2026-05-08T13:22:04+00:00 2025-06-30 440160260 FORVIS MAZARS LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2024-07-01 850127924 SAN JUAN REGIONAL MEDICAL CENTER SANJ 5056096114 801 WEST MAPLE STREET FARMINGTON NM 87401 JASON ROUNDS CEO 5056096114 2026-05-08 true true Brandon Schulze P02051564 7194714290 2026-05-08 2024 2025-03-06 01:10:19Z JASON ROUNDS 801 WEST MAPLE STREET FARMINGTON NM 87401 701532745 false X WWW.SANJUANREGIONAL.COM X 1953 NM BETTER IS OUR MISSION, IMPROVING LIVES THROUGH PERSONALIZED HEALTH AND CARE 12 11 2492 97 0 0 155623 1311545 371511361 486073687 6989881 14404273 2500118 2824667 381156983 504614172 508787 509237 0 193328471 216499647 0 0 183173201 196694851 377010459 413703735 4146524 90910437 514237124 625880701 152830274 159229216 361406850 466651485 BETTER IS OUR MISSION, IMPROVING LIVES THROUGH PERSONALIZED HEALTH AND CARE false false 382079657 509237 486030356 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. 382079657 true false false true false false false false false false true false false false true false false true false false true false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true X 522 0 2492 true false true CJ false false false false false false false false false false X 12 11 false false false false true true true true true false false false true true true true true true true true false false NM X JASON ROUNDS 5056096114 801 WEST MAPLE STREET FARMINGTON NM 87401 ANNA BUFFINGTON VICE CHAIR 6.0 0.0 X X 0 0 0 HYLA CALCOTE SECRETARY 6.0 1.0 X X 0 0 0 SARA KAYNOR CHAIRPERSON 6.0 0.0 X X 0 0 0 SHAA REEVES IMMEDIATE PAST CHAIRPERSON 6.0 0.0 X X 0 0 0 DAVID DEVITRE CHIEF OF STAFF 6.0 0.0 X 607176 0 48219 DEBORAH JOSLIN DIRECTOR 6.0 0.0 X 0 0 0 ESTHER GREYEYES DIRECTOR 6.0 0.0 X 0 0 0 JAMES BOYD MD VICE CHIEF OF STAFF 6.0 0.0 X 0 0 0 JON MOORE DIRECTOR 6.0 0.0 X 0 0 0 JOSEPH POPE DIRECTOR 6.0 0.0 X 0 0 0 LESLIE THOMPSON DIRECTOR 6.0 0.0 X 0 0 0 LINDA BENSON AUXILIARY REPRESENTATIVE 6.0 0.0 X 0 0 0 JASON ROUNDS CEO 38.0 2.0 X 639549 0 51705 JOHN MAYER CFO 38.0 2.0 X 429176 0 38529 ANNE ELEY CHIEF LEGAL OFFICER 40.0 1.0 X 347951 0 42713 KAMMIE MONARCH CHIEF NURSING OFFICER 40.0 0.0 X 297960 0 23440 NEIL TEATSORTH CHIEF HUMAN RESOURCES OFFICER 40.0 0.0 X 225445 0 12743 ROBERT UNDERWOOD CHIEF MEDICAL OFFICER 40.0 0.0 X 461169 0 38463 RUTH BROOKS ACCREDITATION AND PROF SERVICE 40.0 0.0 X 382531 0 16643 CHRISTOPHER PAYNE PHYSICIAN 40.0 0.0 X 941498 0 33559 DOMINIC CANNELLA PHYSICIAN 40.0 0.0 X 944344 0 23992 FARAZ SANDHU PHYSICIAN 40.0 0.0 X 1690690 0 45243 JONATHAN JONES PHYSICIAN 40.0 0.0 X 863076 0 54485 PAUL DAVIS PHYSICIAN 40.0 0.0 X 946915 0 33495 MELANIA YEATS PHYSICIAN 40.0 0.0 X 524283 0 35436 9301763 0 498665 358 true true false CERNER CORP PO BOX 959156 ST LOUIS MO 631959156 INFO TECHNOLOGY 12165676 HEALTHTRUST WORKFORCE SOLUTIONS LLC PO BOX 742697 ATLANTA GA 303742697 LOCUMS 12031185 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 LOCUMS 5892607 AIR METHODS CORP PO BOX 172892 DENVER CO 802172892 MED TRANSPORTATION 5669238 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 303845547 LOCUMS 3072818 30 1274809 36736 1311545 NET PATIENT SERVICE REVENUE 