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Governance Register
US nonprofit · EIN 873481649 · Gallup, NMiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 873481649) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe time served.Latest return IRS Form 990 series e-file data - 990 for the year to 31 December 2024: assets, liabilities, staff, website, telephone, pay.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue. Not a statement that the organisation is recruiting.Deductibility IRS Publication 78 data (code PC), downloaded 18 October 2026.Licence US Federal Government public domain.How we handle data

Gallup Community Health's network

10 peoplei10 people on this map.The large node is the subject of this page. Solid lines are what the register itself records (10). Form 990 filings give names without a person identifier; SEC insider filings carry a CIK.

The board

10 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations.Time served and departures are observed across annual filings. Observed time served is a lower bound - a member may have joined before the first year on record. The organisation reported 10 voting members of its governing body on its latest Form 990 Part VI, which matches the board listed here.
NameRole as filedSinceOn the board
Bruce Forman ChairChairperson2022
4 yrs
Brittany BabycosBoard Member2022
4 yrs
Chris HooverTreasurer2022
4 yrs
Elaine VillartaBoard Member2022
4 yrs
Hannah PalmVice Chairpe2022
4 yrs
Jaylyn HinkleyBoard Member2022
4 yrs
Lindsey MingusBoard Member2022
4 yrs
Liz HerronBoard Member2022
4 yrs
Vanessa SandovalBoard Member2023
3 yrs
Zunneh-BAH JimBoard Member2023
3 yrs
Under 5 years5 to 6 years6 years or more

Officers and senior leadership

3 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Dr Valory WanglerExecutive Di2023
Neil Jackson MDProvider2023
Theresa NastacioCFO2023

Pay and hours

year to 31 December 2024iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Valory Wangler MDExecutive Di40$239k$2k
Neil C Jackson MDMedical Doct40$189k$2k
Marcie R Richmond MDMedical Doct40$159k$4k
Caitlynn S Barney NpNurse Practi40$126k$2k
Jonathan L Leggett MDPrescribing40$122k$12k
Theresa LeeCFO40$76k$934
Bruce Forman MDChair4$0
Hannah Palm MDVice Chair/S3$0
Dr Christopher HooverTreasurer10$0
Brittany R BabycosBoard Member1$0
Jonah ConnorBoard Member1$0
Elizabeth HerronBoard Member4$0
Zunneh-Bah JimBoard Member1$0
Alexis LuceroBoard Member1$0
Lindsey Smith-MingusBoard Member1$0
Vanessa SandovalBoard Member1$0
Elaine A VillartaBoard Member1$0
Janet M ZunieBoard Member1$0

About

Legal name
Gallup Community Health
EIN
873481649
Address
2111 College Dr, Gallup, NM, 87301-5600
State
New Mexico
Mission
Gallup community health's mission is to provide excellent and accessible medical care to our community, regardless of ability to pay. (as filed on the Form 990)
Activity (NTEE)
E32 Health care
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Health Care
Size band
6 (IRS master file code)
Formed
2021
Principal officer
Bruce Forman MD (as named on the Form 990)
IRS ruling date
1 July 2022
Status
Code 01 (unconditional exemption)
Form 990 filings on record
2, latest 2023
IRS Publication 78
PC (contributions deductible)

Most connected

Longest observed on the filings

≥4years on the filingsBruce Forman
≥4years on the filingsBrittany Babycos
≥4years on the filingsChris Hoover
≥4years on the filingsElaine Villarta

Latest return

year to 31 December 2024iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 31 December 2024. US dollars, as filed.
Total assets
$1.9m
Total liabilities
$704k
Net assets or fund balances
$1.2m
Contributions and grants received
$1.9m
Program service revenue
$3.3m
Employees
61
Volunteers
2