1. society
2. welfare
3. healthcare
4. hospital

2011
NMHA
Annual Report
New Mexico
Hospital Association
7471 Pan American Freeway NE
Page 2 | NMHA Annual Report 2011

Albuquerque, NM 87109

Phone: (505) 343-0010

Fax: (505) 343-0012

www.nmhanet.org
New Mexico's Economy: Strengthened by New Mexico's Hospitals
New Mexico Hospitals Provide Vital Health Care
Services to Hundreds of Thousands of People in
Communities Throughout the State
New Mexico residents rely on their hospitals and health systems to:
• Provide high quality, efficient health care
• Care for everyone in their communities, whether or not they can pay
• Ensure safety during an emergency or disaster
• Bring life into the world and comfort at the end of life
• Educate people about good health and well-being
• Train the next generation of doctors, nurses and health care professionals
• Enhance the quality of life in their communities
Hospitals Are Economic Drivers
Delivering high quality medical care will always be their most valuable
contribution, but the importance of hospitals to New Mexico goes far
beyond health care. New Mexico hospitals are a fundamental building block
for the state and local economy. In today’s fragile economic environment,
hospitals are more important than ever to the overall economic health of
New Mexico and their local communities.
The Ripple Effect: Every Hospital
Job and Every Dollar Produces
More Jobs, More Dollars
Result in:
Hospital Jobs Additional 2.02 jobs in other industries
Expenditures Additional $1.80 in spending in the state economy
Payroll &
Additional $1.55 in Benefits earnings in other industries
New Mexico hospitals are:
• Direct employers
• Purchasers of supplies
• Investors in capital projects
• Supporters of health care training and education of employees
Coupled with the spending of their employees and suppliers, New Mexico hospitals’
total contribution to the New Mexico economy is more than $15.2 billion annually
The Impact of Income
$ 1.86 billion
hospital payroll/benefits expenses
+
The Impact of Output
$ 3.74 billion
of hospital expenditures
+
$ 2.88 billion
of income supported by
hospital employment
$ 4.74 billion
total labor income in New Mexico
$ 6.74 billion
effect of hospital expenditures
$ 10.48 billion
total output in New Mexico’s
economy
The Impact of Employment
28,177 jobs
in New Mexico community hospitals
+
57,115 jobs
created due to hospital jobs
85,292
total employment impact in
New Mexico
This report was prepared by the New Mexico Hospital Association, a statewide organization of 41 community and specialty hospitals committed to improving
the health of the citizens of New Mexico. Data presented are those that were most current as of August 17, 2011. Data sources include the American Hospital
Association Annual Survey, the NM Department of Health, CMS Hospital Compare, NMHA statistics and other independent studies.
Thanks to Robert and Laura Malone for providing the cover photo of White Sands, NM
Page 2 | NMHA Annual Report 2011
WORKFORCE
New Mexico Hospitals...
•
•
•
•
Cared for 183,116 people on an inpatient basis
Welcomed 26,224 babies into the world
Treated 829,138 people in Emergency Departments
Received more than 4,643,668 Outpatient visits
NMHA Workforce Collaborative Efforts
NMHA staff collaborate with a wide variety of organizations
engaged in Workforce Development including the New
Mexico Board of Nursing, Nursing Council of New Mexico,
New Mexico Center for Nursing Excellence, New Mexico
Organization of Nurse Executives, New Mexico Nurses
Association, New Mexico Medical Society, Aligning Forces for
Quality and many others.
