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SAN JUAN REGIONAL MEDICAL CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SAN JUAN REGIONAL MEDICAL CENTER INC (EIN 85-0127924)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-03-01
IRS object ID
201700609349300745
Schema version
2015v3.0
Note
A later return for the same period supersedes this one.
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)
Return2017-03-01T17:18:12-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Tejon Suite 800AddressLine1Txt
CityColorado SpringsCityNm
State AbbreviationCOStateAbbreviationCd
ZIP809039848ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN850127924EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1San Juan Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% KAREN S MILLERInCareOfNm
Business Name ControlSANJBusinessNameControlTxt
Phone5056096114PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 West Maple StreetAddressLine1Txt
CityFarmingtonCityNm
State AbbreviationNMStateAbbreviationCd
ZIP87401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKAREN S MILLERPersonNm
Person TitleCFOPersonTitleTxt
Phone5056096114PhoneNum
Signature2017-02-22SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDavid S Mason CPAPreparerPersonNm
PTINP00137279PTIN
Phone7194714290PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEFF BOURGEOIS CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 West Maple StreetAddressLine1Txt
CityFarmingtonCityNm
State AbbreviationNMStateAbbreviationCd
ZIP87401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$345,559,645GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SANJUANREGIONAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateNMLegalDomicileStateCd
Activity Or MissionSAN JUAN REGIONAL MEDICAL CENTER'S MISSION IS TO PERSONALIZE HEALTH CARE AND CREATE ENTHUSIASM AND VITALITY IN HEALING.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2155TotalEmployeeCnt
Total Volunteers200TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,189,992PYContributionsGrantsAmt
CY Contributions Grants$4,384,776CYContributionsGrantsAmt
PY Program Service Revenue$294,059,331PYProgramServiceRevenueAmt
CY Program Service Revenue$315,171,857CYProgramServiceRevenueAmt
PY Investment Income$5,435,156PYInvestmentIncomeAmt
CY Investment Income$372,035CYInvestmentIncomeAmt
PY Other Revenue$1,511,030PYOtherRevenueAmt
CY Other Revenue$2,125,593CYOtherRevenueAmt
PY Total Revenue$304,195,509PYTotalRevenueAmt
CY Total Revenue$322,054,261CYTotalRevenueAmt
PY Grants And Similar Paid$235,365PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$250,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$157,376,012PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$178,190,790CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$127,157,225PYOtherExpensesAmt
CY Other Expenses$127,936,837CYOtherExpensesAmt
PY Total Expenses$284,768,602PYTotalExpensesAmt
CY Total Expenses$306,377,627CYTotalExpensesAmt
PY Revenues Less Expenses$19,426,907PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,676,634CYRevenuesLessExpensesAmt
Total Assets BOY$363,971,457TotalAssetsBOYAmt
Total Assets EOY$372,716,270TotalAssetsEOYAmt
Total Liabilities BOY$98,778,805TotalLiabilitiesBOYAmt
Total Liabilities EOY$91,134,040TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$265,192,652NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$281,582,230NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSAN JUAN REGIONAL MEDICAL CENTER'S MISSION IS TO PERSONALIZE HEALTH CARE AND CREATE ENTHUSIASM AND VITALITY IN HEALING.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$283,057,168ExpenseAmt
Grant$250,000GrantAmt
Revenue$315,182,598RevenueAmt
DescALL ACTIVITY IS DIRECTLY RELATED TO PROVIDING PATIENT MEDICAL SERVICES AND QUALITY HEALTH CARE TO THE COMMUNITY AND SURROUNDING RURAL AREAS. SEE SCHEDULE O FOR OVERVIEW AND PROGRAMS.Desc
Total Program Service Expenses$283,057,168TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document84IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2155EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNMStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKAREN S MILLERPersonNm
Phone5056096114PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 WEST MAPLE STREETAddressLine1Txt
CityFARMINGTONCityNm
State AbbreviationNMStateAbbreviationCd
ZIP87401ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JANEL M RYAN
CHAIRMAN6.00.0Yes (X)Yes (X)$0$0$0
CHARLENE SCOTT
CHAIRMAN UNTIL 1/28/166.00.0Yes (X)Yes (X)$0$0$0
RONALD ROSEN
1ST VICE CHAIRMAN6.00.0Yes (X)Yes (X)$0$0$0
TONY ATKINSON
TREASURER6.00.0Yes (X)Yes (X)$0$0$0
SANDY WILLIAMS
SECRETARY6.00.0Yes (X)Yes (X)$0$0$0
HOLLY ABERNETHY
CHIEF OF STAFF6.00.0Yes (X)$0$0$0
KRISTEAN THORPE - VICE CHIEF
OF STAFF UNTIL 1/4/166.00.0Yes (X)$0$0$0
DAMON KALCICH
VICE CHIEF OF STAFF40.00.0Yes (X)$452,232$0$34,036
KAREN MORRISON
DIRECTOR - AUX.6.00.0Yes (X)$0$0$0
BRUCE BLACK
DIRECTOR until 1/28/166.00.0Yes (X)$0$0$0
TERRI FORTNER
DIRECTOR6.00.0Yes (X)$0$0$0
RUSSELL FLOREZ
DIRECTOR UNTIL 1/28/166.00.0Yes (X)$0$0$0
JAMES SPENCE
DIRECTOR6.00.0Yes (X)$0$0$0
BRUCE GLADE
DIRECTOR6.00.0Yes (X)$0$0$0
JAMES SHAHEEN
DIRECTOR UNTIL 1/28/166.00.0Yes (X)$0$0$0
RICK WALLACE
CEO38.02.0Yes (X)$714,465$0$76,506
JEFF EGBERT
INTERIM CEO38.02.0Yes (X)$0$0$0
JOHN BUFFINGTON
COO40.00.0Yes (X)$509,993$0$59,940
KAREN MILLER
CFO38.02.0Yes (X)$194,874$0$12,364
SUZANNE SMITH
CHIEF NURSING OFFICER40.00.0$272,269$0$48,705Yes (X)
KOIJAN KAINTH
PHYSICIAN40.00.0$1,129,000$0$12,639Yes (X)
FARAZ SANDHU
PHYSICIAN40.00.0$861,103$0$38,294Yes (X)
CHARLES WILKINS
PHYSICIAN40.00.0$653,517$0$39,037Yes (X)
VERRAD NYAME
PHYSICIAN40.00.0$431,648$0$13,295Yes (X)
MICHAEL WEST
PHYSICIAN40.00.0$639,964$0$23,238Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,859,065TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$358,054TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K308IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Aramark
