2022-01-31T13:58:57-06:00 2021-03-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2020-04-01 841465990 ARKANSAS VALLEY REGIONAL MEDICAL CENTER ARKA 7193836026 1100 CARSON AVENUE LA JUNTA CO 81050 LYNN CROWELL CEO 7193836026 2022-01-26 true LYNN CROWELL 999009999 THOMAS DINGUS P00951009 5092420874 2022-01-31 2020 2022-09-23 18:48:47Z LYNN CROWELL 1100 CARSON AVENUE LA JUNTA CO 81050 34865093 false X WWW.AVRMC.ORG X 1997 CO THE CENTER IS A COMMUNITY-OWNED ORGANIZATION PROVIDING HIGH QUALITY, RESPECTFUL, AND COMPASSIONATE HEALTH CARE SERVICES TO INDIVIDUALS & FAMILIES IN SOUTHEAST COLORADO. 9 7 284 69 0 54137 4806140 35606456 29836759 27049 5598 164509 59650 35852151 34708147 0 0 20814191 20540427 0 0 17613761 17357609 38427952 37898036 -2575801 -3189889 27424705 33050587 3715053 12532808 23709652 20517779 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. false false 31852537 29836759 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. 31852537 true true false true false false false false true true true false false true true true true false false false false false false false false false true true false false true false false false false false false true false false false false false false false false false false true 68 0 true 284 true false false false false false false false false false false false false X 9 7 false true false false false false false true true false false true true true true true true true true false X JANETTE BENDER 7193836026 1100 CARSON AVENUE LA JUNTA CO 81050 DALE LEIGHTY CHAIR 1.00 X X 0 0 0 ROB PICKERING VICE CHAIR 1.00 X X 0 0 0 JOSEPH PENTLICKI SECRETARY/TR 1.00 X X 0 0 0 JESUS CARALE BOARD MEMBER 40.00 X 477829 0 55463 GARY GIBSON BOARD MEMBER 1.00 X 0 0 0 PATRICK MALOTT BOARD MEMBER 1.00 X 0 0 0 ELAINE MCINTYRE BOARD MEMBER 1.00 X 0 0 0 MICHAEL MORLEY BOARD MEMBER 40.00 X 668106 0 11544 BETTY VELASQUEZ BOARD MEMBER 1.00 X 0 0 0 LYNN CROWELL CEO 40.00 X 263407 0 47482 TREVOR LEWIS CFO THRU JUN 40.00 X 124493 0 20832 TODD GIBSON INTERIM CFO 20.00 X 43130 0 0 JANETTE BENDER CONTROLLER 40.00 X 128229 0 39847 JAMES BRADY ER PHYSICIAN 40.00 X 478275 0 63466 WILLIAM JURGENS ER PHYSICIAN 40.00 X 412890 0 34402 THOMAS JACKSON SURGEON 40.00 X 314492 0 60716 ANDREW GROVER PHARMACY DIR 40.00 X 180477 0 44917 CARL ROSS PHARMACIST 40.00 X 161332 0 39714 3252660 418383 18 true true false DELTA LOCUM PO BOX 202940 DALLAS TX 75320 STAFFING 1024433 AVRMC ANESTHESIA PO BOX 232 PAGOSA SPRINGS CO 81147 BILLING SVS 610560 ALBERT STERNS 717 WHITE STREET KEYWEST FL 33040 PHYSICIAN 415570 GE PRECISION HEALTHCARE PO BOX 96483 CHICAGO IL 60693 TECH SUPPORT 320805 MEDICAL INFORMATION SYSTEMS MEDITECH CIRCLE WESTWOOD MA 02090 TECH SUPPORT 287364 24 4672723 133417 4806140 NET PATIENT SERVICE REVENUE 624100 29836759 29836759 29836759 30565 30565 119969 131979 -12010 -12010 -12010 24967 -24967 -24967 -24967 CAFETERIA REVENUE 900099 44005 44005 OTHER REVENUE 722320 20181 20181 MEDICAL RECORDS 900099 7474 7474 71660 34708147 29836759 65248 X 1645728 1199581 446147 15540063 13513287 2026776 424553 386512 38041 1650755 1274411 376344 1279328 1064511 214817 178686 178686 16815 