2017-11-14T13:23:57-06:00 2016-12-31 850203431 REDW LLC Post Office Box 93656 Albuquerque NM 871993656 990 2016-01-01 850313268 Rehoboth McKinley Christian Healthcare Services REHO 5058637000 1901 Red Rock Drive Gallup NM 87301 David Conejo CEO 5058637000 2017-11-14 1 Jamie S Fridley CPA P00380605 5059983200 38.122.0.106 2017-11-14 10:09:10 MS P 94DAE6D39FE1B4643238BDE85B62EE539D402BDA 94DAE6D39FE1B4643238BDE85B62EE539D402BDA 2016 2017-02-10 21:41:12Z David Conejo 1901 Red Rock Dr Gallup NM 87031 71306074 0 X www.rmch.org X 1985 NM The mission of Rehoboth McKinley Christian Healthcare Services, Inc. is to serve God by making a profound and lasting difference in the health and quality of life for all people in the community. 14 12 670 59 0 0 2477393 2558764 60594334 68405362 -76112 -10786 65850 99774 63061465 71053114 19200 597594 0 0 26518459 31266437 0 0 0 33331455 40608532 59869114 72472563 3192351 -1419449 29712822 31588984 18236342 25943331 11476480 5645653 X Rehoboth McKinley Christian Healthcare Services, Inc. (RMCHCS) will be the preferred healthcare provider organization for McKinley County and the surrounding communities. RMCHCS will be responsive to the healthcare needs of the entire community. RMCHCS will focus on improving financial and operational performance while solidifying ourselves as an integrated healthcare delivery system. We will be distinguished by: 1) demonstrated quality, customer service, and value, 2) superior access, 3) clinical specialty services, 4) strong human and technological resources, and 5) a multi-cultural orientation. 0 0 40746332 597594 59261548 Hospital inpatient services include a medical surgical unit, women's health, pediatric and newborn nursery units, intensive and critical care units, and an inpatient dialysis unit. Hospital ancillary services include a cardiopulmonary rehabilitation unit, diagnostic imaging and laboratory services, as well as physical rehabilitation services. The main campus is also home to the surgical services unit and the emergency department. 1234033 914031 Home health is interim care to help patients transform from an acute illness to care at home. During the episode of care, home health staff provide training for those caring for patients with a disease or long-term health issue. Hospice is a program for patients who have a terminal illness. The program offers support and guidance to end of life patients by physical therapists, and occupational therapists, and two home health assistants. Staff members see an average of five patients a day, with care focused on the family as the unit of care. The home care service area covers a distance of about 30 miles in all directions surrounding Gallup. 1207766 1208330 Behavioral health services offers high quality, comprehensive behavioral health care to those of all races who need it. We believe in a humanistic approach that meets the individual needs of clients and their families with a spirit of dignity and confidentiality. 12078435 7021453 Provides primary care services to patients through multi-specialty clinics. 12078435 7021453 55266566 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 1 128 0 670 1 0 0 0 0 0 0 0 0 X 14 12 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 NM X John E McMullin 5058637347 1901 Red Rock Dr Gallup NM 87301 David Bischoff Treasurer 1.00 X 0 0 0 John Luginbuhl Trustee 1.00 X 0 0 0 Dave Dallago Chairman 1.00 X 0 0 0 Mary Ann Armijo Vice Chair/Secretary 1.00 X 0 0 0 Ayodele Erinle MD Trustee 1.00 X 0 0 0 Ava Hannaweeke Trustee 1.00 X 0 0 0 Lorelei Kay Trustee 1.00 X 0 0 0 Kurt Spolar Trustee 1.00 X 0 0 0 Ken Zylstra