REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE (EIN 85-0313268)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-08-15
- IRS object ID
- 201432279349303448
- Schema version
- 2013v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-08-15T14:17:56-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 850203431 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REDW LLC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Post Office Box 93656 | AddressLine1 |
| City | Albuquerque | City |
| State | NM | State |
| ZIP Code | 871993656 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850313268 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rehoboth McKinley Christian Healthcare Services | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | REHO | BusinessNameControlTxt |
| Phone | 5058637000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Red Rock Drive | AddressLine1 |
| City | Gallup | City |
| State | NM | State |
| ZIP Code | 87301 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Barry Mousa | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5058637000 | PhoneNum |
| Signature | 2014-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jamie S Fridley CPA | PreparerPersonNm |
| PTIN | P00380605 | PTIN |
| Phone | 5059983200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Barry Mousa | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Red Rock Dr | AddressLine1 |
| City | Gallup | City |
| State | NM | State |
| ZIP Code | 87031 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $58,352,852 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.rmch.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 591 | TotalEmployeeCnt |
| Total Volunteers | 45 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,021,655 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,534,634 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $60,227,292 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $56,499,437 | CYProgramServiceRevenueAmt |
| PY Investment Income | $147,536 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,103 | CYInvestmentIncomeAmt |
| PY Other Revenue | $30,787 | PYOtherRevenueAmt |
| CY Other Revenue | $47,492 | CYOtherRevenueAmt |
| PY Total Revenue | $62,427,270 | PYTotalRevenueAmt |
| CY Total Revenue | $58,090,666 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $35,105 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $69,973 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $33,537,903 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $28,421,263 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $29,242,409 | PYOtherExpensesAmt |
| CY Other Expenses | $30,507,482 | CYOtherExpensesAmt |
| PY Total Expenses | $62,815,417 | PYTotalExpensesAmt |
| CY Total Expenses | $58,998,718 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$388,147 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$908,052 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,081,431 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,951,053 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $19,116,244 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,044,989 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,965,187 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,906,064 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $33,028,031 | ExpenseAmt |
| Grant | $69,973 | GrantAmt |
| Revenue | $35,366,473 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,088,677 | ExpenseAmt |
| Revenue | $1,238,232 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,020,074 | ExpenseAmt |
| Revenue | $493,632 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,270,450 | ExpenseAmt |
| Revenue | $5,274,427 | RevenueAmt |
| Desc | RMCHS provides care services to patients through multi-specialty clinics. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $6,270,450 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $5,274,427 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $41,407,232 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 291 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 591 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bart Hansen | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5058637004 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Red Rock Dr | AddressLine1 |
| City | Gallup | City |
| State | NM | State |
