Civic Intelligence

Arkansas Valley Regional Medical

EIN 84-1465990 • 501(c)3 • LA Junta, CO

Profile

The medical center is a community-owned organization that will work in partnership with the communities we serve to promote the health and well- being of individuals and families in southeastern colorado.

1100 Carson AvenueLA Junta, CO 81050

www.avrmc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

47th percentile

0.19x

Higher debt load relative to assets than 47% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Liabilities / Revenue

26th percentile

0.10x

Higher debt load relative to revenue than 26% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Net Margin

25th percentile

-3.6%

Higher net margin than 25% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Top Officer Pay

89th percentile

$707,466

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 1.6% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Asset Growth

11th percentile

-7.2%

Faster asset growth than 11% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Revenue Growth

63rd percentile

14%

Faster revenue growth than 63% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Assets

Down

$24,566,356

Down $1,904,773 (-7.2%) from 2024

Liabilities

Down

$4,601,337

Down $304,146 (-6.2%) from 2024

Net Assets

Down

$19,965,019

Down $1,600,627 (-7.4%) from 2024

Revenue

Up

$44,629,531

Up $5,416,471 (+14%) from 2024

Expenses

Up

$46,230,158

Up $3,351,644 (+7.8%) from 2024

Net Income

Up

-$1,600,627

Up $2,064,827 (+56%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2011: $38,537,716Liabilities 2011: $4,228,109Net Assets 2011: $34,309,6072011Assets 2012: $40,444,057Liabilities 2012: $5,679,402Net Assets 2012: $34,764,6552012Assets 2013: $36,398,149Liabilities 2013: $5,431,649Net Assets 2013: $30,966,5002013Assets 2014: $34,508,649Liabilities 2014: $4,276,723Net Assets 2014: $30,231,9262014Assets 2015: $32,161,401Liabilities 2015: $5,086,936Net Assets 2015: $27,074,4652015Assets 2016: $32,456,983Liabilities 2016: $4,905,575Net Assets 2016: $27,551,4082016Assets 2017: $34,340,430Liabilities 2017: $6,682,376Net Assets 2017: $27,658,0542017Assets 2018: $31,585,088Liabilities 2018: $4,233,836Net Assets 2018: $27,351,2522018Assets 2019: $30,718,343Liabilities 2019: $4,431,172Net Assets 2019: $26,287,1712019Assets 2020: $27,424,705Liabilities 2020: $3,715,053Net Assets 2020: $23,709,6522020Assets 2021: $33,050,587Liabilities 2021: $12,532,808Net Assets 2021: $20,517,7792021Assets 2022: $30,929,100Liabilities 2022: $4,142,278Net Assets 2022: $26,786,8222022Assets 2023: $29,094,380Liabilities 2023: $3,883,963Net Assets 2023: $25,210,4172023Assets 2024: $26,471,129Liabilities 2024: $4,905,483Net Assets 2024: $21,565,6462024Assets 2025: $24,566,356Liabilities 2025: $4,601,337Net Assets 2025: $19,965,0192025

Highlighted filing

2025

Assets$24,566,356
Liabilities$4,601,337
Net Assets$19,965,019

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MRevenue 2011: $39,090,422Expenses 2011: $38,545,096Net Income 2011: $545,3262011Expenses 2012: $44,272,2382012Revenue 2013: $40,566,495Expenses 2013: $44,373,007Net Income 2013: -$3,806,5122013Revenue 2014: $42,122,817Expenses 2014: $42,842,251Net Income 2014: -$719,4342014Revenue 2015: $39,924,784Expenses 2015: $43,078,168Net Income 2015: -$3,153,3842015Revenue 2016: $41,467,381Expenses 2016: $40,988,251Net Income 2016: $479,1302016Revenue 2017: $41,887,042Expenses 2017: $41,780,396Net Income 2017: $106,6462017Revenue 2018: $38,770,133Expenses 2018: $39,786,385Net Income 2018: -$1,016,2522018Revenue 2019: $38,369,087Expenses 2019: $39,497,887Net Income 2019: -$1,128,8002019Revenue 2020: $35,852,151Expenses 2020: $38,427,952Net Income 2020: -$2,575,8012020Revenue 2021: $34,708,147Expenses 2021: $37,898,036Net Income 2021: -$3,189,8892021Revenue 2022: $44,586,795Expenses 2022: $38,321,393Net Income 2022: $6,265,4022022Revenue 2023: $37,215,635Expenses 2023: $38,805,522Net Income 2023: -$1,589,8872023Revenue 2024: $39,213,060Expenses 2024: $42,878,514Net Income 2024: -$3,665,4542024Revenue 2025: $44,629,531Expenses 2025: $46,230,158Net Income 2025: -$1,600,6272025

