2025-11-17T11:42:40-08:00 2024-12-31 Inger Alice Camille Sullenger 3046 Whispering Meadow Ln Plain City UT 84404 990 2024-01-01 860732836 Cobre Valley Regional Medical Center COBR 9284253261 5880 S Hospital Drive Globe AZ 85501 Harold Dupper CFO 2025-11-17 true true Inger Sullenger CPA P01464277 5413636707 X 2024 2025-03-06 01:10:19Z Harold Dupper CFO 115441747 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. 9 9 569 30 0 2749640 1209728 98272954 109579939 1892466 3740096 880574 911984 103795634 115441747 126375 30777 0 40723632 41525918 0 0 48934037 57873059 89784044 99429754 14011590 16011993 157588831 176141030 63958770 65347840 93630061 110793190 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 59178557 30777 109660094 FOR THE YEAR ENDED 12/31/2024, COBRE VALLEY REGIONAL MEDICAL CENTER (CVRMC) CARRIED OUT 157,476 PATIENT VISITS, COMPRISED AS: 72,594 HOSPITAL OUTPATIENT, 15,439 OUTPATIENT EMERGENCY VISITS, 67,503 CLINIC OUTPATIENT, AND 1940 HOSPITAL INPATIENT.ALONG WITH PROVIDING ACUTE HEALTHCARE SERVICES TO THE COMMUNITY AS A NON-PROFIT ENTITY, CVRMC IS COMMITTED TO being a good community partner 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, HOUSING COMMITTEES, COMMUNITY DEVELOPMENT, AND YOUTH ATHLETIC PROGRAMS, TO NAME 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 2024 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, and development of urology is a newly targeted service for this 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. Moving beyond THE Public Health Emergency (PHE), CVRMC PROVIDEs A COMMUNITY HEALTH LEADERSHIP ROLE TO SUPPORT THE COMMUNITY EFFORTS AND RESPONSE TO return to development of community health initiatives disrupted by the PHE. The experience of the PHE confirm that the continued accOMPLISHMENTS in serving CVRMC's needs 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. 59178557 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 135 0 true 569 true false false false false false false false 0 false false false false false false false X 9 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 Scott Croft Physician 40.00 0.00 530754 0 55396 Patrick Law Physician 40.00 0.00 539211 0 33578 Peter Seipel Physician 40.00 0.00 450094 0 49179 Scott Revell Physician 40.00 0.00 435380 0 37143 Karen Gremminger Physician 40.00 0.00 463332 0 0 Dr Alan Osumi Trustee 1.00 0.00 X 0 0 8775 Jendean Sartain Chair 1.00 0.00 X 0 0 0 Judy Bessee Vice Chair 1.00 0.00 X 0 0 0 Jack Bradford Treasurer 1.00 0.00 X 0 0 0 Fernando Shipley Secretary 1.00 0.00 X 0 0 0 Robert Hollis Trustee 1.00 0.00 X 0 0 0 Ed Carpenter Trustee 1.00 0.00 X 0 0 0 James B Rasmussen Trustee 1.00 0.00 X 0 0 0 Paula Horn Trustee 1.00 0.00 X 0 0 0 2418771 184071 81 false true false Valley Anesthesiology Consultants PO Box 744883 Atlanta GA 303744883 Anesthesia Services 2391042 Rural Physicians Management Co LLC 5575 DTC Pkwy Ste 225 Ste A-436 Greenwood Village CO 80111 Hospitalist Services 1861665 Affilion of Cobre Valley 703 Collections Center Dr Chicago IL 60693 Emergency Physicians Svcs 1627158 Cardiovascular Associates of Arizon 2683 E Mead Place Chandler AZ 85249 Cardiology Services 724603 Medical Solutions PO Box 850737 Minneapolis MN 554850737 Contract Lbr Nursing 700901 37 1208978 750 1209728 Net Patient Svc Revenue 621400 109579939 109579939 109579939 3740096 3740096 0 0 321962 321962 321962 321962 0 0 0 0 Cafeteria 509867 509867 Records, Rebates & Other 621400 80155 80155 590022 115441747 109660094 4571925 X 30777 30777 0 0 0 8775 5223 3552 0 34768483 20693490 14074993 826380 491844 334536 3587020 2134921 1452099 2335260 1389899 945361 1100527 655011 445516 220049 130969 89080 49150 29253 19897 0 0 0 12079140 7189257 4889883 0 0 0 0 1077578 641352 436226 0 0 0 1541419 917421 623998 0 5479059 3261024 2218035 1176652 700319 476333 Supplies 18126887 10788753 7338134 Purchased services & Other 12649179 7528533 5120646 Community Support Pledge 2250000 1339154 910846 Repairs & Maintenance 1524027 907070 616957 599392 344287 255105 99429754 59178557 40251197 0 11398243 10808603 91759122 106586725 0 6507107 10376609 0 0 1505472 1030313 2843156 2824266 1282043 1273845 113194083 73042319 39451001 40151764 0 0 0 0 2842687 3088905 157588831 176141030 34195767 37298063 27288036 26336332 2474967 1713445 63958770 65347840 X 92701836 109724372 928225 1068818 93630061 110793190 157588831 176141030 X 16011993 1010543 140593 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 890027 890027 58205845 35071055 23134790 4302429 3046945 1255484 43686561 34924319 8762242 6109221 6109221 40151764 X 115441747 115441747 115441747 99429754 99429754 99429754 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 