2024-11-15T15:56:01-06:00 2023-12-31 910189318 MOSS ADAMS LLP 6565 AMERICAS PARKWAY NE STE 600 ALBUQUERQUE NM 87110 990 2023-01-01 850352051 GERALD CHAMPION REGIONAL MEDICAL CENTER FOUNDATION INC GERA 5754396100 2669 SCENIC DRIVE ALAMOGORDO NM 88310 BASHAR NASER SECRETARY/TREASURER 5754396100 2024-11-15 1 1 STEVEN TALBOT P01695427 5058787200 2024-11-15 2023 2024-10-15 13:58:12Z ROBERT J HECKERT 2669 SCENIC DRIVE ALAMOGORDO NM 88310 1210042 0 X N/A X 1985 NM TO MAINTAIN AND ADMINISTER FUNDS TO SUPPORT THE GERALD CHAMPION REGIONAL MEDICAL CENTER TO BE USED FOR HEALTH, EDUCATION, RESEARCH AND SCIENTIFIC PURPOSES, OR INCREASING CAPITAL IMPROVEMENTS, EQUIPMENT AND OTHER FACILITIES OF SAID INSTITUTION, OR TO PROMOTE GENERALLY THE GROWTH, WELFARE AND MAINTENANCE OF GERALD CHAMPION REGIONAL MEDICAL CENTER. 8 4 0 4 0 0 1102804 20311 0 0 77841 95704 35955 -1050 1216600 114965 45000 513720 0 0 0 0 0 0 1793 8309 6418 53309 520138 1163291 -405173 2890965 1844067 606152 100 2284813 1843967 PROVIDE HEALTHCARE EDUCATIONAL SCHOLARSHIPS TO INDIVIDUALS. MAINTAIN AND ADMINISTER FUNDS FOR THE BENEFIT OF OTERO COUNTY HOSPITAL ASSOCIATION, TO BE USED FOR HEALTH, EDUCATION, RESEARCH AND SCIENTIFIC PURPOSES OR CAPITAL IMPROVEMENTS. 0 0 513720 513720 IN 2023, GERALD CHAMPION REGIONAL MEDICAL CENTER FOUNDATION MAINTAINED AND ADMINISTERED FUNDS FOR THE BENEFIT OF OTERO COUNTY HOSPITAL ASSOCIATION, TO BE USED FOR HEALTH, EDUCATION, RESEARCH AND SCIENTIFIC PURPOSES OR CAPITAL IMPROVEMENTS. 513720 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 8 4 1 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 NM X DANI ROBERTS 5754396100 2669 SCENIC DRIVE ALAMOGORDO NM 88310 ROBERT J HECKERT PRESIDENT 0.70 40.00 X X 0 3128271 32759 BASHAR NASER SECRETARY/TREASURER 0.40 40.00 X X 0 454974 43657 LILLIE LEWIS DIRECTOR 0.70 40.00 X 0 195409 6158 BILL MAYTON PRESIDENT 0.70 5.00 X X 0 0 0 CAROL HENRY DIRECTOR 0.30 X 0 0 0 FRANCINE HECKERT DIRECTOR 0.70 X 0 0 0 KATHY FULLER DIRECTOR 0.70 3.00 X 0 0 0 NORM ARNOLD DIRECTOR 0.70 10.00 X 0 24000 0 0 3802654 82574 0 0 1 0 0 12150 8161 20311 79958 79958 1108523 1092777 15746 15746 15746 1250 12150 2300 -1050 -1050 114965 0 0 94654 467354 467354 46366 46366 3825 3825 800 800 FUND-RAISING EXPENSES 1793 1793 520138 513720 4625 1793 98400 80944 30286 4493 2762279 1758630 2890965 1844067 5550 100 600602 0 606152 100 X 803191 835756 1481622 1008211 2284813 1843967 2890965 1844067 -405173 -35673 0 X 0 0 0 X X 1 OTERO COUNTY HOSPITAL ASSOCIATION 850138775 3 1 513720 0 1 513720 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 OTERO COUNTY HOSPITAL ASSOCIATION 2669 SCENIC DR ALAMOGORDO NM 883100597 850138775 501(C)(3) 467354 0 PAYMENTS FOR CONSTRUCTION FOR THE HOSPITAL'S CANCER CENTER RENOVATIONS. 