN DEPARTMENT, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES FRAN POLOCHAK, CITY COUNCILWOMAN, CITY OF GALLUP, NEW MEXICO KIMBERLY PRIGMORE, DIRECTOR, HOME HEALTH AND HOSPICE, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES JOHN RATMEYER, MD, PEDIATRICIAN, GALLUP INDIAN MEDICAL CENTER CHARLES READO, COUNTY OFFICE MANAGER, PROTECTIVE SERVICES
SCHEDULE H, PART V, SECTION B, LINE 6A	OTHER HOSPITAL FACILITIES: THE HOSPITAL'S CHNA WAS CONDUCTED WITH GALLUP INDIAN MEDICAL CENTER - GALLUP, NM.
SCHEDULE H, PART V, SECTION B, LINE 6B	CHNA CONDUCTED WITH OTHER ORGANIZATIONS: THE HOSPITAL'S CHNA WAS CONDUCTED WITH MCKINLEY COUNTY COMMUNITY HEALTH ALLIANCE.
SCHEDULE H, PART V, SECTION B, LINE 7A & 10A	CHNA & IMPLEMENTATION STRATEGY MADE AVAILABLE: THE HOSPITAL'S MOST RECENT CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING WEBSITE: http://www.rmch.org/getpage.php?name=community_health_needs
SCHEDULE H, PART V, SECTION B, LINE 11	NEEDS ADDRESSED AND NOT ADDRESSED: THE HEALTH NEEDS COVERED IN THE IMPLEMENTATION STRATEGY ARE LIMITED TO THOSE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. UPON PUBLICATION OF THE CHNA, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES (RMCHCS) ADMINISTRATIVE TEAM MET AND DECIDED TO PRIORITIZE WORK ON THE HEALTH NEEDS THAT FELL INTO THE FOLLOWING CATEGORIES: -ALIGNMENT -SERIOUSNESS OF ISSUE -ASSOCIATED HEALTH DISPARITIES -CRITICALITY IN IMPROVING, MAINTAINING HEALTH OR IMPROVING ACCESS BY REMOVING BARRIERS. THE RESULT OF THIS CONSULTATION WAS THE SELECTION OF "SIGNIFICANT HEALTH NEEDS," ORGANIZED INTO PRIMARY CATEGORIES AND A NUMBER OF SUBCATEGORIES AS STRUCTURED IN THE CHNA. Access to health care Opened an Urgent Care and are launching a Mobile Health Clinic to increase access to care in more rural areas. We expect the mobile health unit to begin providing services in January of 2020. Our community collaboration activities include the Behavioral Health Collaborative (organized by RMCHCS), participating in the community wide Behavioral Health Investment Zone (BHIZ), The McKinley County Health Alliance and various other community task force meetings. We are currently working with a community group in coordination with the NM Collation to End Homelessness to develop a supportive housing project to meet the needs of homeless individuals struggling with substance abuse and/or mental health issues. We have applied for CARF accreditation for our inpatient residential treatment program and have expanded to 69 beds. We are also developing and seeking accreditation for an IOP to ensure continuity of care following graduation from residential treatment. In addition, we are developing a special program to address the needs of pregnant women who are using alcohol and or drugs. Another issue for our region is a shortage of primary care providers. We received a federal planning grant for a rural family medicine residency program. We have applied for accreditation and are working on the medical residency program curriculum a component of which is specifically designed to meet the needs of Native Americans. It is our expectation that the first cohort of residents will begin in 2021. Finally, We have added the following specialty services Pulmonology, Urology, ENT, and Podiatry
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. LASTLY, THE POLICY DOESN'T EXPLICITLY STATE WHAT METHOD IT USES TO CACLULATE AMOUNTS GENERALLY BILLED (AGB). 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. COMPLY WILL BE CORRECTED AS THEY ARE IDENTIFIED.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
COLLEGE CLINIC
211 COLLEGE DRIVE	GALLUP	NM	87301	PEDIATRICS, INTERNAL & FAMILY
RED ROCK CLINIC
1900 RED ROCK DRIVE	GALLUP	NM	87301	OB/GYN ORTHOPEDICS
BEHAVIORAL HEALTH SERVICES
650 VANDEN BOSCH PKWY	GALLUP	NM	87301	ADDICTION & PSYCHIATRIC SERVICES

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	DISCOUNTED CARE: FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: RMCHCS'S FINANCIAL ASSISTANCE POLICY INDICATES THAT THE CRITERIA criteria to be eligible for assistance requires the patient to not be insured and not qualify for any other payment method. OTHER CRITERIA: -ASSET LEVEL -MEDICAL INDIGENCY -INSURANCE STATUS -MEDICAL INDIGENCY -INSURANCE STATUS
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT: THE AMOUNT OF BAD DEBT IS THE AMOUNT REPORTED IN THE AUDITED FINANCIAL STATEMENTS.
