2026-02-17T21:00:05-06:00 2025-03-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2024-04-01 841465990 ARKANSAS VALLEY REGIONAL MEDICAL CENTER ARKA 7193836026 1100 CARSON AVENUE LA JUNTA CO 81050 RONALD E HOGAN CEO 7193836026 2026-02-17 1 1 STEPHANIE MCCARTHY P01805699 3149254300 2026-02-16 2024 2025-03-06 01:10:19Z RONALD E HOGAN 1100 CARSON AVENUE LA JUNTA CO 81050 44800411 0 X WWW.AVRMC.ORG X 1997 CO THE CENTER IS A COMMUNITY-OWNED ORGANIZATION PROVIDING HIGH QUALITY, RESPECTFUL, AND COMPASSIONATE HEALTH CARE SERVICES TO INDIVIDUALS & FAMILIES IN SOUTHEAST COLORADO. 11 9 390 72 0 0 350140 2456230 38587813 41806399 126950 99838 148157 267064 39213060 44629531 0 0 0 0 22326703 25726572 0 0 0 20551811 20503586 42878514 46230158 -3665454 -1600627 26471129 24566356 4905483 4601337 21565646 19965019 X THE CENTER IS A COMMUNITY-OWNED ORGANIZATION PROVIDING HIGH QUALITY, RESPECTFUL, AND COMPASSIONATE HEALTH CARE SERVICES TO INDIVIDUALS & FAMILIES IN SOUTHEAST COLORADO. 1 0 39412987 0 41806399 THE MEDICAL CENTER OPERATES AN ACUTE-CARE HOSPITAL AND PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO THE COMMUNITY REGARDLESS OF RACE AND INSURANCE. THE MEDICAL CENTER PROVIDED 1,742 INPATIENT DAYS, 38,503 OUTPATIENT VISITS, 12,767 EMERGENCY ROOM VISITS, AND 127 BIRTHS DURING THE YEAR. THE MEDICAL CENTER ALSO PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. 39412987 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 103 0 1 390 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 9 1 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ARKANSAS VALLEY REGIONAL MEDICAL CENTER 7193836026 1100 CARSON AVENUE LA JUNTA CO 81050 MICHAEL MORLEY DO DIRECTOR/PHYSICIAN 40.00 X 654140 0 53326 JAMES BRADY PHYSICIAN 40.00 X 488803 0 44745 ALBERT STERNS PHYSICIAN 40.00 X 490271 0 27534 JESUS CARALE MD DIRECTOR/PHYSICIAN 40.00 X 496017 0 14235 DEBBIE CECIL PHYSICIAN 40.00 X 399260 0 44546 PAOLA SANCHEZ GARAY PHYSICIAN 40.00 X 361533 0 11560 THOMAS JACKSON PHYSICIAN 40.00 X 314864 0 38863 DAVID A FLEMER JR CEO 40.00 X 305760 0 42092 HEIDI GEARHART CNO 40.00 X 183252 0 7432 RICHARD SHEERIN INTERIM CFO (THROUGH AUGUST 2024) 40.00 X 0 0 0 DALE LEIGHTY CHAIR 1.00 X X 0 0 0 ROB PICKERING VICE CHAIR 1.00 X X 0 0 0 JOSEPH PENTLICKI SECRETARY/TREASURER 1.00 X X 0 0 0 GARY GIBSON DIRECTOR 1.00 X 0 0 0 WILLIAM JACKSON DIRECTOR 1.00 X 0 0 0 PATRICK MALOTT DIRECTOR 1.00 X 0 0 0 GLORIA THOMAS DIRECTOR 1.00 X 0 0 0 BETTY VELASQUEZ DIRECTOR 1.00 X 0 0 0 PAUL VELASQUEZ DIRECTOR 1.00 X 0 0 0 3693900 0 284333 28 0 1 0 ARKANSAS VALLEY ANESTHESIA 29272 COUNTY RD 23 ROCKY FORD CO 81067 ANESTHESIA SERVICES 773752 NIGHTHAWK CORP 25983 NETWORK PLC DETROIT MI 48201 RADIOLOGY READS 649706 DELTA LOCUM TENENS PO BOX 202940 DALLAS TX 