FLAGSTAFF MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: FLAGSTAFF MEDICAL CENTER (EIN 86-0110232)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-13
IRS object ID: 202641339349305484
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-13T13:53:13+00:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 E WASHINGTON ST	AddressLine1Txt
City	PHOENIX	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	860110232	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Flagstaff Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	FLAG	BusinessNameControlTxt
Phone	9287793366	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	POST OFFICE BOX 1268	AddressLine1Txt
City	FLAGSTAFF	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	860021268	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	FLORENCE L SPYROW	PersonNm
Person Title	NAH PRESIDENT/CEO	PersonTitleTxt
Signature	2026-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Steven T Rutti	PreparerPersonNm
PTIN	P00775456	PTIN
Phone	6023223000	PhoneNum
Preparation	2026-05-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAVID CHENEY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 N BEAVER STREET	AddressLine1Txt
City	FLAGSTAFF	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86001	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$637,369,657	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NAHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1936	FormationYr
Legal Domicile State	AZ	LegalDomicileStateCd
Activity Or Mission	IMPROVING HEALTH, HEALING PEOPLE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	130	TotalVolunteersCnt
Total Gross UBI	$180,176	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$211,985	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$365,368	PYContributionsGrantsAmt
CY Contributions Grants	$15,489,613	CYContributionsGrantsAmt
PY Program Service Revenue	$553,153,567	PYProgramServiceRevenueAmt
CY Program Service Revenue	$593,651,969	CYProgramServiceRevenueAmt
PY Investment Income	$11,553,524	PYInvestmentIncomeAmt
CY Investment Income	$26,687,307	CYInvestmentIncomeAmt
PY Other Revenue	$1,400,305	PYOtherRevenueAmt
CY Other Revenue	$1,540,768	CYOtherRevenueAmt
PY Total Revenue	$566,472,764	PYTotalRevenueAmt
CY Total Revenue	$637,369,657	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$207,920,730	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$216,288,175	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$303,813,943	PYOtherExpensesAmt
CY Other Expenses	$306,613,776	CYOtherExpensesAmt
PY Total Expenses	$511,734,673	PYTotalExpensesAmt
CY Total Expenses	$522,901,951	CYTotalExpensesAmt
PY Revenues Less Expenses	$54,738,091	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$114,467,706	CYRevenuesLessExpensesAmt
Total Assets BOY	$873,462,663	TotalAssetsBOYAmt
Total Assets EOY	$940,296,923	TotalAssetsEOYAmt
Total Liabilities BOY	$139,202,117	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$132,599,517	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$734,260,546	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$807,697,406	NetAssetsOrFundBalancesEOYAmt
Mission	IMPROVING HEALTH, HEALING PEOPLE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$415,236,344	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$529,482,238	RevenueAmt
Desc	Flagstaff Medical Center provides comprehensive healthcare services, including a 268-bed acute care hospital and trauma center, inpatient behavioral health care, specialty physician clinics, a cancer center, and physical rehabilitative therapies. IMPROVING HEALTH, HEALING PEOPLE. ONE OF THE NICEST THINGS ABOUT LIVING IN NORTHERN ARIZONA IS YOU DON'T HAVE TO TRAVEL TO GET EXCELLENT HEALTHCARE. SINCE 1936, FLAGSTAFF MEDICAL CENTER (FMC), A MEMBER OF NORTHERN ARIZONA HEALTHCARE, HAS PROVIDED HIGH QUALITY HEALTHCARE SERVICES TO RESIDENTS AND VISITORS OF NORTHERN ARIZONA. WE ARE DEDICATED TO PATIENT-CENTERED CARE WITH A PERSONAL TOUCH. FMC IS LICENSED BY MEDICARE AND THE STATE OF ARIZONA. FOUNDED BY DR. CHARLES SECHRIST AS FLAGSTAFF HOSPITAL, THE 25-BED HOSPITAL WAS DONATED TO THE COMMUNITY OF FLAGSTAFF IN 1955. TODAY, FLAGSTAFF MEDICAL CENTER REMAINS A NOT-FOR-PROFIT HOSPITAL, GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS. WE TREAT EVERY PATIENT, REGARDLESS OF THEIR ABILITY TO PAY. EVERY YEAR, FLAGSTAFF MEDICAL CENTER INVESTS IN ITS COMMUNITY HOSPITAL TO ENSURE WE ARE PROVIDING THE BEST, SAFEST CARE, CLOSE TO HOME. WE PROVIDE KEY SERVICES TO NORTHERN ARIZONA RESIDENTS AND VISITORS, INCLUDING A REGIONAL TRAUMA CENTER; OPEN-HEART SURGERY; HIGH-TECH IMAGING; A CANCER CENTER; SURGICAL SERVICES; ORTHOPEDIC SERVICES; WOMEN, INFANTS CHILDREN'S SERVICES; AND MORE. FMC CURRENTLY HAS: - 268 INPATIENT BEDS - 313 PHYSICIANS ON OUR ACTIVE MEDICAL STAFF - 21,380 ANNUAL INPATIENT HOSPITAL ADMISSIONS - 67,187 INPATIENT DAYS - 122,855 ANNUAL OUTPATIENT HOSPITAL VISITS - 48,682 ANNUAL EMERGENCY DEPARTMENT VISITS - 989 BABIES BORN THIS YEAR AT FMC FLAGSTAFF MEDICAL CENTER'S MISSION AND VISION ----------------------------------------------------------------------------------------------------------------------- MISSION - IMPROVING HEALTH, HEALING PEOPLE. VISION - ALWAYS BETTER CARE. EVERY PERSON, EVERY TIME...TOGETHER.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$39,156,882	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$50,975,763	RevenueAmt
Desc	GUARDIAN AIR PROVIDES AIR TRANSPORTATION SERVICES TO PATIENTS THROUGHOUT THE NORTHERN ARIZONA COMMUNITY, ENABLING FLAGSTAFF MEDICAL CENTER TO EXPAND ITS SCOPE OF SERVICES BY SERVING PATIENTS FROM THE MOMENT TREATMENT BEGINS IN THE AIR TRANSPORT.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$11,079,347	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$14,734,736	RevenueAmt
Desc	GUARDIAN MEDICAL TRANSPORT PROVIDES AMBULANCE SERVICES TO PATIENTS THROUGHOUT THE NORTHERN ARIZONA COMMUNITY, ENABLING FLAGSTAFF MEDICAL CENTER TO EXPAND ITS SCOPE OF SERVICES BY SERVING PATIENTS FROM THE MOMENT TREATMENT BEGINS IN THE GROUND AMBULANCE. GUARDIAN MEDICAL TRANSPORT HOLDS THE SOLE CERTIFICATE OF NEED FOR GROUND-BASED EMERGENCY TRANSPORT IN COCONINO COUNTY.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$465,472,573	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	310	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOHN CORTESE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9282143545	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 N BEAVER STREET	AddressLine1Txt
City	FLAGSTAFF	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86001	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Charlie Agee MD
Director/Secretary	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
David Cheney
NAH President/CEO	10.0	30.0	Yes (X)	Yes (X)	$0	$1,363,593	$46,325
John Rivers
Director/Treasurer	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
William Jeffers
Director/Treasurer	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
William Riley PHD
Director/ Chair	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Alice Gagnaire RN
Director	1.0	2.0	Yes (X)		$0	$0	$0
Daryl Melvin
Director	1.0	2.0	Yes (X)		$0	$0	$0
Janet Corrigan PHD
Director	1.0	2.0	Yes (X)		$0	$0	$0
Paula Herald
Director	1.0	2.0	Yes (X)		$0	$0	$0
Randall Garrison
Director	1.0	2.0	Yes (X)		$0	$0	$0
Richard Evnen
Director	1.0	2.0	Yes (X)		$0	$0	$0
Troy Lorents
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
William Badger MD
Director	1.0	2.0	Yes (X)		$0	$0	$0
Clifford Loader
Chief Financial Officer (THRU 3/25)	12.0	28.0		Yes (X)	$0	$695,683	$26,285
Rachel Levitan
INTERIM CMO	20.0	20.0		Yes (X)	$0	$201,500	$0
Robert Cofield
Chief Operating Officer	20.0	20.0		Yes (X)	$0	$648,213	$35,286
