REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE (EIN 85-0313268)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-12
- IRS object ID
- 201323169349305762
- 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 B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-12T17:40:04-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910189318 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6565 AMERICAS PARKWAY NE SUITE 600 | AddressLine1 |
| City | ALBUQUERQUE | City |
| State | NM | State |
| ZIP Code | 87110 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850313268 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | REHO | NameControl |
| Phone | 5058637000 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BARRY MOUSA | Name |
| Title | CEO | Title |
| Phone | 5058637000 | Phone |
| Date Signed | 2013-11-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARLA CASTNER | Name |
| PTIN | P00628892 | PTIN |
| Phone | 5058787200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BARRY MOUSA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 RED ROCK DR | AddressLine1 |
| City | GALLUP | City |
| State | NM | State |
| ZIP Code | 87301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 62753764 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.RMCH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | NM | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 667 | TotalNbrEmployees |
| Total Nbr Volunteers | 46 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2040872 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2021655 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 62050251 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 60227292 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3187 | InvestmentIncomePriorYear |
| Investment Income Current Year | 147536 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 33556 | OtherRevenuePriorYear |
| Other Revenue Current Year | 30787 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 64127866 | TotalRevenuePriorYear |
| Total Revenue Current Year | 62427270 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 52195 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 35105 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 35001658 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 33537903 | 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 | 35920361 | OtherExpensePriorYear |
| Other Expenses Current Year | 29242409 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 70974214 | TotalExpensesPriorYear |
| Total Expenses Current Year | 62815417 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -6846348 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -388147 | RevenuesLessExpensesCY |
| Total Assets BOY | 35337651 | TotalAssetsBOY |
| Total Assets EOY | 31081431 | TotalAssetsEOY |
| Total Liabilities BOY | 23190623 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 19116244 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12147028 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11965187 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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 SERVICES, AND VALUE, 2) SUPERIOR ACCESS, 3) CLINICAL SPECIALTY SERVICES, 4) STRONG HUMAN AND TECHNOLOGICAL RESOURCES, AND 5) A MULTI-CULTURAL ORIENTATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 32697099 | Expense |
| Grants | 35105 | Grants |
| Revenue | 48145028 | Revenue |
| Description | 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 REAHBILITATION 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1065628 | Expense |
| Revenue | 941950 | Revenue |
| Description | HOME HEALTH IS INTERIM CARE TO HELP PATIENTS TRANSITION 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 BY PHYSICIAL THERAPISTS, AND OCCUPATIONAL THERAPIST, 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1564279 | Expense |
| Revenue | 1983735 | Revenue |
| Description | 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. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10076724 | Expense |
| Revenue | 9156579 | Revenue |
| Description | PROVIDED PRIMARY CARE SERVICES TO PATIENTS IN THE AREA THROUGH MULTI-SPECIALTY CLINICS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 10076724 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 9156579 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 45403730 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | 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 | 1 | 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 | 1 | 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 | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | 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 | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 130 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 667 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | 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 | 1 | 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 | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NM | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARY LOU DONKERSLOTT | NamePerson |
| Telephone Number | 5058637275 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 RED ROCK DR | AddressLine1 |
| City | GALLUP | City |
| State | NM | State |
| ZIP Code | 87301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| TONY D GONZALES | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| KATHY HEAD | |||||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | |||
