STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

OTERO COUNTY HOSPITAL ASSOCIATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
OTERO COUNTY HOSPITAL ASSOCIATION (EIN 85-0138775)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201831359349311503
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2018-05-15T16:03:16-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14310 17TH AVE S PO BOX 2545AddressLine1Txt
CityFARGOCityNm
State AbbreviationNDStateAbbreviationCd
ZIP581082545ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN850138775EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Otero County Hospital AssociationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlOTERBusinessNameControlTxt
Phone5754396100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12669 North Scenic DriveAddressLine1Txt
CityAlamogordoCityNm
State AbbreviationNMStateAbbreviationCd
ZIP883110597ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPeter W SeamanPersonNm
Person TitleVice President, FinancePersonTitleTxt
Phone5754396100PhoneNum
Signature2018-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLISA CHAFFEE CPAPreparerPersonNm
PTINP00193453PTIN
Phone7012398500PhoneNum
Preparation2018-05-15PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Gerald Champion Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRobert James HeckertPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12669 North Scenic DriveAddressLine1Txt
CityAlamogordoCityNm
State AbbreviationNMStateAbbreviationCd
ZIP883110597ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$162,651,782GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.gcrmc.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1947FormationYr
Legal Domicile StateNMLegalDomicileStateCd
Activity Or MissionProvision of health care servicesActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee1044TotalEmployeeCnt
Total Volunteers145TotalVolunteersCnt
Total Gross UBI-$91,211TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$91,211NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$148,883PYContributionsGrantsAmt
CY Contributions Grants$388,919CYContributionsGrantsAmt
PY Program Service Revenue$162,037,774PYProgramServiceRevenueAmt
CY Program Service Revenue$159,694,352CYProgramServiceRevenueAmt
PY Investment Income$174,913PYInvestmentIncomeAmt
CY Investment Income$1,679,263CYInvestmentIncomeAmt
PY Other Revenue$269,996PYOtherRevenueAmt
CY Other Revenue$288,697CYOtherRevenueAmt
PY Total Revenue$162,631,566PYTotalRevenueAmt
CY Total Revenue$162,051,231CYTotalRevenueAmt
PY Grants And Similar Paid$579,464PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$627,636CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$48,621,322PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$53,685,706CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$79,046,534PYOtherExpensesAmt
CY Other Expenses$83,569,611CYOtherExpensesAmt
PY Total Expenses$128,247,320PYTotalExpensesAmt
CY Total Expenses$137,882,953CYTotalExpensesAmt
PY Revenues Less Expenses$34,384,246PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$24,168,278CYRevenuesLessExpensesAmt
Total Assets BOY$185,079,319TotalAssetsBOYAmt
Total Assets EOY$218,941,794TotalAssetsEOYAmt
Total Liabilities BOY$85,511,693TotalLiabilitiesBOYAmt
Total Liabilities EOY$91,535,660TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$99,567,626NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$127,406,134NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo be the Organization where patients choose to come, physicians want to practice, and people want to work.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$107,318,394ExpenseAmt
Grant$627,636GrantAmt
Revenue$159,694,352RevenueAmt
DescOtero County Hospital Association d/b/a Gerald Champion Regional Medical Center (GCRMC) provides comprehensive healthcare services through its 100-bed hospital (effective January 1, 2017), outpatient ambulatory care facilities, and a multi-specialty physician group. GCRMC receives 80% of its admissions from Otero County. The GCRMC's primary markets are the cities of Alamogordo and Tularosa with secondary markets expanding to more remote areas of Otero County, Lincoln County, Chavez County and beyond. The original facility opened in August 1949 and the current medical center is a state of the art, acute care facility that opened in December 1999.The original hospital opened in 1949 with 26 beds. Today GCRMC is proud to be a 100-bed acute care facility accredited by DNV, including two distinct PPS units: Life Transitions (aka Behavioral Medicine - total 19 beds) and Inpatient Rehabilitation (12 beds). GCRMC shares a unique relationship with Holloman Air Force Base as the first hospital in the United States where active duty military physicians practice in a civilian hospital. This special arrangement allows one facility to meet the combined community and military needs, while serving as a model for the Department of Defense in conserving resources. The delivery mechanisms of care at the hospital include both inpatient and outpatient services: acute care inpatient through medical/surgical, telemetry, maternal child and 12-bed intensive care units; surgery department supported by pre-admit, outpatient care unit and post-anesthesia care unit; outpatient surgery center; provider-based physician practices in the areas of family practice, women's services including obstetrics, medical and radiation oncology, medical cardiology, gastroenterology and endocrinology, internal medicine, orthopedics and general surgery; inpatient and outpatient behavioral health services; cardiac cath lab, inpatient rehabilitation services, including physical and occupational rehab services; inpatient and outpatient CAP certified laboratory services with the capability to perform over 225 different profiles and tests in-house; inpatient and outpatient diagnostic imaging services, including x-ray, 128-slice CT scan, MRI, ultrasound, interventional radiology, radiofrequency ablation and nuclear medicine; inpatient and outpatient comprehensive cardiopulmonary services including behavior sleep medicine, Holter monitoring, event monitoring and impedance cardiography. By the end of 2017, GCRMC employed approximately 840 people. In addition to those employees, GCMRC contracts for services in various departments such as Pharmacy, Anesthesia, Emergency Department and Hospitalist Providers. The medical staff of GCRMC has 221 medical members consisting of 90 active members of whom 44 are employed providers. GCRMC continues to seek opportunities to expand services and improve quality, with the philosophy of not limiting its potential by the designation of "rural hospital," but rather identifying its scope of service based on community needs as a regional medical center. Continued progress and expansion has enhanced GCRMC's commitment to strive for outstanding service and quality; acknowledging that its future is not in its buildings or technology, but rather its people. To this end we support the people of Otero County and outlying service areas with our expanded services and our financial contributions.Desc
