2025-07-28T03:51:28-07:00 2024-09-30 Inger Alice Camille Sullenger 3046 Whispering Meadow Ln Plain City UT 84404 990 2023-10-01 860260959 La Paz Regional Hospital LAPA 9286697400 1200 W Mohave Rd Parker AZ 85344 Christine Barrington CFO 2025-07-28 true true Inger Sullenger CPA P01464277 5413636707 X 2023 2025-03-06 01:10:19Z Christine Barrington 1200 W Mohave Rd Parker AZ 85344 48894797 false X lapazhospital.org X 2000 AZ Healthcare provided: General acute & intensive hospital care; lab; radiology; ultrasound; CT; mammagrophy; MRI; cardiopulmonary; emergency room; urgent care; catheterization lab; general & orthopedic surgery; rural health clinics. 10 9 393 78 0 585330 229498 37872084 46909108 399008 860554 915667 895637 39772089 48894797 0 0 18933981 24464583 0 0 18681464 22576484 37615445 47041067 2156644 1853730 34561023 35531096 4137831 3265313 30423192 32265783 To provide inpatient, outpatient healthcare and clinic Services to the residents and visitors of La Paz County and San Bernardino County. false false 26818112 47610570 La Paz Regional Hospital (LPRH) is a 25-bed rural hospital. Effective 10/23/2013, LPRH received Medicare approval as a CAH (Critical Access Hospital). LPRH operates the hospital and rural health clinics in Salome, Bouse, Quartzsite, and a Podiatry clinic in Parker. These clinics are the only health care available in Salome and Bouse, and the only full time service in Quartzsite. The hospital is the only general hospital in La Paz County. Between our hospital and clinics, we are an essential component of county health and welfare. During the 2023/2024 fiscal year-ended, total visits were 49,551 for a total of 19,489 patients treated. Inpatient visits totaled 443. Outpatient visits totaled 21,121. Other visits provided included: 8,428 ED visits, 3,684 Urgent Care visits, and 15,875 clinic visits.Our mission is to serve the residents of La Paz County and the surrounding California areas of Big River and Earp, two unincorporated areas without any healthcare resources and several hours from resources in San Bernardino. Our board of directors is chosen from our communities such that we have representation from across the county. Directors are unpaid and give tirelessly of their time and energies.The Hospital is operating a satellite x-ray unit in Quartzsite, Arizona, and a surgical addition in Parker that includes nuclear medicine and a cardiac cath lab. Nuclear medicine opened in November 2009 and the cath lab and surgical suite opened in January 2010. On September 1, 2012, the Hospital opened the Parker Medical Center. On December 13, 2013, the La Paz Clinical Ventures, LLC (Joint Venture) was dissolved. The former joint venture created in calendar year 2017, with Arizona Health Collaborative, LLC, was effectively ended when the Hospital entered into a Group Purchasing Organization effort with Dignity Health. All Arizona Health Collaborative Activity was effectively terminated and transfered to activity through this membership group. 26818112 true true false true false false false false false false true false false false false false true false false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true X 31 0 true 393 true false false false false false false false 0 false false false false false false false X 10 9 true false false false false false false true true false false true true true true true true true true false X Accounting Department 9286699201 1200 W Mohave Rd Parker AZ 85344 X Norman Mendoza MD Physician 40.00 0.00 613312 0 58679 Adam Canton MD Physician 40.00 0.00 398413 0 24635 Zafer Genc CEO 40.00 0.00 X 386430 0 33445 Brett Gochnour Physician 40.00 0.00 296925 0 46653 Christine Barrington CFO 40.00 0.00 X 223668 0 39874 Steve Howe CNO 40.00 0.00 X 205213 0 38223 Omar Iniquez Pharmacist 40.00 0.00 187386 0 50390 Denise Roemen-Kramer Nurse Practitioner 40.00 0.00 188192 0 16529 Jonathan Woolery MD Chf of Staff 3.00 0.00 X 35100 0 0 Maria Martinez CNO Partial Yr 40.00 0.00 X 23909 0 0 Cheryl Montijo Chair 1.00 0.00 X 0 0 0 Norman Simpson Past Chair 1.00 0.00 X 0 0 0 Julian Barbara Vice-Chair 1.00 0.00 X 0 0 0 Kimberly McDermott Director 1.00 0.00 X 0 0 0 Cory Madoneczky Secy-Treasurer 1.00 0.00 X 0 0 0 Linda Cushman Director 1.00 0.00 X 0 0 0 Robert