646611 646611 0.00650 27595609 18662379 8933230 0.08980 28242220 18662379 9579841 0.09630 2990 2990 5897864 5897864 0.05930 30777 30777 0.00030 5931631 5931631 0.05960 34173851 18662379 15511472 0.15590 2285605 2285605 0.02300 2285605 2285605 0.02300 true 589339 57272 11078873 11378257 -299384 X true true 1 1 Cobre Valley Regional Medical 5880 S Hospital Dr Globe AZ 85501 www.cvrmc.org RGH0126 X X X X 1 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 false 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 16j Due to personnel changes, CVRMC was unable to publicize a version of the FAP translated into primary languages of LEP populations. CVRMC is in the process of addressing this. 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.METHODS OF ASSESSING COMMUNITY HEALTHCARE NEEDS INCLUDE:1.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. ADDITIONALLY, DIRECT FEEDBACK FROM PATIENTS AND FAMILY MEMBERS IS 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.2.SECONDARY DATA SOURCESA VARIETY OF SECONDARY DATA SOURCES WERE USED TO OBTAIN DATA ABOUT BOTH HEALTH TRENDS AND HEALTH DISPARITIES IN THE COMMUNITIES SERVED BY CVRMC (SEE THE 2023 CHNA FOR DETAILS OF THE OVERALL DATA COLLECTION METHODOLOGIES OF THE CHNA).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. 3.Outpatient SurveysCVRMC 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.4.HOSPITAL CONSUMERS ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) 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.5.PATIENT CONCERNS/COMPLAINTS TRACKING 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.6.Participation in the Law-making processHealthcare is one of the most regulated sectors of the U.S. economy.LEGISLATIVE DECISIONS WILL HAVE A DRAMATIC EFFECT ON THE DIRECTION CVRMC WILL MOVE REGARDING COMMUNITY BENEFIT AS WELL AS HOW HEALTHCARE FOR THE REGION WILL BE FINANCED AND DELIVERED.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.7.PAYER MIXTracking and analysis of third-party sources which pay claims for services billed is often referred to as payer mix analysis. BY IDENTIFYING third-party CUSTOMERS (payers), CVRMC IS ABLE TO make general DETERMINations regarding which segments of the population are being PROVIDED services. 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.8.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.9.DATABASE OF ADMISSIONS And discharge diagnosis analysisQUERIES 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. 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 INDIVIDUALS WHO QUALIFY FOR ASSISTANCE ARE INDIVIDUALLY AND PRIVATELY Counseled REGARDING A PAYMENT STRUCTURE; PATIENTS WITH HIGH DEDUCTIBLES AND/OR OUT-OF-POCKET COSTS may be eligible for FA per the FAP. Measures to widely publicize the policy - THE FA POLICY IS MADE AVAILABLE AT DIFFERENT TIMES OF A PATIENT'S CARE: AT REGISTRATION, ADMISSION, DISCHARGE and a notification of the FAP is included on the patient billing statements. 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 INDIVIDUALS WHO QUALIFY FOR ASSISTANCE IN ACCORDANCE WITH THE TERMS AND CONDITIONS HEREIN. IT ALSO APPLIES TO PHYSICIAN SERVICES PROVIDED BY CVRMC EMPLOYED PHYSICIANS, Rural health 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 payments received for all medicare and private insurance CLAIMS OF MEDICALLY NECESSARY SERVICES PROVIDED AT CVRMC PAID and fully settled (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 150TH DAY THE HOSPITAL PROVIDES THE INDIVIDUAL WITH THE FIRST STATEMENT FOR CARE PROVIDED or 90 days following the date an account is referred to collections because the self-pay account balance is deemed uncollectible after normal hospital self-pay collections efforts. "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 or underinsured 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. "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 reevaluated 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 Requested ON THE APPLICATION. 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. 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. 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 30,000 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 rural health 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 was held in 2024 with strong community participation and a diverse list of exhibitors. -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 are encouraged throughout the CVRMC organization. Connecting local students to the vocational opportunities in healthcare are vital to developing the next generation of healthcare workers.