2024-11-15T12:31:39-08:00 2023-12-31 472718509 JWT & Associates LLP 1111 East Herndon Avenue Suite 211 Fresno CA 93720 990 2023-01-01 860732836 Cobre Valley Regional Medical Center COBR 9284253261 5880 S Hospital Drive Globe AZ 85501 Harold Dupper CFO 2024-11-15 true true Inger Sullenger CPA P01464277 5413636707 X 2023 2024-10-15 13:58:12Z Neal Jensen CEO 103795634 false X www.cvrmc.org X 1988 AZ The mission of our Hospital is to develop and maintain a local health care delivery system that serves the region with quality, efficiency, and compassion. 10 9 557 30 0 3224004 2749640 90768825 98272954 401226 1892466 557803 880574 94951858 103795634 1913000 126375 0 35823245 40723632 0 0 45228463 48934037 82964708 89784044 11987150 14011590 136541711 157588831 62280488 63958770 74261223 93630061 The mission of our Hospital is to develop and maintain a local health care delivery system that serves the region with quality, efficiency and compassion. false false 51801745 126375 98448243 FOR THE YEAR ENDED 12/31/2023, COBRE VALLEY REGIONAL MEDICAL CENTER (CVRMC) CARRIED OUT 147,727 PATIENT VISITS, COMPRISED AS: 67,180 HOSPITAL OUTPATIENT, 15,578 OUTPATIENT EMERGENCY VISITS, 63,000 CLINIC OUTPATIENT, AND 1969 HOSPITAL INPATIENT.ALONG WITH PROVIDING ACUTE HEALTHCARE SERVICES TO THE COMMUNITY AS A NON-PROFIT ENTITY, CVRMC IS COMMITTED TO THE MANY COMMUNITIES WE SERVE. SEVERAL MEMBERS OF OUR ADMINISTRATION, DIRECTORS, MANAGERS, AND STAFF SERVE ON VARIOUS COMMUNITY ASSOCIATIONS INCLUDING: CHAMBERS OF COMMERCE, ROTARY, WORK FORCE DEVELOPMENT, ECONOMIC DEVELOPMENT, CANCER AWARENESS COMMITTEES, DIABETES EDUCATION, GRIEF SUPPORT TEAMS, SCHOLARSHIP COMMITTEES, AQUATIC CENTER, HOUSING COMMITTEES, COMMUNITY DEVELOPMENT, AND YOUTH ATHLETIC PROGRAMS, TO NAME JUST A FEW. CVRMC HAS ITS FINGER ON THE PULSE OF THE COMMUNITY, PROVIDES CHARITABLE CARE WITH PURPOSE, AND OFFERS EDUCATIONAL SERVICES AND PROGRAMS FOR THE GOOD OF OUR PUBLIC.THE COMMUNITY HEALTH NEED ASSESSMENT (CHNA) WAS MADE PUBLICLY AVAILABLE IN 2023. AS WE EVALUATE THE RECENTLY COMPLETED CHNA AND WORK OUR COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP), CVRMC WILL CONTINUE TO ACTIVELY WORK WITH OTHER HEALTHCARE ORGANIZATIONS, BE INVOLVED WITH STATE AND FEDERAL LEGISLATION INITIATIVES, AND CONTINUE TO CONNECT TO THE COMMUNITIES WE SERVE TO ADDRESS HEALTH PRIORITIES. CHNA IMPLEMENTATION PROGRESS THROUGH 2023 INCLUDES:PRIORITY 1: CHRONIC DISEASE OBESITY, HEART, DIABETES, CANCER CVRMC WILL SEEK THE FOLLOWING ACTIONS TO ADDRESS THIS NEED: CHRONIC CARE MANAGEMENT, UTILIZE INTERNAL AND EXTERNAL DATA TO IMPROVE PATIENT CHRONIC CARE MANAGEMENT, CONTINUE AND DEVELOP HEALTH AND WELLNESS EDUCATION AND COMMUNITY OUTREACH, AND CONTINUE TO DEVELOP COMMUNITY WELLNESS OPPORTUNITIES AND FACILITIES.PRIORITY 2: BEHAVIORAL/MENTAL HEALTH CVRMC WILL SEEK THE FOLLOWING ACTIONS TO ADDRESS THIS NEED: MITIGATE THE MENTAL HEALTH STIGMA THROUGH EDUCATION AND AWARENESS AND INCREASE ACCESS TO MENTAL HEALTH SERVICES IN THE COMMUNITIES WE SERVE. PRIORITY 3: SUBSTANCE/DRUG/OPIOID/ALCOHOL ABUSE CVRMC WILL SEEK THE FOLLOWING ACTIONS TO ADDRESS THIS NEED: Expand access to Narcan at CVRMC locations AND PARTNER WITH COUNTY AND SCHOOLS TO INCREASE AWARENESS.POPULATION CVRMC COUNTINUES TO DEVELOP ITS COLLABORATION WITH THE VARIOUS PROVIDERS AND AGENCIES FOCUSED ON SERVICES TO THE ELDERLY. ALSO, SPECIALTY SERVICE LINES OF CARDIOLOGY AND ORTHOPEDICS HAVE ENHANCED SERIVCES FOR HEALTH CONDITIONS PROMINENT IN AN AGING POPULATION. CONTINUED AWARENESS TRAINING HAS BEEN PROVIDED TO HOSPITAL LEADERSHIP AND STAFF ON COMMUNICATING AVAILABLE SERVICES TO THE COMMUNITY, PARTICULARLY THE SENIOR POPULATION.AS WE CELEBRATE OVER 100 YEARS OF SERVICE TO THE GLOBE-MIAMI AND SURROUNDING COMMUNITIES, CVRMC CONTINUES TO EVOLVE WITH THE CHANGING NEEDS OF OUR POPULATION BASE. HEALTHCARE IS EVER MOVING AND ADVANCING AND CVRMC IS PROGRESSING WITH THE DEMANDS OF OUR TARGET MARKETS. THROUGH THE DURATION OF THE Public Health Emergency (PHE), WHICH CONTINUED THROUGH mid-2023, CVRMC PROVIDED A COMMUNITY HEALTH LEADERSHIP ROLE TO SUPPORT THE COMMUNITY EFFORTS AND RESPONSE TO THE PHE. THE INTENSE FOCUS REQUIRED OF OPERATIONS AND RESOURCES TO PROVIDE AND MAINTAIN THE COMMUNITY PHE RESPONSE LEADERSHIP HAD SEVERE NEGATIVE IMPACT ON CVRMCS ABILITY TO ADVANCE THE PRIORITIES OF THE CHNA IMPLEMENTATION PLAN. HOWEVER, THROUGH THE CVRMCS PHE RESPONSE, OUR ORGANIZATION WAS ONCE AGAIN PROFOUNDLY REMINDED THAT THE CONTINUED ACCOMPLISHMENTS WE HAVE MADE ARE A DIRECT RESULT OF A DEDICATED AND COMPASSIONATE WORKFORCE, A STEADFAST BOARD OF DIRECTORS, AND STRONG SUPPORTING MANAGEMENT TEAM WHICH IS FOCUSED ON ONE MISSION THE MISSION OF HEALTH WITH HIGH QUALITY, EFFICIENT AND COMPASSIONATE CARE. CVRMCS STRATEGIC PLAN FOCUS CONTINUES TO BE THE FOLLOWING AREAS:THE PATIENT EXPERIENCE (QUALITY AND CUSTOMER SERVICE)PEOPLEGROWTHCOMMUNITYFINANCIAL STEWARDSHIPOUR COMMUNITIES DESERVE ACCOUNTABILITY AND COMPASSION. WE STRIVE TO RESPECT AND COLLABORATE WITH ALL WHO SURROUND US. WE HAVE AN EARNEST RESPONSIBILITY TO RECOGNIZE THE NEEDS OF OUR POPULATION AND TO RESPOND TO THE HEALTH PRIORITIES FACING OUR POPULATION. CVRMC IS COMMITTED TO OUR COMMUNITIES WITH AN UNWAVERING DEDICATED SPIRIT. 51801745 true true false false false false false false false false true false false false false true true false false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true false false false true 136 0 true 557 true false false false false false false false 0 false false false false false false false X 10 9 false true false false false false false true true false false true true true true true true true true false X Accounting 9284253261 5880 S Hospital Drive Globe AZ 85501 Patrick Law Physician 40.00 0.00 588169 0 0 Scott Croft Physician 40.00 0.00 560543 0 0 Scott Revell Physician 40.00 0.00 555859 0 0 Peter Seipel Physician 40.00 0.00 506917 0 0 Karen Gremminger Physician 40.00 0.00 440800 0 0 Dr Alan Osumi Trustee 1.00 0.00 X 0 0 12363 Robert Hollis Chair 1.00 0.00 X 0 0 0 Jendean Sartain Vice Chair 1.00 0.00 X 0 0 0 Ed Carpenter Treasurer 1.00 0.00 X 0 0 0 Janice Cook Secretary 1.00 0.00 X 0 0 0 Fernando Shipley Trustee 1.00 0.00 X 0 0 0 Judy Bessee Trustee 1.00 0.00 X 0 0 0 James B Rasmussen Trustee 1.00 0.00 X 0 0 0 Carolyn Mawson Haro Trustee 1.00 0.00 X 0 0 0 Jack Bradford Trustee 1.00 0.00 X 0 0 0 2652288 12363 75 false true false Affilion of Cobre Valley 703 Collections Center Dr Chicago IL 60693 Emergency Physicians Svcs 2129785 Rural Physicians Management Co LLC 5575 DTC Pkwy Ste 225 Ste A-436 Greenwood Village CO 80111 Hospitalist Services 1809637 Valley Anesthesiology Consultants PO Box 744883 Atlanta GA 303744883 Anesthesia Services 1381943 Minh Dao 8 Coconut Palms Ct Manvel TX 77578 Surgery/Phys Svcs 729874 Cardiovascular Associates of Arizona 2683 E Mead Place Chandler AZ 85249 Cardiology Services 709324 30 2021040 728600 2749640 Net Patient Svc Revenue 621400 98272954 98272954 98272954 1892466 1892466 0 0 254649 254649 254649 254649 0 0 0 0 Cafeteria 450636 450636 Records, Rebates & Other 621400 175289 175289 625925 103795634 98448243 2597751 X 123875 123875 2500 2500 0 0 12363 7133 5230 0 31786819 18339703 13447116 785667 453298 332369 6027294 3477504 2549790 2111489 1218243 893246 1042231 601325 440906 104652 60380 44272 72115 41607 30508 0 0 0 13053961 7531605 5522356 0 0 0 0 1071734 618347 453387 173229 99946 73283 0 0 1583726 913746 669980 0 5147607 2969960 2177647 951393 548915 402478 Supplies 16571039 9560816 7010223 Purchased services & Other 7504097 4276097 3228000 Repairs & Maintenance 1349192 778429 570763 Dues & Subscriptions 309061 178316 130745 0 89784044 51801745 37982299 0 X 12462024 11398243 75262622 91759122 0 5948614 6507107 0 0 523499 1505472 2519834 2843156 1155347 1282043 107022086 67571085 36029047 39451001 0 0 0 0 2640724 2842687 136541711 157588831 32235281 34195767 28193080 27288036 1852127 2474967 62280488 63958770 X 73433162 92701836 828061 928225 74261223 93630061 136541711 157588831 X 14011590 5257084 100164 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 890027 890027 57370404 32237510 25132894 4302429 2862516 1439913 41779527 32471059 9308468 2679699 2679699 39451001 X 103795634 103795634 103795634 89784044 89784044 89784044 Part X : FIN48 Footnote Schedule D, Part X, Line 2 - The Hospital is a not-for-profit organization formed under the laws of the State of Arizona. The Hospital has been determined