2024-05-15T14:20:35-05:00 2023-06-30 910189318 MOSS ADAMS LLP 6565 AMERICAS PARKWAY NE STE 600 ALBUQUERQUE NM 87110 990 2022-07-01 850138775 OTERO COUNTY HOSPITAL ASSOCIATION OTER 5754396100 2669 SCENIC DRIVE ALAMOGORDO NM 883110597 BASHAR NASER CHIEF FINANCIAL OFFICER 5754396100 2024-05-15 1 BASHAR NASER 999009999 1 STEVEN TALBOT P01695427 5058787200 2024-05-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z GERALD CHAMPION REGIONAL MEDICAL CENTER ROBERT JAMES HECKERT 2669 SCENIC DRIVE ALAMOGORDO NM 883110597 292848946 0 X WWW.GCRMC.ORG X 1947 NM PROVISION OF HEALTH CARE SERVICES 9 7 1354 45 455531 0 10766369 2968384 222929980 246294671 3466419 1531391 -85742 26880 237077026 250821326 970930 943129 0 0 89237886 104312183 0 0 0 115716172 174332763 205924988 279588075 31152038 -28766749 349639490 310338312 88784272 68157515 260855218 242180797 X TO BE THE ORGANIZATION WHERE PATIENTS CHOOSE TO COME, PHYSICIANS WANT TO PRACTICE, AND PEOPLE WANT TO WORK. 0 0 202970901 943129 245624904 OTERO COUNTY HOSPITAL ASSOCIATION, D/B/A GERALD CHAMPION REGIONAL MEDICAL CENTER (GCRMC), PROVIDES COMPREHENSIVE HEALTH-CARE SERVICES THROUGH ITS 98-BED HOSPITAL, OUTPATIENT AMBULATORY CARE FACILITIES, AND A MULTI-SPECIALTY PHYSICIAN GROUP. GCRMC RECEIVES 80% OF ITS ADMISSIONS FROM OTERO COUNTY. THE GCRMC'S PRIMARY MARKETS ARE THE CITIES OF ALAMOGORDO AND TULAROSA WITH SECONDARY MARKETS EXPANDING TO MORE REMOTE AREAS OF OTERO COUNTY, LINCOLN COUNTY, CHAVEZ COUNTY, AND BEYOND. THE ORIGINAL FACILITY OPENED IN AUGUST 1949, AND THE CURRENT MEDICAL CENTER IS A STATE-OF-THE-ART ACUTE CARE FACILITY THAT OPENED IN DECEMBER 1999.EFFECTIVE JULY 1, 2023, THE MEDICAL CENTER ENTERED INTO AN AGREEMENT WITH CHRISTUS HEALTH WHEREBY BOTH PARTIES AGREED THAT THE MEDICAL CENTER SHOULD HAVE A SOLE CORPORATE MEMBER AND THAT CHRISTUS HEALTH SHOULD BE THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER. CHRISTUS HEALTH IS A CATHOLIC, NOT-FOR-PROFIT HEALTH SYSTEM WITH FACILITIES IN TEXAS, LOUISIANA, NEW MEXICO, AND INTERNATIONALLY IN LATIN AMERICA. IN CONNECTION WITH THIS AGREEMENT, CHRISTUS HEALTH CONTRIBUTED $240 MILLION TO THE NEWLY FORMED SACRAMENTO MOUNTAINS FOUNDATION, A NOT-FOR-PROFIT ORGANIZATION CREATED FOR THE PROMOTION OF SOCIAL WELFARE. THE USE OF CHRISTUS HEALTH'S CONTRIBUTION IS RESTRICTED TO CHARITABLE ACTIVITIES IN OTERO COUNTY AND THE SURROUNDING COMMUNITIES.THE ORIGINAL HOSPITAL OPENED IN 1949 WITH 26 BEDS. TODAY, GCRMC IS PROUD TO BE A 98-BED ACUTE CARE FACILITY ACCREDITED BY DNV, INCLUDING TWO DISTINCT PPS UNITS: BEHAVIORAL MEDICINE (24 BEDS) AND AN INPATIENT REHABILITATION (12 BEDS) THAT WAS CLOSED IN MAY 2023. GCRMC SHARES A UNIQUE RELATIONSHIP WITH HOLLOMAN AIR FORCE BASE AS THE FIRST HOSPITAL IN THE UNITED STATES WHERE ACTIVE-DUTY MILITARY PHYSICIANS PRACTICE IN A CIVILIAN HOSPITAL. THIS SPECIAL ARRANGEMENT ALLOWS ONE FACILITY TO MEET THE COMBINED COMMUNITY AND MILITARY NEEDS, WHILE SERVING AS A MODEL FOR THE DEPARTMENT OF DEFENSE IN CONSERVING RESOURCES.THE DELIVERY MECHANISMS OF CARE AT THE HOSPITAL INCLUDE BOTH INPATIENT AND OUTPATIENT SERVICES; ACUTE CARE INPATIENT THROUGH MEDICAL/SURGICAL, TELEMETRY, MATERNAL CHILD AND 10-BED INTENSIVE CARE UNITS; SURGERY DEPARTMENT SUPPORTED BY PRE-ADMIT, OUTPATIENT CARE UNIT AND POST-ANESTHESIA CARE UNIT; OUTPATIENT SURGERY CENTER; PROVIDER-BASED PHYSICIAN PRACTICES IN THE AREAS OF FAMILY PRACTICE, WOMEN'S SERVICES INCLUDING OBSTETRICS, MEDICAL AND RADIATION ONCOLOGY, MEDICAL CARDIOLOGY, GASTROENTEROLOGY AND ENDOCRINOLOGY, INTERNAL MEDICINE, ORTHOPEDICS, GENERAL SURGERY, PAIN MANAGEMENT AND NEUROLOGY; INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES; CARDIAC CATH LAB; INPATIENT REHABILITATION SERVICES, INCLUDING PHYSICAL AND OCCUPATIONAL REHAB SERVICES; INPATIENT AND OUTPATIENT CAP-CERTIFIED LABORATORY SERVICES WITH THE CAPABILITY TO PERFORM OVER 225 DIFFERENT PROFILES AND TESTS IN-HOUSE; INPATIENT AND OUTPATIENT DIAGNOSTIC IMAGING SERVICES, INCLUDING X-RAY, 64-SLICE CT AND PET SCAN, MRI, ULTRASOUND, INTERVENTIONAL RADIOLOGY, RADIOFREQUENCY ABLATION AND NUCLEAR MEDICINE; INPATIENT AND OUTPATIENT COMPREHENSIVE CARDIOPULMONARY SERVICES, INCLUDING BEHAVIOR SLEEP MEDICINE, HOLTER MONITORING, EVENT MONITORING, AND IMPEDANCE CARDIOGRAPHY. BY THE END OF 2023, GCRMC EMPLOYED APPROXIMATELY 1,071 PEOPLE. OF THESE EMPLOYEES THERE ARE APPROXIMATELY 190 ACTIVE MEDICAL STAFF MEMBERS, CONSISTING OF 42 EMPLOYED PROVIDERS AND 34 EMPLOYED NURSE PRACTITIONERS, AND INDEPENDENT PHYSICIANS. IN ADDITION TO THOSE EMPLOYEES, GCRMC CONTRACTS FOR SERVICES IN VARIOUS DEPARTMENTS SUCH AS PHARMACY, ANESTHESIA, WOUND CARE, EMERGENCY DEPARTMENT, AND HOSPITALIST PROVIDERS.GCRMC CONTINUES TO SEEK OPPORTUNITIES TO EXPAND SERVICES AND IMPROVE QUALITY, WITH THE PHILOSOPHY OF NOT LIMITING ITS POTENTIAL BY THE DESIGNATION OF "RURAL HOSPITAL," BUT RATHER IDENTIFYING ITS SCOPE OF SERVICE BASED ON COMMUNITY NEEDS AS A REGIONAL MEDICAL CENTER. CONTINUED PROGRESS AND EXPANSION HAS ENHANCED GCRMC'S COMMITMENT TO STRIVE FOR OUTSTANDING SERVICE AND QUALITY, ACKNOWLEDGING THAT ITS FUTURE IS NOT IN ITS BUILDING OR TECHNOLOGY, BUT RATHER ITS PEOPLE. TO THIS END, WE SUPPORT THE PEOPLE OF OTERO COUNTY AND OUTLYING SERVICE AREAS WITH OUR EXPANDED SERVICES AND OUR FINANCIAL CONTRIBUTIONS. GCRMC HAS, SINCE ITS INCEPTION IN 1949, PROVIDED QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATIONS AND STABILITY OF GCRMC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND, FURTHER, THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH-CARE SERVICES AND HEALTH-CARE EDUCATION. THEREFORE, IN KEEPING WITH GCRMC'S COMMITMENT TO SERVE OUR COMMUNITY, WE PROVIDE: FREE CARE AND/OR SUBSIDIZED CARE - CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST; AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S ABILITY TO PAY COEXIST. MANAGEMENT EXPANDED THE FINANCIAL ASSISTANCE PROGRAM FROM 200% TO 300% OF FPL EFFECTIVE JULY 1, 2015. GCRMC MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. 