San Juan Regional Medical Center

“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.”

“In FY24, SJRMC revised its bylaws regarding board composition, voting privileges, and restricted long-term investments: - The Chief of the Medical Staff and the Vice Chief of the Medical Staff hold non-voting positions. - The immediate past Chair serves as an advisory, non-voting Director for successive one-year terms if their term as a Director expires at the same time as their term as Chair. - Notwithstanding anything herein to the contrary, an eighty percent (80%) supermajority vote of the Board is required to determine whether extraordinary circumstances exist such that the corpus of such restricted long-term investments may be accessed to fund Corporation activities.”

“Process to review the form 990: 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.”

“Process for monitoring compliance with 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.”

“Describe process for determining compensation: 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 officer's compensation with other healthcare organizations to remain competitive. The process was last completed in 2024 by towers watson. The process is documented in the board minutes when presented to the individuals.”

“Governing 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.”

“- Total Revenue: 0, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;”

“CONSULTING - Total Expense: 25555929, Program Service Expense: 22750078, Management and General Expenses: 2805851, Fundraising Expenses: ; contract medical professionals - Total Expense: 33020186, Program Service Expense: 29394814, Management and General Expenses: 3625372, Fundraising Expenses: ; Directorship Fees - Total Expense: 4000, Program Service Expense: 3561, Management and General Expenses: 439, Fundraising Expenses: ; contract physician - Total Expense: 22500, Program Service Expense: 20030, Management and General Expenses: 2470, Fundraising Expenses: ; Transcription Services - Total Expense: 121078, Program Service Expense: 107785, Management and General Expenses: 13293, Fundraising Expenses: ; Billing & Collection Fees - Total Expense: 1509902, Program Service Expense: 1344126, Management and General Expenses: 165776, Fundraising Expenses: ;”

“Net income recognized from grantor trust statement - 1534570;”

“Volunteers: sjrmc has a total of 78 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.”