2025-05-15T14:26:24+00:00 2024-06-30 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE DALLAS TX 75219 990 2023-07-01 860110232 Flagstaff Medical Center FLAG 9287793366 POST OFFICE BOX 1268 FLAGSTAFF AZ 860021268 FLORENCE L SPYROW NAH PRESIDENT/CEO 2025-05-15 true Patrick Shields P01508556 2149698000 2025-05-15 2023 2025-03-06 01:10:19Z DAVID CHENEY 1200 N BEAVER STREET FLAGSTAFF AZ 86001 567042736 false X WWW.NAHEALTH.COM X 1936 AZ IMPROVING HEALTH, HEALING PEOPLE. 13 12 0 100 297574 0 21315802 365368 485047494 553153567 38366015 11553524 1478220 1400305 546207531 566472764 0 0 0 0 203301774 207920730 0 0 280766125 303813943 484067899 511734673 62139632 54738091 859927734 873462663 154386986 139202117 705540748 734260546 IMPROVING HEALTH, HEALING PEOPLE. false false 409280470 0 503398029 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 - 300 PHYSICIANS ON OUR ACTIVE MEDICAL STAFF - 20,518 ANNUAL INPATIENT HOSPITAL ADMISSIONS - 64,733 INPATIENT DAYS - 137,424 ANNUAL OUTPATIENT HOSPITAL VISITS - 45,830 ANNUAL EMERGENCY DEPARTMENT VISITS - 978 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. 35558374 0 37755807 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. 10647338 0 13400036 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. 455486182 true true false true false false false false false true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true X 238 0 true 0 true true false false false false false false false false false false false X 13 12 false false false false true true true true true false false true true true true true true true true false X JOHN CORTESE 9282143545 1200 N BEAVER STREET FLAGSTAFF AZ 86001 Charlie Agee MD Director/Secretary 1.0 2.0 X X 0 0 0 DAVID CHENEY NAH PRESIDENT/CEO 10.0 30.0 X X 0 849501 29634 John Rivers Director/Treasurer 1.0 2.0 X X 0 0 0 William Jeffers Director/Treasurer 1.0 2.0 X X 0 0 0 William Riley PHD Director/Chair 1.0 2.0 X X 0 0 0 Alice Gagnaire RN Director 1.0 2.0 X 0 0 0 Daryl Melvin Director 1.0 2.0 X 0 0 0 Janet Corrigan PHD Director 1.0 2.0 X 0 0 0 PAULA HERALD DIRECTOR 1.0 2.0 X 0 0 0 Randall Garrison Director 1.0 2.0 X 0 0 0 RICHARD EVNEN DIRECTOR 1.0 2.0 X 0 0 0 Troy Lorents DIRECTOR 1.0 2.0 X 0 0 0 William Badger MD DIRECTOR 1.0 2.0 X 0 0 0 Clifford Loader Chief Financial Officer 12.0 28.0 X 0 518422 24755 DEREK FEUQUAY Chief Medical Officer 10.0 30.0 X 0 483666 35585 MATT SENA VP Operations 20.0 20.0 X 0 312588 34985 TYFFANY J SWEENEY Chief Nursing Officer 28.0 12.0 X 0 304480 18389 Andrew J Burkle Pharmacist 40.0 0.0 X 0 245569 35200 Christopher Konradi Pharmacist 40.0 0.0 X 0 208826 30328 Jacob D Stearley Pharmacist 40.0 0.0 X 0 207786 30176 Mark S Jensen Pharmacist 40.0 0.0 X 0 224738 22043 Scott Waldrop Director of Pharmacy Services 40.0 0.0 X 0 225469 32425 Florence Spyrow FORMER NAH PRESIDENT/CEO 0.0 0.0 X 0 802687 0 Joshua Tinkle FORMER COO/INTERIM NAH CEO 0.0 0.0 X 0 397364 21195 0 4781096 314715 0 true true false AYA HEALTHCARE