Total Program Service Expenses$107,318,394TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document102IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1044EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNMStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bashar NaserBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5754437848PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12669 North Scenic DriveAddressLine1Txt
CityAlamogordoCityNm
State AbbreviationNMStateAbbreviationCd
ZIP88311ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Norm Arnold
Chairman of the Board10.000.10Yes (X)Yes (X)$24,000$0$0
Bill Mershon
Vice President5.000.00Yes (X)Yes (X)$0$0$0
Bill Mayton
Secretary5.000.10Yes (X)Yes (X)$0$0$0
Fred Baker
Director5.000.00Yes (X)$0$0$0
James Harris
Director3.000.00Yes (X)$0$0$0
Greg Richardson MD
Director40.000.00Yes (X)$345,024$0$33,049
Robin French
Director3.000.00Yes (X)$0$0$0
Lisa Thomassie
Director (July-March)3.000.00Yes (X)$0$0$0
Gary Jackson DO
Director3.000.00Yes (X)$0$0$0
Andrew Lancaster MD
Director/Physician40.000.00Yes (X)$259,797$0$34,557
Kathy Fuller
Director3.000.00Yes (X)$0$0$0
Robert Martinez
Director3.000.00Yes (X)$0$0$0
Robert James Heckert
CEO40.000.00Yes (X)$383,463$0$13,516
Bashar Naser
CFO40.000.00Yes (X)$498,065$0$34,485
Robert Middleton
VP of Patient Care/CNO40.000.00Yes (X)$225,015$0$35,412
Albert Esparsen
VP of Physician Practice40.000.00$182,006$0$22,088Yes (X)
Peter Seaman
VP of Finance40.000.00$191,043$0$45,773Yes (X)
Charles Race
Physician40.000.00$934,223$0$33,912Yes (X)
William Pollard
Physician40.000.00$600,083$0$41,332Yes (X)
Chris Davis
Physician40.000.00$492,926$0$36,722Yes (X)
Katrina Rolen
Physician40.000.00$536,748$0$20,211Yes (X)
Ying Zhao
Physician40.000.00$494,554$0$34,984Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,166,947TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$386,041TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K64IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Emcare Inc Inpatient Services
7032 Collection Center DriveChicagoIL60693Inpatient MD Management$1,650,000
Completerx LTD
3100 South Gessner Suite 640HoustonTX77063Pharmacy Management Services$1,627,137
Comphealth
PO Box 972651DallasTX753972651Contract Medical Staff$1,372,454
Coker Group Holdings LLC
2400 Lakeview Parkway Suite 400AlpharettaGA30009Management Consulting$809,722
Diamond Healthcare Corp
PO Box 85050RichmondVA23285Behavioral Health Management$782,902
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K25CntrctRcvdGreaterThan100KCnt
Government Grants$180,609GovernmentGrantsAmt
All Other Contributions$208,310AllOtherContributionsAmt
Total Contributions$388,919TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Revenue621110$155,535,290$155,535,290
Other Revenue900099$1,847,636$1,847,636
Cafeteria/Catering722320$962,221$949,410$12,811
Cardiac Cath Lab LLC621400$695,923$695,923
Alamogordo Surgery Venture, LLC621400$648,339$648,339

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,943TotalRevenueColumnAmt
Related Or Exempt Func Income$4,943RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$159,694,352TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,571,950TotalRevenueColumnAmt
Exclusion$1,571,950ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$874,354RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$585,657RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$288,697RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$288,697TotalRevenueColumnAmt
Unrelated Business Revenue-$104,022UnrelatedBusinessRevenueAmt
Exclusion$392,719ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$122,207SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$14,894OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$122,207SecuritiesAmt
Other-$14,894OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$107,313TotalRevenueColumnAmt
Exclusion$107,313ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$162,051,231TotalRevenueColumnAmt
Related Or Exempt Func Income$159,681,541RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$91,211UnrelatedBusinessRevenueAmt
Exclusion$2,071,982ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$627,636TotalAmt
Program Services$627,636ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,327,586TotalAmt
Program Services$671,670ProgramServicesAmt
Management And General$1,655,916ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$74,212TotalAmt
Program Services$74,212ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$42,525,445TotalAmt
Program Services$28,750,745ProgramServicesAmt
Management And General$13,774,700ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,058,601TotalAmt
Program Services$873,838ProgramServicesAmt
Management And General$184,763ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,685,341TotalAmt
Program Services$3,888,190ProgramServicesAmt
Management And General$797,151ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,014,521TotalAmt
Program Services$2,309,649ProgramServicesAmt
Management And General$704,872ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$535,613TotalAmt
Management And General$535,613ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$208,455TotalAmt
Management And General$208,455ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$259,672TotalAmt
Management And General$259,672ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$34,696,064TotalAmt
Program Services$28,136,465ProgramServicesAmt
