COBRE VALLEY REGIONAL MEDICAL CENTER: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- COBRE VALLEY REGIONAL MEDICAL CENTER (EIN 86-0732836)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-02
- IRS object ID
- 201523089349300532
- Schema version
- 2014v5.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-02T12:11:07-07:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 202707086 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JWT and Associates | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E Herndon Avenue Suite 211 | AddressLine1Txt |
| City | Fresno | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93720 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860732836 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cobre Valley Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COBR | BusinessNameControlTxt |
| Phone | 9284253261 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5880 S Hospital Drive | AddressLine1Txt |
| City | Globe | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85501 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Virginia Kilmer | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9284253261 | PhoneNum |
| Signature | 2015-10-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeremy Ware | PreparerPersonNm |
| PTIN | P00642659 | PTIN |
| Phone | 5594317708 | PhoneNum |
| Preparation | 2015-10-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cobre Valley Regional Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5880 S Hospital Drive | AddressLine1Txt |
| City | Globe | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $40,793,395 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cvrmc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 332 | TotalEmployeeCnt |
| Total Volunteers | 40 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $20,297 | PYContributionsGrantsAmt |
| CY Contributions Grants | $89,759 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $36,553,655 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $40,090,188 | CYProgramServiceRevenueAmt |
| PY Investment Income | $659,149 | PYInvestmentIncomeAmt |
| CY Investment Income | $291,374 | CYInvestmentIncomeAmt |
| PY Other Revenue | $327,429 | PYOtherRevenueAmt |
| CY Other Revenue | $322,074 | CYOtherRevenueAmt |
| PY Total Revenue | $37,560,530 | PYTotalRevenueAmt |
| CY Total Revenue | $40,793,395 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,290,073 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,100,401 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,245,304 | PYOtherExpensesAmt |
| CY Other Expenses | $18,870,735 | CYOtherExpensesAmt |
| PY Total Expenses | $36,535,377 | PYTotalExpensesAmt |
| CY Total Expenses | $38,971,136 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,025,153 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,822,259 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $43,290,880 | TotalAssetsBOYAmt |
| Total Assets EOY | $71,078,316 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,493,375 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $38,304,829 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $30,797,505 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $32,773,487 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The Mission of our Hospital is to develop and maintain a local health care delivery system that serves the region with quality, efficiency and compassion. Our mission is your health. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $31,990,984 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $40,284,475 | RevenueAmt |
| Desc | Cobre Valley Regional Medical Center (CVRMC) provides medical services which will be competitive with those charged for similar services by comparable facilities. CVRMC 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 a non-profit entity, Cobre Valley Regional Medical Center hosts many educational programs available to the residents in the service area. CVRMC sponsors an annual health fair, working with other local and state social and charitable agencies to distribute and disseminate health, wellness, safety and other valuable information. Without any charge to our communities, CVRMC sponsors diabetic workshops, birthing and new baby care classes, customer service training, and grief support meetings. Many community organizations have taken advantage of the conference rooms CVRMC has to offer free of charge for meetings and educational training. Some examples of these groups are Teenage Outreach for Teen Pregnancy, Rotary Club, Little League, EMS Training, Gila Community College and many more. Meeting places are difficult to find in our rural community and CVRMC is pleased to accommodate our neighboring associations. CVRMC is continually upgrading and improving equipment. Much of the equipment that is replaced is still viable and is passed on to education facilities, fire departments, or other local agencies that will continue to get useful years for their programs and services. Supplies are also donated regularly to EMS, schools, senior citizen groups, and other organizations in need of medical and or other types of supplies. The PACT Committee, comprised of CVRMC staff, dedicates its efforts to making a difference in employee and community relations. The PACT Committee is instrumental in the activities of many hospital activities, promoting employee engagement and satisfaction. The PACT Committee also helps CVRMC employees through the HOPE (Helping Our People in Emergencies) Fund. Donations made to the HOPE fund are used in times of emergency for employees. The PACT Committee also ensures the hospital's presence in community events to build public support and trust. Together, with the assistance of health care organizations and professionals of our service area, a well- constructed Community Health Needs Assessment and Implementation Plan has been established and is responding to the identified needs of all our diverse communities, providing charitable care with purpose, and offers educational services and programs for the good of our public. | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $31,990,984 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 251 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 332 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Virginia Kilmer | PersonNm |
| Phone | 9284021123 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5880 S Hospital Drive | AddressLine1Txt |
| City | Globe | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85501 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Byron Belew | |||||||
| Chairperson | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Ed Carpenter | |||||||
| Secretary | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Fernando Shipley | |||||||
| Treasurer | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Jim Rasmussen | |||||||
| Vice Chairman | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Janice Cook | |||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Jendean Sartain | |||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Gary Gustason | |||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Brad Werrell | |||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Alan Osumi | |||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Eddie Koury | |||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Robert Hollis | |||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Joseph Ring | |||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Dana Miller | |||||||
| Physician | 40 | 0 | $318,511 | $0 | $0 | Yes (X) | |
| Binoy Chandra | |||||||
| Physician | 40 | 0 | $261,002 | $0 | $0 | Yes (X) | |
| Phuong Nguyen | |||||||
| Physician | 40 | 0 | $218,587 | $0 | $0 | Yes (X) | |
| Anthony Daniels | |||||||
| Physician | 40 | 0 | $273,966 | $0 | $0 | Yes (X) | |
| Thomas Hansen | |||||||
| Physician | 40 | 0 | $346,607 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,418,673 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Comphealth | |||||
| PO Box 972651 | Dallas | TX | 75397 | OB Locum Services | $238,556 |
| Cobre Valley Heart Institute | |||||
| 2055 Highway 60 | Globe | AZ | 85501 | Cardiologist | $706,453 |
| VTR Cobre Valley | |||||
| PO Box 846208 | Dallas | TX | 75284 | Rent and associated services | $385,654 |
| SHC Services | |||||
| PO Box 27124 | Salt Lake City | UT | 84127 | Contract Labor | $267,377 |
| ARUP Laboratories | |||||
| PO Box 27964 | Salt Lake City | UT | 84127 | Lab Testing | $218,996 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $82,314 | GovernmentGrantsAmt |
| All Other Contributions | $7,445 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $89,759 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Service Revenue | Desc |
| Business | 622000 | BusinessCd |
| Total Revenue Column | $40,090,188 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,090,188 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $40,090,188 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $291,374 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $291,374 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $127,787 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $127,787 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $127,787 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $127,787 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $194,287 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $194,287 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $194,287 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,793,395 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,412,262 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $291,374 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,404,014 | TotalAmt |
| Program Services | $13,123,211 | ProgramServicesAmt |
| Management And General | $3,280,803 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,696,387 | TotalAmt |
| Program Services | $2,957,110 | ProgramServicesAmt |
| Management And General | $739,277 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,057,759 | TotalAmt |