Page Director 1.00 0.00 X 0 0 0 Lin Bachtel Member@Large 1.00 0.00 X 0 0 0 Randy Smith Director 1.00 0.00 X 0 0 0 2558548 308428 24 false true false Adaptive Workforce Solutions 3451 S Mercy Rd Ste 103 Gilbert AZ 85297 Staffing 247682 Fayz Yar Khan MD 12746 N Windrose Dr Scottsdale AZ 85260 Physician Svcs 209086 Jack Dunn MD PLLC 2610 Patio Simpatico Lake Havasu AZ 86406 Physician Svcs 200000 East West Medicine Group 6040 E Main St 381 Mesa AZ 85205 Physician Staffing 159645 4 X 47752 181746 229498 Patient service revenues 622000 46909108 46909108 46909108 860554 860554 0 0 65265 65265 65265 65265 0 0 0 0 Cafeteria, Vending, etc. 128910 128910 Refunds & Other Miscellaneous 622000 701462 701462 830372 48894797 47610570 1054729 X 0 0 0 0 985862 562037 423825 0 16985395 9683374 7302021 366047 208683 157364 4872287 2777691 2094596 1254992 715471 539521 555420 316645 238775 18198 10375 7823 51151 29161 21990 0 0 0 8665293 4940084 3725209 291685 166290 125395 110312 62889 47423 0 0 674110 384310 289800 88554 50485 38069 0 0 0 0 1794432 1023006 771426 452228 257815 194413 Supplies 4963890 2829914 2133976 Equipment Rent & Maintenance 2727577 1554992 1172585 AHCCCS Provider Fees 1223658 697607 526051 Other Purchased services 504253 287475 216778 455723 259808 195915 47041067 26818112 20222955 0 5953668 5691667 13541508 10648206 0 2731767 3275902 0 0 0 848019 839733 356614 426617 40562516 27081220 9667936 13481296 0 0 0 0 1461511 1167675 34561023 35531096 3077329 3265313 1060502 4137831 3265313 X 30389500 32243230 33692 22553 30423192 32265783 34561023 35531096 1853730 -11139 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 1739 false false false 1739 false false Part II-B, Line 1i - Other Activities Description The hospital is a member of Arizona Hospital and Healthcare Association(AzHHA), and pays annual dues to maintain its membership. AzHHA spends a portion of the Hospital's dues on lobbying expenses. The amount of lobbying-related dues expended by AzHHA for the fiscal year 23/24 was $1739. Part IV - Additional Information 668000 231821 899821 20538952 11599775 8939177 332287 73615 258672 18791456 15407830 3383626 13481296 48894797 48894797 48894797 47041067 47041067 47041067 true true X true X true X true true false false true true 285614 285614 0.00610 9502941 3643237 5859704 0.12460 9788555 3643237 6145318 0.13070 2817678 2817678 0.05990 22553 22553 0.00050 2840231 2840231 0.06040 12628786 3643237 8985549 0.19110 true 1920032 11684516 13047595 -1363079 X true true 1 1 La Paz Regional Hospital 1200 W Mohave Rd parker AZ 85344 lapazhospital.org H0138 X X X La Paz Regional Hospital 1 false false true X X X X X X X X X 23 true false false true X www.lapazhospital.org X X true 23 true www.lapazhospital.org true false true X 100.0000 200.0000 X X X X X X true true X X X X X true X lapazhospital.org X lapazhospital.org X lapazhospital.org X X X X X X true X X X true X X X X X X X true X false false Facility: La Paz Regional Hospital - Part V, Section B, Line 5 The Hospital worked with La Paz County Health Department and other community groups within the Service Area conducting focus group meetings and survey data collection associated with health needs. Facility: La Paz Regional Hospital - Part V, Section B, Line 7d Shared throughout local health related agencies Facility: La Paz Regional Hospital - Part V, Section B, Line 11 The community services is La Paz County, Arizona and the surrounding California area. Historically, La Paz County, Arizona had the oldest population average in the USA. La Paz County, Arizona currently has the thirteenth oldest population average in the USA. However, La Paz County, Arizona remains the oldest population in the State of Arizona. The communities are predominantly rural,and are geographically spread out and within a 60-mile radious of Parker, AZ. There are many winter visitors to the Community. Twenty percent of hospital patients resulted from winter visitors. It also has one of the poorest and least educated populations in Arizona. Most of the identified needs are outside of the ability / responsibility of La Paz Regional Hospital and must be resolved through a multi-organizational strategy. The Hospital worked with La Paz County Health Department and other