Civic Intelligence

Hidalgo Medical Services

990 • Fiscal year 2016 • EIN 85-0292834

Jul 01, 2015 to Jun 30, 2016 • Filed on Feb 09, 2017

530 E Demoss StreetLordsburg, NM 88045

(575) 542-8384

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

41st percentile

0.15x

Higher debt load relative to assets than 41% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Liabilities / Revenue

35th percentile

0.13x

Higher debt load relative to revenue than 35% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Net Margin

59th percentile

4.8%

Higher net margin than 59% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Top Officer Pay

76th percentile

$279,593

Higher top officer pay than 76% of similar nonprofits.

Top officer pay equals 1.4% of source-year revenue.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Asset Growth

37th percentile

-0.7%

Faster asset growth than 37% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Revenue Growth

63rd percentile

7.6%

Faster revenue growth than 63% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Assets

Down

$17,212,918

Down $126,014 (-0.7%) from 2015

Net Assets

Up

$14,604,557

Up $1,740,133 (+14%) from 2015

Liabilities

Down

$2,608,361

Down $1,866,147 (-42%) from 2015

Revenue

Up

$19,556,511

Up $1,382,865 (+7.6%) from 2015

Expenses

Up

$18,611,297

Up $1,921,734 (+12%) from 2015

Net Income

Down

$945,214

Down $538,869 (-36%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0Assets 2010: $3,856,102Liabilities 2010: $2,307,609Net Assets 2010: $1,548,4932010Assets 2011: $4,260,401Liabilities 2011: $2,294,029Net Assets 2011: $1,966,3722011Assets 2012: $11,344,524Liabilities 2012: $3,473,234Net Assets 2012: $7,871,2902012Assets 2013: $15,940,108Liabilities 2013: $3,126,760Net Assets 2013: $12,813,3482013Assets 2014: $14,938,481Liabilities 2014: $2,820,218Net Assets 2014: $12,118,2632014Assets 2015: $17,338,932Liabilities 2015: $4,474,508Net Assets 2015: $12,864,4242015Assets 2016: $17,212,918Liabilities 2016: $2,608,361Net Assets 2016: $14,604,5572016Assets 2017: $16,598,317Liabilities 2017: $2,791,246Net Assets 2017: $13,807,0712017Assets 2018: $15,850,443Liabilities 2018: $2,309,446Net Assets 2018: $13,540,9972018Assets 2019: $15,819,222Liabilities 2019: $3,356,926Net Assets 2019: $12,462,2962019Assets 2020: $19,502,189Liabilities 2020: $4,927,609Net Assets 2020: $14,574,5802020Assets 2021: $20,981,248Liabilities 2021: $2,593,045Net Assets 2021: $18,388,2032021Assets 2022: $24,918,182Liabilities 2022: $2,540,572Net Assets 2022: $22,377,6102022Assets 2023: $29,418,872Liabilities 2023: $3,175,256Net Assets 2023: $26,243,6162023Assets 2024: $28,564,401Liabilities 2024: $2,651,181Net Assets 2024: $25,913,2202024

Highlighted filing

2016

Assets$17,212,918
Liabilities$2,608,361
Net Assets$14,604,557

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $13,604,2682010Expenses 2011: $13,435,1062011Expenses 2012: $13,519,7002012Expenses 2013: $17,346,3982013Revenue 2014: $17,908,431Expenses 2014: $18,436,172Net Income 2014: -$527,7412014Revenue 2015: $18,173,646Expenses 2015: $16,689,563Net Income 2015: $1,484,0832015Revenue 2016: $19,556,511Expenses 2016: $18,611,297Net Income 2016: $945,2142016Revenue 2017: $19,042,742Expenses 2017: $19,840,228Net Income 2017: -$797,4862017Revenue 2018: $20,076,175Expenses 2018: $20,342,249Net Income 2018: -$266,0742018Revenue 2019: $20,510,871Expenses 2019: $21,589,572Net Income 2019: -$1,078,7012019Revenue 2020: $24,404,502Expenses 2020: $22,292,218Net Income 2020: $2,112,2842020Revenue 2021: $25,127,858Expenses 2021: $21,314,235Net Income 2021: $3,813,6232021Revenue 2022: $25,217,740Expenses 2022: $21,228,333Net Income 2022: $3,989,4072022Revenue 2023: $27,100,277Expenses 2023: $23,234,271Net Income 2023: $3,866,0062023Revenue 2024: $22,489,651Expenses 2024: $22,820,047Net Income 2024: -$330,3962024

Highlighted filing

2016

Revenue$19,556,511
Expenses$18,611,297
Net Income$945,214
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
Feb 9, 2017
Return Version
2015v3.0
Gross Receipts
$19,647,903
Mission and Program Overview

Mission

Hidalgo medical services positively impacts the health, well-being and quality of life for those we serve providing comprehensive, integrated, affordable healthcare and education to patients and healthcare professionals.

