ARKANSAS VALLEY REGIONAL MEDICAL CENTER 07011998: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- ARKANSAS VALLEY REGIONAL MEDICAL CENTER 07011998 (EIN 84-1465990)
- Tax period
- 2022-04-01 to 2023-03-31
- Filed
- 2024-02-15
- IRS object ID
- 202400469349301710
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-02-15T11:45:52-05:00 | ReturnTs |
| Tax Period End | 2023-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 841465990 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS VALLEY REGIONAL MEDICAL | BusinessNameLine1Txt |
| Business Name Line2 | CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ARKA | BusinessNameControlTxt |
| Phone | 7193836026 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 CARSON AVENUE | AddressLine1Txt |
| City | LA JUNTA | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81050 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID ANDREW FLEMER JR | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7193836026 | PhoneNum |
| Signature | 2024-01-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANDY | PersonFirstNm |
| Person Last | FLEMER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2024-02-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID ANDREW FLEMER JR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 CARSON AVENUE | AddressLine1Txt |
| City | LA JUNTA | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81050 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $37,381,769 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.AVRMC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | THE CENTER IS A COMMUNITY-OWNED ORGANIZATION PROVIDING HIGH QUALITY, RESPECTFUL, AND COMPASSIONATE HEALTH CARE SERVICES TO INDIVIDUALS & FAMILIES IN SOUTHEAST COLORADO. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 352 | TotalEmployeeCnt |
| Total Volunteers | 69 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $7,400,952 | PYContributionsGrantsAmt |
| CY Contributions Grants | $327,916 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $37,092,644 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $36,761,126 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$25,261 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,583 | CYInvestmentIncomeAmt |
| PY Other Revenue | $118,460 | PYOtherRevenueAmt |
| CY Other Revenue | $118,010 | CYOtherRevenueAmt |
| PY Total Revenue | $44,586,795 | PYTotalRevenueAmt |
| CY Total Revenue | $37,215,635 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,550,407 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,476,466 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,770,986 | PYOtherExpensesAmt |
| CY Other Expenses | $17,329,056 | CYOtherExpensesAmt |
| PY Total Expenses | $38,321,393 | PYTotalExpensesAmt |
| CY Total Expenses | $38,805,522 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,265,402 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,589,887 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,929,100 | TotalAssetsBOYAmt |
| Total Assets EOY | $29,094,380 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,142,278 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,883,963 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $26,786,822 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,210,417 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MEDICAL CENTER IS A COMMUNITY-OWNED ORGANIZATION THAT WILL WORK IN PARTNERSHIP WITH THE COMMUNITIES WE SERVE TO PROMOTE THE HEALTH AND WELL- BEING OF INDIVIDUALS AND FAMILIES IN SOUTHEASTERN COLORADO. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $32,378,017 | ExpenseAmt |
| Revenue | $36,761,126 | RevenueAmt |
| Desc | THE MEDICAL CENTER OPERATES AN ACUTE-CARE HOSPITAL AND PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO THE COMMUNITY REGARDLESS OF RACE AND INSURANCE. THE MEDICAL CENTER PROVIDED 2,140 INPATIENT DAYS, 37,711 OUTPATIENT VISITS, 11,175 EMERGENCY ROOM VISITS, AND 217 BIRTHS DURING THE YEAR. THE MEDICAL CENTER ALSO PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 570,973 FOR CHARITY CARE, 23,166,079 FOR MEDICARE, 13,749,001 FOR MEDICAID, AND 11,893,612 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. | Desc |
| Total Program Service Expenses | $32,378,017 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 101 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 352 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ARKANSAS VALLEY REGIONAL MEDICAL CE | PersonNm |
| Phone | 7193836026 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 CARSON AVENUE | AddressLine1Txt |
| City | LA JUNTA | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81050 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| MICHAEL MORLEY | |||||||||