NMHA has specifically supported the following programs:
• Health Occupations Students of America (HOSA)
• Nursing Council of New Mexico Preceptor Workshop, Rural
Nurse Resident Program
• NMONE Leadership Education for Emerging Leaders
• Transforming Care at the Bedside (TCAB )
Nursing Workforce
Nursing and the Future Shortage
During 2009, New Mexico acute care hospitals employed:
• 5,579 full-time Registered Nurses (RNs)
• 455 full-time Licensed Practical Nurses (LPNs)
• 2,213 part-time RNs
• 145 part-time LPNs
There is a forecast for long-run shortages as nurses continue
to reach retirement age in growing numbers. New Mexico
ranks 47 out of 50 states and DC in the number of nurses per
100,000 population, up from 49th two years ago. New Mexico
is currently at 669 nurses per 100,000 population and
would need 3,820 more nurses to meet the national average
of 860 nurses per 100,000. This difference is expected to
grow under the influence of health care reform.
Professional Development
Education and professional development are core services
of NMHA. Each year, NMHA holds workshops, seminars,
webinars and forums aimed at informing and preparing
hospital employees for the changing health care landscape
and honing skills needed to become effective leaders within
their organizations.
NMHA provided 21 educational programs to 626 participants.
Sixteen programs were in-person, of which 15 were held in
Albuquerque, one in Las Cruces plus four statewide webinars.
This no-cost programming is an invaluable member benefit
provided by NMHA. A total of 37.85 Continuing Nursing
Education (CNE) hours were offered through many of the
following courses:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
The Joint Commission Update
HAI Surveillance in New Mexico: Learning From the Experts
CLABSI Collaborative Learning Session 1, 2, 3
Hospital Quality and Performance Measurement: Updates
Value-Based Purchasing
NMHA CMS Webinar #3: You’ve been 2567’ed
CLABSI Case Studies: Understanding NHSN Surveillance
CMS Conditions for Coverage for Ambulatory Surgical Ctrs
EMTALA Training
Restoring the Public Trust: The Ultimate Challenge
Healthcare Personnel & Influenza Vaccination Coverage
The Joint Commission: Environment of Care and Emergency
Management Update
CLABSI Collaborative: NHSN Is Not a Black Hole: Retrieving
Your Data, Generating Reports and Providing Information to
Stakeholders
Medication Safety for Your Hospitals
Clostridium Difficile—Current Nursing Practice and
Recommendations and REV
Building Collaborative Disaster Planning Processes Between
Hospitals and Emergency Management
NM Annual HAI Conference
New Mexico Hospital Employment Remains Steady
(number of jobs in thousands)
Nursing Faculty
Contributing to the RN shortage is the nursing faculty
shortage at colleges and universities. Many potential nurses
are being denied the training they need to fill the shortages in
the health care system. NMHA supports efforts to build and
retain adequate nursing supply of nursing educators.
Nationally, more than 54,000 qualified applications to nursing
schools are being turned away annually from baccalaureate
and graduate nursing programs, according to the American
Association of Colleges of Nursing.
31200
26600
28200
26800
28100
23900
25400
2003 2004 2005 2006 2007 2008 2009
In 2009, New Mexico Hospitals employed over 28,000 people
nmhanet.org | Page 3
QUALITY
New Mexico Hospitals Continue to Make
Changes to Help Lower Health Care Costs
and Improve Quality and Patient Safety
NMHA and New Mexico hospitals are working with the State
to improve the cost-effectiveness of care while demonstrating
leadership in achieving better outcomes such as rates for CMS
Hospital Acquired Conditions. New Mexico hospitals’ rates for CAUTI,
manifestations for poor glycemic control, pressure ulcers Stages III
and IV, and vascular catheter-associated infections are lower than
the national rate.
NMHA Quality Strategic Goal
NMHA aligned its QUALITY strategic initiative with
American Hospital Association's (AHA) newly adopted
strategic goal:
ADVANCE A HEALTH CARE DELIVERY SYSTEM THAT
IMPROVES HEALTH AND HEALTH CARE: To pursue strategies
and advocate for models and resources that promote
patients and communities receiving the right care, at the
right time, in the right place.