Hms is a non-profit health care & community development organization that improves the quality of life of the people of hidalgo county and southwestern new mexico.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$11,987,576$11,724,536▼ $263,040
Savings and Temporary Cash Investments$0$3,981,478▲ $3,981,478
Accounts Receivable$679,623$1,220,847▲ $541,224
Pledges and Grants Receivable$252,682$202,581▼ $50,101
Prepaid Expenses and Deferred Charges$48,210$74,477▲ $26,267
Intangible Assets$6,778$5,445▼ $1,333
Cash and Non-Interest-Bearing Accounts$4,364,063$3,554▼ $4,360,509
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$17,338,932$17,212,918▼ $126,014
Other Assets Total$0$0→ $0
Liabilities
Mortgage Notes Payable Secured by Investment Property$1,245,236$1,511,862▲ $266,626
Accounts Payable and Accrued Expenses$2,258,787$1,096,499▼ $1,162,288
Deferred Revenue$486,735$0▼ $486,735
Other Liabilities$483,750$0▼ $483,750
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$4,474,508$2,608,361▼ $1,866,147
Net Assets / Fund Balance
Unrestricted Net Assets$12,864,424$14,525,353▲ $1,660,929
Temporarily Rstr Net Assets$0$79,204▲ $79,204
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$12,864,424$14,604,557▲ $1,740,133
Total Liabilities and Net Assets / Fund Balance$17,338,932$17,212,918▼ $126,014

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$9,025,927$1,206,142$10,232,069
Equipment$902,415$1,354,880$2,257,295
Leasehold Improvements$919,397$277,524$1,196,921
Land$742,219-$704,199
Other Land Buildings$134,578-$134,578
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Darrick NelsonCMO/interim CEOFT$249,868$29,725$279,593
Kristan Diaz-riosMdFT$182,980$30,568$213,548
Joyce TroxlerMdFT$187,094$25,628$212,722
Michelle PahlMdFT$173,538$32,550$206,088
Forrest HenryMdFT$166,806$30,061$196,867
Charlie AlferoExecutive Director SwchiFT$143,947$52,683$196,630
Harriet BrandstetterCEO End 8/15FT$135,000$32,010$167,010
Veronica LassiterChief Operating OfficerFT$119,499$3,541$123,040
James HoyChief Financial OfficerFT$117,904$3,513$121,417

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Recovery ManagementSa TreatmentCENTER, Silver City, NM 88061$278,801
Document ImagingFile ConversionOF THE SW, Albuquerque, NM 87113$257,409
Dlg FieldJanitorial ServicesSERVICES, Silver City, NM 88061$152,956
Sw Center ForGrant ManagementHLTH INNOVATION, Silver City, NM 88061$110,282
GenoaTelepsychiatryTELEPSYCHIATRY, Tukwila, WA 98188$102,635
Revenue and Support

Revenue Composition

Contributions and Grants
$4,566,026
Program Service Revenue
$15,065,246
Investment Income
$-74,761
Other Revenue
$0
All Other Contributions
$702,401
Change in Net Assets
$945,214

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table1$94,867Fair Market Value (FMV)
Total Noncash Contributions1$94,867-

Audited Revenue Reconciliation

Revenue per Audited Statements
$19,632,580
Revenue Not Reported on Financial Statements
$-76,069
Other Revenue Adjustments
$-76,069
Total Revenue per Audited Statements
$19,632,580
Total Revenue per Form 990
$19,556,511
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$12,583,558
Other Expenses$5,983,059
Total Fundraising Expense$629,178
Grants and Similar Amounts Paid$44,680
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,856,258$1,634,591$534,747$10,025,596
Other Employee Benefits$1,274,182$305,582$83,752$1,663,516
Fees for Services Other$755,256$605,896-$1,361,152
Office Expenses$1,035,664$255,053-$1,290,717
Current Officers, Directors, Trustees, and Key Employees$279,593$411,467-$691,060
Depreciation Depletion$365,735$203,020-$568,755
Occupancy$309,545$129,054-$438,599
Conferences and Meetings$131,297$95,827-$227,124
Information Technology$95,707$104,207-$199,914
Travel$83,935$115,223-$199,158
Pension Plan Contributions$146,578$24,072$9,518$180,168
Other Expenses$61,891$64,417-$126,308
Advertising$20,662$48,212-$68,874
Insurance$6,339$51,293-$57,632
Fees for Services Legal-$47,954-$47,954
Grants to Domestic Orgs$44,680--$44,680
Fees for Services Accounting-$36,964-$36,964
Interest$3,460$27,990-$31,450
Payroll Taxes$17,878$4,179$1,161$23,218
Total Functional Expenses$13,817,118$4,165,001$629,178$18,611,297

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$18,687,366
Expenses per Audited Statements$18,611,297
Total Expenses per Form 990$18,611,297
Expenses Not Reported on Form 990$76,069
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Southwest Center for Health InnovationsSilver City, NM501(c)(3)Reach Subrecipient$44,680
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Business relationships: board members mike martin and kim garrison have a business relationship. Board members magdaleno manzanarez and katy estrada have a business relationship.