12483 Collections Center DriveCHICAGOIL60693HOUSEKEEPING SERVICE$1,731,146
Resource Anesthesiology
10 Commerce DriveNE ROCHELLENY10801Anesthesiology SVCS$1,243,166
Total Renal Care Inc
6000 Feldwood RoadCOLLEGE PARKGA30349Renal Dialysis$1,548,425
Midland Capital Resources
5020 Bob Billings ParkwayLAWRENCEKS66049COLLECTIONS$1,310,565
Jacobus Consulting
15375 Barranca ParkwayIRVINECA92618CONSULTING$1,165,999
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K27CntrctRcvdGreaterThan100KCnt
Related Organizations$83,912RelatedOrganizationsAmt
Government Grants$3,663,877GovernmentGrantsAmt
All Other Contributions$636,987AllOtherContributionsAmt
Noncash Contributions$372,472NoncashContributionsAmt
Total Contributions$4,384,776TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$309,660,274$309,660,274
OTHER PROGRAM SERVICE REVENUE900099$3,317,009$3,317,009
MEANINGFUL USE REVENUE900099$1,186,697$1,186,697
EQUITY IN SJR REHAB & SJR HOLDING900099$700,653$700,653
PROGRAM RELATED RENTAL INCOME900099$307,224$307,224
FieldValueIRS element (for citing)
Total Program Service Revenue$315,171,857TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,430,410TotalRevenueColumnAmt
Exclusion$2,430,410ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$41,253RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$41,253RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$41,253TotalRevenueColumnAmt
Exclusion$41,253ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$21,447,009SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$23,493,094SecuritiesAmt
Other$12,290OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$2,046,085SecuritiesAmt
Other-$12,290OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,058,375TotalRevenueColumnAmt
Exclusion-$2,058,375ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA722514$1,432,599$1,432,599
OTHER REVENUE900099$651,741$641,000$10,741
FieldValueIRS element (for citing)
Other Revenue Total$2,084,340OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$322,054,261TotalRevenueColumnAmt
Related Or Exempt Func Income$315,182,598RelatedOrExemptFuncIncomeAmt
Exclusion$2,486,887ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$250,000TotalAmt
Program Services$250,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,425,807TotalAmt
Program Services$825,455ProgramServicesAmt
Management And General$1,600,352ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$152,304TotalAmt
Program Services$0ProgramServicesAmt
Management And General$152,304ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$136,065,216TotalAmt
Program Services$127,432,349ProgramServicesAmt
Management And General$8,632,867ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,913,668TotalAmt
Program Services$4,655,727ProgramServicesAmt
Management And General$257,941ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$26,081,281TotalAmt
Program Services$24,333,512ProgramServicesAmt
Management And General$1,747,769ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,552,514TotalAmt
Program Services$8,089,893ProgramServicesAmt
Management And General$462,621ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$574,295TotalAmt
Program Services$18,210ProgramServicesAmt
Management And General$556,085ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$171,155TotalAmt
Management And General$171,155ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$60,212TotalAmt
Management And General$60,212ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$329,257TotalAmt
Management And General$329,257ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,435,445TotalAmt
Program Services$21,965,965ProgramServicesAmt
Management And General$1,469,480ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,174,052TotalAmt
Management And General$1,174,052ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$30,730,938TotalAmt
Program Services$29,308,887ProgramServicesAmt
Management And General$1,422,051ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,912,676TotalAmt
Program Services$7,272,111ProgramServicesAmt
Management And General$640,565ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,476,605TotalAmt
Program Services$3,371,376ProgramServicesAmt
Management And General$105,229ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$458,579TotalAmt
Program Services$270,269ProgramServicesAmt
Management And General$188,310ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$908,948TotalAmt
Program Services$823,807ProgramServicesAmt
Management And General$85,141ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,885,443TotalAmt
Program Services$1,732,808ProgramServicesAmt
Management And General$152,635ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,945,220TotalAmt
Program Services$11,897,248ProgramServicesAmt
Management And General$1,047,972ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,958,481TotalAmt
Program Services$1,403,815ProgramServicesAmt
Management And General$2,554,666ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$16,269,543$16,269,543
MEDICAL SUPPLIES$13,221,047$13,219,068$1,979
EQUIP RENTAL & MAINTENANCE$10,424,941$9,917,125$507,816

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$306,377,627TotalAmt
Program Services$283,057,168ProgramServicesAmt
Management And General$23,320,459ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$44,108,291BOYAmt
EOY$46,864,240EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,591,153BOYAmt
EOY$12,536,414EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$38,302,072BOYAmt
EOY$39,856,000EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$685,995BOYAmt
EOY$167,067EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,351,031BOYAmt
EOY$4,904,346EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,671,695BOYAmt
EOY$3,181,332EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$329,451,260LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$190,578,151LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$136,120,018BOYAmt