| BOARD MEMBER | 40.00 | Yes (X) | $675,622 | $0 | $14,094 | ||||
| JESUS CARALE | |||||||||
| BOARD MEMBER | 40.00 | Yes (X) | $492,240 | $0 | $9,671 | ||||
| JAMES BRADY | |||||||||
| ER PHYSICIAN | 40.00 | $478,965 | $0 | $21,368 | 0.00 | Yes (X) | |||
| WILLIAM JURGENS | |||||||||
| ER PHYSICIAN | 40.00 | $443,875 | $0 | $12,218 | 0.00 | Yes (X) | |||
| THOMAS JACKSON | |||||||||
| SURGEON | 40.00 | $320,053 | $0 | $22,053 | 0.00 | Yes (X) | |||
| JORGE AGUILAR | |||||||||
| PHYSICIAN | 40.00 | $288,004 | $0 | $19,259 | 0.00 | Yes (X) | |||
| PAOLA SANCHEZ-GARAY | |||||||||
| PHYSICIAN | 40.00 | $282,855 | $0 | $9,542 | 0.00 | Yes (X) | |||
| LYNN CROWELL | |||||||||
| CEO THRU JUN | 40.00 | $187,500 | $0 | $8,437 | Yes (X) | ||||
| DAVID ANDREW FLEMER JR | |||||||||
| CEO | 40.00 | $136,359 | $0 | $5,481 | Yes (X) | ||||
| JANETTE BENDER | |||||||||
| CONTROLLER | 40.00 | $123,185 | $0 | $12,774 | 0.00 | Yes (X) | |||
| DALE LEIGHTY | |||||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ROB PICKERING | |||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| JOSEPH PENTLICKI | |||||||||
| SECRETARY/TR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| GARY GIBSON | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PATRICK MALOTT | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BETTY VELASQUEZ | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ELAINE MCINTYRE | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOE JEANS | |||||||||
| INTERIM CFO | 40.00 | $0 | $0 | $0 | Yes (X) | ||||
| JUDY MCCLAIN | |||||||||
| INTERIM CFO | 40.00 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,428,658 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $134,897 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ARKANSAS VALLEY ANESTHESIA | |||||
| 6290 S COUNTY ROAD 100 | MONTE VISTA | CO | 81144 | ANESTHESIOLOGY | $573,028 |
| ALBERT STERNS | |||||
| 717 WHITE STREET | KEYWEST | FL | 33040 | ER PHYSICIAN | $504,517 |
| AYA HEALTHCARE | |||||
| 5930 CORNERSTONE CT WEST STE 300 | SAN DIEGO | CA | 92121 | MEDICAL SERVICE | $492,623 |
| DEBBIE CECIL DO | |||||
| 4751 W 10TH ST RD | GREELEY | CO | 80634 | ER PHYSICIAN | $440,870 |
| MEDICAL SOLUTIONS | |||||
| 1010 N 102ND STE 300 | OMAHA | NE | 68114 | MEDICAL SERVICE | $360,915 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $302,566 | GovernmentGrantsAmt |
| All Other Contributions | $25,350 | AllOtherContributionsAmt |
| Total Contributions | $327,916 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $36,761,126 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,761,126 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $36,761,126 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,983 | TotalRevenueColumnAmt |
| Exclusion | $22,983 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $134,988 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $151,734 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$16,746 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$16,746 | TotalRevenueColumnAmt |
| Exclusion | -$16,746 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $14,400 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$14,400 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$14,400 | TotalRevenueColumnAmt |
| Exclusion | -$14,400 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA REVENUE | 722320 | $105,178 | $105,178 |
| OTHER REVENUE | 900099 | $21,589 | $21,589 |
| MEDICAL RECORDS | 900099 | $7,989 | $7,989 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $134,756 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,215,635 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,761,126 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $126,593 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,605,612 | TotalAmt |
| Program Services | $1,245,358 | ProgramServicesAmt |
| Management And General | $360,254 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,612,496 | TotalAmt |
| Program Services | $14,161,144 | ProgramServicesAmt |
| Management And General | $2,451,352 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $504,195 | TotalAmt |
| Program Services | $452,607 | ProgramServicesAmt |
| Management And General | $51,588 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,316,139 | TotalAmt |
| Program Services | $999,437 | ProgramServicesAmt |
| Management And General | $316,702 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,438,024 | TotalAmt |
| Program Services | $1,174,228 | ProgramServicesAmt |
| Management And General | $263,796 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,566 | TotalAmt |