202970901 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 1 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 180 0 1 1354 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 NM X X BASHAR NASER 5754437848 2669 SCENIC DRIVE ALAMOGORDO NM 883110597 NORM ARNOLD CHAIRMAN 10.00 0.70 X X 24000 0 0 WILLIAM MAYTON SECRETARY 5.00 0.70 X X 0 0 0 ANDREW LANCASTER BOARD MEMBER/PHYSICIAN 40.00 X 305164 0 46499 POLLY HICKMAN BOARD MEMBER/NURSE PRACTITIONER 40.00 X 145762 0 44228 GARY JACKSON BOARD MEMBER 3.00 X 0 0 0 REX WILSON BOARD MEMBER 3.00 X 0 0 0 BOBBY MARTINEZ BOARD MEMBER 3.00 X 0 0 0 KATHY FULLER BOARD MEMBER 3.00 0.70 X 0 0 0 JULIA GRINDER BOARD MEMBER 3.00 X 0 0 0 WILLIAM POLLARD CMO 40.00 X 563508 0 82850 ROBERT JAMES HECKERT CEO 40.00 0.70 X 727217 0 34368 BASHER NASER CFO 40.00 0.40 X 651932 0 48957 ROBERT MIDDLETON VP OF PHYSICIAN CARE/CNO 40.00 X 328312 0 50501 KERRY BOLIN CNO/VP OF QUALITY/PATIENT SAFETY 40.00 0.50 X 229948 0 32505 PETER SEAMAN VP OF FINANCE 40.00 X 266941 0 50639 ALBERT ESPARSEN VP OF PHYSICIAN PRACTICE 40.00 X 227211 0 32448 CHARLES RACE PHYSICIAN 40.00 X 957797 0 68377 FERIAL ABOOD PHYSICIAN 40.00 X 784878 0 46158 KATRINA ROLEN PHYSICIAN 40.00 X 667089 0 24848 ANDREW PIKE PHYSICIAN 40.00 X 779681 0 56623 JAMES DUMONT PHYSICIAN 40.00 X 397411 0 24645 7056851 0 643646 158 0 1 0 QUALIVIS LLC 5930 CORNERSTONE COURT WEST STE 300 SAN DIEGO CA 92121 NURSING AGENCY 12521494 NETHERLANDS ANESTHESIA LLC 1765 E NINE MILE RD SUITE 1-229 PENSACOLA FL 32514 ANESTHESIA PROVIDER SERVICES 4223625 JACK WAYTE CONSTRUCTION CO INC PO BOX 648 ALAMOGORDO NM 88311 CONSTRUCTION 4161183 WESTERN MOUNTAIN HOSPITAL PHYSICIANS PLL 1602 AVENUE Q LUBBOCK TX 794014732 PHYSICIAN SERVICES 2508836 ROBINS & MORTON GROUP 400 SHADES CREEK PARKWAY BIRMINGHAM AL 35209 CONSTRUCTION 2168234 46 2288447 679937 2968384 NET PATIENT SERVICE REVENUE 621110 232865085 232865085 340B PHARMACY REVENUE 456110 6122386 6122386 PHARMACY REVENUE 456110 1800561 1265254 535307 NM DSH ADJUSTMENT 900099 1597642 1597642 CARDIAC CATH LAB LLC 621400 1480518 1480518 2428479 2294019 134460 246294671 4783386 4783386 1017783 990903 26880 26880 -214236 241116 37767363 17359 41032726 3991 -3265363 13368 -3251995 -3251995 250821326 245624904 455531 1772507 X 741583 741583 100862 100862 100684 100684 6581611 1972475 4609136 74372878 52732188 21640690 2038741 1377671 661070 16056395 10850043 5206352 5262558 3556152 1706406 9947862 8669457 1278405 35662963 33737000 1925963 285746 26721 259025 21833 21833 1036865 1036865 52905443 42253696 10651747 256945 3728 253217 3124472 1817175 1307297 1806357 337263 1469094 2862139 781280 2080859 215134 69310 145824 509915 266410 243505 3481378 3481378 14177621 7738616 6439005 5112454 494148 4618306 MEDICAL SUPPLIES/DRUGS 28295487 27798767 496720 TAXES 5940227 5940227 DIETARY SUPPLIES 1964740 1964740 REPAIRS 947556 201992 745564 5777626 5378940 398686 279588075 202970901 76617174 0 31659802 9680210 10556969 8245483 27380785 29841751 6948794 7592734 5801027 5495605 327678930 190928564 135741312 136750366 110552092 104582666 5309429 5719667 733053 729022 14956227 1700808 349639490 310338312 25275816 62874288 60825000 2683456 5283227 88784272 68157515 X 260855218 242180797 260855218 242180797 349639490 310338312 -28766749 10092328 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 21833 0 0 21833 0 PART II-B, LINE 1: THE ORGANIZATION'S CEO ATTENDED A MEETING OF THE AMERICAN HOSPITAL ASSOCIATION/NEW MEXICO HOSPITAL ASSOCIATION, IN WHICH DISCUSSIONS ON LEGISLATION WERE HELD WITH LEGISLATORS. ALSO, THE HOSPITAL IS A MEMBER OF 340B HEALTH ORGANIZATION, WHICH IS A NATIONWIDE LOBBYING ORGANIZATION THAT SUPPORTS THE FEDERAL 340B DRUG PURCHASING PROGRAM. 3580824 3580824 211087103 106526420 104560683 2923687 1822868 1100819 88094908 72053133 16041775 21992408 10526143 11466265 136750366 LEASE LIABILITIES, NET 5283227 5283227 X PART X, LINE 2: THE MEDICAL CENTER IS ORGANIZED AS A NEW MEXICO NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE MEDICAL CENTER IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE MEDICAL CENTER IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE MEDICAL CENTER FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. THE ASV AND GCSP CATH LAB ARE LIMITED LIABILITY COMPANIES FOR WHICH THE INCOME IS TAXED TO THE RESPECTIVE MEMBERS IN THEIR TAX RETURNS. THE MEDICAL CENTER BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE MEDICAL CENTER WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE, IF SUCH INTEREST AND PENALTIES ARE INCURRED. THE MEDICAL CENTER'S FEDERAL FORM 990-T FILINGS ARE NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2018. 