INC PO BOX 123519 DALLAS TX 75312 CONTRACT LABOR 41701880 METRO AVIATION INC P O BOX 7008 SHREVEPORT LA 71137 AIR TRANSPORTAION SERVICES 20943182 CALENCE LLC PO BOX 731069 DALLAS TX 75373 CONTRACT LABOR 3171928 TRAUMA & ACUTE CARE SURGEONS OF NORTHERN AZ 77 W FOREST AVE STE 206 FLAGSTAFF AZ 86001 MEDICAL SERVICES 2904978 PHOENIX CARDIAC SURGERY 3131 E CLAREDON AVE STE 102 PHOENIX AZ 85016 MEDICAL SERVICES 2890988 88 83359 282009 365368 NET PATIENT SERVICES REVENUE 621110 545495781 545495781 PHARMACY REVENUE 446110 5063146 4765572 297574 CAFETERIA REVENUE 900099 2349080 2349080 INTERCOMPANY RENT INCOME 531120 154055 154055 AUXILIARY GIFT SHOP SALES 453220 91505 91505 0 0 0 0 553153567 12120005 12120005 0 0 0 13491 569972 0 -569972 13491 -566481 -566481 NON-PATIENT ROOMS 900099 223454 223454 STAND-BY FEES 900099 184323 184323 PROGRAM FEES 900099 30247 30247 962281 962281 0 0 1400305 566472764 554256298 297574 11553524 0 0 1016839 419562 597277 172853024 158378087 14474937 7997182 7327488 669694 15457661 14163216 1294445 10596024 9708699 887325 392 392 127062 127062 936436 936436 11610 11610 36461880 35653018 808862 0 310651 126720 183931 108929715 104480177 4449538 2318687 1115249 1203438 4848436 4187968 660468 1023814 970392 53422 327934 253484 74450 2778702 47574 2731128 35483283 35379410 103873 1152984 234801 918183 EXP REIMBURSEMENT TO NAH 76349383 76921248 -571865 CONTRACT MAINTENANCE 9983894 5443299 4540595 COLLECTION EXPENSE 242987 3750 239237 AHCCCS ASSESSMENTS 22556078 22556078 -29985 671648 -701633 0 511734673 455486182 56248491 0 6362609 6917839 43266898 521636 0 0 103006156 112920274 0 0 0 0 974235 10095129 9699608 10545791 3528826 3439782 564905152 363470974 209451669 201434178 470574074 515869502 0 0 0 0 13063659 11718532 859927734 873462663 36092919 32032366 0 0 0 0 88188166 81956167 0 0 0 0 87773 81158 0 0 30018128 25132426 154386986 139202117 X 705540748 734260546 0 0 0 0 0 0 0 0 705540748 734260546 859927734 873462663 X 54738091 34997311 -61015604 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 936436 936436 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. The organization contributed funds to a campaign for a local ballot initiative in Flagstaff, Arizona that directly related to a planned replacement hospital for an organization facility. The organization directly, and through the assistance of outside consultants, had meetings and correspondence with state and federal lawmakers on issues that affect its community healthcare mission. 5395089 5395089 278205443 174716162 103489281 1577887 1462034 115853 226612230 184376245 42235985 53114503 2916533 50197970 201434178 DEFERRED LIABILITIES 1296039 ACCRUED PENSION LIABILITY 6432028 MALPRACTICE INSURANCE RESERVE LT 5526180 OPERATING LEASE LIABILITY 3135159 UNEMPLOYMENT PAYABLE 2515823 OTHER-GAAP PRESENTATION 660682 THIRD-PARTY PAYOR SETTLEMENTS 1478800 MALPRACTICE INSURANCE RESERVE 1224586 PROFESSIONAL AND AUDIT FEES 40243 OTHER 2822886 