| Management And General | $126,566 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,911 | TotalAmt |
| Management And General | $2,911 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $761 | TotalAmt |
| Management And General | $761 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,131,982 | TotalAmt |
| Program Services | $6,285,760 | ProgramServicesAmt |
| Management And General | $846,222 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,669 | TotalAmt |
| Program Services | $475 | ProgramServicesAmt |
| Management And General | $33,194 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,554,831 | TotalAmt |
| Program Services | $1,061,150 | ProgramServicesAmt |
| Management And General | $493,681 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,926 | TotalAmt |
| Management And General | $135,926 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,168,802 | TotalAmt |
| Program Services | $975,286 | ProgramServicesAmt |
| Management And General | $193,516 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,592 | TotalAmt |
| Program Services | $43,378 | ProgramServicesAmt |
| Management And General | $13,214 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,706 | TotalAmt |
| Program Services | $23,205 | ProgramServicesAmt |
| Management And General | $5,501 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,285 | TotalAmt |
| Program Services | $3,285 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,606,144 | TotalAmt |
| Program Services | $1,314,061 | ProgramServicesAmt |
| Management And General | $292,083 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,125 | TotalAmt |
| Program Services | $343,356 | ProgramServicesAmt |
| Management And General | $70,769 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $2,772,590 | $2,772,590 | |
| REPAIRS & MAINTENANCE | $1,707,089 | $1,260,609 | $446,480 |
| LICENSES & TAXES | $261,839 | $123,755 | $138,084 |
| DUES & SUBSCRIPTIONS | $172,754 | $99,047 | $73,707 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,484 | TotalAmt |
| Program Services | $39,286 | ProgramServicesAmt |
| Management And General | $111,198 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,805,522 | TotalAmt |
| Program Services | $32,378,017 | ProgramServicesAmt |
| Management And General | $6,427,505 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,294,209 | BOYAmt |
| EOY | $5,349,575 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,758,415 | BOYAmt |
| EOY | $1,751,582 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,788,349 | BOYAmt |
| EOY | $5,891,801 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,213,563 | BOYAmt |
| EOY | $1,134,912 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $576,231 | BOYAmt |
| EOY | $624,344 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $31,433,820 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,859,444 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,447,469 | BOYAmt |
| EOY | $13,574,376 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,850,864 | BOYAmt |
| EOY | $767,790 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,929,100 | BOYAmt |
| EOY | $29,094,380 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,495,557 | BOYAmt |
| EOY | $3,024,481 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $161,764 | BOYAmt |
| EOY | $14,398 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $484,957 | BOYAmt |
| EOY | $845,084 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,142,278 | BOYAmt |
| EOY | $3,883,963 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,231,816 | BOYAmt |
| EOY | $25,210,417 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $555,006 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,786,822 | BOYAmt |
| EOY | $25,210,417 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,929,100 | BOYAmt |
| EOY | $29,094,380 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,589,887 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $13,482 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $3,005 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,005 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | THE MEDICAL CENTER DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE MEDICAL CENTER PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS ALLOCATE A PORTION OF SUCH DUES TO LOBBYING ACTIVITIES BASED ON STUDIES CONDUCTED BY THE RESPECTIVE ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (true) | AgentTrusteeEtcInd |
| Beginning Balance | $2,160 | BeginningBalanceAmt |
| Additions During Year | $672 | AdditionsDuringYearAmt |
| Distributions During Year | -$1,752 | DistributionsDuringYearAmt |