to be exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code by the United States of America's Internal Revenue Service (IRS) and under similar codes by the State of Arizona. Accordingly, no provision for income taxes is included in the accompanying financial statements. true true X true X true X true true false false true true 1843445 1843445 0.02050 26933963 20994886 5939077 0.06610 28777408 20994886 7782522 0.08660 51889 51889 0.00060 5321365 5321365 0.05930 505666 505666 0.00560 5878920 5878920 0.06550 34656328 20994886 13661442 0.15210 126375 126375 0.00140 126375 126375 0.00140 true 4172188 4172188 7988948 8812900 -823952 X true true 1 1 Cobre Valley Regional Medical 5880 S Hospital Dr Globe AZ 85501 www.cvrmc.org RGH0126 X X X X Cobre Valley Regional Medical 1 false false true X X X X X X X X 23 true true true true X cvrmc.org true 24 true cvrmc.org true false true X 100.0000 400.0000 false true X X X true X cvrmc.org X cvrmc.org X cvrmc.org X X X X X true X X X true X X X X X X true X false false Facility: Cobre Valley Regional Medical - Part V, Section B, Line 5 A community health partners meeting was held that utilized surveys, discussions, and other methods to review the community health needs from the point of view of each participant. Facility: Cobre Valley Regional Medical - Part V, Section B, Line 6a San Carlos Apache Healthcare Facility: Cobre Valley Regional Medical - Part V, Section B, Line 11 Please refer to the CHNA and Community Health Implementation Plan (CHIP) or Implementation Strategy (IS), which are available for viewing and download at cvrmc.org. They have also been attached to the Form 990. The CHNA was conducted late in the tax year, 2023. Thus, the CHIP was not finalized and adopted until 2024. This document is attached to the Form 990. Facility: Cobre Valley Regional Medical - Part V, Section B, Line 19e Actions are not taken until the patient has an opportunity to apply for financial assistance. Facility: Cobre Valley Regional Medical - Part V, Section B, Line 20e CVRMC does not have a formal presumptive eligibility policy. Cobre Valley Surgical Svcs 5880 S Hospital Dr Globe AZ 85501 Rural Health Clinic Cobre Valley Family Practice 5994 S Hospital Dr Globe AZ 85501 Rural Health Clinic Cobre Valley Red Rock Clinic 5990 S Hospital Dr Globe AZ 85501 Rural Health Clinic Kearny Clinic 100 Tilbury Ave Kearny AZ 85137 Rural Health Clinic Superior Clinic 1134 West US Hwy 60 Superior AZ 85173 Rural Health Clinic Tonto Basin Clinic 186 East Stephens Way Tonto Basin AZ 85553 Rural Health Clinic Pleasant Valley Community Medical Ctr 124 N Tewksbury Blvd Young AZ 85554 Rural Health Clinic Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense Amounts expected to be collected, later determined uncollectible, are recognized as bad debt. Costing methodology is calculated on fixed percentages based on age of the receivable. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit THE HOSPITAL DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE HOSPITALS DISCOUNT SECTION OF THE FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS.THE HOSPITAL DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. THE HOSPITAL DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS.EFFECTIVE WITH THE ADOPTION OF ASU 2014-09, FOR CHANGES IN CREDIT ISSUES NOT ASSESSED AT THE DATE OF SERVICE, SUCH AS A PAYOR FILES FOR BANKRUPTCY OR A PATIENT DEFAULTS ON A PAYMENT PLAN, THE HOSPITAL RECOGNIZES THESE WRITEOFFS AS BAD DEBT EXPENSE, WHICH IS PRESENTED ON THE ACCOMPANYING STATEMENTS OF OPERATIONS AS A COMPONENT OF NET PATIENT SERVICE REVENUES.BAD DEBT REPRESENTS AMOUNTS EXPECTED TO BE COLLECTED FROM A COST FOR MEDICAL SERVICES LESS PATIENT-RELATED REVENUE GENERATED FROM FINANCIAL ASSISTANCE POLICIES, THUS IT IS A COMPONENT OF THE OVERALL COST OF COMMUNITY BENEFITS PROVIDED BY THE HOSPITAL. Part III, Line 4 - Bad Debt Expense The financial statement footnote describing bad debt expense is contained in Note B - Net Patient Service Revenues. The revenues are presented net of bad debts and other estimated contractual allowances calculated based on cost reporting and cost-to-charge methodologies. Part III, Line 8 - Explanation Of Shortfall As Community Benefit ANY SHORTFALL BETWEEN REVENUE RECEIVED FOR SERVICES AND COSTS OF CARE RELATING TO THE SERVICES ARE A DIRECT COMMUNITY BENEFIT. COMMUNITY MEMBERS ARE ABLE TO RECEIVE LOCAL HEALTHCARE AT BELOW COST ENABLING THEM TO REDIRECT RESOURCES THAT WOULD OTHERWISE COVER THE COST OF HEALTHCARE TO MEETING OTHER VITAL NEEDS. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Actions that may be taken in event of non-payment or insufficient payment - Accounts for hosptial sercives for patients who are able, but unwilling to pay, are considered uncollectible bad debts and will be referred to outside agencies for collections. Please refer to the Patient Education of Eligibility for Assistance narrative for further information on collection practices. Part VI, Line 2 - Needs Assessment Currently, CVRMC utilizes several methods of assessing community healthcare needs. OUR EVALUATION OF THE HEALTH NEEDS OF THE CVRMC SERVICE AREA LEADS TO IDENTIFYING PHYSICIANS NEEDED IN THE AREA AS WELL AS RECOGNIZING THOSE SERVICES THAT ARE REQUIRED TO ADDRESS ILLNESSES WHICH CAN BE TARGETED FOR COMMUNITY 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, direct comments, patient volumes for specific needs, the Environmental Assessment tool provided by our management firm, HealthTech, and a community partners meeting, comprised of local public service groups within our service area, to discuss the health needs of our service area. CVMRC 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. A VARIETY OF SECONDARY DATA SOURCES WERE USED TO OBTAIN DATA ABOUT BOTH HEALTH TRENDS AND HEALTH DISPARITIES INCLUDING BUT NOT LIMITED TO THE FOLLOWING: COUNTY HEALTH RANKINGS & ROADMAPSARIZONA HEALTH IMPROVEMENT PLAN (HIP) 2021 2025GILA COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN 2022-2027US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY & SMALL AREA INCOME AND POVERTY ESTIMATESUS DEPARTMENT OF EDUCATIONFEEDING AMERICACENTERS FOR DISEASE CONTROL AND PREVENTION, CDC - NATIONAL VITAL STATISTICS SYSTEMFEDERAL BUREAU OF INVESTIGATION, FBI UNIFORM CRIME REPORTSCENTERS FOR MEDICARE AND MEDICAID SERVICES, MAPPING MEDICARE DISPARITIES TOOLCENTERS FOR DISEASE CONTROL AND PREVENTION, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM & CDC - ATLAS OF HEART DISEASE AND STROKEDARTMOUTH COLLEGE INSTITUTE FOR HEALTH POLICY & CLINICAL PRACTICE, DARTMOUTH ATLAS OF HEALTH CARE - US DEPARTMENT OF TRANSPORTATION, NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION, FATALITY ANALYSIS REPORTING SYSTEMUS DEPARTMENT OF HEALTH & HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION, HRSA - AREA HEALTH RESOURCE FILEPUBLIC HEALTH STATE OF ARIZONAPUBLIC HEALTH GILA COUNTY SOCIAL VULNERABILITY INDEX (HTTPS://WWW.ATSDR.CDC.GOV/PLACEANDHEALTH/SVI/INDEX.HTML)CAUSES OF DEATH (HTTPS://WWW.WORLDLIFEEXPECTANCY.COM/USA/IDAHO-HEART-DISEASE)EVERY EFFORT WAS MADE TO OBTAIN THE MOST CURRENT DATA. DATA WAS ANALYZED FOR COMPARISON PURPOSES WITH THE UNITED STATES, THE STATE OF ARIZONA, AND COUNTIES WITHIN THE STATE WHEN COMPARATIVE DATA WAS AVAILABLE.CVRMC CONDUCTS OUTPATIENT SURVEYS FOR THE OUTPATIENT SURGERY, PHYSICAL THERAPY, REGISTRATION, MED/SURG/ICU, OBSTETRICS, RESPIRATORY THERAPY, EMERGENCY, LABORATORY, CLINICS, AND RADIOLOGY DEPARTMENTS ON PATIENT SATISFACTION. PRC ALSO CONDUCTS THE INPATIENT, HOSPITAL CONSUMERS ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) SURVEY WHICH MEASURES PATIENT SATISFACTION IN MULTIPLE AREAS INCLUDING PROMPTNESS AND EFFICIENCY OF THE ADMISSION AND REGISTRATION PROCESS, LENGTH OF TIME WAITING, NURSING CARE, PHYSICIAN CARE, TEAMWORK, DISCHARGE INSTRUCTIONS, SAFETY, CLEANLINESS OF THE FACILITY, FOOD SERVICE, OVERALL QUALITY OF CARE, AND THE LIKELIHOOD OF RECOMMENDING THE HOSPITAL TO RELATIVES AND FRIENDS. STATISTICS REGARDING PATIENT FEEDBACK ARE CALCULATED AND DISTRIBUTED TO ALL DEPARTMENT DIRECTORS, GRAPHS ARE POSTED, AND OTHER COMMUNICATION CHANNELS ARE USED TO ENSURE ALL STAFF IS INFORMED OF RESULTS. MANAGEMENT IS THEN ABLE TO MAKE NECESSARY ASSESSMENTS OF WEAK AREAS AND STRATEGICALLY PLAN FOR IMPROVEMENTS.MANY CHANGES WITHIN CVRMC HAVE BEEN MADE AS A DIRECT RESULT OF FEEDBACK OBTAINED IN THESE SURVEYS.HOSPITAL CONSUMERS ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) IS A STANDARDIZED SURVEY METHOD CONDUCTED NATIONALLY AND IS PUBLICLY REPORTED REGARDING THE PATIENTS OPINIONS AND OBSERVATIONS REGARDING THEIR HOSPITAL CARE. THIS SURVEY IS HELPFUL IN DETERMINING HOW CVRMC MEASURES AGAINST OTHER HOSPITALS ACROSS THE NATION. THE PUBLIC REPORTING ASPECT OF THIS SURVEY IS A MOTIVATION FACTOR FOR THE HOSPITAL AS A WHOLE TO IMPROVE QUALITY OF CARE, FOCUSING ON THE PATIENTS NEEDS. THESE OBJECTIVE AND MEANINGFUL COMPARISONS OF HOSPITALS ON TOPICS THAT ARE IMPORTANT TO THE CONSUMER AND THE PUBLIC REPORTING ASPECT OF HCAHPS SERVES AS A TRANSPARENCY TOOL WHICH DRIVES ACCOUNTABILITY AND IMPROVES QUALITY OF CARE.DIRECT FEEDBACK FROM PATIENTS AND FAMILY MEMBERS IS ALSO A TOOL UTILIZED FOR NEEDS ASSESSMENT.ONE OF THE MANY ADVANTAGES OF A RURAL HOSPITAL IS THE PERSONAL RELATIONSHIPS THE STAFF AND PATIENTS ARE ABLE TO BUILD. DIRECT PHONE CALLS, E-MAILS, OR LETTERS RECEIVED FROM PATIENTS AFTER THEIR CARE HAS BEEN PROVIDED IS A VALUABLE SOURCE OF INFORMATION FOR DETERMINING NEED. COMMENT/COMPLIMENT CARDS ARE ALSO AVAILABLE THROUGHOUT THE HOSPITAL FOR DIRECT RESPONSES FROM PATIENTS AND THEIR FAMILIES.PATIENT CONCERNS/COMPLAINTS TRACKING - IS A QUALITY IMPROVEMENT INITIATIVE WHICH WITHIN THE CVRMC EHR TRACKS CONCERNS AND COMPLAINTS OF PATIENTS BY NETWORKING AND CONNECTING ALL INVOLVED IN ONE PLATFORM FOR RESOLUTION. THIS PROGRAM BUILDS TRUST THROUGH SERVICE RECOVERY.BUILDING TRUST IS A FUNDAMENTAL CHARACTERISTIC NECESSARY IN ANY RELATIONSHIP AND AS ISSUES ARE RESOLVED IN A CONSTRUCTIVE, INCLUSIVE APPROACH, OUR CUSTOMERS ARE MORE WILLING TO UTILIZE MORE SERVICES AND VOICE OPINIONS ABOUT SERVICES THAT SHOULD BE BROUGHT TO THE SERVICE AREA.LEGISLATIVE ACTIONSLEGISLATIVE 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.CVRMC WILL CONTINUE TO OFFER COMMUNITY BENEFIT PROGRAMS WITHIN ITS BUDGETARY MEANS IN RESPONSE TO THE NEEDS OF THE REGION SERVED. CVRMC WILL CONTINUE TO STRIVE FOR GROWTH, BRINGING NEW SERVICES AND STRUCTURES TO THE HOSPITAL WHILE FOCUSING ON WELLNESS AND PREVENTION.CVRMC HAS KEPT A CLOSE EYE ON ANY LEGISLATION THAT WOULD AFFECT THE FUTURE OF RURAL HOSPITALS AND ANY WORK THAT NEEDS TO BE ACCOMPLISHED REGARDING LEGISLATIVE CHANGE. SOME OF THESE INFLUENCES/LEGISLATIVE CHANGES INCLUDE THE CAH POOL, OPIOID LEGISLATION, HEALTH INSURANCE, FACILITY LICENSURE ISSUES, ETC.THE PAYER 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 AND/OR THE ADDITION OF NEW PROVIDERS. THE PAYER MIX ALSO PROVIDES VALUABLE INFORMATION REGARDING THE MIX OF SERVICES NEEDED, EDUCATION PROGRAMS, NEW OUTREACH PROGRAMS, AND FUTURE DEMANDS. THE PAYER MIX IS ALSO A VERY GOOD INDICATOR OF THE SOCIAL ECONOMIC STRUCTURE OF THE COMMUNITY, ALLOWING CVRMC TO TAILOR PROGRAMS TO BETTER MEET COMMUNITY NEEDS.MEDICAL STAFF DEVELOPMENT PLANTHE APPROACH USED TO PROJECT PHYSICIAN NEED FOR COBRE VALLEY REGIONAL MEDICAL CENTERS SERVICE AREA INCLUDED THE FOLLOWING:DEFINING THE CVRMC SERVICE AREA AND MARKET SHARE BY SERVICE AREA AND SERVICE LINEPROJECTING THE SERVICE AREAS POPULATION GROWTH AND CHARACTERISTICS FOR THE NEXT FIVE YEARSTAKING INTO ACCOUNT COMPETITION AND OTHER LOCAL CIRCUMSTANCES SUCH AS, IN-MIGRATION,OUT-MIGRATIONDEVELOPING A PROFILE OF THE CURRENT MEDICAL STAFF INCLUDING NUMBER, FTE, SPECIALTY, AGE, ACTIVITYIDENTIFYING AN APPROPRIATE DEMAND MODEL FROM AMONG THE AVAILABLE PHYSICIAN NEED ESTIMATION TOOLSUTILIZING 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 PROVIDED BY A THIRD PARTY THAT SPECIALIZES IN PRODUCING POPULATION DATA FOR STRATEGIC PLANNING. ESTIMATES ARE DATA PREPARED FOR THE CURRENT YEAR AND PROJECTIONS ARE PREPARED FOR DATES FIVE YEARS IN THE FUTURE. DATA IS UPDATED WHEN THE HOSPITALS STRATEGIC PLAN IS UPDATED AND WHEN THE CHNA IS UPDATED. DATA IS UPDATED FOR MANY GEOGRAPHIC LEVELS INCLUDING NATIONAL, STATE, COUNTY, CITY/TOWN, CENSUS TRACT AND BLOCK GROUP METROPOLITAN AREAS, ZIP CODES, AND OTHER MEDIA AREAS. BECAUSE IT IS PRODUCED FOR SMALL AREAS, THE UPDATE CAN BE EASILY AGGREGATED TO CUSTOM GEOGRAPHIC AREAS SPECIFIED BY THE USER.PROVIDER SUPPLY PROVIDER SUPPLY IS PROVIDED BY CVRMC MANAGEMENT.MUCH OF THE PHYSICIAN INFORMATION IS OBTAINED BY MEDICAL STAFF ROSTERS AND THE SURVEY RESPONSES.THE INFORMATION GATHERED FOR THE PROVIDER SUPPLY IS THE PROVIDER NAME, SPECIALTY, TOWN IN WHICH THEY PRACTICE, OFFICE DAYS AND TIMES, BIRTH DATE, AND ANY INFORMATION ABOUT THEIR PRACTICE. THE OFFICE DAYS AND TIMES ARE USED TO CALCULATE A PROVIDER FULL-TIME EQUIVALENT (FTE).PROVIDER DEMAND THE TWO MODELS USED TO DETERMINE PROVIDER DEMAND AND COMMUNITY NEED ARE THE:1.POPULATION BASED MODEL WHICH IS OBTAINED BY MATCHING THE 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 CON Part VI, Line 3 - Patient Education of Eligibility for Assistance EDUCATION OF FINANCIAL ASSISTANCE (FA) TO PATIENTS- COBRE VALLEY REGIONAL MEDICAL CENTER (CVRMC) IS COMMITTED TO PROVIDING FA TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED. CONSISTENT WITH ITS MISSION TO DELIVER QUALITY HEALTHCARE IN A SAFE, RESPECTFUL, AND EFFICIENT MANNER, CVRMC STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE. CVRMC HAS A COMPREHENSIVE SYSTEM OF PROVIDING CHARITY CARE SERVICE OR DISCOUNTED MEDICAL CARE TO UNINSURED PATIENTS WITHIN THE AVAILABLE RESOURCES OF CVRMC AND/OR RELATED CLINICS. CVRMC ADDRESSES WITH THE PATIENT: ELIGIBILITY CRITERIA FOR FA, THE EXTENT TO WHICH FA INCLUDES CHARITY CARE OR DISCOUNTED CARE, THE BASIS FOR CALCULATING AMOUNTS CHARGED TO INDIVIDUALS WHO ARE ELIGIBLE FOR ASSISTANCE UNDER THIS POLICY, THE METHOD FOR APPLYING FOR ASSISTANCE, ALL EMERGENCY AND MEDICALLY NECESSARY INPATIENT AND OUTPATIENT HOSPITAL SERVICES PROVIDED TO UNINSURED INDIVIDUALS WHO QUALIFY FOR ASSISTANCE ARE INDIVIDUALLY AND PRIVATELY Counseled REGARDING A PAYMENT STRUCTURE. CVRMC ALSO WORKS WITH PATIENTS WITH HIGH DEDUCTIBLES AND/OR OUT-OF-POCKET COSTS. THIS IS ALSO DONE ON AN INDIVIDUAL BASIS THROUGH A PRIVATE CONVERSATION. MEASURES TO WIDELY PUBLICIZE THE POLICY - THE FA POLICY IS MADE AVAILABLE AT DIFFERENT TIMES OF A PATIENT'S CARE: AT REGISTRATION, ADMISSION, AND DISCHARGE. INDIVIDUALS WHO FEEL THAT THEY QUALIFY FOR FA OR HAVE REQUESTED IT, SUBMIT AN APPLICATION. PERSONAL FINANCIAL INFORMATION IS REQUESTED ON THE APPLICATION, THE APPLICATION IS REVIEWED, AND THE APPLICANT IS INFORMED WITHIN 30 DAYS. A DISCOUNT SCHEDULE IS ALSO USED BASED ON THE PATIENT'S INDIVIDUAL CIRCUMSTANCES. FA INFORMATION IS PUBLISHED ON THE HOSPITAL WEBSITE, AVAILABLE UPON REQUEST FOR PICK-UP AT THE HOSPITAL OR CAN BE MAILED TO THE PATIENT. POLICY RESPONSIBILITY- IT IS THE RESPONSIBILITY OF THE HOSPITAL BOARD OF DIRECTORS TO ENSURE THAT THIS POLICY IS BEING ADMINISTERED AND CARRIED OUT IN A CONSISTENT MANNER AND WITHIN THE GUIDELINES SET FORTH IN CONTROLLING LAWS AND REGULATIONS. SCOPE - THIS POLICY APPLIES TO ALL EMERGENCY AND MEDICALLY NECESSARY INPATIENT AND OUTPATIENT HOSPITAL SERVICES PROVIDED TO UNINSURED INDIVIDUALS WHO QUALIFY FOR ASSISTANCE IN ACCORDANCE WITH THE TERMS AND CONDITIONS HEREIN. IT ALSO APPLIES TO PHYSICIAN SERVICES PROVIDED BY CVRMC EMPLOYED PHYSICIANS, CLINIC SERVICES, OR OTHER SERVICES THAT MAY BE OFFERED BY THE HOSPITAL. ANY SERVICES DEEMED NON-MEDICALLY NECESSARY OR COSMETIC IN NATURE ARE NOT ELIGIBLE FOR FA. DEFINITIONS- THE FOLLOWING DEFINITIONS SHALL APPLY TO THIS POLICY: "AGB DISCOUNT PERCENTAGE" IS DETERMINED BY THE SUM OF ALL CLAIMS OF MEDICALLY NECESSARY SERVICES PROVIDED AT CVRMC PAID (INCLUDING PAYMENTS BY MEDICARE BENEFICIARIES and INSURED INDIVIDUALS IN THE FORM OF CO-PAYS, CO-INSURANCE OR DEDUCTIBLES) DURING THE RELEVANT PERIOD DIVIDED BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. "APPLICATION PERIOD:" THE PERIOD DURING WHICH THE HOSPITAL MUST ACCEPT AND PROCESS AN APPLICATION FOR ASSISTANCE UNDER THIS POLICY IN ORDER TO HAVE MADE 'REASONABLE EFFORTS' TO DETERMINE WHETHER THE PATIENT IS AN INDIVIDUAL WHO IS ELIGIBLE FOR ASSISTANCE UNDER THIS POLICY. THE APPLICATION PERIOD ENDS ON THE 120TH DAY THE HOSPITAL PROVIDES THE INDIVIDUAL WITH THE FIRST STATEMENT FOR CARE PROVIDED. "EXTRAORDINARY COLLECTION ACTION(ECA)": ACTIONS TAKEN BY THE HOSPITAL AGAINST A PATIENT OR ANY OTHER INDIVIDUAL WHO HAS ACCEPTED OR IS REQUIRED TO ACCEPT RESPONSIBILITY FOR THE PATIENT'S BILLS INVOLVE (I)A LEGAL OR JUDICIAL PROCESS;(II) SELLING AN INDIVIDUAL'S DEBT TO A THIRD PARTY; OR (III)REPORTING ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO A CONSUMER CREDIT AGENCY