OTERO COUNTY HOSPITAL ASSOCIATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- OTERO COUNTY HOSPITAL ASSOCIATION (EIN 85-0138775)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201441359349306179
- Schema version
- 2012v2.1
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-15T15:00:46-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450250958 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4310 17TH AVE S PO BOX 2545 | AddressLine1 |
| City | FARGO | City |
| State | ND | State |
| ZIP Code | 581082545 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850138775 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Otero County Hospital Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OTER | NameControl |
| Phone | 5754396100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2669 North Scenic Drive | AddressLine1 |
| City | Alamogordo | City |
| State | NM | State |
| ZIP Code | 883110597 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Bashar Naser | Name |
| Title | CFO | Title |
| Phone | 5754396100 | Phone |
| Date Signed | 2014-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LISA CHAFFEE CPA | Name |
| PTIN | P00193453 | PTIN |
| Phone | 7012398500 | Phone |
| Date Prepared | 2014-05-15 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gerald Champion Regional Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Robert James Heckert | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2669 North Scenic Drive | AddressLine1 |
| City | Alamogordo | City |
| State | NM | State |
| ZIP Code | 883110597 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 103542343 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.gcrmc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1947 | YearFormation |
| State Legal Domicile | NM | StateLegalDomicile |
| Activity Or Mission Description | Provision of health care services | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 797 | TotalNbrEmployees |
| Total Nbr Volunteers | 156 | TotalNbrVolunteers |
| Total Gross UBI | 8071 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 398171 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 321516 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 102068508 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 103165772 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -474237 | InvestmentIncomePriorYear |
| Investment Income Current Year | 57029 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 102443 | OtherRevenuePriorYear |
| Other Revenue Current Year | -328246 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 102094885 | TotalRevenuePriorYear |
| Total Revenue Current Year | 103216071 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2850067 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 484707 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 47519208 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 41411166 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 75942477 | OtherExpensePriorYear |
| Other Expenses Current Year | 80068476 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 126311752 | TotalExpensesPriorYear |
| Total Expenses Current Year | 121964349 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -24216867 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -18748278 | RevenuesLessExpensesCY |
| Total Assets BOY | 138177221 | TotalAssetsBOY |
| Total Assets EOY | 154259322 | TotalAssetsEOY |
| Total Liabilities BOY | 66516738 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 101147025 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 71660483 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 53112297 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | To exceed the expectations of our guests through extraordinary customer service, exceptional quality care and innovative technology. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 98589858 | Expense |
| Grants | 484707 | Grants |
| Revenue | 103157701 | Revenue |
| Description | Otero County Hospital Association d/b/a Gerald Champion Regional Medical Center (GCRMC) provides comprehensive healthcare services through its 99-bed hospital, outpatient ambulatory care facilities, and a multi-specialty physician group. GCRMC accounts for more than 80% of hospital admissions in its Otero County primary service area. The GCRMC's primary market is the city of Alamogordo with secondary markets expanding to Tularosa, Holloman Air Force Base and Lincoln County. The original facility opened in August 1949 and the current medical center is a state of the art, acute care facility that opened in December 1999.The original hospital opened in 1949 with 26 beds. Today GCRMC is proud to be a 99-bed acute care facility accredited by DNV, including two distinct PPS units: Life Transitions (12 beds starting July 1, 2010) and Inpatient Rehabilitation (12 beds starting July 1, 2011). GCRMC shares a unique relationship with Holloman Air Force Base as the first hospital in the United States where active duty military physicians practice in a civilian hospital. This special arrangement allows one facility to meet the combined community and military needs, while serving as a model for the Department of Defense in conserving resources. The delivery mechanisms of care at the hospital include both inpatient and outpatient services: acute care inpatient through medical/surgical, telemetry, maternal child and 12-bed intensive care units; surgery department supported by pre-admit, outpatient care unit and post-anesthesia care unit; hospital-owned physician practices in the areas of family practice, women's services including obstetrics, gastroenterology and endocrinology, internal medicine, orthopedics and general surgery; inpatient and outpatient CAP certified laboratory services with the capability to perform over 225 different profiles and tests in-house; inpatient and outpatient diagnostic imaging services, including x-ray, 128-slice CT scan, MRI, ultrasound, interventional radiology, radiofrequency ablation and nuclear medicine; inpatient and outpatient comprehensive cardiopulmonary services including behavior sleep medicine, Holter monitoring, event monitoring and impedance cardiography.By the end of 2013, GCRMC employed approximately 575 people. In addition to those employees, GCMRC contracts for services in various departments such as Food Services, Environmental Services, Pharmacy, Anesthesia, Emergency