community groups within the Service Area conducting focus group meetings and survey data collection associated with health needs. Facility: La Paz Regional Hospital - Part V, Section B, Line 13b The Hospital gives discounts for individuals with income up to 200% FPG. The writeoffs start at 100% discount for up to 100% FPG to 0% discount for greater than 200% FPG. For Self Pay (i.e. individuals with no insurance, we historically gave a 30% discount regardless of income level). Effective 2024, the Self Pay discount increased to 60%.A sliding fee scale is offered for those with incomes ranging from 100-200% of FPG. Facility: La Paz Regional Hospital - Part V, Section B, Line 13h Medicaid/Medicare allowable amounts are factored into calculations charged to patients, as are State regulations. Facility: La Paz Regional Hospital - Part V, Section B, Line 15e See note on Sch H, Part VI, Line 3Step 1 - During Patient Registration, the Hospital Staff ask about their insurance coverage. Then they will explain that additional financial assistance may be available from the hospital if they do not have coverage. They will then (a) give them the financial assistance application if they want it or (b) refer them to the hospital website where the forms are available under Payments/Insurance on the main menu, then by selecting Financial Assistance in the drop down menu. The applications and guidelines are posted there. Step 2 If patient requests, the financial assistance appication is mailed to them. Step 3 - Information about the Finance Assistance is also posted in all of the patient registration areas /waiting areas.Charity Care Eligibility Criteria (read in conjunction with information from Part 1, lines 3A and 3B) The Hospital gives discounts for individuals with income up to 200% FPG. The writeoffs start at 100% discount for up to 100% FPG to 0% discount for greater than 200% FPG. For Self Pay (i.e. individuals with no insurance, we give a 60% discount regardless of income level). Facility: La Paz Regional Hospital - Part V, Section B, Line 16j Application offered in Spanish and English. Patients were informed of this policy at registration. Facility: La Paz Regional Hospital - Part V, Section B, Line 19e The Hospital has engaged a 3rd party agency to provide "early out" services to connect immediately with patients who are self pay or have remaining self pay portions after insurance before turning an account over to an outside collection agency. La Paz Urgent Care 1200 W Mohave Parker AZ 85344 Urgent Care La Paz Medical Clinic Services 150 E Tyson Rd Quartzsite AZ 85359 Rural Health Clinic, Quartzsite Imaging located within River Health Clinic FKA Parker Fam PractPodiatry 1200 W Mohave Parker AZ 85344 Rural Health Clinic Parker Podiatry Clinic 1713 S Kofa Ave Ste K Parker AZ 85344 Specialty Clinic Tri-Valley Medical Center 39726 Harquahala Rd Salome AZ 85348 Rural Health Clinic Bouse Medical Clinic 44031 E Plomosa Rd Bouse AZ 85325 Rural Health Clinic Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The "Ratio of Cost to Charges" was calculated by dividing "Total Cost" by "Total Gross Patient Charges." Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit None. Charity has separate accounting. Part III, Line 4 - Bad Debt Expense There is no financial statement note describing bad debt expense. The cost is computed based on the ratio of cost to charges. There is a financial statement footnote related to charity care:Charity Care: The Hospital generally accepts all patients regardless of their ability to pay. A patient is classified as a charity patient by reference to certain established policies of the Hospital. Essentially, these policies define charity services as those services for which no payment is anticipated. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as net patient service revenues. Services provided are recorded as gross patient service revenues and then written off entirely as an adjustment to net patient service revenues. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients All accounts are treated the same until a "Financial Assistance Application" is completed and returned for review. The Billing and Collection Policy and Procedures are posted via a hyper link on the Financial Assistance page of the Hospital website. Part VI, Line 2 - Needs Assessment The Hospital worked with local health related agencies to gather community member and public health expert input in conducting the most recent Community Health Needs Assessment. Specifically, the Hospital worked with La Paz County Health Department and other community groups within the Service Area conducting focus group meetings and survey data collection associated with health needs. Part VI, Line 3 - Patient Education of Eligibility for Assistance Step 1 during the Patient Registration, the Hospital Staff ask about their insurance coverage will explain the additional financial assistance maybe available from the hospital if they do not have the coverage. Step 2 is financial assistance application with copy of the policy is mailed with monthly statements to the patient. Step 3 is information about the financial assistance is made available to anyone, who ask. Step 4 is information about financial assistance is posted in all of the patient registration / waiting areas.Charity Care Eligibility Criteria (read in conjunction with information from Part 1, lines 3A and 3B) The Hospital gives discounts for individuals with income up to 200% FPG. The writeoffs start at 100% discount for up to 100% FPG to 0% discount for greater than 200% FPG. For Self Pay (i.e. individuals with no insurance, we give a 60% discount regardless of income level). Part VI, Line 4 - Community Information LPRH serves La Paz County, Arizona and the surrounding California area. Historically, La Paz County, Arizona had the oldest population average in the USA. La Paz County, Arizona currently has the thirteenth oldest population average in the USA. However, La Paz County, Arizona remains the oldest population in the State of Arizona. The communities are predominantly rural areas. The communities are geographically spread out and within a 60 mile radius of Parker, AZ. There are many winter visitors to the Community. Part VI, Line 4 - Community Building Activities The Hospital continues to recruit Physicians and mid-level Providers for their Service Area. Including employing the Providers. The Hospital provides a Specialty Clinic, where out of town Specialty see patients in the center of the service area. Part VI, Line 5 - Promotion of Community Health Please refer to CHNA report and its Implementation Strategy contained within it (pages 31-33), found on organization's website and attached to the Form 990. Part VI, Line 6 - Affilated Health Care System N/A Part VI, Line 7 - States Filing of Community Benefit Report N/A Part VI - Additional Information N/A X X X X X X false false false false false false false false false Adam Canton MD Physician 383413 15000 12541 12094 423048 Brett Gochnour Physician 296925 46653 343578 Christine Barrington CFO 193668 30000 10400 29474 263542 Denise Roemen-Kramer Nurse Practitioner 165936 22256 16529 204721 Norman Mendoza MD Physician 583312 30000 11213 47466 671991 Omar Iniquez Pharmacist 180314 7072 6500 43890 237776 Steve Howe CNO 183213 22000 38223 243436 Zafer Genc CEO 336430 50000 33445 419875 Part III, Additional Information Part II, Column D - Hospital employees pay approximately 26.3% of their self-insured group health plan, plus group life insurance and pension cost.Compensation of highest paid officers and other individuals is reviewed and approved by the Board of Directors each year during the budget process, and arrangements are solidified in written employment contracts. Sources utilized by the Board when reviewing fair market value in compensation include market surveys, salary ranges, and Form 990 information of comparable organizations. Bonus or incentive compensation may be earned based on the individual's unique qualifications and succcessful achievement of different goals as determined and evaluated annually by the Board of Directors. Zafer Genc CEO/Board Member 419875 Compensated as CEO false Schedule L, Part V Supplemental Information The CEO, Zafer Genc, also serves as a Board Member. Since his compensation as CEO was in excess of $100,000, it is required to be reported on Schedule L. Zafer Genc was not compensated for services as a Board Member. Receiving compensation as the CEO impairs Zafer