Trustee 1.00 X 0 0 0 David Conejo CEO 40.00 X 0 0 0 John McMullin CFO 40.00 X 197034 0 16420 William Kiefer COO 40.00 X 293435 0 670 Samuel Macbride CMO 40.00 X 292699 0 18670 Charles Guimaraes MD Physician 40.00 X 369136 0 18670 Mital Patel Physician 40.00 X 523861 0 14170 Zafar Parvez Physician 40.00 X 438134 0 670 Stefan Chimoskey MD Physician 40.00 X 319179 0 670 Colin Berry Physician 40.00 X 308389 0 670 2741867 0 70610 39 0 1 0 Align MD Division of America 12 Cadillac Drive Brentwood TN 37027 Professional Medical 2316249 Medefis Consolidated 10826 Old Mill Road Omaha NE 68154 Professional Staffing 1718909 Conexus Healthcare PO Box 6419 Siloam Springs AR 72761 Professional Staffing 1488128 Healthsource Partners LLC 2134 N Industrial Dr Bozeman MT 59715 Professional Staffing 1025702 Comphealth PO Box 972651 Dallas TX 75397 Professional Medical 872391 34 2558764 2558764 Net Patient Service 900099 63374679 63374679 Sole Community Provider 900099 5030683 5030683 68405362 -11286 -11286 352734 252960 99774 99774 99774 500 0 500 500 500 71053114 68405862 0 88488 X 587594 587594 10000 10000 818931 720659 98272 26760231 21232313 5527918 41592 31107 10485 1832413 1766061 66352 1813270 1467617 345653 167253 167253 130262 130262 12861434 7954855 4906579 176648 176648 3713469 2043129 1670340 142967 142967 2643057 68009 2575048 219997 56893 163104 188371 79360 109011 436127 283722 152405 1913759 1705057 208702 765034 550790 214244 Bad Debt Expense 5913656 5913656 Contract Labor 5566158 4910629 655529 Medical/Facility Suppli 4005171 3988462 16709 Pharmaceuticals Exp 1765169 1753686 11483 72472563 55266566 17205997 0 4550758 4921255 4147320 8120938 2905754 2174470 1368913 1082047 285916 227528 63749795 52244515 11649504 11505280 4080597 3557466 724060 0 29712822 31588984 9615910 17356152 5275000 4482440 448634 802339 2896798 3302400 18236342 25943331 X 11476480 5645653 11476480 5645653 29712822 31588984 -1419449 -511378 -3900000 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 788219 788219 27976497 23376525 4599972 3356581 2343374 1013207 31050201 26524616 4525585 578297 578297 11505280 Series 2007 Bond Funds 1398784 F Investment Risk Retention Group 2158682 F 3557466 Estimated 3rd Party Settlement 1370924 Pinnacle Bank Loan 1648350 Due to RMCHCS Foundation 283126 3302400 X Part X, Line 2: THE HOSPITAL RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE HOSPITAL HAD NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2016 AND 2015. THE HOSPITAL AND THE FOUNDATION FILE EXEMPT ORGANIZATION RETURNS AND IF APPLICABLE, UNRELATED BUSINESS INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION, NEW MEXICO ATTORNEY GENERAL, AND NEW MEXICO DEPARTMENT OF REVENUE. THE HOSPITAL AND FOUNDATION ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR YEARS BEFORE FISCAL YEAR 2014 FOR THEIR FEDERAL AND STATE FILINGS. 1 1 X 1 X 0 1 1 1 0 1 1 934802 934802 0.01290 28183721 22064959 6118762 0.08440 29118523 22064959 7053564 0.09730 995333 63316 932017 0.01290 141863 141863 0.00200 1137196 63316 1073880 0.01490 30255719 22128275 8127444 0.11220 7 2100 2100 0.00000 26 6198 6198 0.00010 33 8298 8298 0.00010 1 5913656 2956828 11649962 11193839 456123 X 0 1 1 RMCHCS Hospital 1901 Red Rock Drive Gallup NM 87301 X X X Rehoboth McKinley Christian Health Care 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X www.rmch.org X 1 16 1 www.rmch.org 0 1 X 200.000000000000 X X X X 1 1 X X X 1 X X X 1 X 0 X X X 1 0 0 Rehoboth McKinley Christian Health Care Part V, Section B, Line 5: RMCHCS INTERVIEWED VARIOUS PERSONS FROM THE COMMUNITY USING A STRUCTURED INTERVIEW FORMAT. THE FOLLOWING