| ZIP Code | 87301 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Kathy Head | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Tony D Gonzales | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| David Bischoff | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Yogash Kumar | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Angelo DiPaolo | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jennifer Dowling | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Sue Eddy | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Erwin Elber MD | |||||||||
| Trustee/Chief of Staff | 40.00 | Yes (X) | $244,584 | $0 | $3,119 | Yes (X) | |||
| Lynda Lovejoy | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| John Luginbuhl | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Priscilla Smith | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Michelle Stam-MacLaren MD | |||||||||
| Trustee | 32.00 | Yes (X) | $205,110 | $0 | $2,519 | ||||
| Shannon Tanner | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| James Whitfield MD | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Barry Mousa | |||||||||
| CEO | 40.00 | $195,533 | $0 | $861 | Yes (X) | ||||
| Charles Guimaraes MD | |||||||||
| Physician | 40.00 | $371,460 | $0 | $3,119 | Yes (X) | ||||
| Kimberly Collins MD | |||||||||
| Physician | 20.00 | $315,519 | $0 | $3,119 | Yes (X) | ||||
| Phillip Mickelsen MD | |||||||||
| Physician | 40.00 | $291,583 | $0 | $2,590 | Yes (X) | ||||
| Gerald Robertson MD | |||||||||
| Physician | 40.00 | $283,254 | $0 | $3,119 | Yes (X) | ||||
| Gary Pugh MD | |||||||||
| Physician | 40.00 | $264,050 | $0 | $3,119 | Yes (X) | ||||
| Roger Gleisner | |||||||||
| Former CEO | 40.00 | $128,541 | $0 | $2,250 | Yes (X) | ||||
| Mary Poel MD | |||||||||
| Former CMO | 40.00 | $216,226 | $0 | $3,119 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,515,860 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $26,934 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Apogee Medical Management | |||||
| 2525 E Camelback Road Ste 1000 | Phoenix | AZ | 85016 | Professional Medical | $1,224,442 |
| Medefis Consolidated | |||||
| 10826 Old Mill Road | Omaha | NE | 68154 | Professional Staffing | $1,169,561 |
| Comphealth | |||||
| PO Box 972651 | Dallas | TX | 75397 | Professional Medical | $952,625 |
| Western NM Emergency Physicians | |||||
| PO Box 840393 | Dallas | TX | 75284 | Professional Medical | $491,407 |
| Cardiac Care Consultants | |||||
| 500 Unser Blvd SE Suite 101 | Rio Rancho | NM | 871244660 | Professional Medical | $319,785 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $34,634 | RelatedOrganizationsAmt |
| Government Grants | $1,500,000 | GovernmentGrantsAmt |
| Total Contributions | $1,534,634 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service | 900099 | $49,156,384 | $49,156,384 |
| Sole Community Provider | 900099 | $6,136,512 | $6,136,512 |
| Education & Other Program | 900099 | $1,206,541 | $1,206,541 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $56,499,437 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,747 | TotalRevenueColumnAmt |
| Exclusion | $2,747 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $309,678 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $262,186 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $47,492 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,492 | TotalRevenueColumnAmt |
| Exclusion | $47,492 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,356 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,356 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,356 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,356 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,090,666 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,505,793 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $50,239 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,973 | TotalAmt |
| Program Services | $56,973 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,000 | TotalAmt |
| Program Services | $13,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,624,299 | TotalAmt |
| Program Services | $1,044,153 | ProgramServicesAmt |
| Management And General | $1,580,146 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,368,497 | TotalAmt |
| Program Services | $16,141,092 | ProgramServicesAmt |
| Management And General | $4,227,405 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,639,945 | TotalAmt |