25132426 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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. true true X true X true X false true false true true 24974834 0 24974834 0.0488 159520138 76002000 83518138 0.1632 0 0 0 0.0 0 0 184494972 76002000 108492972 0.2120 2151268 88513 2062755 0.0040 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 2151268 88513 2062755 0.0040 0 0 186646240 76090513 110555727 0.2160 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 60125354 8257959 105920651 98794107 7126544 X true true 1 1 FLAGSTAFF MEDICAL CENTER 1200 N BEAVER STREET FLAGSTAFF AZ 86001 HTTPS://NAHEALTH.COM HO169 X X X FLAGSTAFF MEDICAL CENTER 1 false false true X X X X X X X X X 22 true true false true X HTTPS://NAHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X true 22 true HTTPS://NAHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT false true X 200.0 400.0 X X X X X true true X X X true X WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/ X WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/ X WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - FLAGSTAFF MEDICAL CENTER. AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, A FOCUS GROUP WAS HELD IN 2022 IN COLLABORATION WITH COCONINO COUNTY HEALTH AND HUMAN SERVICES AND YAVAPAI COUNTY COMMUNITY HEALTH SERVICES AS PART OF THEIR COMMUNITY HEALTH IMPROVEMENT PLANS. THE FOCUS GROUP INCLUDED KEY INFORMANTS IN THE COMMUNITY, SUCH AS: REPRESENTATIVES FROM PUBLIC HEALTH; PHYSICIANS; OTHER HEALTH PROFESSIONALS; SOCIAL SERVICE PROVIDERS; AND OTHER COMMUNITY LEADERS. AGENCIES REPRESENTED WERE: COCONINO COUNTY CHIP ACCESS TO CARE GROUP: NORTH COUNTRY HEALTHCARE, FLAGSTAFF UNIFIED SCHOOL DISTRICT, NORTHERN ARIZONA UNIVERSITY, NATIVE AMERICANS FOR COMMUNITY ACTION, NORTHERN ARIZONA REGIONAL BEHAVIORAL HEALTH AUTHORITY, HIGHLANDS FIRE DISTRICT, SALVATION ARMY, UNITED WAY OF NORTHERN ARIZONA, NORTHERN ARIZONA COUNSEL ON AGING, FIRST THINGS FIRST, FLAGSTAFF FAMILY FOOD BANK, AND NORTHERN ARIZONA INTERGOVERNMENTAL PUBLIC TRANSPORTATION AUTHORITY. YAVAPAI COUNTY CHIP GROUP: YAVAPAI JUSTICE & MENTAL HEALTH COALITION, SPECTRUM HEALTHCARE, COTTONWOOD-OAK CREEK UNIFIED SCHOOL DISTRICT, NAMI SEDONA, NAMI YAVAPAI, CARE 1ST, FAMILY INVOLVEMENT CENTER, EXPECT MORE AZ, NACOG-AAA, VERDE VALLEY CAREGIVERS, ALZHEIMER'S ASSOCIATION, AND FIRST THINGS FIRST. 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. PARTICIPANTS INCLUDED A REPRESENTATIVE OF PUBLIC HEALTH, AS WELL AS SEVERAL INDIVIDUALS WHO WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS, AND THOSE WHO WORK WITH PERSONS WITH CHRONIC DISEASE CONDITIONS. WRITTEN COMMENTS WERE SOLICITED BY THE GROUPS AND INDIVIDUALS LISTED ABOVE, AS WELL AS THE COMMUNITIES SERVED AT LARGE THROUGH A SURVEY MONKEY INSTRUMENT. COMMUNITY MEMBERS ARE ENCOURAGED TO PROVIDE FEEDBACK AND INPUT FOR OUR PRIOR AND CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN. COMMENTS MAY BE EMAILED TO: PUBLICRELATIONS@NAHEALTH.COM 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. NAH RANKED IDENTIFIED HEALTH ISSUES AGAINST THE FOLLOWING ESTABLISHED, UNIFORM CRITERIA: - MAGNITUDE. THE NUMBER OF PERSONS AFFECTED, ALSO TAKING INTO ACCOUNT VARIANCE FROM BENCHMARK DATA AND HEALTHY PEOPLE TARGETS. - IMPACT/SERIOUSNESS. THE DEGREE TO WHICH THE ISSUE AFFECTS OR EXACERBATES OTHER QUALITY OF LIFE AND HEALTH-RELATED ISSUES. - FEASIBILITY. THE ABILITY TO REASONABLY IMPACT THE ISSUE, GIVEN AVAILABLE RESOURCES. - CONSEQUENCES OF INACTION. THE RISK OF NOT ADDRESSING THE PROBLEM AT THE EARLIEST OPPORTUNITY. - PRIORITIZATION RESULTS AREAS OF OPPORTUNITY IDENTIFIED THROUGH THIS ASSESSMENT: ACCESS TO HEALTH SERVICES NAH HAS WORKED CONSISTENTLY SINCE 2016 TO IMPROVE ACCESS TO CARE, AS HAVE OTHER HEALTHCARE PROVIDERS. COMMUNITY MEMBERS CONTINUE TO CONSISTENTLY EXPRESS CONCERN ABOUT ACCESS. THEREFORE, THIS IS STILL A PRIORITY FOR THE 2022 CHNA. - ADULT OVERALL HEALTH STATUS - COST AS A BARRIER TO PHYSICIAN VISITS - DIFFICULTY ACCESSING HEALTHCARE - INSURANCE INSTABILITY FOR ADULTS AND CHILDREN - LACK OF ACCESS TO AFFORDABLE HEALTH INSURANCE - LACK OF LOCAL SPECIALISTS (ENDOCRINOLOGIST, NEUROLOGIST, PEDIATRIC) - PROVIDERS (PHYSICIAN/ STAFF) SEEN AS UNCARING, LONG WAIT FOR APPOINTMENTS - ROUTINE CHECKUPS (ADULTS) - TRANSPORTATION RESOURCES AVAILABLE FOR ACCESS TO HEALTH SERVICES (INCLUDING TRANSPORTATION AS A BARRIER) - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (AHCCCS) - CAMP VERDE UNIFIED SCHOOL DISTRICT - COCONINO COUNTY HEALTH & HUMAN SERVICES - COMMUNITY HEALTH CENTER OF YAVAPAI (FQHC) - COTTONWOOD - OAK CREEK SCHOOL DISTRICT - FLAGSTAFF MEDICAL CENTER - FLAGSTAFF SHELTER SERVICES - FLAGSTAFF UNIFIED SCHOOL DISTRICT - GUARDIAN MEDICAL TRANSPORT - HIGHLANDS FIRE DISTRICT - HOSPICE COMASSUS - INDEPENDENT PROVIDERS - LHC GROUP - LYFT - MINGUS HIGH SCHOOL DISTRICT - MOUNTAIN LINE BUS SYSTEM - NATIVE AMERICANS FOR COMMUNITY ACTION - NORTHCOUNTRY HEALTH CARE (FQHC) - NORTHERN ARIZONA HEALTHCARE MEDICAL GROUP - NORTHERN ARIZONA UNIVERSITY HEALTH SERVICES - NORTHLAND HOSPICE - POORE MEDICAL CLINIC - SACRED PEAKS HEALTH CENTER - SEDONA - OAK CREEK UNIFIED SCHOOL DISTRICT - SEDONA FIRE DEPARTMENT - SPECTRUM HEALTHCARE - UBER - VERDE VALLEY AMBULANCE - VERDE VALLEY CAREGIVERS - VERDE VALLEY CATLINE - VERDE VALLEY MEDICAL CENTER - YAVAPAI COUNTY DEPARTMENT OF HEALTH SERVICES ACTIONS/CHANGES FOR ACCESS TO HEALTHCARE SINCE 2016 CHNA - IDENTIFIED PATIENT POPULATIONS ARE ENROLLED IN COMMUNITY CARE MANAGEMENT AT FMC AND VVMC - NORTHERN ARIZONA HEALTHCARE MEDICAL GROUP PRIMARY CARE CLINICS HAVE INCREASED THE NUMBER OF PROVIDERS TO PROVIDE PRIMARY AND PREVENTIVE HEALTHCARE SERVICES. 