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Nonprofiteer
← CIBOLA GENERAL HOSPITAL CORPORATION

Form 990 for tax year 2022

Filed by CIBOLA GENERAL HOSPITAL CORPORATION.

Totals

Total revenue
$47,456,085
Total expenses
$50,334,189
Contributions and grants received
$263,772
Grants paid
$0
Program service revenue
$46,726,955
Investment income
$129,509
Other revenue
$335,849
Total assets, end of year
$39,614,068
Total liabilities, end of year
$8,646,466
Net assets or fund balances, end of year
$30,967,602
Program services expenses (Part IX)
$36,610,588
Management and general expenses
$13,723,601
Fundraising expenses
$0
Program service expenses (Part III)
$36,610,588

Program services were 72.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $188,772

  • 1f · All other contributions, gifts and grants

    $75,000

  • 2a · Program service revenue: ACUTE CARE HOSPITAL SERVICES

    total $42,245,077 · related or exempt $42,245,077

  • 2b · Program service revenue: PATIENT SAFETY NET CARE POOL

    total $2,741,215 · related or exempt $2,741,215

  • 2c · Program service revenue: CIBOLA COUNTY MILL LEVY SUBSIDY

    total $1,541,947 · related or exempt $1,541,947

  • 2d · Program service revenue: OTHER PROGRAM REVENUE

    total $198,716 · related or exempt $198,716

  • 3 · Investment income

    total $129,509 · excluded $129,509

  • 11a · Other revenue: OTHER INCOME

    total $201,269 · related or exempt $201,269

  • 11b · Other revenue: FOOD SERVICE INCOME

    total $134,580 · related or exempt $134,580

  • 11e · Other revenue, total

    $335,849

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $798,198 · program services $184,503 · management and general $613,695

  • 7 · Other salaries and wages

    total $22,073,581 · program services $16,555,186 · management and general $5,518,395

  • 8 · Pension plan contributions

    total $659,873 · program services $494,905 · management and general $164,968

  • 9 · Other employee benefits

    total $2,166,615 · program services $1,624,961 · management and general $541,654

  • 10 · Payroll taxes

    total $1,770,040 · program services $1,327,530 · management and general $442,510

  • 11a · Fees: management

    total $59,040 · program services $27,749 · management and general $31,291

  • 11b · Fees: legal

    total $299,487 · management and general $299,487

  • 11c · Fees: accounting

    total $38,790 · management and general $38,790

  • 11g · Fees: other

    total $4,656,493 · program services $4,656,493

  • 12 · Advertising and promotion

    total $56,391 · program services $56,391

  • 13 · Office expenses

    total $3,351,757 · program services $2,513,818 · management and general $837,939

  • 16 · Occupancy

    total $603,269 · program services $301,635 · management and general $301,634

  • 18 · Travel or entertainment for public officials

    total $7,869 · program services $7,869

  • 22 · Depreciation, depletion and amortization

    total $1,462,827 · program services $1,097,120 · management and general $365,707

  • 23 · Insurance

    total $1,218,608 · program services $913,956 · management and general $304,652

  • 24a · Other expenses: PURCHASED SERVICES

    total $7,040,937 · program services $3,309,240 · management and general $3,731,697

  • 24b · Other expenses: MEDICAL, RX & FOOD SUPP

    total $4,053,509 · program services $3,526,553 · management and general $526,956

  • 24c · Other expenses: MISCELLANEOUS EXP

    total $16,905 · program services $12,679 · management and general $4,226

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $9,136,657 · end of year $6,171,851

  • 2 · Savings and temporary cash investments

    end of year $7,342,974

  • 4 · Accounts receivable

    beginning of year $8,939,683 · end of year $9,872,226

  • 8 · Inventories for sale or use

    beginning of year $1,079,129 · end of year $1,207,723

  • 9 · Prepaid expenses and deferred charges

    beginning of year $517,462 · end of year $578,796

  • 10a · Land, buildings and equipment: cost or other basis

    $26,693,351

  • 10b · Land, buildings and equipment: accumulated depreciation

    $12,252,853

  • 10c · Land, buildings and equipment, net

    beginning of year $12,098,385 · end of year $14,440,498

  • 13 · Investments: program-related

    beginning of year $9,810,404

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,001,082 · end of year $4,226,580

