2024-08-14T12:32:35-07:00 2023-09-30 472718509 JWT & Associates LLP 1111 East Herndon Avenue Suite 211 Fresno CA 93720 990 2022-10-01 860260959 La Paz Regional Hospital LAPA 9286697400 1200 W Mohave Rd Parker AZ 85344 Zafer Genc CEO 2024-08-14 true true Inger Sullenger CPA P01464277 5413636707 X 2022 2024-08-08 14:25:15Z Zafer Genc 1200 W Mohave Rd Parker AZ 85344 39772089 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. 11 10 320 72 0 2013826 585330 29314649 37872084 63096 399008 1546186 915667 32937757 39772089 0 0 16051244 18933981 0 0 18222078 18681464 34273322 37615445 -1335565 2156644 31302767 34561023 3030857 4137831 28271910 30423192 To provide inpatient, outpatient healthcare and clinic Services to the residents and visitors of La Paz County and San Bernardino County. false false 21444565 38330351 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 2022/2023 fiscal year-ended, total visits were 53,407 for a total of 18,814 patients treated. Inpatient visits totaled 526. Outpatient visits totaled 20,850. Other visits provided included: 8,814 ED visits, 3,033 Urgent Care visits, and 20,184 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. 21444565 true true false true false false false false false false true false false false true false true false false false false false false false false false true true false false true false false false false false true false false false false false false false true false false false true X 31 0 true 320 true false false false false false false false 0 false false false false false false false X 11 10 true false false false false false false true true false false true true true true true true true true false X Accounting Department 9286697400 1200 W Mohave Rd Parker AZ 85344 X Norman Mendoza MD Physician 40.00 0.00 570526 0 20798 Adam Canton MD Physician 40.00 0.00 300523 0 13863 Brett Gochnour Physician 40.00 0.00 230979 0 18655 Zafer Genc CEO 40.00 0.00 X X 230053 0 13324 Jonathan Woolery MD Chf of Staff 40.00 0.00 X 201438 0 0 Maria Martinez CNO 40.00 0.00 X 149319 0 8317 Sylvia McGuire ER Director 40.00 0.00 133075 0 14361 Larry Sanders Pharmacist 40.00 0.00 121726 0 11967 Brant Truman CFO Part Yr 40.00 0.00 X 108979 0 633 Sam Grant CFO Part Yr 40.00 0.00 X 86000 0 0 Vicki Hopkins CFO Part Yr 40.00 0.00 X 37000 0 0 Christine Barrington Current CFO 40.00 0.00 X 15578 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 Keith Shillito MD Director 1.00 0.00 X 0 0 0 Mary Hamilton 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 Cory Madoneczky Director 1.00 0.00 X 0 0 0 Randy Smith Director 1.00 0.00 X 0 0 0 2185196 101918 23 false true false Jack Dunn MD 2610 Patio Simpatico Lake Havasu City AZ 86406 Radiology 287500 Joel Braunstein MD 1200 W Mohave Rd Parker AZ 85344 Physician Svc/RHC 231844 Adaptive Workforce Solutions 3451 S Mercy Rd Ste 103 Gilbert AZ 85297 Staffing 225930 Paul ONeill MD PC 2260 Palmer Dr Lake Havasu AZ 86406 Physician Svcs 146000 Ly Thomas MD 1200 Mohave Rd Parker AZ 85344 Phys Svc/Hospitalist 123120 8 X 335330 250000 585330 Patient service revenues 622000 37872084 37872084 37872084 399008 399008 0 0 73221 73221 73221 73221 0 0 0 0 Cafeteria, Gym, Etc. 384179 384179 Other Miscellaneous 622000 458267 458267 842446 39772089 38330351 856408 X 0 0 0 0 649203 370113 279090 0 14120934 8050344 6070590 346394 197479 148915 2711089 1545592 1165497 1106361 630736 475625 61950 35318 26632 8824 5031 3793 113254 64566 48688 0 0 0 6535275 3725760 2809515 109643 62507 47136 70824 40377 30447 0 0 962206 548554 413652 64844 36968 27876 0 0 0 0 1780920 1015302 765618 408874 233099 175775 Supplies 4664642 2659312 2005330 Repairs & Maintenance 1508452 859968 648484 AHCCCS Prov Fees & Other 979790 558578 421212 Other Purchased services 753550 429599 323951 658416 375362 283054 37615445 21444565 16170880 0 4972304 5953668 11343338 13541508 0 2805977 2731767 0 0 0 988843 848019 290602 356614 35017124 25349188 10259240 9667936 0 0 0 0 642463 1461511 31302767 34561023 3030857 3077329 1060502 3030857 4137831 X 28232856 30389500 39054 33692 28271910 30423192 31302767 34561023 X 2156644 -5362 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 1046 false false false 1046 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 22/23 was $1046. Part IV - Additional Information 15000 53474 68474 18075582 10834958 7240624 113619 49350 64269 16759449 14464880 2294569 9667936 Estimated Third Party Settlements 1060502 1060502 39772089 39772089 39772089 37615445 37615445 37615445 true true X true X true X true true false false true true 179091 179091 0.00480 7631838 2925905 4705933 0.12510 3675972 3675972 0.09770 11486901 2925905 8560996 0.22760 14304 14304 0.00040 14304 14304 0.00040 11501205 2925905 8575300 0.22800 true 1605554 10769903 12758165 -1988262 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. Four years ago, 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 give a 30% discount regardless of income level). 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 30% 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 River Health Clinic FKA Parker Fam PractPodiatry 1200 W Mohave Parker AZ 85344 Rural Health Clinic La Paz Medical Clinic Services 150 E Tyson Rd Quartzsite AZ 85359 Rural Health Clinic, Quartzsite Imaging located within 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 30% discount regardless of income level). Part VI, Line 4 - Community Information LPRH serves La Paz County, Arizona and the surrounding California area. Four years ago, La Paz County, Arizona had the oldest population average in the USA. La Paz County, Arizona 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 285523 15000 11603 2260 314386 19500 Brett Gochnour Physician 230928 51 9593 9062 249634 19500 Jonathan Woolery MD Chf of Staff 201438 201438 Maria Martinez CNO 149319 6057 2260 157636 2600 Norman Mendoza MD Physician 570475 51 11736 9062 591324 Zafer Genc CEO 200053 30000 7879 5445 243377 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 by the CEO 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 243377 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 XI, Line 9 Assets released from restriction = -$5362 Form 990 Part VIII, Ln 6a Rental expenses were extremely minor ($210), and due to that, 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 Chief Executive Officer and Chief Financial Officer (CFO) employed during the fiscal year are listed in Part VII, as well as their hours per week, and compensation. There were several former or interim CFOs serving in the 22/23 fiscal year that preceded Christine Barrington, thus, their hours and compensation have been included in this section of the return. 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. Form 990, Part VII, Sect. A, 1a, Ln 5 Jonathan Woolery, MD is the Chief of Staff for the Hospital. During the year, he was compensated by Emcare Physicians, which is paid via contract by the Hospital for a group of approximately 10 physicians. Due to time constraints on gathering this information, the amount on this return reported as Woolery's compensation has been estimated by the total paid to Emcare Physicians of $2,014,383 divided by 10, or $201,438. 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.