OR CREDIT BUREAU. "GROSS CHARGES": THE HOSPTIAL'S FULL, ESTABLISHED PRICE FOR MEDICAL CARE THAT IT CONSISTENTLY AND UNIFORMLY CHARGED to ALL PATIENTS BEFORE APPLYING ANY CONTRACTUAL ALLOWANCES, DISCOUNTS, OR DEDUCTIONS. "HOUSEHOLD INCOME": MEANS THE TOTAL INCOME OF ALL MEMBERS LIVING IN THE INDIVIDUAL'S HOUSEHOLD. "INDIVIDUALS WHO ARE ELIGIBLE FOR ASSISTANCE UNDER THIS POLICY": AN INDIVIDUAL WHO IS UNINSURED AND IS ELIGIBLE FOR FA UNDER THIS POLICY. "INDIVIDUALS WHO QUALIFY FOR FINANCIAL ASSISTANCE": ELIGIBLE INDIVIDUALS WHO HAVE SUBMITTED A COMPLETED FA APPLICATION WITHIN REQUIRED TIME PERIODS AS SET FORTH HEREIN AND HAVE BEEN APPROVED FOR THE FA ACCORDING TO THE PROCESSES SET FORTH HEREIN. "MEDICALLY INDIGENT": INDIVIDUALS WHO DO NOT HAVE HEALTH INSURANCE AND WHO ARE NOT ELIGIBLE FOR OTHER HEALTH CARE COVERAGE, SUCH AS MEDICARE, MEDICAID, OR PRIVATE HEALTH INSURANCE. NOTIFICATION PERIOD": BEGINS ON THE FIRST DATE CARE IS PROVIDED AND ENDS ON THE 240TH DAY AFTER THE HOSPITAL PROVIDES THE INDIVIDUAL WITH THE FIRST BILL FOR CARE. "UNINSURED": A PATIENT (OR HIS FINANCIALLY RESPONSIBLE INDIVIDUAL) WHO HAS NO INSURANCE OR MEDICAL COVERAGE UNDER GOVERNMENTAL PROGRAMS AND IS NOT ELIGIBLE FOR ANY OTHER THIRD-PARTY PAYMENT. DETERMINATION OF FA ELIGIBILITY - FA 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 SUBMIT ALL DOCUMENTATION NECESSARY TO MAKE THE DETERMINATION OF FINANCIAL NEED; AND WILL TAKE INTO ACCOUNT THE OTHER FINANCIAL RESOURCES. IT IS PREFERRED BUT NOT REQUIRED THAT A REQUEST FOR FA AND A DETERMINATION OF FINANCIAL NEED OCCUR PRIOR TO RENDERING OF NON-EMERGENT MEDICALLY NECESSARY SERVICES. THE NEED FOR FA SHALL BE RE-EVALUATED AT EACH SUBSEQUENT RENDERING OF MEDICALLY NECESSARY SERVICES, IF THE TEST FINANCIAL EVALUATION WAS COMPLETED MORE THAN 180 DAYS PRIOR, AND AT ANY TIME ADDITIONAL INFORMATION RELEVANT TO THE ELIGIBILITY OF THE PATIENT FOR FA BECOMES KNOWN. THE GRANTING OF FA SHALL BE BASED ON AN INDIVIDUALIZED DETERMINATION OF FINANCIAL NEED, AND SHALL NOT TAKE INTO ACCOUNT AGE, GENDER, RACE, SOCIO-ECONOMIC STATUS, SEXUAL ORIENTATION OR RELIGIOUS AFFILIATION. IN DETERMINING WHETHER EACH INDIVIDUAL QUALIFIES FOR FA, ONLY THOSE PATIENT BILLINGS NOT COVERED BY OTHER COUNTY OR GOVERNMENTAL ASSISTANCE PROGRAMS SHOULD BE CONSIDERED. MANY APPLICANTS ARE NOT AWARE THAT THEY MAY BE ELIGIBLE FOR ASSISTANCE, SUCH AS AHCCCS (MEDICAID) OR OTHER GOVERNMENT OR PRIVATELY FUNDED PROGRAMS. PERSONS ELIGIBLE FOR PROGRAMS SUCH AS AHCCCS BUT WHOSE ELIGIBILITY STATUS IS NOT ESTABLISHED FOR THE PERIOD DURING WHICH THE MEDICAL SERVICES WERE RENDERED MAY BE GRANTED FA FOR THOSE SERVICES. EXCLUSIONS- THIS POLICY AND THE FA PROGRAM DO NOT APPLY TO THE PORTION OF ELECTIVE PROCEDURES EXCEPT AS MAY BE DETERMINED AT THE SOLE DISCRETION OF CVRMC, ON A CASE-BY-CASE BASIS. METHOD FOR APPLYING FOR FA - A COPY OF THIS POLICY AND FA APPLICATIONS WILL BE MADE AVAILABLE AT THE HOSPITAL OR BY CONTACTING PATIENT ACCOUNTS/BILLING OFFICE AT (928)425-3261. INDIVIDUALS WHO FEEL THAT THEY QUALIFY FOR FA UNDER THIS POLICY, OR HAVE REQUESTED THAT FA BE PROVIDED, ARE REQUIRED TO SUBMIT AN APPLICATION ON THE HOSPITAL FORM PROVIDED DURING THE APPLICATION PERIOD. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE PROOF OF HOUSEHOLD INCOME AND/OR ANY OTHER INFORMATION PROVIDED ON THE APPLICATION, AS REQUESTED BY THE HOSPITAL. THE APPLICANT IS REQUIRED TO SUBMIT ALL INFORMATION REQUIRED ON THE FA APPLICATION FORM INCLUDING, BUT NOT LIMITED TO THE FOLLOWING INFORMATION: COPIES OF PAY STUBS FOR THE LAST 2 PAY PERIODS, NUMBER OF DEPENDENTS CLAIMED ON TAX RETURN, AND COPIES OF BILLS SHOWING EXPENSES. DISCOUNT - HOUSEHOLD INCOMES THAT EXCEED 400% OF THE FPG, WHERE THE PATIENT IS MEDICALLY INDIGENT, ARE EVALUATED BASED ON THEIR SPECIAL CIRCUMSTANCES: FAMILY SIZE, FEDERAL POVERTY GUIDELINES (FPG) 100%, 150%, 200%, 250%, 300%, OR 400% OF FPG. THIS POLICY, AN APPLICATION, A PLAIN LANGUAGE SUMMARY OF THE POLICY AND ANY NOTICES OR PUBLICATIONS REGARDING THE POLICY WILL BE MADE AVAILABLE ON THE HOSPITAL'S WEBSITE(WWW.CVRMC.ORG)IN PDF FORM. THE POLICY, APPLICATIONS, AND PLAIN LANGUAGE SUMMARIES ARE ALSO AVAILABLE UPON REQUEST AND WITHOUT CHARGE AT THE PATIENT ACCOUNTS AND BILLING DEPARTMENT AND BY MAIL. A PLAIN LANGUAGE SUMMARY SHALL BE CONSPICUOUSLY DISPLAYED IN HOSIPTAL PATIENT WAITING AREAS AND IN THE PATIENT ACCOUNTS/BILLING DEPARTMENT IN A MANNER THAT IS REASONABLY CALCULATED TO ATTRACT VISTITORS' ATTENTION. A PLAIN LANGUAGE SUMMARY OF THIS POLICY AND A COPY OF THE FA APPLICATION ARE GIVEN TO ALL PATIENTS UPON ADMISSION OR REGISTRATION AT THE HOSPITAL OR CLINICS. REGULATORY REQUIREMENTS - IN IMPLEMENTING THIS POLICY, CVRMC MANAGEMENT AND CVRMC FACILITES SHALL COMPLY WITH ALL FEDERAL, STATE, AND LOCAL LAWS, RULES AND REGULATIONS THAT MAY APPLY TO ACTIVITIES CONDUCTED PURSUANT TO THIS POLICY. ACCOUNTING FOR FA - CVRMC WILL TRACK AND MONITOR FA CARE BEING GRANTED AND WILL ACCOUNT FOR THE WRITE-OFFS AS A SEPARATE DEDUCTION FROM THE REVENUE IN A GENERAL LEDGER ACCOUNT. RECORDKEEPING - RECORDS RELATING TO POTENTIAL FA APPLICANTS MUST BE READILY AVAILABLE. NOTES RELATING TO THE FA APP Part VI, Line 4 - Community Information THE following is from information supporting CVRMC's CHNA and other sources. CVRMC is located in Globe, AZ and serves a population of 54,000 within a 65 mile radius and is a full-service acute care facility. This population includes both the primary, secondary, and partner service areas. CVRMC is located in the heart of the copper belt of Arizona and serves many rural copper communities within the region including its neighboring towns of Miami and Superior to the west, Kearny, Hayden, and Winkelman to the south. The communities of Roosevelt, Tonto Basin, and Pleasant Valley/Young are located to the north. The San Carlos Apache Nation, our service area partner, borders Globe to the east. CVRMC serves as an acute medical/surgical, obstetric, orthopedic, oncology, pediatric, family practice provider, and a multitude of other services for all the residents of these communities. The CVRMC primary and secondary service area communities are located in two counties, Gila and Pinal. ACCORDING TO THE U. S. CENSUS, APPROXIMATELY 33.0% OF THE TOTAL POPULATION IN GILA COUNTY WAS OVER THE AGE OF 65, AN INCREASE OF 3.6% FROM THE PREVIOUS CHNA. ARIZONAS POPULATION 65 AND OLDER IS 18.5%. THE FIVE LEADING CAUSES OF DEATH AMONG ADULTS AGE 65 AND OLDER IN GILA AND PINAL COUNTIES ARE HEART DISEASE, CANCER,COVID-19, ACCIDENTS, AND LUNG DISEASE. ALSO, TWO LEADING CAUSES OF DEATH IN GILA COUNTY INCLUDE DEATH BY STROKE AND ALZHEIMERS. PRIMARY SERVICE AREA (63% INPATIENT PATIENT ORIGIN) GLOBE, MIAMI AND THE UNINCORPORATED AREAS NEARBY (INCLUDING CLAYPOOL, CENTRAL HEIGHTS, AND MIDLAND CITY) ARE COMMONLY CALLED GLOBE-MIAMI. THE TOWNS ARE LOCATED ON THE NORTHEASTERN SLOPE OF THE PINAL MOUNTAINS, AND ARE SURROUNDED (EXCEPT TO THE EAST) BY THE TONTO NATIONAL FOREST. GLOBE-MIAMI IS LOCATED ON U.S. ROUTES 60 AND 70, AND IS SERVED INDUSTRIALLY BY THE ARIZONA EASTERN RAILWAY. GLOBE-MIAMI IS LOCATED IN GILA COUNTY WITH A TOTAL COUNTY POPULATION OF 54,000. GLOBES ECONOMY REMAINS 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 IMPORTANT IN GLOBES ECONOMY. MIAMI BORDERS GLOBE TO THE WEST AND THE MAJOR COPPER MINES ARE LOCATED IN, OR NEAR MIAMI. COPPER MINES ACCOUNT FOR THE LARGEST EMPLOYMENT IN THE MIAMI AREA BUT MANY OF THESE EMPLOYEES COMMUTE TO AND FROM LARGER METROPOLITAN AREAS TO THE WEST, SUCH AS GOLD CANYON OR MESA. FREEPORT MCMORAN CURRENTLY EMPLOYS APPROXIMATELY 820 EMPLOYEES AT ITS MIAMI OPERATIONS; KGBM EMPLOYS 63 AT ITS CARLOTA FACILITY AS IT ANTICIPATES TO CONTINUE THE SX-EW OPERATIONS. CAPSTONEPINTO VALLEY MINE EMPLOYS APPROXIMATELY 592, WHILE BHP BILLITON HAS SHUT DOWN, IT EMPLOYS SEVERAL CONTRACTED EMPLOYEES TO OVERSEE THE CLOSED MINE SITES. RESOLUTION COPPER, THE DEEPEST UNDERGROUND MINE IN THE WORLD, IS CONTINUING TO GROW ITS EMPLOYEE BASE AS THE MINE REACHES PRODUCTION STAGES. CURRENTLY RESOLUTION COPPER EMPLOYS 300 INCLUDING CONTRACTED WORKERS. AS OF 2023, MIAMI IS HOME TO ONE OF THE LAST 3 COPPER SMELTERS IN THE UNITED STATES. THE FOLLOWING IS FROM THE U.S. CENSUS BUREAU: DEMOGRAPHIC INFORMATION FOR GLOBE, AZ, AGE AND SEX: PERSONS UNDER 24 YEARS, 24.4%; PERSONS BETWEEN 24 44 YEARS, 18.0%;PERSONS 45-64 YEARS, 24.6%; PERSONS 65 AND OLDER, 33.0%; FEMALE PERSONS, 49.7%; RACE AND HISPANIC ORIGIN: WHITE ALONE, 67.1%; BLACK OR