COMMUNITY MEMBERS WERE INTERVIEWED:Carlton Albert, New Mexico EMS for Pueblo of Zuni, Former Pueblo of Zuni Council MemberJohn Allen, Deputy Chief of Police, City of Gallup, New MexicoHelen Alonzo, RN, School Nurse, Head Start, Gallup, New MexicoJay Azua, LADAC, CPSW, Director, Hozho Center / Counselor, RMCHCS Inpatient Behavioral Health Carla Baha-Alchesay, Division Director, Public Health and Native Medicine, Indian Health Service Sindy Balanos-Sacoman, Substance Abuse and Mental Health Services Administration, SAMHSAAlan Beamsley, DO, Emergency Medicine, Emergency Department, Rehoboth McKinley Christian Health Care ServicesFrancIs Bee, Executive Director, Gallup New Mexico Business Improvement District / Main Street ProgramNorman D. Benally, MA Chief Administrator, Navaho Housing AuthorityGeorge Brasinikas, MD, Pathologist, Rehoboth McKinley Christian Health Care Services / Gallup Indian Medical CenterAllison Byrnes, Supervisor, Developmental Disability Services, New Mexico Public Health DepartmentRita Cantsee, Prevention Specialist, Navajo Nation Department of Behavioral Health Services, Prevention Programs Donna Castille, Business Manager, Northside Clinic, PMS (Presbyterian Medical Services FQHC) Gallup, New Mexico Leticia Chavez, Director, WIC, Women's, Infants and Children Program, New Mexico Department of HealthJim Christian, Superintendent, Manuelito Navajo Children's HomeDenise Clark, RN, MSN, Chief Nursing Officer, Rehoboth McKinley Christian Hospital David Conejo, Chief Executive Officer, Rehoboth McKinley Christian Health Care Services Randy Copeland, MD, Orthopedic Surgeon, Gallup Indian Medical CenterJohn Coyle, Clinical Administrator, Presbyterian Western New Mexico Medical Group, Outpatient Behavioral HealthAlberta Curley, Prevention Administrator, Navajo Nation Department of Behavioral Health Services, Prevention ProgramsLarry Curley, MPA, Director of Program Development, RMCHCS, Former Director of Health, Navajo NationCarmelita Darwin, PHN, Director of Public Health Nurses, Gallup Indian Medical CenterJason Dodd, Outreach Counselor, Office of Outreach and Support, Department of Veteran's AffairsJuliana Dooley, Coordinator, Behavioral Health Investment Zone (BHIZ) / Realtor, Gallup, New MexicoKevin Foley, PhD, Clinical Director, Na'nizhoozhi Center, Inc. (NCI) Detox Center, Gallup, New Mexico Larry Foster, BA, Director, Social Hygiene, Indian Health Service, Gallup Indian Medical CenterMark Freeland, Executive Staff Assistant to President and Vice -President, Navajo NationCecilia Gaddy, Director, Navajo Nation Program for Self-Reliance Gallup Office, Division of Social Services, Navajo Nation (Temporary Assistance to Needy Families -TANF)Theresa Griego, Office Manager, Head Start, Gallup, New MexicoJonathan Hale, Chairman of the Health, Education and Human Services Committee, Navajo Nation, 23rd Navajo Nation CouncilAva Hanaweeke, RMCHCS Board Member, Fromer Tribal Administrator, Pueblo of ZuniSu Hodgman, Executive Director, Northwest New Mexico First Born Program, McKinley and San Juan CountiesJohn Hubbard, Retired, Former Regional Director, Indian Health Service Regina Huffman, Director, Avenues Early Childhood Services, McKinley County Mary Ippel, RN, OB/GYN, Rehoboth McKinley Christian Health Care ServicesTristan Keller, MSW, Outreach Social Worker / Coordinator of Housing, Department of Veteran's AffairsWilliam Kiefer, DNP, Chief Operating Officer, Rehoboth McKinley Christian Health Care ServicesRachael Kilgore, Acting Director, Battered Family Services, Inc., Gallup and Pueblo of Zuni, and Director Sexual Assault Services of Northwest New