ARTESIA GENERAL HOSPITAL: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ARTESIA GENERAL HOSPITAL (EIN 74-2851819)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2018-12-17
- IRS object ID
- 201803519349300340
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-12-17T12:07:40-07:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742851819 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARTESIA GENERAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ARTE | BusinessNameControlTxt |
| Phone | 5757488300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 702 N 13TH STREET | AddressLine1Txt |
| City | ARTESIA | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88210 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CORINA YATES | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5757488300 | PhoneNum |
| Signature | 2018-12-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LUKE ZARECOR | PreparerPersonNm |
| PTIN | P02161725 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2018-12-17 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 63.131.236.90 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-12-17 | IPDt |
| IP Tm | 13:07:40 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 2474EFBFE268E1323248D70D812BABF32F861C74 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2474EFBFE268E1323248D70D812BABF32F861C74 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CORINA YATES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 702 N 13TH STREET | AddressLine1Txt |
| City | ARTESIA | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $68,653,708 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ARTESIAGENERAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE TO THE FAMILIES OF ARTESIA AND SURROUNDING COMMUNITIES WHILE CONTINUALLY IMPROVING QUALITY OF PATIENT CARE AND UTILIZING RESOURCES EFFECTIVELY AND EFFICIENTLY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 574 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $4,283,190 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,111,010 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $62,512,644 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $64,139,603 | CYProgramServiceRevenueAmt |
| PY Investment Income | $35,644 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,765 | CYInvestmentIncomeAmt |
| PY Other Revenue | $380,773 | PYOtherRevenueAmt |
| CY Other Revenue | $397,330 | CYOtherRevenueAmt |
| PY Total Revenue | $67,212,251 | PYTotalRevenueAmt |
| CY Total Revenue | $68,653,708 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $75,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,557,200 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $33,294,279 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $39,981,136 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $137,513 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $30,619,782 | PYOtherExpensesAmt |
| CY Other Expenses | $30,713,438 | CYOtherExpensesAmt |
| PY Total Expenses | $63,989,061 | PYTotalExpensesAmt |
| CY Total Expenses | $72,251,774 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,223,190 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,598,066 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $66,049,387 | TotalAssetsBOYAmt |
| Total Assets EOY | $65,169,306 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,199,823 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,807,118 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $58,849,564 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $56,362,188 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE HEALTH CARE TO THE FAMILIES OF ARTESIA AND SURROUNDING COMMUNITIES WHILE CONTINUALLY IMPROVING QUALITY OF PATIENT CARE AND UTILIZING RESOURCES EFFECTIVELY AND EFFICIENTLY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $62,280,197 | ExpenseAmt |
| Grant | $1,557,200 | GrantAmt |
| Revenue | $64,139,603 | RevenueAmt |