Highlighted filing

2025

Revenue$44,629,531
Expenses$46,230,158
Net Income-$1,600,627

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$24.6$4.60$20.0$44.6$46.2$1.60
2024Detailed filing. Detailed filing data is available for this year.$26.5$4.91$21.6$39.2$42.9$3.67
2023Detailed filing. Detailed filing data is available for this year.$29.1$3.88$25.2$37.2$38.8$1.59
2022Detailed filing. Detailed filing data is available for this year.$30.9$4.14$26.8$44.6$38.3$6.27
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$33.1$12.5$20.5$34.7$37.9$3.19
2020Detailed filing. Detailed filing data is available for this year.$27.4$3.72$23.7$35.9$38.4$2.58
2019Detailed filing. Detailed filing data is available for this year.$30.7$4.43$26.3$38.4$39.5$1.13
2018Detailed filing. Detailed filing data is available for this year.$31.6$4.23$27.4$38.8$39.8$1.02
2017Detailed filing. Detailed filing data is available for this year.$34.3$6.68$27.7$41.9$41.8$0.11
2016Detailed filing. Detailed filing data is available for this year.$32.5$4.91$27.6$41.5$41.0$0.48
2015Detailed filing. Detailed filing data is available for this year.$32.2$5.09$27.1$39.9$43.1$3.15
2014Detailed filing. Detailed filing data is available for this year.$34.5$4.28$30.2$42.1$42.8$0.72
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$36.4$5.43$31.0$40.6$44.4$3.81
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$40.4$5.68$34.8$44.3
2011Summary only. Only limited summary data is available for this year.$38.5$4.23$34.3$39.1$38.5$0.55
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Apr 1, 2024 to Mar 31, 2025
Signed
Feb 17, 2026
Return Version
2024v5.5
Gross Receipts
$44,800,411
Mission and Program Overview

Mission

The center is a community-owned organization providing high quality, respectful, and compassionate health care services to individuals & families in southeast colorado.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$12,687,207$11,915,581▼ $771,626
Accounts Receivable$7,918,616$6,056,937▼ $1,861,679
Cash and Non-Interest-Bearing Accounts$2,273,026$2,970,396▲ $697,370
Savings and Temporary Cash Investments$1,271,093$1,270,411▼ $682
Inventories for Sale or Use$1,057,550$1,082,251▲ $24,701
Prepaid Expenses and Deferred Charges$367,607$437,401▲ $69,794
Total Assets$26,471,129$24,566,356▼ $1,904,773
Other Assets Total$896,030$833,379▼ $62,651
Liabilities
Accounts Payable and Accrued Expenses$4,083,688$4,307,210▲ $223,522
Mortgage Notes Payable Secured by Investment Property$821,795$294,127▼ $527,668
Total Liabilities$4,905,483$4,601,337▼ $304,146
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$20,996,002$19,410,832▼ $1,585,170
Net Assets With Donor Restrictions$569,644$554,187▼ $15,457
Total Net Assets Fund Balance$21,565,646$19,965,019▼ $1,600,627
Total Liabilities and Net Assets / Fund Balance$26,471,129$24,566,356▼ $1,904,773