Mexico, Gallup New MexicoGreg Kirk, Director of Physical Therapy, Rehoboth McKinley Christian Healthcare ServicesTerri Laughlin, Parent, Family and Child Educator Specialist, Head Start, Gallup, New MexicoRobert Lewis, Readjustment Counseling and Outreach Counselor, NM Department of Veterans AffairsTommy Lewis, PhD, Superintendent of Schools, Department of Din Education, Navajo NationMary Lindenmeyer, MA, MSW, Coordinator of Counselors, Gallup McKinley County SchoolsKarl Lohman, retired teacher, Gallup McKinley County Schools, volunteer leader, National Indian Youth Leadership Program, Youth Conservation Corps, Boys and Girls Club, McKinley CountyNicole Lujan, Case Manager, Behavioral Health Investment Zone, Former Disease Prevention and Harm Reduction Specialist, New Mexico Department of HealthBarbara L. McAneny, MD, CEO, New Mexico Cancer Center/New Mexico Oncology Hematology Consultants, Ltd. / Former Chair, American Medical Association (AMA)Niles McCall, MA, Director of Education, Rehoboth McKinley Christian Health Care ServicesWilliam McCarthy, Executive Director, Southwest Indian FoundationJackie McKinney, Mayor, City of Gallup, New MexicoJohn McMullin, Chief Financial Officer, Rehoboth McKinley Christian Health Care ServicesSam MacBride, MD, Chief Medical Officer, Rehoboth McKinley Christian Health Care ServicesDebra Martinez, Coordinator, McKinley County DWI ProgramLinda Morales, Director, Bethany Day Care Center, Gallup, New MexicoBetty Nez, Director, Pueblo of Zuni Social Services Benson Ndolo, Executive Director, New Life Learning Center, Native American New Life MinistriesJenny Notah, Acting Area Statistical Officer, Office of Program Planning and Statistics, Navajo Area, Indian Health ServiceBeatrice Nu ez, RN, Labor and Delivery Nurse, OB/GYN, Rehoboth McKinley Christian Health Care ServicesMichael Nye, Chief Officer of Compliance and Professional Services, Rehoboth McKinley Christian Health Care ServicesTony Osborne, CNP, Presbyterian Medical Services Northside Clinic (FQHC), Gallup, New Mexico Yvonne Pepperzak Blake, Diabetes Educator, Rehoboth McKinley Christian Health Care Services Alice Perez, Executive Director, Community Pantry, Gallup and Grants, New MexicoBonita Petronovich, Director of Early Childhood Programming, Gallup McKinley County SchoolsKris Pikaart, Chaplain, Rehoboth McKinley Christian Health Care ServicesSara Pikaart, RN, OB/GYN Department, Rehoboth McKinley Christian Health Care ServicesFran Polochak, City Councilwoman, City of Gallup, New MexicoKimberly Prigmore, Director, Home Health and Hospice, Rehoboth McKinley Christian Health Care ServicesJohn Ratmeyer, MD, Pediatrician, Gallup Indian Medical CenterCharles Reado, County Office Manager, Protective Services Rehoboth McKinley Christian Health Care Part V, Section B, Line 6a: GALLUP INDIAN MEDICAL CENTER - GALLUP, NM Rehoboth McKinley Christian Health Care Part V, Section B, Line 6b: McKinley County Community Health Alliance Rehoboth McKinley Christian Health Care Part V, Section B, Line 11: Population Health is defined by the World Health Organization (WHO) as, "the health outcomes of a group of individuals, including the distribution of such outcomes within the group," the Social Determinants of Health as "the conditions in which people are born, grow, live, work and age circumstances that are shaped by the distribution of money, power, resources at global, national and local levels."Population Health is an approach to health that aims to improve the health of an entire population. A priority in achieving this aim is to reduce health inequities or disparities among different population groups due to, among other factors, the Social Determinants of Health. The factors that impact the population of McKinley County are reviewed in this assessment by looking at Health Outcomes measurements and Quality of Life issues.According to the World Health Organization, the definition of health is a state of complete physical, mental and social well-being, and not merely the absence of disease.In telling the story of the health of this community, this assessment will look at the significant disease states and major health issues, as well as conditions, behaviors and social and physical environments, positive and negative, that impact them.By identifying the community's gaps, needs and issues, as well as its assets, we hope to initiate a conversation that is a catalyst for community collaboration in addressing them.The median age in McKinley County is 30.7 years. That is six years younger than the median age in the United States. However, the average life span of the population in McKinley County is four years less than the average life span of the United States population. The average life span McKinley County is is 74.4 years versus the national average of 78.8 years. In reviewing the leading causes of death, contrasts appear that help clarify the significant health issues in McKinley County.Although the top two causes of death in McKinley County are Cardiovascular Disease and Cancer, the same top two causes for New Mexico and the United States, the incidence of each of these diseases per 100,000 people in McKinley County is 12%-25% lower than the state and national incidence.The number one cause of death for the Navajo Nation is *Unintentional Injuries, and although the 2nd and 3rd causes of death for the Navajo Nation are Cardiovascular Disease and Cancer, their averages are both 40%-50% lower for the Navajo Nation than the state and national averages.Diabetes is the 4th highest cause of death for McKinley County and the Navajo Nation and the 5th highest cause of death for New Mexico and the United States. (Stroke is the 4th lead- ing cause of death for these two entities.) However, McKinley County's average of diabetes deaths is 53%-64% higher (this is all ethnicities) than the state and national averages and 27% higher than the Navajo Nation.The 5th highest cause of death in McKinley County and the Navajo Nation is Chronic Liver Disease and Cirrhosis (7th and 8th causes of death for New Mexico and the United States). When this average cause of death is added to the Unintentional Injuries average, both alcohol related, they become the number one cause of death by a wide margin for McKinley County and the Navajo Nation.Lastly, lower in incidence per 100,000 people but still in the top ten causes of death, is Suicide. The incidence of suicide in McKinley County is 56% higher than the national average, 40% higher than the Navajo Nation and 26% higher than the New Mexico average, where it is already considered at a crisis level.Suicide and the co-occurring mental health and substance abuse issues that lead to suicide, are clearly very serious health issues for McKinley County.Under a new administration in 2015, RMCHCS began a focused Plan, Act, Review cycle (PAR) of needs assessment, budgeting and implementation. Upon completion of the CHNA, Emily Guilliams presented the assessment to the Board of Directors and from there it has been part of significant discussions related to strategically planning for the implementation of programs that will best meet the needs of the community.This cycle is predicated on reinforcing the governing board's authority