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COBRE VALLEY REGIONAL MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COBRE VALLEY REGIONAL MEDICAL CENTER (EIN 86-0732836)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-07
IRS object ID
201113119349300631
Schema version
2010v3.2
Note
A later return for the same period supersedes this one.
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

FieldValueIRS element (for citing)
Timestamp2011-11-07T16:13:20-08:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TCA Partners LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11111 East Herndon Avenue Suite 211AddressLine1
CityFresnoCity
StateCAState
ZIP Code93720ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN860732836EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Cobre Valley Regional Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOBRNameControl
Phone9284253261Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15880 S Hospital DriveAddressLine1
CityGlobeCity
StateAZState
ZIP Code85501ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNeal JensenName
TitleCEOTitle
Date Signed2011-11-07DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameInger Sullenger CPAName
Phone5594317708Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNeal JensenNameOfPrincipalOfficerPerson
Gross Receipts35669839GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionThe 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees312TotalNbrEmployees
Total Nbr Volunteers40TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year37330ContributionsGrantsPriorYear
Contributions Grants Current Year115523ContributionsGrantsCurrentYear
Program Service Revenue Prior Year35707940ProgramServiceRevenuePriorYear
Program Service Revenue CY35011060ProgramServiceRevenueCY
Investment Income Prior Year274313InvestmentIncomePriorYear
Investment Income Current Year321760InvestmentIncomeCurrentYear
Other Revenue Prior Year248793OtherRevenuePriorYear
Other Revenue Current Year218134OtherRevenueCurrentYear
Total Revenue Prior Year36268376TotalRevenuePriorYear
Total Revenue Current Year35666477TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14617031SalariesEtcPriorYear
Salaries Etc Current Year15636820SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year18534470OtherExpensePriorYear
Other Expenses Current Year17844563OtherExpensesCurrentYear
Total Expenses Prior Year33151501TotalExpensesPriorYear
Total Expenses Current Year33481383TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3116875RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2185094RevenuesLessExpensesCY
Total Assets BOY36192043TotalAssetsBOY
Total Assets EOY38158425TotalAssetsEOY
Total Liabilities BOY13453066TotalLiabilitiesBOY
Total Liabilities EOY14134613TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22738977NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24023812NetAssetsOrFundBalancesEOY
Mission DescriptionThe 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense28459177Expense
Revenue35228980Revenue
DescriptionThe Organization will provide medical services which will be competitive with those charges for similar services by comparable facilities. The organization will also allow a portion of its services and facilities to be used for charity patients. Along with providing acute health care services to the community as not for profit entity, Cobre Valley Regional Medical Center (CVRMC) hosts many educational programs available to the residents in the service area. The hospital and staff host and sponsor an annual health fair working with other area agencies to distribute and disseminate health, wellness, and information. The hospital also sponsors diabetic workshops, birthing and new baby care classes. The Emergency Department (ED) at CVRMC is the base station for the three Fire/EMS Departments in the service area. The hospital sponsors monthly training to firefighters and paramedics as well as medical supervision at no cost to the departments. The ED also is a clinical training site for Paramedics and Physician Assistants to fulfill clinical internship requirements in their curriculum. CVRMC is also the clinical training site for students attending nursing programs at Gila Community College and Eastern Arizona Community College.Description
Total Program Service Expense28459177TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096102NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees312NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJames R ChildersNamePerson
Telephone Number9284021123TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15880 S Hospital DriveAddressLine1
CityGlobeCity
StateAZState
ZIP Code85501ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirector
Phuong Nguyen
Physician24.00X253410012540
K Kane Graves
Board Member1.00000X
Jendean Sartain
Chairman1.00000X
Janice Cook
Treasurer1.00000X
James B Rasmussen
Secretary1.00000X
Jacob Albin
Pharmacist0.00X17707605700
Gary Gustason MD
Board Member0.00000
Fernando Shipley
Board Member1.00000X
Ed Carpenter
Vice Chairman1.00000X
Dana Miller
Physician40.00X335875012540
Byron Belew
Board Member1.00000X
Bruce Bucklew
Physician40.00X21874100
Brad Werrell DO
Board Member1.00000X
Binoy Chandra
Physician40.00X25846500
FieldValueIRS element (for citing)
Total Reportable Comp From Org1243567TotalReportableCompFromOrg
Total Other Compensation30780TotalOtherCompensation
Number Individuals GT100 K19NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Staff Care Inc
PO Box 281923AtlantaGA303841923Contract Labor164546
Concentric Healthcare Solutions
4250 North Drinkwater Blvd 165ScottsdaleAZ85251Contract Labor168667
Comphealth Inc
PO Box 972651DallasTX753972651Contract Labor145808
Cobre Properties LLC co Ensemble Real Est
4722 North 24th St Ste 400PhoenixAZ85016Office Space Rent177880
Affilion of Cobre Valley LLC
80 E Rio Salado Pkwy Ste 703TempeAZ85281ER Physicians159650
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Fundraising Events19655FundraisingEvents
All Other Contributions95868AllOtherContributions
Noncash Contributions8245NoncashContributions
Total Contributions115523TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient ServiceDescription
Total Revenue Column35011060TotalRevenueColumn
Related Or Exempt Function Income35011060RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue35011060TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column321760TotalRevenueColumn
Exclusion$321,760ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real77278Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real77278Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column77278TotalRevenueColumn
Related Or Exempt Function Income77278RelatedOrExemptFunctionIncome

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events3576GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events19655CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses3362FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column214TotalRevenueColumn
Exclusion$214ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Rebates/Discounts1984419844
Other Revenue1736417364
Cafeteria Revenue103434103434
FieldValueIRS element (for citing)
Total Other Revenue140642TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column35666477TotalRevenueColumn
Related Or Exempt Function Income35228980RelatedOrExemptFunctionIncome
Exclusion$321,974ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12987315Total
Program Services11039218ProgramServices
Management And General1948097ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2649505Total
Program Services2252079ProgramServices
Management And General397426ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total440359Total
Program Services374305ProgramServices
Management And General66054ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total80869Total
Program Services68739ProgramServices
Management And General12130ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29500Total
Program Services25075ProgramServices
Management And General4425ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total146433Total
Program Services124468ProgramServices
Management And General21965ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total450090Total