Institute for Healthcare Improvement: Triple Aim
NMHA will provide advocacy, resources and support to
New Mexico’s hospitals and health systems in achievement
of the following AHA Strategic Plan target commitments:
At its annual strategic planning meeting, NMHA’s Assembly agreed
to incorporate the IHI Triple Aim concept into its Workforce-QualityFinancing strategic initiatives.
Central Line Associated Bloodstream Infections (CLABSIs):
Achieve reductions in CLABSIs in New Mexico hospitals
with the long-term goal of zero.
The concept is to optimize the health system taking into account
three dimensions:
• The experience of the individual
• The health of a defined population
• Per capita cost for the population
NM Performance
from CLABSI
Collaborative
2.0
2
1.5
08
0.8
1
0.5
05
Along with NMHA, 21 members have already taken the pledge on
behalf of their own facilities.
The national goals of the Partnership are:
• Keep patients from getting sicker—increase efforts to prevent
harm to patients in hospitals
• Help patients heal without complications –improve continuity of
care and decrease preventable hospital readmissions within 30
days of discharge
0
National
(AHA)
NM
Readmissions: Eliminate the preventable readmissions
for acute myocardial infarction (AMI), heart failure and
pneumonia in New Mexico hospitals.
2010 PREVENTABLE READMISSIONS
AHA and NM Baseline
from CMS Hospital
Compare July2006June2009
All-Cause (AMI, Pneumonia, Heart Failure)
30-day Readmissions Rates-percent
25%
21.4%
20%
18%
15%
10%
5%
0%
National
(AHA)
New Mexico CDI Prevention Project
NMHA is a partner in the New Mexico CDI Prevention Project (CDIPP).
The primary goal is to reduce the impact of Clostridium difficile
(C.diff) infection (CDI) in New Mexico by:
• Preventing Infections
• Improving diagnosis
• Improving therapy
AHA Baseline from
HRET National CUSP
(CLABSI per 1000 lines days)
2.5
Partnership for Patients: Better Care, Lower Costs
The initiative is a new public-private partnership that will help
improve the quality, safety, and affordability of health care for all
Americans. The Partnership for Patients brings together leaders of
major hospitals, employers, physicians, nurses, and patient advocates
along with state and federal governments in a shared effort to make
hospital care safer, more reliable and less costly.
2010 CLABSI RATE GOALS
NM
Mortality: Eliminate preventable mortality for AMI, heart
failure and pneumonia in New Mexico hospitals.
Preventable Mortality All-Cause
(AMI, Pneumonia, Heart Failure)
30 day mortality rates, National (AHA) vs. NM Baseline
18.0%
AHA and NM Baseline
from CMS Hospital
Compare
July 2006-June2009
16.0%
14.0%
12.0%
Mortality DETAIL
National (AHA
Baseline)
Mortality DETAIL
NM
10.0%
8 0%
8.0%
6.0%
4.0%
2.0%
0.0%
AMI
Page 4 | NMHA Annual Report 2011
Heart Failure
Pneumonia
FINANCE
Hospitals Continue to be a Part of the Solution of Working Within Budget Constraints
New Mexico’s health care system is in precarious financial condition and needs immediate reinvestment. Investing in hospitals and
the health care system is an investment in the quality of life, the people, the community, the economy and the future of New Mexico.
The Administration, Congress and others must look beyond traditional provider cuts to find other options for budget savings that can
be achieved without harming hospitals’ ability to provide care for their communities.
Medicaid
New Mexico Medicaid Payments
Medicaid is currently the top-of-mind concern of hospital
administrators. Given the relative magnitude of the Medicaid
program in New Mexico, reduced provider payments, expansion
in enrollment due to the economy, expansion in coverage due
to Affordable Care Act (ACA) and New Mexico Human Services
Department (NMHSD) redesign efforts all combine to make it
very difficult to effectively plan for services with any sense of
stability.
New Mexico hospitals are faced with unprecedented Medicaid
payment reductions and combined with the cost of challenges of
providing care and adequate health professional workforce, the
pressures have never been greater.