  • 25 · Other liabilities

    beginning of year $4,734,932 · end of year $4,419,886

  • 27 · Net assets without donor restrictions

    beginning of year $33,845,706 · end of year $30,967,602

Mission and programs · 2022

Mission

TO PROVIDE EXCELLENT HEALTH CARE TO THE COMMUNITY BY COMMITTING TO SERVICE, QUALITY, FINANCIAL STABILITY, AND GROWTH. THE ORGANIZATION STRIVES TO PROVIDE PATIENTS AND FAMILIES WITH QUALITY SERVICE BY IMPLEMENTING NATIONAL BEST PRACTICES AS STANDARDS. IT ALSO MAINTAINS FINANCIAL STABILITY TO ENSURE ITS CONTINUANCE AND GROWTH SO THAT HEALTH CARE IS ACCESIBLE THROUGH THE HOSPITAL AND ITS PHYSICIAN PARTNERSHIPS.

Activities or mission (Part I)

TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY WITHOUT REGARD TO ABILITY TO PAY BY UTILIZING STATE OF THE ART PRACTICES AND EQUIPMENT TO PROVIDE QUALITY CARE.

  • THE ORGANIZATION PROVIDES PATIENT CARE TO THE RESIDENTS OF GRANTS, NEW MEXICO AND OUTLYING COMMUNITIES WITHOUT REGARD TO ABILITY TO PAY. THERE ARE APPOXIMATELY 27,000 RESIDENTS IN THE CIBOLA COUNTY, NM COMMUNITY. CIBOLA COUNTY HOSPITAL UTILIZES STATE OF THE ART EQUIPMENT AND THE HIGHEST HEALTH CARE STANDARDS TO PROVIDE QUALITY HEALTH CARE. DURING THE FISCAL YEAR, THE ORGANIZATION HAD ABOUT 1,104 INPATIENT ADMISSIONS SERVED IN ITS 25-BED FACILITY. THE HOSPITAL ALSO HAD ABOUT 23,647 OUTPATIENT VISITS, 14,858 EMERGENCY ROOM VISITS, AND ABOUT 30,660 CLINIC VISITS. THE ORGANIZATION'S STAFF WORK HARD TO MEET PATIENT NEEDS AND THEY FEEL EVERY PATIENT ENCOUNTER IS AN ACCOMPLISHMENT.

    Expenses $36,610,588 · Revenue $47,062,804

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Eileen Yarborough

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • Kendra Brown

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • Dr Stacey Dimitt

    CHIEF OF MEDICAL STAFF/MEM

    Total calculated
    $369,006
    From this org
    $351,487
    From related orgs
    $0
    Other
    $17,519
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $351,487
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $17,519
    Filer's total
    $369,006

  • Robert Windhorst

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Ron Ortiz

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Kevin Branum

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Joan Gilmore

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Stephanie Rivard

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Harry Sheshki

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Thomas Whelan

    CEO

    Total calculated
    $236,454
    From this org
    $215,388
    From related orgs
    $0
    Other
    $21,066
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $215,388
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $21,066
    Filer's total
    $236,454

  • Jim Hermes

    CFO

    Total calculated
    $192,738
    From this org
    $182,785
    From related orgs
    $0
    Other
    $9,953
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $182,785
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $9,953
    Filer's total
    $192,738

  • Abdul Ahmed

    PHYSICIAN

    Total calculated
    $393,115
    From this org
    $376,115
    From related orgs
    $0
    Other
    $17,000
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $376,115
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $17,000
    Filer's total
    $393,115

  • Snow Marika Petersen

    PHYSICIAN

    Total calculated
    $441,408
    From this org
    $421,908
    From related orgs
    $0
    Other
    $19,500
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $421,908
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $19,500
    Filer's total
    $441,408

  • Amanda Young

    PHYSICIAN

    Total calculated
    $432,556
    From this org
    $410,480
    From related orgs
    $0
    Other
    $22,076
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $410,480
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $22,076
    Filer's total
    $432,556

  • Alfredo Nevarez

    PHYSICIAN

    Total calculated
    $464,088
    From this org
    $442,012
    From related orgs
    $0
    Other
    $22,076
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $442,012
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $22,076
    Filer's total
    $464,088

  • Analisa Villarreal

    PHYSICIAN

    Total calculated
    $364,575
    From this org
    $346,668
    From related orgs
    $0
    Other
    $17,907
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $346,668
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $17,907
    Filer's total
    $364,575

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202401359349300835

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