Program Services382577ProgramServices
Management And General67513ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1731058Total
Program Services1471399ProgramServices
Management And General259659ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total769012Total
Program Services653660ProgramServices
Management And General115352ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies56411864795008846178
Purchased Services31884982710223478275
Physician Fees59576950640489365
Bldg/Equip Rent & Maintenance13563231152875203448
Bad Debt21571621833588323574

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1258304Total
Program Services1069559ProgramServices
Management And General188745ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total33481383Total
Program Services28459177ProgramServices
Management And General5022206ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY306345BOY
EOY358763EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY18213143BOY
EOY17580939EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3797036BOY
EOY4386200EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY784688BOY
EOY1033776EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY287993BOY
EOY224240EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis34663061LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec21803670LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11236306BOY
EOY12859391EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1566532BOY
EOY1715116EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY36192043BOY
EOY38158425EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5222253BOY
EOY5341810EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY6925000BOY
EOY6655000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY294882BOY
EOY1126873EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1010931BOY
EOY1010930EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13453066BOY
EOY14134613EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22420032BOY
EOY23678193EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY318945BOY
EOY345619EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22738977BOY
EOY24023812EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36192043BOY
EOY38158425EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2185094ReconcilationRevenueExpenses
Reconcilation Other Changes-900259ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis904177OtherCostOrOtherBasis
Book Value904177BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15307846OtherCostOrOtherBasis
Depreciation9024551Depreciation
Book Value6283295BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1570915OtherCostOrOtherBasis
Depreciation1234942Depreciation
Book Value335973BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16099291OtherCostOrOtherBasis
Depreciation11544177Depreciation
Book Value4555114BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis780832OtherCostOrOtherBasis
Book Value780832BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12859391TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAccrued Retiree HealthDescription
Amount$1,010,930Amount
FieldValueIRS element (for citing)
Total Of Amounts1010930TotalOfAmounts
Total Revenue35666477TotalRevenue
Total Expenses33481383TotalExpenses
Excess Or Deficit For Year2185094ExcessOrDeficitForYear
Net Unrealized GL On Investments199968NetUnrealizedGLOnInvestments
Prior Period Adjustments-1100227PriorPeriodAdjustments
Total Adjustments-900259TotalAdjustments
Excess Or Deficit Per FS1284835ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt35669839TotRevenueEtcAuditedFinclStmt
Other Revenues3362OtherRevenues
Revenue Not Rptd F9903362RevenueNotRptdF990
Revenue Subtotal35666477RevenueSubtotal
Total Revenue Per Form99035666477TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt33484745TotExpensesEtcAuditedFinclStmt
Other Expenses Included3362OtherExpensesIncluded
Expenses Not Rptd F9903362ExpensesNotRptdF990
Expenses Subtotal33481383ExpensesSubtotal
Total Expenses Per Form99033481383TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 2dPart XIII, Line 2d: Other expenses and losses per audited F/SSpecial Events Reclassifications $3362
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990Special Events Reclassifications $3362

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Art & Wine AuctionNameOfEvent1
Gross Receipts Event123231GrossReceiptsEvent1
Charitable Contributions Event119655CharitableContributionsEvent1
Gross Revenue Event13576GrossRevenueEvent1
Food And Beverage Event11587FoodAndBeverageEvent1
Entertainment Event125EntertainmentEvent1
Other Direct Expenses Event11750OtherDirectExpensesEvent1
Gross Receipts Total23231GrossReceiptsTotal
Charitable Contributions Total19655CharitableContributionsTotal
Gross Revenue Total Events3576GrossRevenueTotalEvents
Food And Beverage Total Events1587FoodAndBeverageTotalEvents
Entertainment Total Events25EntertainmentTotalEvents
Other Direct Expenses Total Events1750OtherDirectExpensesTotalEvents
Direct Expense Summary Events3362DirectExpenseSummaryEvents
Net Income Summary214NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage400.000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served2350995PersonsServed
Total Community Benefit Expense80264TotalCommunityBenefitExpense
Net Community Benefit Expense80264NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served70226PersonsServed
Total Community Benefit Expense811947TotalCommunityBenefitExpense
Net Community Benefit Expense811947NetCommunityBenefitExpense
Percent Of Total Expense0.02430PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served8020PersonsServed
Total Community Benefit Expense20438TotalCommunityBenefitExpense
Net Community Benefit Expense20438NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs26NumberOfActivitiesOrPrograms
Persons Served2429241PersonsServed
Total Community Benefit Expense912649TotalCommunityBenefitExpense
Net Community Benefit Expense912649NetCommunityBenefitExpense
Percent Of Total Expense0.02730PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs26NumberOfActivitiesOrPrograms
Persons Served2429241PersonsServed
Total Community Benefit Expense912649TotalCommunityBenefitExpense
Net Community Benefit Expense912649NetCommunityBenefitExpense
Percent Of Total Expense0.02730PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served166691PersonsServed
Total Community Building Expense8531TotalCommunityBuildingExpense
Net Community Building Expense8531NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served1000PersonsServed
Total Community Building Expense834TotalCommunityBuildingExpense
Net Community Building Expense834NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served3750PersonsServed
Total Community Building Expense4103TotalCommunityBuildingExpense
Net Community Building Expense4103NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served171441PersonsServed
Total Community Building Expense13468TotalCommunityBuildingExpense
Net Community Building Expense13468NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,157,162BadDebtExpenseAmount
Amount Attributable To2157162AmountAttributableTo
Cost Of Care Reimbursed By Medicare10069966CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-10069966MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Cobre Valley Regional Med CtrBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line15880 South Hospital DriveAddressLine1
CityGlobeCity
StateAZState
ZIP Code85501ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Cobre Valley Regional Med CtrBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedfalseEligibilityCriteriaExplained
Uses FPG FreefalseUsesFPGFree
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasisfalseExplainsBasis
Explains Application MethodfalseExplainsApplicationMethod
Includes Publicity MeasuresfalseIncludesPublicityMeasures
Actions On NonpaymentfalseActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part VI - Additional InformationN/A
Part V - Explanation of Number of Facility TypeBesides the main hospital, the organization operates three rural health clinics. Additional detail is provided in the response to Part VI, Question 6: how the organization has furthered its exempt purpose.
