ARKANSAS VALLEY REGIONAL MEDICAL CENTER 07011998: Form 990, tax year 2020
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- Organization
- ARKANSAS VALLEY REGIONAL MEDICAL CENTER 07011998 (EIN 84-1465990)
- Tax period
- 2020-04-01 to 2021-03-31
- Filed
- 2022-01-31
- IRS object ID
- 202230319349301563
- Schema version
- 2020v4.0
- 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 | 2022-01-31T13:58:57-06:00 | ReturnTs |
| Tax Period End | 2021-03-31 | 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 | 2020-04-01 | 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 | LYNN CROWELL | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7193836026 | PhoneNum |
| Signature | 2022-01-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LYNN | PersonFirstNm |
| Person Last | CROWELL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2022-01-31 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LYNN CROWELL | 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 | $34,865,093 | 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 | 284 | TotalEmployeeCnt |
| Total Volunteers | 69 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $54,137 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,806,140 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $35,606,456 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,836,759 | CYProgramServiceRevenueAmt |
| PY Investment Income | $27,049 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,598 | CYInvestmentIncomeAmt |
| PY Other Revenue | $164,509 | PYOtherRevenueAmt |
| CY Other Revenue | $59,650 | CYOtherRevenueAmt |
| PY Total Revenue | $35,852,151 | PYTotalRevenueAmt |
| CY Total Revenue | $34,708,147 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,814,191 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,540,427 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,613,761 | PYOtherExpensesAmt |
| CY Other Expenses | $17,357,609 | CYOtherExpensesAmt |
| PY Total Expenses | $38,427,952 | PYTotalExpensesAmt |
| CY Total Expenses | $37,898,036 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,575,801 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,189,889 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $27,424,705 | TotalAssetsBOYAmt |
| Total Assets EOY | $33,050,587 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,715,053 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,532,808 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $23,709,652 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $20,517,779 | 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 | $31,852,537 | ExpenseAmt |
| Revenue | $29,836,759 | RevenueAmt |
| Desc | THE MEDICAL CENTER OPERATES AN ACUTE-CARE HOSPITAL AND LONG-TERM CARE NURSING HOME AND PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO THE COMMUNITY REGARDLESS OF RACE AND INSURANCE. THE MEDICAL CENTER PROVIDED 2,415 INPATIENT DAYS, 34,109 OUTPATIENT VISITS, 8,362 EMERGENCY ROOM VISITS, AND 124 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 347,608 FOR CHARITY CARE, 10,672,199 FOR MEDICARE, 11,278,267 FOR MEDICAID, AND 9,225,536 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. | Desc |
| Total Program Service Expenses | $31,852,537 | 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 | Yes (true) | 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 | 68 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 284 | 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 | JANETTE BENDER | 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 (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DALE LEIGHTY | ||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROB PICKERING | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH PENTLICKI | ||||||||
| SECRETARY/TR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JESUS CARALE | ||||||||
| BOARD MEMBER | 40.00 | Yes (X) | $477,829 | $0 | $55,463 | |||