Form 990, Part VI, Section B, Line 11B

Form 990 review process: the form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by management. The form 990 is reviewed by the cfo and then provided to the board of directors at a board meeting before filing with the irs.

Form 990, Part VI, Section B, Line 12C

Monitoring compliance with conflict of interest policy: policies and procedures will be prepared in hmss functional departments, including personnel, compliance, financial, quality improvement, clinical, and operational. Particular attention will be given to areas of potential risk identified in the results of an audit or relevant risk areas identified by the department of health and human services, office of inspector general and other federal and state government agencies. The compliance coordinator, members of senior management, and/or employees, working in the relevant department may be involved in drafting, reviewing, or otherwise, with respect to the proposed policy and procedure. Once a draft or revision is complete, the compliance coordinator will review the draft to ensure that the policy complies with all applicable laws and regulations. The compliance coordinator will distribute copies of the proposed policy and procedure to the quality improvement "qi" committee. The policy and procedure will be reviewed and approved by the qi committee, and then the policy changes will be presented to the hms board of directors, for review and/or approval. After the review and approval of the proposed policy and procedure, a final draft, indicating approval of the policy and the effective date, will be prepared. Newly approved policies and procedures will be distributed to all affected hms affiliates, and incorporated into hmss education and training efforts. The compliance coordinator will promptly distribute the new/revised policy and procedure to the relevant individuals and require attestation from each recipient.

Form 990, Part VI, Section B, Line 15A & 15B

Compensation review: the board of directors used comparative state data to approve a revised salary matrix for the entire organization on 2/26/2015.

Form 990, Part VI, Section C, Line 19

Document disclosure: the organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Hidalgo Medical Services
EIN
85-0292834
In Care Of
% JIM HOY
Phone
5755428384
Address
530 E DEMOSS STREET, LORDSBURG, NM 88045

Signing Officer

Name
Jim Hoy
Title
CFO
Signed
2017-02-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jim Hoy
Formed
1982
Legal Domicile
Nm
Voting Board Members
14
Independent Board Members
14
Employees
274
Volunteers
15

Preparer

Firm
Bkd Llp
Address
910 E ST LOUIS 200/PO BOX 1190, SPRINGFIELD, MO 65806-2523
Preparer
Brian D Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A

Primary health care services: hms employs board-eligible and certified family practice physicians, certified physicians assistants and family nurse practitioners to serve our patients. Hms also provides the following ancillary services: laboratory services - laboratory services are regulated by medicare through the clinical laboratory improvement act (clia). At rural locations, hms offers clia waived lab services which are a limited and defined set of lab services that can be done in-house. For other tests, hms provides moderate complexity lab services at its clinic in silver city. The majority of lab services can be provided within hms, which can speed up the results process and provide better patient care. Lab specimens are sent daily via grant county's corre caminos public transportation system which is funded, in part, by hms. Some insurance companies require that certain labs be sent to certain laboratories in albuquerque or elsewhere, for which hms will make arrangements. Hms also partners with gila regional medical center (grmc) in silver city for more complicated lab processes. X-ray services - basic x-ray services are provided at hms locations in silver city and lordsburg. All other radiologic or other procedures such as magnetic resonance imaging (mri) are typically referred to grmc. Patient choice is always a consideration. Pharmacy - there are three ways that hms can assist patients with pharmacy services beyond the simple prescription. 1. Medication assistance program: many pharmaceutical companies offer free medications typically to chronically ill patients who qualify financially. The hms family support program assists all people who qualify with this service, whether they are hms patients or not. The family support medication assistance program (map) is also supported by a number of community volunteers. 2. 340b prescriptions: hms has access to a limited number of prescriptions through the 340b program and the walgreens pharmacy in silver city. The program allows hms to purchase medications at federal drug prices, reducing the patient's cost. The patient must be a patient of hms, referred only by hms providers and be eligible to the hms sliding scale program. 3. Emergency coverage in hidalgo county: hms collaborates with the hidalgo county ambulance service for after hours coverage. The clinic in lordsburg will see minor emergencies, e.g. Sutures (stitches and breaks). For patients in hidalgo county who travel to silver city and grmc for a medical emergency, the hms physician or call team physician on-call, will provide admission services. For grant county patients, hms utilizes local ambulance services for emergencies. Hms physicians share after hours call with other local physicians in a call team and are able to attend patients that are required to go the hospital er in silver city.