EOY$138,873,109EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$113,513,332BOYAmt
EOY$106,161,459EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,489,772BOYAmt
EOY$2,260,406EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$7,097,077BOYAmt
EOY$7,027,096EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,041,021BOYAmt
EOY$10,884,801EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$363,971,457BOYAmt
EOY$372,716,270EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,252,156BOYAmt
EOY$31,677,749EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,505,156BOYAmt
EOY$34,207,565EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,303,052BOYAmt
EOY$4,105,406EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,718,441BOYAmt
EOY$21,143,320EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$98,778,805BOYAmt
EOY$91,134,040EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$265,192,652BOYAmt
EOY$281,582,230EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$265,192,652BOYAmt
EOY$281,582,230EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$363,971,457BOYAmt
EOY$372,716,270EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$15,676,634ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$712,944NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$60,212DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$60,212TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1gFormAndLineReferenceDesc
ExplanationLobbying: San Juan Regional Medical Center paid New Mexico Government Affairs $50,390 for a lobbyist in Santa Fe, New Mexico who monitors New Mexico state legislative issues with regard to hospital issues, keeps San Juan Regional Medical Center apprised of those issues and takes feedback to the state legislature. A portion of the dues paid to the healthcare associations by san juan regional medical center was allocable to lobbying activities. The amount for FY16 was $9,822.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,086,901OtherCostOrOtherBasisAmt
Book Value$9,086,901BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$173,631,370OtherCostOrOtherBasisAmt
Depreciation$83,190,805DepreciationAmt
Book Value$90,440,565BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$89,427OtherCostOrOtherBasisAmt
Depreciation$89,427DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$120,369,497OtherCostOrOtherBasisAmt
Depreciation$99,109,566DepreciationAmt
Book Value$21,259,931BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,274,065OtherCostOrOtherBasisAmt
Depreciation$8,188,353DepreciationAmt
Book Value$18,085,712BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$138,873,109TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO MEDICARE/MEDICAID$5,606,826
MALPRACTICE LIABILITY$15,118,000
BOND INTEREST PAYABLE$418,494
FieldValueIRS element (for citing)
Total Liability$21,143,320TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$306,458,761TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$712,944NetUnrealizedGainsInvstAmt
Revenue Not Reported$712,944RevenueNotReportedAmt
Revenue Subtotal$305,745,817RevenueSubtotalAmt
Other Revenues Not Included$16,308,444OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$16,308,444RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$322,054,261TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$290,069,183TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$290,069,183ExpensesSubtotalAmt
Other Expenses Not Included$16,308,444OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$16,308,444ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$306,377,627TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2UNCERTAIN TAX POSITIONS: Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.
Schedule D, Part XI, Line 4bRevenue on return, not on books: bad debt expense net with revenue on financials, reclassified to expense for tax purposes 16,269,543 Other expenses net with revenue 38,901 Total 16,308,444
Schedule D, Part XII, Line 4bExpense on return, not on books: bad debt expense net with revenue on financials, reclassified to expense for tax purposes 16,269,543 Other expenses net with revenue 38,901 Total 16,308,444

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,461,590TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,461,590NetCommunityBenefitExpnsAmt
Total Expense0.00500TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81,019,140TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$61,677,692DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,341,448NetCommunityBenefitExpnsAmt
Total Expense0.06670TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,762,115TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,480,131DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,281,984NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,242,845TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$63,157,823DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,085,022NetCommunityBenefitExpnsAmt
Total Expense0.07610TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served13433PersonsServedCnt
Total Community Benefit Expns$467,609TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$467,609NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served67PersonsServedCnt
Total Community Benefit Expns$905,344TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$905,344NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served809PersonsServedCnt
Total Community Benefit Expns$20,089,777TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,602,505DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,487,272NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served1130PersonsServedCnt
Total Community Benefit Expns$167,685TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$167,685NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served15439PersonsServedCnt
Total Community Benefit Expns$21,630,415TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,602,505DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,027,910NetCommunityBenefitExpnsAmt