| GARY GIBSON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICK MALOTT | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ELAINE MCINTYRE | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL MORLEY | ||||||||
| BOARD MEMBER | 40.00 | Yes (X) | $668,106 | $0 | $11,544 | |||
| BETTY VELASQUEZ | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LYNN CROWELL | ||||||||
| CEO | 40.00 | Yes (X) | $263,407 | $0 | $47,482 | |||
| TREVOR LEWIS | ||||||||
| CFO THRU JUN | 40.00 | Yes (X) | $124,493 | $0 | $20,832 | |||
| TODD GIBSON | ||||||||
| INTERIM CFO | 20.00 | Yes (X) | $43,130 | $0 | $0 | |||
| JANETTE BENDER | ||||||||
| CONTROLLER | 40.00 | $128,229 | $0 | $39,847 | Yes (X) | |||
| JAMES BRADY | ||||||||
| ER PHYSICIAN | 40.00 | $478,275 | $0 | $63,466 | Yes (X) | |||
| WILLIAM JURGENS | ||||||||
| ER PHYSICIAN | 40.00 | $412,890 | $0 | $34,402 | Yes (X) | |||
| THOMAS JACKSON | ||||||||
| SURGEON | 40.00 | $314,492 | $0 | $60,716 | Yes (X) | |||
| ANDREW GROVER | ||||||||
| PHARMACY DIR | 40.00 | $180,477 | $0 | $44,917 | Yes (X) | |||
| CARL ROSS | ||||||||
| PHARMACIST | 40.00 | $161,332 | $0 | $39,714 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,252,660 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $418,383 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | 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 |
|---|---|---|---|---|---|
| DELTA LOCUM | |||||
| PO BOX 202940 | DALLAS | TX | 75320 | STAFFING | $1,024,433 |
| AVRMC ANESTHESIA | |||||
| PO BOX 232 | PAGOSA SPRINGS | CO | 81147 | BILLING SVS | $610,560 |
| ALBERT STERNS | |||||
| 717 WHITE STREET | KEYWEST | FL | 33040 | PHYSICIAN | $415,570 |
| GE PRECISION HEALTHCARE | |||||
| PO BOX 96483 | CHICAGO | IL | 60693 | TECH SUPPORT | $320,805 |
| MEDICAL INFORMATION SYSTEMS | |||||
| MEDITECH CIRCLE | WESTWOOD | MA | 02090 | TECH SUPPORT | $287,364 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 24 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,672,723 | GovernmentGrantsAmt |
| All Other Contributions | $133,417 | AllOtherContributionsAmt |
| Total Contributions | $4,806,140 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $29,836,759 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,836,759 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $29,836,759 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,565 | TotalRevenueColumnAmt |
| Exclusion | $30,565 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $119,969 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $131,979 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$12,010 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$12,010 | TotalRevenueColumnAmt |
| Exclusion | -$12,010 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $24,967 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$24,967 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$24,967 | TotalRevenueColumnAmt |
| Exclusion | -$24,967 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA REVENUE | 900099 | $44,005 | $44,005 |
| OTHER REVENUE | 722320 | $20,181 | $20,181 |
| MEDICAL RECORDS | 900099 | $7,474 | $7,474 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $71,660 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,708,147 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,836,759 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $65,248 | 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 | $1,645,728 | TotalAmt |
| Program Services | $1,199,581 | ProgramServicesAmt |
| Management And General | $446,147 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,540,063 | TotalAmt |
| Program Services | $13,513,287 | ProgramServicesAmt |
| Management And General | $2,026,776 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,553 | TotalAmt |
| Program Services | $386,512 | ProgramServicesAmt |
| Management And General | $38,041 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,650,755 | TotalAmt |
| Program Services | $1,274,411 | ProgramServicesAmt |
