2019-11-15T19:30:21-06:00 2018-12-31 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2018-01-01 850313268 Rehoboth Mckinley Christian Healthcare Services % GREGG MAGERS REHO 5058637000 1901 Red Rock Drive Gallup NM 87301 DAVID CONEJO CEO 5058637000 2019-11-15 true Jeanette Verrelli P00742631 9727028262 167.68.126.162 70234720193195000001 2019-11-15 P 98C67C06075FADA3594A58B7FA41D63CA3097B7E EB976710118F518B8933A72D91D1D85239D99EDA 2018 2020-03-31 21:24:44Z DAVID CONEJO 1901 RED ROCK DR GALLUP NM 87301 84923824 false X WWW.RMCH.ORG X 1985 NM REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES, INC. (RMCHCS) WILL BE THE PREFERRED HEALTHCARE PROVIDER ORGANIZATION FOR MCKINLEY COUNTY ... (CONTINUED ON SCH O) 9 5 897 35 0 0 3855410 2914331 63449258 82263927 41152 54045 1412256 -308479 68758076 84923824 25581 25710 0 0 34395704 34242368 0 0 0 37483973 40804699 71905258 75072777 -3147182 9851047 29582666 34098091 27431641 22096019 2151025 12002072 X The mission of RMCHCS is to serve God by making a profound and lasting difference in the health and quality of life for all people in the community. false false 38984327 25710 68747883 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. 12638913 8515365 PROVIDES PRIMARY CARE SERVICES TO PATIENTS THROUGH MULTI-SPECIALTY CLINICS. 4137801 4775015 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. 1967870 225664 See Schedule O 1967870 225664 57728911 true true false true false false false false false false true true false true true false false false false false false false false false false false true true false true true false false false false false true true true false false false false false true true true false false true 173 0 897 true false false false false false false false false false false false false X 9 5 true true false false false true false true true false false false true true true true true true false false NM X GREGG MAGERS 5058637347 1901 RED ROCK DR GALLUP NM 87301 X CHARLES JS GUIMARAES chief of staff 40.0 0.0 X 466223 0 13435 KEN ZYLSTRA treasurer 1.0 0.0 X X 0 0 0 JOHN LUGINBUHL governance chair 1.0 0.0 X 0 0 0 DAVID DALLAGO chair 1.0 0.0 X X 0 0 0 SONLATSA MARTIN trustee 1.0 0.0 X 0 0 0 LORELEI KAY trustee 1.0 0.0 X 0 0 0 LAURA HAMMONS trustee 1.0 0.0 X 0 0 0 KLO ABEITA trustee 1.0 0.0 X 0 0 0 genevieve jackson trustee 1.0 0.0 X 0 0 0 gregg magers cfo 03/18 - 11/18 40.0 0.0 X 185000 0 0 KIMBERLY KAREN JONES CHIEF ML 40.0 0.0 X 159693 0 5508 DAVID CONEJO CEO 40.0 0.0 X 0 0 0 JOHN MCMULLIN CFO End: 04/18 40.0 0.0 X 84208 0 6606 JAY HODGES CFO start: 10/18 40.0 0.0 X 67695 0 0 Randolph Myers CIO End: 10/18 40.0 0.0 X 113049 0 5948 Ken Mikos CIO Start: 11/18 40.0 0.0 X 10962 0 0 William Kiefer COO 40.0 0.0 X 329204 0 7837 VALORY WANGLER CMO 40.0 0.0 X 161819 0 3805 WAYNE VINTON CRNA 40.0 0.0 X 340882 0 7326 FRANCISCA LYTLE PHYSICIAN 40.0 0.0 X 339788 0 11839 COLIN BERRY PHYSICIAN 40.0 0.0 X 308896 0 13435 AEDRA ANDRADE PHYSICIAN 40.0 0.0 X 304621 0 13435 Mital Patel Physician 40.0 0.0 X 291091 0 7249 3163131 0 96423 44 false true false AMERICAN PHYSICIAN PARTNERS 5121 MARYLAND WAY BRENTWOOD TN 37027 MEDICAL SERVICES 1620844 ACCORDIAS HEALTHCARE SERVICES LLC 1161 MURFREESBORO PIKE NASHVILLE TN 37217 STAFF/CONSULTING 1234250 HHS CULINARY AND NUTRITION SOLUTION 216 E 4TH STREET AUSTIN TX 78701 DIETARY SERVICES 1116210 HEALTH CAROUSEL LLC 1700 MADISON ROAD CINCINNATI OH 45206 STAFFING 884132 COMPHEALTH PO BOX 972651 DALLAS TX 75397 MEDICAL SERVICES 827360 35 132582 2756748 25001 2914331 NET PATIENT SERVICE REVENUE 621110 70692388 70692388 SAFETY NET CARE POOL 621110 5760038 5760038 OTHER OPERATING REVENUE 621110 5456608 5456608 MEDICAL OFFICE RENTAL REVENUE 531120 354893 354893 82263927 54045 54045 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CAFETERIA REVENUE 722514 102688 102688 INVESTMENT OF RISK RETENTION GROUP 900099 -83452 -83452 LOSS ON UNAMORTIZED DEBT 900099 -327715 -327715 -308479 84923824 82263927 -254434 X 15710 15710 10000 10000 0 0 1620991 479658 1141333 57181 19320 37861 27519223 24823430 2695793 2413 2074 339 3032250 1947004 1085246 2010310 1739198 271112 305441 305441 189838 189838 113841 