| Program Services | $2,639,469 | ProgramServicesAmt |
| Management And General | $1,000,476 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,788,522 | TotalAmt |
| Program Services | $1,336,775 | ProgramServicesAmt |
| Management And General | $451,747 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,092 | TotalAmt |
| Management And General | $79,092 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,985 | TotalAmt |
| Management And General | $145,985 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,729,212 | TotalAmt |
| Program Services | $3,499,828 | ProgramServicesAmt |
| Management And General | $3,229,384 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,310 | TotalAmt |
| Management And General | $76,310 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,067,409 | TotalAmt |
| Program Services | $1,222,435 | ProgramServicesAmt |
| Management And General | $2,844,974 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,503,887 | TotalAmt |
| Program Services | $811,871 | ProgramServicesAmt |
| Management And General | $2,692,016 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,795 | TotalAmt |
| Program Services | $13,670 | ProgramServicesAmt |
| Management And General | $25,125 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,491 | TotalAmt |
| Program Services | $235 | ProgramServicesAmt |
| Management And General | $1,256 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $517,241 | TotalAmt |
| Program Services | $382,407 | ProgramServicesAmt |
| Management And General | $134,834 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,222,421 | TotalAmt |
| Program Services | $1,643,076 | ProgramServicesAmt |
| Management And General | $579,345 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,102,099 | TotalAmt |
| Program Services | $892,782 | ProgramServicesAmt |
| Management And General | $209,317 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debt Expense | $6,783,620 | $6,783,620 | |
| Medical/Facility Suppli | $2,780,129 | $2,754,887 | $25,242 |
| Contract Labor | $1,479,919 | $1,199,908 | $280,011 |
| Pharmaceuticals Exp | $979,872 | $971,051 | $8,821 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,998,718 | TotalAmt |
| Program Services | $41,407,232 | ProgramServicesAmt |
| Management And General | $17,591,486 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,191,381 | BOYAmt |
| EOY | $2,013,490 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,575,799 | BOYAmt |
| EOY | $5,404,711 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,822,385 | BOYAmt |
| EOY | $1,675,906 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $979,139 | BOYAmt |
| EOY | $1,393,701 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,833 | BOYAmt |
| EOY | $313,205 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $59,996,135 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $46,550,222 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,771,216 | BOYAmt |
| EOY | $13,445,913 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,706,829 | BOYAmt |
| EOY | $3,880,424 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,698,849 | BOYAmt |
| EOY | $823,703 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,081,431 | BOYAmt |
| EOY | $28,951,053 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,255,341 | BOYAmt |
| EOY | $8,769,568 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,280,000 | BOYAmt |
| EOY | $5,960,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $239,655 | BOYAmt |
| EOY | $286,135 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,341,248 | BOYAmt |
| EOY | $3,029,286 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,116,244 | BOYAmt |
| EOY | $18,044,989 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,965,187 | BOYAmt |
| EOY | $10,906,064 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,965,187 | BOYAmt |
| EOY | $10,906,064 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,081,431 | BOYAmt |
| EOY | $28,951,053 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$908,052 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $81,862 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$232,933 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $734,969 | OtherCostOrOtherBasisAmt |
| Book Value | $734,969 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,417,764 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,825,136 | DepreciationAmt |