621110 369175558 369175558 HDAA REVENUE 621110 117045058 117045058 EQUITY IN SJR HOLDING 900099 -4019873 -4019873 OTHER PROGRAM SERVICE REVENUE 621110 3133544 3133544 340B REVENUE 621110 622836 622836 116564 0 0 116564 486073687 8564875 8564875 45422 45422 0 45422 45422 202751314 6657 196918573 5832741 6657 5839398 5839398 CHILDREN'S DISCOVERY PLACE 624400 1407703 1407703 CAFETERIA 900099 1028364 1028364 OTHER REVENUE 722514 343178 73233 269945 0 0 0 0 2779245 504614172 486030356 0 17272271 X 509237 509237 4242967 4242967 569700 569700 175586628 172645801 2940827 3453608 3428368 25240 21740173 21241247 498926 10906571 10542478 364093 3541856 2534240 1007616 184005 184005 71141 71141 1677429 1321412 356017 64429035 56520031 7909004 0 668601 37045 631556 13657480 8686570 4970910 22153325 19632708 2520617 3888171 3713054 175117 697857 669456 28401 1246790 1143659 103131 1460027 1238255 221772 11582725 10317268 1265457 11627097 11138639 488458 MEDICAL SUPPLIES 47712567 44694863 3017704 HDAA FEES 8795565 8795565 EQUIPMENT RENTAL & MAINTENANCE 1812563 1803549 9014 RENTS & LEASES 1488617 1466212 22405 0 0 0 0 413703735 382079657 31624078 0 9500016 31366568 67487940 106584455 0 0 0 0 1148568 1079892 8038692 9069607 5812110 8593368 426573327 302488685 128865856 124084642 261896792 312541535 3785725 8701513 0 27701425 23859121 514237124 625880701 61270105 61788358 32107324 29596603 0 0 9993224 18949020 49459621 48895235 152830274 159229216 X 361406850 466651485 361406850 466651485 514237124 625880701 X 90910437 15048702 104832 -819336 X false true true false X false false false false false false true 71141 false false 71141 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 12774329 12774329 193522811 122340535 71182276 89427 89427 0 191324228 165358281 25965947 28862532 14700442 14162090 124084642 Federal Income Taxes MALPRACTICE LIABILITY 36995000 OPERATING LEASE LIABILITY 8039477 DUE TO MEDICARE/MEDICAID 3537792 FINANCING INTEREST PAYABLE 218078 BOND INTEREST PAYABLE 104888 48895235 518809461 15048702 -853413 14195289 504614172 0 0 504614172 413802948 99213 99213 413703735 0 0 413703735 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 Central America and the Caribbean 0 0 Investments 10663596 0 0 0 0 0 0 10663596 0 10663596 true false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Cash true true X true X true X 431254 431254 0.00104 116854159 220154006 0 0.0 7368360 6688231 680129 0.00164 0 0 124653773 226842237 1111383 0.00269 1800 882248 882248 0.00213 231 534549 534549 0.00129 0 0.0 0 0.0 64470 64470 0.00016 0 2031 1481267 0 1481267 0.00358 0 2031 126135040 226842237 2592650 0.00627 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 14544458 3417948 68446862 64891218 3555644 X true true 1 1 SAN JUAN REGIONAL MEDICAL CENTER 801 WEST MAPLE STREET FARMINGTON NM 87401 WWW.SANJUANREGIONAL.COM 6291 X X 1 1 1 false false true X X X X X X X X X 23 true false false true X HTTPS://WWW.SANJUANREGIONAL.COM/COMMUNITY-ASSESSMENT X true 23 true HTTPS://WWW.SANJUANREGIONAL.COM/COMMUNITY-ASSESSMENT false true X 200.0 400.0 X X X X X true true X X X true X HTTPS://WWW.SANJUANREGIONAL.COM/PATIENTS/FINANCIAL-ASSISTANCE X HTTPS://WWW.SANJUANREGIONAL.COM/PATIENTS/FINANCIAL-ASSISTANCE X HTTPS://WWW.SANJUANREGIONAL.COM/PATIENTS/FINANCIAL-ASSISTANCE X X X X X X true X false X X X X true X false false 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. 