Management And General$6,559,599ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$251,713TotalAmt
Program Services$33ProgramServicesAmt
Management And General$251,680ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,915,780TotalAmt
Program Services$5,413,594ProgramServicesAmt
Management And General$3,502,186ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$325,385TotalAmt
Program Services$68,772ProgramServicesAmt
Management And General$256,613ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,874,973TotalAmt
Program Services$536,066ProgramServicesAmt
Management And General$1,338,907ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$202,001TotalAmt
Program Services$62,353ProgramServicesAmt
Management And General$139,648ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$365,642TotalAmt
Program Services$180,506ProgramServicesAmt
Management And General$185,136ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,657,857TotalAmt
Program Services$3,657,857ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,563,881TotalAmt
Program Services$9,563,881ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,857,553TotalAmt
Program Services$2,857,553ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medical Supplies$13,686,173$13,686,173
Provision for Bad Debts$5,458,408$5,458,408
Taxes$250,311$250,311
Reorganization Costs$141,488$141,488

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$318,642TotalAmt
Program Services$108,994ProgramServicesAmt
Management And General$209,648ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$137,882,953TotalAmt
Program Services$107,318,394ProgramServicesAmt
Management And General$30,564,559ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,490,670BOYAmt
EOY$28,802,497EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,609,024BOYAmt
EOY$17,140,783EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,543,515BOYAmt
EOY$4,916,354EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,020,419BOYAmt
EOY$2,088,392EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$204,425,191LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$118,030,315LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$82,881,679BOYAmt
EOY$86,394,876EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$50,569,117BOYAmt
EOY$74,677,770EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,636,059BOYAmt
EOY$3,604,080EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$857,241BOYAmt
EOY$803,210EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,471,595BOYAmt
EOY$513,832EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$185,079,319BOYAmt
EOY$218,941,794EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,292,319BOYAmt
EOY$19,281,253EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,063,094BOYAmt
EOY$894,062EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$67,095,142BOYAmt
EOY$65,806,251EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$111,231BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,949,907BOYAmt
EOY$5,554,094EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$85,511,693BOYAmt
EOY$91,535,660EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$99,567,626BOYAmt
EOY$127,406,134EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$99,567,626BOYAmt
EOY$127,406,134EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$185,079,319BOYAmt
EOY$218,941,794EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$24,168,278ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,670,230NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,437,282OtherCostOrOtherBasisAmt
Book Value$3,437,282BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$111,905,757OtherCostOrOtherBasisAmt
Depreciation$52,602,082DepreciationAmt
Book Value$59,303,675BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$79,264,117OtherCostOrOtherBasisAmt
Depreciation$62,315,194DepreciationAmt
Book Value$16,948,923BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,818,035OtherCostOrOtherBasisAmt
Depreciation$3,113,039DepreciationAmt
Book Value$6,704,996BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$86,394,876TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEstimated Third-Party Payor SettlementsDesc
Amt$5,554,094Amt
FieldValueIRS element (for citing)
Total Liability$5,554,094TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$160,707,222TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$3,670,230NetUnrealizedGainsInvstAmt
Other Revenue-$5,599,896OtherRevenueAmt
Revenue Not Reported-$1,929,666RevenueNotReportedAmt
Revenue Subtotal$162,636,888RevenueSubtotalAmt
Other Revenues Not Included-$585,657OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$585,657RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$162,051,231TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$132,868,714TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$585,657OtherExpensesIncludedAmt
Expenses Not Reported$585,657ExpensesNotReportedAmt
Expenses Subtotal$132,283,057ExpensesSubtotalAmt
Other Expenses Not Included$5,599,896OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$5,599,896ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$137,882,953TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:The Medical Center is organized as a New Mexico nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Medical Center is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Medical Center is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Medical Center files an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS to report its unrelated business taxable income. The Medical Center believes it has appropriate support for any tax positions taken affecting its annual filing requirements, and, as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Medical Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense, if such interest and penalties are incurred. The Medical Center's federal Form 990-T filings are no longer subject to federal tax examinations by tax authorities for years before 2014.
Part XI, Line 2d - Other Adjustments:Provision for Bad Debts Recorded as Income for F/S -5,458,408. Reorganization Costs Recorded as Income for F/S -141,488.
Part XI, Line 4b - Other Adjustments:Rental Expenses Recorded as Expense for F/S -585,657.
Part XII, Line 2d - Other Adjustments:Rental Expenses Recorded as Expense for F/S 585,657.