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$9,911,865$17,734,721$27,646,586
Equipment$1,954,467$2,261,655$4,216,122
Other Land Buildings$32,594$209,796$242,390
Land$16,655-$16,655
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Michael Morley DoDirector/physicianFT$654,140$53,326$707,466
James BradyPhysicianFT$488,803$44,745$533,548
Albert SternsPhysicianFT$490,271$27,534$517,805
Jesus Carale MdDirector/physicianFT$496,017$14,235$510,252
Debbie CecilPhysicianFT$399,260$44,546$443,806
Paola Sanchez GarayPhysicianFT$361,533$11,560$373,093
Thomas JacksonPhysicianFT$314,864$38,863$353,727
David a Flemer JrCEOFT$305,760$42,092$347,852
Heidi GearhartCNOFT$183,252$7,432$190,684

Board Members and Trustees

NameTitle
Dale LeightyChair
Rob PickeringVice Chair
Betty VelasquezDirector
Gary GibsonDirector
Gloria ThomasDirector
Patrick MalottDirector
Paul VelasquezDirector
William JacksonDirector
Richard SheerinInterim CFO (through August 2024)
Joseph PentlickiSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Arkansas Valley AnesthesiaAnesthesia Services29272 COUNTY RD 23, Rocky Ford, CO 81067$773,752
Nighthawk CorpRadiology Reads25983 NETWORK PLC, Detroit, MI 48201$649,706
Delta Locum TenensLocums PhysiciansPO BOX 202940, Dallas, TX 75320$608,242
Triage LLCTravel Nurses13609 CALIFORNIA ST, Omaha, NE 68154$460,422
Aya Healthcare INCTravel Nurses5930 CORNERSTONE CT W, San Diego, CA 92121$455,360
Revenue and Support

Revenue Composition

Contributions and Grants
$2,456,230
Program Service Revenue
$41,806,399
Investment Income
$99,838
Other Revenue
$267,064
All Other Contributions
$100,036
Change in Net Assets
$-1,600,627

Audited Revenue Reconciliation

Revenue per Audited Statements
$41,443,648
Revenue Not Reported on Financial Statements
$3,185,883
Revenue Not Reported on Form 990
$174,108
Other Revenue Adjustments
$3,185,883
Total Revenue per Audited Statements
$41,617,756
Total Revenue per Form 990
$44,629,531
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$25,726,572
Other Expenses$20,503,586
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$17,781,786$2,344,542-$20,126,328
Fees for Services Other$4,967,080$1,389,257-$6,356,337
Occupancy$1,558,952$1,403,974-$2,962,926
Other Employee Benefits$1,521,850$332,888-$1,854,738
Current Officers, Directors, Trustees, and Key Employees$1,156,148$431,568-$1,587,716
Payroll Taxes$1,264,313$281,988-$1,546,301
Depreciation Depletion$1,264,188$29,343-$1,293,531
All Other Expenses$992,418$196,105-$1,188,523
Pension Plan Contributions$507,163$104,326-$611,489
Other Expenses$417,735$104,461-$522,196
Insurance$277,648$36,539-$314,187
Fees for Services Accounting$80,668$22,562-$103,230
Travel$47,298$11,827-$59,125
Advertising$44,278$11,072-$55,350
Office Expenses$12,005$3,002-$15,007
Fees for Services Legal$11,189$3,129-$14,318
Interest$7,037--$7,037
Total Functional Expenses$39,412,987$6,817,171$0$46,230,158

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$46,230,158
Total Expenses per Audited Statements$43,202,926
Expenses per Audited Statements$43,044,275
Expenses Not Reported on Financial Statements$3,185,883
Other Expense Adjustments$3,185,883
Expenses Not Reported on Form 990$158,651
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Aaron CrowellFamily MemberEmploymentNo$100,308
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

Paul velasquez (director) & betty velasquez (director) are related family members.

Form 990, Part VI, Section A, Line 3

The medical center contracts with community hospital consulting (chc), for healthcare management services to provide specialized healthcare services. The board of directors work in conjunction with chc and the board has ultimate authority and responsibility for the organization. Chc was paid $153,353 for the fiscal year offering management, consulting, and various other services.

