2013-11-12T17:40:04-06:00 2012-12-31 910189318 MOSS ADAMS LLP 6565 AMERICAS PARKWAY NE SUITE 600 ALBUQUERQUE NM 87110 990 2012-01-01 850313268 REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES REHO 5058637000 1901 RED ROCK DR GALLUP NM 87301 BARRY MOUSA 5058637000 2013-11-11 1 MARLA CASTNER P00628892 5058787200 2012 2016-02-25 16:41:14Z BARRY MOUSA 1901 RED ROCK DR GALLUP NM 87301 62753764 0 X WWW.RMCH.ORG X 1985 NM THE MISSION OF REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES, INC. IS TO SERVE GOD BY MAKING A PROFOUND AND LASTING DIFFERENCE IN THE HEALTH AND QUALITY OF LIFE FOR ALL PEOPLE IN THE COMMUNITY. 14 11 667 46 0 0 2040872 2021655 62050251 60227292 3187 147536 33556 30787 64127866 62427270 52195 35105 0 0 35001658 33537903 0 0 0 35920361 29242409 70974214 62815417 -6846348 -388147 35337651 31081431 23190623 19116244 12147028 11965187 X REHOBOTH MCKINLEY CHRISTIAN HEALTHCARE SERVICES, INC. (RMCHCS) WILL BE THE PREFERRED HEALTHCARE PROVIDER ORGANIZATION FOR MCKINLEY COUNTY AND THE SURROUNDING COMMUNITIES. RMCHCS WILL BE RESPONSIVE TO THE HEALTHCARE NEEDS OF THE ENTIRE COMMUNITY. RMCHCS WILL FOCUS ON IMPROVING FINANCIAL AND OPERATIONAL PERFORMANCE WHILE SOLIDIFYING OURSELVES AS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. WE WILL BE DISTINGUISHED BY: 1) DEMONSTRATED QUALITY, CUSTOMER SERVICES, AND VALUE, 2) SUPERIOR ACCESS, 3) CLINICAL SPECIALTY SERVICES, 4) STRONG HUMAN AND TECHNOLOGICAL RESOURCES, AND 5) A MULTI-CULTURAL ORIENTATION. 0 0 32697099 35105 48145028 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. 1065628 941950 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. 1564279 1983735 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. 10076724 9156579 PROVIDED PRIMARY CARE SERVICES TO PATIENTS IN THE AREA THROUGH MULTI-SPECIALTY CLINICS. 10076724 9156579 45403730 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 130 0 1 667 1 0 0 0 0 0 0 0 0 0 0 X 14 11 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NM X MARY LOU DONKERSLOTT 5058637275 1901 RED ROCK DR GALLUP NM 87301 X TONY D GONZALES 1.00 X 0 0 0 KATHY HEAD 1.00 X X 0 0 0 PRISCILLA SMITH 1.00 X 0 0 0 ERIC D BEGAY 1.00 X 0 0 0 YOGASH KUMAR 1.00 X X 0 0 0 DAVID BISCHOFF 1.00 X X 0 0 0 ANGELO DIPAOLO 1.00 X 0 0 0 SUE EDDY 1.00 X 0 0 0 JOHN LUGINBUHL 1.00 X 0 0 0 JOHN MEZOFF MD 1.00 X X 0 0 0 SHELLEY STAM-MACLAREN MD 32.00 X 177778 0 15038 SHANNON TANNER 1.00 X 0 0 0 ERWIN ELBER MD 40.00 X X 347922 0 19610 JENNIFER DOWLING 1.00 X 0 0 0 ROGER GLEISNER 38.00 X 357911 0 869 BART HANSEN 40.00 X 110979 0 8210 MARY L POEL MD 40.00 X 252418 0 10669 BRYAN KAMPS MD 40.00 X 392154 0 15911 CHARLES GUIMARAES MD 40.00 X 376116 0 18532 PHILLIP MICKELSEN MD 40.00 X 416988 0 7598 GARY PUGH MD 40.00 X 339382 0 19217 PETER TEMPEST MD 40.00 X 309797 0 18532 KAREN LAUTERMILCH 0.00 X 125639 0 10214 3207084 0 144400 49 1 1 0 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 35 205368 1816287 2021655 NET PATIENT SERVICE 624100 51140508 51140508 MEDICAID/MEDICARE 624100 8362583 8362583 OTHER PROGRAM SERVICES 900099 724201 724201 60227292 212876 212876 291941 261154 30787 30787 30787 65340 -65340 -65340 -65340 62427270 60227292 0 178323 25105 25105 10000 10000 1301405 901873 399532 24514143 19007955 5506188 447911 367685 80226 5320720 4012151 1308569 1953724 1436450 517274 128384 128384 93952 93952 6066770 4500456 1566314 130296 130296 4852216 