Part XII, Line 4b - Other Adjustments:Provision for Bad Debts Recorded as Income for F/S 5,458,408. Reorganization Costs Recorded as Income for F/S 141,488.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$898,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$898,000NetCommunityBenefitExpnsAmt
Total Expense0.00680TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,506,109TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,251,775DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,254,334NetCommunityBenefitExpnsAmt
Total Expense0.01700TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,404,109TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,251,775DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,152,334NetCommunityBenefitExpnsAmt
Total Expense0.02380TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$78,510TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$78,510NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,782,259TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,808,619DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,973,640NetCommunityBenefitExpnsAmt
Total Expense0.18100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,860,769TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,808,619DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,052,150NetCommunityBenefitExpnsAmt
Total Expense0.18160TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,264,878TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,060,394DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,204,484NetCommunityBenefitExpnsAmt
Total Expense0.20540TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,700TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,700NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$835,190TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$835,190NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$859,890TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$859,890NetCommunityBenefitExpnsAmt
Total Expense0.00650TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$5,458,408BadDebtExpenseAmt
Bad Debt Expense Attributable$38,231BadDebtExpenseAttributableAmt
Reimbursed By Medicare$30,747,275ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$32,647,720CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,900,445MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Alamogordo Surgery Ventures
Outpatient Surgery Center0.405000.080000.51500
2 Alamogordo Imaging Center
Outpatient Radiology Center0.297900.000000.70210
3 White Sands Health Care Systems LLC
Physician Hospital Organization0.500000.000000.50000
4 Gerald Champion-Sierra Providence Cardiac Cath Lab LLC
Cardiac Cath Lab0.510000.000000.00000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Gerald Champion Regional Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12669 North Scenic DriveAddressLine1Txt
CityAlamogordoCityNm
State AbbreviationNMStateAbbreviationCd
ZIP88311ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.gcrmc.orgWebsiteAddressTxt
State License6016StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Other20 Provider ClinicsOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Gerald Champion Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Section CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.gcrmc.org/patients/financial-arrangements/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.gcrmc.org/patients/financial-arrangements/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.gcrmc.org/patients/financial-arrangements/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Gerald Champion Regional Medical CenterPart V, Section B, Line 3j: Charts related to age, gender, general lifestyles, healthcare metrics.
Gerald Champion Regional Medical CenterPart V, Section B, Line 5: Conducted focus groups and individual interviews.
Gerald Champion Regional Medical CenterPart V, Section B, Line 6b: Otero County Community Health CouncilPresbyterian Medical ServicesAlamogordo Public SchoolsDepartment of Public SafetyAlamogordo Chamber of CommerceCOPE OutreachAlamogordo Senior CenterThe Counseling Center
Gerald Champion Regional Medical CenterPart V, Section B, Line 7d: Hospital website where CHNA and Implementation Plan can be found:https://www.gcrmc.org/wp-content/uploads/2018/01/GCRMC-Brochure-Sinlges.pdf
Gerald Champion Regional Medical CenterPart V, Section B, Line 11: The hospital's written implementation strategy is included in the facility CHNA document. This document was reviewed by the hospital's CPA auditors and business advisors. Based on the results of this review, all significant needs are being addressed in the assessment. The needs identified include: Access to primary care insurance- affordability, obesity, diabetes, cancer, mental healthcare, heart disease, and health education. The strategy to resolve these issues include expanded hospital resources; such as, establishment of a cardiac rehabilitation program, and collaboration between the hospital and other facilities to address the needs. For example, lending support to the area mental health counseling center to recruit qualified, licensed mental health professionals.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ASV dba Scenic View Outpatient Surg Cr
2351 25th StreetAlamogordoNM88311Outpatient Surgery
2 - Alamogordo Imaging Center
2539 Medical Dr Ste 1010AlamogordoNM883108720Outpatient Radiology
3 - Gerald Champ-Sierra Provid Cardiac Cath
2669 North Scenic DriveAlamogordoNM88310Cardiac Cath Lab

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:The organization uses the Federal Poverty Guidelines when determining free care. Patients who have household income at or below 300% of the FPG are eligible to receive free care. The organization also offers a 25% discount to self-pay patients. In addition, the facility will work with patients on settlements on a case-by-case basis based on specific circumstances, such as catastrophic illness or medical indigence, at the discretion of GCRMC. Determining family need is also based on an application process which takes into account the patient's available assets and all other financial resources available to the patient.
Part I, Line 7:The organization used the following to determine the costs for Part I, Line 7:Row a: Charity Care was converted to cost using a cost to charge ratio from the cost accounting system. The cost accounting system addresses all patient segments.Row b: Amounts reported are based on the Medicare Cost Report figures.Row f: Amount reported is based on the actual dollars spent in the activities reported.Row g: Amounts reported are based on the Medicare Cost Report figures.
Part I, Line 7g:Part I, Line 7g includes $30,270,874 of costs attributable to a Physician Clinic.
Part I, Ln 7 Col(f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $5,458,408.
Part III, Line 2:Discounts and payments are taken into account when determining bad debt expense.
Part III, Line 3:The Organization estimated the percentage of bad debt that is attributed to charity care by applying the percentage of charity care to total revenues to total bad debt at cost. Therefore the organization estimates that 0.7% of the bad debt expense at cost is attributable to patients eligible under the organization's charity care policy. Care is given to individuals regardless of their ability to pay, and therefore this is a community benefit.
Part III, Line 4:Footnote from organization's financial statements: The footnote that describes bad debt expense is found on page 8 of the attached audit report.