| Ending Balance | $1,080 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $555,006 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $13,482 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $568,488 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $551,365 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,641 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $555,006 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $553,349 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,984 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $551,365 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $555,067 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,718 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $553,349 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $553,238 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,829 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $555,067 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,655 | OtherCostOrOtherBasisAmt |
| Book Value | $16,655 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,426,768 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,911,726 | DepreciationAmt |
| Book Value | $11,515,042 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $271,449 | OtherCostOrOtherBasisAmt |
| Depreciation | $206,317 | DepreciationAmt |
| Book Value | $65,132 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,718,948 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,741,401 | DepreciationAmt |
| Book Value | $1,977,547 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,574,376 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD-PARTY SETTLEMENT | $645,782 |
| OPERATING LEASE LIABILITY | $199,302 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $845,084 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $37,380,851 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $165,216 | OtherRevenueAmt |
| Revenue Not Reported | $165,216 | RevenueNotReportedAmt |
| Revenue Subtotal | $37,215,635 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $37,215,635 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $38,957,256 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $151,734 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $151,734 | ExpensesNotReportedAmt |
| Expenses Subtotal | $38,805,522 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $38,805,522 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART IV, LINE 1B | THE MEDICAL CENTER HAS AN AUXILIARY THAT OPERATES USING THE EIN OF THE HOSPITAL. THE INCOME AND EXPENSES OF THE AUXILIARY ARE EXCLUDED FROM THE 990, PART VIII AND IX. THE ASSETS, LIABILITIES, AND EQUITIES ARE ALSO EXCLUDED FROM THE 990, PART X. |
| SCHEDULE D, PAGE 2, PART V, LINE 4 | THE MEDICAL CENTER IS THE SOLE BENEFICIARY OF THE BERTHA ELROD COPELAND AND JAMES EVAN COPELAND HOSPITAL TRUST (THE TRUST), A CHARITABLE TRUST WHOSE PRINCIPAL IS TO BE HELD IN PERPETUITY. ASSETS OF THE TRUST ARE INVESTED AND ADMINISTERED BY A TRUSTEE AND DISTRIBUTIONS ARE MADE TO THE MEDICAL CENTER. THE USE OF THE DISTRIBUTIONS RECEIVED FROM THE TRUST IS RESTRICTED TO THE PURCHASE OF EQUIPMENT. |
| SCHEDULE D, PAGE 3, PART X | THE MEDICAL CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE MEDICAL CENTER EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF MARCH 31, 2023 AND 2022, THE MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | RENTAL EXPENSE 151,734 CHANGE IN BENEFICIAL INTEREST 13,482 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | RENTAL EXPENSE 151,734 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $245,518 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $245,518 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,668,052 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,668,052 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,913,570 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,668,052 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $245,518 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,465 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $43,465 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $690 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $690 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,155 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $44,155 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,957,725 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,668,052 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $289,673 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00750 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $64,799 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $64,799 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $64,799 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $64,799 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,836,591 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $5,798,513 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,802,562 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,049 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | false | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS VALLEY REGIONAL MEDICAL | BusinessNameLine1Txt |