0 NORTH AMERICA (CANADA AND MEXICO 0 0 DONATION OF MEDICAL SUPPLIES 100684 0 0 0 0 0 0 100684 0 100684 NORTH AMERICA (CANADA AND MEXICO MEDICAL ASSISTANCE 0 N/A 100684 DONATED MEDICAL SUPPLIES BOOK VALUE 0 1 0 0 0 0 0 0 PART I, LINE 3: ACCRUAL PART III ACCOUNTING METHOD: 1 1 1 X 300.000000000000 1 X 1 1 0 1 1 4887756 35379 4852377 0.01740 60393336 29432737 30960599 0.11070 65281092 29468116 35812976 0.12810 1297668 1297668 0.00460 102410198 20398031 82012167 0.29330 420003 420003 0.00150 104127869 20398031 83729838 0.29940 169408961 49866147 119542814 0.42750 8236 0 8236 0.00000 837499 0 837499 0.00300 5500 0 5500 0.00000 940234 0 940234 0.00340 1791469 1791469 0.00640 0 9702386 291072 41266905 51960876 -10693971 X 1 1 1 ALAMOGORDO SURGERY VENTURES OUTPATIENT SURGERY CENTER 0.50500 0.01000 0.48500 2 ALAMOGORDO IMAGING CENTER OUTPATIENT RADIOLOGY CENTER 0.29790 0.00000 0.70210 3 WHITE SANDS HEALTHCARE SYSTEMS LLC PHYSICIAN HOSPITAL ORGANIZATION 0.50000 0.00000 0.50000 4 ALAMOGORDO HOME HEALTH HOME HEALTH AND HOSPICE COMPANY 0.51000 0.00000 0.00000 1 1 GERALD CHAMPION REGIONAL MEDICAL CENTER 2669 SCENIC DR ALAMOGORDO NM 88311 HTTPS://WWW.GCRMC.ORG 6016 X X X X 34 PROVIDER CLINICS GERALD CHAMPION REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X X 21 1 0 1 1 X HTTPS://WWW.GCRMC.ORG/ X 1 22 1 SEE SUPPLEMENTAL INFORMATION 0 1 X 300.000000000000 300.000000000000 X X X X 1 1 X X X X 1 X HTTP://WWW.GCRMC.ORG X HTTP://WWW.GCRMC.ORG X HTTP://WWW.GCRMC.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 GERALD CHAMPION REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 3J: CHARTS RELATED TO AGE, GENDER, GENERAL LIFESTYLES, HEALTH-CARE METRICS. INFORMATION GAPS THAT LIMIT THE HOSPITAL FACILITY'S ABILITY TO ASSESS THE COMMUNITY'S HEALTH NEEDS. GERALD CHAMPION REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: THE MEDICAL CENTER CONDUCTED FOCUS GROUPS AND INDIVIDUAL INTERVIEWS. THE MEDICAL CENTER SOLICITED INPUT FROM MORE THAN 20 REPRESENTATIVES FROM THE COMMUNITY, INCLUDING EDUCATORS, LOCAL GOVERNMENT OFFICIALS, LOCAL HEALTH OFFICIALS, FINANCIAL ADVISORS, CHAPLAINS, NURSES, AND MILITARY PERSONNEL. GERALD CHAMPION REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: OTERO COUNTY COMMUNITY HEALTH COUNCILPRESBYTERIAN MEDICAL SERVICESALAMOGORDO PUBLIC SCHOOLSCITY OF ALAMOGORDOCOPE OUTREACHCHINS OF ALAMOGORDO GERALD CHAMPION REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: THE HOSPITAL'S WRITTEN IMPLEMENTATION STRATEGY IS INCLUDED IN THE FACILITY'S CHNA DOCUMENT. THIS DOCUMENT WAS REVIEWED BY THE HOSPITAL'S CPA AUDITORS AND BUSINESS ADVISORS. BASED ON THE RESULTS OF THIS REVIEW, MOST SIGNIFICANT NEEDS ARE BEING ADDRESSED IN THE ASSESSMENT. THE NEEDS IDENTIFIED INCLUDE: ACCESS TO AFFORDABLE PRIMARY CARE INSURANCE AND CHARITY CARE, OBESITY, DIABETES, CANCER, BEHAVIORAL HEALTHCARE, HEART DISEASE, AND HEALTH EDUCATION. THE STRATEGY TO ADDRESS THESE ISSUES INCLUDES EXPANDED HOSPITAL RESOURCES, SUCH AS ESTABLISHMENT OF A CARDIAC REHABILITATION PROGRAM, AND COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES TO ADDRESS THE NEEDS. FOR EXAMPLE, GCRMC PROVIDES $420,000 A YEAR IN FINANCIAL SUPPORT TO PRESBYTERIAN MEDICAL SERVICES, WHICH OPERATES FOUR FQHCS IN OTERO COUNTY, TO ASSIST IN RECRUITING QUALIFIED, LICENSED BEHAVIORAL AND OTHER HEALTH PROFESSIONALS. PART V, SECTION B, LINE 10A: HTTPS://WWW.GCRMC.ORG/WP-CONTENT/UPLOADS/2024/03/GERALD-CHAMPION-REGIONAL-MEDICAL-CENTER-CHNA-IMPLEMENTATION-FINAL-REPORT.PDFURL ABOVE IS CASE SENSITIVE. ALTERNATIVELY, REPORT IS FOUND AT HTTPS://WWW.GCRMC.ORG IN THE "ABOUT US" SECTION. PART V, LINE 14: CHARGE CALCULATIONS ARE BASED ON A VARIETY OF FACTORS, INCLUDING THE COST OF SUPPLIES, LABOR AND OVERHEAD NEEDED TO PROVIDE THE SERVICE. OTHER FACTORS INCLUDE THE MEDICARE ALLOWABLE FEE SCHEDULE, AND COMPARISON OF THE ORGANIZATION WITH THE IMMEDIATE COMPETITION'S CHARGE MASTERS. CHARGE PRICES ARE REVIEWED BY THE ORGANIZATION ON AN ANNUAL BASIS. 34 1 - ALAMOGORDO CARDIOLOGY 2559 MEDICAL DR SUITE 2200 ALAMOGORDO NM 88310 CLINIC 2 - ALAMOGORDO PAIN MANAGEMENT 2559 MEDICAL DRIVE SUITE 3300 ALAMOGORDO NM 88310 CLINIC 3 - ALAMOGORDO UROLOGY 2539 MEDICAL DR COMPLEX A SUITE 103 ALAMOGORDO NM 88310 CLINIC 4 - BEHAVIORAL MEDICINE OUTPATIENT 2351 25TH STREET COMPLEX B ALAMOGORDO NM 88310 CLINIC 5 - CHAMPION ALLERGY CLINIC 1101 9TH ST ALAMOGORDO NM 88310 CLINIC 6 - CHAMPION CANCER CENTER 2559 MEDICAL DR SUITE G ALAMOGORDO NM 88310 CLINIC 7 - CHAMPION FAMILY MEDICINE 2539 MEDICAL DR SUITE 110 ALAMOGORDO NM 88310 CLINIC 8 - CHAMPION FAMILY RESIDENCY PROGRAM 2539 MEDICAL DR SUITE 110 ALAMOGORDO NM 88310 CLINIC 9 - CHAMPION INTERNAL MEDICINE 2559 MEDICAL DRIVE SUITE C ALAMOGORDO NM 88310 CLINIC 10 - CHAMPION MEDICAL GROUP 2539 MEDICAL DR STE 110 ALAMOGORDO NM 88310 CLINIC 11 - CHAMPION NEUROLOGY 2539 MEDICAL DR COMPLEX A SUITE 104 ALAMOGORDO NM 88310 CLINIC 12 - CHAMPION NEUROLOGY AND DIAGNOSTICS 2050 SCENIC DR ALAMOGORDO NM 88310 CLINIC 13 - CHAMPION OCCUPATIONAL HEALTH 2559 MEDICAL DRIVE SUITE 3100 ALAMOGORDO NM 88310 CLINIC 14 - CHAMPION ORTHOPAEDICS 2559 MEDICAL DRIVE SUITE 3100 ALAMOGORDO NM 88310 CLINIC 15 - CHAMPION PAIN MANAGEMENT ROSWELL 400 NORTH PENNSYLVANIA AVE ROSWELL NM 88201 CLINIC 16 - CHAMPION URGENT CARE 250 E 1ST STREET ALAMOGORDO NM 88310 URGENT CARE CENTER 17 - DIABETIC EDUCATIONNUTRITION 2559 MEDICAL DR STE B ALAMOGORDO NM 88310 CLINIC 18 - ENDOCRINOLOGY & DIABETES CARE 2579 SCENIC DR SUITE A ALAMOGORDO NM 88310 CLINIC 19 - FRACTURE LIAISON SERVICES (OSTEO) 2559 MEDICAL DRIVE SUITE 3100 ALAMOGORDO NM 88310 CLINIC 20 - GASTROENTEROLOGY OF ALAMOGORDO 2539 MEDICAL DR SUITE 107 ALAMOGORDO NM 88310 CLINIC 21 - GCRMC SURGICAL ASSOCIATES OF ALAMOGORDO 2559 MEDICAL DRIVE SUITE 3200 ALAMOGORDO NM 88310 CLINIC 22 - INTERNAL MEDICINE ASSOCIATES OF ALAMOGORDO 1101 9TH ST ALAMOGORDO NM 88310 CLINIC 23 - JOURNEY TO WELLNESS 1401 TENTH STREET SUITE 1 ALAMOGORDO NM 88310 CLINIC 24 - JOURNEY TO WELLNESS RUIDOSO 101 5TH STREET