-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 and families support Little League, soccer, football, and youth basketball. Employees serve on the Boards or actively support a variety of community organizations. -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. To encourage active youth lifestyles, 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, CVRMC, and others. 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 for medical education. Part VI, Line 5 - Promotion of Community Health PATIENT EXPERIENCE, PEOPLE, GROWTH, AND COMMUNITY. IN 2023, CVRMC Fully transitioned from a more narrow focus on response to the public health emergency of recent years and once again focused efforts 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.1.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, INCLUDING THE 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)2.AQUATIC CENTER (ONGOING) THE CITY OF Miami MADE A DECISION TO RHABILITATE AND RE-OPEN ITS COMMUNITY POOL THAT HAD BEEN CLOSED FOR several YEARS. CVRMC RECOGNIZING THE IMPORTANCE OF RECREATIONAL FACILITIES TO ENHANCING COMMUNITY HEALTH COMMITTED TO SEE THIS PROJECT COME TO FRUITION. THIS PROJECT IS consistent with CVRMC's STRATEGIC PLAN TO IMPROVE THE HEALTH AND WELLNESS OF OUR REGION. IN 2024, CVRMC PLEDGED A MAJOR GRANT TO THE CITY OF Miami 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 2024, THE POOL RESTORATION PROJECT WAS COMPLETED.3.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 2024, THE HOSPTIAL CONTINUED THE SUPPORT AND MAINTENANCE OF THE WALKING PATH, WHICH continued as a HIGHLY UTILIZED COMMUNITY HEALTH RESOURCE IN 2024. 4.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 2024, SEVERAL OF THE SPECIALTY PROVIDER SERVICES HAVE BEEN ENHANCED AND STRENGTHENED FOR THE COMMUNITY. THERE IS STILL OPPORTUNITY TO ADDITIONALLY STRENGTHEN SPECIALTY SERVICES. 5.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. Growth of this service continued in 2024. 6.COMMUNITY Workdays and 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.7.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 2024.8.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 SCHOOL programs ACROSS ARIZONA. 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.9.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.10.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.TELE-PHARMACY/CURBSIDE SERVICE - THROUGH ITS EXPANDED AMBULATORY PHARMACY SERVICES, CVRMC CONTINUES TO MAKES CURBSIDE PRESCRIPTION DELIVERY AVAILABLE IN 2024.COMMUNITY AWARENESS, EDUCATION (FACEBOOK/NEWS ARTICLES/WEBPAGE, ETC.) SPONSORSHIPS FOR EDUCATION/ATHLETIC/TEAMS, COMMUNITY EVENTS DOWNTOWN HALLOWEEN, HOMECOMING PARADES, JOB FAIRS, ETC, A VIBRANT ACTIVE COMMUNITY WITH EVENTS TO ENGAGE FAMILIES ARE VITAL TO COMMUNITY HEALTH.OTHER - CVRMC IS INVOLVED IN MANY OTHER COMMUNITY ACTIVITIE Part VI, Line 7 - States Filing of Community Benefit Report AZ true Gila County Fair Inc PO Box 906 Globe AZ 85502 464288515 18800 0 County Fair/Other Community Support 1 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 463332 463332 Patrick Law Physician 539211 33578 572789 Peter Seipel Physician 450094 20154 29025 499273 Scott Croft Physician 530754 22934 32462 586150 Scott Revell Physician 435380 15692 21451 472523 A Cobre Valley Regional Med 860732836 2014-09-12 33000000 Refunding & Financing Construc false false false A 6663668 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 2024 was $1,031,112. 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 Officers' 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 Officers' 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 = $140593 Form 990 Schedule H, Part 3(c) Funds were approved by the Board of Directors as pledged to a new city park in the amount of $2.25M. The project will be a collaborative effort funded by several local organizations. 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 did not exceed the allowable amount to maintain voting independence, nor did it 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 $127,874. Cash and cash equivalents held in reserve for debt service totaled $1,326,855, $653,993 was held for the 457(f) plan, and $923,313 in fixed income securities in the form of corporate bonds and notes. Other assests also include Land held for investment, in the amount of $56,870. 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 5-Promotion of Community Health Continued from Schedule H.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 in excess of 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 $18,800) 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 ($30,777) 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.