| Business Name Line2 | CENTER | BusinessNameLine2Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 CARSON AVENUE | AddressLine1Txt |
| City | LA JUNTA | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81050 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.AVRMC.ORG | WebsiteAddressTxt |
| State License | 010210 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS VALLEY REGIONAL MEDICAL | BusinessNameLine1Txt |
| Business Name Line2 | CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.AVRMC.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.AVRMC.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.AVRMC.ORG/ | FAPAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, ARKANSAS VALLEY REGIONAL MEDICAL - PART V, LINE 3E | IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS ARE ADDRESSED BEGINNING ON PAGE 126 OF THE LATEST CHNA LOCATED ON THE WEBSITE. |
| FACILITY 1, ARKANSAS VALLEY REGIONAL MEDICAL - PART V, LINE 5 | THE MEDICAL CENTER TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY INTERVIEWING LOCAL EXPERT ADVISORS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN BENT, OTERO AND CROWLEY COUNTIES REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY INCLUDING PUBLIC HEALTH REPRESENTATIVES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. COMMUNITY INPUT WAS COLLECTED IN NOVEMBER 2021 FROM 16 LOCAL EXPERT ADVISORS. THE LOCAL EXPERT ADVISORS ARE A DIVERSE GROUP OF COMMUNITY MEMBERS UTILIZED TO GAIN INPUT ON LOCAL HEALTH NEEDS AND THE NEEDS OF PRIORITY POPULATIONS. THESE LOCAL INDIVIDUALS WERE SELECTED ACCORDING TO CRITERIA REQUIRED BY THE FEDERAL GUIDELINES AND REGULATIONS AND THE HOSPITAL'S DESIRE TO REPRESENT THE REGION'S GEOGRAPHICALLY AND ETHNICALLY DIVERSE POPULATION. THE STUDY AREA IS BASED ON HOSPITAL INPATIENT DISCHARGE DATA FROM APRIL 1, 2019 TO MARCH 31, 2020 AND DISCUSSIONS WITH HOSPITAL STAFF. INDIVIDUALS PARTICIPATING AS LOCAL EXPERT ADVISORS INCLUDED INDIVIDUALS WITH PUBLIC HEALTH EXPERTISE, DEPARTMENTS AND AGENCIES WITH RELEVANT INFORMATION REGARDING HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL, PRIORITY POPULATIONS, AND REPRESENTATIVES OF CHRONIC DISEASE GROUPS OR ORGANIZATIONS. |
| FACILITY 1, ARKANSAS VALLEY REGIONAL MEDICAL - PART V, LINE 6B | THE MEDICAL CENTER COLLABORATED WITH AND OBTAINED ASSISTANCE FROM COMMUNITY HOSPITAL CONSULTING (CHC CONSULTING) TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT TO IMPROVE THE UNDERSTANDING OF THE HEALTH STATUS OF ITS SERVICE AREA. |
| FACILITY 1, ARKANSAS VALLEY REGIONAL MEDICAL - PART V, LINE 11 | THE MOST RECENT CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS: 1. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS 2. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 3. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 4. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 5. CONTINUED FOCUS ON COVID19 PREVENTION AND RESPONSE 6. NEED FOR INCREASED EMPHASIS ON HOUSING & TRANSPORTATION WHILE THE MEDICAL CENTER ACKNOWLEDGES THAT THE NEED FOR HOUSING AND TRANSPORTATION IS A SIGNIFICANT NEED IN THE COMMUNITY, THIS NEED WILL NOT BE DIRECTLY ADDRESSED BY THE HOSPITAL SINCE IT IS NOT A CORE BUSINESS FUNCTION OF THE HOSPITAL AND THE LEADERSHIP TEAM FELT THAT RESOURCES AND EFFORTS WOULD BE BETTER SPENT ADDRESSING THE REMAINING PRIORITIZED NEEDS. AVRMC WILL HOWEVER WORK INDIRECTLY WITH LOCAL COMMUNITY ORGANIZATIONS TO SEE HOW THE FACILITY CAN ASSIST IN THESE AREAS. THE MEDICAL CENTER IS ADDRESSING THE TOP FIVE PRIORITIES USING THE FOLLOWING STRATEGIES: 1. IMPLEMENT AND OFFER PROGRAMS THAT AIM TO ADDRESS ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY THROUGH RECRUITMENT AND RETENTION EFFORTS SUCH AS OFFERING A VARIETY OF PRIMARY AND SPECIALTY SERVICES AND EXPLORING THE FEASIBILITY OF EXPANDING SERVICES AS OPPORTUNITIES ARISE; INCREASING AWARENESS OF PRIMARY AND SPECIALTY CARE SERVICES OFFERED IN THE COMMUNITY THROUGH VARIOUS MEDIA OUTLETS AND ADVERTISEMENTS; SERVING AS A TEACHING FACILITY FOR LOCAL RN, LAB, RESPIRATORY THERAPY, PHYSICAL THERAPY, ANCILLARY STUDENTS AND RESIDENTS; MAINTAINING AND PROVIDING A LIST OF REFERRAL SERVICES TO PATIENTS WHO REQUIRE SPECIALTY CARE; COLLABORATING AND COMMUNICATING WITH THE LOCAL URGENT CARE FACILITY TO ENSURE PATIENTS ARE APPROPRIATELY TRIAGED; SERVING AS AN ACTIVE MEMBER OF THE SOUTH EAST HEALTHCARE COALITION, WHICH EXISTS TO COLLABORATE TO PROVIDE EDUCATION OPPORTUNITIES TO ITS MEMBERS; MAINTAINING A WALK-IN CLINIC TO HANDLE NON-EMERGENT PATIENT VISITS THAT ARE NOT ABLE TO OTHERWISE ACCESS A SAME-DAY APPOINTMENT. PATIENTS ARE ALSO SCREENED FOR EMERGENT NEEDS; FOLLOWING UP ON WELLNESS VISITS WITH MEDICARE AND MEDICAID PATIENTS IN ORDER TO STRENGTHEN THEIR CONTINUUM OF CARE; EXTENDING HOURS IN THE CLINIC AND TELEHEALTH SERVICES. 