Part VI - States Where Community Benefit Report FiledAZ
Part VI - Affilated Health Care System Roles and PromotionN/A
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeCVRMC History: Cobre Valley Regional Medical Center has been serving patients of the copper belt region of Arizona for nearly 100 years. Originally a miner's 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 the demands of a modern hospital practice. A larger, modern hospital was needed, and during the 1960's, 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 Miami Gardens. 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 hospital's 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 Gila General Hospital in 1991, Miami-Inspiration Hospital became the sole provider of acute medical care in 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 (CVCH). 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 (HealthTech), Cobre Valley Community Hospital continued to provide the best services available, adding new services, technology and state-of-the-art 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 became Cobre Valley Regional Medical Center (CVRMC). The new name is a reflection of the customers and patients served by the expanding facility.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 45,000 in a full service acute care facility with a medical staff of 25 active physicians and numerous visiting specialists. Because of its location, adjacent to the San Carlos Apache Reservation, it serves as an acute medical/surgical and obstetric provider for reservation residents referred by their clinic or hospital. (Continued on Schedule O)
Part VI - Community Building ActivitiesCobre Valley Regional Medical Center (CVRMC) has a commitment to our employees, physicians of our communities, organizations who depend on us to provide direction in health services, our board of directors, people who have made donations, volunteers, and most importantly to our patients and families of the region we serve. CVRMC is striving to be more inclusive, collaborative, and effective regarding community building activities and donations. The mission of CVRMC 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." This is a living statement within each of our employees who works to provide direct or indirect patient care and is the driving force when setting goals, purchasing equipment, hiring employees, and planning activities throughout the region. The CVRMC Standards of Performance are the required code of conduct which will ensure the mission of CVRMC is carried forth. These standards include personal behaviors regarding privacy, attitude, communication, teamwork, courtesy, accountability, appearance, responsiveness, and safety. Through our community benefit and building activities, utilizing the standards of performance as the driving force, CVRMC is demonstrating accountability, gaining community trust, and fulfilling our mission to all our constituents of our region.Highlighting a few of CVRMC's community benefit and building activities will demonstrate the commitment we have to the region:-Health Fair 2010 - Approximately 500 people attended the annual CVRMC Health Fair which promoted health education, safety information, and a variety of health screenings for cholesterol, blood sugar, spirometry, and blood pressure checks free of charge. Fifty-two community organizations participated to help bring health educational materials to the people of the region. (CVRMC doubled the attendence and participating vendors from the 2009 Health Fair, which had 250 attendents and 30 vendors)-Internships - Students in a variety of medical professions completed clinical hours at CVRMC at no charge. It is our belief that in order to resource the future of nurses, radiology techs, phlebotomists, and PA's, we need to provide the facilities and necessary training for these occupations to help secure the future of health care. 2010 also had an intern in the Public Relations area. -Childbirth Classes - These classes are offered to all expecting mothers throughout the region regardless of which hospital the birth of the baby is scheduled to take place. These classes are free of charge and information regarding child care is also provided.-Diabetic Classes - These classes are open to the public who would like to learn more about diabetes and ways to care for themselves or their loved ones. It is a one hour class held monthly designed to give support and advice. -Customer Service Training - Every employee of CVRMC is required to attend customer service training. As part of the "new hire orientation" once a month, this service is also offered to all regional physicians and office staff.-Community Meetings - Many community organizations have taken advantage of the conference rooms CVRMC has to offer free of charge. Meeting places are difficult to find in rural communities and CVRMC is pleased to accommodate our neighboring associations.-CV Foundation - The CV Foundation is an integral part of CVRMC. Through philanthropic income, driven by the CV Foundation, CVRMC is able to purchase the latest technology and equipment which provides the highest level of care to the patients of our region. The foundation is guided by a governing council of community volunteers who serve without pay and are dedicated to providing the finest healthcare and services to our region. Many CVRMC employees are also part of the foundation, donating time on a volunteer basis. CVRMC also supports the foundation through donation of materials and hosts their monthly luncheon meetings.(Continued on Schedule O)
Part VI - Community InformationCobre 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 town 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 2000 U. S. Census, approximately 20% of the total population in Gila County was over the age of 65 while in neighboring Pinal County it was 16%, compared to 13% for Arizona and 12.4 % 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 21,239 and 62,382 for Pinal County. Globe, Arizona - Primary Service Area (43.2% Inpatient Patient Origin)Globe is located in Gila County with a population of 12,756. According to the 2000 U. S. Census, Globe consists of 2,814 households, and 1,871 families residing in the city. The ethnic percentages was 46% White, 32% Hispanic or Latino, 1.15% Black or African American, 3% Native American, 1.12% Asian, 0.04% Pacific Islander, 15% from other races, and 2% from two or more races. There were 2,814 households out of which 30.8% had children under the age of 18 living with them, 49.3% were married couples living together, 12.7% had a female householder with no husband present, and 33.5% were non-families. Of all households, 30.1% were made up of individuals and 13.1% had someone living alone who was 65 years of age or older. The average household size was 2.49 and the average family size was 3.09. The population spread was 25.8% under the age of 18, 7.6% from 18 to 24, 26.5% from 25 to 44, 24.4% from 45 to 64, and 15.6% who were 65 years of age or older. The median age was 38 years. 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.The median income for a household in Globe was $33,071, and the median income for a family was $42,280. Males had a median income of $31,404 versus $21,952 for females. The per capita income for the city was $16,128. About 8.8% of families and 11.4% of the population were below the poverty level, including 14.8% of those under the age of 18 and 8.4% of age 65 or over.(Continued on Schedule O)