| Desc | ARTESIA GENERAL HOSPITAL IS A 49-BED SOLE COMMUNITY HEALTH PROVIDER THAT SERVES ARTESIA AND SOUTHEASTERN NEW MEXICO PROVIDING GENERAL ACUTE CARE, CARDIOLOGY, PSYCHIATRIC, MEDICAL AND SURGICAL SERVICES INCLUDING OUTPATIENT AND EMERGENCY CARE SERVICES. DURING THE TAX YEAR, THE HOSPITAL HAD 1,057 ADMISSIONS OF WHICH 146 WERE GERI-PSYCH, 3,540 PATIENT DAYS, 1,826 SURGERIES, 13,306 EMERGENCY ROOM VISITS, 20,882 OUTPATIENT DIAGNOSTIC VISITS AND 60,343 CLINIC VISITS. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED CHARGES OF PROVIDING CARE TO THESE PATIENTS WERE 1,667,416 FOR CHARITY CARE, 54,406,832 FOR MEDICARE, 33,760,319 FOR MEDICAID AND 23,101,317 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. | Desc |
| Total Program Service Expenses | $62,280,197 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | 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 | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 192 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 574 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CORINA YATES | PersonNm |
| Phone | 5757488300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 702 N 13TH STREET | AddressLine1Txt |
| City | ARTESIA | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88210 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOE SALGADO | ||||||||
| CHIEF OF STA | 40.00 | Yes (X) | $343,004 | $0 | $35,494 | |||
| ANNA BYERS | ||||||||
| CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MELANIE HALL | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DENNIS MAUPIN | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| PAM HORNER | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MIKE PHIPPS | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BEN HARVEY | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MIKE DEANS | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH RANDALL | ||||||||
| CEO THRU APR | 40.00 | $558,809 | $0 | $42,251 | Yes (X) | |||
| ROBERT TYK | ||||||||
| CEO | 40.00 | $259,971 | $0 | $30,697 | Yes (X) | |||
| CORINA YATES | ||||||||
| CFO | 40.00 | $115,760 | $0 | $16,039 | Yes (X) | |||
| FRANK POWELL | ||||||||
| INTERIM CFO | 40.00 | $16,846 | $0 | $0 | Yes (X) | |||
| JOHN MCMULLIN | ||||||||
| CFO THRU MAY | 40.00 | $0 | $0 | $0 | Yes (X) | |||
| ELIZABETH SELLERS | ||||||||
| COO | 40.00 | $198,884 | $0 | $3,524 | Yes (X) | |||
| CHARLES ELLIS | ||||||||
| COO THRU APR | 40.00 | $152,805 | $0 | $496 | Yes (X) | |||
| SHAHRIAR ANOUSHFAR | ||||||||
| PHYSICIAN | 40.00 | $937,597 | $0 | $39,452 | Yes (X) | |||
| MARSHALL BACA SR | ||||||||
| PHYSICIAN | 40.00 | $883,806 | $0 | $46,105 | Yes (X) | |||
| ZHINIAN WAN | ||||||||
| PHYSICIAN | 40.00 | $686,822 | $0 | $42,512 | Yes (X) | |||
| THOMAS REICH | ||||||||
| PHYSICIAN | 40.00 | $501,254 | $0 | $40,323 | Yes (X) | |||
| KAY JENKINS | ||||||||
| CHIEF LEGAL | 40.00 | $233,241 | $0 | $23,697 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,888,799 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $320,590 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 52 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDEFIS INC | |||||
| PO BOX 5068 | NEW YORK | NY | 10087 | NURSING STAFF | $327,036 |
| APF FBO WORKBEAST LLC | |||||
| PO BOX 823473 | PHILADELPHIA | PA | 19182 | CODER | $266,986 |
| THERAPY SOLUTIONS OF NW LLC | |||||
| PO BOX 213 | DEXTER | NM | 88230 | THERAPIST | $198,960 |
| CARDINAL HEALTH PHARMACY | |||||
| PO BOX 730112 | DALLAS | TX | 75397 | PHARMACIST | $136,018 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,111,010 | GovernmentGrantsAmt |
| Total Contributions | $4,111,010 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $57,785,796 | $57,785,796 |
| SAFETY NET CARE POOL | 622110 | $6,293,446 | $6,293,446 |
| APD/JAIL REVENUE | 622110 | $33,704 | $33,704 |
| MEALS ON WHEELS | 624210 | $26,657 | $26,657 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $64,139,603 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,765 | TotalRevenueColumnAmt |
| Exclusion | $5,765 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $74,472 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $74,472 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,472 | TotalRevenueColumnAmt |
| Exclusion | $74,472 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| COMMUNITY MEALS | 722514 | $158,264 | $158,264 |
| OTHER REVENUE | 900099 | $82,166 | $82,166 |
| PATIENT ACCOUNT INTEREST | 900099 | $73,808 | $73,808 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,620 | TotalRevenueColumnAmt |
