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Nonprofiteer
← SAN JUAN REGIONAL REHABILITATION HOSPITAL INC

Form 990 for tax year 2022

Filed by SAN JUAN REGIONAL REHABILITATION HOSPITAL INC.

Totals

Total revenue
$84,109
Total expenses
$89,495
Contributions and grants received
$84,109
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$1,112,022
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$1,112,022
Program services expenses (Part IX)
$89,495
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$89,495

Program services were 100.0% 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.

  • 1f · All other contributions, gifts and grants

    $84,109

  • 1g · Noncash contributions included above

    $84,109

  • 3 · Investment income

    total $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $0

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $89,495 · program services $89,495

  • 23 · Insurance

    total $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

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

    $3,433,625

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

    $2,321,603

  • 10c · Land, buildings and equipment, net

    beginning of year $1,117,408 · end of year $1,112,022

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $0

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $1,117,408 · end of year $1,112,022

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

PROVIDE ACUTE AND CHRONIC REHABILITATION TO PATIENTS IN THE FOUR CORNERS AREA AS THE ONLY ACUTE REHABILITATION HOSPITAL.

  • SAN JUAN REGIONAL REHABILITATION HOSPITAL STOPPED OPERATIONS AS OF 7/1/2020 AND MERGED OPERATIONS WITH SAN JUAN REGIONAL MEDICAL CENTER. ALL PROGRAM ACCOMPLISHMENTS AND ACTIVTY IS REPORTED ON SAN JAUN REGIONAL MEDICAL CENTER, EIN 85-0127924, FORM 990.

    Expenses $89,495

As filed on the 2022 return.

Listed in Part VII

  • Daniel Mannas

    DIRECTOR

    Total calculated
    $975,350
    From this org
    $0
    From related orgs
    $927,679
    Other
    $47,671
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $733,477 related
    Bonus
    $0 + $193,716 related
    Other
    $0 + $486 related
    Deferred
    $0 + $10,187 related
    Nontaxable benefits
    $0 + $37,484 related
    Filer's total
    $0 + $975,350 related

  • Jeff Bourgeois

    CEO

    Total calculated
    $839,447
    From this org
    $0
    From related orgs
    $758,828
    Other
    $80,619
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $642,310 related
    Bonus
    $0
    Other
    $0 + $116,518 related
    Deferred
    $0 + $43,782 related
    Nontaxable benefits
    $0 + $36,837 related
    Filer's total
    $0 + $839,447 related

  • John Mayer

    CFO

    Total calculated
    $661,936
    From this org
    $0
    From related orgs
    $588,949
    Other
    $72,987
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $441,260 related
    Bonus
    $0 + $146,447 related
    Other
    $0 + $1,242 related
    Deferred
    $0 + $45,146 related
    Nontaxable benefits
    $0 + $27,841 related
    Filer's total
    $0 + $661,936 related

  • Bradley Scoggins MD

    DIRECTOR

    Total calculated
    $534,304
    From this org
    $0
    From related orgs
    $490,249
    Other
    $44,055
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $458,547 related
    Bonus
    $0 + $31,702 related
    Other
    $0
    Deferred
    $0 + $11,102 related
    Nontaxable benefits
    $0 + $32,953 related
    Filer's total
    $0 + $534,304 related

  • Anne Eley

    Chief Legal Officer

    Total calculated
    $391,413
    From this org
    $0
    From related orgs
    $349,906
    Other
    $41,507
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $349,366 related
    Bonus
    $0
    Other
    $0 + $540 related
    Deferred
    $0 + $7,432 related
    Nontaxable benefits
    $0 + $34,075 related
    Filer's total
    $0 + $391,413 related

  • Sherry Galloway

    Immediate Past President

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • Samuel Gonzales

    Chairman of the Board

    Total calculated
    $0
    Hours/week
    1

  • John Byrom

    Secretary

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • James Spence MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • Hyla Calcote

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • Jon Moore

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Shana Reeves

    Director

    Total calculated
    $0
    Hours/week
    1

  • Anna Buffington

    Director

    Total calculated
    $0
    Hours/week
    1

  • Rick Quevedo

    Director

    Total calculated
    $0
    Hours/week
    1

  • Danny Beyhan

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

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 committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 3
ESTABLISHING COMPENSATION OF THE CEO: COMPENSATION FOR THE CEO IS PAID THROUGH SAN JUAN REGIONAL MEDICAL CENTER, A RELATED ORGANIZATION. PLEASE SEE SCHEDULE O, LINE 15A NARRATIVE ON HOW COMPENSATION IS DETERMINED.
SCHEDULE J, PART I, LINE 4B
Supplemental nonqualified 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 2021 contributions to the 457(F) plan are included in schedule J, Part II, column (C) as deferred compensation: Jeff Bourgeois $31,281 John Mayer $34,436
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 2022. JEFF BOURGEOIS - $115,559

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.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • SJR HOLDING COMPANY INC

    C-CORP · SUPPORT SVCS · NM

    Directly controlled by SJRMC

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202401309349304625

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