Services and Hospitalist program. The medical staff of GCRMC has 205 medical members consisting of 90 active members. GCRMC continues to seek opportunities to expand services and improve quality, with the philosophy of not limiting its potential by the designation of "small community", but rather identifying its scope of service based on community needs.Continued progress and expansion has enhanced GCRMC's commitment to strive for outstanding service and quality; acknowledging that its future is not in its buildings or technology, but rather its people. To this end we support the people of Otero County with our services and our financial contributions. GCRMC has, since its inception in 1949, provided quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of GCRMC, it is recognized that not all individuals possess the ability to purchase essential medical services and, further, that our mission is to serve the community with respect to providing healthcare services and healthcare education. Therefore, in keeping the GCRMC's commitment to serve our community, we provide: Free Care and/or Subsidized Care - care to persons covered by governmental programs at below cost; and health activities and programs to support the community will be considered where the need and/or an individual's inability to pay coexist. GCRMC maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. | Description |
| Total Program Service Expense | 98589858 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 142 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 797 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NM | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Julia Walker-Grinder | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5754396100 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2669 North Scenic Drive | AddressLine1 |
| City | Alamogordo | City |
| State | NM | State |
| ZIP Code | 88311 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Norm Arnold | |||||||
| Chairman of the Board | 10.00 | X | X | 0 | 0 | 0 | |
| Bill Mershon | |||||||
| Vice President | 5.00 | X | X | 0 | 0 | 0 | |
| Bill Mayton | |||||||
| Secretary | 5.00 | X | X | 0 | 0 | 0 | |
| Fred Baker | |||||||
| Director | 5.00 | X | 0 | 0 | 0 | ||
| Jaime Anderson | |||||||
| Director | 3.00 | X | 0 | 0 | 0 | ||
| James Harris | |||||||
| Director | 3.00 | X | 0 | 0 | 0 | ||
| Greg Richardson MD | |||||||
| Director | 5.00 | X | 0 | 0 | 0 | ||
| Robin French | |||||||
| Director | 3.00 | X | 0 | 0 | 0 | ||
| Lisa Thomassie | |||||||
| Director | 3.00 | X | 0 | 0 | 0 | ||
| Arthur Austin MD | |||||||
| Director, VP of Medical Af | 40.00 | X | X | 225719 | 0 | 27373 | |
| Robert James Heckert | |||||||
| CEO | 40.00 | X | 0 | 0 | 0 | ||
| Morgan Hay | |||||||
| CFO (July-December) | 40.00 | X | 0 | 0 | 0 | ||
| Michael Rolph | |||||||
| CFO (December-June) | 40.00 | X | 20180 | 0 | 0 | ||
| Martha Gorman | |||||||
| CNO | 40.00 | X | 171621 | 0 | 8581 | ||
| Jeffrey Gardner | |||||||
| VP of Physician Practice Dev | 40.00 | X | 126488 | 0 | 19920 | ||
| George Massoud | |||||||
| Physician | 40.00 | 392220 | 0 | 30719 | X | ||
| Dennis Worthington | |||||||
| Physician | 40.00 | 389923 | 0 | 34367 | X | ||
| Charles Race | |||||||
| Physician | 40.00 | 721984 | 0 | 25688 | X | ||
| Stefan Korec | |||||||
| Physician | 40.00 | 489882 | 0 | 30990 | X | ||
| Joseph Horton | |||||||
| Physician | 40.00 | 637439 | 0 | 26917 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3175456 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 204555 | TotalOtherCompensation |
| Number Individuals GT100 K | 56 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Cardinal Pharmaceutical | |||||
| 401 Mason Road | Lavergne | TX | 37086 | Pharmacy Supplies | 7434850 |
| Cerner Corporation | |||||
| 2800 Rockcreek | Kansas City | MO | 641414399 | Software & Support | 5311079 |
| White & Case LLP | |||||
| 23802 Network Place | Chicago | IL | 606731238 | Legal Counsel | 4318405 |
| EmCare Inc | |||||
| 7032 Collections Center Drive | Chicago | IL | 60693 | Staff-Medical | 2418878 |
| Cardinal Medical Supplies | |||||
| PO Box 73112 | Dallas | TX | 753730112 | Medical Supplies | 1966618 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 100 | NumberOfContractorsGT100K |
| Government Grants | 303605 | GovernmentGrants |
| All Other Contributions | 17911 | AllOtherContributions |
| Total Contributions | 321516 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Net Patient Service Revenue | 900099 | 100592333 | 100592333 | |
| Other Revenue | 900099 | 773814 | 773814 | |
| Catering | 722320 | 626601 | 618530 | 8071 |
| Rental income | 531120 | 589786 | 589786 | |
| Alamogordo Surgery Venture, LLC | 621400 | 462335 | 462335 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 120903 | TotalRevenueColumn |
| Related Or Exempt Function Income | 120903 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 103165772 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16953 | TotalRevenueColumn |
| Exclusion | $16,953 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 378900 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 325779 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 53121 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 53121 | TotalRevenueColumn |
| Exclusion | $53,121 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 40569 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 493 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 40076 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40076 | TotalRevenueColumn |
| Exclusion | $40,076 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Loss on Bond Refinancing | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | -381367 | TotalRevenueColumn |
| Exclusion | -$381,367 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -381367 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 103216071 | TotalRevenueColumn |
| Related Or Exempt Function Income | 103157701 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 8071 | UnrelatedBusinessRevenue |
| Exclusion | -$271,217 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 484707 | Total |
| Program Services | 484707 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 992871 | Total |
| Management And General | 992871 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33256845 | Total |
| Program Services | 25132673 | ProgramServices |