Form 990, Part VI, Section A, Line 7A

The medical center's board of directors consists of eleven members. The city of la junta appoints four members, one of which is a member of the city of la junta's city council. The medical center appoints the remaining members, two of which are physicians.

Form 990, Part VI, Section B, Line 11B

A copy of the 990 is provided to the ceo and cfo who review the form, schedules and related attachments. Any comments or questions are addressed with the preparer and a final draft is presented to the board of directors who then approve the 990. Once management is satisfied with the 990, the ceo signs the form 8879-te authorizing the preparer to e-file the return.

Form 990, Part VI, Section B, Line 12C

Board members and key employees submit conflicts of interest each year to regularly review any possible conflicts with the written conflict of interest policy.

Form 990, Part VI, Section B, Line 15

During the period reported, the board of directors did not participate in the review or approval of compensation arrangements. The chief executive officer established the compensation for the chief nursing officer. For all other positions, compensation was determined by the human resources director, with the approval of the chief executive officer, using comparative data from the colorado hospital association's annual salary survey. This process was last completed in 2025.

Form 990, Part VI, Section C, Line 19

Governing documents, conflict of interest policy, and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
Arkansas Valley Regional Medical Center
EIN
84-1465990
Phone
7193836026
Address
1100 CARSON AVENUE, LA JUNTA, CO 81050

Signing Officer

Name
Ronald E Hogan
Title
CEO
Phone
7193836026
Signed
2026-02-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ronald E Hogan
Formed
1997
Legal Domicile
Co
Voting Board Members
11
Independent Board Members
9
Employees
390
Volunteers
72

Preparer

Firm
Cliftonlarsonallen Llp
Address
600 WASHINGTON AVENUE SUITE 1800, ST LOUIS, MO 63101
Preparer
Stephanie Mccarthy
Phone
3149254300
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 2

The organization opened a new family medicine/ob clinic.

Form 990, Part IX, Line 11G

Other fees: program service expenses 4,967,080. Management and general expenses 1,389,257. Fundraising expenses 0. Total expenses 6,356,337.

FORM 990, PART XII, LINE 2C:

The process for oversight and selection of an independent accountant has not changed from the prior year.

Financial Statement Notes

PART X, LINE 2:

The irs has determined that the organization is a tax-exempt, nonprofit corporation under section 501(c)(3) of the internal revenue code (irc). The organization follows the guidance in the accounting standards regarding the recognition and measurement of uncertain tax positions. The guidance clarifies the accounting for uncertainty in income taxes recognized in an entity's financial statements. The guidance further prescribes recognition and measurement of tax provisions taken or expected to be taken on a tax return that are not certain to be realized. The application of this standard has no impact on the organization's financial statements. The organization's income tax returns are subject to review and examination by federal state, and local authorities.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Rental expense reclassified to statement of revenue 158,651. Change in beneficial interest in perpetual trust 15,457.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

BAD DEBT 3,185,883.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Rental expense reclassified to statement of revenue 158,651.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

BAD DEBT 3,185,883.

Raw XML AppendixShowing 400 of 899 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0THE CENTER IS A COMMUNITY-OWNED ORGANIZATION PROVIDING HIGH QUALITY, RESPECTFUL, AND COMPASSIONATE HEALTH CARE SERVICES TO INDIVIDUALS & FAMILIES IN SOUTHEAST COLORADO.
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IRS990/Desc0THE MEDICAL CENTER OPERATES AN ACUTE-CARE HOSPITAL AND PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO THE COMMUNITY REGARDLESS OF RACE AND INSURANCE. THE MEDICAL CENTER PROVIDED 1,742 INPATIENT DAYS, 38,503 OUTPATIENT VISITS, 12,767 EMERGENCY ROOM VISITS, AND 127 BIRTHS DURING THE YEAR. THE MEDICAL CENTER ALSO PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY.
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