1. SAME DAY APPOINTMENTS ARE OFFERED BY FMC AND VVMC PRIMARY CARE OFFICES 2. FMC AND VVMC PRIMARY CARE OFFICES OFFER EXTENDED HOURS TO IMPROVE ACCESS 3. NAH IS IN PARTNERSHIP WITH PATHFINDERHEALTH ACO TO SUPPORT INDEPENDENT PROVIDERS TO INCREASE ACCESS TO THEIR PRACTICES IN THE FMC AND VVMC MARKETS - INSURANCE/PAYOR REGISTRATION SUPPORT FOR FMC AND VVMC PATIENTS - FMC AND VVMC PROVIDE MEDICAL DIRECTION AND SUPPORT FOR COMMUNITY INTEGRATED PARAMEDICINE - FMC AND VVMC PROVIDE REMOTE PATIENT MONITORING FOR PATIENTS MENTAL HEALTH & MENTAL DISORDERS MANY MENTAL HEALTH ISSUES TAKE LONGER THAN 3 YEARS TO CHANGE ON A POPULATION BASIS. THEREFORE, THIS IS STILL A PRIORITY FOR THE 2022 CHNA. - SUICIDES - VIOLENT DEATHS (INCLUDING FIREARM-RELATED DEATHS, HOMICIDE & SUICIDE) - LACK OF ACCESS TO BEHAVIORAL HEALTH CARE RESOURCES AVAILABLE FOR MENTAL HEALTH & MENTAL DISORDERS - ALCOHOLICS ANONYMOUS - BACK2BASICS - CATHOLIC SOCIAL SERVICES - CHILD FAMILY SERVICES - COMMUNITY MENTAL HEALTH FIRST AID - COTTONWOOD COUNTY DRUG TASK FORCE - FLAGSTAFF MEDICAL CENTER - BEHAVIOR HEALTH SERVICES - HEALTH CHOICE INTEGRATED CARE - INDEPENDENT PROVIDERS - MATFORCE - NATIONAL ALLIANCE ON MENTAL ILLNESS - NATIVE AMERICANS FOR COMMUNITY ACTION - NORTH COUNTRY HEALTHCARE BEHAVIORAL HEALTH - NORTHERN ARIZONA REGIONAL BEHAVIORAL HEALTH AUTHORITY - NORTHERN ARIZONA UNIVERSITY COUNSELING SERVICES - NORTHERN ARIZONA UNIVERSITY HEALTH AND PSYCHOLOGY CENTER - SOUTHWEST BEHAVIORAL HEALTH - SOUTHWEST BEHAVIORAL HEALTH SERVICES - SPECTRUM HEALTHCARE - THE GUIDANCE CENTER - VERDE VALLEY GUIDANCE CLINIC - VERDE VALLEY MEDICAL CENTER ACTIONS/CHANGES FOR MENTAL HEALTH SINCE 2016 CHNA - VVMC PARTNERS WITH SPECTRUM HEALTH FOR A COMMUNITY FOCUSED APPROACH TO PATIENTS ARRIVING IN THE ED WITH MENTAL HEALTH NEEDS - FMC AND VVMC ARE INTEGRATING BEHAVIORAL HEALTH INTO PRIMARY CARE - MENTAL HEALTH MATTERS COLLABORATION IN FLAGSTAFF (FMC) - COCONINO JUSTICE COALITION (CJCC): LEGAL ISSUES WITH MENTALLY ILL (FMC) - AA GROUP MEETINGS ON BHU (FMC) - CRISIS CALLS FROM COMMUNITY: INTAKE / REFERRALS (FMC/VVMC) - FOR FLAGSTAFF POLICE DEPARTMENT (FMC) 1. DE-ESCALATION SKILL TRAINING 2. CIT: CRISIS INTERVENTION TRAINING - NACA: SUICIDE PREVENTION GRANT COLLABORATION (FMC) - HEALTH FAIRS (FMC AND VVMC) - SCREENINGS (FMC AND VVMC PRIMARY CARE CLINICS) 1. DEPRESSION 2. SUBSTANCE ABUSE - INTERNAL / EXTERNAL TO NAH DEBRIEFING CRISIS INTERVENTION (FMC/VVMC) - DUI/DRUG COURT TREATMENT PROGRAMS (FMC) - MENTAL HEALTH / VETERAN COURT HEARINGS (FMC) - TITLE 36 (ED INTAKE) - SHORT TERM CRISIS (FMC/VVMC) - TRAUMA START: SCREENINGS AND BRIEF INTERVENTION / ASSESSMENT (FMC) 1. REFERRALS AT DISCHARGE FOR PATIENTS WITH ALCOHOL AND DRUG USE ISSUES - TALKS AND PRESENTATIONS FOR COMMUNITY GROUPS (FMC) - RN AND SW STUDENTS ROTATE THROUGH DEPARTMENT (FMC) - CPI TRAINING (DE-ESCALATION) FOR SITTERS AND ED STAFF (FMC/VVMC) - MENTAL HEALTH AND SUBSTANCE ABUSE INFORMATION FOR NEW GRADS (FMC/VVMC) - PROVIDE MEETING SITE FOR MONTHLY NATIONAL ASSOCIATION OF SUBSTANCE ABUSE COUNSELORS (NASAC) MEETINGS (FMC) - FMC/VVMC OFFER MENTAL HEALTH FIRST AID TRAINING TO EMPLOYEES AND COMMUNITY MEMBERS - FMC IS A SUPPORTING MEMBER OF "STRONGER AS ONE" COLLABORATION - WHICH IS