1 0 NURSING SCHOLARSHIPS 18 40000 PRESCRIPTION ASSISTANCE 2 366 RESIDENT PROGRAM SCHOLARSHIPS 3 6000 PART I, LINE 2: THE FOUNDATION MAKES HEALTHCARE EDUCATION SCHOLARSHIPS TO NURSING STUDENTS AND RESIDENTS AT NEW MEXICO COLLEGES. THE SCHOLARSHIPS ARE AVAILABLE IN TWO PAYMENTS, FALL AND SPRING SEMESTER. THE RECIPIENT MUST MAINTAIN AN ACCEPTABLE GPA AND ACTIVE STUDENT STATUS TO RECEIVE THE SPRING SEMESTER PAYMENT. THE FOUNDATION ALSO MAKES OCCASIONAL PATIENT ASSISTANCE GRANTS FROM THE PRESCRIPTION/PATIENT ASSISTANCE FUND. FUNDS ARE USED TO HELP PEOPLE THAT NEED WHEELCHAIRS/CRUTCHES/OTHER SMALL MEDICAL EQUIPMENT (USUALLY LESS THAN $150). THE FOUNDATION IS NOTIFIED WHEN ALL OTHER OPTIONS HAVE BEEN EXHAUSTED, AT WHICH POINT IT WILL OFFER TO PAY THE BILL. THE FOUNDATION MAKES HEALTHCARE EDUCATION SCHOLARSHIPS TO THREE NEW RESIDENTS OF THE HOSPITAL'S FAMILY MEDICINE RESIDENCY PROGRAM. THE SCHOLARSHIP IS $2,000 GIVEN ONCE DURING THEIR ENTRANCE INTO THE RESIDENCY PROGRAM. 0 1 0 0 0 0 0 0 0 ROBERT J HECKERT PRESIDENT 0 460803 0 2667437 0 31 0 32319 0 440 0 3161030 0 0 BASHAR NASER SECRETARY/TREASURER 0 225341 0 229375 0 258 0 9869 0 33788 0 498631 0 0 LILLIE LEWIS DIRECTOR 0 175316 0 19390 0 703 0 6158 0 0 0 201567 0 0 PART I, LINE 4B ROBERT JAMES HECKERT PARTICIPATES IN A 457(F) DEFERRED COMPENSATION PLAN WITH A RELATED ORGANIZATION. THE RELATED ORGANIZATION DID NOT MAKE ANY CONTRIBUTIONS TO THE PLAN FOR CALENDAR YEAR 2023. THE PLAN WAS TERMINATED ON 5/31/2023. SCHEDULE J, PART I, LINE 3: THE FOUNDATION DOES NOT DIRECTLY COMPENSATE ANY BOARD MEMBERS. COMPENSATION IS PAID AND DETERMINED BY A RELATED ORGANIZATION THAT USES WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEYS OR STUDIES AND APPROVAL BY ITS BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 2 ROBERT J. HECKERT, LILLIE LEWIS AND BASHAR NASER HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER, AS THEY ARE ALL EMPLOYED BY GERALD CHAMPION REGIONAL MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 6 ANY PATRON OR FRIEND OF OTERO COUNTY HOSPITAL ASSOCIATION MAY BECOME A MEMBER OF THE FOUNDATION BOARD BY MAKING APPLICATION FOR SUCH MEMBERSHIP TO THE BOARD OF DIRECTORS FOR THE FOUNDATION AND BY PAYMENT OF SUCH ANNUAL DUES AS MAY BE DESIGNATED ANNUALLY BY THE BOARD OF DIRECTORS. ANY PERSON WHO BECOMES A MEMBER OF THE FOUNDATION BOARD SHALL BE ISSUED A CERTIFICATE SHOWING SUCH MEMBERSHIP WITH THE EFFECTIVE DATES FOR PREVIOUSLY PAID DUES, IF ANY ARE REQUIRED. GERALD CHAMPION REGIONAL MEDICAL CENTER IS A MEMBER OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A ON JANUARY 1, 2023, AND THROUGHOUT THE CALENDAR YEAR THE FOUNDATION BOARD CONSISTED OF EIGHT (8) MEMBERS. FOUR (4) OF THESE WERE APPOINTED BY THE GCRMC BOARD AND ONE (1) OF THESE MEMBERS IS THE CEO OF GCRMC. THESE FOUR MEMBERS ARE CONSIDERED "CONTINUING MEMBERS". THE REMAINING FOUR MEMBERS ARE ELECTED AT THE ANNUAL MEETINGS FOR STAGGERED THREE YEAR