| Program Services | $4,846,207 | ProgramServicesAmt |
| Management And General | $1,211,552 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,122,098 | TotalAmt |
| Program Services | $897,678 | ProgramServicesAmt |
| Management And General | $224,420 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,650 | TotalAmt |
| Program Services | $259,720 | ProgramServicesAmt |
| Management And General | $64,930 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,194,042 | TotalAmt |
| Program Services | $1,755,234 | ProgramServicesAmt |
| Management And General | $438,808 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $596,053 | TotalAmt |
| Program Services | $476,842 | ProgramServicesAmt |
| Management And General | $119,211 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $6,222,313 | $5,977,850 | $244,463 | $0 |
| Repairs and maintenance | $1,129,179 | $903,343 | $225,836 | $0 |
| Debt extinguisment | $229,742 | $0 | $229,742 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $994,899 | TotalAmt |
| Program Services | $793,789 | ProgramServicesAmt |
| Management And General | $201,110 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,971,136 | TotalAmt |
| Program Services | $31,990,984 | ProgramServicesAmt |
| Management And General | $6,980,152 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,772,095 | BOYAmt |
| EOY | $4,324,087 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,338,734 | BOYAmt |
| EOY | $13,790,474 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,230,467 | BOYAmt |
| EOY | $5,079,527 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,321,717 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,308,738 | BOYAmt |
| EOY | $1,352,028 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $422,132 | BOYAmt |
| EOY | $395,247 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $46,069,027 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $29,982,932 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,708,638 | BOYAmt |
| EOY | $16,086,095 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,510,076 | BOYAmt |
| EOY | $28,729,141 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,290,880 | BOYAmt |
| EOY | $71,078,316 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,655,375 | BOYAmt |
| EOY | $3,866,718 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,745,000 | BOYAmt |
| EOY | $33,000,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,758,907 | BOYAmt |
| EOY | $1,102,111 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,334,093 | BOYAmt |
| EOY | $336,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,493,375 | BOYAmt |
| EOY | $38,304,829 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,338,171 | BOYAmt |
| EOY | $32,231,839 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $459,334 | BOYAmt |
| EOY | $541,648 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,797,505 | BOYAmt |
| EOY | $32,773,487 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,290,880 | BOYAmt |
| EOY | $71,078,316 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,822,259 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $153,723 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $0 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $904,177 | OtherCostOrOtherBasisAmt |
| Book Value | $904,177 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $21,427,805 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,993,173 | DepreciationAmt |
| Book Value | $9,434,632 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $21,338,447 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,989,759 | DepreciationAmt |
| Book Value | $3,348,688 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $2,398,598 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $2,398,598 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,086,095 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Bond Issue Costs | $206,125 |
| Assets limited as to use | $28,523,016 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $28,729,141 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Third Party Settlements | Desc |
| Amt | $336,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $336,000 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $40,947,118 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $153,723 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $153,723 | RevenueNotReportedAmt |
| Revenue Subtotal | $40,793,395 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $0 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $40,793,395 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $38,971,136 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $38,971,136 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $0 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $38,971,136 | TotalExpensesPerForm990Amt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,638,437 | TotalCommunityBenefitExpnsAmt |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,084,329 | TotalCommunityBenefitExpnsAmt |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $13,722,766 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $208,460 | TotalCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $208,460 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $13,931,226 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,208,616 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,208,616 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $12,088,076 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,911,454 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$823,378 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 | Cobre Valley Regional Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5880 South Hospital Drive | AddressLine1Txt |
| City | Globe | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.cvrmc.org | WebsiteAddressTxt |
| 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 | Cobre Valley Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | cvrmc.org | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | cvrmc.org | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5-Cobre Valley Regional Medical Center | As part of the 990 IRS reporting for 501C 3 organizations, CVRMC, along with members of the community, was required to conduct a Community Health Needs Assessment. The first step in the process was to accumulate information related to the health of the community from sources such as the Environmental Assessment and Market Share Report HealthTech and The Gila County Health Department Community Health Improvement Plan. A Community Advisory Committee was organized to share ideas, information, and to develop a survey which was used to gather more data for the assessment. From this data and resource information, five key areas of health issues and needs were identified. The Community Health Needs Implementation Plan was developed as a plan of action to address the identified concerns. Through the implementation plan, key strategies can be executed by the community as a whole to promote health care. |
| Schedule H, Part V, Section B, Line 11-Cobre Valley Regional Medical Center | CVRMC uses outpatient surveys, Hospital Consumers Assessment of Healthcare Providers and Systems, and direct feedback to properly assess the needs of the communities it serves. Board input is vital to the success of the implementation strategy of the Community Health Needs Assessment. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | 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 | Cobre Valley Surgical Services | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5860 South Hospital Drive | AddressLine1Txt |
| City | Globe | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Surgical Clinic. | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 2 | Part VI Line 2 CONTINUED Arizona hospital discharge database from the Arizona Department of Health Services Thomson Reuters Market Expert is the source of the Medicare market share, demographics, insurance estimates and market volume projections Service areas are determined by analyzing the ZIP Codes from several perspectives including patient origin, market share, population, and geographic location of the ZIP Code. This information along with payer mix information can determine the inpatient market share by service area, discharges, inpatients market share by payer mix in the primary service area, inpatients market share by payer mix in the secondary service area, service line market share of primary service area, service line market share of the secondary service area, market share of emergency visits in the primary service area, market share of emergency visits in the secondary service area, and Medicare outpatient volume, and market share by competing hospitals in the metropolitan areas. Population trends are another determination for needs assessment. Population trends by ZIP Code are provided for the primary and secondary service areas of CVRMC as well as population trends by age. As the population trends increase or decrease, and health care needs change with age, it is definitely something to consider when strategically planning for future needs. Demographic snapshots are also provided by the report for each of the service areas that reflect various characteristics, including the education, household income, and ethnicity. These are important factors to consider when establishing marketing and public relations messages. Those in CVRMCs primary and secondary service areas are primarily White and Hispanic have a lower percentage than the U.S. with a high school degree, and a higher percentage than the U.S. with lower incomes. Diagnosis-Related Groups Groups of patients tend to have common demographic, diagnostic, and therapeutic attributes that determine their health care needs. Diagnosis-Related Groups DRG form a manageable, clinically coherent set of patient classes relating CVRMCs case mix to the resource demands and the associated costs experienced by the hospital. Database of Admissions Queries of the CVRMC Admissions database are a quick analytical source for determining the major health issues of the region. From this information education, prevention, and intervention can be determined and implemented in community benefit programs or released to other regional health organizations for tracking and trending the impact of their programs within the region. Case Management, Discharge Planning, and Social Work Through case management, discharge planning, and social work provided by CVRMC, data is generated by specific diagnosis related groups. This diagnosis data by group could be used to identify key risks for change, i.e. tobacco cessation or weight management programs. Many of these groups move on to long term care facilities, hospice services, or home care needs. CVRMC Board of Directors The CVRMC Board of Directors is strategically designed to encompass a variety of professions from the region. Mining, county government, ranching, banking, insurance, business, and medical professionals make up the members of the board which bring a diversity of ideas and information regarding health care needs within the service region. Other Data from the National Health Association and the Arizona Health Association gives CVRMC comparisons to national and state averages for specific health issues. Connectivity to organizations such as the County Health Department, regional school districts, and other health, safety, and regional associations provides information regarding health issues and needs. Diagnosis reports Chronic disease data |