AN OUTCOME OF THE 2017 CHNA. CHRONIC DISEASE CHRONIC DISEASE ARE, BY NATURE, HEALTH ISSUES THAT TAKE LONGER THAN 3 YEARS TO CHANGE ON A POPULATION BASIS. THEREFORE, THIS IS STILL A PRIORITY FOR THE 2022 CHNA. - CANCER - CARDIOVASCULAR DISEASE - CIRRHOSIS/LIVER DISEASE - DIABETES - OBESITY - OSTEOPOROSIS/ARTHRITIS - RESPIRATORY HEALTH RESOURCES AVAILABLE FOR CHRONIC DISEASE - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (AHCCCS) - BOUNTIFUL BASKETS - CAMP VERDE UNIFIED SCHOOL DISTRICT - COCONINO COUNTY HEALTH & HUMAN SERVICES - COMMUNITY HEALTH CENTER OF YAVAPAI (FQHC) - CORNUCOPIA FOOD PANTRY - COTTONWOOD - OAK CREEK SCHOOL DISTRICT - FIT KIDS OF ARIZONA - FLAGSTAFF COMMUNITY SUPPORTED AGRICULTURE PROJECT - FLAGSTAFF MEDICAL CENTER - FLAGSTAFF SHELTER SERVICES - FLAGSTAFF UNIFIED SCHOOL DISTRICT - GUARDIAN MEDICAL TRANSPORT - HIGHLANDS FIRE DISTRICT - HOSPICE COMASSUS - INDEPENDENT PROVIDERS - LOCAL FARMER'S MARKETS - NATIVE AMERICANS FOR COMMUNITY ACTION - NORTHCOUNTRY HEALTH CARE (FQHC) - NORTHERN ARIZONA HEALTHCARE MEDICAL GROUP - NORTHERN ARIZONA UNIVERSITY HEALTH SERVICES - NORTHLAND HOSPICE - POORE MEDICAL CLINIC - SACRED PEAKS HEALTH CENTER - SEDONA - OAK CREEK UNIFIED SCHOOL DISTRICT - SEDONA FIRE DEPARTMENT - SPECTRUM HEALTHCARE - ST. MARY'S FOOD BANK - VERDE VALLEY AMBULANCE - VERDE VALLEY CAREGIVERS - VERDE VALLEY MEDICAL CENTER - YAVAPAI COUNTY DEPARTMENT OF HEALTH SERVICES - YMCA ACTIONS/CHANGES FOR CHRONIC DISEASE SINCE 2016 CHNA - FOOD IS MEDICINE FOR DIABETES COMMUNITY EDUCATION CLASSES AT FMC AND VVMC - HEALTHY BASICS EATING CLASS AT FMC AND VVMC - CHEF COOKING DEMO'S AT FMC - FMC REFERS PATIENTS TO THE CANCER SUPPORT COMMUNITY PROGRAMS - FREEDOM FROM SMOKING PROGRAM- OFFERED AT VVMC- OPEN TO THE COMMUNITY - SUPPORT GROUPS FOR CHRONIC DISEASE AT VVMC AND FMC - COMPREHENSIVE CARE MANAGEMENT AT VVMC AND FMC - PATHFINDERHEALTH ACO CARE PROCESS MODELS AT VVMC AND FMC - COMMUNITY SCREENINGS FOR CVD AND DIABETES IN THE VVMC AND FMC COMMUNITIES - FMC AND VVMC OFFER DIABETES EDUCATION AND SUPPORT - VVMC OFFERS CARDIAC REHAB AND PULMONARY WELLNESS - FMC AND VVMC ARE DEVELOPING PLANS FOR SUSTAINABLE GROWTH TO EXPAND CHRONIC CARE SERVICE LINES TO THE COMMUNITY - PARTNERING WITH INDIAN HEALTH TO SUPPORT CANCER CARE ON RESERVATIONS 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. 0 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 THE INFORMATION FOR THE COMMUNITY BENEFITS REPORT IS GATHERED BY THE COMMUNICATIONS DEPARTMENT, WHICH IS A DEPARTMENT OF NORTHERN ARIZONA HEALTHCARE. FLAGSTAFF MEDICAL CENTER AND VERDE VALLEY MEDICAL CENTER ARE IDENTIFIED SEPARATELY ON THESE REPORTS. THE COMMUNITY BENEFIT REPORT IS AVAILABLE AT: HTTPS://NAHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT Schedule H, Part VI DISCLOSURES IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21 FLAGSTAFF MEDICAL CENTER (HOSPITAL) IS COMPLIANT WITH THE SECTION 501(R) STATUTE AND HAS MADE A GOOD FAITH EFFORT TO BE FULLY COMPLIANT WITH THE REQUIREMENTS OF THE SECTION 501(R) REGULATIONS. DURING 2022, THE HOSPITAL CONDUCTED A CHNA AND PRODUCED A CHNA REPORT FOR ITS TAX YEAR ENDED JUNE 30, 2022, WHICH WAS APPROVED BY THE BOARD OF DIRECTOR IN FEBRUARY 2022. AS PART OF ITS EFFORT TO BE FULLY COMPLIANT AND WITH THE ASSISTANCE OF AN OUTSIDE ACCOUNTING FIRM, THE HOSPITAL REVIEWED ITS 2022 CHNA REPORT FOR ANY AREAS OF IMPROVEMENT IN THE FALL OF 2022. 