Tyffany J Sweeney
Chief Nursing Officer	20.0	20.0		Yes (X)	$0	$388,099	$26,684
Matt Sena
Vice President Operations	20.0	20.0			$0	$443,647	$88,877	Yes (X)
Dustin K Windle
Director Guardian Air Transport	40.0	0.0			$0	$211,059	$29,591		Yes (X)
Scott Waldrop
Director Pharmacy Services	20.0	20.0			$0	$263,198	$36,481		Yes (X)
Shannon Lane
Director Cardiovascular Systems	0.0	0.0			$0	$266,553	$27,428		Yes (X)
Susan A Howden
Director Surgical Services System	40.0	0.0			$0	$231,941	$22,379		Yes (X)
Yari Valle
Manager Outpatient Pharmacy	20.0	20.0			$0	$209,568	$34,002		Yes (X)
Derek Feuquay
Chief Medical Officer	20.0	20.0			$0	$640,771	$45,615			Yes (X)
Florence Spyrow
Former NAH President/CEO	0.0	0.0			$0	$249,113	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,812,938	TotReportableCompRltdOrgAmt
Total Other Compensation	$418,953	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
AYA HEALTHCARE INC
PO BOX 123519	DALLAS	TX	75312	CONTRACT LABOR	$41,701,880
METRO AVIATION INC
PO BOX 7008	Shreveport	LA	71137	AIR TRANSPORTATION SERVICES	$19,208,325
CALENCE LLC
PO BOX 731069	DALLAS	TX	75373	CONTRACT LABOR	$3,171,928
TRAUMA & ACUTE CARE SURGEONS OF NORTHERN AZ
77 W FOREST AVE STE 206	FLAGSTAFF	AZ	86001	MEDICAL SERVICES	$2,904,978
PHOENIX CARDIAC SURGERY
3131 E CLAREDON AVE	PHOENIX	AZ	85016	MEDICAL SERVICES	$2,890,988	STE 102

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	89	CntrctRcvdGreaterThan100KCnt
Government Grants	$15,215,135	GovernmentGrantsAmt
All Other Contributions	$274,478	AllOtherContributionsAmt
Total Contributions	$15,489,613	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES REVENUE	621110	$586,032,122	$586,032,122
PHARMACY REVENUE	446110	$4,894,290	$4,714,114	$180,176
CAFETERIA REVENUE	900099	$2,446,113	$2,446,113
INTERCOMPANY RENT INCOME	531120	$175,358	$175,358
AUXILIARY GIFT SHOP SALES	453220	$104,086	$104,086

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$593,651,969	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,866,027	TotalRevenueColumnAmt
Exclusion	$11,866,027	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$14,792,250	SecuritiesAmt
Other	$29,030	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$14,792,250	SecuritiesAmt
Other	$29,030	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,821,280	TotalRevenueColumnAmt
Exclusion	$14,821,280	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NON-PATIENT ROOMS	900099	$276,881	$276,881
STAND-BY FEES	900099	$166,933	$166,933
PROGRAM FEES	900099	$33,615	$33,615

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,063,339	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,063,339	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,540,768	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$637,369,657	TotalRevenueColumnAmt
Related Or Exempt Func Income	$595,012,561	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$180,176	UnrelatedBusinessRevenueAmt
Exclusion	$26,687,307	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,381,349	TotalAmt
Program Services	$564,231	ProgramServicesAmt
Management And General	$817,118	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$178,430,238	TotalAmt
Program Services	$165,738,074	ProgramServicesAmt
Management And General	$12,692,164	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,480,389	TotalAmt
Program Services	$7,877,159	ProgramServicesAmt
Management And General	$603,230	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,361,850	TotalAmt
Program Services	$15,197,993	ProgramServicesAmt
Management And General	$1,163,857	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,634,349	TotalAmt
Program Services	$10,806,770	ProgramServicesAmt
Management And General	$827,579	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$30,000	TotalAmt
Program Services	$30,000	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$143,047	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$143,047	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$49,357	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$49,357	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$6,750	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$6,750	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$38,623,508	TotalAmt
Program Services	$37,861,307	ProgramServicesAmt
Management And General	$762,201	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$381,446	TotalAmt
Program Services	$152,940	ProgramServicesAmt
Management And General	$228,506	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$111,754,430	TotalAmt
Program Services	$105,684,099	ProgramServicesAmt
Management And General	$6,070,331	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,898,601	TotalAmt
Program Services	$1,613,277	ProgramServicesAmt
Management And General	$1,285,324	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,947,051	TotalAmt
Program Services	$4,252,969	ProgramServicesAmt
Management And General	$694,082	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,095,449	TotalAmt
Program Services	$1,002,300	ProgramServicesAmt
Management And General	$93,149	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$277,377	TotalAmt
Program Services	$210,951	ProgramServicesAmt
Management And General	$66,426	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,621,975	TotalAmt
Program Services	$42,331	ProgramServicesAmt
Management And General	$2,579,644	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$87,219,716	TotalAmt
Program Services	$87,800,555	ProgramServicesAmt
Management And General	-$580,839	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,390,350	TotalAmt
Program Services	$20,323,384	ProgramServicesAmt
Management And General	$66,966	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,718,940	TotalAmt
Program Services	$380,584	ProgramServicesAmt
Management And General	$1,338,356	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
AHCCCS ASSESSMENTS	$23,995,335	$0	$23,995,335	$0
CONTRACT MAINTENANCE	$10,063,197	$5,091,197	$4,972,000	$0
COLLECTION EXPENSE	$90,649	$24,599	$66,050	$0
Miscellaneous EXPENSES	$306,598	$817,853	-$511,255

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$522,901,951	TotalAmt
Program Services	$465,472,573	ProgramServicesAmt
Management And General	$57,429,378	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,917,839	BOYAmt
EOY	$58,913,325	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$521,636	BOYAmt
EOY	$2,320,750	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$112,920,274	BOYAmt
EOY	$121,085,639	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$10,095,129	BOYAmt
EOY	$24,623,300	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,545,791	BOYAmt
EOY	$11,655,684	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,439,782	BOYAmt
EOY	$3,990,800	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$579,916,632	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$383,745,409	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$201,434,178	BOYAmt
EOY	$196,171,223	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$515,869,502	BOYAmt
EOY	$510,378,858	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,718,532	BOYAmt
EOY	$11,157,344	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$873,462,663	BOYAmt
EOY	$940,296,923	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$32,032,366	BOYAmt
EOY	$35,297,287	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$81,956,167	BOYAmt
EOY	$75,906,364	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$81,158	BOYAmt
EOY	$74,805	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$25,132,426	BOYAmt
EOY	$21,321,061	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$139,202,117	BOYAmt