| Schedule H, Part I, Line 3a | Part VI, Line 3 CONTINUED DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY Financial assistance will be determined through an individual assessment of financial need, including an application process in which the patient or the patients guarantor is required to cooperate and submit all documentation necessary to make the determination of financial need a reasonable effort by the CVRMC to explore and assist patients in applying for appropriate alternative sources of payment and coverage from public and private payment programs and will take into account the patients assets and other financial resources. It is preferred but not required that a request for financial assistance and a determination of financial need occur prior to rendering of medically necessary services. The need for financial assistance shall be reevaluated at each subsequent rendering of medically necessary services, if the last financial evaluation was completed more than one hundred eighty days prior, and at any time additional information relevant to the eligibility of the patient for financial assistance becomes known. The granting of financial assistance shall be based on an individualized determination of financial need, and shall not take into account age, gender, race, socioeconomic, sexual orientation or religious affiliation. In determining whether each individual qualifies for Financial Assistance, only those patient billings not covered by other county or governmental assistance programs should also be considered. Many applicants are not aware that they may be eligible for assistance such as AHCCCS or other government or private funded programs.Persons eligible for programs such as AHCCCS but whose eligibility status is not established for the period during which the medical services were rendered may be granted Financial Assistance for those services. CVRMC may make the granting of Financial Assistance contingent upon applying for governmental program assistance. This may be prudent, especially if the patient requires ongoing services. EXCLUSIONS 1. This policy and the Financial Assistance Program do not apply to the portion of charges an insured patient is personally responsible for, i.e., copays, coinsurance, and deductibles, and does not apply to elective procedures except as may be determined in the sole discretion of CVRMC on a case by case basis. METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE 1. A copy of this Policy and Financial Assistance applications will be made available at the Hospital or by contacting Patient Accounts Billing Office at 9284253261. 2. Individuals who feel that they qualify for financial assistance under this Policy, or have requested that financial assistance be provided, are required to submit an application on the Hospital provided form during the Application Period. It is the applicants responsibility to provide proof of household income and or any other information provided on the application as requested by the Hospital. 3. The applicant is required to submit all information required on the financial assistance application form, including, but not limited to, the following information: a. Copy of AHCCCS denial letter May be waived on a case by case basis b. Copies of pay stubs for the last 2 pay periods c. Number of dependents claimed on tax return d. Copies of bills showing expenses 4. Failure to provide this information will result in an incomplete application, which may result in the individual being denied assistance under this Policy. 5. Completed applications shall be returned to the Patient Accounts/Billing Department within the Application Period. All eligible applications will be processed within 30 calendar days. Federal Poverty Guidelines as of 2014 2013 Federal 150% of 200% of 250% of 400% of Family size Note For each additional family member add 4,060 DISCOUNT Household incomes that exceed 400% of the FPG, where the patient is medically indigent, are evaluated based on their special circumstances. PATIENT CHARGES $1,000 $1,001 2,000 2,001 3,500 3,501 5,000 5,001 10,000 10,000 Income Level 0 100% FPG 100% 100% 100% 100% 100% 100% 100% AND 150% FPG 80% 85% 90% 95% 95% 95% 150% AND 200% FPG 70% 75% 80% 85% 85% 85% 200% AND 250% FPG 56% 56% 56% 60% 65% 65% 250% AND 300% FPG 56% 56% 56% 56% 56% 56% 300% AND 400% FPG 56% 56% 56% 56% 56% 56% PUBLICATION OF POLICY 1 This Policy, an application, a plain language summary of the Policy, and any notices or publications regarding the Policy will be made available on the Hospital's website www.CVRMC.org in pdf form. 2 The Policy, applications, and plain language summaries shall be available upon request, without charge at the Patient Accounts Billing Department and by mail. 3 A plain language summary shall be conspicuously displayed in Hospital patient waiting areas and in the Patient Accounts Billing Department in a manner that is reasonably calculated to attract visitors attention. 4 A plain language summary of this Policy and a copy of the financial assistance application will be provided to all patients upon admission or registration at the Hospital or Clinics. ACTIONS THAT MAY BE TAKEN IN EVENT OF NONPAYMENT OR INSUFFICIENT PAYMENT 1. Accounts for hospital services for patients who are able, but unwilling, to pay are considered uncollectible bad debts and will be referred to outside agencies for collections. REGULATORY REQUIREMENTS 1. In implementing this policy, CVRMC management and CVRMC facilities shall comply with all federal, state and local laws, rules and regulations that may apply to activities conducted pursuant to this policy. ACCOUNTING FOR FINANCIAL ASSISTANCE 1. CVRMC will track and monitor Financial Assistance care being granted and will account for the write offs as a separate Deduction from the Revenue general ledger account. RECORDKEEPING 1. Records relating to potential Financial Assistance applicants must be readily available. CVRMC will maintain a spreadsheet of all applicants and final disposition of the patients account. APPLICATION OF POLICY 1. This policy does not create an obligation to discount for any charges or services not included in the Hospital bill at the time of service. This policy does not apply to services provided within the Hospital by physicians or other medical providers including Emergency Physicians, Anesthesiologists, Radiologists, Pathologist, etc. |
| Schedule H, Part I, Line 4 | Part VI, Line 4 CONTINUED Kearny, Arizona Secondary Service Area 8% Inpatient Patient Origin Kearny is located in Pinal County and was built by the Kennecott Mining Company in 1958 as a planned community to accommodate the populations of nearby Ray, Sonora and Barcelona, which were eventually swallowed by Kennecotts expanding open pit copper mine. The town sits near the Gila River in the Copper Basin area along with its sister cities of Hayden and Winkelman. The economic base of Kearny is the Ray mine and the Hayden Smelter, both owned and operated by ASARCO. Total 2010 Census Population for KEARNY, AZ 1,950 HOUSEHOLDS BY TYPE Total households for KEARNY, AZ 756 Family households families 534 With own children under 18 years Husband wife family 191 401 With own children under 18 years 127 Male householder, no wife present 37 With own children under 18 years 17 Female householder, no husband present 96 With own children under 18 years 47 Nonfamily households 222 Householder living alone 197 Male 98 65 years and over 36 Female 99 65 years and over Households with individuals under 18 years 67 239 Households with individuals 65 years and over Average household size of KEARNY, AZ 282 2.58 Average family size for KEARNY, AZ 3.09 POPULATION BY RACE FOR KEARNY, AZ What is the Population of KEARNY, AZ 1,950 One Race 1,883 White 1,623 Black or African American 9 American Indian and Alaska Native 15 Asian 8 Asian Indian 0 Chinese 2 Filipino 3 Japanese 2 Korean 0 Vietnamese 0 Other Asian 1 Native Hawaiian and Other Pacific Islander 1 Native Hawaiian 0 Guamanian or Chamorro 1 Samoan 0 Other Pacific Islander 0 Some Other Race 227 Two or More Races 67 White American Indian and Alaska Native 10 White; Asian 1 White; Black or African American 4 White; Some Other Race 45 Hayden, Arizona - Secondary Service Area Hayden is located in both Gila and Pinal counties with the economic base being the Hayden Smelter, one of four smelters in the United States. Total 2010 Census Population for HAYDEN, AZ 662 HOUSEHOLDS BY TYPE Total households for HAYDEN, AZ 236 Family households families 163 With own children under 18 years Husband wife family 50 98 With own children under 18 years 25 Male householder, no wife present 15 With own children