RUIDOSO NM 88345 CLINIC 25 - NM CENTER FOR CLINICALBEHAVIORAL SLEEP 2474 INDIAN WELLS RD B ALAMOGORDO NM 88310 CLINIC 26 - OTERO COUNTY NEPHROLOGY 2579 N SCENIC DR B ALAMOGORDO NM 88310 CLINIC 27 - PEDIATRICS OF ALAMOGORDO 2559 MEDICAL DR SUITE D ALAMOGORDO NM 88310 CLINIC 28 - PULMONOLOGY 2559 MEDICAL DR SUITE F ALAMOGORDO NM 88310 CLINIC 29 - SOUTHWEST MEDICAL SPA 2559 MEDICAL DR SUITE 2100 ALAMOGORDO NM 88310 CLINIC 30 - WHITE SANDS WOMEN'S HEALTH 2559 MEDICAL DR SUITE 2100 ALAMOGORDO NM 88310 CLINIC 31 - ASV DBA SCENIC VIEW OUTPATIENT SURGERY CEN 2351 25TH STREET ALAMOGORDO NM 88311 OUTPATIENT SURGERY 32 - ALAMOGORDO IMAGING CENTER 2539 MEDICAL DR STE 1010 ALAMOGORDO NM 88310 OUTPATIENT RADIOLOGY 33 - GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC 2669 SCENIC DRIVE ALAMOGORDO NM 88310 CARDIAC CATH LAB 34 - CHAMPION HOME HEALTH CARE LLC 1859 INDIAN WELLS RD ALAMOGORDO NM 88310 HOME HEALTH CARE FACILITY PART I, LINE 3C: THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES WHEN DETERMINING FREE CARE. PATIENTS WHO HAVE HOUSEHOLD INCOME AT OR BELOW 300% OF THE FPG ARE ELIGIBLE TO RECEIVE FREE CARE. THE ORGANIZATION OFFERS AN AUTOMATIC 25% DISCOUNT TO SELF-PAY PATIENTS AND WILL OFFER AN ADDITIONAL 10% DISCOUNT TO SELF-PAY PATIENTS WHO PAY THE BALANCE OF THEIR BILL WITHIN 30 DAYS OF THE BILLING DATE. IN ADDITION, THE FACILITY WILL WORK WITH PATIENTS ON SETTLEMENTS ON A CASE-BY-CASE BASIS BASED ON SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF GCRMC. DETERMINING FAMILY NEED IS ALSO BASED ON AN APPLICATION PROCESS WHICH TAKES INTO ACCOUNT THE PATIENT'S AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT. PART I, LINE 7: THE HOSPITAL'S COSTING METHODOLOGY IS BASED ON COST TO CHARGE RATIOS IN THE MEDICARE COST REPORT. IT CURRENTLY DOES NOT USE A COST ACCOUNTING SYSTEM. PART I, LINE 7G: AMOUNTS REPORTED ARE BASED ON THE MEDICARE COST REPORT FIGURES. LINE 7G INCLUDES $72,577,572 OF COSTS ATTRIBUTABLE TO PHYSICIANS' CLINICS. PART II, LINE 2: THE ORGANIZATION SUPPORTS THE ALAMOGORDO CHAMBER OF COMMERCE AND THE OTERO COUNTY ECONOMIC DEVELOPMENT COUNCIL, WHICH WORK TO FACILITATE THE CREATION AND PROMOTION OF NEW INDUSTRIES, AND ASSIST IN THE RETENTION AND EXPANSION OF EXISTING BUSINESSES IN THE HOSPITAL'S SERVICE AREA. PART II, LINE 3: THE ORGANIZATION OFFERS ECONOMIC SUPPORT TO VARIOUS ORGANIZATIONS THAT: PROVIDE ASSISTANCE TO INDIVIDUALS IN NEED OF BASIC MEDICAL ASSISTANCE, FOR RESEARCH IN HEALTH-RELATED CONDITIONS, AND TO PROMOTE CULTURAL ACTIVITIES AND EVENTS FOR THE BENEFIT OF THE COMMUNITY. PART II, LINE 5: THE ORGANIZATION SUPPORTS THE ALAMOGORDO ROTARY CLUB, WHICH WORKS TO TRAIN AND PROMOTE LEADERS IN THE COMMUNITY. PART II, LINE 8: THE ORGANIZATION RELIES ON WORKFORCE DEVELOPMENT, I.E. RECRUITMENT OF DOCTORS AND OUR FAMILY RESIDENCY PROGRAM TO MEET THE NEED FOR MAINTAINING ADEQUATE MEDICAL STAFF. THE HOSPITAL'S SERVICE AREA FACES A CRITICAL SHORTAGE OF PHYSICIANS. OTERO COUNTY IS DESIGNATED BY THE US CENSUS BUREAU AS A MEDICALLY UNDERSERVED AREA. RECENT DATA SUGGESTS THAT THERE IS A SHORTAGE OF 22 PHYSICIANS (INCLUDING 4 CARDIOLOGY, 3 FAMILY MEDICINE, 2 PEDIATRICS, 2 ORTHOPAEDIC, AND 2 ONCOLOGY) NEEDED TO SERVE THE HEALTHCARE NEEDS OF THE TOTAL SERVICE AREA. THE ORGANIZATION HIRED TWO FAMILY MEDICINE PHYSICIANS IN JULY OF 2023, FROM THE ORGANIZATION'S FAMILY RESIDENCY 2023 GRADUATING CLASS. THERE ARE A NUMBER OF FACTORS THAT HAVE CREATED THIS SHORTAGE. THESE INCLUDE THE AGING POPULATION OF PROVIDERS IN OUR MARKET. THE AVERAGE AGE OF THE ORGANIZATION'S PHYSICIAN STAFF IS NOW OVER 60 YEARS OF AGE. NEW MEXICO HAS THE HIGHEST PERCENTAGE IN THE COUNTRY OF PHYSICIANS APPROACHING RETIREMENT AGE. IN ADDITION, NEW MEXICO'S GEOGRAPHICALLY SPARSE, AGING AND RACIALLY DIVERSE POPULATION PUTS PRESSURE ON ITS HEALTH CARE SYSTEMS. EXCESS MORTALITY FROM ALL CAUSES IN NON-METROPOLITAN AREAS CONTINUES TO RISE. THE ORGANIZATION STRIVES TO INCREASE ACCESS TO COMPREHENSIVE QUALITY HEALTH CARE SERVICES; TO PROMOTE HEALTH, PREVENT AND MANAGE DISEASES, AND REDUCE DISABILITY AND PREMATURE DEATH BY ELIMINATING THE INADEQUATE SUPPLY AND UNEVEN DISTRIBUTION OF PRIMARY CARE AND SPECIALTY PROVIDERS THROUGH CONTINUED WORKFORCE DEVELOPMENT. PART III, LINE 2: DISCOUNTS AND PAYMENTS ARE TAKEN INTO CONSIDERATION WHEN DETERMINING BAD DEBT. PAYMENTS APPLIED TO PATIENT ACCOUNTS OFFSET ACCOUNTS RECEIVABLE AND ARE ELIMINATED FROM THE CALCULATION OF BAD DEBT, WHICH IS DETERMINED BASED ON AGING OF ACCOUNTS RECEIVABLE AFTER PATIENT DISCHARGE.IN CERTAIN CIRCUMSTANCES, GCRMC WILL NEGOTIATE PAYMENT TERMS FOR PATIENTS WHOSE FAMILY INCOME EXCEEDS THE INCOME GUIDELINES OF THE FINANCIAL ASSISTANCE AND UNINSURED POLICY. THIS IS APPLICABLE TO PATIENTS WITH CATASTROPHIC ILLNESSES OR UNUSUAL CIRCUMSTANCES. SUCH DETERMINATIONS ARE MADE BY THE PATIENT FINANCIAL SERVICES DEPARTMENT WORKING WITH GCRMC MANAGEMENT. SEE ALSO THE DISCLOSURE IN THE AUDITED FINANCIAL STATEMENTS REGARDING BAD DEBT.PATIENTS WHOSE FAMILY INCOME IS AT OR BELOW 300% OF THE FPL ARE ELIGIBLE TO RECEIVE FREE CARE. PART III, LINE 3: THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. PATIENT CHARGES FOR SERVICES PROVIDED UNDER THE CHARITY POLICY ARE WRITTEN OFF. THE AMOUNT OF THESE SERVICES PROVIDED IN THE YEAR ENDED JUNE 30, 2023, WERE APPROXIMATELY $8,360,000.MEDICAL CARE IS GIVEN TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY, AND THEREFORE, THIS IS A COMMUNITY BENEFIT. PART III, LINE 4: FROM NOTE 1, PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS:PATIENT RECEIVABLES - PATIENT