AFRICAN AMERICAN ALONE, 0.6%; AMERICAN INDIAN AND ALASKA NATIVE ALONE, 13.4%; HISPANIC OR LATINO, 18.0%. INCOME INCOME INEQUALITY:THIS INDICATOR REPORTS INCOME INEQUALITY USING THE GINI COEFFICIENT. GINI INDEX VALUES RANGE BETWEEN ZERO AND ONE. A VALUE OF ONE INDICATES PERFECT INEQUALITY WHERE ONLY ONE HOUSEHOLD HAS ANY INCOME. A VALUE OF ZERO INDICATES PERFECT EQUALITY, WHERE ALL HOUSEHOLDS HAVE EQUAL INCOME. THE GINI COEFFICIENT FOR GILA COUNTY IS 0.445. BY COMPARISON ARIZONA HAS A GINI COEFFICIENT OF 0.4615 AND THE U.S. HAS A GINI COEFFICIENT OF 0.4818.OTHER SOCIAL & ECONOMIC FACTORS INSURANCE UNINSURED POPULATIONTHE LACK OF HEALTH INSURANCE IS CONSIDERED A KEY DRIVER OF HEALTH STATUS. IN THE REPORT AREA 9.22% OF THE TOTAL CIVILIAN NON-INSTITUTIONALIZED POPULATION ARE WITHOUT HEALTH INSURANCE COVERAGE. THE RATE OF UNINSURED PERSONS IN THE REPORT AREA IS LESS THAN THE STATE AVERAGE OF 10.65%. THIS INDICATOR IS RELEVANT BECAUSE LACK OF INSURANCE IS A PRIMARY BARRIER TO HEALTHCARE ACCESS INCLUDING REGULAR PRIMARY CARE, SPECIALTY CARE, AND OTHER HEALTH SERVICES THAT CONTRIBUTE TO POOR HEALTH STATUS.HOUSING COSTS COST BURDEN: THIS INDICATOR REPORTS THE PERCENTAGE OF THE HOUSEHOLDS AND THEIR HOUSING COSTS IN COMPARISON WITH TOTAL HOUSEHOLD INCOME. THIS INDICATOR PROVIDES INFORMATION ON THE COST OF MONTHLY HOUSING EXPENSES FOR OWNERS AND RENTERS. THE INFORMATION OFFERS A MEASURE OF HOUSING AFFORDABILITY AND EXCESSIVE SHELTER COSTS. THE DATA ALSO SERVE TO AID IN THE DEVELOPMENT OF HOUSING PROGRAMS TO MEET THE NEEDS OF PEOPLE AT DIFFERENT ECONOMIC LEVELS. OF THE 22,306 TOTAL HOUSEHOLDS IN THE REPORT AREA, 25.03% OF HOUSEHOLDS HAVE A COST BURDEN OF 30% OR MORE; AND 12.19% OF THE POPULATION HAVE A COST BURDEN OF 50% OR MORE.HOUSING QUALITY - OVERCROWDING: THIS INDICATOR REPORTS DATA ON OVERCROWDED HOUSING FROM THE LATEST 5-YEAR AMERICAN COMMUNITY SURVEY. THE CENSUS BUREAU HAS NO OFFICIAL DEFINITION OF CROWDED UNITS, BUT THIS REPORT CONSIDERS UNITS WITH MORE THAN ONE OCCUPANT PER ROOM TO BE CROWDED. IN GILA COUNTY 5.33% OF HOUSING UNITS ARE CONSIDERED OVERCROWDED.HOUSING QUALITY SUBSTANDARD HOUSING:THIS INDICATOR REPORTS THE NUMBER AND PERCENTAGE OF OWNER- AND RENTER-OCCUPIED HOUSING UNITS HAVING AT LEAST ONE OF THE FOLLOWING CONDITIONS: 1) LACKING COMPLETE PLUMBING FACILITIES, 2) LACKING COMPLETE KITCHEN FACILITIES, 3) WITH 1 OR MORE OCCUPANTS PER ROOM, 4) SELECTED MONTHLY OWNER COSTS AS A PERCENTAGE OF HOUSEHOLD INCOME GREATER THAN 30%, AND 5) GROSS RENT AS A PERCENTAGE OF HOUSEHOLD INCOME GREATER THAN 30%. SELECTED CONDITIONS PROVIDE INFORMATION IN ASSESSING THE QUALITY OF THE HOUSING INVENTORY AND ITS OCCUPANTS. THIS DATA IS USED TO EASILY IDENTIFY HOMES WHERE THE QUALITY OF LIVING AND HOUSING CAN BE CONSIDERED SUBSTANDARD. OF THE 22,306 TOTAL OCCUPIED HOUSING UNITS IN THE REPORT AREA, 6,596 OR 29.57% HAVE ONE OR MORE SUBSTANDARD CONDITIONS. Part VI, Line 4 - Community Building Activities Cobre Valley Regional Medical Center (CVRMC) has a health commitment to our employees, physicians, health and wellness organizations, our board of directors, benefactors, volunteers, and most importantly, to our patients and families of the region we serve. CVRMC is inclusive, collaborative, and effective regarding community building activities and donations.The mission of CVRMC is:To develop and maintain a local healthcare delivery system that serves the region with high quality, efficient and compassionate care. Our mission is your health. This is a living statement within each of our employees who work 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 within our service region.CVRMC receives expert operational support services through HealthTech Management Services. These areas of expertise include quality patient care, finance, revenue cycle, materials management, and strategic planning. The resources HealthTech Management Services provide are invaluable in assisting the CVRMC Board of Directors, administration, physicians, directors, and clinical and non-clinical staff in fulfilling the hospitals mission of Quality, Efficiency, Compassion, and Health for all our communities.Through our strategic planning process, CVRMC identified The Patient Experience, People, Growth, Financial Stewardship, and Community as our key strategic goals. These goals are not independent of each other, but rather interdependent, connected and overlapping, each individual function thriving on the success of the others. The Patient Experience is defined as the combination of customer service and the quality provided to patients and families receiving services at CVRMC and its surrounding clinics. CVRMC will foster an environment where the quality of care and customer service provided to our patients, is relentlessly pursued with a philosophy of continuous improvement in delivery and outcome. Compassion is the key driver and employing people with great character creates a culture where patients and families want to choose CVRMC for their healthcare. People make the difference in the delivery of care and in the lives of our patients, physicians, fellow workers, and associates. CVRMC is committed to cultivate a workforce and medical provider community that are highly engaged, accountable, collaborative and committed to fulfilling the mission of maintaining a local healthcare delivery system that serves the region with quality, efficiency, and compassion.Growth, in both services and facilities, will provide for the needs of all the communities that depend on the healthcare provided by CVRMC. It is a strategy of CVRMC to aggressively pursue an increased share of the market and reduce out-migration by improving, expanding, adding and promoting services and physical structures that meet service area needs and are clinically and financially feasible. Financial Stewardship, effectively controlling costs, reducing turnover, strategic investments, and employee responsibility for financial management are all expectations to secure financial strength to move CVRMC into the future of service and property expansion.Community is the heart of our healthcare mission. Focused on promoting healthy living and prevention of chronic diseases, CVRMC realizes healthier communities are safer, have a stronger environment, are socially connected, and have people who truly care for one another. CVRMC has a commitment to care for its communities and the overall health of the people who make these communities great. Through strategic planning, relationship building, and collaboration, CVRMC will be able to address community health needs and move our population to a healthier state.Benefit to Community -One Call is a service implemented by CVRMC in late 2015. The phone service is to help reduce the number of calls a customer needs to make in order to obtain information on health needs and/or social service agencies within the service region. One Call is a free service open to the general public and is staffed by a registered nurse who can also act as a liaison between medical staff, medical health facilities, and social services on behalf of the user.-CVRMC's Health Fair(HF), over the past 10 years, has seen a rapid increase in participation of health and wellness organizations as well as public attendance. Holding the Health Fair was disrupted during the Public Health Emergency; the Health Fair will again be held in 2024. In 2023, STAFFING SHORTAGES AND UNFILLED POSITIONS LIMITED CVRMC's ABILITY TO CONDUCT THE HF OR THE ART and WINE AUCTION.-Our professional staff participates in Community HF's and Education Events throughout our service region. These events include health and wellness checks for mining company employees, school children, and seniors. CVRMC has also been actively involved in the Science/Technology/Engineering/Math (STEM) project through the Gila County Superintendents Office, offering professional health personnel guest speakers, science fair judging, health career counseling, and much more professional information.-The PACT Committee (Positive Attitudes Creates Teamwork) is comprised of CVRMC staff who dedicate their efforts to make a difference in employee and community relations. The PACT Committee ensures the hospitals presence in community events such as the Globe-Miami Light Parade, Relay for Life, March of Dimes, skilled nursing facility events, and other holiday community celebrations. -The CVRMC Foundation is an integral part of CVRMC. Through philanthropic income, driven by the CVRMC Foundation, CVRMC is supported in purchasing 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.