under 18 years 9 Female householder, no husband present 50 With own children under 18 years 16 Nonfamily households 73 Householder living alone 61 Male 30 65 years and over 10 Female 31 65 years and over Households with individuals under 18 years 24 74 Households with individuals 65 years and over Average household size of HAYDEN, AZ 93 2.81 Average family size for HAYDEN, AZ 3.39 POPULATION BY RACE FOR HAYDEN, AZ What is the Population of HAYDEN, AZ 662 One Race 651 White 423 Black or African American 0 American Indian and Alaska Native 1 Asian 2 Asian Indian 1 Chinese 0 Filipino 1 Japanese 0 Korean 0 Vietnamese 0 Other Asian 0 Native Hawaiian and Other Pacific Islander 0 Native Hawaiian 0 Guamanian or Chamorro 0 Samoan 0 Other Pacific Islander 0 Some Other Race 225 Two or More Races 11 White; American Indian and Alaska Native 2 White; Asian 7 White; Black or African American 0 White; Some Other Race [3] 1 Winkelman, Arizona - Secondary Service Area (1.8% Inpatient Patient Origin) Winkelman is located in Gila and Pinal counties with over 95% of the population living within Gila County. The major employment is the copper industry of the ASARCO Mine. Total 2010 Census Population for WINKELMAN, AZ 353 HOUSEHOLDS BY TYPE Total households for WINKELMAN, AZ 136 Family households families 86 With own children under 18 years 22 Husband wife family 54 With own children under 18 years 10 Male householder, no wife present 13 With own children under 18 years 4 Female householder, no husband present 19 With own children under 18 years 8 Nonfamily households 50 Householder living alone 39 Male 14 65 years and over 8 Female 25 65 years and over 16 Households with individuals under 18 years 34 Households with individuals 65 years and over Average household size of WINKELMAN, AZ 66 2.6 Average family size for WINKELMAN, AZ 3.28 POPULATION BY RACE FOR WINKELMAN, AZ What is the Population of WINKELMAN, AZ 353 One Race 342 White 214 Black or African American 2 American Indian and Alaska Native 13 Asian 2 Asian Indian 0 Chinese 0 Filipino 0 Japanese 2 Korean 0 Vietnamese 0 Other Asian 0 Native Hawaiian and Other Pacific Islander 0 Native Hawaiian 0 Guamanian or Chamorro 0 Samoan 0 Other Pacific Islander 0 Some Other Race 111 Two or More Races 11 White; American Indian and Alaska Native 1 White; Asian 1 White; Black or African American 0 White; Some Other Race 8 Superior, Arizona - Secondary Service Area 1.4% Inpatient Patient Origin Superior is located in Pinal County 25 miles west of Globe. The town has survived many ups and downs of the copper mining industry throughout the years but during the most recent years is capitalizing on its unique and picturesque location. The town is in a rebuilding phase in its economy and is looking to the areas of tourism and the opportunity for a new underground mine, Resolution Copper, to open in the next 4 years. Total 2010 Census Population for SUPERIOR, AZ HOUSEHOLDS BY TYPE Total households for SUPERIOR, AZ 1,103 Family households families 709 With own children under 18 years 236 Husband wife family 477 With own children under 18 years 132 Male householder, no wife present 70 With own children under 18 years 28 Female householder, no husband present 162 With own children under 18 years 76 Nonfamily households 394 Householder living alone 333 Male 175 65 years and over 61 Female 158 65 years and over 95 Households with individuals under 18 years 321 Households with individuals 65 years and over 409 Average household size of SUPERIOR, AZ 2.57 Average family size for SUPERIOR, AZ 3.2 POPULATION BY RACE FOR SUPERIOR, AZ What is the Population of SUPERIOR, AZ 2,837 One Race 2,729 White 2,000 Black or African American 17 American Indian and Alaska Native 56 Asian 18 Asian Indian 1 Chinese 4 Filipino 4 Japanese 8 Korean 0 Vietnamese 0 Other Asian 1 Native Hawaiian and Other Pacific Islander 0 Native Hawaiian 0 Guamanian or Chamorro 0 Samoan 0 Other Pacific Islander 0 Some Other Race 638 Two or More Races 108 White American Indian and Alaska Native 23 White Asian 3 White Black or African American 15 White Some Other Race 49 |
| Schedule H, Part I, Line 5a | Part VI, Question 5 CONTINUED The obvious extension of this success is to integrate local physicians offices into the system so information may be obtained quickly to the benefit of the patient and the provider. This has been accomplished through the direction of the Board of Directors, Administration, and the cooperation of the hospitals I.T. Department, trainers, physicians and their office staffs. As an additional component, referring and consultant physicians have been added so they have current information available as well. These benchmarks were achieved within the time frame identified in the five year I.T. Strategic Plan and have proven very beneficial to both patients and practitioners. Having information readily available has reduced visit times in the Emergency Department and optimized care in the physicians offices. The patient portal became operational in September of 2014. It has provided patients secure online access to personal health information. Using a secure username and password, patients can view health information such as their recent doctor visits, medications, and lab results for example. By improving patient-provider communication and empowering patients a more active role in their health, the result should be improved patient outcomes. Cobre Valley Regional Medical Center is striving to be the leader of health care in the service area, accountable for the health of the population served. Partnerships with the Gila County Health Department, the Tobacco Cessation Program, the Meth Coalition, Haven of Globe, Heritage Health Care Center, Gila County Community College, etc., and the local media have been established and can provide a forum for information dissemination and actual intervention services. Employee Education Cobre Valley Regional Medical Centers commitment to higher education for employees is evident in the continuation of tuition assistance. Employees are encouraged to further their education which in turn provides better care for patients. The tuition assistance program is a benefit provided to assist employees in improving their job capabilities within their work environment. Standards of Performance and Customer Service Training The CVRMC Standards of Performance were designed and created by a team of hospital staff whose goal was to develop a set of performance expectations for every employee to follow at all times. At CVRMC our position descriptions outline the duties and responsibilities every individual is accountable for in the commission of their respective jobs. The CVRMC Standards of Performance offers a definition and framework of behaviors that every employee will exhibit when interacting with patients, customers, and co-workers. These standards also provide the criteria by which an employee of CVRMC is evaluated. In our Standards of Performance we identify patients, customers, and co workers as our target service populations. At CVRMC we consider customers to include Physicians, Families, Vendors, Suppliers, and anyone else that we have contact with and the behavior expectations include privacy, attitude, communication, teamwork, courtesy, accountability, appearance, responsiveness, and safety. Every employee of CVRMC is required to attend customer service training to help drive our mission statement and to guide them in the standards of performance at every level of the organization. This customer training is also offered to every physician, their office staff, and organizations within the region, free of charge, in order to create a regional culture of compassionate health care. Community Involvement Employees of CVRMC are encouraged to volunteer and be involved in charitable community organizations. These associations include Rotary, the Community Concert Association, Little League, United Fund, Elks, County Fairs, blood drives, CARE Fair, Relay for Life, Health Fair, Adopt a Highway, school boards, March of Dimes, youth soccer, youth basketball, the library, job shadowing programs, Meals on Wheels, economic development, Meth Coalition, AZ Youth Partnership, church charities, and the Globe Miami and Superior Chambers of Commerce, to name a few. Employees who are involved beyond the hospital facility make a connection to the communities served. Wellness Program During 2014, CVRMC lost the coordinator of the Wellness Program. CVRMC is currently looking into re-implementing this program knowing healthier employees give better care. It is CVRMCs policy to engage employees as partners in assuring their best possible health and in reducing preventable healthcare costs for our employees provide a supportive work environment that promotes the optimal health and well being of our employees. Health Fair CVRMC hosts an annual health fair to promote good health awareness and to encourage participants to assume responsibility for their own health by providing free health screenings. Many community organizations are also encouraged to participate to bring their valuable health and safety information to one location, CVRMC campus, for the convenience of the people we serve. This year the health fair grew from 80 community associations participating to more than 90 organizations. Community organizations participating include local fire departments, law enforcement agencies, hospice care facilities, medical air ambulances, marrow donor program, donor networks, massage therapy, the American Heart Association, and many other organizations. The number of community members in attendance grew from over 800 to nearly 1,000 this year. CVRCM will continue to host this annual health event for the communities served. Internships For countless years CVRMC has provided internships for medical related fields such as RNs, CNAs, Physician Assistants, OR Techs, Radiology Techs, Phlebotomists, Respiratory Therapists, CRNAs, Medical Assistants, and Doctors of Osteopathy. These internships are provided free of charge and facilitate schools across Arizona A.T. Stills, Midwestern, Bryman, Central Arizona College, Apollo College, Pima, and Gila Community College. The advancement of medical professions is the responsibility of all medical facilities. CVRMC understands its role in resourcing the future of health care professionals and is committed to the interns we serve. Strategic Planning By aligning the direction of the 2012 Strategic Plan with the mission, vision, and values of CVRMC, the plan has been a cornerstone in implementing strategies in the areas of physician relations and capacity, customer service and quality, image and perception of CVRMC, workforce development, and regional growth. The next review of the strategic plan is scheduled for early 2015. |
| Schedule H, Part I, Line 5b | Part VI, Question 5 CONTINUED Community Health Needs Assessment and Implementation Plan CVRMC, along with members of the community, conducted a Community Health Needs Assessment. The first step in the process was to accumulate information related to the health of the community from sources such as the Environmental Assessment and Market Share Report HealthTech and The Gila County Health Department Community Health Improvement Plan. A Community Advisory Committee was organized to share ideas, information, and to develop a survey which was used to gather more data for the assessment. From this data and resource information, five key areas of health issues and needs were identified Urgent Care Access to Care Specialty Services Mental Health Preventative Care The Community Health Needs Implementation Plan is a plan of action to address the identified concerns of the region CVRMC serves. Expansion Construction Remodel The Board of Directors, Administration, and the staff of CVRMC have been working with architects, designers, and construction personnel for the 67,000 square foot expansion project slated to begin the first part of 2015. The purpose of the expansion is to provide more modern, single patient familycentered patient rooms and new amenities including physician offices, family birth center, ICU rooms, pharmacy, cath lab, wound center, family lounges, conference space, cafe and kitchen, and gift shop. The design will provide operational efficiencies and create opportunities for enhanced clinical collaboration. Other CVRMC is involved in many other community activities which help promote and support the mission of the hospital. These activities include the Annual Leadership Retreat, CV Auxiliary, Career Day, Certifications and Training, Childbirth Classes, Smoke Free Tobacco Free Campaign, Easter Egg Hunt, County Fair, Downtown Halloween Trick or Treat, Horseshoe Tournament, STEM activities, and Workforce Development. Summary and Future Cobre Valley Regional Medical Center has kept its finger on the pulse of its service region throughout 2014, reaching out to help the area in many different aspects, contributing over 2 million in community benefit and charity care. With the challenges health care reform presents at both the national and state levels, the focus in 2015 will be on customer service, growth, education, quality, technology, promotion of wellness, physician employeecommunity relations, communication, and fairness as we continue to respond to the service area needs and fulfill our mission To develop and maintain a healthcare delivery system that serves the region with quality, efficiency, and compassion. |
| Schedule H, Part I, Line 7 | Cost to Charge ratio. |
| Schedule H, Part III, Section A, Line 4 | PATIENT ACCOUNTS RECEIVABLE CONSIST OF AMOUNTS OWED BY VARIOUS GOVERNMENTAL AGENCIES, INSURANCE COMPANIES AND PRIVATE PATIENTS. THE HOSPITAL MANAGES ITS RECEIVABLES BY REGULARLY REVIEWING THE ACCOUNTS, INQUIRING WITH RESPECTIVE PAYORS AS TO COLLECTABILITY AND PROVIDING FOR ALLOWANCES ON THEIR ACCOUNTING RECORDS FOR ESTIMATED CONTRACTUAL ADJUSTMENTS AND NONCOLLECTABLE ACCOUNTS. |
| Schedule H, Part III, Section B, Line 8 | The costing methodology is Cost to Charge, as calculated by the annual Medicare cost report. |
| Schedule H, Part III, Section C, Line 9b | CVRMC MANAGEMENT SHALL DEVELOP POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR FINANCIAL ASSISTANCE FROM CVRMC, AND A PATIENTS GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH CVRMC. |
| Schedule H, Part VI, Line 2 | Cobre Valley Regional Medical Center CVRMC completed our Community Health Needs Assessment in October of 2013. The Cobre Valley Community Health Needs Advisory Board consists of city government, county government, chambers of commerce, economic development, industry and business, public education, technology education, higher education, physicians, skilled nursing facilities, nursing homes, mental health professionals, county health, religious leaders, and service organizations. The first step in the process was to accumulate information related to the health of the community from sources such as the Environmental Assessment and Market Share Report HealthTech and The Gila County Health Department Community Health Improvement Plan. The Cobre Valley Community Health Needs Advisory Board was organized to share ideas, information, and to develop a survey which was used to gather more data for the assessment. From this data and resource information, five key areas of health issues and needs were identified Urgent Care Access to Care Specialty Services Mental Health Preventative Care The Community Health Needs Implementation Plan is a strategic plan of action to address the identified concerns. Currently, CVRMC utilizes several methods of assessing community health care needs. Evaluating the health needs of the CVRMC service area leads to identifying physicians needed in the area as well as recognizing those illnesses which can be targeted for community education and intervention. Community Feedback CVRMC utilizes many methods of community feedback for needs determination. Our patients, their families, and the greater community enlighten our organization through patient surveys and direct comments. CVRMC strives to give the very best care and in order to accomplish that goal, it is vital that patient and community comments and concerns are addressed. Professional Research Consultants PRC conducts outpatient surveys for the Outpatient Surgery, Physical Therapy, Registration, MedSurgICU, Obstetrics, Respiratory Therapy, Emergency, Laboratory, Clinics, and Radiology Departments on patient satisfaction. PRC also conducts the inpatient, Hospital Consumers Assessment of Healthcare Providers and Systems HCAHPS survey which measures patient satisfaction in multiple areas including promptness and efficiency of the admission and registration process, length of time waiting, nursing care, physician care, teamwork, discharge instructions, safety, cleanliness of the facility, food service, overall quality of care, and the likelihood of recommending the hospital to relatives and friends. Statistics regarding patient feedback are calculated on a weekly basis and distributed to all department directors with a hard copy, graphs are posted, and emails are dispersed to ensure all staff is informed of results. Management is then able to make necessary assessments of weak areas and strategically plan for improvements. Audio of the actual phone surveys are also available to all management. Many changes within CVRMC have been made as a direct result of the feedback obtained in these surveys. Hospital Consumers Assessment of Healthcare Providers and Systems HCAHPS is a standardized survey method conducted nationally and is publicly reported regarding the patients opinions and observations regarding their hospital care. This survey is helpful in determining how CVRMC measures against other hospitals across the nation. The public reporting aspect of this survey is a motivation factor for the hospital as a whole to improve quality of care, focusing on the patients needs. These objective and meaningful comparisons of hospitals on topics that are important to the consumer and the public reporting aspect of HCAHPS serves as a transparency tool which drives accountability and improves quality of care. Direct feedback from patients and family members is also a tool utilized for needs assessment. One of the many advantages of a rural hospital is the personal relationships the staff and patients are able to build. Direct phone calls, emails, or letters received from patients after their care has been provided is a valuable source of information for determining need. Legislative Actions Legislative decisions will have a dramatic effect on the direction CVRMC will move regarding community benefit as well as how healthcare for the region will be financed and delivered. As healthcare reform moves forth, CVRMC will continue to offer community benefit programs within its budgetary means in response to the needs of the region served. With changes to the Arizona Health Care Cost Containment System AHCCCS, CVRMC will continue to strive for growth, bringing new services to the hospital while focusing on prevention. The Payer Mix By identifying customers, CVRMC is able to determine to whom services are provided. This information is invaluable for the strategic planning and management of the hospital in regards to new services and or the addition of new providers. The payer mix also provides valuable information regarding the mix of services needed, education programs, new outreach programs, and future demands. The payer mix is also a very good indicator of the social economic structure of the community, allowing CVRMC to tailor programs to better meet the communities needs. Medical Staff Development Plan The approach used to project physician need for Cobre Valley Regional Medical Center's service area included the following Defining the CVRMC service area and market share by service area and service line Projecting the service areas population growth and characteristics for the next five years Taking into account competition and other local circumstances such as, inmigration, outmigration Developing a profile of the current medical staff including number, FTE, specialty, age, activity Identifying an appropriate demand model from among the available physician need estimation tools. Utilizing the above information, estimates are developed projecting the number of physicians by specialty required to serve the CVRMC service region. Methods used to project physician need include Demographics Population The source for the population is the Claritas Update Demographics CUD product. Estimates are data prepared for the current year and projections are prepared for dates five years in the future. The CUD is brought up to date each year for many geographic levels including national, state, county, city town, census tract and block group. Data is also available for commonly used areas as metropolitan areas, ZIP Codes, and other media areas. Because it is produced for small areas, the update can be easily aggregated to custom geographic areas specified by the user. Provider Supply Provider supply is provided by CVRMC management. Much of the physician information is obtained by medical staff rosters and the survey responses. The information gathered for the provider supply is the provider name, specialty, town in which they practice, office days and times, birth date, and any information about their practice. The office days and times are used to calculate a provider full time equivalent FTE. Provider Demand The two models used to determine provider demand and community need are the 1. Population Based Model which is obtained by multiplying Thomson Reuters physician to population ratios by the population of the service area. 2. Productivity Based Model provides data on current and projected physician resources required within a defined market. Service Area Definition A service area definition takes into consideration multiple factors including patient origin, market share, population and geography. The service area is defined as the geographic area from which a health care facility draws at least 75% of its patients and in which it maintains a considerable share of the health care market. The first step in defining CVRMCs service area is identification of the communities from which the hospital draws 75% of patients, and to assess the hospitals market share in each of these communities. The service area was then divided into two service areas Primary and Secondary. Three ZIP Codes have been identified as CVRMCs primary service area and five Zip Codes comprise the secondary service area. Out Migration Data CVRMC is located 85 miles southeast of the largest metropolitan area in Arizona. The cities of Phoenix, Mesa, and Tempe are the out migration areas patients of the CVRMC service area sometimes choose for health care services. Out migration data is provided by the HealthTech Strategic Planning department in the Environmental Assessment and Market Share Report. Two data sources are used |
| Schedule H, Part VI, Line 3 | In public waiting areas of Cobre Valley Regional Medical Center, multilingual posters explain to patients in common language that CVRMC is a Medicare AHCCCS Medicaid participating facility. In addition, posters and signs in these areas explain to the patient what financial obligations may occur and if additional billing will be submitted by providers. If, at the time of admission or visit, the patient does not have third party insurance coverage, the patient is offered an AHCCCS application for health-care coverage through public programs. In addition, staff members in the ER are trained to run searches to determine if a patient has existing coverage. Below is a description of the Patient Education Policy followed by a copy of the Patient Financial Assistance and Discount Program. When neither existing insurance coverage nor AHCCCS eligibility is available, the Patient Account Services department talks to the patient about the Cobre Valley Regional Medical Centers Charity Care program. The patient is offered an AHCCCS application, and a financial contract. The patient is advised they must complete the AHCCCS application, appointment, etc. If the patient is denied by AHCCCS, they are to present the denial to the Patient Accounting Department. When the patient is offered the financial assistance application, demonstrable proof of income, living expenses, size of household and proof of AHCCCS denial are required for completion of the application. Included in the income computation are earnings from employment and other income such as child support, alimony, social security and from any other sources. When requesting proof of living expenses, patients are asked to provide documentation of expenses associated with housing, utilities, transportation, insurance, food, other medical bills, and all other living expenses. After all information is obtained and reviewed, the Federal Poverty Income Guidelines and Discount Table is now being used to calculate the total discount that can be offered to the patient. Once this is compiled, Patient Account Services PAS signs off on the Financial Assistance Form which is forwarded to the Director, CFO, and CEO for approval, as appropriate. CVRMC is highly dependent on payment rates set by Medicare and Medicaid, both of which generally don't cover costs. At CVRMC, about 67% of patient revenue comes from these government payers. Changes at the federal level, specifically the Patient Protection and Affordable Care Act, will continue to change how CVRMC informs and educates patients and families regarding their eligibility for assistance. Cobre Valley Regional Medical Center is committed to providing financial assistance to persons who have health care needs and are uninsured. Consistent with its mission to deliver quality healthcare in a safe, respectful, and efficient manner, CVRMC strives to ensure that the financial capacity of people who need health care services does not prevent them from seeking or receiving care. PURPOSE This Policy provides a fair and comprehensive system of distributing free or discounted medical care to uninsured patients within the available resources of Cobre Valley Regional Medical Center the Hospital and or Clinics. The Policy addresses Eligibility criteria for financial assistance The extent to which financial assistance includes free or discounted care The basis for calculating amounts charged to individuals who are eligible for assistance under this policy The method for applying for assistance Measures to widely publicize the Policy RESPONSIBILITY It is the responsibility of the Hospital Board of Directors to ensure that this Policy is being administered and carried out in a consistent manner and within the guidelines set forth in controlling laws and regulations. SCOPE This Policy applies to all emergency and medically necessary inpatient and outpatient hospital services provided to Uninsured individuals who qualify for assistance in accordance with the terms and conditions herein. It also applies to CVRMC employed physician services, clinic services, or other services that may be offered by the Hospital. Any services deemed nonmedically necessary or cosmetic in nature are not eligible for financial assistance. DEFINITIONS The following definitions shall apply to this Policy AGB discount percentage is determined by dividing the sum of all claims Medically Necessary services provided at Cobre Valley Regional Medical Center paid during the Relevant Period by Medicare fee-for-service and all private health insurers as primary payors, together with any associated portions of these claims paid by Medicare beneficiaries or insured individuals in the form of co-pays, co-insurance or deductibles. Application Period: The period during which the Hospital must accept and process an application for assistance under this Policy in order to have made reasonable efforts to determine whether the patient is an individual who is eligible for assistance under this Policy. The Application Period ends on the 240th day the Hospital provides the individual with the first statement for care provided. individual who has accepted or is required to accept responsibility for the patients bills that involve i a legal or judicial process; ii selling an individual's debt to a third party or iii reporting adverse information about the individual to a consumer credit agency or credit bureau. Gross Charges The Hospitals full, established price for medical care that it consistently and uniformly charges all patients before applying any contractual allowances, discounts, or deductions. Household Income Means the total income of all members living in the individuals household. Individuals who are eligible for assistance under this Policy: An individual who is uninsured and is eligible for financial assistance under this Policy. Individuals who qualify for financial assistance: Individuals who are eligible for assistance under this Policy and who have submitted a completed financial assistance application within required time periods as set forth herein and have been approved for financial assistance according to the processes set forth herein. Medically Indigent Individuals who do not have health insurance and who are not eligible for other health care coverage, such as Medicare, Medicaid, or private health insurance. Notification Period Begins on the first date care is provided and ends on the 120th day after the Hospital provides the individual with the first bill for care. Uninsured A patient or his or her financially responsible individual has no insurance or medical coverage under governmental programs and is not eligible for any other third party payment. ELIGIBILITY FOR FINANCIAL ASSISTANCE 1 Uninsured Status to be verified through state websites or other third party eligibility systems 2 Citizenship Individuals must be U.S. citizens a. Patients who are not legal U.S. citizens are not eligible for Financial Assistance. However, they are encouraged to inquire about emergency health care services through the Federal Emergency Services Program FESP provided by AHCCCS. Patients who do not meet the qualifications of this program will be able to receive the Self-Pay discount. 3 Federal Poverty Level The applican's household income must be at or below 400% of the Federal Poverty Guidelines 4 Homeless Individuals without a payment source may be classified as eligible for Financial Assistance if it is determined that they do not have a job, mailing address, residence, or insurance. Consideration must also be given to classifying emergency room patients who do not provide adequate information as to their financial status. In many instances, these patients are homeless and have few resources to cover the cost of their care. 5 Bankruptcy Individuals who are in bankruptcy or recently completed bankruptcy may be eligible for Financial Assistance. 6 Special circumstances In rare occasions, a patients individual circumstances may be such that while they do not meet the regular Financial Assistance criteria in this policy, they do not have the ability to pay their Hospital bill. In these situations, with the approval of the CVRMC CEO CFO, part or all of their cost of care may be written off. There must be complete documentation of why the decision was made to do so and why the patient did not meet the regular criteria. 7 Deceased patients without an estate or third party coverage will be eligible for financial assistance. |