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: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICE PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. On a monthly basis, the Hospital evaluates patient accounts receivable balances older than six months to determine collectability. Accounts are considered uncollectible when there has been no recent payment activity and no other indication that payment will be received. Those balances that are considered uncollectible are written off upon approval from the Director of Patient Financial Services, Chief Financial Officer and Chief Executive Officer, depending on the balance of the account. During 2018 and 2017, the Hospital wrote off approximately $2.2 million and $4.4 million, respectively, to the provision for uncollectible accounts. The Hospitals allowance for doubtful accounts was approximately 59% of patient accounts receivable at December 31, 2018 and 2017. The Hospital did not change its charity care or uninsured discount policies during fiscal years 2018 and 2017.
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 Womens 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 CEOs 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 http://www.rmch.org/getpage.php?name=financial_services&sub=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.
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 2018.
SCHEDULE H, PART I, LINE 7, COLUMN F	PERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $4,909,463 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 I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES TO MONITOR THE USE OF FUNDS IN THE U.S.: ALL SCHOLARSHIPS ARE PAID TO THE RECIPIENT INSTITUTION TO ENSURE IT IS USED FOR education.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
William Kiefer
COO	$329,204	$0	$0	$0	$0	$0	$0	$0	$7,837	$0	$337,041	$0	$0	$0
gregg magers
cfo 03/18 - 11/18	$185,000	$0	$0	$0	$0	$0	$0	$0	$0	$0	$185,000	$0	$0	$0
CHARLES JS GUIMARAES
chief of staff	$423,703	$0	$33,087	$0	$9,433	$0	$0	$0	$13,435	$0	$479,658	$0	$0	$0
WAYNE VINTON
CRNA	$330,882	$0	$10,000	$0	$0	$0	$0	$0	$7,326	$0	$348,208	$0	$0	$0
FRANCISCA LYTLE
PHYSICIAN	$339,788	$0	$0	$0	$0	$0	$0	$0	$11,839	$0	$351,627	$0	$0	$0
COLIN BERRY
PHYSICIAN	$299,463	$0	$0	$0	$9,433	$0	$0	$0	$13,435	$0	$322,331	$0	$0	$0
AEDRA ANDRADE
PHYSICIAN	$203,914	$0	$91,274	$0	$9,433	$0	$0	$0	$13,435	$0	$318,056	$0	$0	$0
VALORY WANGLER
CMO	$151,819	$0	$10,000	$0	$0	$0	$0	$0	$3,805	$0	$165,624	$0	$0	$0
KIMBERLY KAREN JONES
CHIEF ML	$159,693	$0	$0	$0	$0	$0	$0	$0	$5,508	$0	$165,201	$0	$0	$0
Mital Patel
Physician	$285,649	$0	$0	$0	$5,442	$0	$0	$0	$7,249	$0	$298,340	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 7	FormAndLineReferenceDesc
Explanation	NON-FIXED PAYMENTS: THE BONUSES OF THE PHYSICIANS LISTED ARE DETERMINED BY A JOINT CONSULTATION BETWEEN THE CEO, CMO, CNO AND THE HR DIRECTOR. THIS IS INCORPORATED WITH MGMA DATA AND OTHER DATA SOURCES.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DALLAGO CORPORATION
DIRECTOR OWNED	$186,503	PROVIDES CONSTRUCTION SERVICES	false
HEALTHCARE INTEGRITY LLC
OFFICER OWNS 100%	$305,441	MANAGEMENT SERVICES	false
carrie mikos
wife of officer	$5,770	salaries/wages	false
phildon jackson
son of board member	$37,861	salaries/wages	false
sarah zylstra
mother of board member	$13,550	salaries/wages	false
invictus healthcare mgmt llc
owned by key employee	$530,127	professional services	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1A	DELEGATION OF AUTHORITY: THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE THAT HAS THE POWER TO TRANSACT ALL REGULAR AND ROUTINE BUSINESS OF THE HOSPITAL BETWEEN BOARD MEETINGS.