Total Expense0.01390TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served15439PersonsServedCnt
Total Community Benefit Expns$106,873,260TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$80,760,328DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,112,932NetCommunityBenefitExpnsAmt
Total Expense0.09000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$16,269,543BadDebtExpenseAmt
Bad Debt Expense Attributable$7,321,294BadDebtExpenseAttributableAmt
Reimbursed By Medicare$73,050,149ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$82,005,458CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,955,309MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAN JUAN REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 West Maple StreetAddressLine1Txt
CityFarmingtonCityNm
State AbbreviationNMStateAbbreviationCd
ZIP87401ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SANJUANREGIONAL.COMWebsiteAddressTxt
State License6291StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting Group1FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SAN JUAN REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)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
Information GapsYes (X)InformationGapsInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION C FOR URLOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLPART V, SECTION C FOR URLFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLPART V, SECTION C FOR URLFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLPART V, SECTION C FOR URLFAPSummaryOnWebsiteURLTxt
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
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, FIVE FOCUS GROUPS WERE HELD JUNE 3 THROUGH JUNE 5, 2014. FOCUS GROUP PARTICIPANTS INCLUDED 39 KEY INFORMANTS, INCLUDING PUBLIC HEALTH REPRESENTATIVES; PHYSICIANS; OTHER HEALTH PROFESSIONALS; BUSINESS LEADERS; AND ELECTED OFFICIALS. ONE OF THE FOCUS GROUPS PRIMARILY RELATED TO THE HEALTH CONCERNS OF THE AREA'S NATIVE AMERICAN POPULATION. THE REMAINING FOUR FOCUS GROUPS WERE UNDERTAKEN TO SPECIFICALLY ADDRESS THE FOUR HEALTHCARE CONCERNS IDENTIFIED IN PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS : 1) WEIGHT STATUS, 2) DIABETES, 3) PRENATAL CARE AND TEEN PREGNANCY AND 4) ACCESS TO HEALTHCARE SERVICES. KEY INFORMANT FOCUS GROUP, NATIVE AMERICAN SERVICES: - NAVAJO NATION, COUNSELOR CHAPTER - NAVAJO NATION, HUERFANO CHAPTER - NAVAJO NATION, NAGEEZI CHAPTER - NAVAJO NATION, TSE DAA K'AAN CHAPTER - SHIPROCK NAVAJO AREA AGENCY ON AGING (SRNAAA) KEY INFORMANT FOCUS GROUP, BUSINESS LEADERS: - FARMINGTON CHAMBER OF COMMERCE - CENTURY 21 SOWESCO - COMFORT KEEPERS - PARKER'S OFFICE PRODUCTS - HARMONY NAPRAPATHIC - SYLVAN LEARNING CENTER - CITIZENS TRUST CORPORATION KEY INFORMANT FOCUS GROUP, OTHER HEALTH PROVIDERS: - PARTNERS ASSISTED LIVING SERVICE - NEW MEXICO DEPARTMENT OF HEALTH - LIFECARE CENTER - NORTHWEST NEW MEXICO HOME HEALTH AND HOSPICE - ADULT PROTECTIVE SERVICES - SAN JUAN REHABILITATION HOSPITAL - ECHO FOOD BANK - SJCI BLOOMFIELD PHO - BASIN HOME HEALTH AND HOSPICE KEY INFORMANT FOCUS GROUP, ELECTED OFFICIALS: - CITY OF FARMINGTON - SAN JUAN COUNTY KEY INFORMANT FOCUS GROUP, PHYSICIANS: - SAN JUAN REGIONAL MEDICAL CENTER - VARIOUS PRIVATE PRACTICES
SCHEDULE H, PART V, SECTION B, LINE 6aTHE CHNA WAS CONDUCTED WITH San Juan Regional Rehabilitation Hospital.
SCHEDULE H, PART V, SECTION B, LINE 7adirect url for community health needs assessment on hospital's website: http://www.sanjuanregional.com/community-assessment
SCHEDULE H, PART V, SECTION B, LINE 11San Juan Regional Medical Center has conducted three Community Health Needs Assessments since 2008 and every assessment identified the following as top issues: - Chronic Disease, especially diabetes and heart disease; - Culturally sensitive communication and health information; - Greater public outreach; - Suicide Prevention. The Board of Directors, through the Partnership sub-committee of the Board, provides grants to other not for profit organizations through its Community Reinvestment Fund. The Board made the decision to limit the grants to organizations that address the top issues in the Community Health Needs Assessment. We also match the donations of our employees-dollar for dollar-to the United Way of San Juan County through the Community Reinvestment Fund. Furthermore, we address these top issues through activities within the hospital. Outreach - Flu Clinics - Health Fairs - Low Cost Blood Screenings Culturally sensitive communication and health information - Spanish translation of health information - Health information spots on KNDN, the Navajo radio station - Translation of signage - Translator services Chronic Disease Management - Diabetes Education and Lifestyle Balance - Dietary Consults - Outreach and education of children through Mr. Juan Hart and Healthy FET Kids - Low Cost Blood Screenings San Juan Regional Medical Center has expanded mental health services to improve access to behavioral health care. It is not possible, from a financial or human resource standpoint to address all the issues in the CHNA therefore we chose the top issues that we felt we could impact. THE NEEDS NOT BEING ADDRESSED ARE SUICIDE PREVENTION.
SCHEDULE H, PART V, SECTION B, LINE 16A-16CWEBSITE URL WHERE YOU CAN FIND THE FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP: http://www.sanjuanregional.com/EnglishForms
SCHEDULE H, PART V, SECTION B, LINE 22DPatients who are eligible for assistance under the financial assistance policy will not be charged more than the amounts generally billed (AGB) for a Medicare fee-for-service beneficiary. AGB is determined by multiplying the gross charges for any emergency or other medically necessary care it provides by AGB percentages, which are based on claims allowed by Medicaid, in combination with Medicare fee-for-service and all private health insurers.