RECEIVABLES ARE UNCOLLATERALIZED PATIENT AND THIRD-PARTY PAYOR OBLIGATIONS. PAYMENTS OF PATIENT RECEIVABLES ARE ALLOCATED TO THE SPECIFIC CLAIMS IDENTIFIED IN THE REMITTANCE ADVICE OR, IF UNSPECIFIED, ARE APPLIED TO THE EARLIEST UNPAID CLAIM. PART III, LINE 8: MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. PART III, LINE 9B GCRMC HAS IMPLEMENTED A NUMBER OF DIFFERENT POLICY AND PROCEDURE STATEMENTS TO GOVERN THE DETAILS OF HOW ITS COLLECTION PRACTICES ARE IMPLEMENTED AND HOW DISCOUNTING AND COLLECTION POLICIES APPLY TO VARIOUS CLASSES OF PATIENTS. IN GENERAL, ALL PATIENT ACCOUNT GUARANTORS WHO REQUEST FINANCIAL ASSISTANCE OR A PAYMENT PLAN ARE ASKED TO PROVIDE DETAILED INFORMATION REGARDING THEIR INCOME AND ASSETS.FOR PATIENTS WHO QUALIFY FOR CHARITY, GCRMC WILL NOT IMPOSE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES, WILL NOT SEND UNPAID BILLS TO COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. PART VI, LINE 2: IN 2021, MANAGEMENT AT GCRMC ENLISTED THE SERVICES OF QUORUM HEALTH RESOURCES TO DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT AND TO PROVIDE INFORMATION FROM SECONDARY DATA SOURCES TO ASSIST IN IDENTIFYING NEEDS THAT EXIST IN THE COMMUNITY. THIS INCLUDES DATA FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION TO EXAMINE TRENDS FOR STROKE, DIABETES, HEART DISEASE AND CANCER. IT ALSO INCLUDES DATA THAT IDENTIFY SHORTAGES IN HEALTH-CARE PROFESSIONALS BY LOCATION. THE HEALTH NEEDS IDENTIFIED AS SIGNIFICANT IN THIS ASSESSMENT INCLUDED CANCER, ACCESS TO PRIMARY CARE, DIABETES, OBESITY, AND BEHAVIORAL HEALTH. THE CONCLUSIONS REACHED IN THIS ASSESSMENT WERE IMPLEMENTED IN 2022. PART VI, LINE 3: THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY - GERALD CHAMPION REGIONAL MEDICAL CENTER (GCRMC) WILL PROVIDE UNDERSTANDABLE, WRITTEN GUIDELINES TO STAFF AND PATIENTS RELATIVE TO HOW THE HOSPITAL EVALUATES AND DETERMINES: 1) A PATIENT'S ELIGIBILITY FOR CHARITY CARE; 2) AN UNINSURED PATIENT'S ELIGIBILITY FOR DISCOUNTS; AND 3) A PATIENT'S ELIGIBILITY FOR ALTERNATE PAYMENT PLANS. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE EMERGENCY ROOM AND THROUGHOUT THE ENTIRE HOSPITAL. THE PATIENTS ARE ALSO INFORMED THROUGH DIRECT COMMUNICATION WITH FINANCIAL COUNSELORS, AND THESE POLICIES ARE EXPLAINED IN DETAIL TO GUARANTORS WHO ADVISE GCRMC THAT THEY ARE UNABLE TO PAY THEIR ACCOUNT OR NEED HELP IN STRUCTURING AN AFFORDABLE PAYMENT PLAN FOR THEIR ACCOUNT.THE HOSPITAL PROVIDES SERVICES TO ANYONE IN NEED OF MEDICAL CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR SUCH SERVICES. CHARITY CARE AND DISCOUNTS FOR THE UNINSURED WILL BE AVAILABLE FOR MEDICALLY NECESSARY HOSPITAL CARE PROVIDED TO PERSONS WHO MEET THE FINANCIAL AND DOCUMENTATION CRITERIA DEFINED IN THIS POLICY. DETERMINATIONS HEREUNDER WILL BE BASED SOLELY ON THE PATIENT'S ABILITY TO PAY AND WILL NOT BE MADE ON THE BASIS OF AGE, SEX, RACE, CREED, DISABILITY, SEXUAL ORIENTATION OR NATIONAL ORIGIN.GCRMC PROVIDES FINANCIAL ASSISTANCE TO PATIENTS BASED ON THEIR INCOME, ASSETS, AND NEEDS. THROUGH OUR FINANCIAL COUNSELING SERVICES, WE ASSIST PATIENTS WITH MEDICAID ELIGIBILITY OR LOW-COST HEALTH INSURANCE THROUGH THE EXCHANGE (BE WELL NEW MEXICO), OR WORK WITH PATIENTS TO ARRANGE A MANAGEABLE PAYMENT PLAN.UNINSURED PATIENTS ARE ELIGIBLE FOR A 25% DISCOUNT. A 25% DISCOUNT IS APPLIED TO THE TOTAL CHARGES OF A SELF-PAY PATIENT AT THE TIME OF SERVICE OR THE FIRST BILLING. NOTICE WILL BE SENT AT THE TIME OF THE FIRST BILLING INFORMING THE PATIENT/GUARANTOR THAT AN ADDITIONAL 10% WILL BE DEDUCTED IF THE ACCOUNT IS PAID WITHIN 30 DAYS OF THE DATE OF SERVICE. PART VI, LINE 4: OTERO COUNTY HOSPITAL ASSOCIATION D/B/A GERALD CHAMPION REGIONAL MEDICAL CENTER ("GCRMC") ACTIVITIES ARE CONDUCTED ON ITS 66-ACRE CAMPUS LOCATED IN ALAMOGORDO, NEW MEXICO. ALAMOGORDO IS APPROXIMATELY 89 MILES NORTH OF EL PASO, TEXAS, AND 209 MILES SOUTHEAST OF ALBUQUERQUE, NEW MEXICO. GCRMC OWNS AND OPERATES A 98-BED CARE HOSPITAL (THE "HOSPITAL") ON THE CAMPUS. IN ADDITION TO THE MAIN CAMPUS, THE HOSPITAL HAS SATELLITE LOCATIONS INCLUDING CLINICS AND PHYSICIAN OFFICES THROUGHOUT THE CITY. THE COMBINED OPERATING SPACE OF THE MAIN CAMPUS AND THESE ADDITIONAL OFFICES TOTALS APPROXIMATELY 432,000 SQUARE FEET. OTHER FACILITIES THAT THE HOSPITAL OWNS LOCATED ON THE MAIN CAMPUS INCLUDE TWO MEDICAL OFFICE BUILDINGS, COMPLEX A AND B THAT HAVE AN OUTPATIENT SURGERY CENTER AND AN IMAGING CENTER OWNED AND OPERATED BY LIMITED LIABILITY COMPANIES IN WHICH GCRMC HAS AN INTEREST. GCRMC ALSO OWNS SIX FACILITIES LOCATED OFF THE MAIN CAMPUS THAT ARE EITHER LEASED TO INDEPENDENT PRIMARY CARE/SPECIALTY CARE PROVIDERS OR OCCUPIED BY EMPLOYED PHYSICIANS. GCRMC'S PRIMARY SERVICE AREA IS NORTHWESTERN OTERO COUNTY FROM WHICH 84% OF ITS ADMISSIONS ORIGINATE. GCRMC IS THE SOLE COMMUNITY PROVIDER IN ITS PRIMARY SERVICE AREA WITH THE NEAREST TERTIARY CARE HOSPITAL LOCATED APPROXIMATELY 70 MILES FROM THE HOSPITAL. THE DELIVERY MECHANISMS OF CARE AT THE HOSPITAL INCLUDE BOTH INPATIENT AND OUTPATIENT SERVICES: 24-HOUR STAFFED LEVEL III TRAUMA EMERGENCY DEPARTMENT; ACUTE CARE INPATIENT THROUGH MEDICAL/SURGICAL, INTENSIVE CARE, PROGRESSIVE CARE UNIT, TELEMETRY, MATERNAL CHILD, BEHAVIORAL MEDICINE, AND INPATIENT REHABILITATION; SURGERY DEPARTMENT SUPPORTED BY PRE-ADMIT, OUTPATIENT CARE UNIT AND POST-ANESTHESIA CARE UNIT; HOSPITAL-OWNED PHYSICIAN PRACTICES IN THE AREAS OF FAMILY PRACTICE, WOMEN'S SERVICES INCLUDING OBSTETRICS, ORTHOPEDICS, NEPHROLOGY, INTERNAL MEDICINE, OUTPATIENT BEHAVIORAL