TERMS AND ARE CONSIDERED "ROTATING MEMBERS". THE BY-LAWS PROVIDE THAT THE BOARD SHALL NUMBER NOT LESS THAN FIVE (5) NOR MORE THAN FIFTEEN (15) DIRECTORS. THE BOARD SHALL CONSIST OF THE CHAIRMAN OF THE BOARD OF DIRECTORS OF GCRMC, THE CEO OF GCRMC, THE CFO OF GCRMC, NOT MORE THAN FIVE (5) ADDITIONAL MEMBERS OF THE BOARD OF DIRECTORS OF GCRMC, AND AT LEAST TWO (2) BUT NOT MORE THAN SEVEN (7) ADDITIONAL COMMUNITY REPRESENTATIVES. THIS BOARD STRUCTURE IS INTENDED TO PROMOTE CONTROL BY GCRMC, THE SUPPORTED ORGANIZATION, OVER THE FOUNDATION. ANY INDIVIDUAL 21 YEARS OF AGE OR OLDER WHO HAS DEMONSTRATED AWARENESS AND SUPPORT FOR THE PURPOSES AND OBJECTIVES OF THE CORPORATION SHALL BE ELIGIBLE TO BE SELECTED AS A COMMUNITY REPRESENTATIVE DIRECTOR. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN OUTSIDE PARTY AND THEN MADE AVAILABLE TO THE BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 UPON NOTIFICATION, THE GOVERNING DOCUMENTS AND FINANCIAL RECORDS ARE MADE AVAILABLE AT A PREDETERMINED TIME AND AT THE PLACE OF RECORD. FORM 990, PART VI, SECTION A, LINE 1: THE FOUNDATION HAS THREE (3) STANDING COMMITTEES. THE EXECUTIVE COMMITTEE IS COMPOSED OF THE PRESIDENT, VICE PRESIDENT AND SECRETARY AND MAY ACT ON BEHALF OF THE FOUNDATION IN ANY MATTER WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, REPORTING TO THE BOARD OF DIRECTORS FOR THE RATIFICATION OF ITS ACTION. THE PRESIDENT SHALL SERVE AS CHAIR. THE EXECUTIVE COMMITTEE SHALL SERVE AS THE AUDIT COMMITTEE AND THE ETHICS COMMITTEE FOR THE FOUNDATION. THE NOMINATING COMMITTEE IS APPOINTED AT THE ANNUAL MEETING AND IS COMPOSED OF AT LEAST THREE (3) DIRECTORS, ONE (1) OF WHOM SHALL BE DESIGNATED CHAIRMAN OF THE COMMITTEE. THE COMMITTEE SHALL REVIEW THE PERFORMANCE OF THE INDIVIDUAL DIRECTORS AND OFFICERS OF THE FOUNDATION AND REPORT SAME TO THE BOARD OF DIRECTORS OF GCRMC AT LEAST ANNUALLY. THEY SHALL ALSO RECOMMEND TO THE BOARD OF DIRECTORS OF GCRMC CANDIDATES FOR ELECTION AS DIRECTORS OF THE FOUNDATION. THE INVESTMENT COMMITTEE IS COMPOSED OF AT LEAST THREE (3) DIRECTORS APPOINTED BY THE PRESIDENT AND ITS PURPOSE IS TO OVERSEE THE ASSETS OF THE FOUNDATION AND MAKE RECOMMENDATIONS REGARDING SAME TO THE BOARD OF DIRECTORS. OTERO COUNTY HOSPITAL ASSOCIATION 2669 SCENIC DR ALAMOGORDO NM 883100597 850138775 HOSPITAL NM 501(C)(3) LINE 3 N/A 0 ALAMOGORDO SURGERY VENTURES 2351 25TH ST ALAMOGORDO NM 88310 061791828 OUTPATIENT SURGERY CENTER NM N/A 0 0 GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB 2669 SCENIC DR ALAMOGORDO NM 88310 611753921 CARDIAC CATH LAB NM N/A 0 0 CHAMPION HOME HEALTH CARE LLC 2669 SCENIC DR ALAMOGORDO NM 88310 850860214 HOME HEALTH CARE NM N/A 0 0 ALAMOGORDO HOME HEALTH CARE HOSPICE INC PO DRAWER 29 ALAMOGORDO NM 88331 261674556 HOME HEALTH CARE NM N/A C 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0