2025-02-14T09:40:53+00:00 2024-03-31 440160260 Forvis Mazars LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2023-04-01 841465990 Arkansas Valley Regional Medical Center ARKA 7193836026 1100 CARSON AVENUE LA JUNTA CO 81050 DAVID ANDREW FLEMER JR CEO 7193836026 2025-02-14 true Adam R Smith P00958966 7194714290 2025-02-11 2023 2025-03-06 01:10:19Z DAVID ANDREW FLEMER JR 1100 CARSON AVENUE LA JUNTA CO 81050 39397273 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. 11 9 371 69 0 0 327916 350140 36761126 38587813 8583 126950 118010 148157 37215635 39213060 0 0 0 0 21476466 22326703 0 0 0 17329056 20551811 38805522 42878514 -1589887 -3665454 29094380 26471129 3883963 4905483 25210417 21565646 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 35705066 38587813 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 1,742 INPATIENT DAYS, 38,503 OUTPATIENT VISITS, 12,767 EMERGENCY ROOM VISITS, AND 127 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. 35705066 true false false true false false false true false true false false false 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 107 0 true 371 true false false false false false false false false false false false false X 11 9 true true false false true true false true true false false true true true true true true true true false X Arkansas Valley Regional Medical Center 7193836026 1100 CARSON AVENUE LA JUNTA CO 81050 Dale Leighty CHAIR 1.0 0.0 X X 0 0 0 Joseph Pentlicki SECRETARY / TREASURER 1.0 0.0 X X 0 0 0 Rob Pickering VICE CHAIR 1.0 0.0 X X 0 0 0 Betty Velasquez BOARD MEMBER 40.0 0.0 X 0 0 0 Elaine McIntyre BOARD MEMBER END 08/23 1.0 0.0 X 0 0 0 Gary Gibson BOARD MEMBER 1.0 0.0 X 0 0 0 Gloria Thomas BOARD MEMBER 1.0 0.0 X 0 0 0 Jesus Carale MD BOARD MEMBER / SURGEON 40.0 0.0 X 496315 0 12950 Michael Morley DO BOARD MEMBER / SURGEON 40.0 0.0 X 656744 0 30278 Patrick Malott BOARD MEMBER 1.0 0.0 X 0 0 0 Paul Velasquez BOARD MEMBER BEG 02/24 1.0 0.0 X 0 0 0 William Jackson BOARD MEMBER 1.0 0.0 X 0 0 0 David Andrew Flemer JR CEO 40.0 0.0 X 293289 0 27387 Joe Jeans INTERIM CFO END 08/23 40.0 0.0 X 0 0 0 Merlyn Knapp Interim CFO BEG 08/23 & 12/23 40.0 0.0 X 0 0 0 Richard Sheerin Interim CFO BEG 12/23 40.0 0.0 X 0 0 0 James Brady ER PHYSICIAN 40.0 0.0 X 474948 0 33768 Jorge Aguilar PHYSICIAN 40.0 0.0 X 217661 0 16481 Paola Sanchez Garay PHYSICIAN 40.0 0.0 X 278085 0 16415 Thomas Jackson SURGEON 40.0 0.0 X 314065 0 30049 William Jurgens ER PHYSICIAN 40.0 0.0 X 413694 0 24105 3144801 0 191433 26 true true false ARKANSAS VALLEY ANESTHESIA 29272 COUNTY RD 23 ROCKY FORD CO 81067 ANESTHESIA 700100 AYA HEALTHCARE INC 5930 CORNERSTONE CT WEST STE 300 SAN DIEGO CA 92121 MEDICAL SERVICE 682520 NIGHTHAWK CORP 25983 NETWORK PLACE DETROIT MI 482673398 RADIOLOGY READS 595134 DELTA LOCUM TENENS PO BOX 202940 DALLAS TX 753202940 LOCUM PHYSICIANS 517621 TRIAGE LLC PO BOX 773328 OMAHA NE 68154 TRAVEL STAFF 413336 13 329470 20670 350140 NET PATIENT SERVICE REVENUE 624100 38587813 38587813 0 0 0 0 38587813 82903 82903 138073 163285 -25212 0 -25212 -25212 64975 20928 0 44047 44047 44047 CAFETERIA REVENUE 722320 117152 117152 OTHER REVENUE 900099 49570 49570 MEDICAL RECORDS 900099 6647 6647 0 0 0 0 173369 39213060 38587813 0 275107 X 0 0 1555619 1337832 217787 109032 109032 17605378 15140625 2464753 472006 399317 72689 1273481 1077365 196116 1311187 1109264 201923 297580 297580 10453 10453 49087 49087 1146 1146 7747017 6975659 771358 0 67517 39362 28155 181264 173651 7613 332989 332989 1729740 684977 1044763 75488 44010 31478 2069 2069 1384733 1008086 376647 605934 164208 441726 MEDICAL SUPPLIES & DRUGS 4923789 4716990 206799 BAD DEBT EXPENSE 2053544 2053544 REPAIRS & MAINTENANCE 224631 164879 59752 DUES & SUBSCRIPTIONS 180308 105120 75188 684522 399076 285446 0 42878514 35705066 7173448 0 5349575 1770349 1751582 1773770 5891801 7637039 0 0 1134912 1057550 624344 367607 31559785 18872578 13574376 12687207 0 569644 0 767790 607963 29094380 26471129 3024481 4083737 0 14398 845084 821746 3883963 4905483 X 24644652 20996002 565765 569644 25210417 21565646 29094380 26471129 -3665454 20683 0 X false true X true false X false false false false false false false false true 1146 1146 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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 2532 47 2504 75 false 16655 16655 27469660 16822151 10647509 242390 196004 46386 3831080 1854423 1976657 12687207 ESTIMATED THIRD-PARTY SETTLEMENT 498986 OPERATING LEASE LIABILITY 322760 821746 X 37342328 20683 163285 183968 37158360 2054700 2054700 39213060 40988255 163285 0 163285 40824970 2053544 2053544 42878514 Schedule D, Part IV, Line 1b Agent, trustee, custodian, or other intermediary arrangement 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, Part V, Line 4 Intended uses of endowment funds 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, Part X, Line 2 FIN 48 (ASC 740) footnote 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, 2024 AND 2023, THE MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Rental Expenses - 163285 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Bad Debt Expense - 2053544 Change in beneficial interest in perpetual trust - 1156 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Bad Debt Expense - 2053544 true true true X 250 false true true true false false 418872 7853844 0 0.0 13865845 14125988 0 0.0 0 0.0 0 0 14284717 21979832 0 0.0 7094 0 7094 0.0002 0 0.0 0 0.0 0 0.0 0 0.0 0 0 7094 0 7094 0.0002 0 0 14291811 21979832 7094 0.0002 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 2053544 5272325 5081956 190369 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 22 true false true true X https://www.avrmc.org/getpage.php?name=community-health-needs X true 22 true https://www.avrmc.org/getpage.php?name=community-health-needs false true X 250.0 X X true true X X X true X www.avrmc.org/getpage.php?name=financial-assistance-prgram X https://www.avrmc.org/docs/PDFUniformApplication_June2024.pdf?sub=For%20Patients X www.avrmc.org/getpage.php?name=financial-assistance-prgram X X X X X X true X false X X true X false false Schedule H, Part V, Section B, Line 3E IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS ARE ADDRESSED BEGINNING ON PAGE 126 OF THE LATEST CHNA LOCATED ON THE WEBSITE. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ARKANSAS VALLEY REGIONAL MEDICAL CENTER. 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. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - ARKANSAS VALLEY REGIONAL MEDICAL CENTER. 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. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ARKANSAS VALLEY REGIONAL MEDICAL CENTER. 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. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - ARKANSAS VALLEY REGIONAL MEDICAL CENTER. THE ONLY CHARITY CARE DEFINED BY AVRMC'S PURPOSE IS PATIENTS THAT QUALIFY FOR COLORADO INDIGENT CARE. 0 Schedule H, Part III, Line 9b COLLECTION PRACTICES FOR PATIENTS KNOWN TO QUALIFY FOR ASSISTANCE 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: https://www.avrmc.org/getpage.php?name=financial-assistance-prgram Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COSTING METHODOLOGY USED TO DETERMINE THE FINANCIAL ASSISTANCE IS THE COST TO CHARGE RATIO. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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 Bad debt expense - financial statement footnote 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 Community benefit & methodology for determining medicare costs 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 V, Section B, Line 16a FAP website - ARKANSAS VALLEY REGIONAL MEDICAL CENTER: Line 16a URL: www.avrmc.org/getpage.php?name=financial-assistance-prgram; Schedule H, Part V, Section B, Line 16b FAP Application website - ARKANSAS VALLEY REGIONAL MEDICAL CENTER: Line 16b URL: https://www.avrmc.org/docs/PDFUniformApplication_June2024.pdf?sub=For%20Patients; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ARKANSAS VALLEY REGIONAL MEDICAL CENTER: Line 16c URL: www.avrmc.org/getpage.php?name=financial-assistance-prgram; Schedule H, Part VI, Line 2 Needs assessment 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: https://www.avrmc.org/getpage.php?name=community-health-needs Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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: https://www.avrmc.org/getpage.php?name=financial-assistance-prgram Schedule H, Part VI, Line 4 Community information 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 Promotion of community health 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 7 State filing of community benefit report CO X X false false false false false false false true false Michael Morley DO BOARD MEMBER / SURGEON 656694 0 0 0 50 0 0 0 30278 0 687022 0 0 0 Jesus Carale MD BOARD MEMBER / SURGEON 496265 0 0 0 50 0 9900 0 3050 0 509265 0 0 0 David Andrew Flemer JR CEO 278239 0 15000 0 50 0 6569 0 20818 0 320676 0 0 0 James Brady ER PHYSICIAN 474948 0 0 0 0 0 9900 0 23868 0 508716 0 0 0 William Jurgens ER PHYSICIAN 413644 0 0 0 50 0 1987 0 22118 0 437799 0 0 0 Thomas Jackson SURGEON 314065 0 0 0 0 0 9900 0 20149 0 344114 0 0 0 Paola Sanchez Garay PHYSICIAN 278035 0 0 0 50 0 9900 0 6515 0 294500 0 0 0 Jorge Aguilar PHYSICIAN 217661 0 0 0 0 0 9900 0 6581 0 234142 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments THE PHYSICIAN CONTRACTS ALLOW FOR A QUARTERLY BONUS IF THEIR RELATIVE VALUE UNITS CHARGED EXCEED QUARTERLY BENCHMARK STANDARDS. AARON CROWELL FAMILY MEMBER 92404 EMPLOYMENT false Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Paul Velasquez (Board Member) & Betty Velasquez (Board Member) - Family relationship Form 990, Part VI, Line 3 Delegation of management duties 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. CHC WAS PAID $292,580 FOR THE FISCAL YEAR OFFERING MANAGEMENT, CONSULTING, AND VARIOUS OTHER SERVICES. Form 990, Part VI, Line 6 Classes of members or stockholders The Medical Center's Board of Directors consists of nine members. The City of La Junta appoints four members, one of which is a member of the City of La Junta's city council. The Medical Center appoints the remaining members, two of which are physicians. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The City of La Junta appoints four members, one of which is a member of the City of La Junta's city council. Form 990, Part VI, Line 11b Review of form 990 by governing body 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, Part VI, Line 12c Conflict of interest policy 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, Part VI, Line 15a Process to establish compensation of top management official THE BOARD EVALUATES AND APPROVES WAGE PARAMETERS TO DETERMINE THE COMPENSATION OF MANAGEMENT AND INDEPENDENT PERSONS. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE BOARD EVALUATES AND APPROVES WAGE PARAMETERS TO DETERMINE THE COMPENSATION OF MANAGEMENT AND INDEPENDENT PERSONS. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AT PUBLIC BOARD MEETINGS AND UPON REQUEST. Form 990, Part IX, Line 11g Other Fees - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 2425879, Program Service Expense: 2425879, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED LABOR - Total Expense: 2184768, Program Service Expense: 2152196, Management and General Expenses: 32572, Fundraising Expenses: ; PROVIDER FEES - Total Expense: 1741616, Program Service Expense: 1741616, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 1189750, Program Service Expense: 628212, Management and General Expenses: 561538, Fundraising Expenses: ; CONSULTING - Total Expense: 205004, Program Service Expense: 27756, Management and General Expenses: 177248, Fundraising Expenses: ;