MEDICINE, PEDIATRICS, GASTROENTEROLOGY, ENDOCRINOLOGY, PAIN MANAGEMENT AND NEUROLOGY; PATHOLOGIST; CAP CERTIFIED LABORATORY SERVICES WITH THE CAPABILITY TO PERFORM OVER 225 DIFFERENT PROFILES AND TESTS IN-HOUSE; INPATIENT AND OUTPATIENT DIAGNOSTIC IMAGING SERVICES, INCLUDING X-RAY, 64-SLICE/CT AND PET/CT WITH 20 SLICE CT SCAN, MRI, ULTRASOUND, FLUOROSCOPY, INTERVENTIONAL RADIOLOGY, RADIOFREQUENCY ABLATION AND NUCLEAR MEDICINE; INPATIENT AND OUTPATIENT COMPREHENSIVE CARDIOPULMONARY SERVICES INCLUDING BEHAVIOR SLEEP MEDICINE, HOLTER MONITORING, EVENT MONITORING AND IMPEDANCE CARDIOGRAPHY. THE HOSPITAL CLOSED THE 12-BED IRF UNIT IN MAY OF THE CURRENT YEAR AND REALLOCATED THE BED COUNT. THE HOSPITAL CONVERTED THE 12 IRF BEDS TO JOINT ORTHO TRAUMA BEDS; REDUCED MCU FROM 12 BEDS TO 8; REDUCED BEHAVIORAL HEALTH FROM 36 BEDS TO 24; INCREASED MEDICAL/SURGICAL FROM 30 BEDS TO 35; AND ADDED 11 PROGRESSIVE CARE UNITS. GCRMC AND THE HOLLOMAN AIR FORCE BASE (HAFB) 49TH MEDICAL GROUP, A GROUP OF MILITARY PROVIDERS AND SUPPORT STAFF FROM THE HAFB, HAVE ENJOYED A CLOSE WORKING RELATIONSHIP, AND HAVE HAD SHARED COVERAGE ARRANGEMENTS. SUCH ARRANGEMENTS INCLUDED LABORATORY AND X-RAY SERVICES IN A DISASTER, OBSTETRICAL COVERAGE, AND COVERAGE FOR THE HAFB 49TH MEDICAL GROUP WHEN THEY WERE DEPLOYED FOR DESERT STORM IN 1991. FOLLOWING DESERT STORM AND THE RETURN OF THE HAFB 49TH MEDICAL GROUP, THE DEPARTMENT OF DEFENSE MADE THE DECISION TO LEAVE ALL THE OBSTETRICAL SERVICES WITH GCRMC AND THE LOCAL OBSTETRICIANS. AS OF 2017, HOLLOMAN SUPPORTS ABOUT 21,000 ACTIVE DUTY, GUARD, RESERVE, RETIREES, DEPARTMENT OF DEFENSE CIVILIANS AND THEIR FAMILY MEMBERS. GCRMC'S PRIMARY SERVICE AREA (THE "PSA") IS IN NORTHWESTERN OTERO COUNTY, FROM WHICH MOST OF GCRMC'S ADMISSIONS ORIGINATE. LOCATED IN SOUTHEASTERN NEW MEXICO, OTERO COUNTY ENCOMPASSES 6,627 SQUARE MILES AND INCLUDES THE CITIES OF ALAMOGORDO AND TULAROSA. ACCORDING TO THE U.S. CENSUS BUREAU, THE POPULATION OF OTERO COUNTY IN 2020 WAS 68,853. THE HOSPITAL IS THE ONLY ACUTE CARE HOSPITAL WITHIN THE PSA AND IS A SOLE COMMUNITY PROVIDER. MANAGEMENT OF GCRMC ESTIMATES THAT THE MARKET SHARE OF ADMISSIONS TO TEXAS HOSPITALS IS 22.9%, TO LAS CRUCES, NM, HOSPITALS IS 9.4%, AND TO ALBUQUERQUE HOSPITALS IS 3.9%. THE HOSPITAL CAPTURES 61% OF THE INPATIENT MARKET SHARE WITHIN THE PSA. THE SECONDARY SERVICE AREA COVERS A SUBSTANTIAL PORTION OF THE REMAINDER OF OTERO COUNTY, AS WELL AS THE SOUTH CENTRAL PORTION OF LINCOLN COUNTY. THE SECONDARY SERVICE AREA INCLUDES RUIDOSO, THE POPULATION OF WHICH WAS 8,377 IN 2021. THE TERTIARY SERVICE AREA COVERS A SMALL PORTION OF OTERO COUNTY AND CHAVES COUNTY. THERE ARE NO OTHER MAJOR MEDICAL CENTERS WITHIN OTERO COUNTY. PART VI, LINE 5: THE BUSINESS AND AFFAIRS OF GCRMC ARE SUBJECT TO THE OVERALL GOVERNANCE AND DIRECTION OF ITS BOARD OF DIRECTORS. THE BOARD OF DIRECTORS CONSISTED OF 9 MEMBERS AS OF JUNE 30, 2023. EACH MEMBER IS APPOINTED BY THE BOARD OF DIRECTORS AND SERVES A THREE-YEAR TERM IN A SELF-PERPETUATING BOARD. THE BOARD OF DIRECTORS FILLS VACANCIES THAT MAY OCCUR. OFFICERS OF THE BOARD OF DIRECTORS INCLUDE A CHAIRMAN, VICE CHAIRMAN, AND SECRETARY/TREASURER. MOST OF THE BOARD OF DIRECTORS ARE BUSINESS PEOPLE OF THE PRIMARY SERVICE AREA, WITH NO OTHER CONNECTION. ONE CURRENT BOARD MEMBER IS A PHYSICIAN AT THE MEDICAL CENTER; ANOTHER CURRENT BOARD MEMBER IS A NURSE PRACTITIONER AT THE MEDICAL CENTER.GCRMC'S MEDICAL STAFF IS ORGANIZED INTO DIVISIONS OF MEDICINE, MEDICAL SUBSPECIALTIES, SURGERY AND OUTPATIENT SERVICES. IN ADDITION TO SPECIALIZED MEDICAL/SURGICAL SERVICES PROVIDED BY BOTH EMPLOYED AND CONTRACTED PHYSICIANS AND MEDICAL GROUPS, GCRMC ALSO OFFERS EMERGENCY MEDICAL SERVICES, INCLUDING A HELICOPTER SERVICE WHICH IS NOT OWNED BY GCRMC BUT IS ON-SITE 24 HOURS A DAY. GCRMC EMPLOYS AROUND-THE-CLOCK HOSPITALISTS (I.E., PHYSICIANS WHO DEVOTE THEIR PROFESSIONAL TIME TO THE CARE OF HOSPITALIZED PATIENTS). THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. A PORTION OF RETAINED EARNINGS ARE RE-INVESTED INTO THE PURCHASE OF CAPITAL EQUIPMENT, ELECTRONIC MEDICAL RECORD SOFTWARE, CONTINUING EDUCATION FOR CLINICAL STAFF INCLUDING PHYSICIANS, AND A PROFESSIONALLY MANAGED DIVERSIFIED PORTFOLIO OF MARKETABLE SECURITIES. GCRMC VIEWS THE POSITION OF SOLE PROVIDER AS A SIGNIFICANT COMMITMENT TO THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY. IN ADDITION TO ITS FOCUS ON PROVIDING QUALITY HEALTHCARE, THE ORGANIZATION STRIVES TO FACILITATE AND SHARE OPPORTUNITIES TO EDUCATE AND MOTIVATE A PHILOSOPHY OF WELLNESS IN THE COMMUNITY. THE PRIMARY TARGET IS THE DISEASE PROCESS THAT WE KNOW CAN BE ELIMINATED OR IMPROVED BY CHANGING OR MODIFYING HUMAN BEHAVIOR. AS WITH ANY COMMUNITY, THE POPULATION HAS A VARIETY OF EDUCATIONAL BACKGROUNDS. THE GOAL IS TO DEVELOP PROGRAMS THAT TARGET THE NEEDS AND UNDERSTANDING OF THE COMMUNITY. PHYSICIANS/PROVIDERS ARE UTILIZED TO PROVIDE OPEN FORUMS THAT PRESENT HEALTH-RELATED ISSUES, I.E. ARTHRITIS, NEPHROLOGY, NEUROLOGY, ORTHOPEDIC ISSUES, ETC., FOLLOWED BY QUESTIONS AND TIME FOR INDIVIDUAL DISCUSSION. THIS TYPE OF PROGRAM IS OFFERED WITH A FREE LUNCH, EDUCATIONAL MATERIALS, AND IF APPROPRIATE, FREE SCREENINGS, SUCH AS GLUCOSE OR BLOOD PRESSURE. THERE IS AN AVERAGE OF 90 PARTICIPANTS IN EACH OF THESE SEMINARS. THE ORGANIZATION IS VERY COMMUNITY-MINDED IN ITS EFFORTS TO PROMOTE HEALTH. STAFF PARTICIPATES IN HEALTH FAIRS IN THE PUBLIC SCHOOLS, AND HOSTS AN ANNUAL FREE SPORTS PHYSICAL CLINIC FOR SCHOOL-AGE CHILDREN. AT GCRMC, WE FEEL IT IS IMPORTANT TO EMBRACE COMMUNITY NEEDS