2. IMPLEMENT PROGRAMS AND PROVIDE EDUCATIONAL OPPORTUNITIES THAT SEEK TO ADDRESS UNHEALTHY LIFESTYLES AND BEHAVIORS IN THE COMMUNITY SUCH AS OFFERING A VARIETY OF HEALTH SCREENINGS TO THE COMMUNITY; EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC CONCERNING WELLNESS TOPICS AND HEALTH RISK CONCERNS; SERVING IN LEADERSHIP AND VOLUNTEER ROLES WITH AGENCIES AND COMMITTEES IN THE COMMUNITY; PROVIDING SPEAKERS FOR CIVIC GROUPS, INDUSTRIAL PARTNERS, FOR MEDIA APPEARANCES AND HEALTH FAIRS TO ADDRESS HEALTH CARE TOPICS OF CONCERN TO THE PUBLIC; PARTICIPATING IN CONFERENCES FOCUSED AROUND PATIENT POPULATION'S NEEDS; WORKING WITH THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT IN SUPPORT OF THE COLORADO QUITLINE. 3. IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE HEALTH DISPARITIES BY TARGETING SPECIFIC POPULATIONS SUCH AS OFFERING AND PROMOTING THE COLORADO MEDICAID NURSE ADVICE LINE, WHICH PROVIDES MEDICAID MEMBERS FREE AROUND-THE CLOCK ACCESS TO MEDICAL INFORMATION AND ADVICE. NURSES WILL ANSWER PATIENT MEDICAL QUESTIONS, PROVIDE CARE ADVICE AND HELP PATIENTS DETERMINE IF THEY SHOULD BE SEEN BY A DOCTOR RIGHT AWAY; OFFERING FINANCIAL ASSISTANCE AND PAYMENT PLAN EDUCATION TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. IF FINANCIAL ASSISTANCE IS NEEDED, AVRMC ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY; PROVIDING A TELEPHONE LANGUAGE LINE AND MY ACCESSIBLE REAL TIME TRUSTED INTERPRETER (MARTTI) SYSTEM TO PROVIDE TRANSLATION SERVICES FOR NON-ENGLISH SPEAKING PATIENTS AND FAMILIES AS NEEDED, AS WELL AS VIDEO SERVICES FOR SIGN LANGUAGE COMMUNICATION; SUPPORTING FUNDRAISING EVENTS AND DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY; CASE MANAGEMENT SERVICES TO CONNECT PATIENTS WITH APPROPRIATE, AFFORDABLE RESOURCES UPON DISCHARGE AND AS OPPORTUNITIES ARISE; PARTICIPATING IN BLOOD DRIVES FOR THE COMMUNITY; PARTNERING WITH LOCAL NURSING HOMES TO PROVIDE LAB SERVICES; PARTNERING WITH VALLEY WIDE HEALTH SYSTEM TO COORDINATE PRENATAL VISITS AND SHARE APPROPRIATE INFORMATION AS NEEDED FOR OB/GYN PATIENTS AT THE CLINIC; PARTICIPATING IN THE 340B PHARMACY PROGRAM WHICH PROVIDES DISCOUNTED PHARMACY PRICING TO INDIGENT PATIENTS. 4. IMPLEMENT AND OFFER PROGRAMS THAT AIM TO ADDRESS ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES IN THE COMMUNITY THROUGH RECRUITMENT AND RETENTION EFFORTS SUCH AS WORKING WITH THE COLORADO HOSPITAL ASSOCIATION TO OFFER THE ALTO PROJECT, WHICH IS GEARED TOWARD REDUCING THE ADMINISTRATION OF OPIOIDS PRESCRIBED THROUGH EMERGENCY DEPARTMENTS; WORKING CLOSELY WITH SOUTHEAST MENTAL HEALTH GROUP TO PROVIDE PLACEMENT OF APPROPRIATE PATIENTS AT STATE FACILITIES, EVALUATIONS, ADMISSIONS IF WITHDRAWAL SYMPTOMS ARE PRESENT AND COUNSELORS AND THERAPISTS FOR PATIENTS WITHIN A SIX-COUNTY REGION (BACA, BENT, CROWLEY, KIOWA, OTERO AND PROWERS COUNTIES, CO; PARTICIPATING IN COMMUNITY COALITIONS CENTERED AROUND MENTAL AND BEHAVIORAL HEALTH; COLLABORATING WITH THE REGION SIX ALCOHOL & DRUG ABUSE, CO. (RESADA) ON APPROPRIATE EMERGENCY DEPARTMENT TRANSFERS TO ASSIST INDIVIDUALS AFFECTED BY SUBSTANCE USE ISSUES, PROBLEMS, AND CONCERNS BY OFFERING A CLEAN AND SAFE ENVIRONMENT WHILE FOSTERING PROGRESS, ENRICHING LIVES, AND ENHANCING THE RECOVERY PROCESS. 5. IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE THE IMPACT OF THE COVID-19 PANDEMIC SUCH AS PROVIDING EDUCATION ON COVID-19; FOLLOWING CDC GUIDELINES AND COMMUNITY STANDARDS TO CONTROL THE SPREAD AND REDUCE RISK OF COVID-19 INFECTION WHEN DISCHARGING PATIENTS TO A LOWER LEVEL OF CARE AND THEIR HOME ENVIRONMENT; DONATING PPE (EX. MASKS, FACE SHIELDS, SURGICAL GOWNS, ETC.) TO LOCAL ORGANIZATIONS TO HELP CONTROL THE SPREAD AND REDUCE RISK OF COVID-19 INFECTION AS OPPORTUNITIES ARISE; REPORTING COVID-19 TEST AND PATIENT ADMISSIONS DATA TO THE STATE AND CENTERS FOR DISEASE CONTROL (CDC) IN AN ONGOING EFFORT TO SHARE TIMELY INFORMATION AND RESEARCH REGARDING THE PANDEMIC; PROVIDING VACCINATIONS. THE MEDICAL CENTER IS CONTINUALLY ASSESSING THE HEALTH NEEDS OF OUR COMMUNITY AND DECIDING HOW THE HOSPITAL CAN BETTER SERVE THE COMMUNITY BASED ON NEED. |