Total Cuts
Total cuts to Medicaid Outpatient reimbursements will be
approximately $152,000,000 annually.
New Mexico hospitals are now receiving an estimated
75% of cost for providing outpatient care.
Workforce
• The pending expansion of Medicaid will place an
unprecedented demand on the health care professional
workforce.
• As a key user of professional services, the Medicaid program
must be an active stakeholder in discussions around Scopes of
Practice.
• NMHA supports all efforts to assist providers to work at the
“top of their scope” and to the fullest extent of education and
New Mexico law.
Medicare
PPACA
In March 2011, President Obama signed the Patient Protection
and Affordable Care Act (PPACA) into law. This historic legislation
constitutes the largest change to America’s health care system
since the creation of Medicare and Medicaid.
Payment and Revenue
The law takes a number of steps to reduce the rate of increase
in Medicare and Medicaid spending through reduced payment
updates, decreases in disproportionate share hospital payments
and financial penalties.
PPACA Estimated Impacts
The net level of inpatient hospital cuts will total approximately
$765,262,000 in Medicare reductions over ten years.
Coding Offset
Beyond the PPACA reductions, New Mexico hospitals face an
additional $14 million cuts in 2011 and again in 2012 in
inpatient Medicare payments through a regulatory “coding
offset” reduction.
Delivery System Reform and Quality
The law adopts several key delivery system reforms to better
align provider incentives to improve care coordination and
quality, and reduce costs. These reforms include value-based
purchasing, pilot projects to test bundled Medicare payments,
financial penalties for hospitals with “excessive” readmissions
and penalties for hospital-acquired conditions.
Uncompensated
Care Crisis
New Mexico’s hospitals are the safety net for their communities.
All patients are treated at the hospitals, regardless of whether they
have insurance or they can afford to pay.
The uncompensated care figures do not include the added burden
of under-reimbursement of Medicaid and Medicare payments.
nmhanet.org | Page 5
ADVOCACY
• NMHA legislative representation extends to all hospital
related issues pending in the New Mexico Legislature, as well
as in standing, interim or special committees.
• Such advocacy consists of initiating meetings, developing
legislative proposals and reports, fact gathering, attending
hearings and presenting NMHA positions through testimony,
supporting evidence and arguments.
• NMHA is actively involved in advocating the position of
hospitals in regulatory, payment and policy matters with the
Department of Human Services Medical Assistance Division
and other state agencies that regulate hospitals.
State Advocacy Agenda
• Preserve and enhance Medicaid funding for New Mexico's
most vulnerable populations. NMHA supports efforts to
redesign the Medicaid program to improve stability and
predictability in structure, regulation and payments to
hospitals.
• Protect important indigent funding through the Sole
Community Provider (SCP) program. NMHA will advocate
and monitor legislation to modernize the SCP program as
we know it.
• Support financial incentives to sustain medical, nursing,
nursing faculty and allied health education capacity.
• Support scope of practice legislation, regulation, and policy
that enables the use of health professionals to the full
extent of their education and training.
• Support statutory changes to institute caps on damages
recoverable in medical malpractice cases.
• Safeguard hospital protections under the Review Immunity
Act.
• Advocate for transparent reporting that minimizes
reporting burden and duplication.
• Support the Hospital Acquired Infections Act and the
Advisory Committee as the mechanism for any further
expansion of reporting.
• NMHA stays in constant communication with the New Mexico U.S.
Congressional delegation and staff with frequent advocacy trips to
Washington, D.C.
• NMHA also comments on federal rules that impact hospitals and provides
both members and the delegation with the impact of proposed payment
changes.
Federal Advocacy Agenda
Regulatory Relief
• Protect federal Medicare and Medicaid payments to hospitals
and physicians.
Health Information Technology—simplify the requirements for
“meaningful use” and certification of electronic health records
to receive incentive payments, and allow payments to hospitals
with multiple campuses utilizing the same provider number.