| Management And General | 8124172 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 632113 | Total |
| Program Services | 480871 | ProgramServices |
| Management And General | 151242 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4262269 | Total |
| Program Services | 3203543 | ProgramServices |
| Management And General | 1058726 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2267068 | Total |
| Program Services | 1550416 | ProgramServices |
| Management And General | 716652 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193589 | Total |
| Management And General | 193589 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 178649 | Total |
| Management And General | 178649 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26889754 | Total |
| Program Services | 19292303 | ProgramServices |
| Management And General | 7597451 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102216 | Total |
| Program Services | 7831 | ProgramServices |
| Management And General | 94385 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6936118 | Total |
| Program Services | 4795174 | ProgramServices |
| Management And General | 2140944 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 539783 | Total |
| Program Services | 36285 | ProgramServices |
| Management And General | 503498 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2028868 | Total |
| Program Services | 595319 | ProgramServices |
| Management And General | 1433549 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98586 | Total |
| Program Services | 47837 | ProgramServices |
| Management And General | 50749 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183902 | Total |
| Program Services | 129439 | ProgramServices |
| Management And General | 54463 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3460100 | Total |
| Program Services | 3460100 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9819851 | Total |
| Program Services | 9819851 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1826187 | Total |
| Program Services | 1826187 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Medical Supplies | 12932702 | 12932702 |
| Provision for Bad Debts | 12033135 | 12033135 |
| Reorganization Costs | 2218583 | 2218583 |
| Gross Receipt/Sales Tax | 395399 | 395399 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 231054 | Total |
| Program Services | 147503 | ProgramServices |
| Management And General | 83551 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121964349 | Total |
| Program Services | 98589858 | ProgramServices |
| Management And General | 23374491 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5486057 | BOY |
| EOY | 15715726 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13383375 | BOY |
| EOY | 12751967 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2788791 | BOY |
| EOY | 3165851 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1575612 | BOY |
| EOY | 1025913 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 180587051 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 84207304 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101035399 | BOY |
| EOY | 96379747 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10846031 | BOY |
| EOY | 15225834 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 719393 | BOY |
| EOY | 739078 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54375 | BOY |
| EOY | 70551 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2288188 | BOY |
| EOY | 9184655 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138177221 | BOY |
| EOY | 154259322 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13359288 | BOY |
| EOY | 19476188 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 70053136 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2962454 | BOY |
| EOY | 2701031 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 5416670 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50194996 | BOY |
| EOY | 3500000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66516738 | BOY |
| EOY | 101147025 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71660483 | BOY |
| EOY | 53112297 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71660483 | BOY |
| EOY | 53112297 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138177221 | BOY |
| EOY | 154259322 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -18748278 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1246 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 198846 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3237050 | OtherCostOrOtherBasis |
| Book Value | 3237050 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 103746989 | OtherCostOrOtherBasis |
| Depreciation | 33176714 | Depreciation |
| Book Value | 70570275 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 64450482 | OtherCostOrOtherBasis |
| Depreciation | 47879134 | Depreciation |
| Book Value | 16571348 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9152530 | OtherCostOrOtherBasis |
| Depreciation | 3151456 | Depreciation |
| Book Value | 6001074 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 96379747 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Deferred financing costs, net | 1986417 |
| Other receivables | 2734797 |
| Estimated Third Payor Settlements | 963441 |
| Insurance Recovery Receivable | 3500000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 9184655 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Insurance Claims Liability | Description |
| Amount | $3,500,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3500000 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 89497857 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1246 | NetUnrealizedGainsInvestments |
| Other Revenues | -13469634 | OtherRevenues |
| Revenue Not Rptd F990 | -13468388 | RevenueNotRptdF990 |
| Revenue Subtotal | 102966245 | RevenueSubtotal |
| Other Revenues Not Included | 249826 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 249826 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 103216071 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 108046043 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 333412 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 333412 | ExpensesNotRptdF990 |
| Expenses Subtotal | 107712631 | ExpensesSubtotal |