| Exclusion | $8,620 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $322,858 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,653,708 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $64,139,603 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $403,095 | 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 | $1,557,200 | TotalAmt |
| Program Services | $1,557,200 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,522,444 | TotalAmt |
| Program Services | $358,912 | ProgramServicesAmt |
| Management And General | $1,163,532 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,953,491 | TotalAmt |
| Program Services | $28,829,163 | ProgramServicesAmt |
| Management And General | $4,069,149 | ManagementAndGeneralAmt |
| Fundraising | $55,179 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $429,328 | TotalAmt |
| Program Services | $402,662 | ProgramServicesAmt |
| Management And General | $25,877 | ManagementAndGeneralAmt |
| Fundraising | $789 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,754,738 | TotalAmt |
| Program Services | $2,351,268 | ProgramServicesAmt |
| Management And General | $399,001 | ManagementAndGeneralAmt |
| Fundraising | $4,469 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,321,135 | TotalAmt |
| Program Services | $1,968,712 | ProgramServicesAmt |
| Management And General | $348,698 | ManagementAndGeneralAmt |
| Fundraising | $3,725 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,059 | TotalAmt |
| Management And General | $144,059 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,340 | TotalAmt |
| Management And General | $21,340 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,192,135 | TotalAmt |
| Program Services | $5,640,794 | ProgramServicesAmt |
| Management And General | $2,501,914 | ManagementAndGeneralAmt |
| Fundraising | $49,427 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $342,603 | TotalAmt |
| Program Services | $18,268 | ProgramServicesAmt |
| Management And General | $324,335 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,086,120 | TotalAmt |
| Program Services | $4,682,726 | ProgramServicesAmt |
| Management And General | $402,804 | ManagementAndGeneralAmt |
| Fundraising | $590 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $774,037 | TotalAmt |
| Program Services | $739,358 | ProgramServicesAmt |
| Management And General | $34,679 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,158,723 | TotalAmt |
| Program Services | $1,447,372 | ProgramServicesAmt |
| Management And General | $710,545 | ManagementAndGeneralAmt |
| Fundraising | $806 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,689 | TotalAmt |
| Program Services | $182,202 | ProgramServicesAmt |
| Management And General | $108,235 | ManagementAndGeneralAmt |
| Fundraising | $13,252 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,860 | TotalAmt |
| Program Services | $151,641 | ProgramServicesAmt |
| Management And General | $95,549 | ManagementAndGeneralAmt |
| Fundraising | $670 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,155,268 | TotalAmt |
| Program Services | $3,842,209 | ProgramServicesAmt |
| Management And General | $309,982 | ManagementAndGeneralAmt |
| Fundraising | $3,077 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,195,812 | TotalAmt |
| Program Services | $1,036,966 | ProgramServicesAmt |
| Management And General | $158,800 | ManagementAndGeneralAmt |
| Fundraising | $46 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $4,081,349 | $4,081,349 | ||
| REPAIRS & MAINTENANCE | $2,011,420 | $1,553,844 | $455,083 | $2,493 |
| OTHER EXPENSES | $1,334,299 | $344,512 | $988,887 | $900 |
| RECRUITMENT | $664,724 | $481,927 | $182,797 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Program Services | $2,609,112 | ProgramServicesAmt |
| Management And General | -$2,611,202 | ManagementAndGeneralAmt |
| Fundraising | $2,090 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,251,774 | TotalAmt |
| Program Services | $62,280,197 | ProgramServicesAmt |
| Management And General | $9,834,064 | ManagementAndGeneralAmt |
| Fundraising | $137,513 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,972,469 | BOYAmt |
| EOY | $10,890,182 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $864,132 | BOYAmt |