Part VI - Patient Education of Eligibility for AssistanceEducation of Charity Care Options to Patients at CVRMC: In public waiting areas of Cobre Valley Regional Medical Center, multi-lingual posters explain to patients in vernacular language that CVRMC is a Medicare 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 active insurance, the patient is offered an AHCCCS application so that they may apply 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. Following is a description of the Patient Education policy and below that is a copy of the PATIENT FINANCIAL ASSISTANCE AND DISCOUNT PROGRAM.When neither existing insurance coverage nor AHCCCS eligibility is available, the Patient Accounting Department talks to patients about the Cobre Valley Regional Medical Center's Charity Care program. We offer the patient an AHCCCS application, financial assistance, and financial contract. We advise the patient they must completely follow through with AHCCCS application, appointment, etc. If the patient is denied by AHCCCS, they are to present the denial to the Patient Accounting Department for follow through with the Financial Assistance Program.When the patient is offered the financial assistance application we explain what the patient needs to provide to us to process the application. Demonstrable proof of income, living expenses, size of household and proof of AHCCCS denial are required for completion of the financial assistance application. Included in the income computation are earnings from employment and other income such as child support, alimony, social security and income from 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 we review the information and use the CVRMC charity graph to find the total discount that can be offered to the patient's accounts. Once this is all put together, PAS signs off on charity form then forwards it to the Director and CFO for approval.(CVRMC is highly dependent on payment rates set by Medicare and Medicaid, both of which generally don't cover costs. At CVRMC about 2/3 of patient revenue comes from these government payers. In July of 2011, the Arizona Health Care Cost Containment System (AHCCCS) made drastic changes to help reduce the rising deficits which have impacted the state. These changes, along with the changes at the federal level, the Patient Protection and Affordable Care Act, will change how CVRMC informs and educates patients and families regarding their eligibility for assistance.)Policy Overview: Cobre Valley Regional Medical Center (CVRMC) is committed to providing financial assistance to persons who have health care needs and are uninsured, under-insured, ineligible for a government program and are otherwise unable to pay for medically necessary care based on their individual financial situations. 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. Financial assistance is not considered to be a substitute for personal responsibility, and patients are expected to cooperate with CVRMC's procedures for obtaining financial assistance and to contribute to the cost of their care based on individual ability to pay. Individuals with financial capacity to purchase health insurance shall be encouraged to do so as a means of assuring access to health care services.(Continued on Schedule O)
Part VI - Needs AssessmentCobre Valley Regional Medical Center (CVRMC) currently 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 to provide education and intervention.Community FeedbackCVRMC 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, Emergency, Laboratory, 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 e-mails 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 and 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 is measuring to 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 and focusing on the patients' needs allows objective and meaningful comparisons of hospitals on topics that are important to the consumer. The public reporting aspect of HCAHPS also serves as a transparency tool which drives accountability.- 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, e-mails, or letters received from patients after the care has been provided is a valuable source of information for determining needs. 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 (AHCCCS), CVRMC will continue to strive for growth, bringing new services to the hospital while focusing on prevention.The Payor MixBy 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 or the addition of new providers. The payor mix also provides valuable information regarding the mix of services needed, education programs, new outreach programs, and future demands. (Continued on Schedule O)
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsPlease refer to the Patient education and eligibility for assistance narrative provided in Part VI.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitEntire shortfall is attributable to community benefit.
Part III, Line 4 - Bad Debt ExpenseBad Debt Expense is described in the response to Part VI, question 3, PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE. Please refer to that response.
Part I, Line 7, Column F - Explanation of Bad Debt ExpenseBad Debt Expense is described in the response to Part VI, question 3, PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE. Please refer to that response.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Phuong Nguyen
25341012540265950
Jacob Albin
1770765700182776
Dana Miller
33587512540348415
Bruce Bucklew
218741218741
Binoy Chandra
258465258465

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (21 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Schedule KCobre Valley Regional Medical Center is not required to complete the Schedule K. The Hospital's bonds were issued in the year 2000. The Schedule K is required to be completed for bonds issued after 12/31/2002.
Schedule H, Part VI-Education (cont.)G. (Continued) In many instances, these patients are homeless and have few resources to cover the cost of their care.H. Other Circumstances: 1. Deceased patients without an estate or third party coverage will be eligible for charity. 2. Patients who are in bankruptcy or recently completed bankruptcy may be eligible for charity. 3. In rare occasions, a patient's individual circumstances may be such that while they do not meet the regular charity care 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, part or all of their cost of care may be written off as charity care. There must be complete documentation of why the decision was made to do so and why the patient did not meet the regular criteria.I. Governmental Assistance: 1. In determining whether each individual qualifies for charity care, 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, the Healthy Families Program. 2. CVRMC will assist the individual in determining if they are eligible for any governmental or other assistance. 3. 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 charity care for those services. CVRMC may make the granting of charity contingent upon applying for governmental program assistance. This may be prudent, especially if the patient requires ongoing services. J. Time Requirements for Determination: 1. While it is desirable to determine the amount of charity care for which a patient is eligible as close to the time of service as possible, there is no rigid limit on the time when the determination is made. In some cases, eligibility is readily apparent and a determination can be made before, on, or soon after the date of service. In other cases, it can take investigation to determine eligibility, particularly when the patient has limited ability or willingness to provide needed information. If a patient is unwilling to apply for governmental assistance as outlined above, CVRMC may determine that this inaction is reason for denial of charity determination. 2. Every effort should be made to determine a patient's eligibility for charity care. In some cases, a patient eligible for charity care may not have been identified prior to initiating external collection action. Accordingly, each entity's collection agency should be made aware of the policy on charity care. This will allow the agency to report amounts that they have determined to be uncollectible due to the inability to pay in accordance with CVRMC's charity care eligibility guidelines.K. Definition of Income: 1. Annual family earnings and cash benefits from all sources before taxes, less payments made for alimony and child support. 2. Proof of earnings may be determined by annualizing year-to-date family income, giving consideration for current earning rates.L. Accounting for Charity Care: To allow the affiliate to track and monitor the amount and type of charity care being granted, CVRMC will account for the charity care write-offs in separate Deduction from Revenue general ledger accounts as follows:M. Recordkeeping: Records relating to potential charity care patients must be readily obtained. CVRMC will maintain a file and spreadsheet of the Statement of Financial Condition, Charity Care Recommendation Summary forms and final disposition. Notes relating to charity application and approval or denial should be entered on the patient's account.N. Application of Policy: This policy does not create an obligation to pay for any charges or services not included in the Hospital bill at the time of service,nor does it apply to services provided within the Hospital by physicians or other medical providers including: Aneshthesiologists; Radiologists; Pathologists, etc.