75320 LOCUMS PHYSICIANS 608242 TRIAGE LLC 13609 CALIFORNIA ST OMAHA NE 68154 TRAVEL NURSES 460422 AYA HEALTHCARE INC 5930 CORNERSTONE CT W SAN DIEGO CA 92121 TRAVEL NURSES 455360 13 2356194 100036 2456230 PATIENT SERVICE REVENU 623990 41806399 41806399 41806399 112067 112067 125015 158651 -33636 -33636 -33636 12229 -12229 -12229 -12229 NUTRITION SERVICES 900099 198750 198750 MISCELLANEOUS 900099 101145 101145 EDUCATION REVENUE 900099 805 805 300700 44629531 41806399 0 366902 X 1587716 1156148 431568 20126328 17781786 2344542 611489 507163 104326 1854738 1521850 332888 1546301 1264313 281988 14318 11189 3129 103230 80668 22562 6356337 4967080 1389257 55350 44278 11072 15007 12005 3002 2962926 1558952 1403974 59125 47298 11827 7037 7037 1293531 1264188 29343 314187 277648 36539 MEDICAL SUPPLIES & DRUG 3562300 3451712 110588 BAD DEBT EXPENSE 3185883 3185883 PROVIDER FEES 863636 863636 TAXES AND LICENSES 522196 417735 104461 1188523 992418 196105 46230158 39412987 6817171 0 2273026 2970396 1271093 1270411 7918616 6056937 1057550 1082251 367607 437401 32121753 20206172 12687207 11915581 896030 833379 26471129 24566356 4083688 4307210 821795 294127 4905483 4601337 X 20996002 19410832 569644 554187 21565646 19965019 26471129 24566356 -1600627 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11504 11504 0 PART II-B, LINE 1: THE MEDICAL CENTER DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE MEDICAL CENTER PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS ALLOCATE A PORTION OF SUCH DUES TO LOBBYING ACTIVITIES BASED ON STUDIES CONDUCTED BY THE RESPECTIVE ASSOCIATION. 16655 16655 27646586 17734721 9911865 4216122 2261655 1954467 242390 209796 32594 11915581 X 41617756 174108 174108 41443648 3185883 3185883 44629531 43202926 158651 158651 43044275 3185883 3185883 46230158 PART X, LINE 2: THE IRS HAS DETERMINED THAT THE ORGANIZATION IS A TAX-EXEMPT, NONPROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL STATE, AND LOCAL AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE RECLASSIFIED TO STATEMENT OF REVENUE 158,651. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 15,457. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 3,185,883. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE RECLASSIFIED TO STATEMENT OF REVENUE 158,651. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 3,185,883. 1 1 X 1 X 250.000000000000 0 1 1 1 0 0 232289 232289 0.00540 12348341 8003341 4345000 0.10090 0 12580630 8003341 4577289 0.10630 0 0 0 0 0 0 0 0 0 12580630 8003341 4577289 0.10630 1 3185883 0 3107420 5149267 -2041847 X 1 0 1 1 ARKANSAS VALLEY REGIONAL MEDICAL CENTER 1100 CARSON AVENUE LA JUNTA CO 81050 WWW.AVRMC.ORG 010210 X X X X ARKANSAS VALLEY REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 24 1 0 1 1 X HTTPS://WWW.AVRMC.ORG/DOCS/AVRMC_2025_CHNA_AND_IMPLEMENTATION_PLAN_FEBRUARY X 1 24 1 HTTPS://WWW.AVRMC.ORG/DOCS/AVRMC_2025_CHNA_AND_IMPLEMENTATION_PLAN_FEBRUARY 0 1 X 250.000000000000 X X 1 1 X X X 1 X WWW.AVRMC.ORG/GETPAGE.PHP?NAME=FINANCIAL-ASSISTANCE-PRGRAM X HTTPS://WWW.AVRMC.ORG/DOCS/PDFUNIFORMAPPLICATION_JUNE2024.PDF?SUB=FOR%20PAT X WWW.AVRMC.ORG/GETPAGE.PHP?NAME=FINANCIAL-ASSISTANCE-PRGRAM X X X X X X 1 X 0 X X X X 1 X 0 0 ARKANSAS VALLEY REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: ARKANSAS VALLEY REGIONAL MEDICAL CENTER. THE MEDICAL CENTER TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY INTERVIEWING LOCAL EXPERT ADVISORS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN BENT, OTERO AND CROWLEY COUNTIES REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY INCLUDING PUBLIC HEALTH REPRESENTATIVES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. COMMUNITY INPUT WAS COLLECTED IN SEPTEMBER 2024 FROM 11 LOCAL EXPERT ADVISORS. THE LOCAL EXPERT ADVISORS ARE A DIVERSE GROUP OF COMMUNITY MEMBERS UTILIZED TO GAIN INPUT IN LOCAL HEALTH NEEDS AND THE NEEDS OF PRIORITY POPULATIONS. THESE LOCAL INDIVIDUALS WERE SELECTED ACCORDING TO CRITERIA REQUIRED BY THE FEDERAL GUIDELINES AND REGULATIONS AND THE HOSPITAL'S DESIRE TO REPRESENT THE REGION'S GEOGRAPHICALLY AND ETHNICALLY DIVERSE POPULATION. THE STUDY AREA IS BASED ON HOSPITAL INPATIENT DISCHARGE DATA FROM APRIL 1, 2023 TO MARCH 31, 2024 AND DISCUSSIONS WITH HOSPITAL STAFF. INDIVIDUALS PARTICIPATING AS LOCAL EXPERT ADVISORS INCLUDED INDIVIDUALS WITH PUBLIC HEALTH EXPERTISE, DEPARTMENTS AND AGENCIES WITH RELEVANT INFORMATION REGARDING HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL, PRIORITY POPULATIONS, AND REPRESENTATIVES OF CHRONIC DISEASE GROUPS OR ORGANIZATIONS. ARKANSAS VALLEY REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: ARKANSAS VALLEY REGIONAL MEDICAL CENTER. THE MEDICAL CENTER COLLABORATED WITH AND OBTAINED ASSISTANCE FROM COMMUNITY HOSPITAL CONSULTING (CHC CONSULTING) TO COMPLETE COMMUNITY HEALTH NEEDS ASSESSMENT TO IMPROVE THE UNDERSTANDING OF THE HEALTH STATUS OF ITS SERVICE AREA. ARKANSAS VALLEY REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: ARKANSAS VALLEY REGIONAL MEDICAL CENTER. THE MOST RECENT CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS: 1. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG VULNERABLE POPULATIONS 2. ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS. 3. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 4. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS. AVRMC DECIDED NOT TO SPECIFICALLY ADDRESS "ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS" LARGELY DUE TO THE FACT THAT IT IS NOT A CORE BUSINESS FUNCTION OF THE HOSPITAL AND THE LIMITED CAPACITY OF THE HOSPITAL TO ADDRESS THIS NEED. AVRMC ACKNOWLEDGES THAT THIS IS A SIGNIFICANT NEED IN THE COMMUNITY AND WILL WORK WITH LOCAL COMMUNITY ORGANIZATIONS TO SEE HOW THE FACILITY CAN ASSIST IN THESE AREAS. THE MEDICAL CENTER IS ADDRESSING THE TOP THREE PRIORITIES USING THE FOLLOWING STRATEGIES: 1.A AVRMC CONTINUES TO OFFER AND PROMOTE THE COLORADO MEDICAID NURSE ADVICE LINE, WHICH PROVIDES MEDICAID MEMBERS FREE AROUND-THE-CLOCK ACCESS TO MEDICAL INFORMATION AND ADVICE. NURSES WILL ANSWER PATIENT MEDICAL QUESTIONS, PROVIDE CARE ADVICE AND HELP PATIENTS DETERMINE IF THEY SHOULD BE SEEN BY A DOCTOR RIGHT AWAY. 1.B. AVRMC WILL CONTINUE TO OFFER FINANCIAL ASSISTANCE AND PAYMENT PLAN EDUCATION TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. ADDITIONALLY, AVRMC OFFERS THE COLORADO HOSPITAL DISCOUNTED CARE PROGRAM BY SCREENING PATIENTS BASED ON THEIR INSURANCE COVERAGE AND IF THEY ARE BELOW THE POVERTY LEVEL. IF FINANCIAL ASSISTANCE IS NEEDED, AVRMC ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY. 1.C. AVRMC WILL CONTINUE TO PROVIDE A TELEPHONE LANGUAGE LINE AND MY ACCESSIBLE REAL TIME TRUSTED INTERPRETER (MARTTI) SYSTEM TO PROVIDE TRANSLATION SERVICES FOR NON-ENGLISH SPEAKING PATIENTS AND FAMILIES AS NEEDED, AS WELL AS VIDEO SERVICES FOR SIGN LANGUAGE COMMUNICATION. 1.D. AVRMC CASE MANAGEMENT SERVICES WILL CONTINUE TO CONNECT PATIENTS WITH APPROPRIATE, AFFORDABLE RESOURCES UPON DISCHARGE AND AS OPPORTUNITIES ARISE. 1.E. AVRMC WILL CONTINUE TO HOST AND/OR PARTICIPATE IN BLOOD DRIVES FOR THE COMMUNITY. 1.F. AVRMC WILL CONTINUE ITS PARTNERSHIPS WITH LOCAL NURSING HOMES TO PROVIDE LAB SERVICES. LABORATORY 1.G. AVRMC WILL CONTINUE TO PARTICIPATE IN THE 340B PHARMACY PROGRAM WHICH PROVIDES DISCOUNTED PHARMACY PRICING TO INDIGENT PATIENTS.2.A AVRMC CONTINUES TO OFFER A VARIETY OF PRIMARY AND SPECIALTY CARE PROVIDERS AND SERVICES TO INCREASE LOCAL ACCESS TO CARE AND CARE COVERAGE, AND EXPLORES THE FEASIBILITY OF EXPANDING SERVICES TO BENEFIT THE COMMUNITY AS OPPORTUNITIES ARISE. 2.B. AVRMC WILL CONTINUE TO INCREASE AWARENESS OF ITS PRIMARY AND SPECIALTY CARE SERVICE OFFERINGS IN THE COMMUNITY THROUGH VARIOUS MEDIA OUTLETS AND ADVERTISEMENTS. 2.C. AVRMC WILL CONTINUE TO SERVE AS A TEACHING FACILITY FOR LOCAL RN, LAB, RESPIRATORY THERAPY, PHYSICAL THERAPY, ANCILLARY STUDENTS AND RESIDENTS. 2.D. AVRMC WILL CONTINUE TO PARTICIPATE WITH LOCAL SCHOOLS TO EDUCATE AREA RESIDENTS PURSUING FUTURE HEALTH CARE CAREERS ON WHAT AVRMC HAS TO OFFER. 2.E. AVRMC WILL CONTINUE TO MAINTAIN AND PROVIDE A LIST OF REFERRAL SERVICES TO PATIENTS WHO ARE REQUIRING SPECIALTY CARE. 2.F. AVRMC OFFERS A FAST TRACK URGENT CARE WITHIN THEIR EMERGENCY DEPARTMENT TO ENSURE PATIENTS ARE APPROPRIATELY TRIAGED. 