| EOY | $838,104 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,283,242 | BOYAmt |
| EOY | $6,342,468 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,326,681 | BOYAmt |
| EOY | $1,503,211 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,638,602 | BOYAmt |
| EOY | $1,392,603 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $45,486,100 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $18,244,683 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,914,528 | BOYAmt |
| EOY | $27,241,417 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,688,094 | BOYAmt |
| EOY | $15,110,947 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,361,639 | BOYAmt |
| EOY | $1,850,374 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,049,387 | BOYAmt |
| EOY | $65,169,306 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,462,222 | BOYAmt |
| EOY | $8,807,118 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $737,601 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,199,823 | BOYAmt |
| EOY | $8,807,118 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,849,564 | BOYAmt |
| EOY | $56,362,188 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,849,564 | BOYAmt |
| EOY | $56,362,188 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,049,387 | BOYAmt |
| EOY | $65,169,306 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$3,598,066 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $391,060 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $719,630 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $4,297 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,297 | 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 1 | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO STATE AND NATIONAL HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $130,270 | OtherCostOrOtherBasisAmt |
| Book Value | $130,270 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,284,209 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,454,721 | DepreciationAmt |
| Book Value | $9,829,488 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,365,246 | OtherCostOrOtherBasisAmt |
| Depreciation | $296,770 | DepreciationAmt |
| Book Value | $1,068,476 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,293,547 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,493,192 | DepreciationAmt |
| Book Value | $12,800,355 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,412,828 | OtherCostOrOtherBasisAmt |
| Book Value | $3,412,828 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $27,241,417 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $69,764,398 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $391,060 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $719,630 | OtherRevenueAmt |
| Revenue Not Reported | $1,110,690 | RevenueNotReportedAmt |
| Revenue Subtotal | $68,653,708 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $68,653,708 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $72,251,774 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $72,251,774 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $72,251,774 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE HOSPITAL EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF JUNE 30, 2018 AND 2017, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | GAIN ON INSURANCE SETTLEMENT 719,630 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $616,944 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $616,944 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00850 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,357,954 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,041,110 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,316,844 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01820 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,974,898 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,041,110 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,933,788 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02680 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 64 | ActivitiesOrProgramsCnt |
| Persons Served | 2669 | PersonsServedCnt |