-Clinical/Non-Clinical Internships-The CVRMC Conference Rooms are used by many community organizations for education, hosting many educational programs available to the residents in the service area. -Community Involvement is an expectation of CVRMC employees. The strength of our communities is dependent on community involvement. Employees are Little League, soccer, football, and youth basketball coaches. Employees serve on the Chamber of Commerce for several communities, Rotary, Southern Gila County Network Team, Copper Basin Coalition, Elderly Quality of Life, Cobre Valley Transit, Labor Force Development, housing, and many others across the service region.-Cancer Awareness and Support Group-The CVRMC Angel Tree is supported solely by employees who provide gifts for the families in the local Safe Home and those pre-school children who are in need of gifts at Christmas. -Facebook and the Website provide valuable health information to all our communities and are platforms to inform our population about health events and community events which would benefit their health.-Donations to Community Organizations CVRMC recognizes the need to contribute to local organizations to help support their causes in regards to awareness, fundraising, promoting health/exercise/wellness, education, or finding a cure for cancer. Relay for Life and Little League programs are examples. The State of AZ is on the course to improve the education for all children in the state but has not provided the resources to reinstate music, drama, physical and health education programs. CVRMC chose to sponsor Copper Cities Youth Sports, Little League teams, Ray Elementary, Superior athletics, Miami Soccer, Globe High Cheer, to name just a few. Many 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 6 regional high schools, and provide job shadowing experiences. Many tours are given for civic organizations and elementary/Jr.High students. Building networks of support is part of the culture of CVRMC: scholarships are given Part VI, Line 5 - Promotion of Community Health PATIENT EXPERIENCE, PEOPLE, GROWTH, AND COMMUNITY EVEN THOUGH COVID-19 TOOK THE WORLDS HEALTH CARE SYSTEMS TO A NEW LEVEL. IN 2023 CVRMC CONTINUED THE PANDEMIC RESPONSES INITIATED IN 2020 AND 2021 BY RESPONDING TO THE SHORTAGE OF PPE, SECURING RESPIRATORS, MANAGING PATIENT CENSUS, OFFERING TELE-HEALTH PROVIDER VISITS. MUCH OF THE 2023 FOCUS WAS ON BREAKING DOWN THE INTER-PERSONAL BARRIERS INTITIATED IN THE 2020 AND 2021 AND RETURNING TO NORMAL VISITATION FOR PATIENT FAMILIES AND OTHER HOSPITAL GUESTS. THROUGHOUT 2020, 2021, 2022 AND 2023 AND THE ONSLAUGHT OF COVID-19, WE CONTINUED TO RESPOND TO THE SERVICE AREA NEEDS TO FULFILL OUR MISSION: TO DEVELOP AND MAINTAIN A HEALTHCARE DELIVERY SYSTEM THAT SERVES THE REGION WITH QUALITY, EFFICIENCY, AND COMPASSION.IMMEDIATE CARE SERVICES (ICS) - THE DECISION TO INCLUDE ICS AS A HEALTH PRIORITY WAS BASED ON SEVERAL FINDINGS IN THE CHNA. EVERY FOCUS GROUP IDENTIFIED THE NEED FOR AN URGENT CARE FACILITY AND EXTENDED HOURS PHARMACY SERVICES AS A PRIORITY HEALTH NEED. PARTICIPANTS FREQUENTLY STATED THAT NOT HAVING AN URGENT CARE WAS IMPACTING ACCESS TO CARE AND A FINANCIAL BURDEN. PARTICIPANTS DISCUSSED THE TIME, EXPENSE, AND STRESS OF HAVING TO TRAVEL TO URGENT CARE FACILITIES THAT WERE TYPICALLY ABOUT AN HOUR AWAY IN THE MIDDLE OF THE NIGHT OR ON WEEKENDS TO HAVE THEIR URGENT HEALTHCARE NEEDS MET. PARTICIPANTS ALSO DISCUSSED AVOIDING HAVING THEIR URGENT HEALTH CARE NEEDS ADDRESSED, SUCH AS EAR INFECTIONS WITH YOUNG CHILDREN, FOR THE REASON OF NOT HAVING ENOUGH MONEY TO BE ABLE TO AFFORD A VISIT TO THE HOSPITAL EMERGENCY DEPARTMENT AND NOT HAVING ENOUGH MONEY TO TRAVEL OUT OF THE COMMUNITY. THE MENTION OF PHARMACY SERVICES OFTEN ACCOMPANIED THE DISCUSSION ON URGENT CARE NEEDS. PARTICIPANTS OFTEN MENTIONED THE IMPORTANCE OF HAVING MEDICATIONS FILLED AFTER HOURS OR ON WEEKENDS AND EXPERIENCING A LAPSE IN MEDICATION MANAGEMENT WHEN PRESCRIPTIONS COULD NOT BE FILLED RIGHT AWAY. PARTICIPANTS THAT WERE AWARE OF THE CVRMC PHARMACY SERVICES, INCLUDINGTHE MAILING OPTIONS, EXPRESSED APPRECIATION FOR THE ABILITY TO ACCESS MEDICATIONS THROUGH CVRMC. SOME EXPRESSED CHALLENGES IN DELAYS IN RECEIVING CVRMC PRESCRIPTION MAIL ORDERS OR NEEDING CONSISTENT PHARMACY SERVICES AVAILABLE IN THE CASE OF THE CVRMC KEARNY CLINIC. IT WAS FELT THAT AN URGENT CARE FACILITY WITH PHARMACY SERVICES THAT IS AVAILABLE AFTER HOURS AND ON WEEKENDS WOULD MEET THESE NEEDS. CVRMC IS CURRENTLY MOVING FORWARD WITH THIS HEALTH PRIORITY.(CHIP 2020-2024)AQUATIC CENTER (ONGOING) THE CITY OF GLOBE MADE A DECISION TO RHABILITATE AND RE-OPEN ITS COMMUNITY POOL THAT HAD BEEN CLOSED FOR 7 YEARS. CVRMC RECOGNIZING THE IMPORTANCE OF RECREATIONAL FACILITIES TO ENHANCING COMMUNITY HEALTH COMMITTED TO SEE THIS PROJECT COME TO FRUITION. THIS PROJECT IS IN THE CVRMC STRATEGIC PLAN TO IMPROVE THE HEALTH AND WELLNESS OF OUR REGION. IN 2021 CVRMC PLEDGED A MAJOR GRANT TO THE CITY OF GLOBE FOR ITS PUBLIC POOL RESTORATION INITIATIVE. WITHOUT CVRMC'S PLEDGE, THE OVERALL VIABILITY AND SUCCESS OF THE INITIATIVE WAS AT RISK TO RE-ESTABLISH A VITAL SUMMERTIME HEALTHY ACTIVITY FOR CHILDREN AND FAMILIES OF THE COMMUNITY AND CVRMC SERVICE AREA. DURING 2023 THE POOL RESTORATION PROJECT WAS COMPLETED.WALKING PATH - A WALKING PATH AS A HEALTH PRIORITY IS SUPPORTED THROUGH THE CHNA INDICATORS, THE COMMUNITY SURVEY, AND KEY INFORMANT INTERVIEWS. WALKABILITY SCORES REFLECT A COMMUNITYS ABILITY TO OFFER SAFE PLACES TO WALK AND BIKE WHICH ENCOURAGES FREQUENT CONNECTIONS AMONG COMMUNITY MEMBERS TO PROMOTE PHYSICAL ACTIVITY, BUT ALSO REDUCES ISOLATION. WALKABILITY SCORES RANGE BETWEEN 1 AND 20; THE LOWER THE SCORE, THE LESS WALKABLE THE AREA. THE AVERAGE WALKABILITY SCORE FOR THE CVRMC SERVICE REGION IS 3. THE AVERAGE WALKABILITY SCORE FOR THE STATE OF ARIZONA: 7.58; SOURCE: US CENSUS 2017. PARTICIPANTS ALSO MENTIONED THE LACK OF SIDEWALKS AND LACK OF SAFE PLACES TO WALK AND BIKE AS A BARRIER TO BEING PHYSICALLY ACTIVE. WHEN ASKED ABOUT A VISION FOR A HEALTHY COMMUNITY IN THE NEXT THREE YEARS, KEY INFORMANTS DESCRIBED A HEALTHY REGION AS ONE THAT IS A WALKABLE AND BIKEABLE DESTINATION, EFFICIENT, AND CONNECTED. THE CHIP ADMINISTRATIVE TEAM DISCUSSED WHERE AN INITIAL WALKING PATH COULD BE CREATED. IT WAS DETERMINED THAT A MILE LONG STRETCH OF PATH STRATEGICALLY PLACED ALONG HOSPITAL DRIVE IN COOPERATION WITH BHP AND POSSIBLY CECIL TRUCKING WOULD BE A GREAT PLACE TO BEGIN. THROUGH CVRMC'S LEADERSHIP AND COLLABORATION WITH BHP, THIS PROJECT BECAME A HEALTH IMPROVEMENT REALITY FOR THE COMMUNITY IN 2021. IN 2023 THE HOSPTIAL CONTINUED THE SUPPORT AND MAINTENANCE OF THE WALKING PATH, WHICH continued as a HIGHLY UTILIZED COMMUNITY HEALTH RESOURCE IN 2023. INCREASE ACCESS TO AGING IN PLACE SERVICES - IT WAS IDENTIFIED THAT COMMUNITY MEMBERS AGE 65+ ARE SOME OF THE MOST VULNERABLE IN THE REGION. MANY OF THE OLDER ADULTS IN THE REGION HAVE A LACK OF FAMILY SUPPORT AS THEY GET OLDER. IT WAS DISCUSSED BY KEY INFORMANTS THE RESULTING INCREASE IN DEMANDS ON THE HEALTH-CARE SYSTEM, REQUIRING ADDITIONAL SUPPORT FOR SPECIALTY PROVIDERS, LIKE NEUROLOGISTS, CARDIOLOGISTS AND ORTHOPEDISTS. THERE WAS ALSO DISCUSSION BY KEY INFORMANTS OF HAVING ADDITIONAL OPTIONS TO AGE IN PLACE. THESE ADDITIONAL OPTIONS INCLUDED IN-HOME CARE, HAVING A WELLNESS CENTER AVAILABLE AT A FREE AND REDUCED RATE FOR SENIORS, TRANSPORTATION SERVICES, AND ALZHEIMERS CARE FOR BOTH PATIENTS AND THEIR CAREGIVERS. DURING 2022 AND 2023 SEVERAL OF THE SPECIALTY PROVIDER SERVICES HAVE BEEN ENHANCED AND STRENGTHENED FOR THE COMMUNITY. THERE IS STILL OPPORTUNITY TO ADDITIONALLY STRENGTHEN SPECIALTY SERVICES. (CHIP 2020-2024)ACCESS TO PREVENTATIVE SERVICES - INCREASE ACCESS TO PREVENTATIVE SERVICES WAS IDENTIFIED AS A PRIORITY THROUGH THE COMMUNITY FEEDBACK IN FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. ONE OF THE KEY THEMES IN THE FOCUS GROUPS WAS A NEED FOR IMPROVED ACCESS TO SPECIALTY HEALTH CARE SERVICES. THIS THEME IS REPEATED IN THE KEY INFORMANT INTERVIEWS WITH AN ADDITIONAL FOCUS ON MENTAL AND BEHAVIORAL HEALTH SERVICES. DURING 2021, CVRMC SPONSORED THE ADVANCED EDUCATION OF A NURSE PROVIDER TO OFFER BEHAVIORAL HEALTH SERVICE IN THE RURAL HEALTH CLINIC SETTING. IN 