2.G. AVRMC SERVES AS AN ACTIVE MEMBER OF THE SOUTHEAST HEALTHCARE CONSORTIUM AND THE EASTERN PLAINS HEALTHCARE COALITION (EPHC), WHICH EXISTS TO COLLABORATE TO PROVIDE EDUCATION OPPORTUNITIES TO ITS MEMBERS.3.A. AVRMC WILL CONTINUE TO HOST AND/OR PARTICIPATE IN LOCAL HEALTH-RELATED EVENTS TO PROMOTE HOSPITAL SERVICES, OFFER A VARIETY OF HEALTH SCREENINGS TO THE COMMUNITY, AND/OR SUPPORT OR PARTNER WITH LOCAL ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH AS OPPORTUNITIES ARISE. 3.B. AVRMC WILL CONTINUE TO INCREASE EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC CONCERNING WELLNESS TOPICS AND HEALTH RISK CONCERNS. 3.C. AVRMC WILL CONTINUE TO INCREASE AWARENESS OF ITS SERVICE OFFERINGS IN THE COMMUNITY THROUGH LOCAL MEDIA OUTLETS, SUCH AS SOCIAL MEDIA AND UPDATING THE HOSPITAL'S WEBSITE. 3.D. AVRMC PERSONNEL WILL CONTINUE TO SERVE IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY. 3.E. AVRMC PERSONNEL ARE AVAILABLE AS SPEAKERS FOR CIVIC GROUPS, INDUSTRIAL PARTNERS, FOR MEDIA APPEARANCES AND HEALTH FAIRS TO ADDRESS HEALTH CARE TOPICS OF CONCERN TO THE PUBLIC. 3.F. AVRMC WILL CONTINUE TO PARTICIPATE IN CONFERENCES FOCUSED AROUND THEIR PATIENT POPULATION'S NEEDS. 3.G. AVRMC WILL CONTINUE TO ENCOURAGE, SUPPORT AND OFFER EMPLOYEES WELLNESS OPPORTUNITIES THROUGH THE CURRENT EMPLOYEE HEALTH INSURANCE PLAN. 3.H. AVRMC WILL CONTINUE TO WORK WITH THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT IN SUPPORT OF THE COLORADO QUITLINE. 3.I. AVRMC WILL CONTINUE TO HOST AND/OR PARTICIPATE IN FUNDRAISING EVENTS AND DONATION DRIVES TO BENEFIT UNDERSERVED ORGANIZATIONS IN THE COMMUNITY. 3.J. AVRMC CONTINUES TO WORK WITH THE COLORADO HOSPITAL ASSOCIATION TO OFFER THE ALTO PROJECT, WHICH IS GEARED TOWARD REDUCING THE ADMINISTRATION OF OPIOIDS PRESCRIBED THROUGH EMERGENCY DEPARTMENTS. ARKANSAS VALLEY REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13H: ARKANSAS VALLEY REGIONAL MEDICAL CENTER. THE ONLY CHARITY CARE DEFINED BY AVRMC'S PURPOSE IS PATIENTS THAT QUALIFY FOR COLORADO INDIGENT CARE. PART I, LINE 7: THE COSTING METHODOLOGY USED TO DETERMINE THE FINANCIAL ASSISTANCE IS THE COST TO CHARGE RATIO. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,185,883. PART II, COMMUNITY BUILDING ACTIVITIES: THE MEDICAL CENTER'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN THE LA JUNTA, COLORADO AREA. THE MAJORITY OF THE ORGANIZATION'S BOARD MEMBERS ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE MEDICAL CENTER. THE BOARD OF DIRECTORS IS MADE MOSTLY OF COMMUNITY BUSINESS PEOPLE INTERESTED IN MAINTAINING QUALITY HEALTH CARE IN LA JUNTA. MEDICAL STAFF PRIVILEGES ARE OPEN TO ALL MEDICAL PROVIDERS WITH ACTIVE LICENSURE. WE ENCOURAGE PRACTITIONERS FROM NUMEROUS