| PRISCILLA SMITH | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| ERIC D BEGAY | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| YOGASH KUMAR | |||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |||
| DAVID BISCHOFF | |||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | |||
| ANGELO DIPAOLO | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| SUE EDDY | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| JOHN LUGINBUHL | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| JOHN MEZOFF MD | |||||||||
| VICE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | |||
| SHELLEY STAM-MACLAREN MD | |||||||||
| TRUSTEE | 32.00 | X | 177778 | 0 | 15038 | ||||
| SHANNON TANNER | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| ERWIN ELBER MD | |||||||||
| TRUSTEE/CHIEF OF STAFF | 40.00 | X | 347922 | 0 | 19610 | X | |||
| JENNIFER DOWLING | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| ROGER GLEISNER | |||||||||
| CEO | 38.00 | 357911 | 0 | 869 | X | ||||
| BART HANSEN | |||||||||
| ACTING CFO | 40.00 | 110979 | 0 | 8210 | X | ||||
| MARY L POEL MD | |||||||||
| CMO | 40.00 | 252418 | 0 | 10669 | X | ||||
| BRYAN KAMPS MD | |||||||||
| PHYSICIAN | 40.00 | 392154 | 0 | 15911 | X | ||||
| CHARLES GUIMARAES MD | |||||||||
| PHYSICIAN | 40.00 | 376116 | 0 | 18532 | X | ||||
| PHILLIP MICKELSEN MD | |||||||||
| PHYSICIAN | 40.00 | 416988 | 0 | 7598 | X | ||||
| GARY PUGH MD | |||||||||
| PHYSICIAN | 40.00 | 339382 | 0 | 19217 | X | ||||
| PETER TEMPEST MD | |||||||||
| PHYSICIAN | 40.00 | 309797 | 0 | 18532 | X | ||||
| KAREN LAUTERMILCH | |||||||||
| FORMER CEO | 0.00 | 125639 | 0 | 10214 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3207084 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 144400 | TotalOtherCompensation |
| Number Individuals GT100 K | 49 | NumberIndividualsGT100K |
| Formers Listed | 1 | 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 |
|---|---|---|---|---|---|
| APOGEE MEDICAL MANAGEMENT | |||||
| 2525 E CAMELBACK RD STE 1000 | PHOENIX | AZ | 85016 | PROFESSIONAL MEDICAL | 1148996 |
| MEDEFIS CONSOLIDATED | |||||
| 10826 OLD MILL ROAD | OMAHA | NE | 68154 | PROFESSIONAL STAFFING | 971100 |
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | PROFESSIONAL STAFFING | 688688 |
| WEATHERBY LOCUMS | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | PROFESSIONAL MEDICAL | 566931 |
| WESTERN NM EMERGENCY PHYSICIANS | |||||
| PO BOX 840393 | DALLAS | TX | 75284 | PROFESSIONAL MEDICAL | 551554 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 35 | NumberOfContractorsGT100K |
| Related Organizations | 205368 | RelatedOrganizations |
| Government Grants | 1816287 | GovernmentGrants |
| Total Contributions | 2021655 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE | 624100 | 51140508 | 51140508 |
| MEDICAID/MEDICARE | 624100 | 8362583 | 8362583 |
| OTHER PROGRAM SERVICES | 900099 | 724201 | 724201 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 60227292 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 212876 | TotalRevenueColumn |
| Exclusion | $212,876 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 291941 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 261154 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 30787 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30787 | TotalRevenueColumn |
| Exclusion | $30,787 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 65340 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -65340 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -65340 | TotalRevenueColumn |
| Exclusion | -$65,340 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 62427270 | TotalRevenueColumn |
| Related Or Exempt Function Income | 60227292 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $178,323 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25105 | Total |
| Program Services | 25105 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10000 | Total |
| Program Services | 10000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1301405 | Total |
| Program Services | 901873 | ProgramServices |
| Management And General | 399532 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24514143 | Total |
| Program Services | 19007955 | ProgramServices |
| Management And General | 5506188 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 447911 | Total |
| Program Services | 367685 | ProgramServices |
| Management And General | 80226 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5320720 | Total |
| Program Services | 4012151 | ProgramServices |
| Management And General | 1308569 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1953724 | Total |
| Program Services | 1436450 | ProgramServices |
| Management And General | 517274 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 128384 | Total |
| Management And General | 128384 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93952 | Total |
| Management And General | 93952 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6066770 | Total |
| Program Services | 4500456 | ProgramServices |
| Management And General | 1566314 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130296 | Total |
| Management And General | 130296 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4852216 | Total |
| Program Services | 1582187 | ProgramServices |
| Management And General | 3270029 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3611183 | Total |
| Program Services | 905801 | ProgramServices |
| Management And General | 2705382 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50987 | Total |
| Program Services | 19557 | ProgramServices |