• Maintain a strong workforce by advocating for a regulatory
environment that allows for flexibility in the workplace,
removes barriers of care, and assures accountability with
patients and the public.
• Maintain the federal tax-exempt status of non-profit hospitals.
• Support physician student loan forgiveness and funding for
nurse and allied health worker education capacity and faculty.
• Support and promote the recognition of regional cost
differences recognizing that New Mexico hospitals have
historically provided relatively low-cost, efficient services.
• Ensure hospitals are not penalized twice for hospital-acquired
conditions.
Page 6 | NMHA Annual Report 2011
Recovery Audit Contractors—ensure fair review processes are in
place, allow denied inpatient claims to be re-billed as outpatient
claims, prevent duplication of government audits and make
payment system fixes to avoid billing mistakes. Apply lessons
learned from the Medicare RAC program to the Medicaid RACs.
NMHA SERVICES & INFORMATION
NMHA’s Legal Manual—A comprehensive, objective and unbiased
desk reference that is pertinent to, and user-friendly for NMHA
members including health care managers and practitioners. It
provides specific information regarding select New Mexico laws
on health care and health care delivery. It also provides general
information and links to other resources and relevant federal laws
concerning health care and health care delivery.
Thomson Reuters (TR)—Offers a comprehensive suite of
applications and consulting services to help improve hospital
clinical and business performance. Additionally, TR assists
hospitals in reporting the New Mexico Health Policy Commission’s
Hospital Inpatient Discharge Data (HIDD). The HIDD rule requires
hospitals report annually inpatient discharge numbers, rates,
average lengths of stays by age, gender, and region, and most
recently, ethnicity and tribal affiliation.
NM Hospitals’ Economic Impact Report—Published annually,
can be shared with legislators, staff, trustees, and community
organizations
NMHA Member Hospital Utilization Report—Provides a monthly
compilation of aggregate volume of a broad range of services
provided by New Mexico acute care hospitals and other select
hospitals on:
• Inpatient admissions data reported separately by 8 service lines
• Inpatient days include aggregate summaries of licensed
capacity, average beds in use, discharges, discharge days,
census days, length of stay, occupancy rate and other
• Outpatient visits are captured by visits, ER, observation and
outpatient surgeries
NMHA Website—www.nmhanet.org contains valuable
information for members and the general public. Members have
password-protected access to member only information.
NMHA Career Center—Online recruitment resource for health
care employment opportunities for employers and job seekers.
DataGen, Inc.—Provides meaningful clinical and demographic
information along with financial impact analysis and major
Medicare reimbursement changes.
NMHA Comparative Data Program (CDP)—Provides analysis
of actual versus expected patient outcomes for improvement
opportunities and provides executives with market strategies and
operational effectiveness comparison reports.
NMPricePoint.org—Provides inpatient charge and length of stay
information by hospital in support of transparency efforts.
NMHA is proud of the range of services provided by our subsidiary:
Communication
NMHA communications keep New Mexico hospital
employees informed of local and national activities
that directly impact their organizations:
• Member FYI
• NMHA Update
• Patient Safety
• Newsletter
• RAC Facts
- RAC listserv
• “Alerts” and "Advisories"
HOSPITAL SERVICES CORPORATION
In 2010, Hospital Services Corporation continued to focus on
our mission to deliver excellent services to our customers,
efficiently and effectively. We look forward to the opportunity
to continue to support the New Mexico Hospital Association
and its members.
Here are some of our 2010 achievements:
Credentials Verification Services: We are fast. We maintained
excellence. We recertified.
• Continued to average the fastest times in the industry with
36 days for Joint Commission files, and only 16 days for
NCQA files.
• Better than 99% accuracy rate for three years.
• Recertified by NCQA through April 2013 for ten out of ten
credentials verifications.
Employment Services: We are growing. We are fast. We win.
• Program activity of Background Investigation Services
increased by 400%.
• 99% of all background check requests returned within 24
hrs.