| Management And General | $376,344 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,279,328 | TotalAmt |
| Program Services | $1,064,511 | ProgramServicesAmt |
| Management And General | $214,817 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,686 | TotalAmt |
| Management And General | $178,686 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,815 | TotalAmt |
| Management And General | $16,815 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,521 | TotalAmt |
| Management And General | $58,521 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,620,919 | TotalAmt |
| Program Services | $5,781,286 | ProgramServicesAmt |
| Management And General | $839,633 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,359 | TotalAmt |
| Program Services | $1,466 | ProgramServicesAmt |
| Management And General | $26,893 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,234,620 | TotalAmt |
| Program Services | $924,530 | ProgramServicesAmt |
| Management And General | $310,090 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,679 | TotalAmt |
| Management And General | $183,679 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $965,460 | TotalAmt |
| Program Services | $816,151 | ProgramServicesAmt |
| Management And General | $149,309 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,177 | TotalAmt |
| Program Services | $34,391 | ProgramServicesAmt |
| Management And General | $19,786 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,438 | TotalAmt |
| Program Services | $60,042 | ProgramServicesAmt |
| Management And General | $16,396 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,303 | TotalAmt |
| Program Services | $24,303 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,066,675 | TotalAmt |
| Program Services | $1,720,371 | ProgramServicesAmt |
| Management And General | $346,304 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,238 | TotalAmt |
| Program Services | $321,408 | ProgramServicesAmt |
| Management And General | $59,830 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $3,401,730 | $3,401,730 | |
| REPAIRS & MAINTENANCE | $1,576,376 | $1,148,891 | $427,485 |
| LICENSES & TAXES | $253,854 | $94,474 | $159,380 |
| DUES & SUBSCRIPTIONS | $159,175 | $84,969 | $74,206 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,584 | TotalAmt |
| Program Services | $223 | ProgramServicesAmt |
| Management And General | $76,361 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,898,036 | TotalAmt |
| Program Services | $31,852,537 | ProgramServicesAmt |
| Management And General | $6,045,499 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $482,171 | BOYAmt |
| EOY | $7,969,079 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,258,415 | BOYAmt |
| EOY | $1,258,415 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,304,312 | BOYAmt |
| EOY | $3,800,521 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,245,648 | BOYAmt |
| EOY | $1,060,261 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $778,251 | BOYAmt |
| EOY | $549,644 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $35,924,114 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $20,100,812 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,164,568 | BOYAmt |
| EOY | $15,823,302 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,191,340 | BOYAmt |
| EOY | $2,589,365 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,424,705 | BOYAmt |
| EOY | $33,050,587 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,947,747 | BOYAmt |
| EOY | $3,038,232 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $767,306 | BOYAmt |
| EOY | $4,200,383 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,294,193 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,715,053 | BOYAmt |
| EOY | $12,532,808 | 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 | $23,156,303 | BOYAmt |
| EOY | $19,966,414 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $553,349 | BOYAmt |
| EOY | $551,365 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,709,652 | BOYAmt |
| EOY | $20,517,779 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,424,705 | BOYAmt |
| EOY | $33,050,587 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,189,889 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,984 | 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 | $2,583 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,583 | 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 | $6,604 | BeginningBalanceAmt |
| Additions During Year | $39,290 | AdditionsDuringYearAmt |
| Distributions During Year | -$40,131 | DistributionsDuringYearAmt |
| Ending Balance | $5,763 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $548,635 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $4,603 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $553,238 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $549,909 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,274 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $548,635 | 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 | $28,574,668 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,268,942 | DepreciationAmt |
| Book Value | $13,305,726 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $301,331 | OtherCostOrOtherBasisAmt |
| Depreciation | $189,187 | DepreciationAmt |
| Book Value | $112,144 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,031,460 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,642,683 | DepreciationAmt |
| Book Value | $2,388,777 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,823,302 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ESTIMATED THIRD-PARTY SETTLEMENT | $2,038,000 |
| BENEFICIAL INTEREST IN TRUST | $551,365 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,589,365 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| MEDICARE ACCELERATED PAYMENTS | $4,050,879 |
| ESTIMATED THIRD-PARTY PAYOR SETTLE | $1,243,314 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,294,193 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $34,838,142 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $129,995 | OtherRevenueAmt |
| Revenue Not Reported | $129,995 | RevenueNotReportedAmt |
| Revenue Subtotal | $34,708,147 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $34,708,147 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $38,030,015 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $131,979 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $131,979 | ExpensesNotReportedAmt |
| Expenses Subtotal | $37,898,036 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $37,898,036 | 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, 2021 AND 2020, THE MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | RENTAL EXPENSE 131,979 CHANGE IN BENEFICIAL INTEREST -1,984 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | RENTAL EXPENSE 131,979 |
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 | $184,232 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $184,232 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,297,221 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,962,407 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,334,814 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08800 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,481,453 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,962,407 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,519,046 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09290 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 24 | ActivitiesOrProgramsCnt |
| Persons Served | 75 | PersonsServedCnt |
| Total Community Benefit Expns | $2,083 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,083 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 24 | ActivitiesOrProgramsCnt |
| Persons Served | 75 | PersonsServedCnt |
| Total Community Benefit Expns | $2,083 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,083 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 24 | ActivitiesOrProgramsCnt |
| Persons Served | 75 | PersonsServedCnt |
| Total Community Benefit Expns | $12,483,536 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,962,407 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,521,129 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09290 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,553,643 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $9,701,669 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,652,810 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $48,859 | 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 | 19 | 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 | 19 | 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 49, OF THE LATEST CHNA LOCATED ON THE WEBSITE. |
| FACILITY 1, ARKANSAS VALLEY REGIONAL MEDICAL - PART V, LINE 5 | A CHNA SURVEY WAS DEPLOYED TO THE HOSPITAL'S LOCAL EXPERT ADVISORS TO GAIN INPUT ON LOCAL HEALTH NEEDS AND THE NEEDS OF PRIORITY POPULATIONS. LOCAL EXPERT ADVISORS WERE LOCAL INDIVIDUALS 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. COMMUNITY INPUT FROM 15 LOCAL EXPERT ADVISORS WAS RECEIVED. SURVEY RESPONSES STARTED DECEMBER 18, 2018, AND ENDED WITH THE LAST RESPONSE ON JANUARY 11, 2019. INFORMATION ANALYSIS AUGMENTED BY LOCAL OPINIONS SHOWED HOW OTERO, CROWLEY AND BENT COUNTIES RELATE TO THEIR PEERS IN TERMS OF PRIMARY AND CHRONIC NEEDS AND OTHER ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS. RESPONDENTS COMMENTED ON WHETHER THEY BELIEVE CERTAIN POPULATION GROUPS ("PRIORITY POPULATIONS") NEED HELP TO IMPROVE THEIR CONDITION, AND IF SO, WHO NEEDS TO DO WHAT TO IMPROVE THE CONDITIONS OF THESE GROUPS. LOCAL OPINIONS OF THE NEEDS OF PRIORITY POPULATIONS, WHILE PRESENTED IN ITS ENTIRETY IN THE APPENDIX, ARE SUMMARIZED AS LOW-INCOME GROUPS, OLDER ADULTS, RACIAL AND ETHNIC MINORITY GROUPS, AND RESIDENTS OF RURAL AREAS. ADDITIONALLY, THE INFORMATION AND SUMMARY CONCLUSIONS WERE PUT BEFORE THE HOSPITAL'S LOCAL EXPERT ADVISORS WHO WERE ASKED TO AGREE OR DISAGREE WITH THE SUMMARY CONCLUSIONS. THEY WERE FREE TO AUGMENT POTENTIAL CONCLUSIONS WITH ADDITIONAL COMMENTS OF NEED. HAVING TAKEN STEPS TO IDENTIFY POTENTIAL COMMUNITY NEEDS, THE LOCAL EXPERTS THEN PARTICIPATED IN A STRUCTURED COMMUNICATION TECHNIQUE CALLED A "WISDOM OF CROWDS" METHOD. THE PREMISE OF THIS APPROACH RELIES ON A PANEL OF EXPERTS WITH THE ASSUMPTION THAT THE COLLECTIVE WISDOM OF PARTICIPANTS IS SUPERIOR TO THE OPINION OF ANY ONE INDIVIDUAL, REGARDLESS OF THEIR PROFESSIONAL CREDENTIALS. IN THE AVRMC PROCESS, EACH LOCAL EXPERT HAD THE OPPORTUNITY TO INTRODUCE NEEDS PREVIOUSLY UNIDENTIFIED AND TO CHALLENGE CONCLUSIONS DEVELOPED FROM THE DATA ANALYSIS. WHILE THERE WERE A FEW OPINIONS OF THE DATA CONCLUSIONS NOT BEING COMPLETELY ACCURATE, MOST OF THE COMMENTS AGREED WITH THE FINDINGS. A LIST OF ALL NEEDS IDENTIFIED BY ANY OF THE ANALYZED DATA WAS DEVELOPED. THE LOCAL EXPERTS THEN ALLOCATED 100 POINTS AMONG THE LIST OF HEALTH NEEDS, INCLUDING THE OPPORTUNITY TO LIST ADDITIONAL NEEDS THAT WERE NOT IDENTIFIED FROM THE DATA. THE RANKED NEEDS WERE DIVIDED INTO TWO GROUPS: "SIGNIFICANT- AND "OTHER IDENTIFIED NEEDS." THE SIGNIFICANT NEEDS WERE PRIORITIZED BASED ON TOTAL POINTS CAST BY THE LOCAL EXPERTS IN DESCENDING ORDER, FURTHER RANKED BY THE NUMBER OF LOCAL EXPERTS CASTING ANY POINTS FOR THE NEED. BY DEFINITION, A SIGNIFICANT NEED HAD TO INCLUDE ALL RANK ORDERED NEEDS UNTIL AT LEAST SIXTY PERCENT (60%) OF ALL POINTS WERE INCLUDED AND TO THE EXTENT POSSIBLE, REPRESENTED POINTS ALLOCATED BY A MAJORITY OF VOTING LOCAL EXPERTS. THE DETERMINATION OF THE BREAK POINT - "SIGNIFICANT" AS OPPOSED TO "OTHER" - WAS A QUALITATIVE INTERPRETATION WHERE A REASONABLE BREAK POINT IN RANK ORDER OCCURRED. 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 HOSPITAL COLLABORATED WITH AND OBTAINED ASSISTANCE IN CONDUCTING THIS CHNA FROM QUORUM HEALTH RESOURCES (QHR). |