| Other Expenses Not Included | 14251718 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 14251718 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 121964349 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X, Line 2: | The Medical Center is organized as a New Mexico nonprofit corporation and has been recognized by the Internal Revenue Service as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Medical Center is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Medical Center is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Medical Center files an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS to report its unrelated business taxable income. The Medical Center believes it has appropriate support for any tax positions taken affecting its annual filing requirement, and, as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Medical Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense, if such interest and penalties are incurreed. The Medical Center's federal Form 990-T filings are no longer subject to federal tax examinations by tax authorities for years before 2008. |
| Part XI, Line 2d - Other Adjustments: | Provision for Bad Debts Recorded as Income for Financial Statements -12,033,135. Reorganization Costs Recorded as Income for Financial Statements -2,218,583. Book Income ASV LLC 758,002. Book Income White Sands, LLC 24,082. | |
| Part XI, Line 4b - Other Adjustments: | Rental Expenses Recorded as Expense for Financial Statements -325,779. Catering/Bistro Expenses Recorded as Expense for Financial Statements -7,633. Tax K-1 Income ASV LLC 462,335. Tax K-1 Income Imaging Center, LLC 121,482. Tax K-1 Income White Sands LLC -579. | |
| Part XII, Line 2d - Other Adjustments: | Rental Expenses Recorded as Expense for Financial Statements 325,779. Catering/Bistro Expenses Recorded as Expense for Financial Statements 7,633. | |
| Part XII, Line 4b - Other Adjustments: | Provision for Bad Debts Recorded as Income for Financial Statements 12,033,135. Reorganization Costs Recorded as Income for Financial Statements 2,218,583. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1989000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1989000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01810 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1165910 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 766020 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 399890 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3154910 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 766020 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2388890 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02170 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 484707 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 484707 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00440 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 41495248 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16404038 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 25091210 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.22820 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 41979955 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16404038 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 25575917 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.23260 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 45134865 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17170058 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 27964807 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.25430 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 66284 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 66284 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 10 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 418423 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 418423 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 711105 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 711105 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00650 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 22 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1195812 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1195812 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.01090 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $12,033,135 | BadDebtExpenseAmount |
| Amount Attributable To | 226742 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 25552978 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 24688406 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 864572 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| 1 Alamogordo Surgery Ventures | |||
| Outpatient Surgery Center | 0.40500 | 0.00000 | 0.59500 |
| 2 Alamogordo Imaging Center | |||
| Outpatient Radiology Center | 0.29500 | 0.00000 | 0.70500 |
| 3 White Sands Health Care Systems LLC | |||
| Physician Hospital Organization | 0.50000 | 0.00000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gerald Champion Regional Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2669 North Scenic Drive | AddressLine1 |
| City | Alamogordo | City |
| State | NM | State |
| ZIP Code | 88311 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gerald Champion Regional Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Other | X | Other |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| ASV dba Scenic View Outpatient Surg Cr | ||||
| 2351 25th Street | Alamogordo | NM | 88311 | Outpatient Surgery |
| Alamogordo Imaging Center | ||||
| 2539 Medical Dr Ste 1010 | Alamogordo | NM | 883108720 | Outpatient Radiology |
Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 3c: The organization uses the Federal Poverty Guidelines when determining free and discounted care. An individual is eligible for free care if their family income is at or below 200% of the Federal Poverty Levels and they are eligible for discounted care if their family income is above 200% but not more than 300% of the Federal Poverty Levels. Patients whose family income exceeds 300% of the federal poverty levels may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances. Determining family need is also based on an application process which takes into account the patient's available assets and all other financial resources available to the patient. | ||