Form 990, Part III, Line 4B

Mental health services: integrated behavioral health care: mental health professionals are available to assist primary care providers identify and appropriately respond to emotional, behavioral and mental factors that impact the medical care of patients. This allows mental health providers to see patients in the exam room in order to make a quick assessment and provide a brief, supportive intervention or a referral to counseling or psychotherapy services, either within hms or to one of the other agencies providing a different level of care within the community. Qualified mental health providers (e.g. Psychiatric nurse practitioners) may also consult with primary care providers on appropriate medications for the presenting concerns. The goal of the behavioral health care consult are both to ensure the proper, culturally competent strategy for health care is agreed upon between provider and patient, and to help the patient identify and change aspects of their life which may interfere with maintaining their health and quality of life. Psychotherapy services: hms mental health professionals provide short-term and medium-term individual and group counseling and psychotherapy services to hms patients. Such services are principally designed for moderate to medium level difficulties in living encountered by patients. Those dealing with severe or chronic mental health challenges would most likely be referred to other agencies in the region for a more appropriate level of care. Hms employs strength-based psychotherapeutic strategies that are validated empirically for the populations served. Hms maintains an unyielding commitment to the highest ethical and professional standards in the delivery of these services. Preventive care: hms mental health professionals recognize that mental health problems are frequently symptoms of less than healthy standards of living within a given community. Thus hms is committed to working with others dedicated to improving the conditions of life in our communities by participating in health fairs, conducting workshops and speaking to community groups on issues related to the mental and emotional well being of the community. Further, hms is also committed to contributing to community response plans to events and conditions which are recognized as risk factors for emotional and mental well-being.

Form 990, Part III, Line 4C

Dental services: in addition to preventive dental services, hms dentists provide diagnostic and restorative dental care and can meet most oral surgery needs of patients, include fillings, extractions, and partial or full prosthetics. Panorex (panorama) x-ray services are available at both locations.

Form 990, Part III, Line 4D

Miscellaneous program services: hms also provides the following services: family support services medicaid/medicare enrollment chronic disease prevention and management classes smoking cessation assistance sliding fee application approval free or low cost medications senior centers

Financial Statement Notes

Schedule D, Part X, Line 2

Uncertain tax positions: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

Schedule D, Part XI, Line 4B

Amounts included on form 990, part viii, line 12, but not on line 1: $(76,069) loss on disposal of assets

Schedule D, Part XII, Line 2D

Amounts included on line 1, but not on form 990, part ix, line 25: $ 76,069 loss on disposal of assets

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IRS990/Desc0HIDALGO MEDICAL SERVICES PROVIDES COMPREHENSIVE PRIMARY HEALTH CARE SERVICES TO THE PEOPLE OF GRANT AND HIDALGO COUNTIES IN NEW MEXICO. PRIMARY CARE IS DEFINED AS THE FIRST POINT OF ENTRY INTO THE HEALTH CARE SYSTEM FOR PREVENTIVE AND BASIC, NON-EMERGENCY, DIAGNOSTIC AND TREATMENT SERVICES. THESE SERVICES INCLUDE ADMITTING AND FOLLOWING HOSPITALIZED PATIENTS IN SILVER CITY, PROVIDING PRENATAL CARE AND DELIVERY SERVICES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$28.6$2.65$25.9$22.5$22.8$0.33
2023Summary only. Only limited summary data is available for this year.$29.4$3.18$26.2$27.1$23.2$3.87
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$24.9$2.54$22.4$25.2$21.2$3.99
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$21.0$2.59$18.4$25.1$21.3$3.81
2020Summary only. Only limited summary data is available for this year.$19.5$4.93$14.6$24.4$22.3$2.11
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.8$3.36$12.5$20.5$21.6$1.08
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.9$2.31$13.5$20.1$20.3$0.27
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.6$2.79$13.8$19.0$19.8$0.80
2016Detailed filing. Detailed filing data is available for this year.$17.2$2.61$14.6$19.6$18.6$0.95
2015Summary only. Only limited summary data is available for this year.$17.3$4.47$12.9$18.2$16.7$1.48
2014Detailed filing. Detailed filing data is available for this year.$14.9$2.82$12.1$17.9$18.4$0.53
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.9$3.13$12.8$17.3
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.3$3.47$7.87$13.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.26$2.29$1.97$13.4
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.86$2.31$1.55$13.6
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2016 filings • 501(c)3 • $10M-$25M nonprofits