| Book Value | $5,592,628 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,356,581 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,859,147 | DepreciationAmt |
| Book Value | $1,497,434 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,553,993 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,547,496 | DepreciationAmt |
| Book Value | $5,006,497 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,932,828 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,318,443 | DepreciationAmt |
| Book Value | $614,385 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,445,913 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Series 2007 Bond Funds | $1,310,338 | F |
| Investment Risk Retention Group | $2,570,086 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $3,880,424 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated 3rd Party Settlement | $1,154,286 |
| Pinnacle Bank Loan | $1,875,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,029,286 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | 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, 2013 AND 2012. 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 2009 FOR THEIR FEDERAL AND STATE FILINGS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $979,634 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $979,634 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01880 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,207,656 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,409,523 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,798,133 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14930 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $918,623 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $180,089 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $738,534 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01410 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,105,913 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,589,612 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,516,301 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.18220 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $158,881 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $158,881 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $70,102 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $70,102 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,290,527 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,768,059 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,522,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02920 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,519,510 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,768,059 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,751,451 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03350 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,625,423 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,357,671 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,267,752 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.21570 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,783,620 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,391,810 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,902,248 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $10,463,891 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,438,357 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 0 | WrittenDebtCollectionPolicyInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RMCHCS Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Red Rock Drive | AddressLine1 |
| City | Gallup | City |
| State | NM | State |
| ZIP Code | 87301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rehoboth McKinley Christian Health Care | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.rmch.org | OwnWebsiteURLTxt |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | 0 | FPGUsedDetermEligDscntCareInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Other Actions | Yes (X) | PermitOtherActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Rehoboth McKinley Christian Health Care | Part V, Section B, Line 3: RMCHCS INTERVIEWED VARIOUS PERSONS FROM THE COMMUNITY USING A STRUCTURED INTERVIEW FORMAT. THE FOLLOWING COMMUNITY MEMBERS WERE INTERVIEWED:ARMIJO, MARY ANN - MANAGER, CLEAR CHANNEL RADIO