Schedule H, Part VI-Education (cont.)-For patients who qualify for financial assistance and who are cooperating in good faith to resolve their hospital bills, CVRMC may offer interest free extended payment plans for up to 12 months to eligible patients, and will not impose wage garnishments or liens on primary residences nor send unpaid bills to outside collection agencies. After 12 months CVRMC, at its option, may send unpaid accounts to collections.Regulatory Requirements: 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 activiites conducted pursuant to this policy.PROCEDURES, Eligibility Criteria: A. Charity Care Application: 1. A low income uninsured hospital patient (or patient representative) who indicates the financial inability to pay a bill for a medically necessary service shall be evaluated for charity care assistance. 2. The CVRMC application form will be used to document each patient's overall financial situation. 3. Once a determination has been made, a notification form will be sent to each applicant advising them of the CVRMC's decision. 4. Credit reports may be used when appropriate to verify an individual's financial status. 5. A patient's employment status may be taken into consideration when evaluating charity care status as well as the amount and frequency of hospital bills and potential payments from pending litigation related to the care. The amount and frequency of hospital bills may also be considered. 6. The data used in making a determination concerning eligibility for charity care should be verified to the extent practical in relation to the amount involved.B. Full Charity Care: The income standard for full charity care write-off will be 100% or less of the most recent Federal Poverty Guidelines.C. Partial Charity Care: Partial charity care will be granted to patients earning over 100% and up to 400% of the most recent Federal Poverty Guidelines. A schedule outlining the patient's financial responsibility is attached, and will be updated at least annually.D. Catastrophic Charity Care: In order to qualify for Catastrophic Charity Care Circumstances any hospital patient must meet the expense qualification as described below: Expense Qualification: The patient's Allowable Medical Expenses must exceed 35% of his or her Family Income determined as follows: 1. The Hospital will multiply the Family Income as determined in Section K. by 35%. 2. The Hospital will determine the patient's Allowable Medical Expenses. 3. The Hospital will compare 35% of the Family Income as determined in Section K. to the total amount of the patient's Allowable Medical expenses. If the total of the Allowable Medical Expenses is greater than 35% of the Family Income, then the patient meets the Catastrophic Charity Care Qualification. The Hospital will subtract 35% of the Family Income from the Allowable Medical Expenses to determine the amount by which the Allowable Medical Expenses exceed the available income. This amount is then eligible for a charity care write-off.E. AHCCCS Denied Patient Days and Non-Covered Services: AHCCCS patients are eligible for charity care write-offs related to denied stays, denied days of care, and non-covered services. These Treatment Authorization Request (TAR) denials and any lack of payment for non-covered services provided to AHCCCS patients are to be classified as charity.F. Eligibility Period: The eligibility period is 60 days from the date of the initial eligibility determination, unless the patient's family income or insurance status changes over the course of that year to such an extent that the patient becomes ineligible.G. Homeless and/or Immigrant Patients: Patients without a payment source may be classified as charity 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.
Schedule H, Part VI-Education(Continued from Schedule H)Eligibility for Patient Financial Assistance: -Eligibility for financial assistance will be considered for those individuals who are uninsured, ineligible for any government health care benefit program, and unable to pay for their care, based upon a determination of financial need in accordance with the policy. -The granting of financial assistance shall be based on an individualized determination of financial need, and shall not take into account age, gender, race, socio-economic, sexual orientation, or religious affiliation.Individuals shall be U.S. citizens or shall provide appropriate documentation to show legal status to be in U.S.Determination of Financial Need: - Financial need will be determined through an individual assessment of financial need, including an application process in which the patient or the patient's guarantor is required to cooperate and apply 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 patient's assets and other financial resources. If the patient fails to apply for AHCCCS as requested by CVRMC the patient shall be determined in-eligible for financial assistance. - It is preferred, but not required, that a request for financial assistance and a determination of financial need occur prior to rendering of services. The need for financial assistance shall be re-evaluated at each subsequent rendering of services, if the last financial evaluation was completed more than sixty days prior, and at any time additional information relevant to the eligibility of the patient for financial assistance becomes known. - Requests for financial assistance shall be processed promptly, and CVRMC shall notify the patient or applicant in writing within 30 days or less of receipt of a completed application. Patient Financial Assistance Guidelines: Services eligible under the policy will be made available to the patient on a sliding fee scale, in accordance with financial need as determined by the Federal Poverty Levels (FPL) in effect at the time of the determination as follows: - Patients will be eligible according to the "Patient Financial and Discount" table. - Any patient may be eligible for catastrophic charity care based on a percentage of their total annual gross income. Communication of the Financial Assistance Program to Patients and the Public: -information about patient financial assistance available from CVRMC shall be disseminated by various means, including the publication of notices in patient bills and by posting notices in the Emergency and Admitting departments, and at other public places as the CVRMC may elect. - Any member of the CVRMC staff or medical staff may make referral of patients for financial assistance. The patient or a family member, a close friend or associate of the patient may also make a request for financial assistance.Budgeting and Reporting: - Specific dollar amounts for patient financial assistance will be included within each year's annual budget, and actual amounts provided will be reported in the monthly financial statements. - Patient financial assistance statistics disclosed in the financial statements shall not include amounts that are properly considered to be bad debt or contractual discounts.Relationship to Collection Policies: - 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 patient's good faith effort to comply with his or her payment agreements with the CVRMC.