SPECIALTIES TO MEET THE EVER-EXPANDING HEALTHCARE NEEDS OF THE COMMUNITY. ANY SURPLUS FUNDS ARE REINVESTED INTO OUR FACILITIES, EQUIPMENT, AND EMPLOYEE EDUCATION. THE MEDICAL CENTER PARTICIPATES IN VARIOUS ACTIVITIES WITHIN ITS COMMUNITY TO PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES INCLUDING THE FOLLOWING: SERVE AS A TEACHING FACILITY FOR LOCAL RN, LAB, RESPIRATORY THERAPY, PHYSICAL THERAPY, ANCILLARY STUDENTS AND RESIDENTS PARTICIPATE WITH LOCAL SCHOOLS TO EDUCATE AREA RESIDENTS PURSUING FUTURE HEALTH CARE CAREERS ACTIVE MEMBER OF THE SOUTH EAST HEALTHCARE COALITION, WHICH EXISTS TO COLLABORATE TO PROVIDE EDUCATION OPPORTUNITIES TO ITS MEMBERS OFFER A VARIETY OF HEALTH SCREENINGS TO THE COMMUNITY PARTNER WITH LOCAL ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH AS OPPORTUNITIES ARISE EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC CONCERNING WELLNESS TOPICS AND HEALTH RISK CONCERNS SUCH AS DIABETIC EDUCATION, SELF-MANAGEMENT CLASSES, PRESENTATIONS TO CIVIC ORGANIZATIONS, CHURCH GROUPS, LOWER ARKANSAS VALLEY AREA AGENCY ON AGING, LA JUNTA SENIOR CENTER, FALL PREVENTION EDUCATION AT THE SENIOR CENTER, CANCER RELATED EDUCATION, LUNCH & LEARN SESSIONS, SUPPORT GROUPS (DIABETES SUPPORT GROUP), AND PREVENTATIVE EDUCATION PRESENTATIONS IN THE SCHOOL SYSTEM. LEADERSHIP AND VOLUNTEER ROLES WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY WORK WITH THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT IN SUPPORT OF THE COLORADO QUITLINE. MANY OF THESE ACTIVITIES WERE LIMITED DUE TO COVID RESTRICTIONS DURING THE YEAR BUT PLAN TO GET THEM BACK TO FULL CAPACITY AS RESTRICTIONS ARE LIFTED. IN ADDITION, THE MEDICAL CENTER IS CONTINUALLY WORKING WITH LOCAL OFFICIALS TO PROVIDE NEEDED SERVICES AND DONATE TIME AND EFFORT TO THE COMMUNITY. WE PROVIDE SUBSTANTIAL AMOUNTS OF UNCOMPENSATED CARE TO INDIVIDUALS THAT ARE IN NEED. THE MEDICAL CENTER ALSO PROVIDES ASSISTANCE WITH ENROLLMENT ASSISTANCE FOR GOVERNMENT-FUNDED HEALTH PROGRAMS FOR UNINSURED WHEN NECESSARY. PART III, LINE 2: THE COST METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED AS BAD DEBT EXPENSE IS USING A COST-TO-CHARGE RATIO. THE AMOUNT OF BAD DEBTS ATTRIBUTABLE TO PATIENT ACCOUNTS IS MULTIPLIED BY THE RATIO OF PATIENT CARE COST TO CHARGES CALCULATE THE ESTIMATED COST OF BAD DEBTS ATTRIBUTABLE TO PATIENT ACCOUNTS. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY, BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS A COMMUNITY BENEFIT. PART III, LINE 3: ARKANSAS VALLEY REGIONAL MEDICAL CENTERS IS REPORTING $0 ON LINE 3 BECAUSE THE ORGANIZATION DOES NOT HAVE A RELIABLE ESTIMATE OF THE PORTION OF BAD DEBT EXPENSE ATTRIBUTABLE TO INDIVIDUALS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT COMPLETE AN APPLICATION. PART III, LINE 8: MEDICARE SHORTFALL WAS CALCULATED USING THE MEDICARE COST REPORT FOR THE YEAR. IRS REVENUE RULING 69545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. PART III, LINE 9B: PATIENTS ARE NOTIFIED OF THE FINANCIAL ASSISTANCE PROGRAM VIA PATIENT FINANCIAL COUNSELORS, BROCHURES AVAILABLE IN THE ADMISSION AND BUSINESS OFFICE AREAS OF THE HOSPITAL, AND ON OUR WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.AVRMC.ORG/GETPAGE.PHP?NAME=FINANCIAL-ASSISTANCE-PRGRAM PART VI, LINE 2: THE CHNA IS THE PRIMARY METHOD TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY SERVED. MEDICAL CENTER DEPARTMENT MANAGERS, MANAGEMENT, AND THE BOARD OF DIRECTORS ARE COMPRISED OF MEMBERS OF THE COMMUNITY. THEY ARE ABLE TO GATHER AND COMMUNICATE THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES AND CONTINUALLY ADDRESS THEM AT STAFF AND BOARD MEETINGS. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL: HTTPS://WWW.AVRMC.ORG/GETPAGE.PHP?NAME=COMMUNITY-HEALTH-NEEDS PART VI, LINE 3: THE MEDICAL CENTER PROVIDES A BROCHURE TO EACH PATIENT OUTLINING THE GUIDELINES TO DETERMINE ELIGIBILITY FOR ASSISTANCE. IF APPROPRIATE, WE GET THEM AN APPOINTMENT WITH A FINANCIAL COUNSELOR. THE BROCHURE CAN BE FOUND ON OUR WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.AVRMC.ORG/GETPAGE.PHP?NAME=FINANCIAL-ASSISTANCE-PRGRAM PART VI, LINE 4: THE MEDICAL CENTER'S PRIMARY SERVICE AREA IS OTERO COUNTY IN COLORADO, RECEIVING 63.8% OF ITS PATIENTS FROM THIS AREA IN 2024, WITH BENT AND CROWLEY COUNTIES MAKING UP AN ADDITIONAL 23.9%. THESE COUNTIES ARE DESIGNATED BY HPSA AS A LOW INCOME POPULATION. THE 2020 CENSUS IS 18,665 FOR OTERO COUNTY, 5,861 FOR BENT COUNTY, AND 6,018 FOR CROWLEY COUNTY. IN 2023, OTERO COUNTY (4.1) AND CROWLEY COUNTY (4.1) HAD A HIGHER UNEMPLOYMENT RATE THAN THE STATE (3.2) WHILE BENT COUNTY (3.0) HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE. AS OF 2024, OTERO COUNTY (41.6 YEARS) HAS AN YOUNGER MEDIAN AGE THAN BENT COUNTY (42.7 YEARS), CROWLEY COUNTY (42.0 YEARS) BUT AN OLDER MEDIAN AGE THAN THE STATE (38.0 YEARS). THE 65+ POPULATION IS 22.3% FOR OTERO COUNTY, 20.4% FOR BENT COUNTY, AND 16.5% FOR CROWLEY COUNTY. APPROXIMATELY 67.6% OF THE OTERO COUNTY POPULATION IS OF WHITE, NON-HISPANIC ETHNIC ORIGIN, COMPARED TO THE STATE POPULATION PERCENTAGE OF 69.2%. THE BLACK, ASIAN, AND AMERICAN INDIAN POPULATION OF OTERO COUNTY IS 3.7%, COMPARED TO 9.3% STATE WIDE. CROWLEY COUNTY (30.2%) HAS THE HIGHEST PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY LEVEL AS COMPARED TO BENT COUNTY (29.6%), OTERO COUNTY (23.8%) AND THE STATE (11.2%). THE MEDIAN HOUSEHOLD INCOMES IN BENT (42,769), CROWLEY (41,136), AND OTERO (53,566) COUNTIES ARE LOWER THAN THAT OF THE