THAT PROMOTE GOOD CITIZENSHIP. AS AN ORGANIZATION WE SUPPORT EMPLOYEE INVOLVEMENT IN OUTSIDE ACTIVITIES THROUGH CONTRIBUTIONS, DEDICATED TIME AND SPONSORSHIP. ADMINISTRATION AND STAFF MEMBERS SERVE ON COMMUNITY BOARDS, DEDICATING MANY HOURS OF SUPPORT TO THOSE ORGANIZATIONS. THE FOLLOWING CLASSES ARE PROVIDED FOR THE COMMUNITY IN OUR CONFERENCE ROOM CENTER: DIABETIC EDUCATION, NARCOTICS ANONYMOUS, CHILDBIRTH CLASSES, NEW BABY CLASS AND CPR/BASIC LIFE SUPPORT TO NAME A FEW. GCRMC HAS BEEN A TOP SUPPORTER OF THE THRIVE, WHICH PROVIDES MONEY FOR MANY OF THE LOCAL COMMUNITY ORGANIZATIONS. AN ANNUAL HEALTH FAIR IS HELD AT THE HOSPITAL EACH YEAR. WE AUGMENT THE ANNUAL HEALTH FAIR WITH ONSITE MINI HEALTH SCREENINGS THROUGHOUT THE YEAR. THIS IS OFFERED TO BUSINESSES, CIVIC ORGANIZATIONS AND CHURCHES WITH MINIMAL TO NO CHARGE. WE OFFER FREE BLOOD PRESSURE SCREENINGS ON A WALK-IN BASIS WITH EDUCATIONAL MATERIALS IN BOTH SPANISH AND ENGLISH. THIS ALLOWS US TO ADDRESS THE HIGH RATE OF HYPERTENSION IN OUR COMMUNITY, ITS SIGNIFICANT EFFECT ON OTHER DISEASES, AND AN OVERALL WELLNESS PICTURE. GCRMC PARTNERS WITH THE AMERICAN CANCER SOCIETY TO OFFER THE LOOK GOOD FEEL GOOD PROGRAM AND THE GIFT CLOSET. THE PROGRAM IS HOUSED OFF CAMPUS IN A LEASED BUILDING AND HAS BROUGHT A HIGHLY VALUED SERVICE TO OUR COMMUNITY. THE GIFT CLOSET PROVIDES FREE WIGS, PROSTHESES, SUPPLIES, EDUCATION AND SUPPORT TO CANCER PATIENTS AND THEIR FAMILIES. THE OPPORTUNITY TO UTILIZE OUR SPEAKER'S BUREAU IS AVAILABLE TO ANY ORGANIZATION IN THE COMMUNITY. A PRESENTATION REGARDING HEALTH-RELATED TOPICS CAN BE PREPARED WITH LIMITED NOTICE TO MEET THE NEEDS OF THE ORGANIZATION. THE WEALTH OF KNOWLEDGE IN OUR ORGANIZATION ALLOWS US TO CREATE AN APPROPRIATE FIT FOR THE REQUESTED NEED. PART VI, LINE 7, REPORTS FILED WITH STATES NM 1 ALAMOGORDO CHAMBER OF COMMERCE 1301 NWHITE SANDS ALAMOGORDO NM 88310 850109297 501(C)(6) 8236 0 SPONSORSHIP LEADERSHIP OTERO CLASS, ANNUAL BANQUET SPONSOR. AMERICAN CANCER SOCIETY 2120 FIRST AVE ALAMOGORDO NM 88310 841316555 501(C)(3) 12000 0 PUBLIC HEALTH, BUILDING RENT. FLICKINGER CENTER 1110 N NEW YORK AVE ALAMOGORDO NM 88310 850326369 501(C)(3) 17475 0 SPONSORSHIP ON BANNERS AND SHIRTS. GERALD CHAMPION REGIONAL MEDICAL CENTER FOUNDATION INC 2669 SCENIC DRIVE ALAMOGORDO NM 88310 850352051 501(C)(3) 15000 0 COMMUNITY BENEFIT LOVE INC 1106 OHIO AVE ALAMOGORDO NM 88310 262343200 501(C)(3) 5649 0 COMMUNITY BENEFIT NM NURSING EXCELLENCE 500 MARQUETTE AVE NW SUITE 280 ALBUQUERQUE NM 87102 850463326 501(C)(3) 6300 0 COMMUNITY BENEFIT NM STATE UNIVERSITY FOUNDATION INC PO BOX 3590 LAS CRUCES NM 88003 850170157 501(C)(3) 18000 0 COMMUNITY BENEFIT OTERO COUNTY BOYS & GIRLS CLUB BASKETBALL 201 DALE SCOTT AVE ALAMOGORDO NM 88310 850201122 501(C)(3) 12900 0 COMMUNITY BENEFIT OTERO COUNTY FAIR ASSOCIATION 401 FAIRGROUNDS ROADS ALAMOGORDO NM 88310 856011829 501(C)(3) 115039 0 COMMUNITY BENEFIT PMS ALAMOGORDO 1501 TENTH STREET ALAMOGORDO NM 88310 850206810 501(C)(3) 120000 0 PUBLIC HEALTH PMS CHAPARRAL NM CLINIC 204 ANGELINA CHAPARRAL NM 88081 850206810 501(C)(3) 200003 0 PUBLIC HEALTH PMS SACRAMENTO MOUNTAIN CENTER PO BOX 686 CLOUDCROFT NM 88317 850206810 501(C)(3) 100000 0 PUBLIC HEALTH THRIVE PO BOX 14 ALAMOGORDO NM 88311 850197559 501(C)(3) 81874 0 CAMPAIGN HOSPITAL MATCH FOR COMMUNITY BENEFIT 12 1 COPAY FORGIVENESS 282 7353 DAY OF CARING - BOXED LUNCHES 225 2239 TRANSPORTATION ASSISTANCE 4143 83617 HOTEL 9 3024 MEN OF HONOR-FOOD DONATION 35 640 SHARED TABLE 290 3989 PART I, LINE 2: THE ORGANIZATION GAVE GRANTS TO GOVERNMENT AND OTHER TAX-EXEMPT ORGANIZATIONS. PRIOR TO GRANTING FURTHER FUNDS AND AT A MINIMUM YEARLY, GCRMC REVIEWS GRANTS TO OTHER ORGANIZATIONS WITH THE GRANTEES. X X X 0 1 0 0 0 1 1 1 0 CHARLES RACE PHYSICIAN 558978 0 21000 0 377819 0 29185 0 39192 0 1026174 0 0 0 ANDREW PIKE PHYSICIAN 505642 0 1000 0 273039 0 11266 0 45357 0 836304 0 0 0 FERIAL ABOOD PHYSICIAN 360985 0 342658 0 81235 0 30047 0 16111 0 831036 0 0 0 ROBERT JAMES HECKERT CEO 398672 0 261716 0 66829 0 31618 0 2750 0 761585 0 0 0 BASHER NASER CFO 316379 0 294636 0 40917 0 9765 0 39192 0 700889 0 0 0 KATRINA ROLEN PHYSICIAN 460431 0 136436 0 70222 0 12205 0 12643 0 691937 0 0 0 WILLIAM POLLARD CMO 341614 0 104287 0 117607 0 36293 0 46557 0 646358 0 0 0 JAMES DUMONT PHYSICIAN 293054 0 5500 0 98857 0 12002 0 12643 0 422056 0 0 0 ROBERT MIDDLETON VP OF PHYSICIAN CARE/CNO 244945 0 49800 0 33567 0 8459 0 42042 0 378813 0 0 0 ANDREW LANCASTER BOARD MEMBER/PHYSICIAN 257137 0 31083 0 16944 0 7307 0 39192 0 351663 0 0 0 PETER SEAMAN VP OF FINANCE 176625 0 49800 0 40516 0 22504 0 28135 0 317580 0 0 0 KERRY BOLIN CNO/VP OF QUALITY/PATIENT SAFETY 175007 0 34900 0 20041 0 7220 0 25285 0 262453 0 0 0 ALBERT ESPARSEN VP OF PHYSICIAN PRACTICE 168924 0 34800 0 23487 0 7163 0 25285 0 259659 0 0 0 POLLY HICKMAN BOARD MEMBER/NURSE PRACTITIONER 122098 0 7650 0 16014 0 5036 0 39192 0 189990 0 0 0 PART I, LINE 4B THE HOSPITAL'S ONLY 457(F) PLAN WAS TERMINATED IN MAY 2023 AND THE FUNDS WERE SUBSEQUENTLY PAID OT ITS ONLY PARTICIPANT - ROBERT JAMES HECKERT - BEFORE JUNE 30, 2023. PART I, LINE 6 THE ORGANIZATION'S OFFICERS LISTED IN PART VII, SECTION A, ARE EVALUATED ANNUALLY BASED ON A SET OF EVIDENCE-BASED GOALS THAT DETERMINE THEIR ELIGIBILITY FOR ADDITIONAL COMPENSATION. THE SELECT GOALS ARE WEIGHTED IN A HIERARCHY OF CORE AND JOB-SPECIFIC COMPETENCIES, WHICH INCLUDE QUALITY OF CARE, FINANCIAL PERFORMANCE, AND PATIENT PERCEPTION OF CARE MEASURE. ONE OF THE CRITERIA DESIGNED TO ENHANCE ALIGNMENT OF THE ORGANIZATION'S