and responsibility for providing direction to administration. The Implementation Strategy provides a summary of the programs, processes, affiliations and collaborations that the RMCHCS Board of Directors and administration has approved to pursue in meeting these needs. An emphasis has been placed in the coming three years, organized principally around inter-agency collaboration, as the key process through which the health of all people in the service region can best be supported and served. Remaining needs are referred to collaborative networks in order to gain the assistance of these healthcare partners in meeting as many needs as possible. Through these means, the RMCHCS Board and administration can best define and prioritize new allocations of effort and resources to meet the significant health needs of McKinley County and the RMCHCS service region. Rehoboth McKinley Christian Health Care Part V, Section B, Line 16j: All self-pay patients will be informed at, or before, the time of admission of the availability of alternative resources based on financial means. 3 1 - College Clinic 2111 College Drive Gallup NM 87301 Pediatrics, Internal & Family 2 - Red Rock Clinic 1900 Red Rock Drive Gallup NM 87301 OB/GYN Orthopedics 3 - Behavioral Health Services 650 Vanden Bosch Parkway Gallup NM 87301 Addiction & Psychiatric Services Part I, Line 3c: RMCHCS'S FINANCIAL ASSISTANCE POLICY INDICATES THAT THE CRITERIA IS THAT PERSON IS NOT INSURED AND DOES NOT QUALIFY FOR ANY OTHER PAYMENT METHOD. Part I, Line 7g: THE HOSPITAL PARTICIPATES IN COMMUNITY EVENTS SUCH AS THE ANNUAL HEALTH FAIR, SMOKING CESSATION CLASSES, STATE DIABETES ADVISORY COUNCIL, REGIONAL TRAUMA PREVENTION DAY, BABY CAR SEAT DISTRIBUTION, AND EMERGENCY PHYSICIAN AND COMMUNITY TEACHING. IN ADDITION, THE AUXILARY PROVIDES ANNUAL SCHOLARSHIPS OF $10,000 TO QUALIFIED NURSING STUDENTS. Part III, Line 4: RATIONAL AND COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED AS BAD DEBT EXPENSE:BAD DEBTS ARE WRITTEN OFF WHEN THEY ARE DEEMED UNCOLLECTIBLE. RMCHCS CALCULATESE ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON PERCENTAGES OF ACCOUNTS RECEIVABLE AGING CATEGORIES THAT CONSIDER HISTORICAL WRITE-OFFS BY MAJOR PAYOR CATEGORIES OVER THE PAST SEVERAL YEARS. PATIENT ACCOUNTS ARE FIRST REDUCED BY THE APPLICABLE CONTRACTUAL ALLOWANCE. BAD DEBT EXPENSE IS COMPUTED BY APPLYING THE RESULTING NET A/R BALANCES TIMES AN ESTIMATED BAD DEBT PERCENTAGE BASED ON THE AGING OF ACCOUNTS. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE; THEREFORE, THEY ARE DEDUCTED FROM GROSS REVENUE. RATIONALE FOR INCLUDING PORTION OF BAD DEBT AS COMMUNITY BENEFIT:MANY PATIENTS THAT WOULD OTHERWISE QUALIFY FOR CHARITY CARE, FAIL TO COMPLETE THE REQUIRED DOCUMENTATION AND INSTEAD LET THE ACCOUNTS GO TO COLLECTIONS AND ULTIMATELY TO BAD DEBT. THE BAD DEBT RELATED TO PATIENTS WHO MAY MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY ARE ESTIMATED AT 50% OF TOTAL BAD DEBT. FINANCIAL STATEMENT FOOTNOTE:THE ALLOWANCE FOR DOUBTFUL PATIENT ACCOUNTS RECEIVABLE IS THAT AMOUNT WHICH, IN MANAGEMENT'S JUDGMENT, IS CONSIDERED ADEQUATE TO REDUCE PATIENT ACCOUNTS RECEIVABLE TO AN AMOUNT THAT IS CONSIDERED TO BE ULTIMATELY COLLECTIBLE. THE HOSPITAL CALCULATES ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON PERCENTAGES OF ACCOUNTS RECEIVABLE AGING CATEGORIES THAT CONSIDER HISTORICAL WRITE-OFFS BY MAJOR PAYOR CATEGORIES OVER THE PAST SEVERAL YEARS. MANAGEMENT BELIEVES THAT THE ALLOWANCES FOR DOUBTFUL ACCOUNTS AND CONTRACTUAL ALLOWANCES ARE ADEQUATE. BECAUSE OF THE UNCERTAINTY REGARDING THE ULTIMATE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THERE