FORM 990, PART VI, SECTION A, LINE 2	Relationships between key employees: KEN MIKOS AND CARRIE MIKOS, GENEVIEVE JACKSON AND PHILDON JACKSON, KEN ZYLSTRA AND SARAH ZYLSTRA, ALL HAVE FAMILY RELATIONSHIPS.
FORM 990, PART VI, SECTION A, LINE 3	DELEGATION OF MANAGEMENT DUTIES: THE HOSPITAL HAS 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 $629,927
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 FORM 990 AT THE MONTHLY MEETING OF THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES. AT THE NEXT REGULARLY SCHEDULED MONTHLY MEETING OF THE FULL BOARD OF TRUSTEES, THE TREASURER REVIEWS THE KEY POINTS ON THE FORM 990 WITH THE BOARD, AND THE FINANCE COMMITTEE RECOMMENDS ACCEPTANCE OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR COMPLIANCE WITH CONFLICT OF INTEREST POLICY: IN JANUARY OF EACH YEAR, EVERY MEMBER OF THE BOARD OF TRUSTEES COMPLETES A WRITTEN CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE THEN REVIEWED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES. IF A CONFLICT IS FOUND TO EXIST, THE CONFLICTED MEMBER ABSTAINS FROM VOTING ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15A	COMPENSATION REVIEW: EVERY 3-5 YEARS, THE BOARD OF TRUSTEES CONTRACTS WITH AN INDEPENDENT OUTSIDE ENTITY FOR A COMPENSATION REVIEW AND RECOMMENDATION FOR THE SALARY AND BENEFITS PROVIDED TO THE CEO. EVERY YEAR THE CEO'S COMPENSATION PACKAGE IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES DURING THE ANNUAL EVALUATION OF THE CEO. DOCUMENTATION OF THE REVIEW IS KEPT IN THE COMMITTEE MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABILITY OF DOCUMENTS: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS OF RMCHCS ARE ALL AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICES, 1901 RED ROCK DRIVE, GALLUP, NEW MEXICO.
FORM 990, PART III, LINE 4D	PROGRAM ACCOMPLISHMENTS: HOME HEALTH IS INTERIM CARE TO HELP PATIENTS TRANSITION FROM AN ACUTE ILLNESS TO CARE AT HOME. DURING THE EPISODE OF CARE, HOME HEALTH STAFF PROVIDE CARE FOR PATIENTS WITH A DISEASE OR LONG-TERM HEALTH ISSUES. HOSPICE IS A PROGRAM FOR PATIENTS WHO HAVE A TERMINAL ILLNESS. THE PROGRAM PROVIDES SUPPORT AND GUIDANCE TO THE END OF LIFE PATIENTS. STAFF MEMBERS SEE AN AVERAGE OF 5 PATIENTS A DAY, WITH CARE FOCUSED ON THE FAMILY. THE HOME CARE SERVICE AREA COVERS A DISTANCE OF ABOUT 30 MILES IN ALL DIRECTIONS SURROUNDING GALLUP.
FORM 990, PART IV, LINE 12 & PART XII, LINE 2	AUDITED FINANCIAL STATEMENTS: THE ORGANIZATION HAS ANSWERED "NO" TO THE QUESTIONS REGARDING AN AUDIT IN PART IV, LINE 12B AND PART XII. THE ORGANIZATION IS IN THE PROCESS OF AN AUDIT OF THE FINANCIAL STATEMENTS FOR THE YEAR ENDED December 31, 2018. HOWEVER, AT THE TIME OF FILING THIS RETURN, THE AUDIT IS NOT YET COMPLETE. THE ORGANIZATION HAS ATTACHED A COPY OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED December 31, 2017 and December 31, 2016 TO THE 990 AND ANSWERED YES TO PART IV, LINE 20B.
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:940193
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:7397479
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR TOTAL FEES:2876005
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:6246047

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	WESTERN HEALTH FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1901 RED ROCK DRIVE	AddressLine1Txt
City	GALLUP	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87301	ZIPCd

Field	Value	IRS element (for citing)
EIN	850349559	EIN
Primary Activities	SUPPORT	PrimaryActivitiesTxt
Legal Domicile State	NM	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	12, TYPE I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	WESTERN HEALTH FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$132,582	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt