SAN JUAN REGIONAL MEDICAL CENTER INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: SAN JUAN REGIONAL MEDICAL CENTER INC (EIN 85-0127924)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-08
IRS object ID: 202611289349303121
Schema version: 2024v5.1
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 C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-08T13:22:04+00:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS MAZARS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 South Tejon Suite 800	AddressLine1Txt
City	Colorado Springs	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	809039848	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	850127924	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAN JUAN REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SANJ	BusinessNameControlTxt
Phone	5056096114	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 WEST MAPLE STREET	AddressLine1Txt
City	FARMINGTON	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87401	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JASON ROUNDS	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	5056096114	PhoneNum
Signature	2026-05-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brandon Schulze	PreparerPersonNm
PTIN	P02051564	PTIN
Phone	7194714290	PhoneNum
Preparation	2026-05-08	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JASON ROUNDS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 WEST MAPLE STREET	AddressLine1Txt
City	FARMINGTON	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$701,532,745	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SANJUANREGIONAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	NM	LegalDomicileStateCd
Activity Or Mission	BETTER IS OUR MISSION, IMPROVING LIVES THROUGH PERSONALIZED HEALTH AND CARE	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2492	TotalEmployeeCnt
Total Volunteers	97	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$155,623	PYContributionsGrantsAmt
CY Contributions Grants	$1,311,545	CYContributionsGrantsAmt
PY Program Service Revenue	$371,511,361	PYProgramServiceRevenueAmt
CY Program Service Revenue	$486,073,687	CYProgramServiceRevenueAmt
PY Investment Income	$6,989,881	PYInvestmentIncomeAmt
CY Investment Income	$14,404,273	CYInvestmentIncomeAmt
PY Other Revenue	$2,500,118	PYOtherRevenueAmt
CY Other Revenue	$2,824,667	CYOtherRevenueAmt
PY Total Revenue	$381,156,983	PYTotalRevenueAmt
CY Total Revenue	$504,614,172	CYTotalRevenueAmt
PY Grants And Similar Paid	$508,787	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$509,237	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$193,328,471	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$216,499,647	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$183,173,201	PYOtherExpensesAmt
CY Other Expenses	$196,694,851	CYOtherExpensesAmt
PY Total Expenses	$377,010,459	PYTotalExpensesAmt
CY Total Expenses	$413,703,735	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,146,524	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$90,910,437	CYRevenuesLessExpensesAmt
Total Assets BOY	$514,237,124	TotalAssetsBOYAmt
Total Assets EOY	$625,880,701	TotalAssetsEOYAmt
Total Liabilities BOY	$152,830,274	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$159,229,216	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$361,406,850	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$466,651,485	NetAssetsOrFundBalancesEOYAmt
Mission	BETTER IS OUR MISSION, IMPROVING LIVES THROUGH PERSONALIZED HEALTH AND CARE	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$382,079,657	ExpenseAmt
Grant	$509,237	GrantAmt
Revenue	$486,030,356	RevenueAmt
Desc	ALL ACTIVITY IS DIRECTLY RELATED TO PROVIDING PATIENT MEDICAL SERVICES AND QUALITY HEALTH CARE TO THE COMMUNITY AND SURROUNDING RURAL AREAS. SAN JUAN REGIONAL MEDICAL CENTER (SJRMC) IS A MODERN ACUTE-CARE HOSPITAL LOCATED IN ONE OF THE MOST RURAL AREAS OF THE AMERICAN SOUTHWEST, SAN JUAN COUNTY, NEW MEXICO. A 2019 ESTIMATE OF THE POPULATION OF SAN JUAN COUNTY SHOWS THE COUNTY POPULATION HAS DECLINED 4.7% FROM THE YEAR 2010 TO 2020 NUMBERING APPROXIMATELY 123,958, 41.1% OF WHICH IS AMERICAN INDIAN AND ALASKA NATIVE PERSONS. SJRMC IS A SOLE COMMUNITY PROVIDER AND DISPROPORTIONATE SHARE HOSPITAL PROVIDING NEEDED HEALTHCARE TO RESIDENTS OF THE FOUR CORNERS REGION OF NEW MEXICO, ARIZONA, UTAH AND COLORADO. SAN JUAN REGIONAL MEDICAL CENTER'S MISSION IS TO PERSONALIZE HEALTHCARE AND CREATE ENTHUSIASM AND VITALITY IN HEALING. OUR CORE VALUES ARE ACTIVELY TAUGHT, AND REINFORCED TO STAFF, MANAGEMENT, AND PHYSICIANS SO THAT THE ORGANIZATION MAY ACHIEVE EXCELLENCE AND CONSISTENCY IN PATIENT CARE. SJRMC IS A COMMUNITY GOVERNED HOSPITAL THAT WAS FOUNDED IN 1910 BY DOCTORS A M SMITH AND G W SAMMONS. THE HOSPITAL CORPORATION IS AN ADVISORY BODY COMPOSED OF UP TO THREE REPRESENTATIVES FROM EACH OF 90 NON-PROFIT ORGANIZATIONS IN SAN JUAN COUNTY. THE CORPORATION MEETS QUARTERLY, AND AT ANNUAL MEETING, THEY NOMINATE AND ELECT 9 MEMBERS TO THE GOVERNING BOARD OF DIRECTORS. THE CORPORATION RECEIVES REPORTS FROM THE BOARD OF DIRECTORS AND HOSPITAL ADMINISTRATION ON HOSPITAL OPERATIONS, INCLUDING QUALITY AND FINANCE AND PROVIDES FEEDBACK ON COMMUNITY HEALTH ISSUES. SJRMC PROVIDES MEDICAL, SURGICAL, PEDIATRICS, ONCOLOGY, OBSTETRICS, CARDIOLOGY, AND BEHAVIORAL HEALTH INPATIENT CARE. AMBULATORY CARE INCLUDES DAY SURGERY, URGENT CARE, OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES. SJRMC IS A LEVEL III TRAUMA CENTER THAT PROVIDES GROUND AMBULANCE AND AIR AMBULANCE SERVICE WITH A HELICOPTER AND A FIXED WING AIRCRAFT AS WELL AS SERVICES THROUGH ITS EMERGENCY DEPARTMENT TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. SOME OF OUR OUTPATIENT SERVICES ARE PHYSICIAN CLINICS SPECIALIZING IN CARDIOLOGY, BEHAVIORAL HEALTH, INTERNAL MEDICINE, NEUROSURGERY, NEURODIAGNOSTICS, URGENT CARE CENTER AND PEDIATRICS. OUR FINANCIAL AND IN-KIND CONTRIBUTIONS WENT TO VARIOUS LOCAL CHARITIES SUCH AS NAVAJO MINISTRIES, FAMILY CRISIS CENTER, LOCAL SCHOOL DISTRICTS, SENIOR CENTERS AND TOTAL BEHAVIORAL HEALTH. THE OTHER COMMUNITY SERVICES NOTED ABOVE PROVIDE CARE FOR SURGERY, GASTROINTESTINAL, ORTHOPEDICS, ONCOLOGY, NEURO AND CARDIAC REHAB.	Desc
Total Program Service Expenses	$382,079,657	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	522	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2492	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JASON ROUNDS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5056096114	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 WEST MAPLE STREET	AddressLine1Txt
City	FARMINGTON	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87401	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANNA BUFFINGTON
VICE CHAIR	6.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
HYLA CALCOTE
SECRETARY	6.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
SARA KAYNOR
CHAIRPERSON	6.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
SHAA REEVES
IMMEDIATE PAST CHAIRPERSON	6.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID DEVITRE
CHIEF OF STAFF	6.0	0.0	Yes (X)		$607,176	$0	$48,219
DEBORAH JOSLIN
DIRECTOR	6.0	0.0	Yes (X)		$0	$0	$0
ESTHER GREYEYES
DIRECTOR	6.0	0.0	Yes (X)		$0	$0	$0
JAMES BOYD MD
VICE CHIEF OF STAFF	6.0	0.0	Yes (X)		$0	$0	$0
JON MOORE
DIRECTOR	6.0	0.0	Yes (X)		$0	$0	$0
JOSEPH POPE
DIRECTOR	6.0	0.0	Yes (X)		$0	$0	$0
LESLIE THOMPSON
DIRECTOR	6.0	0.0	Yes (X)		$0	$0	$0
LINDA BENSON
AUXILIARY REPRESENTATIVE	6.0	0.0	Yes (X)		$0	$0	$0
JASON ROUNDS
CEO	38.0	2.0		Yes (X)	$639,549	$0	$51,705
JOHN MAYER
CFO	38.0	2.0		Yes (X)	$429,176	$0	$38,529
ANNE ELEY
CHIEF LEGAL OFFICER	40.0	1.0			$347,951	$0	$42,713	Yes (X)
KAMMIE MONARCH
CHIEF NURSING OFFICER	40.0	0.0			$297,960	$0	$23,440	Yes (X)
NEIL TEATSORTH
CHIEF HUMAN RESOURCES OFFICER	40.0	0.0			$225,445	$0	$12,743	Yes (X)
ROBERT UNDERWOOD
CHIEF MEDICAL OFFICER	40.0	0.0			$461,169	$0	$38,463	Yes (X)
RUTH BROOKS
ACCREDITATION AND PROF SERVICE	40.0	0.0			$382,531	$0	$16,643	Yes (X)
CHRISTOPHER PAYNE
PHYSICIAN	40.0	0.0			$941,498	$0	$33,559		Yes (X)
DOMINIC CANNELLA
PHYSICIAN	40.0	0.0			$944,344	$0	$23,992		Yes (X)
FARAZ SANDHU
PHYSICIAN	40.0	0.0			$1,690,690	$0	$45,243		Yes (X)
JONATHAN JONES
PHYSICIAN	40.0	0.0			$863,076	$0	$54,485		Yes (X)
PAUL DAVIS
PHYSICIAN	40.0	0.0			$946,915	$0	$33,495		Yes (X)
MELANIA YEATS
PHYSICIAN	40.0	0.0			$524,283	$0	$35,436			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,301,763	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$498,665	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	358	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CERNER CORP
PO BOX 959156	ST LOUIS	MO	631959156	INFO TECHNOLOGY	$12,165,676
HEALTHTRUST WORKFORCE SOLUTIONS LLC
PO BOX 742697	ATLANTA	GA	303742697	LOCUMS	$12,031,185
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	753972633	LOCUMS	$5,892,607
AIR METHODS CORP
PO BOX 172892	DENVER	CO	802172892	MED TRANSPORTATION	$5,669,238
LOCUMTENENSCOM
PO BOX 405547	ATLANTA	GA	303845547	LOCUMS	$3,072,818

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	30	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,274,809	GovernmentGrantsAmt
All Other Contributions	$36,736	AllOtherContributionsAmt
Total Contributions	$1,311,545	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$369,175,558	$369,175,558
HDAA REVENUE	621110	$117,045,058	$117,045,058
EQUITY IN SJR HOLDING	900099	-$4,019,873	-$4,019,873
OTHER PROGRAM SERVICE REVENUE	621110	$3,133,544	$3,133,544
340B REVENUE	621110	$622,836	$622,836

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$116,564	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$116,564	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$486,073,687	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,564,875	TotalRevenueColumnAmt
Exclusion	$8,564,875	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$45,422	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$45,422	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,422	TotalRevenueColumnAmt
Exclusion	$45,422	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$202,751,314	SecuritiesAmt
Other	$6,657	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$196,918,573	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,832,741	SecuritiesAmt
Other	$6,657	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,839,398	TotalRevenueColumnAmt
Exclusion	$5,839,398	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CHILDREN'S DISCOVERY PLACE	624400	$1,407,703	$1,407,703
CAFETERIA	900099	$1,028,364	$1,028,364
OTHER REVENUE	722514	$343,178	$269,945	$73,233

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,779,245	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$504,614,172	TotalRevenueColumnAmt
Related Or Exempt Func Income	$486,030,356	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$17,272,271	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$509,237	TotalAmt
Program Services	$509,237	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,242,967	TotalAmt
Management And General	$4,242,967	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$569,700	TotalAmt
Management And General	$569,700	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$175,586,628	TotalAmt
Program Services	$172,645,801	ProgramServicesAmt
Management And General	$2,940,827	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,453,608	TotalAmt
Program Services	$3,428,368	ProgramServicesAmt
Management And General	$25,240	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,740,173	TotalAmt
Program Services	$21,241,247	ProgramServicesAmt
Management And General	$498,926	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,906,571	TotalAmt
Program Services	$10,542,478	ProgramServicesAmt
Management And General	$364,093	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,541,856	TotalAmt
Program Services	$2,534,240	ProgramServicesAmt
Management And General	$1,007,616	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$184,005	TotalAmt
Management And General	$184,005	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$71,141	TotalAmt
Management And General	$71,141	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,677,429	TotalAmt
Program Services	$1,321,412	ProgramServicesAmt
Management And General	$356,017	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$64,429,035	TotalAmt
Program Services	$56,520,031	ProgramServicesAmt
Management And General	$7,909,004	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$668,601	TotalAmt
Program Services	$37,045	ProgramServicesAmt
Management And General	$631,556	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,657,480	TotalAmt
Program Services	$8,686,570	ProgramServicesAmt
Management And General	$4,970,910	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$22,153,325	TotalAmt
Program Services	$19,632,708	ProgramServicesAmt
Management And General	$2,520,617	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,888,171	TotalAmt
Program Services	$3,713,054	ProgramServicesAmt
Management And General	$175,117	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$697,857	TotalAmt
Program Services	$669,456	ProgramServicesAmt
Management And General	$28,401	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,246,790	TotalAmt
Program Services	$1,143,659	ProgramServicesAmt
Management And General	$103,131	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,460,027	TotalAmt
Program Services	$1,238,255	ProgramServicesAmt
Management And General	$221,772	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,582,725	TotalAmt
Program Services	$10,317,268	ProgramServicesAmt
Management And General	$1,265,457	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,627,097	TotalAmt
Program Services	$11,138,639	ProgramServicesAmt
Management And General	$488,458	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$47,712,567	$44,694,863	$3,017,704
HDAA FEES	$8,795,565	$8,795,565
EQUIPMENT RENTAL & MAINTENANCE	$1,812,563	$1,803,549	$9,014
RENTS & LEASES	$1,488,617	$1,466,212	$22,405

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$413,703,735	TotalAmt
Program Services	$382,079,657	ProgramServicesAmt
Management And General	$31,624,078	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,500,016	BOYAmt
EOY	$31,366,568	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$67,487,940	BOYAmt
EOY	$106,584,455	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,148,568	BOYAmt
EOY	$1,079,892	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,038,692	BOYAmt
EOY	$9,069,607	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,812,110	BOYAmt
EOY	$8,593,368	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$426,573,327	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$302,488,685	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$128,865,856	BOYAmt
EOY	$124,084,642	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$261,896,792	BOYAmt
EOY	$312,541,535	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,785,725	BOYAmt
EOY	$8,701,513	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$27,701,425	BOYAmt
EOY	$23,859,121	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$514,237,124	BOYAmt
EOY	$625,880,701	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$61,270,105	BOYAmt
EOY	$61,788,358	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,107,324	BOYAmt
EOY	$29,596,603	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$9,993,224	BOYAmt
EOY	$18,949,020	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$49,459,621	BOYAmt
EOY	$48,895,235	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$152,830,274	BOYAmt
EOY	$159,229,216	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$361,406,850	BOYAmt
EOY	$466,651,485	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$361,406,850	BOYAmt
EOY	$466,651,485	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$514,237,124	BOYAmt
EOY	$625,880,701	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$90,910,437	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$15,048,702	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$104,832	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$819,336	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$71,141	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$71,141	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	SAN JUAN REGIONAL MEDICAL CENTER PAID NEW MEXICO GOVERNMENT AFFAIRS $48,080 FOR A LOBBYIST IN SANTA FE, NEW MEXICO WHO MONITORS NEW MEXICO STATE LEGISLATIVE ISSUES REGARDING HOSPITAL ISSUES, KEEPS SAN JUAN REGIONAL MEDICAL CENTER APPRISED OF THOSE ISSUES AND TAKES FEEDBACK TO THE STATE LEGISLATURE. A PORTION OF THE DUES PAID TO THE HEALTHCARE ASSOCIATIONS BY SAN JUAN REGIONAL MEDICAL CENTER WAS ALLOCABLE TO LOBBYING ACTIVITIES. THE AMOUNT FOR THE FISCAL YEAR ENDED 06/30/25 WAS $23,061.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,774,329	OtherCostOrOtherBasisAmt
Book Value	$12,774,329	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$193,522,811	OtherCostOrOtherBasisAmt
Depreciation	$122,340,535	DepreciationAmt
Book Value	$71,182,276	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

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

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$191,324,228	OtherCostOrOtherBasisAmt
Depreciation	$165,358,281	DepreciationAmt
Book Value	$25,965,947	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,862,532	OtherCostOrOtherBasisAmt
Depreciation	$14,700,442	DepreciationAmt
Book Value	$14,162,090	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$124,084,642	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Federal Income Taxes
MALPRACTICE LIABILITY	$36,995,000
OPERATING LEASE LIABILITY	$8,039,477
DUE TO MEDICARE/MEDICAID	$3,537,792
FINANCING INTEREST PAYABLE	$218,078
BOND INTEREST PAYABLE	$104,888

Field	Value	IRS element (for citing)
Total Liability	$48,895,235	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$518,809,461	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$15,048,702	NetUnrealizedGainsInvstAmt
Other Revenue	-$853,413	OtherRevenueAmt
Revenue Not Reported	$14,195,289	RevenueNotReportedAmt
Revenue Subtotal	$504,614,172	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$504,614,172	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$413,802,948	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$99,213	OtherExpensesIncludedAmt
Expenses Not Reported	$99,213	ExpensesNotReportedAmt
Expenses Subtotal	$413,703,735	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$413,703,735	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	DISPOSAL OF SJRRH ASSET - -34077 INCOME FROM GRANTOR TRUST - -819336
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	DEPRECIATION EXPENSE ON SJRRH - 99213

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$10,663,596	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$10,663,596	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$10,663,596	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Cash	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$431,254	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$431,254	NetCommunityBenefitExpnsAmt
Total Expense	0.00104	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$116,854,159	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$220,154,006	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,368,360	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,688,231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$680,129	NetCommunityBenefitExpnsAmt
Total Expense	0.00164	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$124,653,773	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$226,842,237	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,111,383	NetCommunityBenefitExpnsAmt
Total Expense	0.00269	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	1800	PersonsServedCnt
Total Community Benefit Expns	$882,248	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$882,248	NetCommunityBenefitExpnsAmt
Total Expense	0.00213	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	231	PersonsServedCnt
Total Community Benefit Expns	$534,549	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$534,549	NetCommunityBenefitExpnsAmt
Total Expense	0.00129	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,470	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$64,470	NetCommunityBenefitExpnsAmt
Total Expense	0.00016	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	2031	PersonsServedCnt
Total Community Benefit Expns	$1,481,267	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,481,267	NetCommunityBenefitExpnsAmt
Total Expense	0.00358	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	2031	PersonsServedCnt
Total Community Benefit Expns	$126,135,040	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$226,842,237	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,592,650	NetCommunityBenefitExpnsAmt
Total Expense	0.00627	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$14,544,458	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,417,948	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$68,446,862	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$64,891,218	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,555,644	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAN JUAN REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 WEST MAPLE STREET	AddressLine1Txt
City	FARMINGTON	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	87401	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SANJUANREGIONAL.COM	WebsiteAddressTxt
State License	6291	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	1	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.SANJUANREGIONAL.COM/COMMUNITY-ASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.SANJUANREGIONAL.COM/COMMUNITY-ASSESSMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.SANJUANREGIONAL.COM/PATIENTS/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.SANJUANREGIONAL.COM/PATIENTS/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.SANJUANREGIONAL.COM/PATIENTS/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule H, Part V, Section B, Line 5 Facility 1, 1

Facility 1, 1 - SAN JUAN REGIONAL MEDICAL CENTER. AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, DATA WAS OBTAINED FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH (THE PRC COMMUNITY HEALTH SURVEY) AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA); THESE QUANTITATIVE COMPONENTS ALLOW FOR TRENDING AND COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY. SURVEY PARTICIPANTS INCLUDED KEY INFORMANTS, INCLUDING PHYSICIANS, PUBLIC HEALTH EXPERTS, OTHER HEALTH PROVIDERS, SOCIAL SERVICE REPRESENTATIVES AND COMMUNITY LEADERS. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATION WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. PARTICIPATION INCLUDED REPRESENTATION FROM THE FOLLOWING ORGANIZATIONS: - KEY COMMUNITY STAKEHOLDERS - STATE OF NEW MEXICO - SCHOOLS - SOCIAL SERVICES - BUSINESS LEADERS - SAN JUAN COUNTY ELECTED OFFICIALS - OTHER HEALTHCARE WORKERS - PHYSICIANS - CHURCHES - ANIMAS PEDIATRIC DENTAL GROUP - BLOOMFIELD CHAMBER OF COMMERCE - CHILD PROTECTIVE SERVICES - CITY OF AZTEC - CITY OF BLOOMFIELD - CITY OF FARMINGTON - FAMILY FOOT HEALTH SPECIALISTS OF FARMINGTON - FARMINGTON BOARD OF EDUCATION - FARMINGTON CHAMBER OF COMMERCE - FOUR CORNERS ECONOMIC DEVELOPMENT - FOUR CORNERS RADIOLOGY - JUST CLICK PRINTING, INC. - LA MESA CHIROPRACTIC CENTER - LIFE CARE CENTER - MENTAL WELLNESS RESOURCE CENTER - MERRION OIL & GAS - NEON KIDS DENTAL - NEW MEXICO DEPARTMENT OF HEALTH, FARMINGTON - NEW MEXICO LEGISLATURE - ORTHOPEDIC ASSOCIATES - PINON FAMILY PRACTICE - PINON HILLS EAR, NOSE & THROAT - PROCESS EQUIPMENT & SERVICE COMPANY - SAN JUAN COLLEGE - SAN JUAN COUNTY - SAN JUAN COUNTY PARTNERSHIP - SAN JUAN HEALTH PARTNERS - SAN JUAN PUBLIC HEALTH DEPARTMENT - SAN JUAN REGIONAL REHABILITATION HOSPITAL - SCHOOL NURSES/HEALTH SERVICES, FARMINGTON MUNICIPAL SCHOOLS - WEBB CHEVROLET IN MANY CASES, SEVERAL REPRESENTATIVES FROM EACH ORGANIZATION PARTICIPATED.

Schedule H, Part V, Section B, Line 11 Facility 1, 1

Facility 1, 1 - SAN JUAN REGIONAL MEDICAL CENTER. SAN JUAN REGIONAL MEDICAL CENTER: ADDRESSING COMMUNITY NEEDS IN FISCAL YEAR 2024.2025 INTRODUCTION: IN FISCAL YEAR 2024.2025, SAN JUAN REGIONAL MEDICAL CENTER (SJRMC) PRIORITIZED COMMUNITY HEALTH INITIATIVES, FOCUSING ON THREE KEY AREAS: DIABETES, ACCESS TO CARE, AND CANCER. THE ORGANIZATION IMPLEMENTED A RANGE OF TARGETED PROGRAMS AND SERVICES TO ADDRESS THE UNIQUE HEALTHCARE NEEDS OF THE COMMUNITY, ENSURING ACCESSIBILITY, EDUCATION, AND CUTTINGEDGE TREATMENTS. DIABETES: A. ONGOING COMMUNITY DIABETES EDUCATION: SJRMC EXTENDED ITS COMMITMENT TO DIABETES EDUCATION BY OFFERING FREE COMMUNITY SESSIONS THROUGHOUT THE FISCAL YEAR REACHING 246 INDIVIDUALS. THESE EDUCATIONAL PROGRAMS AIMED TO EMPOWER INDIVIDUALS WITH THE KNOWLEDGE AND TOOLS NEEDED TO MANAGE DIABETES EFFECTIVELY. THE DEPARTMENT CURRENTLY OPERATES WITH ONE CERTIFIED DIABETES CARE AND EDUCATION SPECIALIST (CDCES) WORKING 60 HOURS PER PAY PERIOD, SUPPORTED BY A PART-TIME ADMINISTRATIVE ASSISTANT. B. METABOLIC AND BARIATRIC INSTITUTE: IN RESPONSE TO OBESITY-RELATED HEALTH CONCERNS, THE BARIATRIC AND METABOLIC INSTITUTE NOW PROVIDES LOCAL MEDICAL AND SURGICAL WEIGHT LOSS OPTIONS. PATIENTS RECEIVE INDIVIDUALIZED CARE, INCLUDING DIETITIAN SUPPORT, ELIMINATING THE NEED TO TRAVEL FOR SPECIALIZED SERVICES. ACCESS TO CARE: A. ESTABLISHMENT OF THE PRIMARY CARE RESIDENCY PROGRAM: SAN JUAN REGIONAL MEDICAL CENTER HAS SUCCESSFULLY INITIATED THE CREATION OF AN INTERNAL MEDICINE PRIMARY CARE RESIDENCY PROGRAM, AIMED AT STRENGTHENING ACCESS TO CARE FOR MEDICALLY COMPLEX PATIENTS AND SUPPORTING A SUSTAINABLE HEALTHCARE WORKFORCE FOR OUR COMMUNITY. THE RESIDENCY PROGRAM IS CURRENTLY ON TRACK FOR FULL IMPLEMENTATION, OFFERING STRUCTURED TRAINING OPPORTUNITIES TO NEW MEDICAL GRADUATES. THE PROGRAM WAS DEVELOPED IN PARTNERSHIP WITH THE NEW MEXICO PRIMARY CARE TRAINING CONSORTIUM, WHICH SERVES AS THE SPONSORING GRADUATE MEDICAL EDUCATION (GME) INSTITUTION. B. CONNECTING PATIENTS TO PRIMARY CARE PROVIDERS: A TOTAL OF 832 PATIENTS DISCHARGED FROM THE URGENT CARE, EMERGENCY DEPARTMENT, OR HOSPITAL BETWEEN JULY 1, 2023, AND THE PRESENT WERE IDENTIFIED AS NOT HAVING A PRIMARY CARE PROVIDER. THESE PATIENTS WERE DIRECTED TO SAN JUAN HEALTH PARTNERS FAMILY MEDICINE FARMINGTON TO ESTABLISH A PRIMARY CARE RELATIONSHIP. THIS ACTION PLAN HAS SIGNIFICANTLY CONTRIBUTED TO CLOSING GAPS IN CARE AND FOSTERING ACCESS TO ESSENTIAL PRIMARY HEALTH SERVICES WITHIN OUR COMMUNITY. C. RECRUITMENT AND RETENTION OF HIGH-QUALITY MEDICAL PROVIDERS: 54 MEDICAL PROVIDERS-INCLUDING PHYSICIANS AND ADVANCED PRACTICE PROVIDERS-HAVE JOINED SAN JUAN REGIONAL MEDICAL CENTER AS W2 EMPLOYEES (PRN, HALF-TIME, AND FULL-TIME) AND REMAIN ACTIVELY EMPLOYED. THESE HIRES SPAN A WIDE RANGE OF SPECIALTIES, SUPPORTING COMPREHENSIVE CARE DELIVERY ACROSS THE ORGANIZATION IN HOSPITAL-BASED, OUTPATIENT, AND SPECIALTY SERVICES. CANCER: A. EXPANSION OF RADIATION ONCOLOGY SERVICES: A KEY MILESTONE IN THIS EFFORT WAS THE SUCCESSFUL RECRUITMENT OF A FULL-TIME RADIATION ONCOLOGIST, DR. BRIAN FULLER, WHO JOINED THE ORGANIZATION ON NOVEMBER 2, 2023. DR. FULLER BRINGS DEEP EXPERTISE AND CONTINUITY OF CARE TO OUR RADIATION ONCOLOGY TEAM. HIS FULL-TIME PRESENCE ENSURES CONSISTENT TREATMENT PLANNING, DIRECT PATIENT INTERACTION, AND HIGHQUALITY OVERSIGHT OF COMPLEX CASES. IN ADDITION, A PRN RADIATION ONCOLOGIST IS ON STAFF TO PROVIDE SEAMLESS COVERAGE WHEN DR. FULLER IS UNAVAILABLE, ENSURING THERE IS NO INTERRUPTION IN CARE. B. STEREOTACTIC BODY RADIOTHERAPY (SBRT): SBRT WAS LAUNCHED FOR PROSTATE CANCER PATIENTS IN JANUARY 2025, FOLLOWING THE SUCCESSFUL IMPLEMENTATION FOR BREAST CANCER PATIENTS IN OCTOBER 2024. WITH THE RECENT ACQUISITION OF THE ALTA DEVICE AND SCHEDULED TRAINING IN JUNE 2025, SBRT CAPABILITIES WILL EXPAND TO INCLUDE LUNG AND ABDOMINAL CANCERS. C. SELECTIVE INTERNAL RADIATION THERAPY (Y-90 THERAPY): SELECTIVE INTERNAL RADIATION THERAPY (Y-90 THERAPY) FOR LIVER TUMORS CONTINUES TO GROW AND IS EXPANDING INTERVENTIONAL RADIOLOGY (IR) SERVICES AT SJRMC, OFFERING PATIENTS ACCESS TO SPECIALIZED TREATMENT WITHOUT NEEDING TO LEAVE THE REGION. CONCLUSION: IN FISCAL YEAR 2024, SAN JUAN REGIONAL MEDICAL CENTER CONTINUED TO MOVE FORWARD WITH A CLEAR AND FOCUSED COMMITMENT TO IMPROVING THE HEALTH OF OUR COMMUNITY. BY CONCENTRATING OUR EFFORTS ON DIABETES, ACCESS TO CARE, AND CANCER, WE HAVE MADE MEANINGFUL PROGRESS IN EXPANDING COMPREHENSIVE, ACCESSIBLE SERVICES AND ADVANCING OUR MISSION TO IMPROVE LIVES ACROSS THE FOUR CORNERS REGION. OUR APPROACH IS INTENTIONAL. THROUGH THOUGHTFUL ANALYSIS AND ONGOING ENGAGEMENT WITH COMMUNITY PARTNERS, WE IDENTIFIED THESE THREE AREAS AS WHERE WE CAN MAKE THE GREATEST DIFFERENCE RIGHT NOW. FOCUSING OUR RESOURCES HERE ALLOWS US TO CREATE REAL, MEASURABLE IMPACT-IMPROVING OUTCOMES, STRENGTHENING ACCESS, AND SUPPORTING PATIENTS THROUGHOUT THEIR CARE JOURNEYS. WE ARE ALSO BUILDING ON AREAS WHERE WE HAVE STRONG EXPERTISE, ESTABLISHED PROGRAMS, AND TRUSTED PARTNERSHIPS. THIS FOUNDATION ENABLES US TO IMPLEMENT TARGETED STRATEGIES THAT ADDRESS ROOT CAUSES, REDUCE DISPARITIES, AND EXPAND EQUITABLE ACCESS TO HIGH-QUALITY CARE. BY MAINTAINING THIS FOCUSED STRATEGY, WE ARE ABLE TO SET CLEAR GOALS, TRACK OUR PROGRESS, AND DEMONSTRATE MEANINGFUL RESULTS. IT REFLECTS OUR COMMITMENT NOT JUST TO MEETING NEEDS, BUT TO DOING SO IN A WAY THAT IS THOUGHTFUL, EFFECTIVE, AND SUSTAINABLE FOR THE COMMUNITIES WE SERVE.

Field	Value	IRS element (for citing)
Facility	27	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SJRMC EMS STATION- MEDIC #10
737 W ANIMAS STREET	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC AZTEC CLINIC
120 LLANO STREET	AZTEC	NM	87410	MEDICAL CLINIC
GENERAL SURGERY CLINIC
630 W MAPLE	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC AUDIOLOGY
816 W MAPLE	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC OUTPATIENT REHABILITATION
300 S AUBURN AVE	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC PEDIATRIC OUTPATIENT REHAB
810 W MAPLE	FARMINGTON	NM	87401	MEDICAL CLINIC
URGENT CARE CENTER
4820 E MAIN STREET	FARMINGTON	NM	87402	MEDICAL CLINIC
SJRMC BARKMAN
102 LLANO ST	AZTEC	NM	87410	MEDICAL CLINIC
SJRMC ENDOSCOPY
950 W PINON	FARMINGTON	NM	87401	MEDICAL CLINIC
SAN JUAN REGIONAL REHABILITATION UNIT
525 S SCHWARTZ AVE	FARMINGTON	NM	87401	INPATIENT REHABILITATION
SJRMC CARDIOLOGY
407 S SCHWARTZ SUITE 202	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC INTERNAL MEDICINE
407 S SCHWARTZ SUITE 201	FARMINGTON	NM	87401	MEDICAL CLINIC
SAN JUAN NEURODIAGNOSTIC CENTER
407 S SCHWARTZ SUITE 101	FARMINGTON	NM	87401	MEDICAL CLINIC
SAN JUAN PEDIATRICS
407 S SCHWARTZ SUITE 102	FARMINGTON	NM	87401	MEDICAL CLINIC
FOUR CORNERS NEUROSURGERY
407 S SCHWARTZ SUITE 101	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC MIDWIFERY CLINIC
655 WEST PINON	FARMINGTON	NM	87401	MEDICAL CLINIC
OUTPATIENT BEHAVIORAL HEALTH CLINIC
555 S SCHWARTZ	FARMINGTON	NM	87401	MEDICAL CLINIC
SJR WOUND CARE CENTER
4251 ENGLISH ROAD	FARMINGTON	NM	87402	MEDICAL CLINIC
SJR CANCER TREATMENT CENTER
731 W ANIMAS STREET	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC OUTPATIENT DIAGNOSTIC CENTER
2300 E 30TH STREET BLDG C	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #1
730 S LAKE STREET	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #2
901 W BROADWAY	BLOOMFIELD	NM	87412	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #3
212 S OLIVER STREET	AZTEC	NM	87410	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #4
4 CR 6360	KIRTLAND	NM	87117	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #5
3800 ENGLISH ROAD	FARMINGTON	NM	87402	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #6
2015 E 16TH STREET	FARMINGTON	NM	87401	MEDICAL CLINIC
SJRMC EMS STATION- MEDIC #7
727 W Animas	Farmington	NM	87401	MEDICAL CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c CRITERIA USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE	IN ADDITION TO THE FEDERAL POVERTY GUIDELINES SJRMC ALSO CONSIDERS THE PATIENT ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A - 7C. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E - 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2025. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE AMOUNT ON LINE 3 IS AN ESTIMATE BASED ON MANAGEMENT'S BELIEF OF THE PERCENTAGE OF ADDITIONAL FINANCIAL ASSISTANCE COST IF THE PATIENTS WOULD COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. SJRMC IS USING SAN JUAN COUNTY'S POPULATION POVERTY PERCENTAGE FROM THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH THIS AMOUNT IS CURRENTLY ESTIMATED AS 23.5%, WHICH IS INCLUDED IN OUR BAD DEBT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	SAN JUAN REGIONAL MEDICAL CENTER'S (SJRMC) POLICY ON PATIENT ACCOUNT COLLECTIONS STATES SJRMC WILL NOT ATTEMPT TO COLLECT FROM A PATIENT WHO IS APPLYING FOR THE SAN JUAN COUNTY INDIGENT FUND AS LONG AS THE PATIENT IS COOPERATING WITH THE APPLICATION PROCESS. THE POLICY ALSO STATES SJRMC WILL NOT COLLECT FROM A PATIENT APPLYING FOR THE COMMUNITY SERVICE FUND (FINANCIAL ASSISTANCE) AS LONG AS THE PATIENT IS COOPERATING WITH THE APPLICATION PROCESS.
Schedule H, Part V, Section B, Line 16a FAP website	1 - SAN JUAN REGIONAL MEDICAL CENTER: Line 16a URL: HTTPS://WWW.SANJUANREGIONAL.COM/PATIENTS/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website	1 - SAN JUAN REGIONAL MEDICAL CENTER: Line 16b URL: HTTPS://WWW.SANJUANREGIONAL.COM/PATIENTS/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	1 - SAN JUAN REGIONAL MEDICAL CENTER: Line 16c URL: HTTPS://WWW.SANJUANREGIONAL.COM/PATIENTS/FINANCIAL-ASSISTANCE;
Schedule H, Part VI, Line 2 Needs assessment	A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS CONDUCTED BY SAN JUAN REGIONAL MEDICAL CENTER TO DETERMINE THE HEALTH NEEDS FOR SAN JUAN COUNTY AND THE FOUR CORNERS REGION AS PERCEIVED BY THOSE SERVED BY THE HOSPITAL.THE CHNA IS CONDUCTED VIA TELEPHONE SURVEYS IN BOTH ENGLISH AND SPANISH, INTERVIEWS CONDUCTED WITH NATIVE AMERICAN RESPONDENTS, KEY SHAREHOLDERS IN THE PROVISION OF HEALTH CARE IN SAN JUAN COUNTY, AND A SERIES OF FOCUS GROUPS. THE SURVEY IS ALSO SHARED WITH KEY COMMUNITY GROUPS IN A SERIES OF OPEN FORUMS. THE MOST RECENT CHNA OCCURRED IN CY 2023 (FY 2023). THE NEEDS WHICH WERE IDENTIFIED FROM THIS SURVEY INCLUDE: ACCESS TO HEALTH CARE SERVICES, CANCER, DIABETES, HEART DISEASE & STROKE,MENTAL HEALTH, RESPIRATORY DISEASE, AND SUBSTANCE USE. OTHER AT-RISK POPULATIONS (THOSE WITH UNDERLYING HEALTH CONDITIONS) WERE ALSO SEVERELY IMPACTED. AS A HEALTHCARE LEADER IN SAN JUAN COUNTY, SJRMC SHOULD BE A CATALYST IN ADDRESSING HEALTH DISPARITIES AND BE PART OF SOLUTIONS TO MAKE POSITIVE IMPACTS ON SOCIAL DETERMINANTS OF HEALTH. IN ORDER TO FOCUS EFFORTS AND UTILIZE RESOURCES WISELY, PRIORITY HAS BEEN GIVEN TO ADDRESSING ACCESS TO CARE, ALONG WITH DIABETES AND CANCER SERVICES. THE SAN JUAN REGIONAL MEDICAL CENTER BOARD OF DIRECTORS AND HOSPITAL ADMINISTRATION CONDUCTS THE SURVEY FOR THE PURPOSE OF DETERMINING HOW BEST TO DIRECT RESOURCES TO IMPROVE THE HEALTH OF THE FOUR CORNERS WITH THREE GOALS IN MIND -TO IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE - TO REDUCE HEALTH DISPARITIES AMONG RESIDENTS BY IDENTIFYING POPULATION SEGMENTS WHO ARE MOST AT-RISK FOR VARIOUS DISEASES AND INJURIES. INTERVENTION PLANS AIMED AT TARGETING THESE INDIVIDUALS ARE ALSO DEVELOPED TO COMBAT SOME OF THE SOCIO-ECONOMIC FACTORS WHICH HAVE HISTORICALLY HAD A NEGATIVE IMPACT ON RESIDENTS' HEALTH - TO INCREASE ACCESSIBILITY TO PREVENTATIVE SERVICES FOR ALL COMMUNITY RESIDENTS, MORE ACCESSIBLE PREVENTIVE SERVICES WILL PROVE BENEFICIAL IN ACCOMPLISHING THE FIRST GOAL (IMPROVING HEALTH STATUS, INCREASING LIFE SPANS, AND ELEVATING QUALITY OF LIFE), AS WELL AS LOWERING THE COSTS ASSOCIATED WITH CARING FOR LATE-STAGE DISEASES RESULTING FROM A LACK OF PREVENTIVE CARE.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	SAN JUAN REGIONAL MEDICAL CENTER EMPLOYS A NUMBER OF FINANCIAL COUNSELORS AND CUSTOMER SERVICE REPRESENTATIVES WHO WORK ALONGSIDE PATIENTS TO HELP THEM NAVIGATE THEIR PAYMENT, BILLING AND ASSISTANCE OPTIONS. INFORMATION IS DISSEMINATED TO PATIENTS THROUGH ONLINE AND PAPER RESOURCES LOCATED THROUGHOUT THE HOSPITAL. A WIDELY DISTRIBUTED BROCHURE TITLED PAYING FOR HOSPITAL SERVICES AT SAN JUAN REGIONAL MEDICAL CENTER IS SPECIFICALLY DESIGNED TO HELP PATIENTS UNDERSTAND THEIR HOSPITAL BILL AND INFORM THEM OF THEIR OPTIONS FOR PAYMENT AND ASSISTANCE INCLUDING INFORMATION ON THE AVAILABILITY OF INDIAN HEALTH SERVICE ASSISTANCE, CASH DISCOUNTS, BILL REDUCTION THROUGH A COMMUNITY SERVICE FUND, SPECIAL FUNDS THROUGH THE SAN JUAN COUNTY INDIGENT FUND, OR MEDICAL HARDSHIP WAIVERS. THE HOSPITAL'S VISION IS TO BE KNOWN AS THE MOST PERSONALIZED QUALITY HEALTHCARE PROVIDER. SAN JUAN REGIONAL MEDICAL CENTER IS ALSO A VALUES-DRIVEN ORGANIZATION WITH A CENTURY OF SERVICE TO THE FOUR CORNERS REGION- DRIVEN BY A SIMPLE, YET POWERFUL PRINCIPLE, DO THE RIGHT THING FOR THE PATIENT,NO MATTER WHAT. AN INTEGRAL PART OF THIS SACRED TRUST THE COMMUNITY HAS IN ITS HOSPITAL IS ENSURING THAT NO PATIENT FEELS ALONE AND DISCONNECTED DURING AND AFTER THEIR TREATMENT. THEREFORE, IT IS IN THE SPIRIT OF THE HOSPITAL'S VISION AND MISSION TO ENSURE THAT PATIENTS RECEIVE A HIGH LEVEL OF ASSISTANCE WHEN FIGURING OUT THEIR BILL AND OPTIONS. NOT ONLY DOES THE HOSPITAL HAVE FINANCIAL COUNSELORS TO EDUCATE ITS PATIENTS, IT HAS AN IN-HOUSE MEDICAL ADVOCACY SERVICE FOR HEALTHCARE PROGRAM (MASH) FOR SELF-PAY INDIVIDUALS. THROUGH THE MASH PROGRAM, PATIENT ADVOCATES STAND HAND-IN-HAND WITH PATIENTS TO EXPLORE EVERY POSSIBILITY OF ASSISTANCE POLICY.
Schedule H, Part VI, Line 4 Community information	SAN JUAN REGIONAL MEDICAL CENTER SERVES THE FOUR CORNERS REGION OF THE UNITED STATES, WHICH IS MOSTLY RURAL. THE HOSPITAL IS LOCATED IN THE REGION'S LARGEST CITY AND ONLY METROPOLITAN AREA, WHICH IS FARMINGTON, NEW MEXICO. OTHER CITIES IN THE REGION INCLUDE CORTEZ AND DURANGO IN COLORADO, MONTICELLO AND BLANDING IN UTAH, KAYENTA AND CHINLE IN ARIZONA, AND SHIPROCK, AZTEC, AND BLOOMFIELD IN NEW MEXICO. THIS REGION ALSO INCLUDES THE NAVAJO NATION. STATISTICS GATHERED FOR THE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT IN 2023 FOR SAN JUAN COUNTY (POPULATION 122,912)- WHICH IS THE PRINCIPAL COUNTY SERVED BY SAN JUAN REGIONAL MEDICAL CENTER- INDICATE THE FOLLOWING POPULATION CHARACTERISTICS: MEN 49.3%, WOMEN 50.7%, AGES 18 AND UNDER 26.4%, AGES 65+ 14.9%, WHITE 47% AMERICAN INDIAN AND ALASKA NATIVE 39.1% HISPANIC 21.4%. THE MEDIAN HOUSEHOLD INCOME FOR SAN JUAN COUNTY IS $56,045.
Schedule H, Part VI, Line 5 Promotion of community health	IN THE CONSTANT EFFORT TO MEET COMMUNITY NEEDS, SJRMC SEEKS TO IMPROVE PHYSICIAN ACCESS THROUGH A VIGOROUS RECRUITING PROGRAM AND TO PROVIDE COMMUNITY EDUCATION AND MANY OTHER COMMUNITY BENEFIT PROGRAMS.
Schedule H, Part VI, Line 7 State filing of community benefit report	NM

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
SEXUAL ASSAULT SERVICES
622 W MAPLE	STE H	FARMINGTON	NM	87401	203187125	501(C)(3)	$64,020	PROGRAM SUPPORT OF SEXUAL ASSAULT
PRESBYTERIAN MEDICAL SERVICES SOBERING HOUSE
1615 OJO COURT		FARMINGTON	NM	87401	850206810	501(C)(3)	$444,767	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	EVENT FUNDING/SPONSORSHIP REQUEST GUIDELINES: SAN JUAN REGIONAL MEDICAL CENTER (SJRMC) RECOGNIZES THE VALUE OF COMMUNITY PARTNERSHIPS AND, ON A LIMITED BASIS, OFFERS SUPPORT TO ITS COMMUNITY PARTNERS BY SHARING OUR RESOURCES INCLUDING THE TIME AND TALENT OF OUR PHYSICIANS AND EMPLOYEES, AS WELL AS OUR FINANCIAL AND IN-KIND SUPPORT. SAN JUAN REGIONAL MEDICAL CENTER HAS ESTABLISHED CRITERIA TO ENSURE ALIGNMENT WITH OUR MISSION AND TO ALLOW US TO STRATEGICALLY FOCUS OUR LIMITED RESOURCES IN ORDER TO MAXIMIZE THEIR IMPACT. SPONSORSHIP REQUESTS ARE EVALUATED BASED ON, BUT NOT LIMITED TO, THE FOLLOWING CRITERIA: - ALIGNMENT WITH SJRMC'S MISSION TO PERSONALIZE HEALTHCARE AND CREATE ENTHUSIASM AND VITALITY IN HEALING - ALIGNMENT AND OPPORTUNITY TO PROMOTE STRATEGIC SERVICE LINES AND BUSINESS OBJECTIVES - COMMUNITY AND NEIGHBORHOOD DEVELOPMENT - MAGNITUDE OF IMPACT AND REACH (NUMBER OF INDIVIDUALS SERVED) - DEPTH AND BREADTH OF PARTNERSHIP WITH REQUESTING ORGANIZATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID DEVITRE
CHIEF OF STAFF	$568,665	$0	$37,269	$0	$1,242	$0	$15,090	$0	$33,129	$0	$655,395	$0	$0	$0
JASON ROUNDS
CEO	$576,275	$0	$60,952	$0	$2,322	$0	$15,324	$0	$36,381	$0	$691,254	$0	$0	$0
JOHN MAYER
CFO	$346,954	$0	$59,268	$0	$22,954	$0	$13,970	$0	$24,559	$0	$467,705	$0	$21,712	$0
ROBERT UNDERWOOD
CHIEF MEDICAL OFFICER	$373,387	$0	$59,370	$0	$28,412	$0	$14,329	$0	$24,134	$0	$499,632	$0	$24,848	$0
RUTH BROOKS
ACCREDITATION AND PROF SERVICE	$290,257	$0	$50,840	$0	$41,434	$0	$3,042	$0	$13,601	$0	$399,174	$0	$36,936	$0
ANNE ELEY
CHIEF LEGAL OFFICER	$283,324	$0	$50,132	$0	$14,495	$0	$5,784	$0	$36,929	$0	$390,664	$0	$13,685	$0
KAMMIE MONARCH
CHIEF NURSING OFFICER	$255,275	$0	$39,243	$0	$3,442	$0	$10,343	$0	$13,097	$0	$321,400	$0	$0	$0
NEIL TEATSORTH
CHIEF HUMAN RESOURCES OFFICER	$167,389	$0	$56,000	$0	$2,056	$0	$0	$0	$12,743	$0	$238,188	$0	$0	$0
MELANIA YEATS
PHYSICIAN	$496,218	$0	$25,743	$0	$2,322	$0	$10,000	$0	$25,436	$0	$559,719	$0	$0	$0
FARAZ SANDHU
PHYSICIAN	$914,878	$0	$775,002	$0	$810	$0	$12,096	$0	$33,147	$0	$1,735,933	$0	$0	$0
PAUL DAVIS
PHYSICIAN	$848,167	$0	$94,557	$0	$4,191	$0	$12,232	$0	$21,263	$0	$980,410	$0	$0	$0
DOMINIC CANNELLA
PHYSICIAN	$842,724	$0	$97,429	$0	$4,191	$0	$0	$0	$23,992	$0	$968,336	$0	$0	$0
CHRISTOPHER PAYNE
PHYSICIAN	$843,497	$0	$97,515	$0	$486	$0	$9,607	$0	$23,952	$0	$975,057	$0	$0	$0
JONATHAN JONES
PHYSICIAN	$582,363	$0	$279,471	$0	$1,242	$0	$15,575	$0	$38,910	$0	$917,561	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	SAN JUAN REGIONAL MEDICAL CENTER (SJRMC) HAS A 457(F) DEFERRED COMPENSATION PLAN THAT ALLOWS CERTAIN EXECUTIVES TO CONTRIBUTE MONEY ON A PRE-TAX BASIS INTO INVESTMENTS AND TO ACCUMULATE TAX-DEFERRED EARNINGS. THE FOLLOWING PRE-TAX CALENDAR YEAR 2024 CONTRIBUTIONS TO THE 457(F) PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AS DEFERRED COMPENSATION: $23,000 - JASON ROUNDS $23,000 - JOHN MAYER $23,000 - RUTH BROOKS $23,000 - ROBERT UNDERWOOD $23,000 - FARAZ SANDHU $19,211 - PAUL DAVIS $19,980 - CHRISTOPHER PAYNE $23,000 - JOHNATHAN JONES
Schedule J, Part I, Line 7 Non-fixed payments	MANAGEMENT INCENTIVE PLAN - SJRMC HAS A SENIOR MANAGEMENT INCENTIVE COMPENSATION PLAN FOR SELECTED SENIOR MANAGEMENT POSITIONS. AN AWARD TARGET IS ESTABLISHED FOR EACH PARTICIPANT. PERFORMANCE IS BASED ON EIGHT GOALS, TWO OF WHICH ARE HOSPITAL EXCESS OF REVENUES OVER EXPENSES PERCENTAGE AND TOTAL HOSPITAL EARNINGS. THE AWARD IS A PERCENTAGE OF BASE PAY IF CERTAIN TARGETS ARE MET. PHYSICIAN INCENTIVE PLAN - PHYSICIANS INCENTIVES ARE PERFORMANCE BASED AND RELATIVE VALUE UNITS ARE USED AS A MEASURE.
Schedule J, Part II, Column (F) DESCRIPTION OF COMPENSATION REPORTED IN A PRIOR PERIOD	THE AMOUNTS LISTED IN COLUMN F ARE THE ACCRUAL PAYOUTS OF THE 457(F) PLAN THAT LINE 4B DISCUSSES. THE AMOUNTS IN COLUMN F ARE THE ACCRUALS FROM PRIOR YEARS THAT ARE PAID OUT IN 2024. $21,712 - JOHN MAYER $36,936 - RUTH BROOKS $24,848 - ROBERT UNDERWOOD $13,685 - ANNE ELEY

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NEW MEXICO HOSPITAL EQUIPMENT LOAN COUNCIL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	840426875	BondIssuerEIN
CUSIP	647370JW6	CUSIPNum
Bond Issued	2020-09-24	BondIssuedDt
Issue Price	$41,882,678	IssuePriceAmt
Purpose	HOSPITAL SYSTEM REFUNDING AND IMPROVEMENTS	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$11,974,527	RetiredAmt
Total Proceeds	$41,882,678	TotalProceedsAmt
Other Spent Proceeds	$41,882,678	OtherSpentProceedsAmt
Substantial Completion	2023	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	false	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Engage Bond Counsel Research	false	EngageBondCounselResearchInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	Yes (true)	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Term Of Hedge	0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Term Of GIC	0	TermOfGICPct
Regulatory Safe Harbor Stsfd	false	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 6 VOLUNTEERS	SJRMC HAS A TOTAL OF 87 VOLUNTEERS THAT PROVIDE SERVICE TO THE FOLLOWING AREAS: ADMINISTRATIVE SUPPORT, CANCER TREATMENT CENTER, CARDIAC REHABILITATION, COURIER/PATIENT TRANSPORT, CRAFTY CREATIONS, DIETARY, GIFT MARKET, INFORMATION DESK, MAIL CALL, MEDICAL RECORD AND AUXILIARY MEMBERSHIP. SJRMC: HAS AN ADDITIONAL 10 VOLUNTEER BOARD MEMBERS INCLUDED IN THE TOTAL VOLUNTEER COUNT.
Form 990, Part VI, Line 6 7A, & 7B - CLASSES OF MEMBERS OR STOCKHOLDERS	SAN JUAN REGIONAL MEDICAL CENTER (SJRMC) IS A COMMUNITY-GOVERNED HOSPITAL. THE HOSPITAL CORPORATION IS AN ADVISORY BODY COMPOSED OF TWO REPRESENTATIVES FROM ABOUT 90 NON-PROFIT ORGANIZATION MEMBERS IN SAN JUAN COUNTY. AFTER TEN YEARS OF SERVICE AS A REPRESENTATIVE, AN INDIVIDUAL MAY BE DESIGNATED BY THE CORPORATION AS A SENIOR CORPORATE DELEGATE AND SHALL NO LONGER BE CONSIDERED TO BE THE REPRESENTATIVE OF THE MEMBER ORGANIZATION. THE MEMBER ORGANIZATION MAY THEN DESIGNATE ANOTHER REPRESENTATIVE IN ADDITION TO THE SENIOR CORPORATE DELEGATE. THE HOSPITAL CORPORATION MEETS QUARTERLY AT THEIR ANNUAL MEETING, IN WHICH THEY NOMINATE AND ELECT NINE VOTING MEMBERS TO SJRMC'S BOARD OF DIRECTORS. OF THE NINE, THREE MUST BE ELECTED FROM THE MEMBER REPRESENTATIVES OR SENIOR CORPORATE DELEGATES. IN ADDITION TO THE NINE ELECTED DIRECTORS, THE SJRMC CHIEF OF THE STAFF AND VICE CHIEF OF STAFF AND A HOSPITAL AUXILIARY APPOINTEE ALSO SERVE AS SJRMC DIRECTORS FOR A TOTAL OF TWELVE VOTING MEMBERS OF THE BOARD OF DIRECTORS. TWO THIRDS OF THE MEMBERS CAN REMOVE A DIRECTOR FROM THE BOARD. THE MEMBERS ALSO APPROVE AMENDMENTS TO THE GOVERNING DOCUMENTS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM BASED ON DATA PROVIDED BY MANAGEMENT. A DRAFT COPY OF THE 990 IS PROVIDED TO MANAGEMENT FOR REVIEW AND A MEETING IS CONDUCTED BY THE ACCOUNTING FIRM TO REVIEW THE RETURN IN DETAIL. ANY QUESTIONS ARE ADDRESSED AND ANY NECESSARY CHANGES ARE MADE TO THE RETURN. THE FINAL DRAFT OF THE FORM 990 IS REVIEWED BY THE CFO. AFTER FILING, A BRIEF EDUCATION SESSION IS CONDUCTED BY THE ACCOUNTING FIRM TO DISCUSS THE HIGHLIGHTS OF THE FORM TO THE BOARD. THE FINAL DRAFT OF THE FORM 990 IS THEN PROVIDED TO EACH BOARD MEMBER.
Form 990, Part VI, Line 12c Conflict of interest policy	SAN JUAN REGIONAL MEDICAL CENTER HAS A CONFLICT-OF-INTEREST POLICY THAT EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE IS REQUIRED TO FILL OUT ON AN ANNUAL BASIS. THIS CONFLICT-OF-INTEREST POLICY SPECIFICALLY ASKS QUESTIONS REGARDING BUSINESS AND PERSONAL RELATIONSHIPS THAT THEY MAY HAVE WITH ANY OTHER BOARD MEMBER, OFFICER AND KEY EMPLOYEE OF ANY BUSINESS THAT DEALS WITH SAN JUAN REGIONAL MEDICAL CENTER OR ANY OF ITS AFFILIATES. IF A CONFLICT IS IDENTIFIED, IT MUST BE REPORTED TO THE COMPLIANCE OFFICER, AND IF IT CONSTITUTES A BREACH OF EMPLOYMENT, IT MAY LEAD TO DISCIPLINARY ACTION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE BOARD OF DIRECTORS FOR SAN JUAN REGIONAL MEDICAL CENTER USES THE FOLLOWING COMPARABILITY DATA WHEN DETERMINING THE COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT: REGIONAL/LOCAL AREA NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SIZE, NATIONAL NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SIZE, AND OTHER RELEVANT COMPARATORS (EG, FOR-PROFIT HEALTHCARE AND/OR GENERAL INDUSTRY ORGANIZATIONS) OF COMPARABLE SIZE AND COMPLEXITY. ADDITIONALLY, THE BOARD BI-ANNUALLY HAS AN INDEPENDENT OUTSIDE FIRM COMPARE THE CEO'S, AND OTHER OFFICERS' COMPENSATION WITH OTHER HEALTHCARE ORGANIZATIONS TO REMAIN COMPETITIVE. THE PROCESS WAS LAST COMPLETED IN 2024 BY WILLIS TOWERS WATSON LLC. THE PROCESS IS DOCUMENTED IN THE BOARD MINUTES WHEN PRESENTED TO THE INDIVIDUALS. COMPENSATION AND THE OPINION LETTER ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 19 Required documents available to the public	SAN JUAN REGIONAL MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIII, Line 2f Other Program Service Revenue	PROGRAM RELATED RENTAL INCOME - Total Revenue: 116564, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 116564;
Form 990, Part IX, Line 11g Other Fees	CONTRACT MEDICAL PROFESSIONALS - Total Expense: 30646902, Program Service Expense: 26884833, Management and General Expenses: 3762069, Fundraising Expenses: ; CONSULTING - Total Expense: 28374005, Program Service Expense: 24890946, Management and General Expenses: 3483059, Fundraising Expenses: ; CONTRACT MAINTENANCE - Total Expense: 3867053, Program Service Expense: 3392352, Management and General Expenses: 474701, Fundraising Expenses: ; BILLING & COLLECTION FEES - Total Expense: 1413133, Program Service Expense: 1239663, Management and General Expenses: 173470, Fundraising Expenses: ; TRANSCRIPTION SERVICES - Total Expense: 115719, Program Service Expense: 101514, Management and General Expenses: 14205, Fundraising Expenses: ; OTHER FEES - Total Expense: 12223, Program Service Expense: 10723, Management and General Expenses: 1500, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	NET INCOME RECOGNIZED FROM GRANTOR TRUST STATEMENT - -819336; Total - -819336;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PNE HOLDINGS LLC
999 17TH STREET	SUITE 800	DENVER	CO	80202	873915257	HOLDING COMPANY	CO	$0	$0	SJRMC
PNE REAL ESTATE LLC
999 17TH STREET	SUITE 800	DENVER	CO	80202	873939285	REAL ESTATE	CO	$0	$4,684,283	PNE HOLDINGS LLC
SAN JUAN HOLDING CLINIC LLC
801 WEST MAPLE STREET		FARMINGTON	NM	87401	920319862	HOLDING COMPANY	NM	$0	$0	SJRMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SAN JUAN HEALTH PARTNERS INC
801 WEST MAPLE STREET	FARMINGTON	NM	87401	272367549	HEALTHCARE	NM	501(c)(3)	3	SJRMC	Yes (true)
AUXILIARY OF SAN JUAN REGIONAL MED CTR
801 WEST MAPLE STREET	FARMINGTON	NM	87401	237164296	HOSPITAL SUPPORT	NM	501(c)(3)	Type III-FI	NA	false
SAN JUAN REGIONAL REHABILITATION HOSPITAL
525 SOUTH SCHWARTZ AVE	FARMINGTON	NM	87401	850441767	HEALTHCARE	NM	501(c)(3)	3	SJRMC	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
SJR HOLDING COMPANY INC
801 W MAPLE STREET	FARMINGTON	NM	87401	201126483	SUPPORT SVCS	NM	SJRMC	C Corporation	$1,263,795	$2,958,787	1.0000	Yes (true)
FOUR CORNERS CAPTIVE INSURANCE LTD
					INSURANCE		SJRMC	C Corporation	$0		1	Yes (true)	64 SHEDDEN ROAD	PO BOX 31325 SMB	GRAND CAYMAN	CJ	KY11206	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	FOUR CORNERS CAPTIVE INSURANCE LTD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	R	TransactionTypeTxt
Involved	$10,663,596	InvolvedAmt
Method Of Amount Determination	CASH	MethodOfAmountDeterminationTxt