IS A POSSIBILITY THAT RECORDED ESTIMATES OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CONTRACTUAL ALLOWANCES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. ON A MONTHLY BASIS, THE HOSPITAL EVALUATES PATIENT ACCOUNTS RECEIVABLE BALANCES OLDER THAN SIX MONTHS TO DETERMINE COLLECTABILITY. ACCOUNTS ARE CONSIDERED UNCOLLECTIBLE WHEN THERE HAS BEEN NO RECENT PAYMENT ACTIVITY AND NO OTHER INDICATION THAT PAYMENT WILL BE RECEIVED. THOSE BALANCES THAT ARE CONSIDERED UNCOLLECTIBLE ARE WRITTEN OFF UPON APPROVAL FROM THE DIRECTOR OF PATIENT FINANCIAL SERVICES, CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER DEPENDING ON THE BALANCE OF THE ACCOUNT. DURING 2016 AND 2015, THE HOSPITAL WROTE OFF APPROXIMATELY $5.9 MILLION AND $5.6 MILLION, RESPECTIVELY TO BAD DEBT EXPENSE. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS APPROXIMATELY 76% AND 83% OF ACCOUNTS RECEIVABLE AT DECEMBER 31, 2016 AND 2015. THE HOSPITAL DID NOT CHANGE ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2016 AND 2015. Part III, Line 8: A COST TO CHARGE RATIO WAS USED BASED ON THE OVERALL HOSPITAL COSTS. Part VI, Line 4: GALLUP, WHICH IS THE COUNTY SEAT OF MCKINLEY COUNTY, IS THE HEART OF THE INDIAN SOUTHWEST. SEVENTY-THREE PERCENT OF THE RESIDENTS ARE OF AMERICAN INDIAN DESCENT. GALLUP IS THE ECONOMIC CENTER OF THREE MAJOR INDIAN TRIBES, ZUNI, HOPI, AND NAVAJO AND SERVES THE SURROUNDING AREAS OF NEW MEXICO AND ARIZONA. THE PRIMARY SERVICE AREA (GALLUP) HAS A POPULATION OF 22,000 WITH A SECONDARY SERVICE AREA OF APPROXIMATELY 90,000 PEOPLE. GALLUP IS SITUATED AT 6,515 FEET AND HAS A MILD AND COMFORTABLE FOUR-SEASON CLIMATE. THE LANDSCAPE IS BEAUTIFUL, WITH RED MESAS SURROUNDING THE CITY. GALLUP HAS A UNIQUE BLEND OF INDIGENOUS CULTURE, WITH GENUINE AMERICAN INDIAN AND SOUTHWEST-HISPANIC ARTS AND CRAFTS IN RICH ABUNDANCE. Part VI, Line 5: REHOBOTH MCKINLEY CHRISTIAN HOSPITAL IS THE MAIN CAMPUS. THIS 60-BED GENERAL ACUTE INPATIENT FACILITY OFFERS A WIDE RANGE OF MEDICAL AND DIAGNOSTIC SERVICES. HOSPITAL INPATIENT SERVICES INCLUDE A MEDICAL SURGICAL UNIT, WOMEN'S HEALTH, PEDIATRIC, AND NEWBORN NURSERY UNITS, INTENSIVE AND CRITICAL CARE UNITS. HOSPITAL ANCILLARY SERVICES INCLUDE A CARDIOPULMONARY REHABILITATION UNIT, DIAGNOSTIC IMAGING AND LABORATORY SERVICES, AS WELL AS PHYSICAL REHABILITATION SERVICES. THE MAIN CAMPUS IS ALSO HOME TO THE SURGICAL SERVICES UNIT AND THE EMERGENCY DEPARTMENT. THE MISSION OF THE REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES IS TO SERVE GOD BY PROVIDING HEALTH CARE AND PROMOTING WELLNESS FOR ALL PEOPLE. STATEMENT OF PHILOSOPHY - REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES ORIGINATES AND EXISTS ON THE BASIS OF THE BIBLICAL COMMAND TO LOVE GOD AND TO LOVE OUR NEIGHBOR. REALIZING THAT HUMAN BEINGS ARE PLAGUED WITH MIND, BODY, AND SPIRIT, THIS INSTITUTION IS DEDICATED TO THEIR DIAGNOSIS, TREATMENT AND PREVENTION. IT IS THE GOAL OF THE CORPORATION TO EMBODY THE MEDICAL FACILITIES WITH A SPIRIT OF MERCY THAT RESULTS IN PHYSCIAL HEALING. MEDICAL KNOWLEDGE, SKILL, AND HEALING ARE GIFTS FROM GOD; AND, TO WHATEVER EXTENT, THEY ARE EFFECTED AT REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES, INC., HIS NAME IS GLORIFIED AND HIS PURPOSE SERVED. IT IS THE COMPASSION AND LOVE OF CHRIST WHICH SET THE EXAMPLE FOR THE STAFF; AND IT IS HOPED THAT THIS PROVISION OF A CHRISTIAN SETTING WILL PROVIDE PATIENTS AN OPPORTUNITY TO ENCOUNTER CHRIST, THE GREAT PHYSICIAN. 