| FACILITY 1, ARKANSAS VALLEY REGIONAL MEDICAL - PART V, LINE 11 | THE MOST RECENT CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS: ACCESS TO HEALTHCARE/PHYSICIAN, ALCOHOL USE/SUBSTANCE ABUSE, CANCER, DIABETES, AND OBESITY. AVRMC SERVICES, PROGRAMS, AND RESOURCES AVAILABLE TO RESPOND TO THESE NEEDS INCLUDE: O A STRONG MIX OF SPECIALTY CARE PROVIDERS ALLOWS FOR REASONABLE ACCESS TO THOSE NEEDED SERVICES IN THE COMMUNITY O IN PRIMARY CARE PRACTICES OWNED BY AVRMC, THERE ARE CALL BACK PROTOCOLS IN PLACE TO PROVIDE APPOINTMENT REMINDERS O A NURSE THAT DOES ANNUAL WELLNESS VISITS PERFORMS FOLLOW-UPS AND CALLS O WORK WITH THE COLORADO HOSPITAL ASSOCIATION IN OFFERING THE ALTO PROJECT, WHICH IS GEARED TOWARD REDUCING THE ADMINISTRATION OF OPIOIDS PRESCRIBED THROUGH EMERGENCY DEPARTMENTS O WORK CLOSELY WITH SOUTHEAST HEALTH GROUP WHICH PROVIDES MENTAL HEALTH, SUBSTANCE USE DISORDER, PRIMARY CARE AND WELLNESS SERVICES TO SIX RURAL AND FRONTIER COLORADO COUNTIES-BACA, BENT, CROWLEY, KIOWA, OTERO, AND PROWERS O AVRMC IS AN ACTIVE MEMBER OF THE SOUTH EAST HEALTHCARE COALITION, WHICH EXISTS TO COLLABORATE TO PROVIDE EDUCATION OPPORTUNITIES TO ITS MEMBERS O ROTATING ONCOLOGY SPECIALISTS COME IN AND PROVIDE SERVICES TO THE COMMUNITY FROM PUEBLO O OFFER CHEMOTHERAPY INJECTIONS (NO IV RUNS) IN THAT PHASE OF TREATMENT O WORK WITH THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT IN SUPPORT OF THE COLORADO QUITLINE O EDUCATION ON RELATED DISEASES AND SERVICES AVAILABLE O PROVIDE SCREENING OPPORTUNITIES AT THE COMMUNITY HEALTH FAIR THAT IS DRIVEN BY AVRMC SUCH AS PSA SCREENINGS AND PULMONARY FUNCTION TEST O OFFER AND MARKET MAMMOGRAPHY SCANS O EMPLOY A FULL TIME CERTIFIED DIABETIC EDUCATOR (CDE) O OFFER DIABETES SELF-MANAGEMENT EDUCATION EACH MONTH O HAVE A STRONG PRESENCE WITH DIABETES EDUCATION AT THE COMMUNITY HEALTH FAIR O EMPLOY A DIETICIAN THAT WORKS CLOSELY WITH THE CDE O OFFER MONTHLY MEETINGS FOR A DIABETES SUPPORT GROUP O CDE SPEAKS WITH CIVIC ORGANIZATIONS, CHURCH GROUPS, THE LOWER ARKANSAS VALLEY AREA AGENCY ON AGING, AND AT THE LA JUNTA SENIOR CENTER O DIABETES EDUCATOR WORKS WITH PATIENTS WHO ARE AT RISK OF OBESITY OR ALREADY ARE OBESE O EVANGELIZE AND SUPPORT SEVERAL WEIGHT CONTROL GROUPS IN TOWN SUCH AS TOPS AND WEIGHT WATCHERS O PROVIDE BMI TESTING AT THE HEALTH FAIR O A PATIENT SCREENING WITH A HIGH BMI RECEIVES A REFERRAL TO THE AVRMC DIETICIAN O DIETICIAN WILL EDUCATE OF OPPORTUNITIES/PROGRAMS IN THE COMMUNITY OTHER NEEDS IDENTIFIED DURING CHNA PROCESS INCLUDE HEART DISEASE, MENTAL HEALTH/SUICIDE, WOMEN'S HEALTH, ACCIDENTS, PREVENTION/WELLNESS EDUCATION, CHRONIC PAIN MANAGEMENT, HYPERTENSION, LUNG DISEASE, PHYSICAL ACTIVITY, STROKE, LIVER DISEASE, KIDNEY DISEASE, ALZHEIMER'S, AND FLU/PNEUMONIA. WE DO NOT HAVE ADEQUATE RESOURCES TO SOLVE ALL THE PROBLEMS IDENTIFIED. SOME ISSUES ARE BEYOND THE MISSION OF THE HOSPITAL AND ACTION IS BEST SUITED FOR A RESPONSE BY OTHERS. SOME IMPROVEMENTS WILL REQUIRE PERSONAL ACTIONS BY INDIVIDUALS RATHER THAN THE RESPONSE OF AN ORGANIZATION. WE VIEW THIS AS A PLAN FOR HOW WE, ALONG WITH OTHER ORGANIZATIONS AND AGENCIES, CAN COLLABORATE TO BRING THE BEST EACH HAS TO OFFER TO ADDRESS THE MORE PRESSING IDENTIFIED NEEDS. BY DEFINITION, THE NEEDS IDENTIFIED AS LOW PRIORITY AND FOR WHICH AVRMC HOLDS LOW RESPONSILBILITY FOR IMPLEMENTATION ARE NEEDS TO WHICH THE HOSPITAL MAY DEVOTE RESOURCES WHILE (IN MOST CASES) MONITORING BUT OTHERWISE NOT ADDRESSING. REASONS FOR THIS RESPONSE INCLUDE THE FOLLOWING: ACTIONS REQUIRED ARE BEYOND THE MISSION OF AVRMC, AVRMC CAN BE MORE EFFECTIVE APPLYING ITS RESOURCES TO HIGHER PRIORITY NEEDS, THE HOSPITAL DOES NOT POSSESS THE EXPERTISE NECESSARY FOR SUBSTANTIVE POSITIVE IMPROVEMENT, ACTIONS CONTEMPLATED FOR IMPLEMENTATION FALL MORE APPROPRIATELY TO THE RESPONSIBILITY OF OTHERS OTHER THAN PROVIDING ENCOURAGEMENT, AND IMPLEMENTATION EFFORTS FOR SOME NEEDS REQUIRE APPROPRIATE ACTIONS BY INDIVIDUALS MODIFYING THEIR PERSONAL HABITS RATHER THAN A RESPONSE BY AN ORGANIZATION OR THE HEALTH SYSTEM. THE BEST USE OF AVRMC RESOURCES IS TO FOCUS ON RESOLVING OR IMPROVING HIGHER PRIORITY NEEDS RATHER THAN ATTEMPTING TO RESPOND TO EVERYTHING WITH SMALL, PERHAPS INEFFECTIVE, EFFORTS. |