• 1,895 unemployment compensation claims completed with
55% determined to be in favor of the employer.
HealthXnet: We expanded. We are consistent.
We achieve.
• Implemented 72 new customers in 2010.
• Continued 100% customer retention among
our New Mexico hospital customers and our partner health
plan customers.
• Recognized by the New Mexico Technology Flying 40
Technology Awards as one of the forty fastest- growing
technology companies headquartered in New Mexico.
Risk Management: We saved. We innovated. We gave it back.
• Saved our workers’ compensation customers 37% of
invoiced bill amounts.
• Implemented a new feature that provides electronic
payments for vendors and injured workers.
• Total dividend distribution of $1,000,000 made to members
of the New Mexico Hospital Workers’ Compensation Group.
nmhanet.org | Page 7
CONGRESSIONAL DISTRICT 1 - MARTIN HEINRICH
Rehab
FP HealthSouth Rehabilitation Hospital, Albuquerque
LTAC
FP Kindred Hospital of Albuquerque
FP Lovelace Medical Center
Rehab
FP Lovelace Rehabilitation Hospital
62
FP Lovelace Westside Hospital
80
FP Lovelace Women's Hospital
120
453
170
528
CONGRESSIONAL DISTRICT 2 - STEVE PEARCE
# of Beds
LTAC
FP Advanced Care Hospital of Southern NM
SCP
G
Artesia General Hospital
49
SCP
FP Carlsbad Medical Center
115
SCP
SCP
NFP Cibola General Hospital
NFP Gerald Champion Regional Medical Center
G
Gila Regional Medical Center
SCP
G
Guadalupe County Hospital
SCP
FP Lea Regional Medical Center
NFP Lincoln County Medical Center
88
FP Mimbres Memorial Hospital & Nursing Home
49
SCP
FP MountainView Regional Medical Center
168
CAH, SCP
Psych
G Nor-Lea General Hospital
FP Peak Behavioral Health Services
Services, LLC
25
36
Rehab
FP Rehabilitation Hospital of Southern NM
40
SCP
FP Roswell Regional Hospital
26
NFP Sierra Vista Hospital
NFP Socorro General Hospital
FP Alta Vista Regional Hospital
NFP CHRISTUS St. Vincent Regional Medical Center
NMHA PRESIDENT
Jeff Dye, President/CEO
New Mexico Hospital Association
NMHA
Members:
Mike Carter, CEO
Miners’ Colfax Medical Center
Jim Heckert, CEO
Gerald Champion Regional Medical Ctr
Peter Hofstetter, CEO
Holy Cross Hospital
Karen Lautermilch, CEO
Rehoboth McKinley Christian Health
Care Services
# of Beds
54
248
NFP Dr. Dan C. Trigg Memorial Hospital
25
NFP Espanola Hospital
70
SCP
NFP Holy Cross Hospital
47
FP Los Alamos Medical Center
G
Miners' Colfax Medical Center
SCP
NFP Plains Regional Medical Center
SCP
NFP Rehoboth McKinley Christian Health Care Services
SCP
SCP
CAH, SCP
G
Roosevelt General Hospital
NFP San Juan Regional Medical Center
NFP Union County General Hospital
New Mexico Hospital Association Board of Directors
IMMEDIATE PAST CHAIRMAN
Robert A. Garcia, VP Regional
Administration
Presbyterian Healthcare Services
25
24
SCP
CAH - Critical Access Hospital
SCP - Sole Community Provider
Psych - Inpatient Psychiatric
DIRECTORS-AT-LARGE
Bo Beames, Administrator
Socorro General Hospital
298
CAH, SCP
CAH, SCP
SECRETARY/TREASURER
David Shaw, Administrator/CEO
Nor-Lea General Hospital
25
FP Mesilla Valley Hospital
SCP
AHA ALTERNATE DELEGATE
Paul Herzog, CEO
Memorial Medical Center
10
186
SCP
SCP
CHAIRMAN-ELECT
Sylvia Kelly, CEO
Healthsouth Rehabilitation Hospital
68
Psych
SCP
AHA DELEGATE
Sheri Milone, Administrator/CEO
Lovelace Women’s Hospital
99
FP Memorial Medical Center
CONGRESSIONAL DISTRICT 3 - BEN RAY LUJAN, JR.