Part III, Line 8:Medicare allowable cost is based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.Even though Medicare was at a loss, the hospital still provided services to these patients. The elderly are an underserved population who experience issues with access to healthcare services. It is a community benefit to be able to treat them at the local hospital.
Part III, Line 9b:GCRMC has implemented a number of different Policy and Procedure statements to govern the details of how its collection practices are implemented and how discounting and collection policies apply to various classes of patients. In general, all patient account guarantors who request financial assistance are asked to provide detailed information regarding their income and assets. For patients who qualify for charity and who are cooperating in good faith to resolve their hospital bills, GCRMC may offer extended payment plans to eligible patients, will not impose wage garnishments or liens on primary residences, will not send unpaid bills to collection agencies, and will cease all collection efforts.
Part VI, Line 2:In 2015, Management at GCRMC enlisted the services of MJ Philps to develop a Community Heath Needs Assessment and to provide information from secondary data sources to assist in identifying needs that exist in the community. This includes data from the Center for Disease Control and Prevention to examine trends for stroke, diabetes, heart disease and cancer. It also includes data that identify shortages in healthcare professionals by location.
Part VI, Line 3:The hospital has a Charity Care Policy - Gerald Champion Regional Medical Center (GCRMC) will provide understandable, written guidelines to staff and patients relative to how the hospital evaluates and determines: 1) a patient's eligibility for charity care; 2) an uninsured patient's eligibility for discounts; and 3) a patient's eligibility for alternate payment plans.A Summary of the Charity Care Policy is posted in the emergency room and throughout the entire hospital. The patients are also informed through direct communication with financial counselors and these policies are explained in detail to guarantors who advise GCRMC that they are unable to pay their account or need help in structuring an affordable payment plan for their account. The hospital provides services to anyone in need of medical care regardless of the patient's ability to pay for such services. Charity care and discounts for the uninsured will be available for medically necessary hospital care provided to persons who meet the financial and documentation criteria defined in this policy. Determinations hereunder will be based solely on the patient's ability to pay and will not be made on the basis of age, sex, race, creed, disability, sexual orientation or national origin. GCRMC provides financial assistance to patients based on their income, assets, and needs. Through our financial counseling services we assist patients with obtaining financial coverage or low-cost health insurance, or work with patients to arrange a manageable payment plan.Uninsured patients are eligible for a 25% discount. A 25% discount is applied to the total charges of a Self-Pay Patient at the time of service or the 1st billing. Notice will be sent at the time of the 1st billing informing the patient/guarantor that an additional 10% will be deducted if the account is paid within 30 days of the date of service.
Part VI, Line 4:Otero County Hospital Association d/b/a Gerald Champion Regional Medical Center ("GCRMC") activities are conducted on its 130-acre campus located in Alamogordo, New Mexico. Alamogordo is approximately 89 miles north of El Paso, Texas and 209 miles southeast of Albuquerque, New Mexico. GCRMC owns and operates a 100 bed care hospital (the "Hospital") on the campus. In addition to the main campus, the Hospital has satellite locations including clinics and physician offices throughout the city. The combined operating space of the main campus and these additional offices totals approximately 432,000 square feet. Other facilities that the Hospital owns located on the main campus include two medical office buildings, Complex A and B that have an outpatient surgery center and an imaging center owned and operated by limited liability companies in which GCRMC has an interest. GCRMC also owns six facilities located off the main campus that are either leased to independent primary care/specialty care providers or occupied by employed physicians. GCRMC's primary service area is Northwestern Otero County from which 84% of its admissions originate. GCRMC is the sole community provider in its primary service area with the nearest tertiary care hospital located approximately 70 miles from the Hospital.The delivery mechanisms of care at the Hospital include both inpatient and outpatient services: 24-hour staffed Level III Trauma Emergency Department; acute care inpatient through Medical/Surgical, Intensive Care, Telemetry, Maternal Child, 38-bed behavioral medicine, and 12-bed inpatient rehabilitation; Surgery Department supported by Pre-admit, Outpatient Care Unit and Post-Anesthesia Care Unit; hospital-owned physician practices in the areas of family practice, women's services including obstetrics, orthopedics, nephrology, internal medicine, outpatient behavioral medicine, pediatrics, gastroenterology and endocrinology; pathologist; certified laboratory services with the capability to perform over 225 different profiles and tests in-house; inpatient and outpatient diagnostic imaging services, including x-ray, 64-slice and PET/CT with 20 slice CT scan, MRI, ultrasound, interventional radiology, radiofrequency ablation and nuclear medicine; inpatient and outpatient comprehensive cardiopulmonary services including behavior sleep medicine, Holter Monitoring, Event Monitoring and Impedance Cardiography.GCRMC and the Holloman Air Force Base (HAFB) 49th Medical Group, a group of approximately 15 military providers and support staff from the HAFB, have enjoyed a close working relationship, and have had shared coverage arrangements. Such arrangements included laboratory and x-ray services in a disaster, obstetrical coverage, and coverage for the HAFB 49th Medical Group when they were deployed for Desert Storm in 1991. Following Desert Storm and the return of the HAFB 49th Medical Group, the DoD made the decision to leave all the obstetrical services with GCRMC and the local obstetricians. As of 2017, Holliman employed approximately 864 civilians. There are 3,348 active military and 6,657 dependents located at the base.GCRMC's primary service area (the "PSA") is in Northwestern Otero County from which most of GCRMC's admissions originate. Located in southeastern New Mexico, Otero County encompasses 6,627 square miles and includes the cities of Alamogordo and Tularosa. According to U.S. Census, the population of Otero County estimated in 2017 was 63,797.The Hospital is the only acute care hospital within the PSA and is a Sole Community Provider. The acute care hospitals that GCRMC considers its main competitors that draw from the PSA are Mountain View Regional Medical Center and Memorial Medical Center both located approximately 75 miles west of Alamogordo in Las Cruces, New Mexico. Management of GCRMC estimates that the market share of admissions to the Mountain View Regional Medical Center and Memorial Medical Center from the PSA average 10% and 5%, respectively.The secondary service area covers a substantial portion of the remainder of Otero County, as well as the south central portion of Lincoln County. The secondary service area includes Ruidoso, the population of which was estimated to be 8,029 in 2010 according to the U.S. Census Bureau. The tertiary service area covers a small portion of Otero County and Chaves County. There are no other major medical centers within Otero County.