STATE (94,820). PART VI, LINE 7, REPORTS FILED WITH STATES CO X X 0 0 0 0 0 0 0 1 0 MICHAEL MORLEY DO DIRECTOR/PHYSICIAN 654140 0 0 0 0 0 0 0 53326 0 707466 0 0 0 JAMES BRADY PHYSICIAN 488803 0 0 0 0 0 10350 0 34395 0 533548 0 0 0 ALBERT STERNS PHYSICIAN 490271 0 0 0 0 0 0 0 27534 0 517805 0 0 0 JESUS CARALE MD DIRECTOR/PHYSICIAN 496017 0 0 0 0 0 10350 0 3885 0 510252 0 0 0 DEBBIE CECIL PHYSICIAN 399260 0 0 0 0 0 10350 0 34196 0 443806 0 0 0 PAOLA SANCHEZ GARAY PHYSICIAN 361533 0 0 0 0 0 10350 0 1210 0 373093 0 0 0 THOMAS JACKSON PHYSICIAN 314864 0 0 0 0 0 10350 0 28513 0 353727 0 0 0 DAVID A FLEMER JR CEO 305760 0 0 0 0 0 10350 0 31742 0 347852 0 0 0 HEIDI GEARHART CNO 183252 0 0 0 0 0 6912 0 520 0 190684 0 0 0 PART I, LINE 7 THE PHYSICIAN CONTRACTS ALLOW FOR A QUARTERLY BONUS IF THEIR RELATIVE VALUE UNITS CHARGED EXCEED QUARTERLY BENCHMARK STANDARDS. AARON CROWELL FAMILY MEMBER 100308 EMPLOYMENT 0 FORM 990, PART III, LINE 2 THE ORGANIZATION OPENED A NEW FAMILY MEDICINE/OB CLINIC. FORM 990, PART VI, SECTION A, LINE 2 PAUL VELASQUEZ (DIRECTOR) & BETTY VELASQUEZ (DIRECTOR) ARE RELATED FAMILY MEMBERS. FORM 990, PART VI, SECTION A, LINE 3 THE MEDICAL CENTER CONTRACTS WITH COMMUNITY HOSPITAL CONSULTING (CHC), FOR HEALTHCARE MANAGEMENT SERVICES TO PROVIDE SPECIALIZED HEALTHCARE SERVICES. THE BOARD OF DIRECTORS WORK IN CONJUNCTION WITH CHC AND THE BOARD HAS ULTIMATE AUTHORITY AND RESPONSIBILITY FOR THE ORGANIZATION. CHC WAS PAID $153,353 FOR THE FISCAL YEAR OFFERING MANAGEMENT, CONSULTING, AND VARIOUS OTHER SERVICES. FORM 990, PART VI, SECTION A, LINE 7A THE MEDICAL CENTER'S BOARD OF DIRECTORS CONSISTS OF ELEVEN MEMBERS. THE CITY OF LA JUNTA APPOINTS FOUR MEMBERS, ONE OF WHICH IS A MEMBER OF THE CITY OF LA JUNTA'S CITY COUNCIL. THE MEDICAL CENTER APPOINTS THE REMAINING MEMBERS, TWO OF WHICH ARE PHYSICIANS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY EMPLOYEES SUBMIT CONFLICTS OF INTEREST EACH YEAR TO REGULARLY REVIEW ANY POSSIBLE CONFLICTS WITH THE WRITTEN CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 DURING THE PERIOD REPORTED, THE BOARD OF DIRECTORS DID NOT PARTICIPATE IN THE REVIEW OR APPROVAL OF COMPENSATION ARRANGEMENTS. THE CHIEF EXECUTIVE OFFICER ESTABLISHED THE COMPENSATION FOR THE CHIEF NURSING OFFICER. FOR ALL OTHER POSITIONS, COMPENSATION WAS DETERMINED BY THE HUMAN RESOURCES DIRECTOR, WITH THE APPROVAL OF THE CHIEF EXECUTIVE OFFICER, USING COMPARATIVE DATA FROM THE COLORADO HOSPITAL ASSOCIATION'S ANNUAL SALARY SURVEY. THIS PROCESS WAS LAST COMPLETED IN 2025. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 4,967,080. MANAGEMENT AND GENERAL EXPENSES 1,389,257. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,356,337. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.