EOY	$132,599,517	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$734,260,546	BOYAmt
EOY	$807,697,406	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$734,260,546	BOYAmt
EOY	$807,697,406	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$873,462,663	BOYAmt
EOY	$940,296,923	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$114,467,706	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$29,077,582	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$70,108,428	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$49,357	OtherActivitiesAmt
Total Lobbying Expenditures	$49,357	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	FLAGSTAFF MEDICAL CENTER PAID DUES TO THE AMERICA'S ESSENTIAL HOSPITALS AND THE HEALTH SYSTEM ALLIANCE OF ARIZONA. A PERCENTAGE OF THIS AMOUNT WAS ESTIMATED TO BE ATTRIBUTABLE TO LOBBYING RELATED TO HEALTH CARE ADVOCACY AT THE FEDERAL, STATE, REGIONAL AND LOCAL LEVELS.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,395,089	OtherCostOrOtherBasisAmt
Book Value	$5,395,089	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$280,032,317	OtherCostOrOtherBasisAmt
Depreciation	$183,652,842	DepreciationAmt
Book Value	$96,379,475	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,813,820	OtherCostOrOtherBasisAmt
Depreciation	$1,492,203	DepreciationAmt
Book Value	$321,617	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$235,701,651	OtherCostOrOtherBasisAmt
Depreciation	$195,461,546	DepreciationAmt
Book Value	$40,240,105	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,973,755	OtherCostOrOtherBasisAmt
Depreciation	$3,138,818	DepreciationAmt
Book Value	$53,834,937	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$196,171,223	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
Federal Income Taxes
DEFERRED LIABILITIES	$936,482
ACCRUED PENSION LIABILITY	$5,050,961
MALPRACTICE INSURANCE RESERVE LT	$5,544,804
OPERATING LEASE LIABILITY	$2,744,452
UNEMPLOYMENT PAYABLE	$651,498
OTHER-GAAP PRESENTATION	$483,186
THIRD-PARTY PAYOR SETTLEMENTS	$1,881,073
MALPRACTICE INSURANCE RESERVE	$1,340,168
PROFESSIONAL AND AUDIT FEES	$83,079
OTHER	$2,605,358

Field	Value	IRS element (for citing)
Total Liability	$21,321,061	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	THE CORPORATION IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION'S MANAGEMENT IS NOT AWARE OF ANY EVENTS THAT WOULD CAUSE THE CORPORATION TO LOSE ITS TAX-EXEMPT STATUS. MANAGEMENT HAS REVIEWED ALL OPEN TAX YEARS AND HAS DETERMINED THAT THE CORPORATION HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Indiv Hospital Tailored Policy	Yes (X)	IndivHospitalTailoredPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,296,486	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,296,486	NetCommunityBenefitExpnsAmt
Total Expense	0.02925	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$121,652,402	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,780,738	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,871,664	NetCommunityBenefitExpnsAmt
Total Expense	0.12980	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$136,948,888	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,780,738	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,168,150	NetCommunityBenefitExpnsAmt
Total Expense	0.15905	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,022,104	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,819	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,969,285	NetCommunityBenefitExpnsAmt
Total Expense	0.00568	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$140,159	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$140,159	NetCommunityBenefitExpnsAmt
Total Expense	0.00027	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,170	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,170	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,214,433	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,819	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,161,614	NetCommunityBenefitExpnsAmt
Total Expense	0.00605	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$140,163,321	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,833,557	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$86,329,764	NetCommunityBenefitExpnsAmt
Total Expense	0.16510	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,075	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,075	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$59,896	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$59,896	NetCommunityBenefitExpnsAmt
Total Expense	0.00011	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$32,533	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,533	NetCommunityBenefitExpnsAmt
Total Expense	0.00006	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$93,504	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$93,504	NetCommunityBenefitExpnsAmt
Total Expense	0.00018	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$80,781,960	BadDebtExpenseAmt
Bad Debt Expense Attributable	$8,300,793	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$108,245,652	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$93,770,470	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$14,475,182	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FLAGSTAFF MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 N BEAVER STREET	AddressLine1Txt
City	FLAGSTAFF	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86001	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://NAHEALTH.COM	WebsiteAddressTxt
State License	HO169	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FLAGSTAFF MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	25	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://NAHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://NAHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - FLAGSTAFF MEDICAL CENTER. A precise and carefully executed methodology is critical in asserting the validity of the results gathered in the PRC Community Health Survey. Thus, to ensure the best representation of the population surveyed, a mixed-mode methodology was implemented. This included surveys conducted via telephone (landline and cell phone), as well as through online questionnaires. The sample design used for this effort consisted of a stratified random sample of 406 individuals age 18 and older in the Total Area, including 120 in the Flagstaff Region, 84 in the Northeast Region, and 202 in the Verde Valley Region. Once the interviews were completed, these were weighted in proportion to the actual population distribution so as to appropriately represent the Total Area as a whole. All administration of the surveys, data collection, and data analysis was conducted by PRC. To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey also was implemented as part of this process. A list of recommended participants was provided by Northern Arizona Healthcare; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. In all, 101 community representatives took part in the Online Key Informant Survey.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - FLAGSTAFF MEDICAL CENTER. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN CONJUNCTION WITH ITS RELATED HOSPITAL FACILITY, VERDE VALLEY MEDICAL CENTER.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - FLAGSTAFF MEDICAL CENTER. Prioritization of the health needs identified in this assessment was determined based on a prioritization exercise conducted among providers and other community leaders (representing a cross-section of community-based agencies and organizations) as part of the Online Key Informant Survey. In this process, these key informants were asked to rate the severity of a variety of health issues in the community. Insofar as these health issues were identified through the data above and/or were identified as top concerns among key informants, their ranking of these issues informed the following priorities: 1. Mental Health 2. Access to Health Care Services 3. Substance Use 4. Diabetes 5. Heart Disease & Stroke 6. Disabling Conditions 7. Nutrition, Physical Activity & Weight 8. Cancer 9. Injury & Violence 10. Infant Health & Family Planning 11. Tobacco Use 12. Respiratory Disease Verde Valley Medical Center and Northern Arizona Healthcare will use the information from this Community Health Needs Assessment to develop an Implementation Strategy to address the significant health needs in the community. While the hospital will likely not implement strategies for all of the health issues listed above, the results of this prioritization exercise will be used to inform the development of the hospital's action plan to guide community health improvement efforts in the coming years. Note: An evaluation of the hospital's past activities to address the needs identified in prior CHNAs can be found as an appendix to this report. Access to Health Care Services (In Progress): Increase access points and capacity for primary care services: * Flagstaff primary care provider total has grown from 9 to 11 since 2022 and will grow upon opening of the new site in January 2025 * Verde primary care provider total has grown from 17 to 20 since 2022 * Care Management: * Implemented screening tool for Social Determinants of Health * Expanded outpatient social worker employment in Verde Valley * Implemented Transitional Care Management processes with NAHMG clinics for post-discharge follow-ups within 7 days of discharge * Call center / Patient Access / Scheduling staffing has increased by 12 FTE since 2022 * Use of remote patient monitoring has expanded from 94 to 134 patients since 2022 Increase access to outpatient clinic and ambulatory care settings: * Opening Urgent Care at expanded Primary Care site in Flagstaff in January 2025 * Evaluating further Urgent Care expansion in our markets * Added Pulmonary Clinic in Flagstaff and soon starting in Cottonwood * Growth in services in Verde Valley to include: expanded Interventional Cardiology, ENT, Electrophysiology, expanded Orthopedics, outpatient Neurology, Addiction Medicine, behavioral health therapists, and addition of OB midwives. * Evaluating Rheumatology in Verde Valley Develop a Virtual Care Platform: * Went live with AmWell platform to expand geographic reach for virtual visits * Primarily providing virtual visits with specialty coverage and remote patient monitoring to outlying areas in Cardiology and Primary Care * Patient ability to self-schedule virtual visits went live in 2022 * Participated in the Arizona Telemedicine Council and the State Broadband Action Plan Team meetings (when they've occurred) and continue engage in City and County officials on TeleHealth issues * Outreach work is underway to enhance rural virtual care access Chronic Disease (CV Disease/Cancer/Neurosciences) (in progress): Enhance Neurosciences Services: * Added 1 outpatient neurologist, 1 neurohospitalist, and 1 Neuro APP who serves as NAH's Stroke Coordinator * Enhanced neurology access across the system by complementing employed neurology providers with TeleNeuro capabilities, including addition of TeleNeuro Hospitalist rounding over the weekend * No material expansion of neurology services for outlying facilities to date Support cardiovascular programs designed to keep patients out of the hospital: * Continued resource investment in HF Clinic and clinical consensus group * Continued resource investment in INR Clinic in collaboration with NAH Pharmacy * Established TAVR Surgical Intervention Clinic * Remote Patient Monitoring and Remote Therapeutic Monitoring for CV patients has increased from 90 to 131 since 2022 Oncology Development & Recruitment: * Established NAH-owned Medical Oncology / Infusion services in Flagstaff * Added 2 employed Radiation Oncology physicians to help expand available appointments at our two locations * Continuing to recruit oncology providers in both primary markets * Stabilization of providers for Breast, Head/Neck, and Lung Cancers Behavioral Health and Substance Use (In progress): Provide services to increase awareness and access general Mental and Behavioral Health needs (Completed): * Have developed strong partnership with Charlie Health (Intensive Outpatient Treatment) and have enhanced relationships with Southwest Behavioral Health and The Guidance Center, as a means to better coordinate post-discharge care. In addition, working to collaborate with Hickory Network, which is a detox residential facility. * Improved promotion of screenings for depression and substance use by incorporating depression and substance abuse screenings into Patient Health Questionnaires for Primary Care and Inpatient. Also have AUDIT-C screening tool that is used in ED / Trauma for substance use assessment. Increase outpatient behavioral health offerings (in progress): * Restarted Transcranial Magnetic Stimulation (TMS) treatment for outpatient depression patients in July 2024 * Still recruiting for outpatient Psychiatry Clinic. Outpatient psychology clinic visits occur today, with significant portion of those visits conducted via Virtual Visit platform * Received renewal award for DUI / Drug Court treatment program services * Opened Addiction Medicine clinic in the Verde Valley (Recovery Clinic at Northern Arizona Healthcare Cottonwood) in November 2024
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - FLAGSTAFF MEDICAL CENTER. ELIGIBILITY FOR CHARITABLE ASSISTANCE IS BASED ON THE INCOME AND FAMILY SIZE OF THE PATIENT/GUARANTOR. INCOME LEVELS ARE BASED ON THE FEDERAL POVERTY LEVELS ("FPL") PUBLISHED BY THE FEDERAL REGISTER ANNUALLY. HOUSEHOLD MEMBERS ARE DEFINED AS ALL DEPENDENTS AND ADULTS RESIDING WITH THE PATIENT. APPLICANTS WITH HOUSEHOLD INCOME OF 400% OF FPL OR LOWER MAY RECEIVE FINANCIAL ASSISTANCE BASED UPON A TIERED DISCOUNT. REGISTER ANNUALLY. HOUSEHOLD MEMBERS ARE DEFINED AS ALL DEPENDENTS AND ADULTS RESIDING WITH THE PATIENT. APPLICANTS WITH HOUSEHOLD INCOME OF 400% OF FPL OR LOWER MAY RECEIVE FINANCIAL ASSISTANCE BASED UPON A TIERED DISCOUNT.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3 FEDERAL POVERTY LEVEL WRITE-OFFS	EXPLANATION FOR VARIOUS PERCENTAGES USED: 200% OF THE FEDERAL POVERTY LEVEL ("FPL") = 100% CHARITY WRITE-OFF. 201-250% OF FPL = 75% CHARITY WRITE-OFF. 251-300% OF FPL = 50% WRITE-OFF. 301-350% OF FPL = 25% WRITE-OFF. 351-400% OF FPL = 15% WRITE-OFF.
Schedule H, Part I, Line 3c DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE	CHARITY CARE INCOME LEVELS ARE BASED ON THE FEDERAL POVERTY GUIDE PUBLISHED IN THE FEBRUARY FEDERAL REGISTER ON AN ANNUAL BASIS. A TIERED METHOD IS UTILIZED FOR DETERMINING WHETHER A PATIENT IS ELIGIBLE FOR 100%, 75%, 50%, 25%, OR 15% WRITE-OFF OF THE SELF PAY BALANCE.
Schedule H, Part I, Line 6a COMMUNITY BENEFITS REPORT	This joint assessment for Flagstaff Medical Center (FMC) and Verde Valley Medical Center (VVMC) was conducted on behalf of Northern Arizona Healthcare by Professional Research Consultants, Inc. (PRC). PRC is a nationally recognized health care consulting firm with extensive experience conducting Community Health Needs Assessments in hundreds of communities across the United States since 1994. THE COMMUNITY BENEFIT REPORT IS AVAILABLE AT: HTTPS://NAHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE	FLAGSTAFF MEDICAL CENTER USED A COST-TO-CHARGE RATIO, WHERE APPLICABLE, TO CALCULATE THE MOST ACCURATE COST OF CHARITY CARE AND OTHER COMMUNITY BENEFITS REPORTED IN LINE 7.
Schedule H, Part II Community Building Activities	Northern Arizona Healthcare's Community Building work promotes the health of the communities served by the Flagstaff Medical Center (FMC) by extending the organization's mission beyond clinical care across northern Arizona. This work sponsors nonprofit organizations that address social determinants of health including economic stability, education, housing and food access and participates in community health events offering free or low-cost screenings, flu shots and health education, with an emphasis on reaching rural and underserved populations. Additionally, FMC staff and leadership serve on community boards and commissions focused on health-relevant issues, maintaining a two-way feedback relationship between the health system and the communities served by FMC. Through consistent community presence, outreach events and local engagement, NAH works to build the trusted partnerships and healthier environments that support the long-term well-being of residents across Northern Arizona.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE COSTING METHODOLOGY USED TO DETERMINE THE BAD DEBT COST COMES FROM THE PERCENTAGE CALCULATED IN SCHEDULE H, PART I, WORKSHEET 2.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	FLAGSTAFF MEDICAL CENTER'S CALCULATION OF FINANCIAL ASSISTANCE COST IS BASED ON ACTUAL FINANCIAL ASSISTANCE WRITE-OFFS BY THE BUSINESS OFFICE MULTIPLIED BY THE COST-TO-CHARGE RATIO. ALL OF THE FINANCIAL ASSISTANCE WRITE-OFFS ARE ATTRIBUTABLE TO PATIENTS WHO QUALIFIED UNDER THE FINANCIAL ASSISTANCE POLICY. AS A NOT-FOR-PROFIT ENTITY, SERVICES ARE PROVIDED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND MAKING THIS AVAILABLE TO THE COMMUNITY QUALIFIES BAD DEBT AS A COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	FOOTNOTE 2 TO THE FINANCIAL STATEMENTS INDICATES NET PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE HAVE BEEN ADJUSTED TO THE ESTIMATED AMOUNTS EXPECTED TO BE RECEIVED. THESE ESTIMATED AMOUNTS ARE SUBJECT TO FURTHER ADJUSTMENTS UPON REVIEW BY THIRD-PARTY PAYORS. MANAGEMENT ESTIMATES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON THE HISTORICAL COLLECTION EXPERIENCE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS THE FY2025 MEDICARE COST REPORT FOR THE ORGANIZATION. A CONTRACTED COST REPORT PROFESSIONAL PREPARED AN ANALYSIS OF THE AMOUNT BASED ON THE SUBMITTED COST REPORT FOR FLAGSTAFF MEDICAL CENTER.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	ACCORDING TO OUR CHARITY CARE POLICY, THE FINANCIAL COUNSELORS ASSESS THE PATIENT'S ABILITY TO PAY AT TIME OF ADMISSION/REGISTRATION. IF THE PATIENT STATES THAT THEY ARE UNABLE TO PAY OUT OF-POCKET EXPENSES, A DETERMINATION IS MADE WHETHER COVERAGE IS AVAILABLE THROUGH AHCCCS OR OTHER MEDICAID PROGRAMS. IF NO OUTSIDE ASSISTANCE IS AVAILABLE, AN APPLICATION IS GIVEN TO THE PATIENT TO BE SUBMITTED FOR CHARITY CARE CONSIDERATION. IF THE PATIENT DOESN'T QUALIFY FOR CHARITY CARE ASSISTANCE, INCOME LEVELS ARE ASSESSED TO DETERMINE IF THEY QUALIFY FOR A LONG-TERM PAYMENT PROGRAM. IF THE CHARITY APPLICATION IS NOT TURNED IN AND PAYMENT HAS NOT BEEN MADE AFTER NUMEROUS FOLLOW-UP PHONE CALLS, THE PATIENT ACCOUNT GOES TO BAD DEBT.
Schedule H, Part V, Section B, Line 16a FAP website	- FLAGSTAFF MEDICAL CENTER: Line 16a URL: WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- FLAGSTAFF MEDICAL CENTER: Line 16b URL: WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- FLAGSTAFF MEDICAL CENTER: Line 16c URL: WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/;
Schedule H, Part VI, Line 2 Needs assessment	FLAGSTAFF MEDICAL CENTER ASSESSES COMMUNITY HEALTHCARE NEEDS THROUGH A SURVEY DESIGNED AND ADMINISTERED INTERNALLY. THIS SURVEY WAS LAST CONDUCTED IN APRIL 2025 AND WAS A FOLLOW-UP TO OTHER SURVEYS THE HOSPITAL HAS CONDUCTED. THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY NORTHERN ARIZONA HEALTHCARE AND PRC AND IS SIMILAR TO THE PREVIOUS SURVEY USED IN THE REGION, ALLOWING FOR DATA TRENDING.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	ACCORDING TO OUR FINANCIAL ASSISTANCE POLICY, FINANCIAL COUNSELORS ASSESS THE PATIENT'S ABILITY TO PAY AT TIME OF ADMISSION/REGISTRATION. IF THE PATIENT STATES THAT THEY ARE UNABLE TO PAY OUT-OF-POCKET EXPENSES, A DETERMINATION IS MADE WHETHER COVERAGE IS AVAILABLE THROUGH AHCCCS OR OTHER MEDICAID PROGRAMS. IF NO OUTSIDE ASSISTANCE IS AVAILABLE, AN APPLICATION IS GIVEN TO THE PATIENT TO BE SUBMITTED FOR FINANCIAL ASSISTANCE CONSIDERATION. IF THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE, INCOME LEVELS ARE ASSESSED TO DETERMINE IF THEY QUALIFY FOR A LONG-TERM PAYMENT PROGRAM. IF THE CHARITY APPLICATION IS NOT TURNED IN AND PAYMENT HAS NOT BEEN MADE AFTER NUMEROUS FOLLOW UP PHONE CALLS, THE PATIENT ACCOUNT GOES TO BAD DEBT. FLAGSTAFF MEDICAL CENTER WEBSITE HAS A BILLING CONTACT NUMBER. BEFORE PRE-ADMISSION, PATIENTS ARE CONTACTED BY FMC'S CASHIER. WHEN PATIENTS ARE CONTACTED, THEY ARE EDUCATED ABOUT THE FINANCIAL ASSISTANCE POLICY. FMC FINANCIAL COUNSELORS ASSIGNED TO EACH NURSING UNIT ARE ABLE TO ANSWER OR ASSIST WITH BILLING QUESTIONS. AT EACH PATIENT REGISTRATION DESK, THERE ARE DISPLAYS AND BROCHURES OF THE BILLING INFORMATION, INCLUDING THE FINANCIAL ASSISTANCE POLICY.