Part VI, Line 5:The business and affairs of GCRMC are subject to the overall governance and direction of its Board of Directors. The Board of Directors currently includes 11 members. Each member is appointed by the Board of Directors and serves a three-year term in a self-perpetuating board. The Board of Directors fills vacancies that may occur. Officers of the Board of Directors include a Chairman, Vice Chairman, and Secretary/Treasurer. The Board of Directors are business people of the primary service area, with no other connection. GCRMC's medical staff is organized into Divisions of Medicine, Medical Subspecialties, Surgery and Outpatient Services. In addition to specialized medical/surgical services provided by both employed and contracted physicians and medical groups, GCRMC also offers emergency medical services, including a helicopter service which is not owned by GCMRC but is on-site 24 hours a day. GCRMC employs around-the-clock hospitalists, (i.e., physicians who devote their professional time to the care of hospitalized patients). The hospital extends medical staff privileges to all qualified physicians in the community. Surplus funds are re-invested into the purchase of capital equipment, electronic medical record software, continuing education for clinical staff including physicians, and a professionally managed diversified portfolio of marketable securities.GCRMC views the position of sole provider as a significant commitment to the overall health and well-being of the community. In addition to its focus on providing quality healthcare, the organization strives to facilitate and share opportunities to educate and motivate a philosophy of wellness in the community. The primary target is the disease process that we know can be eliminated or improved by changing or modifying human behavior. As with any community, the population served has a variety of educational background. The drive is to develop programs that target the needs and understanding of the community. Physicians/Providers are utilized to provide open forums that present health related issues, i.e. arthritis, nephrology, neurology, orthopedic issues, etc. followed by questions and time for individual discussion. This type of program is offered with a free lunch, educational materials, and if appropriate, free screenings, such as glucose or blood pressure. There is an average of 90 participants in each of these seminars. The organization is very community-minded in its efforts to promote health. Staff participates in Health Fairs in the public schools, and hosts an annual free sports physical clinic for school-age children.At GCRMC, we feel it is important to embrace community needs that promote good citizenship. As an organization we support employee involvement in outside activities through contributions, dedicated time and sponsorship. Administration and staff members serve on community boards, dedicating many hours of support to those organizations. The following classes are provided for the community in our conference room center: Diabetic Education, Narcotics Anonymous, Childbirth Classes, New Baby Class and CPR/Basic Life Support to name a few. GCRMC has been a top supporter of the United Way which provides money for many of the local community organizations. An annual Health Fair is held at the hospital each year. We augment the annual health fair with onsite mini health screenings throughout the year. This is offered to businesses, civic organizations and churches with minimal to no charge. We offer free blood pressure screenings on a walk-in basis with educational materials in both Spanish and English. This allows us to address the high rate of hypertension in our community, its significant effect on other diseases, and an overall wellness picture.GCRMC partners with the American Cancer Society to offer the Look Good Feel Good Program and the Gift Closet. The program is housed off campus in a leased building and has brought a highly valued service to our community. The Gift Closet provides free wigs, prosthesis, supplies, education and support to cancer patients and their families.The opportunity to utilize our speaker's bureau is available to any organization in the community. A presentation regarding health related topics can be prepared with limited notice to meet the needs of the organization. The wealth of knowledge in our organization allows us to create an appropriate fit for the requested need.