| Management And General | 31430 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1523 | Total |
| Program Services | 1174 | ProgramServices |
| Management And General | 349 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 450646 | Total |
| Program Services | 315452 | ProgramServices |
| Management And General | 135194 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2451723 | Total |
| Program Services | 1716206 | ProgramServices |
| Management And General | 735517 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1054414 | Total |
| Program Services | 738090 | ProgramServices |
| Management And General | 316324 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 4073946 | 4073946 | |
| MEDICAL SUPPLIES | 3289044 | 3286930 | 2114 |
| CONTRACT LABOR | 1849969 | 1374491 | 475478 |
| PHARMACEUTICALS | 1137356 | 1128221 | 9135 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62815417 | Total |
| Program Services | 45403730 | ProgramServices |
| Management And General | 17411687 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 372647 | BOY |
| EOY | 1191381 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8177233 | BOY |
| EOY | 6575799 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3563651 | BOY |
| EOY | 1822385 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1006337 | BOY |
| EOY | 979139 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 465178 | BOY |
| EOY | 335833 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 59176945 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 44405729 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16630652 | BOY |
| EOY | 14771216 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3443943 | BOY |
| EOY | 3706829 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1678010 | BOY |
| EOY | 1698849 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35337651 | BOY |
| EOY | 31081431 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11079648 | BOY |
| EOY | 10255341 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6580000 | BOY |
| EOY | 6280000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 436955 | BOY |
| EOY | 239655 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5094020 | BOY |
| EOY | 2341248 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23190623 | BOY |
| EOY | 19116244 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12147028 | BOY |
| EOY | 11965187 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12147028 | BOY |
| EOY | 11965187 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35337651 | BOY |
| EOY | 31081431 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -388147 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 206304 | ReconciliationUnrealizedInvest |
| Reconcilation Prior Adjustment | 2 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 0 | 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 B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 734969 | OtherCostOrOtherBasis |
| Book Value | 734969 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 25246472 | OtherCostOrOtherBasis |
| Depreciation | 19119153 | Depreciation |
| Book Value | 6127319 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3356581 | OtherCostOrOtherBasis |
| Depreciation | 1694364 | Depreciation |
| Book Value | 1662217 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27914672 | OtherCostOrOtherBasis |
| Depreciation | 22343611 | Depreciation |
| Book Value | 5571061 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1924251 | OtherCostOrOtherBasis |
| Depreciation | 1248601 | Depreciation |
| Book Value | 675650 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 14771216 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| SERIES 2007 BOND FUNDS | 1218605 | F |
| INVESTMENT RISK RETENTION GROUP | 2488224 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 3706829 | TotalOfBookValueSecurities |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEFERRED FINANCING COSTS | 542858 |
| DUE FROM RMCHCS FOUNDATION | 286229 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | 869762 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1698849 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ESTIMATED 3RD PARTY SETTLEMENT | Description |
| Amount | $2,341,248 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2341248 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE HOSPITAL RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS 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, 2012 AND 2011. 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 THE FOUNDATION ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR YEARS BEFORE FISCAL YEAR 2009 FOR THEIR FEDERAL AND STATE FILINGS. | Explanation |
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 |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1612954 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1612954 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02570 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18249113 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7800654 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10448459 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.16630 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19862067 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7800654 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12061413 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.19200 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 100462 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 100462 