| Part I, Line 7: The organization used the following to determine the costs for Part I, Line 7:Row a: Charity Care was converted to cost using a cost to charge ratio from the cost accounting system. The cost accounting system addresses all patient segments.Row b : Amounts were calculated from internal records.Row e: Amount reported is based on the actual dollars spent in the activities reported.Row g: Amounts reported are based on the Medicare Cost Report figures. | ||
| Part I, Line 7g: Part I, Line 7g includes $27,729,670 of costs attributable to a Physician Clinic. | ||
| Part I, L7 Col(f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $12,033,135. | ||
| Part II: Gerald Champion helps to promote the health of the communities that it serves through the recruitement of physicians and other providers. The Hospital also supports several organizations throughout the community that encourage and promote the overall health of the community. | ||
| Part III, Line 4: Footnote from organization's financial statements: The footnote that describes bad debt expense is found on page 8 of the attached audit report.The organization estimated the percentage of bad debt that is attributed to charity care by applying the percentage of charity care to total revenues to total bad debt at cost. Therefore the organization estimates that 1.88% of the bad debt expense at cost is attributable to patients eligible under the organization's charity care policy. Care is given to individuals regardless of their ability to pay, and therefore this is a community benefit.Discounts and payments are taken into account when determining bad debt expense. | ||
| Part III, Line 8: Medicare allowable cost is based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. | ||
| Part III, Line 9b: GCRMC has implemented a number of different Policy and Procedure statements to govern the details of how its collection practices are implemented and how discounting and collection policies apply to various classes of patients. In general, all patient account guarantors who request financial assistance are asked to provide detailed information regarding their income and assets. For patients who qualify for charity and who are cooperating in good faith to resolve their hospital bills, GCRMC may offer extended payment plans to eligible patients, will not impose wage garnishments or liens on primary residences, will not send unpaid bills to collection agencies, and will cease all collection efforts. | ||
| Part V, Section B, Line 1j: Charts related to age, gender, general lifestyles, healthcare metrics. | Gerald Champion Regional Medical Center | |
| Part V, Section B, Line 3: Conducted focus groups, round table discussions, and individual interviews as well as phone surveys. GCRMC spoke with community members. | Gerald Champion Regional Medical Center | |
| Part V, Section B, Line 5c: GCRMC's CHNA and Strategic Plan is available to the public at: http://www.gcrmc.org/News/StrategicPlan?showBack=true&PageIndex=0 | Gerald Champion Regional Medical Center | |
| Part V, Section B, Line 6i: GCRMC's CHNA and Strategic Plan is available to the public at: http://www.gcrmc.org/News/StrategicPlan?showBack=true&PageIndex=0 | Gerald Champion Regional Medical Center | |
| Part V, Section B, Line 7: The need for additional services in Interventional Cardiology was not addressed by fiscal year end June 30, 2013. The implementation of the Interventional Cardiology program is expected in FY2015 and will be a joint venture with Sierra Providence in El Paso, TX. | Gerald Champion Regional Medical Center | |
| Part V, Section B, Line 14g: GCRMC provides a summary of the financial assistance policy on the hospital website and attached to billing invoices. The hospital also posts a summary in emergency and waiting rooms as well as the facility's admissions offices. Notice of GCRMC's financial assistance policy is included on the patient statements. | Gerald Champion Regional Medical Center | |
| Part VI, Line 2: Management at GCRMC enlisted the services of Saurage Strategic Marketing Research to complete a quantitative tracking study in 2011. In 2012, a strategic planning meeting for FY 13, 14 and 15 was held and utilized components of the community health needs assessment. Members consisted of physicians, community members and management. Three strategies were:1. Be number one in quality and service in our region2. Have the best healthcare talent in the region3. Evaluate and adapt to serve the health care needs of our community | ||
| Part VI, Line 3: The hospital has a Charity Care Policy - Gerald Champion Regional Medical Center (GCRMC) will provide understandable, written guidelines to staff and patients relative to how the hospital evaluates and determines: 1) a patient's eligibility for charity care; 2) an uninsured patient's eligibility for discounts; and 3) a patient's eligibility for alternate payment plans.A Summary of the Charity Care Policy is posted in the emergency room and throughout the entire hospital. The patients are also informed through direct communication with financial counselors and these policies are explained in detail to guarantors who advise GCRMC that they are unable to pay their account or need help in structuring an affordable payment plan for their account. The hospital provides services to anyone in need of medical care regardless of the patient's ability to pay for such services. Charity care and discounts for the uninsured will be available for medically necessary hospital care provided to persons who meet the financial and documentation criteria defined in this policy. Determinations hereunder will be based solely on the patient's ability to pay and will not be made on the basis of age, sex, race, creed, disability, sexual orientation or national origin. GCRMC provides financial assistance to patients based on their income, assets, and needs. Through our financial counseling services we assist patients with obtaining financial coverage or low-cost health insurance, or work with patients to arrange a manageable payment plan.Uninsured patients are eligible for a 25% discount. A 25% discount is applied to the total charges of a Self Pay Patient at the time of service or the 1st billing. Notice will be sent at the time of the 1st billing informing the patient/guarantor that an additional 10% will be deducted if the account is paid within 30 days of the date of service. | ||