Part VI, Line 6:n/a
Part VI, Line 7, Reports Filed With StatesNM

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Alamogordo Rotary
PO Box 713AlamogordoNM88310371707667501(c)(3)$7,000Public Health
American Cancer Society
2120 First AvenueAlamogordoNM88310841316555501(c)(3)$12,000Public Health
Otero County Economic Development Council
1301 N White Sands BoulevardAlamogordoNM88310850304073501(c)(3)$10,000Public Health
PMS Alamogordo
1501 Tenth StreetAlamogordoNM88310850206810501(c)(3)$161,667Public Health
PMS Chaparral NM Clinic
204 AngelinaChaparralNM88081850206810501(c)(3)$183,337Public Health
PMS Sacramento Mountain Center
PO Box 686CloudcroftNM88317850206810501(c)(3)$75,000Public Health
United Way
1501 E Tenth Street Suite BAlamogordoNM88310850197559501(c)(3)$28,196Public Health
Otero County Fair Association
401 Fairgrounds RoadAlamogordoNM88310856011829501(c)(3)$21,276Public Health
Flickinger Center
1110 N New York AvenueAlamogordoNM88310850326369501(c)(3)$7,500Public Health
Relay for Life
8500 Menual Boulevard NEAlbuquerqueNM87112841316555501(c)(3)$7,500Public Health
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe organization only gave grants to government organizations and tax exempt organizations.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Greg Richardson MD
Director$337,387$0$6,875$0$762$0$12,034$0$21,396$0$378,454$0$0$0
Andrew Lancaster MD
Director/Physician$227,168$0$32,569$0$60$0$6,626$0$27,958$0$294,381$0$0$0
Robert James Heckert
CEO$372,939$0$9,000$0$1,524$0$10,702$0$2,997$0$397,162$0$0$0
Bashar Naser
CFO$258,107$0$239,778$0$180$0$7,409$0$27,166$0$532,640$0$0$0
Robert Middleton
VP of Patient Care/CNO$178,907$0$46,000$0$108$0$8,194$0$27,218$0$260,427$0$0$0
Albert Esparsen
VP of Physician Practice$147,490$0$34,000$0$516$0$3,066$0$19,084$0$204,156$0$0$0
Peter Seaman
VP of Finance$146,281$0$44,000$0$762$0$21,122$0$25,203$0$237,368$0$0$0
Charles Race
Physician$867,380$0$66,447$0$396$0$9,450$0$24,858$0$968,531$0$0$0
William Pollard
Physician$485,826$0$95,788$0$18,469$0$11,423$0$30,013$0$641,519$0$0$0
Chris Davis
Physician$491,051$0$1,875$0$0$0$11,805$0$24,917$0$529,648$0$0$0
Katrina Rolen
Physician$491,682$0$45,066$0$0$0$11,815$0$8,396$0$556,959$0$0$0
Ying Zhao
Physician$316,705$0$177,711$0$138$0$11,307$0$24,048$0$529,909$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aResidence was provided to persons listed in Part VII until permanent housing was arranged. Benefit was reported as taxable income to recipients.
Part I, Line 4bThe following individuals contributed to the hospital's 457(b) Deferred Compensation Plan in FY 2017. The amounts contributed are listed next to the individual's name. The hospital did not match any employee, officer or director contributions. Robert Heckert-$17,308 Gregory Richardson-$17,691 Peter Seaman-$31,000 Charles Race-$2,250
Part I, Line 6The organization's officers listed in Part VII, Section A are evaluated annually based on a set of evidence based goals that determine their eligibility for additional compensation. The select goals are weighted in a hierarchy of core and job specific competencies, which include quality of care, financial performance and patient perception of care measures. One of the criteria designed to enhance alignment of the organization's goal for continued financial stability is improvement of net earnings of both the hospital, and its related organizations.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1New Mexico Hospital Equipment Loan CouncilBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN850426875BondIssuerEIN
CUSIP647370FS9CUSIPNum
Bond Issued2012-09-19BondIssuedDt
Issue Price$70,004,797IssuePriceAmt
PurposeHospital imp. including new patient tower; refund bonds issued 11/15/07PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$2,765,000RetiredAmt
Total Proceeds$70,180,355TotalProceedsAmt
In Reserve Fund$5,393,296InReserveFundAmt
Issuance Costs From Proceeds$1,400,096IssuanceCostsFromProceedsAmt
Capital Expenditures$32,310,994CapitalExpendituresAmt
Other Spent Proceeds$31,075,969OtherSpentProceedsAmt
Substantial Completion2012SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.02560PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.02560TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Date Rebate Computation PerformedIssuer Name: New Mexico Hospital Equipment Loan Council Date the Rebate Computation was Performed: 01/09/2014
Schedule K, Part II, Line 11:The other spent proceeds was the amount used to retire the bonds issued in 2007.
Schedule K, Part I, Column (e) and Part II, Line 3:The difference between the issue price at Part I Column (e) and the total proceeds of the issue at Part II Line 3 is due to investment earnings on the reserve funds.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Greg Richardson
Board member Greg Richardson is the President of the ASV, LLC board$5,942,080Gerald Champion performs services for ASV, LLC0
Amy Graham
Daughter-in-law of board member Bill Mershon$74,212Compensation0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, line 2Occupational Health Opened May 2017. Dr. Abood, Internal Medicine, began practice April 2017. Dr. Dharia, Pulmonary Practice, opened March 2017.
Form 990, Part III, line 3Wellness Works began March 2017. This is an expanded service in ER to assist patients with discharge plans.