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30617287 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 24829780 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5787507 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09210 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30717749 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 24829780 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5887969 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09370 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 50579816 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 32630434 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17949382 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.28570 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 17 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 202312 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 202312 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 17 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 202312 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 202312 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,073,946 | BadDebtExpenseAmount |
| Amount Attributable To | 2079872 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 12452020 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 12169237 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 282783 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| 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 | RMCHCS HOSPITAL | BusinessNameLine1 |
Address Address
| 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 | 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 | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Other Factors | X | OtherFactors |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Provided On Admission | X | ProvidedOnAdmission |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Other Actions | X | PermitOtherActions |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 $4,073,946. | |
| PART II: THE HOSPITAL PARTICIPATES IN COMMUNITY EVENTS SUCH AS THE ANNUAL HEALTH FAIR, SMOKING CESSATION CLASSES, STATE DIABETES ADVISORY COUNCIL, REGIONAL TRAUMA PREVENTION DAY, BABY CAR SEAT DISTRIBUTION, AND EMERGENCY PHYSICIAN AND COMMUNITY TEACHING. IN ADDITION THE AUXILARY PROVIDES ANNUAL SCHOLARSHIPS OF $10,000 TO QUALIFIED NURSING STUDENTS. | ||
| PART III, LINE 4: RATIONAL AND COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED AS BAD DEBT EXPENSE:BAD DEBTS ARE WRITTEN OFF WHEN THEY ARE DEEMED UNCOLLECTIBLE. RMCHCS 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.PATIENT ACCOUNTS ARE FIRST REDUCED BY THE APPLICABLE CONTRACTUAL ALLOWANCE. BAD DEBT EXPENSE IS COMPUTED BY APPLYING THE RESULTING NET AR 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. RATIONAL 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. THE HOSPITAL DID NOT HAVE SIGNIFICANT WRITE-OFFS DURING FISCAL YEARS 2011 OR 2012.THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 70 PERCENT OF SELFPAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011, TO 76 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. IN ADDITION, THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR THIRD-PARTY PAYORS INCREASED FROM 15 PERCENT OF THIRD-PARTY PAYORS ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011, TO 20 PERCENT OF THIRD-PARTY PAYORS ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. BOTH INCREASES WERE THE RESULT OF NEGATIVE TRENDS EXPERIENCED IN COLLECTIONS. THE HOSPITAL HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2011 OR 2012. THE HOSPITAL DID NOT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS OR SELF-PAY PATIENTS DURING FISCAL YEARS 2011 OR 2012. | ||
| PART III, LINE 8: A COST TO CHARGE RATIO WAS USED BASED ON THE OVERALL HOSPITAL COSTS. | ||
| PART III, LINE 9B: THE HOSPITAL'S POLICY IS NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. | ||
| PART V, SECTION B, LINE 1J: REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES HAS ENTERED INTO CONTRACT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT TO BE COMPLETED BY SEPTEMBER 30, 2013 | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE | |
| PART V, SECTION B, LINE 12H: THE FACILITY CHARGES EVERY PATIENT THE SAME REGARDLESS OF THEIR ABILITY TO PAY. THE ACCOUNT WILL SUBSEQUENTLY BE DISCOUNTED OR CHARGED TO CHARITY CARE WRITE OFFS DEPENDING ON THE 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 ASSITANCE, NO FURTHER COLLECTION ACTIVITIES 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 CHARGED TO CHARITY CARE WRITE OFFS DEPENDING ON THE FINANCIAL ASSISTANCE POLICY. | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE | |
| PART V, SECTION B, LINE 22: RMCHCS PROVIDES CHARITY CARE TO PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY FOR HEALTH CARE SERVICES THEY RECEIVE. THE HOSPITAL'S POLICY IS NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. RMCHCS MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE | |
| PART VI, LINE 2: COMMUNITY NEEDS ARE ASSESSED THROUGH THE BOARD OF DIRECTORS WITH INPUT FROM OTHER COMMUNITY HEALTHCARE LEADERS. | ||
| PART VI, LINE 3: PATIENTS WHO PRESENT WITHOUT INSURANCE OR ABILITY TO PAY ARE SEEN BY A FINANCIAL COUNSELOR WHO WILL PROVIDE INFORMATION AND FORMS TO APPLY FOR ASSISTANCE THROUGH VARIOUS FEDERAL AND STATE PROGRAMS, AS WELL AS CRITERIA FOR CHARITY CARE ASSISTANCE. | ||