Schedule H, Part VI-Community Info.There were 288 households out of which 31.6% had children under the age of 18 living with them, 54.5% were married couples living together, 13.5% had a female householder with no husband present, and 22.9% were non-families. 21.5% of all households were made up of individuals and 9.0% had someone living alone who was 65 years of age or older. The average household size was 3.10 and the average family size was 3.56. In the town of Hayden the population was spread out with 33.2% under the age of 18, 9.0% from 18 to 24, 20.5% from 25 to 44, 23.2% from 45 to 64, and 14.1% who were 65 years of age or older. The median age was 32 years. The median income for a household in the town was $24,293, and the median income for a family was $26,964. Males had a median income of $35,521 versus $22,500 for females. The per capita income for the town was $9,797. About 20.1% of families and 27.3% of the population were below the poverty line, including 35.2% of those under age 18 and 14.9% of those ages 65 or over.Winkelman, Arizona - Secondary Service Area (2.5% Inpatient Patient Origin)Winkelman is located in Gila and Pinal counties with well over 95% of the population living within Gila County. The major employment is the copper industry of the ASARCO Mine.Winkelman and surrounding unincorporated communities have a total population of 3,100. According to the 2000 U.S. Census, Winkelman is made up of 160 households, and 112 families residing in the town. The racial makeup of the town was 23% White, 74% Hispanic or Latino, 0.23% Black or African American, and 1.58% from two or more races.There were 160 households out of which 30.6% had children under the age of 18 living with them, 46.9% were married couples living together, 15.6% had a female householder with no husband present, and 29.4% were non-families. 26.3% of all households were made up of individuals and 11.9% had someone living alone who was 65 years of age or older. The average household size was 2.77 and the average family size was 3.35.In the town the population was spread out with 29.3% under the age of 18, 9.9% from 18 to 24, 21.2% from 25 to 44, 25.1% from 45 to 64, and 14.4% who were 65 years of age or older. The median age was 37 years. For every 100 females there were 95.2 males. For every 100 females age 18 and over, there were 92.0 males.The median income for a household in the town was $25,455, and the median income for a family was $38,250. Males had a median income of $34,583 versus $17,250 for females. The per capita income for the town was $10,506. About 20.0% of families and 27.2% of the population were below the poverty line, including 42.5% of those under age 18 and 16.7% of those ages 65 or over.Superior, Arizona - Secondary Service Area (2.2% 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 5 years. According to the 2000 U. S. Census, there were 3,254 people, 1,237 households, and 847 families residing in the town of Superior. The racial makeup of the town was 27% White, 69% Hispanic or Latino, 0.46% Black or African American, 1.63% Native American, 0.34% Asian, 0.09% Pacific Islander, and 1.75% from two or more races. There were 1,237 households out of which 26.9% had children under the age of 18 living with them, 48.3% were married couples living together, 14.3% had a female householder with no husband present, and 31.5% were non-families. 27.4% of all households were made up of individuals and 15.0% had someone living alone who was 65 years of age or older. The average household size was 2.63 and the average family size was 3.20.
Schedule H, Part VI-Community Info.The population of Superior was spread out with 26.9% under the age of 18, 8.0% from 18 to 24, 21.7% from 25 to 44, 23.4% from 45 to 64, and 19.9% who were 65 years of age or older. The median age was 39 years. The median income for a household in the town was $27,069, and the median income for a family was $31,250. Males had a median income of $34,297 versus $21,607 for females. The per capita income for the town was $12,490. About 22.5% of families and 27.8% of the population were below the poverty line, including 39.0% of those under the age of 18 and 16.5% of those ages 65 or over.Source: HealthTech Healthcare, April 2009; Thomson Reuters/Market Expert; 2000 U.S. Census Data
Schedule H, Part VI-Community Info.Community Info (continued from Schedule H)Miami, Arizona - Primary Service Area (24.9% Inpatient Patient Origin)Miami is located in Gila County, bordering Globe to the west, with a population of just under 5,330 which includes the unincorporated community of Claypool, Arizona. According to the 2000 U.S. Census, the ethnic percentages within Miami are 54% Hispanic or Latino descent, 43% white, and 3 % Black, Native American, or Asian. Of the 754 households, 32% had children under the age of 18 living with them, 43% were married couples living together, 17% were households with no husband present, and 34% were non-families. Of all households 31% were made up of individuals and 15% had someone living alone who was 65 years of age or older. The average household size was 2.57 and the average family size was 3.21. The age of the population for the town of Miami is 30% under the age of 18, 17% from 18-24, 23% from 25-44, 30% from 45-65, and 17% 65 years of age or older. The median age was 36.Copper mining accounts for the largest number of jobs in Miami according to the 2002 annual report of the Arizona State Mine Inspector. Freeport McMoRan employs nearly 800 at its Miami operations; Quadra Mining employs nearly 200 at its Carlota facility; while BHP Billiton employs nearly 100 employees between its Pinto Valley and Miami operations. As of 2010, Miami was home to one of the last 4 smelters in the United States.The median income for a household in the town was $27,196, and the median income for a family was $30,625. Males had a median income of $28,250 versus $18,026 for females. The per capita income for the town was $13,674. About 20.5% of families and 23.6% of the population were below poverty level including 28.7% of those under age 18 and 19.7% over the age of 65.Roosevelt, Arizona - Primary Service Area (2.0% 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 80 with many visitors moving in and out of the area depending on the season. San Carlos Apache Nation - Secondary Service Area (14.4% 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 $14,000. 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 an estimated 10,400 residents, with its largest communities being San Carlos and Peridot, Arizona. The Apache Gold Casino employs 300 people while hunting, fishing, boating, camping, and gaming are attractions to tourists visiting the area.Pleasant Valley/Young, Arizona - Secondary Service AreaSurrounded 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.
Schedule H, Part VI-Community Info.According to the 2000 U. S. Census, Pleasant Valley/Young had a population of 561 people, 250 households, and 171 families living in the Pleasant Valley/Young area. The racial makeup was 94% White, 3% Hispanic or Latino, 0.53% Native American, 0.36% Asian, 2% from other races, and 0.89% from two or more races. The 250 households are comprised of 19% that had children under the age of 18 living with them, 60% were married couples living together, 4% had a female householder with no husband present, and 32% were non-families. Individuals made up 29% of all households and 11% had someone living alone who was 65 years of age or older. The average household size was 2.24 and the average family size was 2.71. The age of the population for Pleasant Valley/Young is 21.6% under the age of 18, 3.0% from 18 to 24, 20.7% from 25 to 44, 33.7% from 45 to 64, and 21.0% who were 65 years of age or older. The median age was 48.Several small businesses exist in Pleasant Valley/Young. There was a restaurant, "The Antlers," but it burned to the ground in 2009 and has yet to be rebuilt. There is a gas station, convenience store, auto parts store, motel, thrift shore, library, and refuse service. 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 was $22,578, and the median income for a family was $26,438. Males had a median income of $32,500 versus $25,313 for females. The per capita income for the area was $12,177. About 16.8% of families and 20.5% of the population were below the poverty line, including 32.4% of those under the age of 18 and 7.1% of those 65 years or older.Kearny, Arizona - Secondary Service Area (.5% 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 Kennecott's 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. Kearny has a population of 4,027, which includes some remote communities just outside the town limits. The racial makeup of the town was 40% White, 38% Hispanic or Latino, 0.27% Black or African American, 0.84% Native American, 0.09% Asian, 18% from other races, and 3.16% from two or more races. There were 791 households out of which 34.8% had children under the age of 18 living with them, 65.0% were married couples living together, 9.2% had a female householder with no husband present, and 22.1% were non-families. 19.1% of all households were made up of individuals and 10.6% had someone living alone who was 65 years of age or older. The average household size was 2.84 and the average family size was 3.25. In the town of Kearny, the population was spread out with 29.9% under the age of 18, 7.6% from 18 to 24, 21.7% from 25 to 44, 26.7% from 45 to 64, and 14.1% who were 65 years of age or older. The median age was 37 years. The economic base of Kearny is the Ray mine and the Hayden Smelter, both owned and operated by ASARCO. The median income for a household in the town was $39,906, and the median income for a family was $42,313. Males had a median income of $40,056 versus $23,684 for females. The per capita income for the town was $16,797. About 12.1% of families and 13.2% of the population were below the poverty level, including 16.0% of those under age 18 and 19.9% of those ages 65 or over.Hayden, Arizona - Secondary Service AreaHayden is located in both Gila and Pinal counties with the economic base being the Hayden Smelter, one of four smelters in the United States.According to the 2000 U. S. Census, Hayden had a population of 892 people. The racial makeup of the town was 20% White, 72% Hispanic or Latino, 0.45% Black or African American, 1.68% Native American, 0.56% Pacific Islander, and 5.27% from two or more races.