16815 58521 58521 6620919 5781286 839633 28359 1466 26893 1234620 924530 310090 183679 183679 965460 816151 149309 54177 34391 19786 76438 60042 16396 24303 24303 2066675 1720371 346304 381238 321408 59830 MEDICAL SUPPLIES & DRUGS 3401730 3401730 REPAIRS & MAINTENANCE 1576376 1148891 427485 LICENSES & TAXES 253854 94474 159380 DUES & SUBSCRIPTIONS 159175 84969 74206 76584 223 76361 37898036 31852537 6045499 0 482171 7969079 1258415 1258415 5304312 3800521 1245648 1060261 778251 549644 35924114 20100812 17164568 15823302 1191340 2589365 27424705 33050587 2947747 3038232 767306 4200383 5294193 3715053 12532808 X 23156303 19966414 553349 551365 23709652 20517779 27424705 33050587 X -3189889 -1984 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2583 2583 false SCHEDULE C, PART II-B, LINE 1 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. true 6604 39290 -40131 5763 false 553349 -1984 551365 555067 -1718 553349 553238 1829 555067 548635 4603 553238 549909 -1274 548635 1.00000 true false 16655 16655 28574668 15268942 13305726 301331 189187 112144 7031460 4642683 2388777 15823302 ESTIMATED THIRD-PARTY SETTLEMENT 2038000 BENEFICIAL INTEREST IN TRUST 551365 2589365 MEDICARE ACCELERATED PAYMENTS 4050879 ESTIMATED THIRD-PARTY PAYOR SETTLE 1243314 5294193 X 34838142 129995 129995 34708147 34708147 38030015 131979 131979 37898036 37898036 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 true true true X true X true true true false true true 184232 184232 0.00490 12297221 8962407 3334814 0.08800 12481453 8962407 3519046 0.09290 24 75 2083 2083 0.00010 24 75 2083 2083 0.00010 24 75 12483536 8962407 3521129 0.09290 true 3553643 9701669 9652810 48859 X true false 1 1 ARKANSAS VALLEY REGIONAL MEDICAL CENTER 1100 CARSON AVENUE LA JUNTA CO 81050 WWW.AVRMC.ORG 010210 X X X X ARKANSAS VALLEY REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X X X 19 true false true true X WWW.AVRMC.ORG X true 19 true WWW.AVRMC.ORG false true X 250.000000000000 X true true X X X true X WWW.AVRMC.ORG/ X X X X true X false X X true X false false 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. 1 ARKANSAS VALLEY REGIONAL MEDICAL 1100 CARSON AVENUE LA JUNTA CO 81050 LONG-TERM NURSING HOME 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 X false false false false false false false true false JESUS CARALE BOARD MEMBER/SURGEON 477799 30 26000 29463 533292 MICHAEL MORLEY BOARD MEMBER/SURGEON 668076 30 11544 679650 LYNN CROWELL CEO 259747 30 3630 7096 40386 310889 JANETTE BENDER CONTROLLER 125000 3229 18750 21097 168076 JAMES BRADY ER PHYSICIAN 478245 30 26000 37466 541741 WILLIAM JURGENS ER PHYSICIAN 412860 30 12113 22289 447292 THOMAS JACKSON SURGEON 314462 30 26000 34716 375208 ANDREW GROVER PHARMACY DIRECTOR 171122 9355 19500 25417 225394 CARL ROSS PHARMACIST 157496 3836 15250 24464 201046 SCHEDULE J, PAGE 1, PART I, LINE 7 THE PHYSICIAN CONTRACTS ALLOW FOR A QUARTERLY BONUS IF THEIR RELATIVE VALUE UNITS CHARGED EXCEED QUARTERLY BENCHMARK STANDARDS. AARON CROWELL FAMILY MEMBER 88200 EMPLOYMENT false ROSS BENDER FAMILY MEMBER 87515 EMPLOYMENT false 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