27 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 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 true SEXUAL ASSAULT SERVICES 622 W MAPLE STE H FARMINGTON NM 87401 203187125 501(C)(3) 64020 PROGRAM SUPPORT OF SEXUAL ASSAULT PRESBYTERIAN MEDICAL SERVICES SOBERING HOUSE 1615 OJO COURT FARMINGTON NM 87401 850206810 501(C)(3) 444767 PROGRAM SUPPORT 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds 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. X X X X false true false false false false false true false DAVID DEVITRE CHIEF OF STAFF 568665 0 37269 0 1242 0 15090 0 33129 0 655395 0 0 0 JASON ROUNDS CEO 576275 0 60952 0 2322 0 15324 0 36381 0 691254 0 0 0 JOHN MAYER CFO 346954 0 59268 0 22954 0 13970 0 24559 0 467705 0 21712 0 ROBERT UNDERWOOD CHIEF MEDICAL OFFICER 373387 0 59370 0 28412 0 14329 0 24134 0 499632 0 24848 0 RUTH BROOKS ACCREDITATION AND PROF SERVICE 290257 0 50840 0 41434 0 3042 0 13601 0 399174 0 36936 0 ANNE ELEY CHIEF LEGAL OFFICER 283324 0 50132 0 14495 0 5784 0 36929 0 390664 0 13685 0 KAMMIE MONARCH CHIEF NURSING OFFICER 255275 0 39243 0 3442 0 10343 0 13097 0 321400 0 0 0 NEIL TEATSORTH CHIEF HUMAN RESOURCES OFFICER 167389 0 56000 0 2056 0 0 0 12743 0 238188 0 0 0 MELANIA YEATS PHYSICIAN 496218 0 25743 0 2322 0 10000 0 25436 0 559719 0 0 0 FARAZ SANDHU PHYSICIAN 914878 0 775002 0 810 0 12096 0 33147 0 1735933 0 0 0 PAUL DAVIS PHYSICIAN 848167 0 94557 0 4191 0 12232 0 21263 0 980410 0 0 0 DOMINIC CANNELLA PHYSICIAN 842724 0 97429 0 4191 0 0 0 23992 0 968336 0 0 0 CHRISTOPHER PAYNE PHYSICIAN 843497 0 97515 0 486 0 9607 0 23952 0 975057 0 0 0 JONATHAN JONES PHYSICIAN 582363 0 279471 0 1242 0 15575 0 38910 0 917561 0 0 0 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 A NEW MEXICO HOSPITAL EQUIPMENT LOAN COUNCIL 840426875 647370JW6 2020-09-24 41882678 HOSPITAL SYSTEM REFUNDING AND IMPROVEMENTS false false false A 11974527 41882678 41882678 2023 true false false true A false false false false false false 0 0 0.0 false false 0 false true A false false true false false false 0 false false false 0 false false true A true 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; 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 4684283 PNE HOLDINGS LLC SAN JUAN HOLDING CLINIC LLC 801 WEST MAPLE STREET FARMINGTON NM 87401 920319862 HOLDING COMPANY NM 0 0 SJRMC SAN JUAN HEALTH PARTNERS INC 801 WEST MAPLE STREET FARMINGTON NM 87401 272367549 HEALTHCARE NM 501(c)(3) 3 SJRMC 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 true SJR HOLDING COMPANY INC 801 W MAPLE STREET FARMINGTON NM 87401 201126483 SUPPORT SVCS NM SJRMC C Corporation 1263795 2958787 1.0000 true FOUR CORNERS CAPTIVE INSURANCE LTD 64 SHEDDEN ROAD PO BOX 31325 SMB GRAND CAYMAN CJ KY11206 INSURANCE CJ SJRMC C Corporation 0 1 true false false false false false false false false false false false true false true true false false true false FOUR CORNERS CAPTIVE INSURANCE LTD R 10663596 CASH