BOWMANN-MUSKETT, CAROL - COMMISSIONER, MCKINLEY COUNTY BOARD OF COMMISSIONERSBURMEISTER, INA - CHIEF DEVELOPMENT OFFICER, RMCHCS CHARLEY, MELISSA - DIRECTOR OF NURSING SERVICES FOR NORTHWEST REGION, NM DEPT. OF HEALTH CHOUDHRIE, SANJAY - EXECUTIVE DIRECTOR, CARE 66COYNE, ROSEMARY - DIRECTOR OF HOME HEALTH AND HOSPICE, RMCHCS HOME HEALTH CAREESTRADA, RAYMOND - DISCHARGE PLANNER, RMCHCS FREELAND, FRANKLIN - ELECTED SECRETARY, EASTERN NAVAJO VETERANS ORGANIZATIONGOODKIND, JESSICA - ASSISTANT PROFESSOR OF SOCIOLOGY, UNM HALL, JANNIE LEE - SCHOOL HEALTH ADVOCATE, MCKINLEY COUNTY HEALTH OFFICE, NM PUBLIC HEALTH DIVISION HEAD, KATHY - CHAIRMAN, RMCHCS BOARD OF TRUSTEES HUYSER, KIMBERLY - PROFESSOR OF SOCIOLOGY, DEMOGRAPHICS AND INDIGENOUS STUDIES, UNM KELLEY, TIM - TRAINED NURSE/DIRECTOR, COMMUNITY PANTRYKIELY, JEFF - EXECUTIVE DIRECTOR, NORTHWEST NEW MEXICO COUNCIL OF GOVERNMENTSLANDEN, MICHAEL, M.D., - DIRECTOR, EPIDEMIOLOGY DIVISION, DEPT. OF PUBLIC HEALTH, STATE OF NEW MEXICO LUGINBUHL, REV. JOHN - PASTOR, GRACE BIBLE CHURCH MANDAGARAN, YVONNE, LPCC - DIRECTOR, RMCHCS BEHAVIORAL HEALTH SCIENCES MONTANO, JARED, DDS. - DENTIST IN PRIVATE PRACTICE MARTIN, PHARIS, R.N. - DIRECTOR, CITY OF GALLUP FORD CANYON SENIOR CENTER MEZOFF, JOHN, M.D. - BOARD CERTIFIED OPTHALMOLOGIST, CHIEF MEDICAL OFFICER, RMCHCS POEL, MARY, M.D. - BOARD CERTIFIED PEDIATRICIAN, RMCHCS REEDER, OPHELIA - COORDINARY, MCKINLEY COUNTY HEALTH ALLIANCE; COORDINATOR, PROJECT TRUST HEALTH IMPACT ASSESSMENT; MEMBER, GALLUP-DINEH HEALTH ADVISORY BOARD ROBRAN, GENEVIEVE - DIRECTOR, PRESBYTERIAN MEDICAL SERVICES, WESTERN NM MEDICAL GROUP ROSS-TOLEDO, KIMBERLY - COORDINATOR, COALITION FOR HEALTHY AND RESILIENT YOUTHSIMPLICIO, LYDIA, HEALTH PROMOTION SPECIALIST - ACTING MANAGER, ZUNI WELLNESS CENTER SMITH, CARL - CHIEF OPERATING OFFICER, CARE 66SWEENEY, KEVIN M.D. - BOARD CERTIFIED PEDIATRICIAN; CHAIR, BOARD OF DIRECTOR, FIRST BORN PROGRAM FOR MCKINLEY COUNTY TAFOYA, ESTHER R.N. - DIRECTOR OF SCHOOL NURSES, GALLUP MCKINLEY COUNTY SCHOOL DISTRICT TEMPEST, BRUCE M.D. - SPECIALIST IN ORIGINAL HANTAVIRUS RESEARCH YAZZIE, BENNIE - INTERIM CEO, GALLUP INDIAN MEDICAL CENTER |
| Rehoboth McKinley Christian Health Care | Part V, Section B, Line 4: GALLUP INDIAN MEDICAL CENTER - GALLUP, NM |
| Rehoboth McKinley Christian Health Care | Part V, Section B, Line 7: THE FOLLOWING DISCUSSION SUMMARIZES SPECIFIC RATIONALE AS TO WHY EACH OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS WAS NOT, IN AND OF ITSELF SELECTED FOR STRATEGY TREATMENT:OBESITY - THIS NEED AREA RANKED 5TH IN THE RANKING PROCESS. HOWEVER, IN EXPLORING STRATEGIC ACTIONS THAT MIGHT BE UNDERTAKEN BY RMCHCS IN THIS ARENA, IT BECAME CLEAR THAT WHILE THIS DISEASE REMAINS A UNIQUELY PREDOMINANT HEALTH PROBLEM IN THE SERVICE REGION, THERE ARE NUMEROUS PREVENTITIVE AND INTERVENTIVE EFFORTS UNDERWAY BY A NUMBER OF HEALTH AND EDUCATIONAL ORGANIZATIONS. UNTIL THE RANGE OF THESE EFFORTS IS BETTER KNOWN, AND SPECIFIC GAPS IDENTIFIED, RMCHCS WOULD BE BETTER SERVED TO REACH OUT TO OTHER ORGANIZATIONS IN THE REGION TO GAIN A COMPREHENSIVE UNDERSTANDING OF THOSE CURRENT EFFORTS AND GAPS. SOCIAL DETERMINANTS - SEVERAL SUBCATEGORIES OF NEED WERE IDENTIFIED AS HIGHLY SIGNIFICANT, I.E. POVERTY, EDUCATION AND EMPLOYMENT(#S 12, 14 AND 16 IN THE NEED RANKING). THE COMMITTEE DETERMINED THAT THESE ARE SYSTEMIC ISSUES BEING ADDRESSED BY A NUMBER OF OTHER INSTITUTIONS IN THE RANGE. NEVERTHELESS, RMCHCS AND ITS PATIENTS ARE HEAVILY IMPACTED BY THESE SOCIAL DETERMINANTS, AND THE MOST FRUITFUL ACTION HERE IS TO REACH OUT IN CONVERSATION AND PARTNERSHIP WITH THESE OTHER AGENCIES. EMERGING FROM THESE COMMUNICATIONS WILL BE SPECIFIC ACTIONS FROM RMCHCS MIGHT TAKE WITHIN ITS MISSION AREA THAT UNIQUELY CONTRIBUTE TO PROGRESS ON MITIGATING THESE FACTORS.HEALTH SYSTEM EFFECTIVENESS - IN THE PRIORITY ASSESSMENT PROCESS, THREE SUBCATEGORIES EMERGED AS HIGHLY SIGNIFICANT, I.E. LACK OF COLLABORATION AMONG MAJOR HEALTHCARE PROVIDERS, POLITICS AND LACK OF LONG-TERM VISION (#S 1, 11 AND 3 IN THE RANKING). DISCUSSION OF THESE ISSUES LED THE STRATEGIC PLANNING COMMITTEE TO CONCLUDE THAT THE COLLABORATION STRATEGY WOULD BE "JOB 1" IN RMCHCS'S ATTEMPT TO MAKE A DIFFERENCE IN THE OVERALL REGIONAL HEALTHCARE SYSTEM. ACCESS BARRIERS - A NUMBER OF BARRIERS WERE PRIORITIZED IN THE PLANNING PROCESS, INCLUDING HEALTH PROFESSIONAL SHORTGAGE AREA, SYSTEM ACCESS ENTRY POINTS, LANGUAGE AND CULTURE, LACK