| 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS VALLEY REGIONAL MEDICAL | BusinessNameLine1Txt |
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) |
|---|---|---|
| Facility | LONG-TERM NURSING HOME | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (11 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 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 12 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 10 BEGINNING ON PAGE 14 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. HOSPITAL 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 RECENTLY ADOPTED IMPLEMENTATION STRATEGY AND COMMUNITY HEALTH NEEDS ASSESSMENT 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 | AVRMC, IN CONJUNCTION WITH QUORUM, DEFINES ITS SERVICE AREA AS OTERO COUNTY IN COLORADO, WHICH INCLUDES THE FOLLOWING ZIP CODES: 81039 FOWLER, 81050 LA JUNTA, 81058 MANZANOLA, AND 81067 ROCKY FORD. IN 2014, THE HOSPITAL RECEIVED 72.0% OF ITS PATIENTS FROM THIS AREA. COUNTY DATA IS USED AS MOST INFORMATION IS NOT AVAILABLE AT THE GEOGRAPHIC LEVEL OF A ZIP CODE. THE 2015 POPULATION FOR OTERO COUNTY IS ESTIMATED TO BE 19,013, AND IS EXPECTED TO INCREASE AT A RATE OF 0.5%, PROJECTING A 2020 POPULATION OF 19,100. THE POPULATION INCREASE IS IN CONTRAST TO THE COLORADO STATE AVERAGE RATE OF POPULATION INCREASE OF 6.3% AND THE NATIONAL GROWTH RATE OF 3.5%. APPROXIMATELY 55.1 % OF THE OTERO COUNTY POPULATION IS OF WHITE, NON-HISPANIC ETHNIC ORIGIN, COMPARED TO THE U S POPULATION PERCENTAGE OF 61.8%. THE HISPANIC POPULATION OF OTERO COUNTY IS 41.2%, COMPARED TO 17.6% NATIONALLY. THE 65+ POPULATION OF OTERO COUNTY 1S 19.7% OF THE TOTAL POPULATION COMPARED TO THE OVERALL US AT 14.7%. THE 2015 PERCENTAGE OF CHILD-BEARING-AGE FEMALES IN OTERO COUNTY IS 17.0%, WHILE IN COLORADO AS A WHOLE IT IS 19.9%, AND FOR THE US 19.7%. THE 2015 OTERO COUNTY MEDIAN HOUSEHOLD INCOME IS 34,037, WHICH IS CONSIDERABLY LOWER THAN THE NATIONAL MEDIAN HOUSEHOLD INCOME OF 53,375. OTERO COUNTY'S UNEMPLOYMENT RATE AS OF 2015 IS 4.7%. THIS IS LESS THAN THE NATIONAL UNEMPLOYMENT RATE OF 5.1%. |
| 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. |
| SCHEDULE H, PART VI, LINE 6 | N/A |
| SCHEDULE H, PART VI, LINE 7 | COLORADO |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| JESUS CARALE | ||||||
| BOARD MEMBER/SURGEON | $477,799 | $30 | $26,000 | $29,463 | $533,292 | |
| MICHAEL MORLEY | ||||||
| BOARD MEMBER/SURGEON | $668,076 | $30 | $11,544 | $679,650 | ||
| LYNN CROWELL | ||||||
| CEO | $259,747 | $30 | $7,096 | $40,386 | $310,889 | $3,630 |
| JANETTE BENDER | ||||||
| CONTROLLER | $125,000 | $3,229 | $18,750 | $21,097 | $168,076 | |
| JAMES BRADY | ||||||
| ER PHYSICIAN | $478,245 | $30 | $26,000 | $37,466 | $541,741 | |
| WILLIAM JURGENS | ||||||
| ER PHYSICIAN | $412,860 | $30 | $12,113 | $22,289 | $447,292 | |
| THOMAS JACKSON | ||||||
| SURGEON | $314,462 | $30 | $26,000 | $34,716 | $375,208 | |
| ANDREW GROVER | ||||||
| PHARMACY DIRECTOR | $171,122 | $9,355 | $19,500 | $25,417 | $225,394 | |
| CARL ROSS | ||||||
| PHARMACIST | $157,496 | $3,836 | $15,250 | $24,464 | $201,046 | |
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 (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| AARON CROWELL | |||
| FAMILY MEMBER | $88,200 | EMPLOYMENT | false |
| ROSS BENDER | |||
| FAMILY MEMBER | $87,515 | EMPLOYMENT | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 3 | THE MEDICAL CENTER CONTRACTS WITH QUORUM HEALTH RESOURCES (QHR), FOR HEALTHCARE MANAGEMENT SERVICES TO PROVIDE SPECIALIZED HEALTHCARE SERVICES AND UTILIZES AN EMPLOYEE OF QHR AS ITS CEO AND CFO THROUGH JUNE 2020. THE BOARD OF DIRECTORS WORK IN CONJUNCTION WITH QHR 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-EO 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 | 5,781,286 839,633 0 |
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