1582187 3270029 3611183 905801 2705382 50987 19557 31430 1523 1174 349 450646 315452 135194 2451723 1716206 735517 1054414 738090 316324 BAD DEBT 4073946 4073946 MEDICAL SUPPLIES 3289044 3286930 2114 CONTRACT LABOR 1849969 1374491 475478 PHARMACEUTICALS 1137356 1128221 9135 62815417 45403730 17411687 0 372647 1191381 8177233 6575799 3563651 1822385 1006337 979139 465178 335833 59176945 44405729 16630652 14771216 3443943 3706829 1678010 1698849 35337651 31081431 11079648 10255341 6580000 6280000 436955 239655 5094020 2341248 23190623 19116244 X 12147028 11965187 12147028 11965187 35337651 31081431 -388147 206304 2 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 734969 734969 25246472 19119153 6127319 3356581 1694364 1662217 27914672 22343611 5571061 1924251 1248601 675650 14771216 SERIES 2007 BOND FUNDS 1218605 F INVESTMENT RISK RETENTION GROUP 2488224 F 3706829 DEFERRED FINANCING COSTS 542858 DUE FROM RMCHCS FOUNDATION 286229 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 869762 1698849 ESTIMATED 3RD PARTY SETTLEMENT 2341248 2341248 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: 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. 1 1 X 1 X 1 X 1 1 1 0 0 1612954 1612954 0.02570 18249113 7800654 10448459 0.16630 19862067 7800654 12061413 0.19200 100462 100462 0.00160 30617287 24829780 5787507 0.09210 30717749 24829780 5887969 0.09370 50579816 32630434 17949382 0.28570 17 202312 202312 0.00320 17 202312 202312 0.00320 1 4073946 2079872 12452020 12169237 282783 X 1 1 1 1 RMCHCS HOSPITAL

1901 RED ROCK DRIVE GALLUP NM 87301

X X X REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE 1 1 1 100.000000000000 1 200.000000000000 1 X X X X 1 1 X X 1 X 0 X X X X 1 X 0 1 3 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 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. REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE 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. 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. 1 RMCHCS FOUNDATION 1901 RED ROCK DR GALLUP NM 87301 850349559 501C3 25105 FMV CAPITAL DONATION 1 SCHOLARSHIPS 10 10000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. X X X 1 0 0 0 0 0 0 0 0 SHELLEY STAM-MACLAREN MD 136859 0 35379 0 5540 0 6346 0 8692 0 192816 0 0 0 ERWIN ELBER MD 337291 0 5000 0 5631 0 9800 0 9810 0 367532 0 0 0 ROGER GLEISNER 347307 0 0 0 10604 0 0 0 869 0 358780 0 0 0 MARY L POEL MD 241523 0 10895 0 0 0 9800 0 869 0 263087 0 0 0 BRYAN KAMPS MD 377182 0 11278 0 3694 0 9800 0 6111 0 408065 0 0 0 CHARLES GUIMARAES MD 352796 0 17780 0 5540 0 9800 0 8732 0 394648 0 0 0 PHILLIP MICKELSEN MD 406786 0 7500 0 2702 0 0 0 7598 0 424586 0 0 0 GARY PUGH MD 333358 0 0 0 6024 0 9800 0 9417 0 358599 0 0 0 PETER TEMPEST MD 299257 0 5000 0 5540 0 9800 0 8732 0 328329 0 0 0 KAREN LAUTERMILCH 125639 0 0 0 0 0 9800 0 414 0 135853 0 0 0 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. A NM HOSPITAL EQUIPMENT LOAN COUNCIL 850426875 647370ED3 2007-03-20 7245000 REFUNDING PY PROCEEDS & CAPITAL EXPENDITURES 0 0 0 A 7245000 645316 3924311 542858 2519647 2007 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 ELITE LAUNDRY & DRY CLEANING OWNED BY SISTER OF PRISCILLA SMITH, TRUSTEE 126125 CONTRACT FOR LAUNDRY SERVICES 0 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. COMPENSATION OF OFFICER, TRUSTEE, & KEY EMPLOYEES 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.