OF KNOWLEDGE OF RESOURCES, AND SUBSTANDARD HOUSING (#S 2, 4, 6, 13 AND 15 IN THE RANKING). THE COMMITTEE ACKNOWLEDGED THESE BARRIERS AS SIGNIFICANT, BUT ONCE AGAIN CONCLUDED THAT BROADER-BASED COMMUNICATION AND COLLABORATION IN THE COMMUNITY WOULD BE THE BEST START-POINT FOR DEVELOPING SPECIFIC STRATEGIES FOR RMCHCS INVESTMENT. ONE AREA IN WHICH RMCHCS COULD LEAD WOULD BE IN BRINGING TOGETHER HEALTHCARE INFORMATION FROM THROUGHOUT THE REGIONAL SYSTEM, ORGANIZING IT FOR ACCESS AND TIMELINESS, AND SETTING UP CLEARINGHOUSE PROCESSES FOR ALL STAKEHOLDERS - BOTH HEALTHCARE PROVIDERS AND CONSUMERS. BEHAVIORAL HEALTH - BEHAVIORAL HEALTH ISSUES, INCLUDING MOST PROMINENTLY MENTAL HEALTH, SUBSTANCE ABUSE, DUAL DIAGNOSIS, AND TOBACCO USE (#S 7, 8, 9, AND 10 IN THE RANKING) WERE ACKNOWLEDGED AS SIGNIFICANT IN THE REGION. IN PAST YEARS, RMCHCS HAS LED COMMUNITY MOVEMENTS TO ADDRESS ALCOHOL ABUSE IN PARTICULAR. AT THE SAME TIME, RESOURCES FOR ADDRESSING THESE ISSUES FALL FAR SHORT OF THE NEED - BOTH FOR RMCHCS PROGRAMMING AND FOR OVERALL COMMUNITY RESPONSE. THEREFORE, AS IN THE CASE OF THE OTHER NEED AREAS, IT WAS DETERMINED THAT BROAD-BASED COLLABORATION WILL BE THE MOST EFFECTIVE GENERAL STRATEGY IN ORDER TO OPTIMIZE EXISTING RESOURCES AND TO SEEK ADDITIONAL RESOURCES FOR THE RANGE OF COMMUNITY-BASED PREVENTION, INTERVENTION AND TREATMENT PROGRAMS NEEDED IN THE REGION. |
| Rehoboth McKinley Christian Health Care | Part V, Section B, Line 11: THE FACILITY CHARGES EVERY PATIENT THE SAME REGARDLESS OF THEIR ABILITY TO PAY. THE ACCOUNT WILL SUBSEQUENTLY BE DISCOUNTED OR ADJUSTED TO CHARITY CARE DEPENDING ON THE PATIENT'S FINANCIAL CIRCUMSTANCES AS MEASURED AGAINST THE FACILITY'S FINANCIAL ASSISTANCE POLICY. |
| Rehoboth McKinley Christian Health Care | Part V, Section B, Line 12i: THE FACILITY CHARGES EVERY PATIENT THE SAME REGARDLESS OF THEIR ABILITY TO PAY. THE ACCOUNT WILL SUBSEQUENTLY BE DISCOUNTED OR ADJUSTED TO CHARITY CARE DEPENDING ON THE PATIENT'S FINANCIAL CIRCUMSTANCES AS MEASURED AGAINST THE FACILITY'S FINANCIAL ASSISTANCE POLICY. |
| Rehoboth McKinley Christian Health Care | Part V, Section B, Line 14g: FINANCIAL COUNSELORS ASSIST PATIENTS IN PREPARING FINANCIAL ASSISTANCE FORMS. |
| Rehoboth McKinley Christian Health Care | Part V, Section B, Line 16e: ONCE THE PATIENT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, NO FURTHER COLLECTION ACTIVITES ARE CONDUCTED. |
| Rehoboth McKinley Christian Health Care | Part V, Section B, Line 20d: THE FACILITY CHARGES EVERY PATIENT THE SAME REGARDLESS OF THEIR ABILITY TO PAY. THE ACCOUNT WILL SUBSEQUENTLY BE DISCOUNTED OR ADJUSTED TO CHARITY CARE DEPENDING ON THE PATIENT'S FINANCIAL CIRCUMSTANCES AS MEASURED AGAINST THE FACILITY'S FINANCIAL ASSISTANCE POLICY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| College Clinic | ||||
| 2111 College Drive | Gallup | NM | 87301 | Pediatrics, Internal & Family |
| Red Rock Clinic | ||||
| 1900 Red Rock Drive | Gallup | NM | 87301 | OB/GYN Orthopedics |
| Behavioral Health Services | ||||
| 650 Vanden Bosch Parkway | Gallup | NM | 87301 | Addiction & Psychiatric Services |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 6,783,620. |
| 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 2013 AND 2012, THE HOSPITAL WROTE OFF APPROXIMATELY $6.8 MILLION AND $4.1 MILLION, RESPECTIVELY TO BAD DEBT EXPENSE. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS APPROXIMATELY 50% OF ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012 AND 2013. THE HOSPITAL DID NOT CHANGE ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2012 AND 2013.THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF PAY PATIENTS INCREASED FROM 76 PERCENT OF SELFPAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012 TO 89 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2013. IN ADDITION, THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR THIRD-PARTY PAYORS DECREASED FROM 20 PERCENT OF THIRD-PARTY PAYORS ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012 TO 17 PERCENT OF THIRD-PARTY PAYORS ACCOUNTS RECEIVABLE AT DECEMBER 31, 2013. THE HOSPITAL HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURINGS FISCAL YEARS 2012 OR 2013. |
| 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RMCHCS Foundation | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Red Rock Drive | AddressLine1 |
| City | Gallup | City |
| State | NM | State |