| Schedule H, Part VI, Line 4 | Cobre Valley Regional Medical Center CVRMC is located in Globe, Arizona and serves a population of 45,000 within a radius of 65 miles in a full service acute care facility. This population includes both the primary and secondary service areas. CVRMC is located in the heart of the copper belt of Arizona and serves many rural copper communities within the region including its neighboring towns of Miami, Superior to the west, Kearny, Hayden, and Winkelman to the south. The Apache San Carlos Nation borders Globe to the east and Roosevelt, Pleasant Valley Young are located to the north. CVRMC serves as an acute medical surgical and obstetric provider for all the residents of these communities, with the clinic and hospital located on the San Carlos Apache Nation referring many patients to CVRMC. The CVRMC primary and secondary service area communities are located in two counties, Gila and Pinal. Based on the 2010 U. S. Census, approximately 23% of the total population in Gila County was over the age of 65 while in neighboring Pinal County it was 15%, compared to 14% for Arizona and 13 % for the United States. The five leading causes of death among adults age 65 and older in Gila and Pinal Counties are heart disease, cancer, chronic lower respiratory diseases, cerebrovascular disease, and diabetes. Total reported number of people with disabilities within Gila County is 22,453 and 63,082 for Pinal County. Globe and Miami, Arizona Primary Service Area 62.7% Inpatient Patient Origin Globe, Miami and the unincorporated areas nearby including Inspiration, Claypool, Central Heights, and Midland City are commonly called Globe Miami. The towns are located on the northeastern slope of the Pinal Mountains, and are surrounded except to the east by the Tonto National Forest. Globe Miami is located on U.S. Routes 60 and 70, and is served industrially by the Arizona Eastern Railway Globe-Miami are located in Gila County with a total population of 18,134. Globe's economy remains heavily dependent on the mining industry, but as the county seat, county as well as city government employment are the highest numbers of jobs within the city. Tourism and retirees are also among the most important in Globe's economy. Miami borders Globe to the west and copper mining accounts for the largest number of jobs in Miami according to the 2004 annual report of the Arizona State Mine Inspector. Freeport McMoRan currently employs approximately 1,000 at its Miami operations; KGBM employs approximately 100 at its Carlota facility; Capstone Pinto Valley Mine employs approximately 300, while BHP Billiton employs 50 employees at the Miami operations. As of 2012, Miami was home to one of the last 4 copper smelters in the United States. Below is the housing status and demographic information for the population of Globe-Miami and the unincorporated areas Housing Status for Globe Miami, U.S. Census 2010 in housing units unless noted Total 9,090 Occupied 7,253 Owner occupied 5,324 Population in owner occupied number of individuals 12,727 Renter occupied 1,929 Population in renter-occupied number of individuals 4,827 Households with individuals under 18 2,099 Vacant 1,837 Vacant for rent 319 Vacant for sale 142 Male 9,102 Female 9,032 Under 18 4,195 18 & over 13,939 20 - 24 989 25 34 1,787 35 49 3,146 50 64 4,104 65 over 3,486 Population by Ethnicity Hispanic or Latino 6,175 Non Hispanic or Latino 11,959 Population by Race White 14,862 African American 130 Asian 129 American Indian and Alaska Native 692 Native Hawaiian and Pacific Islander 15 Other 1,784 Identified by two or more 522 Roosevelt, Arizona Primary Service Area 2.5% Inpatient Patient Origin Roosevelt is located 20 miles north of CVRMC and is a major center for fishing, boating, camping, water skiing, and other recreational water sports. The community of Roosevelt was developed after the construction of a masonry dam on the Salt River in 1911, making it the oldest artificial reservoir in Arizona and the largest within the boundaries of the state. The population of Roosevelt is estimated at 220 with many visitors moving in and out of the area depending on the season. San Carlos Apache Nation San Carlos, Ft. Apache, and Peridot, Arizona Secondary Service Area 20.8% Inpatient Patient Origin The San Carlos Apache Indian Reservation is located 4 miles east of Globe and is located in Gila, Graham, and Pinal Counties. The San Carlos Reservation is home to a number of Apache tribes relocated from traditional Apache homelands from Arizona and New Mexico in 1871. The San Carlos Reservation is one of the poorest Native American communities in the United States, with the median annual household income being approximately $13,000. About 60% of the people live under the poverty level, and one fourth of the active labor force is unemployed. The population of the San Carlos Reservation is just over 10,000 residents with its largest communities being San Carlos, Ft. Thomas, and Peridot, Arizona. The Apache Gold Casino employs 300 people while hunting, fishing, boating, camping, and gaming are attractions to tourists visiting the area. AZ San Carlos CCD, Gila County, US Census 2010 Population Total Population 4,780 Housing Status in housing units unless noted Total 1,171 Occupied 1,059 Owner occupied 769 Population in owner occupied number of individuals 3,295 Renter occupied 290 Population in renter occupied number of individuals 1,474 Households with individuals under 18 706 Vacant 112 Vacant: for rent 13 Vacant: for sale 0 Population by Sex Age Male 2,296 Female 2,484 Under 18 1,889 18 over 2,891 20 24 454 25 34 617 35 49 732 50 64 610 65 over 237 Population by Ethnicity Hispanic or Latino 152 Non Hispanic or Latino 4,628 Population by Race White 28 African American 1 Asian 0 American Indian and Alaska Native 4,727 Native Hawaiian and Pacific Islander 1 Other 2 Identified by two or more 21 AZ San Carlos CCD, Graham County, US Census 2010 Population Total Population 5,288 Housing Status in housing units unless noted Total 1,455 Occupied 1,261 Owner-occupied 950 Population in owner-occupied 3,992 number of individuals Renter-occupied 311 Population in renter-occupied 1,296 number of individuals Households with individuals under 18 758 Vacant 194 Vacant: for rent 12 Vacant: for sale 1 Population by Sex/Age Male 2,607 Female 2,681 Under 18 1,965 18 over 3,323 20 24 450 35 49 918 50 64 748 65 over 353 Population by Ethnicity Hispanic or Latino 205 Non Hispanic or Latino 5,083 Population by Race White 112 African American 5 Asian 1 American Indian and Alaska Native 5,108 Native Hawaiian and Pacific Islander 0 Other 14 Identified by two or more 48 Pleasant Valley Young, Arizona Secondary Service Area Surrounded by the Tonto National Forest, Pleasant Valley Young is a community in Gila County situated in the beautiful pines of the mountains. There are two main dirt roads in and out of Young, one from the north and one from the south, but no fully paved road to a connecting highway. Globe is 65 miles to the south of Young. According to the 2010 U. S. Census, Pleasant Valley Young had a population of 376 people, 320 households, and 132 families living in the Pleasant Valley Young area. The racial makeup was 100% White. The 320 households are comprised of 15.3% with children under the age of 18 living with them, 50.9% were married couples living together, 4.7% had a female householder with no husband present, and 39.7% were non-families. Individuals made up 33.4% of all households and 10.3% had someone living alone who was 65 years of age or older. The average household size was 2.08 and the average family size was 2.65. The median age was 51.5. Several small businesses exist in Pleasant Valley Young. A gas station, convenience store, auto parts store, motel, thrift shore, library, and refuse service are among the businesses. Cobre Valley Regional Medical Center services the primary medical needs of the area with a medical clinic. The median income for a household in the Pleasant Valley Young area is $26,250, and the median income for a family was $24,886. Males had a median income of $21,000 versus $26,458 for females. The per capita income for the area was $16,943. |