Schedule H, Part VI, Line 4 Community information	The study area for the survey effort (referred to as the "Total Area" in this report) is defined as each of the residential ZIP Codes comprising the Flagstaff and Northeast regions (the service area of Flagstaff Medical Center), as well as the Verde Valley Region (the service area of Verde Valley Medical Center). This community definition - determined based on the ZIP Codes of residence of more than 70 percent of recent patients of Flagstaff Medical Center and approximately 90 percent of recent patients of Verde Valley Medical Center. A precise and carefully executed methodology is critical in asserting the validity of the results gathered in the PRC Community Health Survey. Thus, to ensure the best representation of the population surveyed, a mixed-mode methodology was implemented. This included surveys conducted via telephone (landline and cell phone), as well as through online questionnaires. The sample design used for this effort consisted of a stratified random sample of 406 individuals age 18 and older in the Total Area, including 120 in the Flagstaff Region, 84 in the Northeast Region, and 202 in the Verde Valley Region. Once the interviews were completed, these were weighted in proportion to the actual population distribution so as to appropriately represent the Total Area as a whole. All administration of the surveys, data collection, and data analysis was conducted by PRC. For statistical purposes, the maximum rate of error associated with a sample size of 406 respondents is 4.9% at the 95 percent confidence level.
Schedule H, Part VI, Line 5 Promotion of community health	COMMUNITY HEALTH AND COMMUNITY BUILDING ARE A FOCUS AT FLAGSTAFF MEDICAL CENTER AS EVIDENCED BY THE NUMEROUS ACTIVITIES SPONSORED EACH YEAR. THE CANCER CENTER AT FMC HOSTS A SERIES OF FREE OR LOW-COST SCREENINGS DESIGNED TO HELP RESIDENTS IN THE COMMUNITY DETECT ISSUES AS SOON AS POSSIBLE. THE SAFE CHILD CENTER IS A CHILD ADVOCACY CENTER THAT SERVES CHILDREN FROM BIRTH THROUGH 18 YEARS OLD AND IS DEDICATED TO REDUCING THE STRESS CHILDREN EXPERIENCE AS VICTIMS OF CRIME. FMC'S PALLIATIVE CARE PROGRAM PROVIDES HIGH QUALITY CARE TO PATIENTS WHO HAVE A CHRONIC DISEASE OR LIFE-THREATENING ILLNESS. FIT KIDS OF ARIZONA, WHICH WORKS TO REDUCE THE HEALTH CONSEQUENCES OF CHILDHOOD OBESITY BY PROMOTING HEALTHY LIFESTYLES, AND THE DIABETES TOGETHER COMMUNITY COLLABORATION ARE FMC'S PREMIER COMMUNITY HEALTH INITIATIVES. THE CARE BEYOND WALLS AND WIRES PROGRAM USES TELEMEDICINE TO MONITOR AND SUPPORT PATIENTS WHO LIVE REMOTELY AND HAVE RECENTLY BEEN DIAGNOSED WITH CONGESTIVE HEART FAILURE. COMMUNITY BUILDING IS ADVANCED BY FMC THROUGH ITS SUPPORT OF PHYSICIAN RECRUITMENT AND WORK WITH VARIOUS COMMUNITY ORGANIZATIONS INCLUDING THE AMERICAN CANCER SOCIETY, BIG BROTHERS AND BIG SISTERS, FLAGSTAFF LEADERSHIP PROGRAM, FLAGSTAFF CHAMBER OF COMMERCE AND THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION.
Schedule H, Part VI, Line 6 Affiliated health care system	FLAGSTAFF MEDICAL CENTER IS AFFILIATED WITH VERDE VALLEY MEDICAL CENTER. THE BOARD MEMBER MEETINGS ARE COMBINED. THE COMMUNITY BENEFIT REPORT IS SUMMARIZED TOGETHER AND POSTED ON THE HOSPITAL'S WEBSITE.
Schedule H, Part VI, Line 7 State filing of community benefit report	AZ

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David Cheney
NAH President/CEO	$0	$991,500	$0	$296,825	$0	$75,268	$0	$17,250	$0	$29,075	$0	$1,409,918	$0	$0
Florence Spyrow
Former NAH President/CEO	$0	$0	$0	$0	$0	$249,113	$0	$0	$0	$0	$0	$249,113	$0	$0
Robert Cofield
Chief Operating Officer	$0	$546,393	$0	$79,117	$0	$22,703	$0	$17,250	$0	$18,036	$0	$683,499	$0	$0
Clifford Loader
Chief Financial Officer (THRU 3/25)	$0	$504,282	$0	$127,351	$0	$64,050	$0	$18,250	$0	$8,035	$0	$721,968	$0	$0
Tyffany J Sweeney
Chief Nursing Officer	$0	$311,459	$0	$66,980	$0	$9,660	$0	$6,963	$0	$19,721	$0	$414,783	$0	$0
Rachel Levitan
INTERIM CMO	$0	$201,500	$0	$0	$0	$0	$0	$0	$0	$0	$0	$201,500	$0	$0
Derek Feuquay
Chief Medical Officer	$0	$481,450	$0	$103,074	$0	$56,247	$0	$18,250	$0	$27,365	$0	$686,386	$0	$0
Matt Sena
Vice President Operations	$0	$423,846	$0	$17,770	$0	$2,031	$0	$88,033	$0	$844	$0	$532,524	$0	$0
Susan A Howden
Director Surgical Services System	$0	$205,435	$0	$26,069	$0	$437	$0	$12,039	$0	$10,340	$0	$254,320	$0	$0
Shannon Lane
Director Cardiovascular Systems	$0	$223,205	$0	$31,407	$0	$11,941	$0	$5,023	$0	$22,405	$0	$293,981	$0	$0
Yari Valle
Manager Outpatient Pharmacy	$0	$186,245	$0	$22,920	$0	$403	$0	$24,353	$0	$9,649	$0	$243,570	$0	$0
Scott Waldrop
Director Pharmacy Services	$0	$216,931	$0	$36,137	$0	$10,130	$0	$12,604	$0	$23,877	$0	$299,679	$0	$0
Dustin K Windle
Director Guardian Air Transport	$0	$184,648	$0	$19,642	$0	$6,769	$0	$0	$0	$29,591	$0	$240,650	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	CEO COMPENSATION IS DERIVED BY THE PARENT ORGANIZATION, NORTHERN ARIZONA HEALTHCARE, BY THE FOLLOWING METHODS: COMPENSATION COMMITTEE, WRITTEN CONTRACT, INDEPENDENT CONSULTANT, COMPENSATION SURVEY, AND RECOMMENDATION OF COMPENSATION COMMITTEE TO BOARD FOR APPROVAL.
Schedule J, Part I, Line 4a Severance or change-of-control payment	FLORENCE SPYROW RECEIVED SEVERANCE IN THE AMOUNT OF $249,113.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THERE WERE NO DISTRIBUTIONS FROM THE PLAN DURING THE YEAR.