| Part VI, Line 4: Otero County Hospital Association d/b/a Gerald Champion Regional Medical Center ("GCRMC") activities are conducted on its 66-acre campus located in Alamogordo, New Mexico. Alamogordo is approximately 89 miles north of El Paso, Texas and 209 miles southeast of Albuquerque, New Mexico. GCRMC owns and operates a 123-bed acute care hospital (the "Hospital") on the campus. The Hospital is a one-story building with approximately 294,000 square feet. Other facilities that the Hospital owns located on the campus include 2 medical office buildings, Complex A and B that have an outpatient surgery center and an imaging center owned and operated by limited liability companies in which GCRMC has an interest. GCRMC also owns six facilities located off the campus that are either leased to independent primary care/specialty care providers or occupied by employed physicians. GCRMC's primary service area is Northwestern Otero County from which 84% of its admissions originate. GCRMC is the sole community provider in its primary service area with the nearest tertiary care hospital located approximately 70 miles from the Hospital. The delivery mechanisms of care at the Hospital include both inpatient and outpatient services: 24-hour staffed Level III Trauma Emergency Department; acute care inpatient through Medical/Surgical (10-bed Intensive Care Unit), Telemetry, Maternal Child, 12-bed gero-psych, and 12-bed inpatient rehabilitation; Surgery Department supported by Pre-admit, Outpatient Care Unit and Post-Anesthesia Care Unit; hospital-owned physician practices in the areas of family practice, women's services including obstetrics, orthopedics, nephrology, internal medicine, gero-psych outpatient, pediatrics, gastroenterology and endocrinology; Pathologist; certified laboratory services with the capability to perform over 225 different profiles and tests in-house; inpatient and outpatient diagnostic imaging services, including x-ray, 128-slice and 16-slice CT scan, MRI, ultrasound, interventional radiology, radiofrequency ablation and nuclear medicine; inpatient and outpatient comprehensive cardiopulmonary services including behavior sleep medicine, Holter Monitoring, Event Monitoring and Impedance Cardiography.GCRMC and the HAFB 49th Medical Group, a group of approximately 15 military providers and support staff from the HAFB, have enjoyed a close working relationship, and have had shared coverage arrangements. Such arrangements included laboratory and x-ray services in a disaster, obstetrical coverage, and coverage for the HAFB 49th Medical Group when they were deployed for Desert Storm in 1991. Following Desert Storm and the return of the HAFB 49th Medical Group, the DoD made the decision to leave all the obstetrical services with GCRMC and the local obstetricians. As of 2012, 3,900 active military and 5,000 dependents are located at the HAFB. In addition, the German Air Force ("GAF") utilizes HAFB as a training facility and has 480 active military and 790 dependents.GCRMC's primary service area (the "PSA") is 30 miles in Northwestern Otero County from which approximately 84% of GCRMC's admissions originate. Located in southeastern New Mexico, Otero County encompasses 6,627 square miles and includes the cities of Alamogordo and Tularosa. According to U.S. Census, the population of Otero County has grown by over 3,400 people since 2000 to 65,703 in 2011.The Hospital is the only acute care hospital within the PSA and is a Sole Community Provider. The acute care hospitals that GCRMC considers its main competitors that draw from the PSA are Mountain View Regional Medical Center and Memorial Medical Center both located approximately 75 miles west of Alamogordo in Las Cruces, New Mexico. Management of GCRMC estimates that the market share of admissions to the MountainView Regional Medical Center and Memorial Medical Center from the PSA average 10% and 5%, respectively. The secondary service area covers a substantial portion of the remainder of Otero County, as well as the south central portion of Lincoln County. The secondary service area includes Ruidoso, the population of which was estimated to be 8,029 in 2010 according to the U.S. Census Bureau. The tertiary service area covers a small portion of Otero County and Chaves County. There are no other major medical centers within Otero County. During the fiscal year ended June 30, 2013, management of GCRMC estimates that approximately 84% of inpatients and 93% of total patients seen at GCRMC come from Otero County. Approximately 3.5% of inpatients come from Lincoln County.GCRMC has experienced a slight decline in Medicare Market Share in its PSA since 2009. As of calendar year 2011, GCRMC had an approximate 56% market share of Medicare inpatient volume in the PSA. This represents a 1.3% decline since 2009. For the fiscal year ended June 30, 2013, MountainView Regional Medical Centre and Memorial Medical Center combined had a 19.0% of total Medicare market share in the PSA, remaining consistent with the fiscal year ended June 30, in 2011. The majority of these volumes relate to invasive cardiology (e.g. cardiac catheterization treatment), a service not provided at the Hospital. | ||
| Part VI, Line 5: The business and affairs of GCRMC are subject to the overall governance and direction of its Board of Directors. The Board of Directors currently includes 10 members. Each member is appointed by the Board of Directors and serves a three-year term in a self-perpetuating board. The Board of Directors fills vacancies that may occur. Officers of the Board of Directors include a Chairman, Vice Chairman, and Secretary/Treasurer. The Board of Directors are business people of the primary service area, with no other connection. GCRMC's medical staff is organized into Divisions of Medicine, Medical Subspecialties, Surgery and Outpatient Services. In addition to specialized medical/surgical services provided by both employed and contracted physicians and medical groups, GCRMC also offers emergency medical services, including a helicopter service which is not owned by GCMRC but is on-site 24 hours a day. GCRMC employs around-the-clock hospitalists, (i.e., physicians who devote their professional time to the care of hospitalized patients). The hospital extends medical staff privileges to all qualified physicians in the community. Surplus funds are re-invested into the purchase of capital equipment, electronic medical record software, and continuing education for clinical staff including physicians.GCRMC views the position