Schedule H, Part VI-Community Bldg ActivCommunity Building Activities (continued from Schedule H): - Community Relations - The Gila County Fair, Downtown Trick or Treat, Holiday Light Parade, Gila County Support our Servicemen, Teen Maze, donations of supplies to local fire departments, and the Easter Egg Hunt are among a few of the community activities CVRMC partakes in and contributes to. Many of these events are for the children of the area. Many professionals of CVRMC have participated on two radio programs, twice a month to provide health information to the listening audience. This service is done free of charge and is utilized to promote and encourage healthy living. CVRMC chose to help the Safe Home (displaced mothers and children) and SMI (Severely Mentally Ill) of the area during Christmas of 2010. Employees through their caring contributions were able to provide needed supplies, food, and gifts to these two organizations in an estimated total of $4,000.- Donations to Community Organizations - CVRMC recognizes the need to contribute to local organizations to help support their causes in regards to awareness, fundraising, or finding a cure. The March of Dimes, Relay for Life, and Little League programs are examples. The State of Arizona has made drastic educational funding reductions the past several years and many schools in our service region have cut physical and health education programs in order to provide the basic requirements of English, Math, Science, and Social Studies. Cobre Valley Regional Medical Center chose to sponsor Little League teams for the entire service area to help encourage the youth of our region to be involved in a healthy, team oriented sport. Many of these youth programs are entirely dependent on the contributions of the major organizations of the area - mining organizations, city and county governments, trucking industries, etc., and CVRMC, the regional medical provider. Many CVRMC employees donate time and expertise to speak at career fairs for the regional high schools, provide job shadowing experiences for the 7 regional high schools, and many tours for civic organizations and elementary/junior high students. Physical Education equipment was also donated to a local high school most in need.
Schedule H, Part VI - Needs AssessmentService 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 payor mix information can determine the inpatient market share by service area, discharges, inpatients market share by payor mix in the primary service area, inpatients market share by payor 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 healthcare 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 CVRMC's primary and secondary service areas are primarily white (60%) and Hispanic (33.8%), 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 GroupsPatient classification provides a means of relating the type of patients CVRMC treats to the costs incurred. 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 CVRMC's case mix to the resource demands and the associated costs experienced by the hospital. Database of AdmissionsQueries 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 WorkThrough 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 are moved on to long-term care facilities, hospice services, or home care needs. CVRMC Board of DirectorsThe CVRMC Board of Directors is strategically designed to encompass a variety of professions from the region. Mining, city and county government, ranching, banking, insurance, and medical professionals make up the members of the board which bring a diversity of ideas and information regarding health 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 VI - Needs AssessmentNeeds Assessment (continued from Schedule H)The Payor Mix (continued)The payor 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 PlanThe approach used to project physician need for the 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 area's population growth and characteristics for the next five years- Taking into account competition and other local circumstances such as, in-migration, out-migration- 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 media areas such as MNAs. 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 CVRMC's service area is identification of the communities from which the hospital draws 75% of patients, and to assess the hospital's market share in each of these communities. The service area is then divided into two service areas: Primary and Secondary. Three ZIP Codes have been identified as CVRMC's primary service area and five Zip Codes comprise the secondary service area.Out-Migration DataCVRMC 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 chose for health 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 for the data:- Arizona hospital discharge database from the Arizona Department of Health Services and - Thomson Reuters Market Expert, the source of the Medicare market share, demographics, insurance estimates and market volume projections
Schedule H, Part V, Facility Info, pages 4-6The IRS instructions for Part V, state that the questions regarding community health needs assessments (lines 1-7) are optional for tax year 2010. Additionally, Section B, lines 8-21, are also optional for hospital orgainzations reporting a tax year beginning on or before March 23, 2010. CVRMC qualified for this optional reporting, and did not choose to respond to lines 1-21. However, the tax software program that was utilized in preparing the Form 990 automatically generated responses to questions: 1;8-14; 16; 18; 20 and 21. These responses were the result of a software malfunction and were unable to be removed before the filing deadline. Please disregard those responses, and note that CVRMC did not complete them due to the fact they were OPTIONAL. All lines 1-21, in part V Section B, should be blank.