Schedule J, Part I, Line 7 Non-fixed payments	NORTHERN ARIZONA HEALTHCARE CORPORATION MAKES DISCRETIONARY MANAGEMENT INCENTIVE PAYMENTS BASED ON MEETING VARIOUS ORGANIZATIONAL GOALS AND SPECIAL MERIT BONUS PAYMENTS BASED ON EXTRA PROJECT WORK. THESE PAYMENTS, IF ANY, ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II). NORTHERN ARIZONA HEALTHCARE CORPORATION MAKES DISCRETIONARY PAYMENTS TO PHYSICIANS BASED ON QUALITY AND PRODUCTIVITY GOALS. THESE PAYMENTS, IF ANY, ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
INDUSTRIAL DEVELOPMENT AUTHORITY OF YAVAPAI COUNTY
A	860376099	000000000	2015-06-30	$54,783,825	SEE PART VI	Yes (true)	false	false
INDUSTRIAL DEVELOPMENT AUTHORITY OF YAVAPAI COUNTY
B	860376099	000000000	2017-05-29	$21,316,659	SEE PART VI	false	false	false
INDUSTRIAL DEVELOPMENT AUTHORITY OF YAVAPAI COUNTY
C	860376099	000000000	2021-07-06	$25,222,364	SEE PART VI	false	false	false
INDUSTRIAL DEVELOPMENT AUTHORITY OF YAVAPAI COUNTY
D	860376099	000000000	2025-06-02	$17,561,775	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$9,350,440	$17,561,775	$54,783,825	$0	$0	$0	$1,111,308	$0	$0	$0	$53,672,517	$0	2015	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$21,316,659	$0	$0	$0	$171,169	$0	$0	$21,145,490	$0	$0	2017	false	false	false	Yes (true)
C	$4,624,125	$0	$25,222,364	$0	$0	$0	$263,396	$0	$0	$0	$24,958,968	$0	2021	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$17,561,775	$0	$0	$0	$0	$0	$0	$0	$0	$17,561,775	$0	2025	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	false	false	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	Yes (true)	false	false	false	false	false	false	false
C	false	false	Yes (true)	false	false	false	false	false	false	false	false	Yes (true)
D	false	false	Yes (true)	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part I, Column (f) SCHEDULE K, PART I, COLUMN (F) - SCHEDULE K, PART I, COLUMN (F)	FormAndLineReferenceDesc
Explanation	BOND A - THE NAME OF THE ISSUE IS HOSPITAL REVENUE REFUNDING BONDS (NORTHERN ARIZONA HEALTHCARE SYSTEM) SERIES 2015A AND 2015B. THIS ISSUE REFUNDS THE 2008A AND 2008B BONDS. THE TOTAL ISSUANCE PRICE OF SERIES 2015A WAS $80,395,000 WHICH WAS ALLOCATED $37,213,977 TO FLAGSTAFF MEDICAL CENTER (FMC), $9,274,438 TO VERDE VALLEY MEDICAL CENTER, AND $33,906,585 TO NORTHERN ARIZONA HEALTHCARE OUTPATIENT SURGERY CENTER. THE 2015A BONDS WERE ALSO USED, IN PART, TO FINANCE "NEW MONEY" PROJECTS. $33,611,679 WAS USED FOR ACQUISITION OF SUMMIT SURGERY CENTER. TOTAL ISSUANCE PRICE OF SERIES 2015B WAS $45,635,975 WHICH WAS ALLOCATED $17,569,850 TO FLAGSTAFF MEDICAL CENTER (FMC) AND $28,066,125 TO VERDE VALLEY MEDICAL CENTER. BOND B - THE NAME OF THE ISSUE IS HOSPITAL REVENUE BOND (NORTHERN ARIZONA HEALTHCARE SYSTEM) SERIES 2017A. TOTAL ISSUANCE PRICE WAS $40,000,000 WHICH WAS INITIALLY ALLOCATED TO FLAGSTAFF MEDICAL CENTER (FMC). FMC FUNDED VVMC CAPITAL PROJECTS FROM THESE FUNDS. IN FY23, THE ISSUANCE PRICE WAS REALOCATED, $21,316,650 TO FLAGSTAFF MEDICAL CENTER (FMC) AND $20,130,350 TO VERDE VALLEY MEDICAL CENTER (VVMC) THE ISSUANCE PRICE DIFFERS FROM TOTAL PROCEEDS DUE TO INVESTMENT EARNINGS. BOND C - THE NAME OF THE ISSUE IS HOSPITAL REVENUE REFUNDING BONDS (NORTHERN ARIZONA HEALTHCARE SYSTEM) SERIES 2021. THIS ISSUE REFUNDS THE 2011 SERIES BONDS. THE TOTAL ISSUANCE PRICE WAS $30,572,562 WHICH WAS ALLOCATED $25,222,364 TO FLAGSTAFF MEDICAL CENTER (FMC) AND $5,350,198 TO VERDE VALLEY MEDICAL CENTER. BOND D - THE NAME OF THE ISSUE IS HOSPITAL REVENUE REFUNDING BONDS (NORTHERN ARIZONA HEALTHCARE SYSTEM) SERIES 2015B. THIS ISSUE REFUNDS THE 2015B SERIES BONDS ISSUED ON JUNE 30, 2015. THE TOTAL ISSUANCE PRICE WAS $45,615,000 WHICH WAS ALLOCATED $17,561,775 TO FLAGSTAFF MEDICAL CENTER (FMC) AND $28,053,225 TO VERDE VALLEY MEDICAL CENTER (VVMC).	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 6 VOLUNTEERS	The Northern Arizona Healthcare volunteer program exists to support our mission and vision. Volunteer roles are focused on improving the patient experience. Volunteer assignments do not replace or overlap with paid positions and duties. Volunteer absences do not interrupt daily workflow of department in which they are assigned. Our volunteer assignments and duties at the Flagstaff Medical Center are summarized here: - Caring Canines-Pet Therapy: Pet therapy visitation to common areas and nursing units - Emergency Department - FMC: Rounding on stable patients to provide company and offer comfort items. Stocking IV carts - Infusion Center: Rounding on patients offering support - Medical Library: Assist in researching topics - Mended Hearts: Visiting cardiac patients to offer support and share experience - Music: Playing comforting music in common areas and in nursing units - Nutrition Services: Rolling silverware and organizing - PACU: Round on patients to offer comfort items - Philanthropy: Answering phone and assist with paperwork - Research and Grants: Assist in presentations and data entry - Special Care Nursery: Holding and rocking newborn babies - Surgery Waiting Room: Resource for families waiting on loved ones. Wayfinding and community information - Taylor House: Giving tours, general cleanliness and a community information resource
Form 990, Part V, Line 2a NUMBER OF EMPLOYEES REPORTED ON FORM W-3	FLAGSTAFF MEDICAL CENTER DOES NOT HAVE EMPLOYEES, BUT SHARES THE COST OF PERSONNEL, SERVICES, AND EXPENSES WITH NORTHERN ARIZONA HEALTHCARE CORPORATION, A RELATED TAX-EXEMPT ORGANIZATION AND FMC'S SOLE MEMBER.