| Schedule H, Part VI, Line 5 | CVRMC History Cobre Valley Regional Medical Center has been serving patients of the copper belt region of Arizona for over 100 years. Originally a miners hospital, Miami Inspiration Hospital opened to serve miners and their families in 1913. Eventually the aging, crowded Miami Inspiration Hospital could no longer accommodate the growing patient load and a larger, up to date hospital was needed, and during the 1960s, plans were formulated for a new hospital at another location. In 1967, the resident patients and the staff were transferred to the newly completed hospital in the Miami Gardens area where the hospital still stands today. During the next eleven years, an outstanding group of company physicians tended the patients at Miami Inspiration Hospital. In 1978, the Board of Directors contracted with a Health Maintenance Organization from Phoenix to manage the hospital. The year 1980 was a turning point for Miami Inspiration Hospital. The HMO contract was not renewed, and the Board hired a hospital management firm to carry on the hospitals business. At the same time, local physicians were given contractual agreements to care for the miners and their families. The physicians were also granted privileges to admit and care for non-company patients. It was at this point in time the hospital became a community hospital. Three years later the administrative positions were taken over by local individuals. With the closure of the county hospital, Gila General, in 1991, Miami Inspiration Hospital became the sole provider of acute medical care in the Globe Miami and surrounding areas. Additional personnel were hired, the acute care unit was upgraded and new equipment and computers were put into service. Some already cramped departments became even more overworked, and plans for enlargement and improvement of these areas were initiated. In 1992, the administration of the hospital was taken over by Brim Healthcare now HealthTech, with the mining companies opting to get out of the healthcare business; the name of the hospital was changed to Cobre Valley Community Hospital. The plans to enlarge and improve the hospital facilities became a high priority, and the radiology and laboratory departments were enlarged and modernized. Meanwhile, plans for a major expansion of several departments were initiated, and large, new, state of the art emergency, surgery and intensive care departments were completed in early 1997. In 2003, additional renovations were made to address the Laboratory, Radiology, Medical Records, Administration, and most inpatient care areas. This renovation project also included a steel building for housing records and warehousing supplies. Through the next 13 years, under the management of Brim Healthcare now HealthTech, Cobre Valley Community Hospital CVCH continued to provide the best services available, adding new services, new technology, and new equipment in all departments. Through growth and expansion of the past few years, CVCH opened clinics in Young, Kearny, and Superior. In March of 2010, Cobre Valley Community Hospital went through a name change to Cobre Valley Regional Medical Center CVRMC. The new name is a reflection of the customers, patients, and geographic area served by the expanding facility. Many services were added including urology, cardiology, wound care, and laser vein procedures. The word Cobre is Spanish for copper. The communities of the region served by CVRMC exist because of the long history of copper mining. The words, Cobre Valley, were preserved in honor of all our copper miners for their commitment and fortitude to supply the world with the natural resource our region is known for, copper. CVRMC Today Today, Cobre Valley Regional Medical Center is a 25 bed Critical Access Hospital located in Globe Miami, Arizona. It serves a population of roughly 42,000 within a radius of 65 miles in a full service acute care facility with a medical staff of more than 55 active physicians, numerous visiting specialists, community, and emergency doctors. Adjacent to the San Carlos Apache Reservation, CVRMC serves as an acute medical surgical and obstetric provider for reservation residents referred by their clinic and or hospital. The area also has a significant Hispanic population and several other ethnic minorities. CVRMC is governed by a Board of Directors made up of a cross section of community members from many different professions including a mine manager, a rancher retired engineer, an insurance agent, a business owner, county government, and medical professionals. The CVRMC Board of Directors meet once a month and act as a trustee for the assets and investments of the hospital for the people of the service area. The board also selects, advises, and evaluates the CEO of the hospital grants physician staff privileges and ensures that quality medical care is maintained. Responsibilities also include providing direction for the affairs of the hospital and to ensure the development and growth of CVRMC is directed toward fulfilling the mission statement To develop and maintain a healthcare delivery system that serves the region with quality, efficiency, and compassion. The hospital is a leader among small rural facilities in implementing new technologies both clinically and in the information area. Direct patient care technologies are kept up to date. Health Information Systems within the facility have kept pace with information technology upgrades taking place frequently and well ahead of deadlines imposed by outside entities or federal mandates. The hospital is completing its second Strategic Five Year Information Technology Plan in advance of federal mandates that require an electronic medical record and will meet the federal definition and rules regarding meaningful use. It comprehensively integrates the entire patient experience with the hospital and includes interfaces with physician offices and a tertiary provider allowing them to view laboratory and radiology reports as soon as they are available. The next five year plan is to enhance the technological innovations already in place by melding all of the active patient records into a database that will provide a comprehensive chart on each patient within the Cobre Valley Regional Medical Center system, accessible to authorized individuals that will give each practitioner the access to more meaningfully, salient, current information to provide optimal care to each patient. As the role of the facility has solidified within the community, the Board and administrative staff recognized that needs existed in some of the outlying communities. Health care for residents of Superior, Kearny and Young was limited to single facilities in each community staffed sporadically by medical personnel. Their location meant that health care visits to organizations or offices with greater access to general medical services often involved travel of up to 2 hours, usually in one of two directions and, in the case of Young, affected dramatically by weather. Realizing that this lack of medical service directly affected the health and well-being of residents of these three areas, CVRMC was determined to optimize local health care services. CVRMC has established and staffed health clinics in all three areas with professional and ancillary staffing and services which obviates the necessity for clients to travel many miles for such things as laboratory testing and pharmacy services. Community Programs and Improvements to Services Construction and Growth For many years the Town of Superior did without any medical services, forcing residents to travel at least 40 minutes to the nearest clinic. CVRMC established a clinic in the older downtown area of Superior 12 years ago and committed to the residents of Superior the construction of a new, modern facility. CVRMC completed new construction on an up to date medical clinic in Superior in August 2012. The more than 5,500 square foot clinic will house xray, pharmacy, and currently has 10 exam rooms. Services include complete family care, physical therapy, laboratory, general surgery consults, minor procedures, simple fracture care, simple laceration repairs, basic dermatology care, preventative exams, women's exams, child well visits, occupational medicine, CDL physicals, pre-employment physicals, surgical consultations, and courier pharmacy service. On the west side of the hospital campus, the newly constructed, state of the art, 5,000 square foot Surgical Services Clinic opened its doors in May of 2012. General surgery consultations, OB GYN, and other specialty services are offered in this clinic. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dana Miller | ||||||||||||||
| Physician | $318,511 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $318,511 | $0 | $0 | $0 |
| Binoy Chandra | ||||||||||||||
| Physician | $261,002 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $261,002 | $0 | $0 | $0 |
| Phuong Nguyen | ||||||||||||||
| Physician | $218,587 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $218,587 | $0 | $0 | $0 |
| Anthony Daniels | ||||||||||||||
| Physician | $273,966 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $273,966 | $0 | $0 | $0 |
| Thomas Hansen | ||||||||||||||
| Physician | $346,607 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $346,607 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 3 | The CEO and CFO duties are carried out by employees of HealthTech Management Services, Inc. and unrelated management company. Neal Jensen and James Childers are employees of HealthTech and serve as the top management and financial officials of Cobre Valley Regional Medical Center. Compensation is included in the management fee paid to HealthTech Management Services. |
| Form 990, Part VI, Section B, Line 11b | A CPA firm prepares and reviews the Form 990. The return is then provided to the CFO for review and approval. Any questions or concerns the CFO has are addressed and any corrections or clarifications are made. The final form 990, with all required schedules, is made available to the full board prior to filing with the IRS. |
| Form 990, Part VI, Section B, Line 12c | Board members and officers are covered by the organization's conflict of interest policy and are required to annually complete a questionnaire disclosing any and all possible conflicts of interest. |
| Form 990, Part VI, Section B, Line 15 | The Officer's compensation is determined by a review conducted by Healthtech management services, Inc. using data provided by a nationally recognized management consulting firm, along with Form 990 data from comparable organizations and other hospitals managed by Healthtech. Once this information has been compiled and reviewed, a meeting is held with the board and a decision is made on the Officers' compensation. |
| Form 990, Part VI, Section C, Line 19 | Available upon request. |
| Form 990, Part IX, Line 11g | Purchased services, professional fees and contract physicians. |