| Total Community Benefit Expns | $82,316 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $82,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 53 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,597,401 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,597,401 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02210 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 117 | ActivitiesOrProgramsCnt |
| Persons Served | 2669 | PersonsServedCnt |
| Total Community Benefit Expns | $1,679,717 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,679,717 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02320 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 117 | ActivitiesOrProgramsCnt |
| Persons Served | 2669 | PersonsServedCnt |
| Total Community Benefit Expns | $17,654,615 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,041,110 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,613,505 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $271,173 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $271,173 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $271,173 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $271,173 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $15,353,747 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,667,416 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $13,715,820 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $25,082,951 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$11,367,131 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARTESIA GENERAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 702 NORTH 13TH STREET | AddressLine1Txt |
| City | ARTESIA | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ARTESIAGENERAL.COM | WebsiteAddressTxt |
| State License | 006788 | 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 | ARTESIA GENERAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.ARTESIAGENERAL.COM | 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 | WWW.ARTESIAGENERAL.COM | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.ARTESIAGENERAL.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.ARTESIAGENERAL.COM | FAPAppAvailableOnWebsiteURLTxt |
| 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 Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, ARTESIA GENERAL HOSPITAL - PART V, LINE 3E | IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS ARE ADDRESSED ON PAGE 46, OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. |
| FACILITY 1, ARTESIA GENERAL HOSPITAL - PART V, LINE 5 | OVER TWENTY COMMUNITY STAKEHOLDERS PARTICIPATED IN INTERVIEWS AND AN ONLINE SURVEY FOR THEIR INPUT INTO THE COMMUNITY'S HEALTH. THERE WAS BROAD COMMUNITY PARTICIPATION IN THE INTERVIEWS REPRESENTING A RANGE OF INTERESTS AND BACKGROUNDS INCLUSIVE OF THE FOLLOWING: EMPLOYERS, NOT-FOR-PROFIT ORGANIZATIONS (REPRESENTING LOW-INCOME, MINORITY, AND CHILDREN), SCHOOLS, HEALTH PROVIDERS, ELDERLY, AND GOVERNMENT REPRESENTATIVES. THESE INDIVIDUALS COLLABORATED TO IMPLEMENT A COMPREHENSIVE CHNA PROCESS FOCUSED ON IDENTIFYING AND DEFINING SIGNIFICANT HEALTH NEEDS, ISSUES, AND CONCERNS OF THE ARTESIA GENERAL HOSPITAL. THE THREE-MONTH PROCESS CENTERED ON GATHERING AND ANALYZING DATA AS WELL AS RECEIVING INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY AND HAD SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH TO PROVIDE DIRECTION FOR THE COMMUNITY AND HOSPITAL TO CREATE A PLAN TO IMPROVE THE HEALTH OF THE COMMUNITY. |
| FACILITY 1, ARTESIA GENERAL HOSPITAL - PART V, LINE 11 | THE MOST RECENT CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS: ACCESS TO HEALTHCARE/PHYSICIANS, CHRONIC DISEASES (DIABETES, CANCER, ALLERGIES/ASTHMA), SUBSTANCE ABUSE AND MENTAL HEALTH, DENTAL AND VISION CARE, PREVENTION/EDUCATION/DIET, AND OTHER MINOR NEEDS. THE HOSPITAL LEADERSHIP TEAM PRIORITIZED THE HEALTH ISSUES AS FOLLOWS: ACCESS TO CARE; CHRONIC DISEASES; OBESITY; SMOKING; AND MENTAL HEALTH. THE HOSPITAL HAS AN IMPLEMENTATION STRATEGY AND ASSOCIATED COMMUNITY BENEFIT PLAN WITH OBJECTIVES TO ADDRESS THESE PRIORITIES. THE HOSPITAL IS A RURAL HOSPITAL WITH LIMITED RESOURCES. THE RURAL AREA THAT THE HOSPITAL IS LOCATED IN MAKES IT DIFFICULT FOR RECRUITING PROVIDERS AND STAFF. SOME TYPES OF PROVIDERS ARE EXCESSIVELY MORE DIFFICULT TO RECRUIT THAN OTHERS TO RURAL AREAS. IN ORDER TO ACHIEVE THE COMMUNITY'S NEEDS LISTED IN THE ASSESSMENT, WITH LIMITED RESOURCES, THE HOSPITAL FORMS A COLLABORATIVE