2023, THAT INVESTMENT IN THE EDUCATION OF A BEHAViorAL HEALTH ADVANCED PARACTICE PROVIDER (APP) BEGAN TO BEAR FRUIT AS THE TRAINING WAS COMPLETED AND THE APP's BEHAVIORAL HEALTH PRACTiCE IN THE HOSPTIALS RURAL HEALTH CLINICS continued to grow. COMMUNITY FUNDRAISERS CVRMC EMPLOYEES CONTINUE TO HELP COMMUNITY MEMBERS IN NEED WHETHER IT IS A HOUSE FIRE, A CHILD WITH AN ILLNESS, OR ANY OTHER CIRCUMSTANCE THAT CREATES EXTREME HARDSHIP FOR A FAMILY.WELLNESS PROGRAM CVRMC IS CURRENTLY LOOKING INTO EMPLOYEE WELLNESS - KNOWING HEALTHIER EMPLOYEES GIVE BETTER CARE.IT IS CVRMCS POLICY TO ENGAGE EMPLOYEES AS PARTNERS IN ASSURING THEIR BEST POSSIBLE HEALTH AND IN REDUCING PREVENTABLE HEALTHCARE COSTS FOR OUR EMPLOYEES; PROVIDE A SUPPORTIVE WORK ENVIRONMENT THAT PROMOTES THE OPTIMAL HEALTH AND WELL-BEING OF OUR EMPLOYEES.TOY BOX CVRMC IS SURROUNDED BY MOUNTAINS AND MANY TRAILS.ROOSEVELT LAKE IS 20 MINUTES AWAY AS WELL AS THE SALT RIVER.CVRMC HAS PURCHASED KAYAKS, PADDLE BOARDS, MOUNTAIN BIKES, AND MANY OTHER TYPES OF OUTDOOR EQUIPMENT FOR EMPLOYEES TO CHECK-OUT FREE OF CHARGE.CVRMC ENCOURAGES EMPLOYEES TO EXPLORE THE WONDERFUL AREA IN WHICH WE LIVE AND TELL MORE PEOPLE ABOUT IT. THIS IS GREAT FOR OUR EMPLOYEES HEALTH BUT IT ALSO AIDS IN RECRUITMENT AND THE ECONOMY. THIS PROGRAM INITIATED IN 2020, and CONTINUED INTO 2023.INTERNSHIPS FOR COUNTLESS YEARS CVRMC HAS PROVIDED INTERNSHIPS FOR MEDICAL RELATED FIELDS SUCH AS RNS, CNAS, PHYSICIAN ASSISTANTS, OR TECHS, RADIOLOGY TECHS, PHLEBOTOMISTS, RESPIRATORY THERAPISTS, CRNAS, MEDICAL ASSISTANTS, AND DOCTORS OF OSTEOPATHY. THESE INTERNSHIPS ARE PROVIDED FREE OF CHARGE AND FACILITATE SCHOOLS ACROSS ARIZONA A.T. STILLS, MIDWESTERN, BRYMAN, CENTRAL ARIZONA COLLEGE, APOLLO COLLEGE, PIMA, AND GILA COMMUNITY COLLEGE. THE ADVANCEMENT OF MEDICAL PROFESSIONS IS THE RESPONSIBILITY OF ALL MEDICAL FACILITIES. CVRMC UNDERSTANDS ITS ROLE IN RESOURCING THE FUTURE OF HEALTHCARE PROFESSIONALS AND IS COMMITTED TO THE INTERNS WE SERVE.QUALITY INITIATIVES (ONGOING) QUALITY IS IN EVERY ASPECT OF HOSPITAL CARE THE PEOPLE, EQUIPMENT, SERVICE, RESPONSE TO OCCURRENCES, HOSPITAL ENVIRONMENT, BUILDINGS, ETC. CVRMC WORKS TO BRING QUALITY TO EVERY FACET OF THE ORGANIZATION. TELE-HEALTH WITH THE RISE IN COVID IN 2020, TELE-HEALTH AND TELE-PHARMACY BECAME MORE ACCESSIBLE SERVICES FOR CVRMC PATIENTS. ALL PRIMARY PHYSICIANS, PAS, AND NPS WERE ENABLED TO WRITE AND SEND ELECTRONIC PRESCRIPTIONS. Tele-Health services continued to be offered to the community in 2023.SAME DAY PRIMARY CARE TO ENHANCE ACCESS TO TIMELY PRIMARY CARE, CVRMC continues to OFFER SAME DAY PRIMARY CARE appointments AND WILL CONTINUE THIS SERVICE USING ALL PRIMARY CARE PHYSICIANS AND PAS AND THEIR SCHEDULE AVAILABILITY.Continued on Schedule O. Part VI, Line 7 - States Filing of Community Benefit Report AZ Part VI - Additional Information Needs Assessment (continued) 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 CHOOSE FOR HEALTHCARE 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: 1) AN ARIZONA HOSPITAL DISCHARGE DATABASE, and 2) A MEDICARE MARKET DATABASE WHICH INCLUDES MARKET SHARE, DEMOGRAPHICS, INSURANCE ESTIMATES AND MARKET VOLUME PROJECTIONS.SERVICE AREAS ARE DETERMINED BY ANALYZING THE ZIP CODES FROM SEVERAL PERSPECTIVES INCLUDING PATIENT ORIGIN, MARKET SHARE, POPULATION, AND GEOGRAPHIC LOCATION OF THE ZIP CODE. THIS INFORMATION ALONG WITH PAYER MIX INFORMATION CAN DETERMINE THE PAYER MIX IN THE PRIMARY SERVICE AREA, INPATIENTS MARKET SHARE BY PAYER MIX IN THESECONDARY 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 TRENDSPOPULATION 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, FINANCIAL AND RACIAL DEMOGRAPHICS, IT IS DEFINITELY SOMETHING TO CONSIDER WHEN STRATEGICALLY PLANNING FOR FUTURE NEEDS.DEMOGRAPHIC SNAPSHOTS ARE ALSO PROVIDED BY THE REPORT FOR EACH OF THE SERVICE AREAS THAT REFLECT VARIOUS CHARACTERISTICS, INCLUDING THE EDUCATION, HOUSEHOLD INCOME, AND ETHNICITY. THESE ARE IMPORTANT FACTORS TO CONSIDER WHEN ESTABLISHING MARKETING AND PUBLIC RELATIONS MESSAGES. THOSE IN CVRMCS PRIMARY AND SECONDARY SERVICE AREAS ARE PRIMARILY WHITE AND HISPANIC; HAVE A LOWER PERCENTAGE THAN THE U.S. WITH A HIGH SCHOOL DEGREE, AND A HIGHER PERCENTAGE THAN THE U.S. WITH LOWER INCOMES.DIAGNOSIS-RELATED GROUPSGROUPS OF PATIENTS TEND TO HAVE COMMON DEMOGRAPHIC, DIAGNOSTIC, AND THERAPEUTIC ATTRIBUTES THAT DETERMINE THEIR HEALTHCARE NEEDS. DIAGNOSIS-RELATED GROUPS (DRG) FORM A MANAGEABLE, CLINICALLY COHERENT SET OF PATIENT CLASSES RELATING CVRMCS CASE MIX TO THE RESOURCE DEMANDS AND THE ASSOCIATED COSTS EXPERIENCED BY THE HOSPITAL. DATABASE OF 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 WORK THROUGH CASE MANAGEMENT, DISCHARGE PLANNING, AND SOCIAL WORK PROVIDED BY CVRMC, DATA IS GENERATED BY SPECIFIC DIAGNOSIS RELATED GROUPS.THIS DIAGNOSIS DATA BY GROUP COULD BE USED TO IDENTIFY KEY RISKS FOR CHANGE, I.E. TOBACCO CESSATION OR WEIGHT MANAGEMENT PROGRAMS. MANY OF THESE GROUPS MOVE ON TO LONG-TERM CARE FACILITIES, HOSPICE SERVICES, OR HOME CARE NEEDS. true Eastern Arizona College 615 N Stadium Ave Thatcher AZ 85552 237031373 170(b)(1)(A)(iv) 81237 0 FMV Supplement Nursing Pgm Gila County 1400 E Ash St Globe AZ 85501 Govt 20300 0 FMV Community Support Gila County Fair Inc PO Box 906 Globe AZ 85502 464288515 509(a)(2) 18952 0 FMV County Fair/Other Community Support 3 0 Grantmaker's Description of How Grants are Used Grants funds are given to causes that will further the health of the community and align with the mission of Cobre Valley Regional Medical Center. X false false false false false false false false false Karen Gremminger Physician 440800 440800 Patrick Law Physician 588169 588169 Peter Seipel Physician 506917 506917 Scott Croft Physician 560543 560543 Scott Revell Physician 555859 555859 A Cobre Valley Regional Med 860732836 2014-09-12 33000000 Refunding & Financing Construc false false false A 5711964 33000000 1214433 215000 26762651 5745000 2016 true false true true A false false false false true false true A false false false false false NA NA false true A true Form 990, Part VI, Section A, Line 3 The CEO and CFO duties are carried out by employees of HealthTech Management Services, Inc. (HealthTech), an unrelated management company. Compensation is included in the management fee paid to HealthTech. The management fee for 2023 was $1,414,165. Form 990, Part VI, Section B, Line 11b A CPA firm prepared and reviews the form 990 from data gathered and provided by the CVRMC. The return is then provided to the CFO for review and approval. Any questions or concerns the CFO has are addressed and any correction or clarifications are made. The final Form 990, with all required schedules, is made available to the full board prior to filing. Form 990, Part VI, Section B, Line 12c Board members and officers are covered by the organization's conflict of interest policy and are required to annually complete a questionnaire disclosing any and all possible conflicts of interest. Form 990, Part VI, Section B, Line 15a The Officers' compensation is determined by a review conducted by HealthTech Management Services, Inc. using data provided by a nationally recognized management consulting firm, along with Form 990 data from comparable organizations and other hospitals managed by HealthTech. Once this information has been compiled and reviewed, a meeting is held with the board and a decision is made on the Officer's compensation. Form 990, Part VI, Section B, Line 15b The Officers' compensation is determined by a review conducted by HealthTech Management Services, Inc. using data provided by a nationally recognized management consulting firm, along with Form 990 data from comparable organizations and other hospitals managed by HealthTech. Once this information has been compiled and reviewed, a meeting is held with the board and a decision is made on the Officer's compensation. Form 990, Part VI, Section C, Line 19 Available upon request. Form 990, Part XI, Line 9 Net assets changes in assets held with donor restrictions = $100164 Form 990, Part VI, Section A Please see note on Part VI, Section A, Line 3. Officers of the organization are provided by a management company.Voting Board member Dr. Alan Osumi was compensated by CVRMC for medical staff leadership services provided. Dr. Osumi's compensation exceeded the allowable amount to maintain voting independence, but did not meet the requirements to be