FieldValueIRS element (for citing)
Facility23FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
SJRMC Cardiology
407 S Schwartz Suite 202FarmingtonNM87401Medical Clinic
SJRMC Internal Medicine
407 S Schwartz Suite 201FarmingtonNM87401Medical Clinic
San Juan Neurodiagnostic Center
407 S Schwartz Suite 101FarmingtonNM87401Medical Clinic
San Juan Pediatrics
407 S Schwartz Suite 102FarmingtonNM87401Medical Clinic
Four Corners Neurosurgery
407 S Schwartz Suite 101FarmingtonNM87401Medical Clinic
SJRMC Midwifery Clinic
655 West PinonFarmingtonNM87401Medical Clinic
Outpatient Behavioral Health Clinic
555 S SchwartzFarmingtonNM87401Medical Clinic
Urgent Care Center
4820 E Main StreetFarmingtonNM87402Medical Clinic
SJR Wound Care Center
4251 English RoadFarmingtonNM87402Medical Clinic
SJR Cancer Treatment Center
731 W Animas StreetFarmingtonNM87401Medical Clinic
SJRMC Outpatient Diagnostic Center
2300 E 30th Street Bldg CFarmingtonNM87401Medical Clinic
SJRMC EMS Station- Medic #1
730 S Lake StreetFarmingtonNM87401Medical Clinic
SJRMC EMS Station- Medic #2
902 W BroadwayBloomfieldNM87412Medical Clinic
SJRMC EMS Station- Medic #3
484 S Oliver StreetAztecNM87410Medical Clinic
SJRMC EMS Station- Medic #4
4 CR 3660KirtlandNM87117Medical Clinic
SJRMC EMS Station- Medic #5
3782 English RoadFarmingtonNM87402Medical Clinic
SJRMC EMS Station- Medic #6
2014 E 16th StreetFarmingtonNM87401Medical Clinic
SJRMC EMS Station- Medic #10
737 W Animas StreetFarmingtonNM87401Medical Clinic
SJRMC Aztec Clinic
120 Llano StreetAztecNM87410Medical Clinic
General Surgery Clinic
630 W MapleFarmingtonNM87401Medical Clinic
SJRMC Audiology
816 W MapleFarmingtonNM87401Medical Clinic
SJRMC Outpatient Rehabilitation
301 S Auburn AveFarmingtonNM87401Medical Clinic
SJRMC Pediatric Outpatient Rehab
810 W MapleFarmingtonNM87401Medical Clinic

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A - 7C, and 7G. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E, 7F and 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
SCHEDULE H, PART I, LINE 7, COLUMN FBAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT EXCLUDED FOR PURPOSES OF CALCULATING PERCENTAGES IN THIS COLUMN EQUAL $16,269,543.
SCHEDULE H, PART III, Section A, LINE 2The Organization analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts.
SCHEDULE H, PART III, Section A, LINE 3The amount on line 3 is an estimate based on management's belief of the percentage of additional financial assistance cost if the patients would complete the financial assistance application. This amount is currently estimated between 45-60%, what is included in our bad debt.
SCHEDULE H, PART III, Section A, LINE 4The footnote to the organization's financial statements that describes bad debt expenses is located in footnote 1 on page 7 of the attached financial statements.
SCHEDULE H, PART III, Section B, LINE 8The amount of Medicare shortfall reported on Line 7 is $8,955,309. This amount is a result of the total revenue and allowable cost calculation on our FY 16 cost report. The hospital's actual expenses are entered into the cost report software and the allowable costs are determined by Medicare Regulations. This Medicare shortfall should be treated as community benefit because, absent this program, many individuals would qualify for financial assistance and other needs- based programs. By accepting payments below cost to treat these individuals, the burdens of the government are relieved, and the amount spent to cover the Medicare shortfall is money not available to cover financial assistance and other community benefit needs.
SCHEDULE H, PART III, Section C, LINE 9bSan Juan Regional Medical Center's (SJRMC) policy on patient account collections states "SJRMC will not attempt to collect from a patient who is applying for the San Juan County Indigent Fund as long as the patient is cooperating with the application process". The policy also states "SJRMC will not collect from a patient applying for the community service fund (Financial Assistance) as long as the patient is cooperating with the application process."
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT: A community health needs assessment (CHNA) is conducted by San Juan Regional Medical Center to determine the health needs for San Juan County and the four corners region as perceived by those served by the hospital. The CHNA is conducted via telephone surveys in both English and Spanish, interviews conducted with Native American respondents, key shareholders in the provision of health care in San Juan County, and a series of focus groups. The survey is also shared with key community groups in a series of open forums. The most recent CHNA occurred in CY 2014 (FY 2015). The needs which were identified from this survey include access to health care services, cancer, dementias, including Alzheimer's disease, diabetes, disability, family planning & infant health, heart disease & stroke, immunization & infectious diseases, injury & violence prevention, mental health & mental disorders, nutrition, physical activity & weight, oral health, respiratory diseases, sexually transmitted diseases, substance abuse, and tobacco use. The San Juan Regional Medical Center Board of Directors and Hospital Administration conducts the survey for the purpose of determining how best to direct resources to improve the health of the four corners with three goals in mind -to improve residents' health status, increase their life spans, and elevate their overall quality of life - to reduce health disparities among residents by identifying population segments who are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals are also developed to combat some of the socio-economic factors which have historically had a negative impact on residents' health - to increase accessibility to preventative services for all community