of sole provider as a significant commitment to the overall health and well-being of the community. Not satisfied with just providing healthcare; the challenges to overcome are to have a positive effect on the quality of life experience in our community. With this in mind, the organization strives to facilitate and share opportunities to educate and motivate a philosophy of wellness. The primary target is the disease process that we know can be eliminated or improved by changing or modifying human behavior. As with any community, the population served has a variety of educational background. The drive is to develop programs that target the needs and understanding of the community. Physicians/Providers are utilized to provide open forums that present health related issues, i.e. arthritis, nephrology, neurology, orthopedic issues, etc. followed by questions and time for individual discussion. This type of program is offered with a free lunch, educational materials, and if appropriate, free screenings, such as glucose or blood pressure. There is an average of 90 participants in each of these seminars. The organization is very community-minded in its efforts to promote health. Staff participates in Health Fairs in the public schools. Flu shots are distributed to community members.At GCRMC, we feel it is important to embrace community needs that promote good citizenship. As an organization we support employee involvement in outside activities through contributions, dedicated time and sponsorship. Administration and staff members serve on community boards, dedicating many hours of support to those organizations. The following classes are provided for the community in our conference room center: Diabetic Education, Narcotics Anonymous, Childbirth Classes, New Baby Class and CPR/Basic Life Support to name a few. GCRMC has been a top supporter of the United Way which provides money for many of the local community organizations. An annual Health Fair is held at the hospital each year. We augment the annual health fair with onsite mini health screenings throughout the year. This is offered to businesses, civic organizations and churches with minimal to no charge. We offer free blood pressure screenings on a walk-in basis with educational materials in both Spanish and English. This allows us to address the high rate of hypertension in our community, its significant effect on other diseases, and an overall wellness picture.GCRMC partners with the American Cancer Society to offer the Look Good Feel Good Program and the Gift Closet. The program is housed off campus in a leased building and has brought a highly valued service to our community. The Gift Closet provides free wigs, prosthesis, supplies, education and support to cancer patients and their families.The opportunity to utilize our speaker's bureau is available to any organization in the community. A presentation regarding health related topics can be prepared with limited notice to meet the needs of the organization. The wealth of knowledge in our organization allows us to create an appropriate fit for the requested need. | ||
| Part VI, Line 6: n/a | ||
| NM | Reports Filed With States | Part VI, Line 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|---|---|
| American Cancer Society | ||||||||||
| 2120 1st Ave | Alamogordo | NM | 88310 | 841316555 | 501(c)(3) | 17078 | Public Health | |||
| Presbyterian Medical Services Chaparral NM Clinic | ||||||||||
| PO Box 112 | Carrizozo | NM | 88301 | 850206810 | 501(c)(3) | 166670 | Public Health | |||
| Presbyterian Medical Services Sacramento Mountain Center | ||||||||||
| PO BOX 686 | Cloudcraft | NM | 88317 | 850206810 | 501(c)(3) | 125000 | Public Health | |||
| United Way of Otero County | ||||||||||
| 1601 E 10th Street Suite B | Alamogordo | NM | 88310 | 850197559 | 501(c)(3) | 18570 | Public Health | |||
| Zia Therapy Center | ||||||||||
| 900 First Street | Alamogordo | NM | 88310 | 850199135 | 501(c)(3) | 26113 | Public Health | |||
| Presbyterian Medical Services Alamogordo | ||||||||||
| 1501 10th Street | Alamogordo | NM | 88310 | 850206810 | 501(c)(3) | 100000 | Public Health | |||
| Globus Relief | ||||||||||
| 1775 West 1500 South | Salt Lake City | UT | 84014 | 841369453 | 501(c)(3) | Public Health | 17088 | Cost | Medical Waste | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 7 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: The organization only gave grants to government organizations and tax exempt organizations. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Arthur Austin MD | ||||||||||||||
| Director, VP of Medical Af | 225323 | 0 | 0 | 0 | 396 | 0 | 11589 | 0 | 16486 | 0 | 253794 | 0 | 0 | 0 |
| Martha Gorman | ||||||||||||||
| CNO | 171003 | 0 | 0 | 0 | 618 | 0 | 8581 | 0 | 629 | 0 | 180831 | 0 | 0 | 0 |
| George Massoud | ||||||||||||||
| Physician | 391991 | 0 | 0 | 0 | 229 | 0 | 12500 | 0 | 18819 | 0 | 423539 | 0 | 0 | 0 |
| Dennis Worthington | ||||||||||||||
| Physician | 388322 | 0 | 1205 | 0 | 396 | 0 | 12500 | 0 | 22569 | 0 | 424992 | 0 | 0 | 0 |
| Charles Race | ||||||||||||||
| Physician | 721726 | 0 | 0 | 0 | 258 | 0 | 12500 | 0 | 13890 | 0 | 748374 | 0 | 0 | 0 |
| Stefan Korec | ||||||||||||||
| Physician | 457516 | 0 | 32036 | 0 | 330 | 0 | 12500 | 0 | 19192 | 0 | 521574 | 0 | 0 | 0 |
| Joseph Horton | ||||||||||||||
| Physician | 637371 | 0 | 0 | 0 | 68 | 0 | 12500 | 0 | 15119 | 0 | 665058 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 3 | The CEO and CFO are paid by an unrelated management company, Quorum Health Resources up until 12/15/2012. At which time, the CEO became an employee of the hospital. The hospital employed an Interim CFO until a permanent CFO is selected. The permanent CFO will be an employee of the hospital. |
| Part I, Line 4a | The previous CFO, Morgan Hay, was an employee of QHR and a key employee. QHR was GCRMC's management company. QHR and GCRMC's Management Company agreement was terminated December 2012. GCRMC is now a Strategic Partner with QHR. In December 2012, the CEO, Jim Heckert, was hired as a GCRMC employee. Morgan Hay was not hired by GCRMC and separated from QHR. QHR paid Morgan a severance upon separation. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New Mexico Hospital Equipment Loan Council | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 850426875 | IssuerEIN |
| CUSIP Number | 647370FS9 | CUSIPNumber |