| FACILITY 1, ARKANSAS VALLEY REGIONAL MEDICAL - PART V, LINE 13B | THE ONLY CHARITY CARE DEFINED BY AVRMC'S PURPOSE IS PATIENTS THAT QUALIFY FOR COLORADO INDIGENT CARE. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | THE COSTING METHODOLOGY USED TO DETERMINE THE FINANCIAL ASSISTANCE IS THE COST TO CHARGE RATIO. |
| SCHEDULE H, PART II | BENT, CROWLEY, AND OTERO COUNTIES ARE DESIGNATED AS MEDICALLY UNDERSERVED AND A HIGH NEEDS GEOGRAPHIC AREA FOR MENTAL HEALTH WITH A SHORTAGE IN THE AREA OF HEALTH PROFESSIONALS. THE MEDICAL CENTER IS CONTINUALLY RECRUITING PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO ITS RURAL SERVICE AREA TO HELP IMPROVE ACCESS TO HEALTHCARE SERVICES AS IDENTIFIED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT. |
| SCHEDULE H, PART III, LINE 2 | THE COST METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED AS BAD DEBT EXPENSE IS USING A COST-TO-CHARGE RATIO. THE AMOUNT OF BAD DEBTS ATTRIBUTABLE TO PATIENT ACCOUNTS IS MULTIPLIED BY THE RATIO OF PATIENT CARE COST TO CHARGES CALCULATE THE ESTIMATED COST OF BAD DEBTS ATTRIBUTABLE TO PATIENT ACCOUNTS. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY, BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS A COMMUNITY BENEFIT. |
| SCHEDULE H, PART III, LINE 4 | THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 4 ON PAGE 13 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 8 BEGINNING ON PAGE 18 OF THE AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, LINE 8 | MEDICARE SHORTFALL WAS CALCULATED USING THE MEDICARE COST REPORT FOR THE YEAR. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. |
| SCHEDULE H, PART III, LINE 9B | PATIENTS ARE NOTIFIED OF THE FINANCIAL ASSISTANCE PROGRAM VIA PATIENT FINANCIAL COUNSELORS, BROCHURES AVAILABLE IN THE ADMISSION AND BUSINESS OFFICE AREAS OF THE HOSPITAL, AND ON OUR WEBSITE AT THE FOLLOWING URL: HTTP://WWW.AVRMC.ORG/GETPAGE.PHP?NAME=FINANCIAL- ASSISTANCE-PRGRAM&SUB=FOR%20PATIENTS |
| SCHEDULE H, PART VI, LINE 2 | THE CHNA IS THE PRIMARY METHOD TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY SERVED. MEDICAL CENTER DEPARTMENT MANAGERS, MANAGEMENT, AND THE BOARD OF DIRECTORS ARE COMPRISED OF MEMBERS WITHIN THE COMMUNITY. THEY ARE ABLE TO GATHER AND COMMUNICATE THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES AND CONTINUALLY ADDRESS THEM AT STAFF AND BOARD MEETINGS. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL: HTTP://WWW.AVRMC.ORG/GETPAGE.PHP?NAME=COMMUNITY-HEALTH- NEEDS&CHILD=COMMUNITY+HEALTH+NEEDS |
| SCHEDULE H, PART VI, LINE 3 | THE MEDICAL CENTER PROVIDES A BROCHURE TO EACH PATIENT OUTLINING THE GUIDELINES TO DETERMINE ELIGIBILITY FOR ASSISTANCE. IF APPROPRIATE, WE GET THEM AN APPOINTMENT WITH A FINANCIAL COUNSELOR. THE BROCHURE CAN BE FOUND ON OUR WEBSITE AT THE FOLLOWING URL: HTTP://WWW.AVRMC.ORG/GETPAGE.PHP?NAME=FINANCIAL-ASSISTANCE-PRGRAM&SUB=FOR %20PATIENTS |
| SCHEDULE H, PART VI, LINE 4 | THE MEDICAL CENTER'S PRIMARY SERVICE AREA IS OTERO COUNTY IN COLORADO, RECEIVING 63.9% OF ITS PATIENTS FROM THIS AREA IN 2020, WITH BENT AND CROWLEY COUNTIES MAKING UP AN ADDITIONAL 27%. THESE COUNTIES ARE DESIGNATED BY HPSA AS A LOW INCOME POPULATION. THE 2020 CENSUS IS 18,665 FOR OTERO COUNTY, 5,861 FOR BENT COUNTY, AND 6,018 FOR CROWLEY COUNTY. IN 2020, OTERO COUNTY (6.2) HAD A HIGHER UNEMPLOYMENT RATE THAN THE STATE (6.1) WHILE BENT COUNTY (4.4) AND CROWLEY COUNTY (5.4) HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE. AS OF 2021, OTERO COUNTY (42.4 YEARS) HAS AN OLDER MEDIAN AGE THAN BENT COUNTY (41.2 YEARS), CROWLEY COUNTY (39.4 YEARS) AND THE STATE (37.8 YEARS). THE 65+ POPULATION IS 22.8% FOR OTERO COUNTY, 18.2% FOR BENT COUNTY, AND 13.8% FOR CROWLEY COUNTY. APPROXIMATELY 75.9% OF THE OTERO COUNTY POPULATION IS OF WHITE, NON-HISPANIC ETHNIC ORIGIN, COMPARED TO THE STATE POPULATION PERCENTAGE OF 79%. THE BLACK, ASIAN, AND AMERICAN INDIAN POPULATION OF OTERO COUNTY IS 4.7%, COMPARED TO 9.2% STATE WIDE. BENT COUNTY (35.8%) HAS THE HIGHEST PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY LEVEL AS COMPARED TO CROWLEY COUNTY (24.2%), OTERO COUNTY (33.1%) AND THE STATE (13.7%). THE MEDIAN HOUSEHOLD INCOMES IN BENT (31,365), CROWLEY (42,290), AND OTERO (39,369) COUNTIES ARE LOWER THAN THAT OF THE STATE (77,265). |