residents, more accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: San Juan Regional Medical Center employs a number of financial counselors and customer service representatives who work alongside patients to help them navigate their payment, billing and assistance options. Information is disseminated to patients through online and paper resources located throughout the hospital. A widely distributed brochure titled "Paying for Hospital Services at San Juan Regional Medical Center" is specifically designed to help patients understand their hospital bill and inform them of their options for payment and assistance including information on the availability of Indian Health Service Assistance, cash discounts, bill reduction through a Community service fund, special funds through the San Juan County Indignant Fund, or Medical Hardship Waivers. The Hospital's vision is to be known as the most personalized quality healthcare provider. San Juan Regional Medical Center is also a values-driven organization with a century of service to the Four Corners Region- driven by a simple, yet powerful principle, do the right thing for the patient, no matter what. An integral part of this sacred trust the community has in its hospital is ensuring that no patient feels alone and disconnected during and after their treatment. Therefore, it is in the spirit of the hospital's vision and mission to ensure that patients receive a high level of assistance when figuring out their bill and options. Not only does the hospital have financial counselors to educate its patients, it has an in-house medical advocacy service for healthcare program ("MASH") for self-pay individuals. Through the MASH program, patient advocates stand hand-in-hand with patients to explore every possibility of assistance policy.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION: San Juan Regional Medical Center serves the Four Corners Region of the United States, which is mostly rural. The hospital is located in the region's largest city and only metropolitan area, which is Farmington, New Mexico. Other cities in the region include Cortez and Durango in Colorado, Monticello and Blanding in Utah, Kayenta and Chinle in Arizona, and Shiprock, Aztec, and Bloomfield in New Mexico. This region also includes the Navajo Nation. Statistics gathered for the hospital's community needs assessment in 2011 for San Juan County (Population 130,044)- which is the principal county served by San Juan Regional Medical Center- indicate the following population characteristics: Men 49.6%, Women 50.4%, Ages 18 and Under 29%, Ages 65+ 10.8%, White 51.6% American Indian and Alaka Native 36.6% Hispanic 19.1%. The median household income for San Juan County is $46,007.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH: In the constant effort to meet community needs, SJRMC seeks to improve physician access through a vigorous recruiting program and to provide community education and many other community benefit programs. In Fiscal Year 2016, San Juan Regional Medical Center provided benefits to the indigent and broader community of over $26 million.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
SEXUAL ASSAULT SERVICES
622 W MAPLE STE HFARMINGTONNM87401203187125501(C)(3)$35,000program support
SAN JUAN UNITED WAY
903 W APACHEFARMINGTONNM87401850165322501(C)(3)$109,915program support
SAN JUAN COLLEGE FDN - NURSING PROGRM
4601 COLLEGE BLVDFARMINGTONNM87401237272197501(C)(3)$155,000bring health education to the local area
San Juan County Partnership
3535 E 30th St 239FarmingtonNM87401850408661501(c)(3)$10,000
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Question 2FormAndLineReferenceDesc
ExplanationOrganization's procedures for monitoring the use of grant funds: Event Funding/Sponsorship request guidelines: San Juan Regional Medical Center (SJRMC) recognizes the value of community partnerships and, on a limited basis, offers support to its community partners by sharing our resources including the time and talent of our physicians and employees, as well as our financial and in-kind support. San Juan Regional Medical Center has established criteria to ensure alignment with our mission and to allow us to strategically focus our limited resources in order to maximize their impact. Sponsorship requests are evaluated based on, but not limited to, the following criteria: - alignment with SJRMC's mission to personalize healthcare and create enthusiasm and vitality in healing - alignment and opportunity to promote strategic service lines and business objectives - community and neighborhood development - magnitude of impact and reach (number of individuals served) - depth and breadth of partnership with requesting organization.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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
DAMON KALCICH
VICE CHIEF OF STAFF$362,437$0$89,664$0$131$0$12,257$0$21,779$0$486,268$0$0$0
RICK WALLACE
CEO$453,082$0$113,568$0$147,815$0$54,811$0$21,695$0$790,971$0$134,535$0
JOHN BUFFINGTON
COO$315,844$0$82,020$0$112,129$0$38,245$0$21,695$0$569,933$0$96,972$0
KAREN MILLER
CFO$177,241$0$17,500$0$133$0$3,390$0$8,974$0$207,238$0$0$0
KOIJAN KAINTH
PHYSICIAN$1,048,053$0$80,770$0$177$0$3,965$0$8,674$0$1,141,639$0$0$0
FARAZ SANDHU
PHYSICIAN$577,274$0$282,779$0$1,050$0$16,750$0$21,544$0$899,397$0$0$0
CHARLES WILKINS
PHYSICIAN$621,886$0$30,281$0$1,350$0$18,550$0$20,487$0$692,554$0$0$0
VERRAD NYAME
PHYSICIAN$396,517$0$35,000$0$131$0$0$0$13,295$0$444,943$0$0$0
MICHAEL WEST
PHYSICIAN$609,615$0$30,000$0$349$0$1,459$0$21,779$0$663,202$0$0$0
SUZANNE SMITH
CHIEF NURSING OFFICER$214,737$0$56,489$0$1,043$0$26,926$0$21,779$0$320,974$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1aInformation Regarding Benefits Provided: The CEO is reimbursed for country club dues which are used for business purposes and are nontaxable.