| ZIP Code | 87301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 850349559 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $56,973 | CashGrantAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Purpose Of Grant | Capital Donation | PurposeOfGrantTxt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Scholarships | GrantTypeTxt |
| Recipient | 13 | RecipientCnt |
| Cash Grant | $13,000 | CashGrantAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | RMCHS FOUNDATION KEEPS CAREFUL TRACK OF THE USE OF FUNDS GRANTED TO IT BY REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Erwin Elber MD | ||||||||||||||
| Trustee/Chief of Staff | $233,752 | $0 | $5,000 | $0 | $5,832 | $0 | $2,250 | $0 | $869 | $0 | $247,703 | $0 | $0 | $0 |
| Michelle Stam-MacLaren MD | ||||||||||||||
| Trustee | $134,175 | $0 | $64,610 | $0 | $6,325 | $0 | $1,650 | $0 | $869 | $0 | $207,629 | $0 | $0 | $0 |
| Barry Mousa | ||||||||||||||
| CEO | $195,533 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $861 | $0 | $196,394 | $0 | $0 | $0 |
| Charles Guimaraes MD | ||||||||||||||
| Physician | $365,135 | $0 | $0 | $0 | $6,325 | $0 | $2,250 | $0 | $869 | $0 | $374,579 | $0 | $0 | $0 |
| Kimberly Collins MD | ||||||||||||||
| Physician | $306,373 | $0 | $0 | $0 | $9,146 | $0 | $2,250 | $0 | $869 | $0 | $318,638 | $0 | $0 | $0 |
| Phillip Mickelsen MD | ||||||||||||||
| Physician | $287,462 | $0 | $0 | $0 | $4,121 | $0 | $1,721 | $0 | $869 | $0 | $294,173 | $0 | $0 | $0 |
| Gerald Robertson MD | ||||||||||||||
| Physician | $276,889 | $0 | $0 | $0 | $6,365 | $0 | $2,250 | $0 | $869 | $0 | $286,373 | $0 | $0 | $0 |
| Gary Pugh MD | ||||||||||||||
| Physician | $216,757 | $0 | $42,527 | $0 | $4,766 | $0 | $2,250 | $0 | $869 | $0 | $267,169 | $0 | $0 | $0 |
| Roger Gleisner | ||||||||||||||
| Former CEO | $128,541 | $0 | $0 | $0 | $0 | $0 | $2,250 | $0 | $0 | $0 | $130,791 | $0 | $0 | $0 |
| Mary Poel MD | ||||||||||||||
| Former CMO | $185,419 | $0 | $30,807 | $0 | $0 | $0 | $2,250 | $0 | $869 | $0 | $219,345 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | COMPENSATION WAS DETERMINED BY A WRITTEN EMPLOYMENT CONTRACT AND BOARD APPROVAL. |
| Part I, Line 4b | DR. MARY POEL, MD PARTICIPATES IN A 457(B)PLAN AND CONTRIBUTED $23,000 DURING 2013. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The NM Hospital Equipment Loan Council | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 850334237 | BondIssuerEIN |
| Bond Issued | 2007-03-01 | BondIssuedDt |
| Issue Price | $7,245,000 | IssuePriceAmt |
| Purpose | REFUNDING PROCEEDS AND CAPITAL EXPENDITURES | PurposeDesc |
| Defeased | Yes (1) | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $7,245,000 | TotalProceedsAmt |
| In Reserve Fund | $645,322 | InReserveFundAmt |
| Refunding Escrow | $3,924,311 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $504,763 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $2,519,647 | CapitalExpendituresAmt |
| Substantial Completion | 2007 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Elite Laundry & Dry Cleaning | |||
| Owned by Sister of Priscilla Smith, Trustee | $111,197 | CONTRACT FOR LAUNDRY SERVICES | 0 |
| Pinnacle Bank | |||
| Bank President is father-in-law to Jennifer Dowling, Trustee | $1,875,000 | BANK MAINTAINS LOAN FOR RMCHCS | 0 |
| K&B | |||
| David Bischoff owns this company | $15,127 | PROVIDES FOOD PRODUCTS | 0 |
| Dallago Corporation | |||
| Dave Dallago owns this company | $38,283 | PROVIDED CONSTRUCTION SERVICES | 0 |
| Comfort Suites | |||
| Yogash Kumar owns this company | $12,960 | PROVIDED HOTEL SERVICES | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 11 | 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 11 | 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 3,499,828. Management and general expenses 3,229,384. Fundraising expenses 0. Total expenses 6,729,212. |
| Form 990, Part XII, Line 2c: | RMCHCS DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RMCHCS Foundation | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Red Rock Drive | AddressLine1 |
| City | Gallup | City |
| State | NM | State |
| ZIP Code | 87301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850349559 | EIN |
| Primary Activities | Support RMCHCS | PrimaryActivitiesTxt |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 11 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| RMCHCS Foundation | |
| C | $34,634 |
| RMCHCS Foundation | |
| O | $16,921 |