| SCHEDULE H, PART VI, LINE 5 | THE MEDICAL CENTER'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN THE LA JUNTA, COLORADO AREA. THE MAJORITY OF THE ORGANIZATION'S BOARD MEMBERS ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE MEDICAL CENTER. THE BOARD OF DIRECTORS IS MADE MOSTLY OF COMMUNITY BUSINESS PEOPLE INTERESTED IN MAINTAINING QUALITY HEALTH CARE IN LA JUNTA. MEDICAL STAFF PRIVILEGES ARE OPEN TO ALL MEDICAL PROVIDERS WITH ACTIVE LICENSURE. WE ENCOURAGE PRACTITIONERS FROM NUMEROUS SPECIALTIES TO MEET THE EVER EXPANDING HEALTHCARE NEEDS OF THE COMMUNITY. ANY SURPLUS FUNDS ARE REINVESTED INTO OUR FACILITIES, EQUIPMENT, AND EMPLOYEE EDUCATION. THE MEDICAL CENTER PARTICIPATES IN VARIOUS ACTIVITIES WITHIN ITS COMMUNITY TO PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES INCLUDING THE FOLLOWING: SERVE AS A TEACHING FACILITY FOR LOCAL RN, LAB, RESPIRATORY THERAPY, PHYSICAL THERAPY, ANCILLARY STUDENTS AND RESIDENTS PARTICIPATE WITH LOCAL SCHOOLS TO EDUCATE AREA RESIDENTS PURSUING FUTURE HEALTH CARE CAREERS ACTIVE MEMBER OF THE SOUTH EAST HEALTHCARE COALITION, WHICH EXISTS TO COLLABORATE TO PROVIDE EDUCATION OPPORTUNITIES TO ITS MEMBERS OFFER A VARIETY OF HEALTH SCREENINGS TO THE COMMUNITY PARTNER WITH LOCAL ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH AS OPPORTUNITIES ARISE EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC CONCERNING WELLNESS TOPICS AND HEALTH RISK CONCERNS SUCH AS DIABETIC EDUCATION, SELF-MANAGEMENT CLASSES, PRESENTATIONS TO CIVIC ORGANIZATIONS, CHURCH GROUPS, LOWER ARKANSAS VALLEY AREA AGENCY ON AGING, LA JUNTA SENIOR CENTER, FALL PREVENTION EDUCATION AT THE SENIOR CENTER, CANCER RELATED EDUCATION, LUNCH & LEARN SESSIONS, SUPPORT GROUPS (DIABETES SUPPORT GROUP), AND PREVENTATIVE EDUCATION PRESENTATIONS IN THE SCHOOL SYSTEM. LEADERSHIP AND VOLUNTEER ROLES WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY WORK WITH THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT IN SUPPORT OF THE COLORADO QUITLINE. MANY OF THESE ACTIVITIES WERE LIMITED DUE TO COVID RESTRICTIONS DURING THE YEAR BUT PLAN TO GET THEM BACK TO FULL CAPACITY AS RESTRICTIONS ARE LIFTED. IN ADDITION, THE MEDICAL CENTER IS CONTINUALLY WORKING WITH LOCAL OFFICIALS TO PROVIDE NEEDED SERVICES AND DONATE TIME AND EFFORT TO THE COMMUNITY. WE PROVIDE SUBSTANTIAL AMOUNTS OF UNCOMPENSATED CARE TO INDIVIDUALS THAT ARE IN NEED. THE MEDICAL CENTER ALSO PROVIDES ASSISTANCE WITH ENROLLMENT ASSISTANCE FOR GOVERNMENT-FUNDED HEALTH PROGRAMS FOR UNINSURED WHEN NECESSARY. |
| SCHEDULE H, PART VI, LINE 6 | N/A |
| SCHEDULE H, PART VI, LINE 7 | COLORADO |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| MICHAEL MORLEY | |||
| BOARD MEMBER/SURGEON | $675,622 | $14,094 | $689,716 |
| JESUS CARALE | |||
| BOARD MEMBER/SURGEON | $492,240 | $9,671 | $501,911 |
| JAMES BRADY | |||
| ER PHYSICIAN | $478,965 | $21,368 | $500,333 |
| WILLIAM JURGENS | |||
| ER PHYSICIAN | $443,875 | $12,218 | $456,093 |
| THOMAS JACKSON | |||
| SURGEON | $320,053 | $22,053 | $342,106 |
| JORGE AGUILAR | |||
| PHYSICIAN | $288,004 | $19,259 | $307,263 |
| PAOLA SANCHEZ-GARAY | |||
| PHYSICIAN | $282,855 | $9,542 | $292,397 |
| LYNN CROWELL | |||
| CEO THRU JUNE | $187,500 | $8,437 | $195,937 |
| JANETTE BENDER | |||
| CONTROLLER | $123,185 | $12,774 | $135,959 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | THE PHYSICIAN CONTRACTS ALLOW FOR A QUARTERLY BONUS IF THEIR RELATIVE VALUE UNITS CHARGED EXCEED QUARTERLY BENCHMARK STANDARDS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AARON CROWELL | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER | RelationshipDescriptionTxt |
| Transaction | $90,153 | TransactionAmt |
| Transaction | EMPLOYMENT | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 3 | THE MEDICAL CENTER CONTRACTS WITH COMMUNITY HOSPITAL CONSULTING (CHC), FOR HEALTHCARE MANAGEMENT SERVICES TO PROVIDE SPECIALIZED HEALTHCARE SERVICES. THE BOARD OF DIRECTORS WORK IN CONJUNCTION WITH CHC AND THE BOARD HAS ULTIMATE AUTHORITY AND RESPONSIBILITY FOR THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. |
| FORM 990, PAGE 6, PART VI, LINE 12C | BOARD MEMBERS AND KEY EMPLOYEES SUBMIT CONFLICTS OF INTEREST EACH YEAR TO REGULARLY REVIEW ANY POSSIBLE CONFLICTS WITH THE WRITTEN CONFLICT OF INTEREST POLICY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD EVALUATES AND AND APPROVES WAGE PARAMETERS TO DETERMINE THE COMPENSATION OF MANAGEMENT AND INDEPENDENT PERSONS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE FORM 990, PART VI, LINE 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AT PUBLIC BOARD MEETINGS AND UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACTED LABOR 1,562,319 211,021 0 PURCHASED SERVICES 510,799 595,499 0 CONSULTING 5,986 39,702 0 PHYSICIAN FEES 2,496,128 0 0 PROVIDER FEES 1,710,528 0 0 TOTAL 6,285,760 846,222 0 |
| FORM 990, PART XI, LINE 9 | RENTAL EXPENSE 151,734 CHANGE IN BENEFICIAL INTEREST 13,482 RENTAL EXPENSE -151,734 TOTAL 13,482 |
Comments