113841 0 0 0 17459724 14060934 3398790 48595 48595 2945391 2061772 883619 406093 270322 135771 0 2960926 154392 2806534 469552 285192 184360 0 805751 26818 778933 661235 180399 480836 0 1880343 372860 1507483 667087 667087 BAD DEBT EXPENSE 4909463 4909463 MEDICAL FACILITY SUPPLIES 3734717 3734717 REPAIRS & MAINTENANCE 909999 559176 350823 PHARMACEUTICALS EXPENSE 1695762 1680947 14815 640941 395525 245416 75072777 57728911 17343866 0 1055048 1035996 0 5037482 0 0 7984429 8568311 0 0 0 0 3228106 0 1131460 1152331 237272 341725 65158472 53439831 12659822 11718641 0 0 3286529 2197390 0 0 0 0 0 4046215 29582666 34098091 17901212 14173799 0 0 0 0 4170131 0 0 0 0 0 1041103 7109095 0 0 4319195 813125 27431641 22096019 X 2151025 11318339 0 683733 0 0 2151025 12002072 29582666 34098091 9851047 X X false false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 8514 8514 false SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES: THE HOSPITAL PAYS VARIOUS DUES TO STATE AGENCIES a portion of which is attributable TO LOBBYING. 788219 788219 27709694 22994141 4715553 5860927 4402630 1458297 30667620 26043060 4624560 132012 132012 11718641 GROUP 2197390 F 2197390 ESTIMATED DUE FROM 3RD PARTY 2980641 PROPERTY TAX RECEIVABLE 977244 OTHER OPERATING RECEIVABLE 88330 4046215 0 ESTIMATED DUE TO 3RD PARTIES 810934 DUE TO AFFILIATE 2191 813125 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X 300. false true true false false 620909 620909 0.00880 27364701 21743761 5620940 0.08010 27985610 21743761 6241849 0.08890 177439 177439 0.00250 552610 640434 0 0.00000 25710 25710 0.00040 755759 640434 203149 0.00290 28741369 22384195 6444998 0.09180 42460 42460 0.00060 42460 42460 0.00060 true 4909463 1963786 13383536 12495319 888217 X false 1 1 RMCHCS HOSPITAL 1901 RED ROCK DRIVE GALLUP NM 87301 RMCH.ORG 6267 X X X RMCHCS HOSPITAL false false true X X X X X X X X X 16 true true true true X SEE PART V, SECTION C X true 16 true SEE PART V, SECTION C false true X 300. 0. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 REPRESENTATIVES OF THE COMMUNITY: 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. 3 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 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). false Scholarships 11 10000 SCHEDULE I, PART I, LINE 2 PROCEDURES TO MONITOR THE USE OF FUNDS IN THE U.S.: ALL SCHOLARSHIPS ARE PAID TO THE RECIPIENT INSTITUTION TO ENSURE IT IS USED FOR education. X X X false false false false false false false true false William Kiefer COO 329204 0 0 0 0 0 0 0 7837 0 337041 0 0 0 gregg magers cfo 03/18 - 11/18 185000 0 0 0 0 0 0 0 0 0 185000 0 0 0 CHARLES JS GUIMARAES chief of staff 423703 0 33087 0 9433 0 0 0 13435 0 479658 0 0 0 WAYNE VINTON CRNA 330882 0 10000 0 0 0 0 0 7326 0 348208 0 0 0 FRANCISCA LYTLE PHYSICIAN 339788 0 0 0 0 0 0 0 11839 0 351627 0 0 0 COLIN BERRY PHYSICIAN 299463 0 0 0 9433 0 0 0 13435 0 322331 0 0 0 AEDRA ANDRADE PHYSICIAN 203914 0 91274 0 9433 0 0 0 13435 0 318056 0 0 0 VALORY WANGLER CMO 151819 0 10000 0 0 0 0 0 3805 0 165624 0 0 0 KIMBERLY KAREN JONES CHIEF ML 159693 0 0 0 0 0 0 0 5508 0 165201 0 0 0 Mital Patel Physician 285649 0 0 0 5442 0 0 0 7249 0 298340 0 0 0 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: THE BONUSES OF THE PHYSICIANS LISTED ARE DETERMINED BY A JOINT CONSULTATION BETWEEN THE CEO, CMO, CNO AND THE HR DIRECTOR. THIS IS INCORPORATED WITH MGMA DATA AND OTHER DATA SOURCES. DALLAGO CORPORATION DIRECTOR OWNED 186503 PROVIDES CONSTRUCTION SERVICES false HEALTHCARE INTEGRITY LLC OFFICER OWNS 100% 305441 MANAGEMENT SERVICES false carrie mikos wife of officer 5770 salaries/wages false phildon jackson son of board member 37861 salaries/wages false sarah zylstra mother of board member 13550 salaries/wages false invictus healthcare mgmt llc owned by key employee 530127 professional services false 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 WESTERN HEALTH FOUNDATION 1901 RED ROCK DRIVE GALLUP NM 87301 850349559 SUPPORT NM 501(C)(3) 12, TYPE I RMCHCS true false true true false false false false false false false false false false false true false false false false WESTERN HEALTH FOUNDATION C 132582 FMV