Form 990, Part VI, Line 1a NUMBER OF VOTING MEMBERS OF THE GOVERNING BODY	THE BOARD OF DIRECTORS DELEGATES AUTHORITY TO AN EXECUTIVE COMMITTEE TO EXERCISE THE POWER AND AUTHORITY OF THE BOARD IN THE EVENT CONVENING A QUORUM OF THE BOARD IS NOT POSSIBLE AND AN URGENT VOTE IS REQUIRED, AND BETWEEN THE QUARTERLY MEETINGS OF THE FULL BOARD. ACTIONS TAKEN SHALL BE RECORDED IN MEETING MINUTES PROVIDED TO THE BOARD POST-MEETING AND INCLUDED IN THE CONSENT AGENDA AT THE FOLLOWING BOARD MEETING. IN ADDITION, THE EXECUTIVE COMMITTEE SHALL SERVE AS THE COMPENSATION COMMITTEE FOR THE PRESIDENT/CEO AND OVERSEE THE ANNUAL NAH PRESIDENT/CEO PERFORMANCE EVALUATION. THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE INDIVIDUALS THEN SERVING AS BOARD OFFICERS AND OPTIONAL BOARD MEMBER AT LARGE, AUTOMATICALLY AND WITHOUT SEPARATE ELECTION.
Form 990, Part VI, Line 6 Classes of members or stockholders	NORTHERN ARIZONA HEALTHCARE CORPORATION IS THE SOLE CORPORATE MEMBER OF FLAGSTAFF MEDICAL CENTER AND VERDE VALLEY MEDICAL CENTER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE BOARD OF DIRECTORS IS DETERMINED BY THE ORGANIZATION'S MEMBER, NORTHERN ARIZONA HEALTHCARE (NAH). THE DIRECTORS AT ALL TIMES SHALL BE, AUTOMATICALLY AND WITHOUT THE NEED OF A SEPARATE ELECTION, THE INDIVIDUALS SERVING AS DIRECTORS OF NAH.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	NORTHERN ARIZONA HEALTHCARE CORPORATION IS THE SOLE VOTING MEMBER. THE FOLLOWING ACTIONS MAY BE INITIATED BY THE MEMBER IN ITS SOLE AND ABSOLUTE DISCRETION: A) ADOPTION OF THE CONSOLIDATED ANNUAL BUDGET FOR THE SYSTEM AND ANY AMENDMENTS. B) THE SELECTION AND RETENTION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THIS CORPORATION. C) THE SELECTION OF BANKING AFFILIATIONS, ACCOUNTING FIRMS, LEGAL COUNSEL AS WELL AS APPROVAL OF THE ENGAGEMENT OF ANY CONSULTANTS NOT SPECIFICALLY PROVIDED FOR IN AN APPROVED BUDGET. D) THE SELECTION OF THE MANNER AND LOCATION OF INVESTMENT OF ANY RETAINED EARNINGS. E) AUTHORIZATION OF STANDING OR AD HOC COMMITTEES FOR CONTROLLED SUBSIDIARIES WITHIN THE SYSTEM. THE MEMBER MAY NOT TRANSFER ITS MEMBERSHIP OR ANY RIGHTS ARISING THEREFROM.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM BASED ON DATA GATHERED BY THE CONTROLLER AND THE ORGANIZATION'S FINANCIAL OPERATIONS GROUP. THE CFO REVIEWS THE DRAFT FORM 990 AND PROVIDES ADDITIONAL COMMENTS. THE FINAL DRAFT VERSION OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE MAY 15 DUE DATE. ANY ADDITIONAL COMMENTS SUGGESTED BY THE GOVERNING BODY ARE THEN INCORPORATED INTO THE FINAL VERSION OF THE FORM 990 TO BE FILED WITH THE IRS BY THE FINAL DUE DATE. IF ANY SUGGESTED CHANGES ARE MATERIAL OR SIGNIFICANT, AN ADDITIONAL DRAFT IS DISTRIBUTED TO THE GOVERNING BODY PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT-OF-INTEREST POLICY (BOARD POLICY 6.1 STANDARDS OF CONDUCT). THIS IS ACCOMPLISHED BY A NUMBER OF MECHANISMS. FIRST, THE CONFLICT-OF-INTEREST QUESTIONNAIRE IS REVIEWED BY NAH BOARD DEVELOPMENT COMMITTEE ("GOVERNANCE COMMITTEE" OF THE BOARD). AS PART OF THE QUESTIONNAIRE, SELF-DISCLOSURE IS REQUIRED BY BOARD MEMBERS, COMMUNITY COMMITTEE MEMBERS AND THE NAH PRESIDENT/CEO. IN ADDITION, INDIVIDUAL DISCLOSURE BY BOARD MEMBERS OCCURS AT BOARD MEETINGS WHEN NECESSARY. A BOARD MEMBER MUST EXCLUDE HIMSELF OR HERSELF FROM VOTING ON AN ISSUE IN WHICH HE OR SHE MAY HAVE A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE & PRIVACY OFFICER REVIEWS POTENTIAL CONFLICTS AND FOLLOWS UP WITH ANY ADDITIONAL QUESTIONS, IF NECESSARY. THEN THE SUMMARY OF RESPONSES AND CONFLICTS ARE BROUGHT BEFORE THE GOVERNANCE COMMITTEE FOR FINAL REVIEW AND PROVIDED TO THE BOARD FOR THEIR INFORMATION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO AND OTHER OFFICERS INCLUDES THE PREPARATION OF COMPARABLE DATA BY WILLIS TOWERS WATSON OR SULLIVANCOTTER, INDEPENDENT CONSULTING FIRMS. IN ADDITION, THIS INFORMATION IS REVIEWED BY THE BOARD EXECUTIVE COMMITTEE AND DOCUMENTED IN BOARD MINUTES. THE MOST RECENT COMPREHENSIVE REVIEW WAS PERFORMED AUGUST 2024.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO AND OTHER OFFICERS INCLUDES THE PREPARATION OF COMPARABLE DATA BY WILLIS TOWERS WATSON OR SULLIVANCOTTER, INDEPENDENT CONSULTING FIRMS. IN ADDITION, THIS INFORMATION IS REVIEWED BY THE BOARD EXECUTIVE COMMITTEE AND DOCUMENTED IN BOARD MINUTES. THE MOST RECENT COMPREHENSIVE REVIEW WAS PERFORMED AUGUST 2024.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ARIZONA DEPARTMENT OF HEALTH SERVICES. IN ADDITION, THEY ARE AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) AS PART OF THE ORGANIZATION'S CONTINUING DISCLOSURE DOCUMENTS THAT ARE REQUIRED BY ITS PUBLIC DEBT REQUIREMENTS. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR ITS CONFLICT-OF-INTEREST POLICY AVAILABLE TO THE PUBLIC, AS THIS IS NOT REQUIRED.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	OTHER REVENUE - Total Revenue: 1063339, Related or Exempt Function Revenue: 1063339, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN PENSION LIABILITY - 2107494; SUPPORT TO RELATED COMPANIES (VVMC, NAH) - -72215922; Total - -70108428;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
NORTHERN ARIZONA HEALTHCARE CORPORATION
POST OFFICE BOX 1268	FLAGSTAFF	AZ	86002	742410946	HEALTHCARE	AZ	501(c)(3)	10	NA	false
VERDE VALLEY MEDICAL CENTER
269 SOUTH CANDY LANE	COTTONWOOD	AZ	86326	860100882	HEALTHCARE	AZ	501(c)(3)	3	NAH	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	VERDE VALLEY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	Q	TransactionTypeTxt
Involved	$99,640,990	InvolvedAmt
Method Of Amount Determination	COST	MethodOfAmountDeterminationTxt