Genc's independence since he does possess the right to vote as a Director on matters brought before the Board. However, Mr. Genc recuses himself from any votes related to transactions where he has a financial interest. Form 990, Part VI, Section A, Line 1a There is a finance committee in place that handles financial issues on behalf of the full Board. Form 990, Part VI, Section A, Line 2 Receiving compensation as the CEO, while simultaneously serving as a board member, impairs Zafer Genc's independence. However, Mr. Genc recuses himself from any votes related to transactions where he has a financial interest. Form 990, Part VI, Section B, Line 11b CFO presents the 990 to the finance committee, and revision is performed as required. The Finance Committee then makes a recommendation to the Hospital Board for approval. Form 990, Part VI, Section B, Line 12c Conflicts of interest are a quarterly agenda item, when review and discussion occurs to confirm there are no new issues. If there is a conflict of interest, the Board member is required to resolve the conflict within 30 days or resign from the Board of Directors. Form 990, Part VI, Section B, Line 15a The compensation of the CEO and key employees is reviewed annually by the Human Resources Director and presented to the Board of Directors. Comparative compensation information is gathered from surveys and public disclosure of Form 990 information. The compensation committee of the Board of Directors reviews this information along with the performance of the CEO and key employees to determine their compensation. Form 990, Part VI, Section B, Line 15b The compensation of the CEO and key employees is reviewed annually by the Human Resources Director and presented to the Board of Directors. Comparative compensation information is gathered from surveys and public disclosure of Form 990 information. The compensation committee of the Board of Directors reviews this information along with the performance of the CEO and key employees to determine their compensation. Form 990, Part VI, Section C, Line 19 Public documents can be reviewed upon request. Form 990 Part VIII, Ln 6a Rental expenses were extremely minor, therefore the Hospital does not typically allocate them to each rental facility. Thus, they were included with Occupancy expenses on the Form 990, Part IX, Statement of Functional Expenses. Form 990, Page 1, Section F & Part VII The CNO position was filled for part of the year by Maria Martinez. The new CNO, Steve Howe, replaced Maria Martinez. Both were compensated during 2023 and are listed in Part VII. Form 990, Part I, Line 6 The Hospital volunteers help in the Gift Shop, Cafeteria, reception booths, and various other capacities as needs dictate. Form 990, Part V, Lines 7a & 7b The Hospital did receive contributions from donors, although none of them were made partly for goods and for services. Donors gave donations without the receipt of any goods or services, and if applicable, the donor was properly notified of the deductible value of the donation they made. Thus questions 7a&b were marked "No," since no goods and services in combination were received by donors. Form 990, Part VII, Column F & Sch J, Col D Hospital employees pay approximately 26.3% of their self-insured group health plan, plus group life insurance and pension cost. Schedule H, Part V, Ln 10 a & b The Implementation plan is contained in the CHNA document on pages 31-33. It is posted on the Hospital website, as well as attached to this return. La Paz Regional Hospital Auxiliary PO Box 1606 Parker AZ 85344 860516206 Support La Paz Regional Hospital AZ 501(c)(3) 12d III-O La Paz Regional Hospital false La Paz Hospital District 1200 W Mohave Rd Parker AZ 85344 Healthcare AZ Govt N/A NA false false false false false false false false false false false false false false true true false false false false Sch R, Part II, Explanation of Relationship to Related Org The relationship between La Paz Regional Hospital and La Paz Health Care District and La Paz Auxiliary exists to enable these organizations to continue to further their common purposes. Their common agents make them related organizations. 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, and thus are not reported.