GOAL FOR CONTINUED FINANCIAL STABILITY IS IMPROVEMENT OF NET EARNINGS OF BOTH THE HOSPITAL AND ITS RELATED ORGANIZATIONS. PART I, LINE 7 BONUSES WERE AWARDED FOR ALL EMPLOYEES FOR MEETING ORGANIZATIONAL GOALS AND WERE APPROVED BY THE BOARD. FORM 990, PART VI, SECTION A, LINE 1A THE JOINT FINANCE AND EXECUTIVE COMMITTEE IS CHAIRED BY THE VICE CHAIRMAN OF THE BOARD OF DIRECTORS. IN THE ABSENCE OF THE VICE CHAIRMAN, THE CHAIRMAN OF THE BOARD OR SECRETARY OF THE BOARD SHALL CHAIR THE COMMITTEE IN THAT ORDER. THE COMPOSITION OF THE JOINT FINANCE AND EXECUTIVE COMMITTEE SHALL BE DETERMINED BY THE BOARD OF DIRECTORS AT THE ANNUAL MEETING. THE POWERS AND RESPONSIBILITIES OF THE COMMITTEE SHALL INCLUDE: SCREEN BOARD BUSINESS AND MAKE RECOMMENDATIONS FOR APPROVAL IN ORDER TO ENABLE THE FULL BOARD TO EFFECTIVELY UTILIZE ITS DISCUSSION TIME; EXERCISE EMERGENCY POWERS IN EXTRAORDINARY CIRCUMSTANCES AND MAKE DECISIONS OTHERWISE RESERVED TO THE BOARD OF DIRECTORS WHEN THE BOARD IS NOT IN SESSION; EXERCISE THE POWER AND AUTHORITY TO TRANSACT CORPORATION BUSINESS THAT REQUIRES IMMEDIATE ACTION; SERVE AS THE AUDIT COMMITTEE FOR THE CORPORATION; SERVE AS THE ETHICS COMMITTEE FOR THE CORPORATION AND BE PRIMARILY RESPONSIBLE FOR IMPLEMENTING THE CONFLICTS OF INTEREST POLICY OF THE CORPORATION; REVIEW AND MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS CONCERNING THE PERFORMANCE, COMPETENCE AND TERMS OF EMPLOYMENT OF THE CHIEF EXECUTIVE OFFICER; AND ACT IN SUCH OTHER SITUATIONS AND CAPACITIES AS THE BOARD OF DIRECTORS MAY DESIGNATE OR SPECIFY. FORM 990, PART VI, SECTION A, LINE 3 COMPLETERX MANAGES THE PHARMACY DEPARTMENT AT GERALD CHAMPION REGIONAL MEDICAL CENTER. X-RAY ASSOCIATES OF NEW MEXICO MANAGES THE MEDICAL CENTER'S OUTPATIENT IMAGING CENTER, OF WHICH THE HOSPITAL OWNS 29.8%. ALAMOGORDO SURGERY VENTURES, LLC, MANAGES THE MEDICAL CENTER'S OUTPATIENT SURGERY CENTER, OF WHICH THE HOSPITAL OWNS 50.5%. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS REVIEWED BY THE CEO AND CFO PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE FORMS ARE INITIALLY REVIEWED BY THE CFO. IF ANY CONFLICTS EXIST, THEY ARE REVIEWED BY THE BOARD OF DIRECTORS. A PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS. FORM 990, PART VI, SECTION B, LINE 15 THE CEO AND CFO REPORT TO THE GCRMC BOARD OF DIRECTORS, AND THEIR COMPENSATION PACKAGE IS DETERMINED BY THE BOARD. THE BOARD USES AN INDEPENDENT THIRD-PARTY CONSULTANT, THE COKER GROUP, TO EVALUATE THE COMPENSATION. THE BOARD OBTAINED COMPARATIVE SALARY DATA FROM THE COKER GROUP TO ASSESS THE FMV OF COMPENSATION. COMPENSATION WAS LAST DETERMINED IN 2023. A FULL COMPENSATION REVIEW OF ALL OFFICERS WAS PROVIDED BY THE COKER GROUP AT THAT TIME. GCRMC USES THE MGMA DATA THAT IS PUBLISHED ANNUALLY TO DETERMINE PHYSICIAN SALARIES, WITH BONUS POTENTIAL LINKED TO THEIR PRODUCTIVITY LEVEL AND QUALITY SCORES. THE SALARIES OF ALL NEWLY HIRED PHYSICIANS ARE APPROVED BY THE BOARD OF DIRECTORS. IN ADDITION, ANY MODIFICATION TO EMPLOYED PHYSICIAN SALARY IS APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 11,517,100. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,517,100. AGENCY PERSONNEL: PROGRAM SERVICE EXPENSES 16,746,970. MANAGEMENT AND GENERAL EXPENSES 465,021. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,211,991. GC-SP CATH LAB CLINICAL SERVICE FEES: PROGRAM SERVICE EXPENSES 8,832,112. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,832,112. CONSULTANTS: PROGRAM SERVICE EXPENSES 1,504,690. MANAGEMENT AND GENERAL EXPENSES 519,767. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,024,457. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 1,812,436. MANAGEMENT AND GENERAL EXPENSES 3,004,305. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,816,741. 340(B) PROCESSING FEES: PROGRAM SERVICE EXPENSES 1,634,865. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,634,865. DUE DILIGENCE COSTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,027,950. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,027,950. CONTRACT DEPARTMENT FEES: PROGRAM SERVICE EXPENSES 205,523. MANAGEMENT AND GENERAL EXPENSES 634,704. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 840,227. GERALD CHAMPION REGIONAL MEDICAL CENTER FOUNDATION 2669 SCENIC DRIVE ALAMOGORDO NM 88310 850352051 TO DIRECTLY SUPPORT THE MISSION OF THE OTERO COUNTY HOSPITAL ASSOCIATION NM 501(C)(3) LINE 12A, I OTERO COUNTY HOSPITAL ASSOCIATION 1 ALAMOGORDO SURGERY VENTURES LLC 2351 25TH STREET ALAMOGORDO NM 88310 061791828 OUTPATIENT SURGERY CENTER NM GERALD CHAMPION REGIONAL MEDICAL CENTER RELATED 665811 1296677 0 1 0.50500 GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB 2669 SCENIC DRIVE ALAMOGORDO NM 88310 611753921 CARDIAC CATH LAB NM GERALD CHAMPION REGIONAL MEDICAL CENTER RELATED 1623432 4785903 0 1 0.51000 WHITE SANDS HEALTH CARE SYSTEMS LP 3310 N WHITE SANDS BLVD ALAMOGORDO NM 88310 850438529 PROVIDER NETWORK NM N/A RELATED 5860 231683 0 1 0.50000 CHAMPION HOME HEALTH CARE LLC 2669 SCENIC DRIVE ALAMOGORDO NM 88310 850860214 HOME HEALTH CARE NM GERALD CHAMPION REGIONAL MEDICAL CENTER RELATED 4331 90106 0 1 0.51000 1 1 0 0 0 1 0 0 0 1 0 0 1 1 1 1 1 0 0 GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB LLC A 203196 FAIR MARKET VALUE GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB LLC F 1458600 FAIR MARKET VALUE GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB LLC M 8832112 FAIR MARKET VALUE ALAMOGORDO SURGERY VENTURES M 6021080 FAIR MARKET VALUE ALAMOGORDO SURGERY VENTURES F 558075 FAIR MARKET VALUE