San Juan Regional Medical Center

What it reported doing in 2024

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.

Financial Efficiency

• Mission deployment rate: 77%; rating input score 77
• Program expense ratio: 92.4%; rating input score 92
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: 99.9%; rating input score 100; 47th percentile among comparable filings
• Major donor itemization: Limited
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 91.7%; rating input score 92; 40th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 18%; rating input score 86; 86th percentile among comparable filings
• Total-asset coverage ratio: 1.51; rating input score 53; 53rd percentile among comparable filings
• Liabilities to assets ratio: 0.25; rating input score 61; 61st percentile among comparable filings
• Officer compensation ratio: 2.4%; rating input score 48; 48th percentile among comparable filings

Growth

• Program expense growth: 3.8% per year; rating input score 100; 29th percentile among comparable filings
• Revenue growth: 3.8% per year; rating input score 100; 30th percentile among comparable filings
• Asset growth: 3.9% per year; rating input score 100; 27th percentile among comparable filings