CHAIRMAN
Christina Campos, Administrator
Guadalupe County Hospital
162
SCP
CAH, SCP
CAH, SCP
CAH - Critical Access Hospital
SCP - Sole Community Provider
Psych - Inpatient Psychiatric Hospital
Rehab - Inpatient Rehabilitation Hospital
LTAC - Long Term Acute Care Hospital
FP - For Profit
NFP - Not for Profit
G - Government
20
25
FP Eastern New Mexico Medical Center
SCP
CAH, SCP
The 2011 NMHA Annual Report was written and compiled by
Trish Garduño and designed by K. Larson
61
263
NFP Presbyterian Kaseman Hospital
G University of New Mexico Hospital
SCP
1st – Martin Heinrich
2nd – Steve Pearce
3rd – Ben Ray Lujan
67
NFP Presbyterian Hospital
SCP
Steve Pearce
# of Beds
Stephen W. McKernan, CEO
University of New Mexico Hospital
Kenneth Randall, CEO
Artesia General Hospital
Alex Valdez, CEO
CHRISTUS St. Vincent Regional Medical
Center
NMHA AUXILIARY/ VOLUNTEER SERVICES
Paula Johnston
NM ORGANIZATION OF NURSE
EXECUTIVES REPRESENTATIVE
Sheena Ferguson
47
25
106
60
22
250
25
LTAC - Long Term Acute Care
Hospital
FP - For Profit
NFP - Not for Profit
NMHA Staff
Jeff Dye, President/CEO
Deborah Gornez, Vice President &
President, Hospital Services Corporation
Trish Garduño, Projects Manager
Judy Hall, Executive Assistant to the
President
Jo Bowman, Executive Assistant
Ellen Interlandi, Clinical Consultant
Dan Weaks, Policy & Government
Relations
Bret Goebel, Financial Consultant
HEALTHCARE FINANCIAL MANAGEMENT
ASSOC. REPRESENTATIVE
Bret Goebel Consulting
Advanced Care Hospital of Southern NM - Suzanne Quillen  Alta Vista Regional Hospital - Maridel Acosta  Carlsbad Medical Center LLC - Chad Campbell  Cibola General Hospital Mike Makosky  Eastern New Mexico Medical Center - Tim Hintgen  Española Hospital - Brenda Romero  Gila Regional Medical Center - Brian Bentley  Kindred Hospital - Michael
Shaw  Lea Regional Medical Center - Tim Thornell  Lincoln County Medical Center - Al Santos  Los Alamos Medical Center - Curt Smith  Lovelace Medical Center Downtown
- David Nevill  Lovelace Rehabilitation Hospital- Traci Willis  Lovelace Westside Hospital - Troy Greer  Mesilla Valley Hospital - Brian Hemmert  Mimbres Memorial Hospital Steve Westenhofer  MountainView Regional Medical Center - Denten Park Peak Behavioral Health Services, LLC - Jacob Cuellar  Plains Regional Medical Center - Hoyt Skabelund
 Presbyterian Hospital - Doyle Boykin  Presbyterian Kaseman Hospital - Revathi Davidson  Rehabilitation Hospital of Southern NM - Beverly Muñoz  Roosevelt General Hospital
- Larry Leaming  Roswell Regional Hospital -Rod Schumacher  San Juan Regional Medical Center - Rick Wallace  Sierra Vista Hospital - Domenica Rush
Trigg (Dr. Dan C) Memorial Hospital - Lance Labine Union County General Hospital - Don Wiedemann
Page 2 | NMHA Annual Report 2011