2012-11-09T18:27:16-08:00 2011-12-31 TCA Partners LLP 1111 East Herndon Avenue Suite 211 Fresno CA 93720 990 2011-01-01 860732836 Cobre Valley Regional Medical Center COBR 9284253261 5880 S Hospital Drive Globe AZ 85501 Neal Jensen 2012-11-09 true Inger Sullenger CPA 5594317708 X 2011 2016-02-24 21:20:13Z Neal Jensen 39761268 false false X cvrmc.org X 1993 AZ The organization will provide medical services which will be competitive with those charged for similar services by comparable facilities. The organization will also allow a portion of its services and facilities to be used for charity patients. 9 9 338 40 0 115523 18949 35011060 39131569 321760 270397 218134 340353 35666477 39761268 0 0 15636820 19402028 0 0 17844563 16715774 33481383 36117802 2185094 3643466 38158425 42109294 14134613 14752678 24023812 27356616 The organization will provide medical services which will be competitive with those charged for similar services by comparable facilities. The organization will also allow a portion of its services and facilities to be used for charity patients. false false 30615480 39370741 The Organization will provide medical services which will be competitive with those charges for similar services by comparable facilities. The organization will also allow a portion of its services and facilities to be used for charity patients. Along with providing acute health care services to the community as not for profit entity, Cobre Valley Regional Medical Center (CVRMC) hosts many educational programs available to the residents in the service area. The hospital and staff host and sponsor an annual health fair working with other area agencies to distribute and disseminate health, wellness, and information. The hospital also sponsors diabetic workshops, birthing and new baby care classes. The Emergency Department (ED) at CVRMC is the base station for the three Fire/EMS Departments in the service area. The hospital sponsors monthly training to firefighters and paramedics as well as medical supervision at no cost to the departments. The ED also is a clinical training site for Paramedics and Physician Assistants to fulfill clinical internship requirements in their curriculum. CVRMC is also the clinical training site for students attending nursing programs at Gila Community College and Eastern Arizona Community College. 30615480 true false false false false false false false false false true false false false true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false false false false false true 114 0 true 338 true false false false false false false false false false false false 0 false false false false false false false false false false false X 9 9 false true false false false false false true true false false false true true true true true true true true false false AZ X James R Childers 9284021123 5880 S Hospital Drive Globe AZ 85501 X Brad Werrell DO 1.00 X 0 0 0 Jendean Sartain 1.00 X 0 0 0 Janice Cook 1.00 X 0 0 0 Gary Gustason MD 1.00 X 0 0 0 Fernando Shipley 1.00 X 0 0 0 James Rasmussen 1.00 X 0 0 0 K Kane Graves 1.00 X 0 0 0 Byron Belew 1.00 X 0 0 0 Ed Carpenter 1.00 X 0 0 0 Dana Miller 40.00 X 380006 0 14003 Werner Andrade-Ortiz 40.00 X 381972 0 6571 Binoy Chandra 40.00 X 329451 0 304 Phuong Nguyen 40.00 X 280912 0 425 Peter Peifer 40.00 X 198112 0 10342 1570453 31645 28 false true false Health Tech Mangement Svcs Inc 405 Duke Dr Ste 210 Franklin TN 37067 Mangement Services 836059 Crossroads OBGYN 5885 S Hospital Dr Ste 1 Globe AZ 85501 OB/GYN Svcs 252991 Critical Nursing Solutions Inc 2200 East Camelback Rd Ste 230 Phoenix AZ 85016 Traveling Nurse Svcs 619576 Cobre Properties LLC co Ensemble Real Estat 4722 N 24th St Ste 400 Phoenix AZ 85016 Office Space Rent 340568 Aramark 1101 Market St Philadelphia PA 19107 Dietary/Hskpg Mgmt 395990 15 18949 18949 Net Patient Service 39131569 39131569 39131569 269397 269397 0 0 101181 101181 101181 101181 1000 1000 1000 1000 0 0 0 Rebates/Discounts 67264 67264 Other Revenue 16798 16798 Cafeteria Revenue 155110 155110 239172 39761268 39370741 371578 0 0 0 0 0 0 16302868 12898829 3404039 409882 324299 85583 1708889 1352073 356816 980389 775684 204705 251448 198946 52502 78405 62034 16371 37450 29630 7820 0 0 0 3535750 3535750 0 0 0 0 0 150120 118775 31345 0 0 430027 340237 89790 0 2002676 1584517 418159 432894 342506 90388 Utilities 567335 448875 118460 Supplies 6461002 6461002 Repairs & Maintenance 731130 578470 152660 Equip Rent & Maintenance 301151 301151 Bad Debt 1528974 1209724 319250 207412 52978 154434 36117802 30615480 5502322 0 358763 294210 17580939 19787605 0 4386200 4978930 0 0 0 1033776 1210789 224240 76984 37634512 23765388 12859391 13869124 0 0 0 0 1715116 1891652 38158425 42109294 5341810 5523891 6655000 6370000 1126873 1904857 1010930 953930 14134613 14752678 X 23678193 27014174 345619 342442 24023812 27356616 38158425 42109294 X 3643466 -310662 X false true true X false false X 904177 904177 15307846 9657907 5649939 1644757 1312880 331877 17316193 12794601 4521592 2461539 2461539 13869124 Accrued Retiree Health 953930 953930 39761268 36117802 3643466 -310662 -310662 3332804 39761268 39761268 39761268 36428464 310662 310662 36117802 36117802 Part XIII, Line 2d Part XIII, Line 2d: Other expenses and losses per audited F/S Special Events Reclassifications $0 Unrealized losses on investments $310662 true true X true X 400.000000000 true X true true false false true true 8065588 8065588 0.22330 8065588 8065588 0.22330 13 2587849 88145 88145 0.00240 9 122014 916134 916134 0.02540 4 25713 24184 24184 0.00070 26 2735576 1028463 1028463 0.02850 26 2735576 9094051 9094051 0.25180 2 223788 6962 6962 0.00020 6 365300 32174 32174 0.00090 8 589088 39136 39136 0.00110 true 1528974 1528974 9322443 14389994 -5067551 X true false 1 0 Cobre Valley Regional Med Ctr

5880 South Hospital Drive Globe AZ 85501

X X X X Cobre Valley Regional Med Ctr 1 true X X X X X X X X X true false true X X X X X X X X X true true true 400.0000 true 400.0000 true X X X X X X X true true X X X X true X true X X X X X true false false Part VI - Additional Information N/A Part V - Explanation of Number of Facility Type Besides the main hospital, the organization operates three rural health clinics. Additional detail is provided in the response to Part VI, Question 6: how the organization has furthered its exempt purpose. Part VI - States Where Community Benefit Report Filed AZ Part VI - Affilated Health Care System Roles and Promotion N/A Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Please refer to PDF attachment of Schedule H Part VI narrative responses. Part VI - Community Building Activities Please refer to PDF attachment of Schedule H Part VI narrative responses. Part VI - Community Information Please refer to PDF attachment of Schedule H Part VI narrative responses. Part VI - Patient Education of Eligibility for Assistance Please refer to PDF attachment of Schedule H Part VI narrative responses. Part VI - Needs Assessment Please refer to PDF attachment of Schedule H Part VI narrative responses. Number of Hospital Faciltiy - 0 Part V, Line 18c - Limited Eligibility for Emergency Medical Conditions Eligibility Please refer to narratives in Schedule H, Part VI. Number of Hospital Faciltiy - 0 Part V, Line 3 - Account Input from Person Who Represent the Community Please refer to Needs assessment narrative under Schedule H, Part VI. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Please refer to the Patient education and eligibility for assistance narrative provided in Part VI. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Deductibles and co-payments from Medicare patients were $3,333,448, collected in addition to the $9,322,443 in Medicare revenue. Thus, the shortfall attributable to community benefit was: $1,734,103. Part III, Line 4 - Bad Debt Expense Bad Debt Expense is described in the response to Part VI, question 3, PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE. Please refer to that response. Part I, Line 7, Column F - Explanation of Bad Debt Expense Bad Debt Expense is described in the response to Part VI, question 3, PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE. Please refer to that response. X X X false false false false false false false false false false Werner Andrade-Ortiz 381972 6571 388543 Phuong Nguyen 280912 425 281337 241258 Peter Peifer 198112 10342 208454 Dana Miller 380006 14003 394009 326535 Binoy Chandra 329451 304 329755 232264 Schedule K Cobre Valley Regional Medical Center is not required to complete the Schedule K. The Hospital's bonds were issued in the year 2000. The Schedule K is required to be completed for bonds issued after 12/31/2002. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Documents are readily available in the administrative office, upon request. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Salary surveys of other similarly sized hopitals with equivalent services and scope of operations, are used to set compensation levels. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Annual review is monitored by the Executive Assistant and CEO. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process Management prepares with third party assistance and distributes and discusses copy with entire Board prior to issuance/submission to IRS. Form 990, Part VI, Line 3 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company The duties of the CEO and CFO are carried out by employees of an outside management company.