Sch H, Part VI-Further Exempt PurposeFurther Exempt Purpose (continued from Schedule H)The area also has a significant Mexican-American 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 - county officials, mining, ranching, insurance, city officials-including a mayor, an attorney, 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 has always been a leader among small rural facilities in implementing new technologies, both clinically and in the information area. Direct patient care technologies are state of the art. Health Information Systems within the facility have kept pace, with information technology upgrades taking place frequently and well ahead of any deadlines imposed by outside entities or federal mandates.The hospital is completing its second strategic five (5) 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" by July 2011. 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 (5) 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 ability 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 Pleasant Valley/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 Pleasant Valley/Young, affected dramatically by weather.Realizing that this lack of services directly affected the health and well-being of residents of these three areas, Cobre Valley Regional Medical Center determined to optimize local health care services. They have established and staffed health clinics in all three areas with professional and ancillary staffing and services which prevents the necessity for clients to travel many miles for such things as laboratory testing and pharmacy services.Community Programs and Improvements to ServicesInformation Systems and the Region - Cobre Valley Regional Medical Center has had a long history of technological innovation within the facility with many departments integrated electronically so that current information is readily available to staff and practitioners within the facility. This has greatly enhanced the optimization of services and interventions to in-patients, emergency department and out-patient surgery areas.
Sch H, Part VI-Further Exempt Purp(cont)The obvious extension of this success is to integrate local physician's 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 hospital's 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 (5) 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 physician's offices.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, Copper Mountain Inn, Heritage Health Care Center, Gila County Community College and the local media have been established and can provide a forum for information dissemination and actual intervention services. State of the Art Equipment/160 Slice CT Scanner - The new 160 Slice Premium CT Scanner arrived at Cobre Valley Regional Medical Center on September 20, 2010. The latest technology in Computed Topography scanning, CVRMC is the first hospital in Arizona to purchase this type of technology.The high end, multi detector CT system offers outstanding imaging quality as well as patient friendly features. In addition to having 160 detector rows that covers up to 8cm of anatomy in one rotation, the thinnest detector elements in the industry are at 0.5 mm which provides ultra high 350 micron resolution for greater detail and the best low contrast for consistent imaging of soft tissues at the lowest possible radiation dose. All of these elements will help enable physicians to make faster and more accurate diagnoses.Multi detector CT has dramatically improved clinicians' ability to accurately diagnose disease at an early stage. While most hospitals are using 32 and 64 slice scanners, the 160 Slice CT Scanner will improve throughput and workflow, while further reducing contrast and radiation doses to patients. The new software applications give CVRMC the ability to acquire the best possible images at the lowest possible radiation and contrast doses. The 160 slice CT has enabled the hospital to perform CTAs of the heart moving from the "step and shoot" technique which can produce inconclusive images, particularly for patients with irregular heartbeats, leading to increased exam times and radiation dose for the patient. The software automatically adjusts to patients with irregular heartbeats, providing quicker, more conclusive exam results. The software will also automate scan parameters and reconstruction based on the patient's heart rate. Also, it speeds up the exam time and eliminates the requirement for additional contrast used with the "step and shoot" method. This scanner will increase workflow and efficiency by enabling physicians to complete an exam of more than one anatomical region consecutively. This gives physicians the flexibility needed for cardiovascular imaging.
Sch H, Part VI-Further Exempt Purp(cont)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 also are encouraged to participate to bring their valuable health and safety information to one location for the convenience of the people we serve. This year the health fair grew from 32 community associations participating to 59 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 250 to nearly 600 this year. CVRCM will continue to host this annual health event for the communities served. The New Superior Clinic - In July of 2010, CVRMC purchased property to build a new clinic to service the people of Superior with a more modern facility which will include primary care, general surgeon consults, lab draws, CLIA waived testing, well-woman exams, sports physicals, X-Ray, pharmacy, and visiting specialists. For many years the town of Superior did without any medical practices forcing residents to travel at least 40 minutes to the nearest clinic. CVRMC established a clinic in the older downtown area of Superior 10 years ago and is ready and committed to the residents of Superior bring a more modern facility. Construction began in May, 2011 and is expected to complete in October, 2011.New X Ray Equipment in Kearny - CVRMC installed new, state-of-the-art X ray equipment in its facility in Kearny. This new equipment will provide patients the convenience of receiving these services at home rather than traveling up to an hour or more to obtain these services.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, 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.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, Workforce Development and Quality and Informatics.Summary and FutureThe transition our hospital has gone through since 1910 has been astounding: From a "tent clinic" in 1910, a miner's hospital in 1913, a community hospital in 1980, to a regional medical center in 2010. The accomplishments are a result of the dedicated and compassionate workforce the hospital has maintained throughout the years providing healthcare to its diverse population.Cobre Valley Regional Medical Center has kept its finger on the pulse of its service region throughout 2010, reaching out to help the area in many different aspects, contributing close to $926,000 in community benefit. With the challenges health care reform presents at both the national and state levels, the focus in 2011 will be on growth and added services 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."
Sch H, Part VI-Further Exempt Purp(cont)For example, patients with suspected chest pain can now undergo one CT exam that will provide information to assist physicians in detecting both heart disease and an aortic aneurysm.Cobre Valley Regional Medical Center is committed to bringing the best in technology to improve the health and well being of patients in the region with over $1 million dollars spent on this particular piece of equipment to address the health needs of our region.Employee Education - Cobre Valley Regional Medical Center's commitment to higher education for employees is evident in the number of degrees obtained in 2009 and 2010. CVRMC paid nearly $78,000 in tuition assistance in 2010 and another $200,000 in additional training programs. 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. The tuition assistance program will continue in the future as community benefit for the patients of our region. 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 and their office staff 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, economic development, Meth Coalition, AZ Youth Partnership, and the chambers of commerce, to name a few. Employees who are involved beyond the hospital facility make a connection to the communities served.Wellness Program - CVRMC has created and implemented a comprehensive Wellness Program that ties incentives to the health plan knowing healthier employees give better care. It is CVRMC's 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 wellbeing of our employees. CVRMC supports patients in their recovery to better health and is making this support available to its employee's health as well. CVRMC recognizes that a healthy lifestyle is a personal choice; the Employee Wellness Program is a great resource to assist those who are seeking help to move towards a healthier life. Exercise classes are offered daily as well as educational materials in regards to healthier food choices.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableDocuments are readily available in the administrative office, upon request.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesSalary surveys of other similarly sized hopitals with equivalent services and scope of operations, are used to set compensation levels.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAnnual review is monitored by the Executive Assistant and CEO.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessManagement prepares with third party assistance and distributes and discusses copy with entire Board prior to issuance/submission to IRS.Form 990, Part VI, Line 11
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyThe duties of the CEO and CFO are carried out by employees of an outside management company.Form 990, Part VI, Line 3