Form 990, Part III, Line 4a, Description of Program Service (continued):GCRMC has, since its inception in 1949, provided quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operations and stability of GCRMC, it is recognized that not all individuals possess the ability to purchase essential medical services and, further, that our mission is to serve the community with respect to providing healthcare services and healthcare education. Therefore, in keeping the GCRMC's commitment to serve our community, we provide: free care and/or subsidized care - care to persons covered by governmental programs at below cost; and health activities and programs to support the community will be considered where the need and/or an individual's inability to pay coexist. Management expanded the Financial Assistance Program from 200% to 300% of FPL effective July 1, 2015. GCRMC maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy.
Form 990, Part VI, Section A, line 1The Joint Finance and Executive Committee is chaired by the Vice Chairman of the Board of Directors. In absence of the Vice Chairman, the Chairman of the Board or Secretary of the Board shall chair the committee in that order. The composition of the Joint Finance/Executive Committee shall be determined by the Board of Directors at the annual meeting. The powers and responsibilities of the Committee shall include: Screen Board business and make recommendations for approval in order to enable the full Board to effectively utilize its discussion time; Exercise emergency powers in extraordinary circumstances and make decisions otherwise reserved to the Board of Directors when the Board is not in session; Exercise the power and authority to transact Corporation business which requires immediate action; Serve as audit committee for the Corporation; Serve as ethics committee for the Corporation and be primarily responsible for implementing the conflicts of interest policy of the Corporation; review and make recommendations to the Board of Directors concerning the performance, competence and terms of employment of the Chief Executive Officer; and act in such other situations and capacities as the Board of Directors may designate or specify.
Form 990, Part VI, Section A, line 7aAt their annual meeting, the Board of Directors shall elect persons to fill such vacancies as may exist to a maximum of 15 Directors.
Form 990, Part VI, Section B, line 11bThe return is reviewed by the CEO and CFO prior to filing.
Form 990, Part VI, Section B, line 12cEach officer, director, and key employee is required to fill out a conflict of interest disclosure annually. The forms are initially reviewed by the CFO. If any conflicts exist, they are reviewed by the Board of Directors. A person with a conflict is restricted from voting on related matters.
Form 990, Part VI, Section B, line 15The CEO reports to GCRMC Board of Directors and his salary is determined by the Board of Directors. The Board used comparative salary data obtained from QHR as well as the Modern Healthcare CEO Salary Survey to access the reasonableness of the compensation. Compensation was last determined June 2016 for FY17. Annually GCRMC has a compensation review performed by an independent consulting firm, Coker Group. This review includes compensation of officers as well as physicians. The results of the compensation study are presented to and reviewed by the Board.
Form 990, Part VI, Section C, line 19The governing documents, conflict of interest policy and financial statement are all available upon request.
Form 990, Part IX, line 11gConsultants: Program service expenses 1,302,790. Management and general expenses 1,464,606. Fundraising expenses 0. Total expenses 2,767,396. Maintenance Contracts: Program service expenses 776,258. Management and general expenses 2,228,195. Fundraising expenses 0. Total expenses 3,004,453. Physician Fees: Program service expenses 5,201,738. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,201,738. Agency Personnel: Program service expenses 3,843,345. Management and general expenses 10,560. Fundraising expenses 0. Total expenses 3,853,905. Contract Dept Fees: Program service expenses 2,852,329. Management and general expenses 1,264,587. Fundraising expenses 0. Total expenses 4,116,916. Surgery Center Fee: Program service expenses 5,942,080. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,942,080. Miscellaneous Fees: Program service expenses 2,798,852. Management and general expenses 1,591,651. Fundraising expenses 0. Total expenses 4,390,503. GCSP Cath Lab Fee: Program service expenses 5,419,073. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,419,073.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Gerald Champion Regional Medical Center Foundation IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12669 N Scenic DriveAddressLine1Txt
CityAlamogordoCityNm
State AbbreviationNMStateAbbreviationCd
ZIP88310ZIPCd
FieldValueIRS element (for citing)
EIN850352051EIN
Primary ActivitiesTo directly support the mission of the Otero County Hospital AssociationPrimaryActivitiesTxt
Legal Domicile StateNMLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 12a, IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Otero County Hospital AssociationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Alamogordo Surgery Venture LLC
2351 25th StreetAlamogordoNM88310061791828Outpatient Surgery CenterNMN/ARelated$717,662$65,847Yes (1)Yes (1)0.40500
Gerald Champion-Sierra Providence Cardiac Cath Lab LLC
2669 N Scenic DriveAlamogordoNM88310611753921Cardiac Cath LabNMN/ARelated$757,305$3,260,048Yes (1)Yes (1)0.51000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Alamogordo Surgery Venture LLC
F$664,000General Ledger
Alamogordo Surgery Venture LLC
A$456,680General Ledger
Alamogordo Surgery Venture LLC
L$5,942,080General Ledger
Alamogordo Surgery Venture LLC
Q$124,414General Ledger
Gerald Champion-Sierra Providence Cardiac Cath Lab LLC
F$688,500General Ledger
Gerald Champion-Sierra Providence Cardiac Cath Lab LLC
A$172,179General Ledger
Gerald Champion-Sierra Providence Cardiac Cath Lab LLC
L$5,419,073General Ledger
Gerald Champion-Sierra Providence Cardiac Cath Lab LLC
Q$914,329General Ledger
Gerald Champion-Sierra Providence Cardiac Cath Lab LLC
R$3,405,950General Ledger