VENTURE WITH OTHER PROVIDERS, CITIZENS, LOCAL GOVERNMENT, SCHOOLS, CHURCHES, OTHER NON-PROFIT ORGANIZATIONS, AND LOCAL BUSINESSES. AT THIS TIME, THE HOSPITAL IS UNABLE TO ADDRESS SUBSTANCE ABUSE DUE TO LACK OF EXPERTISE IN THE FIELD AND HOSPITAL RESOURCES AVAILABLE. THE HOSPITAL PROVIDES VACCINATIONS TO PEOPLE IN THE COMMUNITY AND GAVE EQUIPMENT TO THE CITY TO PROVIDE EXERCISE FOR PEOPLE WALKING AND USING THE GREEN BELT. THEY ROUTINELY MEET WITH VARIOUS GROUPS IN THE CITY AND HOSPITAL DISTRICT TO DISCUSS NEEDS AND HOW THE HOSPITAL CAN HELP MEET THOSE NEEDS. THESE DISCUSSIONS OFTEN RESULT IN AN UNDERSTANDING BY THE COMMUNITY OF WHAT IS PROVIDED BY THE HOSPITAL. THE HOSPITAL OFFERS ARTHRITIS, DIABETES, CARDIOLOGY, AND OTHER CLASSES FOR GROUPS OF INDIVIDUAL COMMUNITY MEMBERS AND FOR BUSINESSES THAT REQUEST THEM. THE HOSPITAL HAS ADDED A SIGNIFICANT NUMBER OF SPECIALTY CLINICS THE LAST YEAR SUCH AS ORTHOPEDIC, UROLOGY, AND BEHAVIORAL HEALTH AND PROVIDERS CONTINUE TO BE RECRUITED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| ARTESIA HEALTH PROFESSIONALS | ||||
| 612 N 13TH STREET | ARTESIA | NM | 88210 | PHYSICIAN CLINIC |
| MEMORIAL FAMILY PRACTICE | ||||
| 702 N 13TH STREET | ARTESIA | NM | 88210 | RURAL HEALTH CLINIC |
| ORTHOPEDIC SPECIALISTS | ||||
| 2411 OSBORNE DRIVE | CARLSBAD | NM | 88220 | GENERAL CLINIC |
| ADVANCED PRACTICE PROFESSIONALS | ||||
| 914 N CANAL | CARLSBAD | NM | 88220 | GENERAL CLINIC |
| RYBKA SERGIO J MD - UROLOGY | ||||
| 1031 N THOMAS | CARLSBAD | NM | 88220 | GENERAL CLINIC |
| DR MARTA GALLEGOS | ||||
| 201 N ALAMEDA STREET | CARLSBAD | NM | 88210 | GENERAL CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II - COMMUNITY BUILDING ACTIVITIES | EDDY COUNTY IS DESIGNATED AS MEDICALLY UNDERSERVED AND HAS A SHORTAGE IN THE AREA OF HEALTH PROFESSIONALS. THE HOSPITAL IS CONTINUALLY RECRUITING PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO ITS RURAL SERVICE AREA TO HELP IMPROVE ACCESS TO HEALTHCARE SERVICES AS IDENTIFIED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | THE HOSPITAL REPORTED ACTUAL BAD DEBTS FROM THE AUDITED FINANCIALS. |
| PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE | THE HOSPITAL SHALL LIMIT ITS CHARGES TO UNINSURED PATIENTS BY EXTENDING A SELF PAY DISCOUNT PERCENTAGE EQUAL TO THE HOSPITAL'S BLENDED AVERAGE OF COMMERCIAL MANAGED CARE CONTRACT DISCOUNTED RATES FOR INPATIENT, OUTPATIENT AND CLINIC SERVICES FROM THE PRIOR FISCAL YEAR. THE HOSPITAL SHALL REVIEW AND UPDATE THIS BLENDED AVERAGE DISCOUNT ANNUALLY. THE HOSPITAL REPORTED ACTUAL CHARITY CARE FROM THE AUDITED FINANCIALS. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 4 ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS AND ALSO INCLUDES THE PROVISION FOR BAD DEBTS. |
| PART III, LINE 8 - MEDICARE EXPLANATION | ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS IS THE AMOUNT OF COST THAT THE HOSPITAL DID NOT RECOVER FROM THE MEDICARE PROGRAM AND ARE NOT COUNTED AS COMMUNITY BENEFIT. AS SUCH, THE HOSPITAL ABSORBED THE COST FOR THE BENEFIT OF THE PATIENT AND THE COMMUNITY IT SERVES. WITHOUT THIS ACTION, THE PATIENTS COULD NOT HAVE BEEN TREATED AT THE HOSPITAL. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | THE HOSPITAL USES STANDARD BUSINESS PRACTICES TO DETERMINE BAD DEBT AND MEDICALLY INDIGENT PATIENTS. IF A PATIENT CANNOT PAY THE ENTIRE BILL WITHIN THE TIMELINE SPECIFIED IN THE BILLING/COLLECTION POLICY, AN INTERVIEW WITH THE PATIENT IS CONDUCTED. EACH PERSON THAT PRESENTED OR WAS CALLED ABOUT THEIR ACCOUNT WAS PROVIDED WITH A FINANCIAL ASSISTANCE QUESTIONNAIRE. THE HOSPITAL PROVIDED SPECIALLY TRAINED EMPLOYEES TO WORK WITH PATIENTS TO HELP DETERMINE ELIGIBILITY. COLLECTION PRACTICES WERE APPROACHED WITH HELPING THE PATIENT AND DETERMINING THEIR ABILITY OR INABILITY TO PAY FOR THEIR SERVICES. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH REGULAR SEMINARS AND MEETINGS WITH LOCAL AND COUNTY OFFICIALS. THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AND COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING URL: HTTP://WWW.ARTESIAGENERAL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | FINANCIAL ASSISTANCE POLICIES ARE DISTRIBUTED TO THE COMMUNITY IN A VARIETY OF WAYS. PEOPLE ARE INFORMED THROUGH OUR WEBSITE, UPON ADMISSION AND DISCHARGE, AND LATER THROUGH PHONE CALLS OR LETTERS. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | THE COMMUNITY SERVED IS RURAL AND IS HEAVILY RELIANT ON OIL AND GAS PRODUCTION. EDDY COUNTY IS DESIGNATED AS MEDICALLY UNDERSERVED AND HAS A SHORTAGE IN THE AREA OF HEALTH PROFESSIONALS. THE SERVICE AREA POPULATION IS ESTIMATED AT APPROXIMATELY 190,000 AND IS PROJECTED TO GROW BY 1.37% THROUGH 2020. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS 52,945 AND THE MEDIAN AGE IS 38 YEARS. AREAS OF HEALTH IMPROVEMENT ARE MAMMOGRAPHY SCREENING, OBESITY EDUCATION, SMOKING CESSATION AND INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS. PERCENT UNINSURED OR UNDERINSURED IS ESTIMATED AT 48%. THE NUMBER OF RESIDENTS ELIGIBLE FOR MEDICAID AND SELF-PAY PATIENTS CONTINUES TO GROW WITH THE DECLINE IN OIL AND GAS REVENUES AND JOBS. 25% OF THE POPULATION IS IN THE LOWER INCOME BRACKET AND MAKES LESS THAN 15,000. APPROXIMATELY 500 HOUSEHOLDS MAKE LESS THAN 37,945 PER YEAR. THESE STATISTICS ARE BEFORE THE DECLINE IN OIL AND GAS JOBS. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | THE BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY MEMBERS REPRESENTING MULTIPLE FACETS OF OUR COMMUNITY FROM BUSINESS OWNERS TO HOMEMAKERS TO RETIREES. THIS VOLUNTEER BOARD HAS DEDICATED THEIR TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. MEDICAL STAFF PRIVILEGES AT THE HOSPITAL ARE AVAILABLE TO QUALIFIED AND INTERESTED PHYSICIANS IN THE COMMUNITY WE SERVE. WE ENCOURAGE PRACTITIONERS FROM NUMEROUS SPECIALTIES TO MEET THE EVER GROWING HEALTHCARE NEEDS OF THE COMMUNITY. ANY SURPLUS FUNDS ARE REINVESTED INTO OUR FACILITIES, EQUIPMENT, AND PROFESSIONAL EDUCATION OF OUR EMPLOYEES IN ORDER TO PROVIDE THE HIGHEST QUALITY HEALTHCARE POSSIBLE. THE HOSPITAL ALSO ASSESSES THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY TO DETERMINE IF ADDITIONAL SERVICES TO OUR PATIENTS ARE NEEDED. THE HOSPITAL PROVIDED "LUNCH AND LEARN", RADIO HEALTH EDUCATION, ACTIVITIES AT SEVERAL AREA BUSINESSES, SCHOOLS, AND SENIOR CENTERS EDUCATIONAL CONTENT. THE HOSPITAL GOES TO VARIOUS BUSINESSES TO CONDUCT EDUCATION FOR EMPLOYEES AND HOLD VARIOUS EDUCATIONAL CLASSES DURING THE YEAR. THE HOSPITAL WORKED WITH THE SCHOOL SYSTEM TO DEVELOP INFORMATIONAL SESSIONS FOR STUDENTS. THE HOSPITAL WORKED WITH UNITED WAY AND OTHER ORGANIZATIONS IN COMMUNITY ACTIVITIES. THE HOSPITAL PROVIDED PHYSICAL EXAMINATIONS AT REDUCED RATES FOR STUDENT ATHLETES AND WORKED IN VARIOUS COMMUNITY ACTIVITIES, HEALTH WALK, AND OTHERS. THE HOSPITAL ALSO PROMOTES HEALTH IN THE COMMUNITY BY PARTICIPATING IN MANY ACTIVITIES THAT INCLUDE THE FOLLOWING: 1. THE HOSPITAL RAISES MONEY AND PARTICIPATES IN THE ANNUAL RELAY FOR LIFE WALK THAT RAISES MONEY FOR THE AMERICAN CANCER SOCIETY AND RAISES COMMUNITY AWARENESS 2. EACH SUMMER THE HOSPITAL PROVIDES SPACE, FOOD AND VOLUNTEERS AND NURSING STAFF FOR A FREE BACK-TO-SCHOOL PHYSICAL EVENT FOR ARTESIA AND LAKE ARTHUR 3. EACH OCTOBER THE HOSPITAL OFFERS DISCOUNTED MAMMOGRAM SCREENINGS AS PART OF BREAST CANCER AWARENESS MONTH 4. THE HOSPITAL PREPARES AND DONATES A PORTION OF THE COST OF THE MEALS FOR AREA MEALS ON WHEELS PROGRAM 5. THE HOSPITAL STAFF, PARTICULARLY THE GERI-PSYCH PROGRAM, ORGANIZES AND PRESENTS FREE EDUCATIONAL SEMINARS FOR THE AREA RETIREMENT CENTERS, LOCAL CHURCHES, THE ROTARY CLUB AND OTHER COMMUNITY ORGANIZATIONS 6. THE HOSPITAL HOSTS AN ANNUAL HEALTH FAIR AND QUARTERLY HEALTH SCREENINGS FOR RESIDENTS OF THE SURROUNDING AREAS SCREENINGS INCLUDE BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE 7. THE HOSPITAL SPONSORS MONTHLY HEALTH RELATED EDUCATIONAL TOPICS VIA RADIO AND TELEVISION TOPICS INCLUDE ASTHMA, SUICIDE PREVENTION, WOMEN'S HEALTH SCREENINGS AND SMOKING CESSATION, AS WELL AS OTHER HEALTH AWARENESS TOPICS 8. ARTHRITIS SEMINARS ARE CONDUCTED ROUTINELY TO BRING AWARENESS OF TREATMENT AVAILABLE. THE HOSPITAL IS WORKING CONTINUALLY WITH LOCAL OFFICIALS TO PROVIDE NEEDED SERVICES AND DONATE TIME AND EFFORT TO THE COMMUNITY. WE PROVIDE SUBSTANTIAL AMOUNTS OF UNCOMPENSATED CARE TO INDIVIDUALS THAT ARE IN NEED. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH SYSTEM. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | NEW MEXICO |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ASSISTANCE LEAGUE OF CARLSBAD | |||||||