1 RMCHCS Foundation 1901 Red Rock Drive Gallup NM 87301 850349559 501(c)(3) 566780 Capital Donation Scholarships 10 10000 Part I, Line 2: RMCHS FOUNDATION KEEPS CAREFUL TRACK OF THE USE OF FUNDS GRANTED TO IT BY REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES. X X X 0 1 0 0 0 0 0 0 0 John McMullin CFO 181764 0 0 0 15270 0 15750 0 670 0 213454 0 0 0 William Kiefer COO 279620 0 0 0 13815 0 0 0 670 0 294105 0 0 0 Samuel Macbride CMO 253076 0 20000 0 19623 0 18000 0 670 0 311369 0 0 0 Charles Guimaraes MD Physician 344001 0 0 0 25135 0 18000 0 670 0 387806 0 0 0 Mital Patel Physician 489883 0 20000 0 13978 0 13500 0 670 0 538031 0 0 0 Zafar Parvez Physician 415384 0 0 0 22750 0 0 0 670 0 438804 0 0 0 Stefan Chimoskey MD Physician 297137 0 0 0 22042 0 0 0 670 0 319849 0 0 0 Colin Berry Physician 285639 0 0 0 22750 0 0 0 670 0 309059 0 0 0 Part I, Line 3 COMPENSATION WAS DETERMINED BY A WRITTEN EMPLOYMENT CONTRACT AND BOARD APPROVAL. A The NM Hospital Equipment Loan Council 850334237 2007-03-01 7245000 REFUNDING PROCEEDS AND CAPITAL EXPENDITURES 1 0 0 A 7245000 645316 3924311 390477 2519647 2007 0 0 0 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 K&B David Bischoff owns this company 19154 PROVIDES FOOD PRODUCTS 0 Dallago Corporation Dave Dallago owns this company 131882 PROVIDED CONSTRUCTION SERVICES 0 Form 990, Part VI, Section A, line 7a The McKinley County Commissioners appoint 4 of the 16 voting members of the RMCHCS Board of Trustees. The 12 remaining positions on the Board of Trustees are elected on a rotating schedule by all of the 16 voting members of the Board. Form 990, Part VI, Section B, line 11b THE CFO REVIEWS THE FORM 990 PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE CFO PRESENTS THE FORM 990 TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES AT A REGULARLY SCHEDULED MONTHLY MEETING OF THE FULL BOARD OF TRUSTEES. THE TREASURER REVIEWS THE KEY POINTS ON THE FORM 990 WITH THE BOARD AND THE FINANCE COMMITTEE RECOMMENDS ACCEPTANCE OF THE FORM 990. Form 990, Part VI, Section B, line 11b The CFO reviews the Form 990 prepared by the independent accounting firm which also performed the annual audit in compliance with GAAP. The CFO presents the Form 990 at the monthly meeting of the Finance Committee of the Board of Trustees. At the next regularly scheduled monthly meeting of the full Board of Trustees, the Treasurer reviews the key points on the Form 990 with the Board, and the Finance Committee recommends acceptance of the Form 990. Form 990, Part VI, Section B, line 12c In January of each year, every member of the Board of Trustees completes a written conflict of interest disclosure form. The forms are then reviewed by the Governance Committee of the Board of Trustees. Form 990, Part VI, Section B, line 15a Every 3-5 years, the Board of Trustees contracts with an independent outside entity for a compensation review and recommendation for the salary and benefits provided to the CEO. Every year the CEO's compensation package is reviewed by the Executive Committee of the Board of Trustees during the annual evaluation of the CEO. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and financial statements of RMCHCS are all available upon request at the administrative offices, 1901 Red Rock Drive, Gallup, New Mexico. Form 990, Part IX, line 11g Purchased Services: Program service expenses 7,954,855. Management and general expenses 4,906,579. Fundraising expenses 0. Total expenses 12,861,434. Form 990, Part XII, Line 2c: RMCHCS DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. Western Health Foundation 1901 Red Rock Drive Gallup NM 87301 850349559 Support RMCHCS NM 501(c)(3) 11 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 Western Health Foundation C 566780 Cash