| 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 69-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 REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES IS TO SERVE GOD BY PROVIDING HEALTH CARE AND PROMOTING WELLNESS FOR ALL PEOPLE. STATEMENT OF PHILOSOPHY- REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE 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 PROBLEMS OF 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 PHYSICAL HEALING. MEDICAL KNOWLEDGE, SKILL, AND HEALING ARE GIFTS FROM GOD; AND, TO WHATEVER EXTENT, THEY ARE EFFECTED AT REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE 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) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RMCHCS FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 RED ROCK DR | AddressLine1 |
| City | GALLUP | City |
| State | NM | State |
| ZIP Code | 87301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 850349559 | EINOfRecipient |
| IRC Section | 501C3 | IRCSection |
| Amount Of Cash Grant | 25105 | AmountOfCashGrant |
| Method Of Valuation | FMV | MethodOfValuation |
| Purpose Of Grant | CAPITAL DONATION | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 10 | NumberOfRecipients |
| Amount Of Cash Grant | 10000 | AmountOfCashGrant |
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: RMCHCS FOUNDATION KEEPS CAREFUL TRACK OF THE USE OF FUNDS GRANTED TO IT BY REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHELLEY STAM-MACLAREN MD | ||||||||||||||
| TRUSTEE | 136859 | 0 | 35379 | 0 | 5540 | 0 | 6346 | 0 | 8692 | 0 | 192816 | 0 | 0 | 0 |
| ERWIN ELBER MD | ||||||||||||||
| TRUSTEE/CHIEF OF STAFF | 337291 | 0 | 5000 | 0 | 5631 | 0 | 9800 | 0 | 9810 | 0 | 367532 | 0 | 0 | 0 |
| ROGER GLEISNER | ||||||||||||||
| CEO | 347307 | 0 | 0 | 0 | 10604 | 0 | 0 | 0 | 869 | 0 | 358780 | 0 | 0 | 0 |
| MARY L POEL MD | ||||||||||||||
| CMO | 241523 | 0 | 10895 | 0 | 0 | 0 | 9800 | 0 | 869 | 0 | 263087 | 0 | 0 | 0 |
| BRYAN KAMPS MD | ||||||||||||||
| PHYSICIAN | 377182 | 0 | 11278 | 0 | 3694 | 0 | 9800 | 0 | 6111 | 0 | 408065 | 0 | 0 | 0 |
| CHARLES GUIMARAES MD | ||||||||||||||
| PHYSICIAN | 352796 | 0 | 17780 | 0 | 5540 | 0 | 9800 | 0 | 8732 | 0 | 394648 | 0 | 0 | 0 |
| PHILLIP MICKELSEN MD | ||||||||||||||
| PHYSICIAN | 406786 | 0 | 7500 | 0 | 2702 | 0 | 0 | 0 | 7598 | 0 | 424586 | 0 | 0 | 0 |
| GARY PUGH MD | ||||||||||||||
| PHYSICIAN | 333358 | 0 | 0 | 0 | 6024 | 0 | 9800 | 0 | 9417 | 0 | 358599 | 0 | 0 | 0 |
| PETER TEMPEST MD | ||||||||||||||
| PHYSICIAN | 299257 | 0 | 5000 | 0 | 5540 | 0 | 9800 | 0 | 8732 | 0 | 328329 | 0 | 0 | 0 |
| KAREN LAUTERMILCH | ||||||||||||||
| FORMER CEO | 125639 | 0 | 0 | 0 | 0 | 0 | 9800 | 0 | 414 | 0 | 135853 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 3 | SCHEDULE J, PART I, LINE 3 COMPENSATION WAS DETERMINED BY A WRITTEN EMPLOYMENT CONTRACT AND BOARD APPROVAL. |
| PART I, LINE 4A | KAREN LAUTERMILCH, FORMER CEO RECEIVED SEVERANCE PAY OF $125,000, ALL OF WHICH WAS PAID IN 2012. |
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 | NM HOSPITAL EQUIPMENT LOAN COUNCIL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 850426875 | IssuerEIN |
| CUSIP Number | 647370ED3 | CUSIPNumber |
| Date Issued | 2007-03-20 | DateIssued |
| Issue Price | 7245000 | IssuePrice |
| Description Of Purpose | REFUNDING PY PROCEEDS & CAPITAL EXPENDITURES | 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 | 7245000 | TotalProceeds |
| Amount In Reserve Fund | 645316 | AmountInReserveFund |
| Refunding Escrow | 3924311 | RefundingEscrow |
| Issuance Costs From Proceeds | 542858 | IssuanceCostsFromProceeds |
| Capital Expenditures | 2519647 | CapitalExpenditures |
| Year Of Subst Completion | 2007 | YearOfSubstCompletion |
| Current Refunding | 0 | 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 | 0 | 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 | 0 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 0 | ProcToUndertkCorrectiveAction |
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 | ELITE LAUNDRY & DRY CLEANING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | OWNED BY SISTER OF PRISCILLA SMITH, TRUSTEE | Relationship |
| Amount Of Transaction | 126125 | AmountOfTransaction |
| Description Of Transaction | CONTRACT FOR LAUNDRY SERVICES | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | THE RMCHCS BOARD OF DIRECTORS IS MADE UP OF FOUR (4) COUNTY APPOINTEES, ONE (1) CHIEF OF STAFF, AND EIGHT (8) COMMUNITY MEMBERS APPOINTED BY 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 12C | MEMBERS OF THE BOARD OF DIRECTORS COMPLETE A WRITTEN CONFLICT OF INTEREST DISCLOSURE FORM AT THE TIME OF APPOINTMENT. THEY MUST REVIEW AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY. THE BOARD OF DIRECTORS REVIEWS ALL CONFLICTS AND THE PERSON WITH A CONFLICT IS NOT ALLOWED TO VOTE ON SUCH MATTERS. | |
| FORM 990, PART VI, SECTION B, LINE 15A | 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. THE COMPENSATION OF ALL OTHER KEY EMPLOYEES IS DETERMINED BY THE CEO. | |
| FORM 990, PART VI, SECTION C, LINE 18 | THE FORM 990 AND FORM 1023 ARE AVAILABLE UPON REQUEST. A PUBLIC DISCLOSURE COPY IS ALSO AVAILABLE TO THE PUBLIC AT THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE POSTED TO THE EMMA WEBSITE ON A MONTHLY BASIS. | |
| FORM 990, PART VII, SECTION A, COLUMN B | SHELLY STAM-MACLAREN MD, TRUSTEE AND ERWIN ELBER MD, TRUSTEE/CHIEF OF STAFF RECEIVED COMPENSATION FOR THEIR SERVICES AS A PHYSICIAN/MEDICAL DOCTOR AND CHIEF OF STAFF, RESPECTIVELY. THEY ARE NOT COMPENSATED AS MEMBERS OF THE BOARD OF TRUSTEES. ROGER GLEISNER RECEIVED COMPENSATION FOR HIS ROLE AS CEO. HE ALSO WAS NOT COMPENSATED AS A MEMBER OF THE BOARD OF TRUSTEES IN 2012. | COMPENSATION OF OFFICER, TRUSTEE, & KEY EMPLOYEES |