SCHEDULE J, PART I, LINE 4BSupplemental nonqualified plan: San Juan Regional Medical Center (sjrmc) has a 457(F) deferred compensation plan that allows certain executives to contribute money on a pre-tax basis into investments and to accumulate tax-deferred earnings. The following pre-tax calendar year 2015 contributions to the 457(F) plan are included in schedule J, Part II, column (C) as deferred compensation: John Buffington $19,695 Karen Miller $2,760 Suzanne Smith $10,921 Rick Wallace $36,261 During 2015, the following individuals became fully vested and received a distribution from the 457(F) plan. The distributions are included in schedule J, Part II, column (B)(iii) as other reportable compensation. John Buffington $110,977 Rick Wallace $134,535
Schedule J, Part I, line 7Explanation of non-fixed payments: Management incentive plan- sjrmc has a senior management incentive compensation plan for selected senior management positions. An award target is established for each participant. Performance is based on eight goals, two of which are hospital excess of revenues over expenses percentage and total hospital earnings. The award is a percentage of base pay if certain targets are met. Physician incentive plan- Physicians incentives are performance based and Relative Value Units are used as a measure.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY FARMINGTON NEW MEXICO
A856000129311428AZ92004-03-25$16,982,883CONSTRUCTION OF TOWER/NEW EQUIPfalsefalsefalse
CITY FARMINGTON NEW MEXICO
B856000129311428BNS2007-06-28$12,290,518CONSTRUCTION OF CANCER TRMT CTRfalsefalsefalse
NEW MEXICO HOSPITAL EQUIPMENT LOAN COUNCIL
C8404268752010-12-21$25,773,000REFUND 2004B, FINANCE EQUIP/COSTfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$3,854,830$0$17,087,788$0$0$0$339,658$0$0$16,748,130$0$02007falsefalseYes (true)Yes (true)
B$3,869,256$0$12,457,932$0$151,201$0$245,810$0$0$12,060,921$0$02010falsefalseYes (true)Yes (true)
C$13,114,750$0$25,773,063$0$0$0$205,429$0$0$10,565,327$15,002,307$02011Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0.000000.000000.00000falsefalse0.00000falseYes (true)
Bfalsefalsefalsefalse0.000000.000000.00000falsefalse0.00000falseYes (true)
Cfalsefalsefalsefalse0.000000.000000.00000falsefalse0.00000falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueInd
0
AYes (true)falsefalsefalse0falseYes (true)
0
BYes (true)falsefalsefalse0falseYes (true)
0
CfalseYes (true)falsefalse0falseYes (true)falsefalsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
schedule k, part ii, line 3THE EXCESS OF THE TOTAL PROCEEDS ON PART II, LINE 3 OVER ISSUE PRICE ON PART I, COLUMN E IS DUE TO INVESTMENT EARNINGS.
schedule k, part I, LINE CTHE 2010A LEASE PROJECT OBLIGATION PORTION OF THIS ISSUE IN THE AMOUNT OF $8,103,000 HAS NOT BEEN DESIGNATED AS A QUALIFIED TAX-EXEMPT OBLIGATION. THESE ARE BUILD AMERICA BONDS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
Personanna buffingtonPersonNm
FieldValueIRS element (for citing)
Relationship Descriptionfamily member of officerRelationshipDescriptionTxt
Transaction$152,304TransactionAmt
Transactionemployee payTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp

Real Estate Commercial RealEstateCommercialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$372,472NoncashContributionsRptF990Amt
Method Of Determining Revenuesfair market valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I, Column BFormAndLineReferenceDesc
ExplanationNon-cash contributions: The number in column (b) represents the number of contributions received.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6VOLUNTEERS: SJRMC HAS A TOTAL OF 200 VOLUNTEERS THAT PROVIDE SERVICE TO THE FOLLOWING AREAS: ADMINISTRATIVE SUPPORT, CANCER TREATMENT CENTER, CARDIAC REHABILITATION, COURIER/PATIENT TRANSPORT, CRAFTY CREATIONS, DIETARY, GIFT MARKET, INFORMATION DESK, MAIL CALL, MEDICAL RECORDS AND AUXILIARY MEMBERSHIP.
FORM 990, PART III, LINE 4AProgram Service cont. San Juan Regional Medical center (sjrmc) is a modern acute-care hospital located in one of the most rural areas of the American southwest, San Juan County, New Mexico. A 2010 estimate of the population of San Juan county shows the county population has grown 14.3% from the year 2000 to 2010 and now numbers approximately 130,044, 37% of which is American Indian and alaska native persons. SJRMC is a sole community provider and disproportionate share hospital providing needed healthcare to residents of the four corners region of New Mexico, Arizona, Utah and Colorado. San Juan Regional Medical Center's mission is to personalize healthcare and create enthusiasm and vitality in healing. Our core values are actively taught, and reinforced to staff, management, and physicians so that the organization may achieve excellence and consistency in patient care. SJRMC is a community governed hospital that was founded in 1910 by Doctors A M Smith and G W Sammons. The hospital corporation is an advisory body composed of up to three representatives from each of 90 non-profit organizations in San Juan County. The corporation meets quarterly, and at their annual meeting, they nominate and elect 9 members to the governing board of directors. the corporation receives reports from the board of directors and hospital administration on hospital operations, including quality and finance and provides feedback on community health issues. SJRMC provides medical, surgical, pediatrics, oncology, obstetrics, cardiology, and behavioral health inpatient care. Ambulatory care includes day surgery, urgent care, outpatient diagnostic and treatment services. SJRMC is a level III trauma center that provides ground ambulance and air ambulance service with a helicopter and a fixed wing aircraft as well as services through its emergency department to all persons regardless of their ability to pay. Some of our outpatient Services are physician clinics specializing in cardiology, behavioral health, internal medicine, neurosurgery, neurodiagnostics, urgent care center and pediatrics. our financial and in-kind contributions went to various local charities such as navajo ministries, family crisis center, local school districts, senior centers and totah behavioral health. The other community services noted above provide care for surgery, gastrointestinal, orthopedics, oncology, neuro and cardiac rehab.