| Date Issued | 2012-09-19 | DateIssued |
| Issue Price | 70004797 | IssuePrice |
| Description Of Purpose | Hospital imp. including new patient tower; refund bonds issued 11/15/07 | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | 70011320 | TotalProceeds |
| Amount In Reserve Fund | 5224261 | AmountInReserveFund |
| Issuance Costs From Proceeds | 1400096 | IssuanceCostsFromProceeds |
| Capital Expenditures | 32310994 | CapitalExpenditures |
| Other Spent Proceeds | 31075969 | OtherSpentProceeds |
| Year Of Subst Completion | 2012 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 1 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 1 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 1 | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Schedule K, Part II, Line 11: | The other spent proceeds was the amount used to retire the bonds issued in 2007. |
| Schedule K, Part I, Column (e) and Part II, Line 3: | The difference between the issue price at Part I Column (e) and the total proceeds of the issue at Part II Line 3 is due to investment earnings on the reserve funds. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alamogordo Surgery Venture LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Board member Gregory Richardson is the President of the ASV, LLC board | Relationship |
| Amount Of Transaction | 6046265 | AmountOfTransaction |
| Description Of Transaction | Performance of services for ASV, LLC | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 1 | Joint Finance/Executive Committee consists of the Board Chair, Vice President, Secretary and three other Directors. The Joint Finance/Executive Committee has the authority to act on behalf of the governing body, when specifically arranged. The Board will then ratify the actions in the following Board of Director's meeting. | |
| Form 990, Part VI, Section A, line 3 | Gerald Champion Regional Medical Center (GCRMC) had a management agreement with Quorum Health Resources. GCRMC's Chief Executive Office (CEO) and Chief Financial Officer (CFO) were employees of Quorum Health Resources (QHR), an unrelated management company, until 12/16/2012 when the management relationship ended. The Board of Directors retained and hired the CEO as an employee of GCRMC. The CFO was not hired by the Board of Directors. CEO Robert James Heckert's compensation for calendar year 2012 was $347,312. CFO Morgan Hay's compensation for calendar year 2012 was $294,468. | |
| Form 990, Part VI, Section A, line 7a | Directors shall be elected in the manner, and at the times, prescribed in the Bylaws of the Corporation. | |
| Form 990, Part VI, Section B, line 11 | The return is reviewed by the CEO and CFO prior to filing. | |
| Form 990, Part VI, Section A, Line 6: | On February 3, 2011, the duration of the corporation was made perpetual; and henceforth, this corporation shall be a non-membership corporation. | |
| Form 990, Part VI, Section A, Line 8b: | The Joint Finance/Executive Committee has the authority to act on behalf of the governing board, when specifically arranged. The Board will then ratify the actions in the following Board of Director's meeting. | |
| Form 990, Part VI, Section B, line 12c | Each officer, director, and key employee is required to fill out a conflict of interest disclosure annually. The forms are initially reviewed by the CFO. If any conflicts exist, they are reviewed by the Board of Directors. A person with a conflict is restricted from voting on related matters. | |
| Form 990, Part VI, Section B, line 15a | As of 12/15/2012, the management agreement with Quorum Health Resources was terminated and the CEO became an employee of GCRMC. The CEO reports to GCRMC Board of Directors and his salary is determined by the board of directors. The board used comparative salary data obtained from QHR as well as the Modern Healthcare CEO Salary Survey to access the reasonableness of the compensation. Compensation was last determined December 2012 and will be evaluated on an annual basis. The CFO reports to the CEO and the CFO salary is determined based on GCRMC's HR practices for all other employees. | |
| Form 990, Part VI, Section C, line 19 | The governing documents, conflict of interest policy and financial statement are all available upon request. | |
| Form 990, Part IX, line 11g | Consultants: Program service expenses 629,190. Management and general expenses 518,758. Fundraising expenses 0. Total expenses 1,147,948. Maintenance Contracts: Program service expenses 2,337,650. Management and general expenses 1,992,157. Fundraising expenses 0. Total expenses 4,329,807. Physician Fees: Program service expenses 4,706,856. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,706,856. Agency Personnel: Program service expenses 2,588,951. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,588,951. Contract Dept Fees: Program service expenses 2,439,752. Management and general expenses 4,518,981. Fundraising expenses 0. Total expenses 6,958,733. Surgery Center Fee: Program service expenses 6,009,784. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,009,784. Miscellaneous Fees: Program service expenses 580,120. Management and general expenses 567,555. Fundraising expenses 0. Total expenses 1,147,675. | Other Fees |
| Form 990, Part XI, line 9: | ASV Book/K-1 Income Difference 295,667. White Sands Book/K-1 Income Difference -97,400. AIC Book/K-1 Income Difference 579. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alamogordo Surgery Venture LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2351 25th Street | AddressLine1 |
| City | Alamogordo | City |
| State | NM | State |
| ZIP Code | 88310 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061791828 | EIN |
| Primary Activity | Outpatient Surgery Center | PrimaryActivity |
| Legal Domicile State | NM | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | Related | PredominantIncomeType |
| Share Of Total Income | 462335 | ShareOfTotalIncome |
| Share Of EOY Assets | 50246 | ShareOfEOYAssets |
| Disproportionate Allocations | 1 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.40500 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Alamogordo Surgery Venture LLC | ||
| A | 688500 | General Ledger |
| Alamogordo Surgery Venture LLC | ||
| J | 456681 | General Ledger |
| Alamogordo Surgery Venture LLC | ||
| L | 6046265 | General Ledger |
| Alamogordo Surgery Venture LLC | ||
| Q | 135230 | General Ledger |