reported on Schedule L. See Part VI, Section A, Line 1b. Form 990, Part X Balance Sheet, Line 15, Other Assets Other Assets: Other assets consist of bond issuance costs for the Series 2014 Bonds and other loan fees. These deferred costs are amortized over the straight-line method over the life of the bonds and loans, ending balance was $192,571. Cash and cash equivalents held in reserve for debt service totaled $1,284,418, $564,521 was held for the 457(f) plan, and $801,177 in fixed income securities in the form of corporate bonds and notes. Form 990, Schedule H Part V, Section D - Facility Information Facilities are listed in order from Largest to smallest. Please disregard the number appearing to the left of the name of the facility, which does not have any significance. Form 990, Schedule H Part VI, Line 4 - Community Building Activities continued from Schedule HCOMMUNITY HEALTH NEEDS ASSESSMENT(CHNA)THE HOSPITALS CHNA WAS MADE WIDELY AVAILABLE TO THE PUBLIC IN 2023.STAKEHOLDERS ACROSS THE CVRMC SERVICE REGION ENGAGED IN A COMMUNITY-DRIVEN PROCESS TO IDENTIFY THE MOST PRESSING HEALTH ISSUES FACING RESIDENTS. FACILITATED BY PINNACLE PREVENTION AND CVRMC, COMMUNITY MEMBERS AND ORGANIZATIONS CAME TOGETHER TO PROVIDE VALUABLE INSIGHTS ON EXPERIENCES OF HEALTH AND SICKNESS, AS WELL AS REALISTIC WAYS TO AFFECT CHANGE. THE CHNA GENERATED THE DATA THROUGH COMMUNITY SURVEYS, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS.THE IMPLEMENTATION PLAN (CHIP) WAS DEVELOPED AND CONTINUES TO BE EXECUTED TO RESPOND TO KEY FACTORS THAT MAY BE LIMITING OUR COMMUNITIES ABILITY TO LEAD FULL, HAPPY AND HEALTHY LIVES.THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLAN CAN BE FOUND ON THE CVRMC WEBSITE, WWW.CVRMC.ORG.CULTURE-THE CVRMC MISSION AND VISION STATEMENTS SET THE STAGE FOR THE CULTURE OF OUR HOSPITAL. THE CVRMC STANDARDS OF PERFORMANCE ARE THE FRAMEWORK OF BEHAVIORS THAT ALL EMPLOYEES WILL EXHIBIT WHEN INTERACTING WITH PATIENTS, CUSTOMERS, ANDCO-WORKERS. THE STANDARDS REFLECT OUR PHILOSOPHY OF SERVICE.-CUSTOMER SERVICE TRAINING REINFORCES THE EXPECTATIONS OF EACH EMPLOYEE, MOVING EVERYONES BEHAVIORS, MANNERS, AND ACTIONS IN THE SAME POSITIVE DIRECTION.-EMPATHIC COMMUNICATION TRAINING FOR ALL EMPLOYEES REINFORCES OUR COMMITMENT TO PATIENTS FIRST AND FOREMOST.-COMMUNICATION TRAINING FOR ALL EMPLOYEES DEVELOPS THE ABILITY TO RESOLVE CONFLICT AND ADDRESS PATIENT AND FAMILY CONCERNS.-RECRUITMENT HAS BECOME ONE OF ATTITUDE AS WELL AS APTITUDE. THOSE POTENTIAL EMPLOYEES ARE SOUGHT OUT NOT ONLY FOR THEIR ABILITY AND SKILLS TO PERFORM A WORKASSIGNMENT BUT THE STRENGTH OF THEIR CHARACTER AS IT ALIGNS WITH THE MISSION, VISION, AND STANDARDS EXPECTED OF A CVRMC EMPLOYEE.COMMUNITY PARTNERSHIPS-COLLABORATION HAS BECOME A CORNER STONE FOR CVRMC. WE DO NOT FUNCTION AS A SEPARATE ENTITY APART FROM OUR COMMUNITY BUT RATHER AS A FUNDAMENTAL LINK IN THE CHAIN. CVRMC HAS CREATED MANY PARTNERSHIPS THROUGHOUT ITS SERVICE REGION AND BEYOND CREATING INTERDEPENDENCE BETWEEN ORGANIZATIONS.AS CVRMC MOVES FORWARD TO PROMOTE HEALTH AND WELLNESS WITHIN OUR SERVICE COMMUNITIES, OUR RESPONSE TO THE NEEDS OF SPECIAL POPULATIONS WILL BE ESSENTIAL FOR THE REPORTING STANDARDS FOR "COMMUNITY HEALTH NEEDS. TOGETHER, WITH THE ASSISTANCE OF HEALTHCARE ORGANIZATIONS AND PROFESSIONALS OF OUR AREA, A WELL-CONSTRUCTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN IS THE GUIDING DOCUMENT TO RESPOND TO THE IDENTIFIED HEALTH NEEDS OF OUR DIVERSE COMMUNITIES, PROVIDING CHARITABLE CARE WITH PURPOSE, AND SUPPORTING EDUCATIONAL SERVICES AND PROGRAMS FOR THE GOOD OF OUR PUBLIC. Form 990, Schedule H Part VI, Line 5-Promotion of Community Health Continued from Schedule H.TELE-PHARMACY/CURBSIDE SERVICE - THROUGH ITS EXPANDED AMBULATORY PHARMACY SERVICES, CVRMC MAKES CURBSIDE PRESCRIPTION DELIVERY AVAILABLE.COMMUNITY AWARENESS, EDUCATION (FACEBOOK/NEWS ARTICLES/WEBPAGE, ETC.) SPONSORSHIPS FOR EDUCATION/ATHLETIC/TEAMS, COMMUNITY EVENTS DOWNTOWN HALLOWEEN, HOMECOMING PARADES, JOB FAIRS, ETC.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, CERTIFICATIONS AND TRAINING, CHILDBIRTH CLASSES, COUNTY FAIR, DOWNTOWN HALLOWEEN TRICK OR TREAT, JOB SHADOWING, AND WORKFORCE DEVELOPMENT.KEARNY CLINIC - PLANS TO BUILD A NEW CLINIC FOR THE RESIDENTS OF THE TOWN OF KEARNY CONTINUED TO TAKE SHAPE IN 2023. ARCHITECT DESIGNS WERE Completed and construction was launched in 2023 ANTICIPATION OF THE NEW KEARNY CLINIC'S COMPLETION, Scheduled for late 2024.COMMUNITY PROGRAMS AND IMPROVEMENTS TO SERVICESCOMMUNITY HEALTH PARTNERSHIPS - THROUGH 2023, CVRMC ALONG WITH THE GILA COUNTY HEALTH DEPARTMENT CREATED A STRONG ALLIANCE THROUGH THE PANDEMIC. DISSEMINATING KNOWLEDGE AND INFORMATION THROUGHOUT THE COUNTY (ESPECIALLY SOUTHERN GILA COUNTY FOR CVRMC) WAS CRUCIAL DURING THIS TIME. CVRMC continues its strong relationship with the County in 2023.EMPLOYEE EDUCATION COBRE VALLEY REGIONAL MEDICAL CENTERS COMMITMENT TO HIGHER EDUCATION FOR EMPLOYEES IS EVIDENT IN THE CONTINUATION OF TUITION ASSISTANCE. EMPLOYEES ARE ENCOURAGED TO FURTHER THEIR EDUCATION WHICH IN TURN PROVIDES BETTER CARE FOR PATIENTS. THE TUITION ASSISTANCE PROGRAM IS A BENEFIT PROVIDED TO ASSIST EMPLOYEES IN IMPROVING THEIR JOB CAPABILITIES WITHIN THEIR WORK ENVIRONMENT. THE HOSPTIAL ALSO SPONSORS A NURSING PROFESSOR POSITION AT THE LOCAL COMMUNITY COLLEGE TO ENHANCE AND ASSURE THE STRENGTH OF THE LOCAL NURSING PROGRAM.STANDARDS OF PERFORMANCE AND CUSTOMER SERVICE TRAINING THE CVRMC STANDARDS OF PERFORMANCE ARE DESIGNED AND CREATED BY A TEAM OF HOSPITAL STAFF AND CONSIST OF 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, ANDCO-WORKERS. THESE STANDARDS ALSO PROVIDE THE CRITERIA BY WHICH AN EMPLOYEE IS EVALUATED.IN OUR STANDARDS OF PERFORMANCE, WE IDENTIFY PATIENTS, CUSTOMERS, AND CO-WORKERS AS OUR TARGET SERVICE POPULATIONS. AT CVRMC WE CONSIDER CUSTOMERS TO INCLUDE PHYSICIANS, FAMILIES, VENDORS, SUPPLIERS, AND ANYONE ELSE THAT WE HAVE CONTACT WITH AND THE BEHAVIOR EXPECTATIONS INCLUDE PRIVACY, ATTITUDE, COMMUNICATION, TEAMWORK, COURTESY, ACCOUNTABILITY, APPEARANCE, RESPONSIVENESS, AND SAFETY.EVERY EMPLOYEE OF CVRMC IS REQUIRED TO ATTEND CUSTOMER SERVICE TRAINING TO HELP DRIVE OUR MISSION STATEMENT AND TO GUIDE THEM IN THE STANDARDS OF PERFORMANCE AT EVERY LEVEL OF THE ORGANIZATION. THIS CUSTOMER TRAINING IS ALSO OFFERED TO EVERY PHYSICIAN, THEIR OFFICE STAFF, AND ORGANIZATIONS WITHIN THE REGION, FREE OF CHARGE, IN ORDER TO CREATE A REGIONAL CULTURE OF COURTESY AND RESPECT.SAN CARLOS, PARTNER SERVICE AREA - ADJACENT TO THE SAN CARLOS APACHE RESERVATION, CVRMC SERVES AS A PARTNER IN ACUTE OBSTETRIC, PODIATRY, ORTHOPEDIC, ONCOLOGY AND SURGICAL SERVICES FOR RESERVATION RESIDENTS REFERRED BY THEIR HOSPITAL OR THE CVRMC HOSPITAL PHYSICIANS WHO MAINTAIN CLINICAL HOURS AT SAN CARLOS. Form 990, Schedule H, Line 7g Subsidy paid for hospital-based physician services to ensure the community had access to these physicians. Subsidy represents amount paid over physician billings for services. Form 990, Schedule I, Part II & Form 990 Part IX, Ln 1 Grants to domestic organizations and governments in excess of $5000 (a total of $120,189) are required to be reported on Schedule I, Part II. Those have been listed accordingly. Other, minor grants were given that did not exceed the $5000 threshold, thus not reported on Schedule I, but are reflected in the total of grants to organizations/governments ($123,875) on Form 990, Part IX, Line 1 - Grants and other assistance. RHS 1 5880 South Hospital Drive Globe AZ 85501 853369589 Support Charitable Healthcare AZ 501c3 3 Cobre Valley Regional Medical Center false RHS 5880 South Hospital Drive Globe AZ 85501 853388099 Parent of Healthcare Support Orgs AZ 501c3 3 Cobre Valley Regional Medical Center false false false false false false false false false false false false false false true true false false false false Explanation of Relationship to Related Orgs The relationship between Cobre Valley Regional Medical Center (CVRMC) with RHS and RHS 1 exists to enable the entities to continue to further their common charitable purposes. Their common agents/officers, provided by CVRMC, make them related organizations. Sch R, Part V, Section 2 For all items marked "Yes" in Part V, Section I, the amounts are less than the transaction threshold of $50,000 (There was no activity on the part of these related organizations for the tax year), and thus are not required to be reported.