Form 990, Part VI, Section A, Line 6 & 7ACLASSES OF MEMBERS OR STOCKHOLDERS: SAN JUAN REGIONAL MEDICAL CENTER IS A COMMUNITY-GOVERNED HOSPITAL. THE HOSPITAL CORPORATION IS AN ADVISORY BODY COMPOSED OF TWO REPRESENTATIVES FROM ABOUT 90 NON-PROFIT ORGANIZATION MEMBERS IN SAN JUAN COUNTY. AFTER TEN YEARS OF SERVICE AS A REPRESENTATIVE, AN INDIVIDUAL MAY BE DESIGNATED BY THE CORPORATION AS A SENIOR CORPORATE DELEGATE AND SHALL NO LONGER BE CONSIDERED TO BE THE REPRESENTATIVE OF THE MEMBER ORGANIZATION. THE MEMBER ORGANIZATION MAY THEN DESIGNATE ANOTHER REPRESENTATIVE IN ADDITION TO THE SENIOR CORPORATE DELEGATE. THE HOSPITAL CORPORATION MEETS QUARTERLY AT THEIR ANNUAL MEETING, IN WHICH THEY NOMINATE AND ELECT NINE VOTING MEMBERS TO SJRMC'S BOARD OF DIRECTORS. OF THE NINE, THREE MUST BE ELECTED FROM THE MEMBER REPRESENTATIVES OR SENIOR CORPORATE DELEGATES. IN ADDITION TO THE NINE ELECTED DIRECTORS, THE SJRMC CHIEF OF THE STAFF AND VICE CHIEF OF STAFF AND A HOSPITAL AUXILIARY APPOINTEE ALSO SERVE AS SJRMC DIRECTORS FOR A TOTAL OF TWELVE VOTING MEMBERS OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Section B, line 11bPROCESS TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM BASED ON DATA PROVIDED BY MANAGEMENT. A DRAFT COPY OF THE 990 IS PROVIDED TO MANAGEMENT FOR REVIEW AND A MEETING IS CONDUCTED BY THE ACCOUNTING FIRM TO REVIEW THE RETURN IN DETAIL. ANY QUESTIONS ARE ADDRESSED AND ANY NECESSARY CHANGES ARE MADE TO THE RETURN. THE FINAL DRAFT OF THE FORM 990 IS PROVIDED TO THE AUDIT COMMITIEE ALONG WITH A BRIEF EDUCATION SESSION CONDUCTED BY THE ACCOUNTING FIRM TO DISCUSS THE HIGHLIGHTS OF THE FORM. THE FINAL DRAFT OF THE FORM 990 IS THEN PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING.
Form 990, Part VI, Section B, line 12cPROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: SAN JUAN REGIONAL MEDICAL CENTER HAS A CONFLICT OF INTEREST POLICY THAT EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE IS REQUIRED TO FILL OUT ON AN ANNUAL BASIS. THIS CONFLICT OF INTEREST POLICY SPECIFICALLY ASKS QUESTIONS REGARDING BUSINESS AND PERSONAL RELATIONSHIPS THAT THEY MAY HAVE WITH ANY OTHER BOARD MEMBER, OFFICER AND KEY EMPLOYEE OF ANY BUSINESS THAT DEALS WITH SAN JUAN REGIONAL MEDICAL CENTER OR ANY OF ITS AFFILIATES. IF A CONFLICT IS IDENTIFIED, IT MUST BE REPORTED TO THE COMPLIANCE OFFICER, AND IF IT CONSTITUTES A BREACH OF EMPLOYMENT, IT MAY LEAD TO DISCIPLINARY ACTION.
Form 990, Part VI, Section B, line 15a & 15bDESCRIBE PROCESS FOR DETERMINING COMPENSATION: THE BOARD OF DIRECTORS FOR SAN JUAN REGIONAL MEDICAL CENTER USES THE FOLLOWING COMPARABILITY DATA WHEN DETERMINING THE COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT. REGIONAL/LOCAL AREA NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SIZE, NATIONAL NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SIZE, AND OTHER RELEVANT COMPARATORS (EG, FOR PROFIT HEALTHCARE AND/OR GENERAL INDUSTRY ORGANIZATIONS) OF COMPARABLE SIZE AND COMPLEXITY. ADDITIONALLY, THE BOARD BI-ANNUALLY HAS AN INDEPENDENT OUTSIDE FIRM COMPARE THE CEO'S COMPENSATION WITH OTHER HEALTHCARE ORGANIZATIONS TO REMAIN COMPETITIVE. THE PROCESS WAS LAST COMPLETED ON JULY 10, 2015. THE PROCESS IS DOCUMENTED IN THE BOARD MINUTES WHEN PRESENTED TO THE INDIVIDUALS.
Form 990, Part VI, Section C, line 19GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: SAN JUAN REGIONAL MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIIThe compensation reported on Part VII, line 1 for Damon Kalcich is from his current employment with sjrmc, not for services rendered as a board member.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SAN JUAN HEALTH PARTNERS INC
801 WEST MAPLE STREETFARMINGTONNM87401272367549HEALTHCARENM501(C)(3)LINE 3SJRMCYes (true)
SAN JUAN REGIONAL REHABILITATION HOSP
525 SOUTH SCHWARTZ 2FARMINGTONNM87401850441767HEALTHCARENM501(C)(3)LINE 3SJRMCYes (true)
AUXILIARY OF SAN JUAN REGIONAL MED CTR
801 WEST MAPLE STREETFARMINGTONNM87401237164296HOSP SUPPORTNM501(C)(3)LINE 11CNAfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SJR HOLDING COMPANY INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 W MAPLE STREETAddressLine1Txt
CityFARMINGTONCityNm
State AbbreviationNMStateAbbreviationCd
ZIP87401ZIPCd
FieldValueIRS element (for citing)
EIN201126483EIN
Primary ActivitiesSUPPORT SERVICESPrimaryActivitiesTxt
Legal Domicile StateNMLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SJRMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC-CORPEntityTypeTxt
Share Of Total Income$1,104,373ShareOfTotalIncomeAmt
Share Of EOY Assets$2,469,792ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
AUXILIARY OF SAN JUAN REGIONAL MED CTR
C$83,912financials
SAN JUAN REGIONAL REHABILITATION HOSPITAL
D$114,325interco amount
SAN JUAN REGIONAL REHABILITATION HOSPITAL
Q$144,000interco amount