| PO BOX 465 | CARLSBAD | NM | 88221 | 856014382 | 501C3 | $28,000 | FINANCIAL ASSISTANCE |
| UNITED WAY | |||||||
| PO BOX 990 | ARTESIA | NM | 88210 | 850164907 | 501C3 | $10,000 | FINANCIAL ASSISTANCE |
| EDDY COUNTY FAIR ASSOCIATION | |||||||
| PO BOX 3273 | ARTESIA | NM | 88211 | 821675007 | 501C3 | $9,200 | FINANCIAL ASSISTANCE |
| ARTESIA ARTS COUNCIL | |||||||
| PO BOX 782 | ARTESIA | NM | 88210 | 510140418 | 501C3 | $10,000 | FINANCIAL ASSISTANCE |
| AQUATIC CENTER FOUNDATION | |||||||
| PO BOX 508 | ARTESIA | NM | 88211 | 822382577 | 501C3 | $1,500,000 | ACQUATIC CENTER |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL IDENTIFIES AND PRIORITIZES COMMUNITY NEEDS; SOLICITS, RECEIVES, AND PRIORITIZES APPLICATIONS FOR FUNDING AND APPROVES BENEFICIARY FUNDING. FUNDED ORGANIZATIONS ARE ASKED TO SUBMIT A SUMMARY REPORT OF THE PROJECT AND ITS OUTCOMES TO THE HOSPITAL BOARD. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | 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 | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| JOE SALGADO | ||||||
| CHIEF OF STAFF | $321,892 | $20,727 | $385 | $10,800 | $24,694 | $378,498 |
| KENNETH RANDALL | ||||||
| CEO THRU APRIL | $313,358 | $245,451 | $8,873 | $33,378 | $601,060 | |
| ROBERT TYK | ||||||
| CEO | $257,319 | $102 | $2,550 | $7,497 | $23,200 | $290,668 |
| ELIZABETH SELLERS | ||||||
| COO | $188,067 | $10,101 | $716 | $2,093 | $1,431 | $202,408 |
| CHARLES ELLIS | ||||||
| COO THRU APRIL | $152,557 | $248 | $496 | $153,301 | ||
| SHAHRIAR ANOUSHFAR | ||||||
| PHYSICIAN | $909,460 | $27,333 | $804 | $10,800 | $28,652 | $977,049 |
| MARSHALL BACA SR | ||||||
| PHYSICIAN | $803,850 | $72,987 | $6,969 | $10,800 | $35,305 | $929,911 |
| ZHINIAN WAN | ||||||
| PHYSICIAN | $621,456 | $64,952 | $414 | $10,800 | $31,712 | $729,334 |
| THOMAS REICH | ||||||
| PHYSICIAN | $491,699 | $3,844 | $5,711 | $10,800 | $29,523 | $541,577 |
| KAY JENKINS | ||||||
| CHIEF LEGAL OFFICER | $231,720 | $102 | $1,419 | $23,697 | $256,938 | |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 4 | KENNETH RANDALL 245,451 0 0 |
| SCHEDULE J, PAGE 1, PART I, LINE 7 | CERTAIN MEDICAL PROVIDERS ARE COMPENSATED BASED ON THE GROSS PROFESSIONAL CHARGES GENERATED BY THEIR SERVICES. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | CARE, 54,406,832 FOR MEDICARE, 33,760,319 FOR MEDICAID AND 23,101,317 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. |
| FORM 990, PAGE 6, PART VI, LINE 6 | ARTESIA SPECIAL HOSPITAL DISTRICT IS THE SOLE MEMBER OF THE HOSPITAL. |
| FORM 990, PAGE 6, PART VI, LINE 7A | TWO DIRECTORS OF THE BOARD ARE APPOINTED BY THE SOLE MEMBER OF THE HOSPITAL. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE BOARD OF DIRECTORS MAY AUTHORIZE AND THE HOSPITAL MAY MAKE DISTRIBUTIONS, SUBJECT TO THE APPROVAL OF THE SOLE MEMBER. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CEO, CFO AND THE BOARD SECRETARY/TREASURER, WHO REVIEW THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. THE 990 IS ALSO PRESENTED TO THE ENTIRE BOARD. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS OFF ON THE FORM 8879-EO BEFORE THE RETURN IS E-FILED BY THE PREPARER. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES AND OTHER MANAGEMENT OFFICIALS (COVERED PERSONS) ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT IDENTIFYING ANY POTENTIAL CONFLICT OF INTEREST. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL, OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON(S) OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, FOR ITS OWN BENEFIT, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT, OR CONTRACT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE SOURCE UTILIZED BY THE HOSPITAL IN REGARDS TO FAIR MARKET VALUE IN SALARIES IS SULLIVAN COTTER. COTTER GATHERS DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS' COMPENSATION. COTTER RECOMMENDS APPROPRIATE COMPARISON DATA AND UTILIZES SURVEY DATA FORM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET THE HOSPITAL'S COMPENSATION PHILOSOPHY. THE BOARD THEN REVIEWS WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE FORM 990, PART VI, LINE 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | 5,640,794 2,501,914 49,427 |
| FORM 990, PART XI, LINE 9 | GAIN ON INSURANCE SETTLEMENT 719,630 |