Tuba City Regional Health Care Corporation

Nonprofit profile at a glance

EIN
043651340
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
Tuba City, AZ, USA
Phone
9282832501
Rating
72
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Ambulatory Health Center, Community Clinic

Official website

Reported finances

Revenue
$320,597,895
Expenses
$272,472,411
Assets
$707,193,915
Liabilities
$347,951,231

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

40 people listed

Executive titles in this filing

  • FRANKLIN FOWLER (TCRHCC BOARD PRESIDENT)
  • DOLLY LANE (TCRHCC BOARD VICE PRESIDENT)
  • JOETTE WALTERS (CHIEF EXECUTIVE OFFICER)

Highest reported compensation

  • MICHAEL BAGLEY (ORTHOPEDIC SURGEON): $885,890 total reported compensation
  • KONSTANTINE ZINIS (CHIEF OF ORTHOPEDICS): $773,335 total reported compensation
  • RALPH KELLEY (CHIEF OF SURGERY): $674,609 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To provide accessible, quality, and culturally sensitive health care to the residents of the western navajo reservation.

What it reported doing in 2024

Provide quality comprehensive healthcare through the operation of a 73 bed licensed acute care hospital and related clinics. The hospital and clinics provide inpatient, outpatient and emergency care services, public health nursing, school health, dental, radiology, cardiopulmonary, laboratory, pharmacy, ophthalmology health services, obstetrics/gynecology, oral surgery, eye surgery, urological procedures, environmental health, telemedicine services and public education to residents in and around tuba city, Arizona. The hospital had a total combined 846,696 inpatient and outpatient visits.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and reported officer compensation is a large share of total spending, which may reflect staffing concentration.

Rating breakdown

  • Financial Efficiency: 55
  • Transparency & Controls: 74
  • Accountability: 100
  • Sustainability: 66
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 58.9%; rating input score 59
  • Program expense ratio: 68.2%; rating input score 68
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 2 of 6 controls in place; rating input score 33
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 77th 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: 15%; rating input score 82; 82nd percentile among comparable filings
  • Total-asset coverage ratio: 2.6; rating input score 71; 71st percentile among comparable filings
  • Liabilities to assets ratio: 0.49; rating input score 37; 37th percentile among comparable filings
  • Officer compensation ratio: 4.3%; rating input score 22; 22nd percentile among comparable filings

Growth

  • Program expense growth: 2.6% per year; rating input score 100; 19th percentile among comparable filings
  • Revenue growth: 5.9% per year; rating input score 100; 52nd percentile among comparable filings
  • Asset growth: 16.9% per year; rating input score 100; 89th percentile among comparable filings

Details

  • Where the money goes: 58.9% of revenue deployed · 68.2% of spending went to programs
  • Governance: 10 of 10 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $185.7M in reported program spending
  • Leadership: top reported pay $886K · 40 people listed · 2 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $1.1M reported
  • Consistency: 30 of 30 current checks pass
  • Schedules: 7 filed schedules · includes major donors and executive pay
  • Filing history: 15 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 40 filed money-flow records
  • Related organizations: 1 filed related-organization link
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Financial Efficiency: Mission deployment rate scored 59/100.
  • High — Sustainability: Officer compensation ratio scored 22/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 37/100.