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 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 FY2024 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 NOVEMBER 2021 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 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, 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. 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 "NAH SERVICE AREA "FLAGSTAFF OR VERDE VALLEY REGION" IN THIS REPORT) INCLUDES THE FOLLOWING COUNTIES REPRESENTED IN NORTHERN AZ: COCONINO AND YAVAPAI. COCONINO COUNTY (CC)- AS OF JULY 1, 2021 ESTIMATES, THE TOTAL POPULATION IN COCONINO COUNTY WAS 141,274. THE POPULATION IS 50.6% FEMALE AND 49.4% MALE. THE POPULATION WAS FOUND TO BE 63.9% WHITE (NOT HISPANIC OR LATINO), 26.6% AMERICAN INDIAN OR ALASKAN NATIVE, 14.1% HISPANIC OR LATINO, 1.5% BLACK OR AFRICAN AMERICAN, AND 2.1% ASIAN. YAVAPAI COUNTY (YC)- IN 2018 THERE WERE 228,067 INDIVIDUALS LIVING IN YAVAPAI COUNTY. THE POPULATION IS 50.8% FEMALE AND 49.2% MALE. THE MAJORITY OF THE POPULATION IS WHITE (NOT HISPANIC OR LATINO) AT 91.3%. THE POPULATION IS 14.5% HISPANIC OR LATINO, 2.2% AMERICAN INDIAN OR ALASKAN NATIVE, 1.3% ASIAN, AND 1% BLACK OR AFRICAN AMERICAN. AGE DISTRIBUTION: CC-IN 2021, PERSONS UNDER THE AGE OF 18 IS 20.7%, NEARING THE STATE AVERAGE OF 23.2%. AN ESTIMATED 12.0% OF THE POPULATION IS 65 YEARS OR OLDER. YC- AN ESTIMATED 30.6% OF THE POPULATION IS 65 YEARS OR OLDER AND 16.5% IS UNDER THE AGE OF 18. EDUCATION: CC- A PERCENTAGE OF 38.7% OF PERSONS 25 YEARS OR OLDER, HAS EARNED A BACHELOR'S DEGREE. THESE RATES ARE HIGHER THAN THE STATE AVERAGE OF 28.4%. EDUCATIONAL ATTAINMENT IN THE COUNTY IS HIGHER THAN THE STATE'S AVERAGE WITH RESPECT TO ADULTS THAT HAVE GRADUATED FROM HIGH SCHOOL. YC- 28.0% OF THE POPULATION (25+) HAS EARNED A BACHELOR'S DEGREE. YAVAPAI HAD A HIGH SCHOOL GRADUATION RATE OF 92% FOR THOSE AGED 25 OR OLDER. INCOME AND POVERTY: CC-THE MEDIAN HOUSEHOLD INCOME IN THE COCONINO COUNTY IS $61,888, AND 17.6% OF THE POPULATION ARE BELOW THE POVERTY LEVEL. COCONINO COUNTY HAS 51,037 HOUSEHOLDS WITH AN AVERAGE HOUSEHOLD SIZE OF 2.56. YC- THE MEDIAN HOUSEHOLD INCOME IN YAVAPAI COUNTY IS $56,170, AND 13.0% OF THE YAVAPAI COUNTY POPULATION IS BELOW THE POVERTY LEVEL. THERE ARE 103,934 HOUSEHOLDS IN YAVAPAI COUNTY WITH AN AVERAGE OF 2.20 PERSONS PER HOUSEHOLD. 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 true true false false false false false true false Florence Spyrow FORMER NAH PRESIDENT/CEO 0 0 0 0 0 802687 0 0 0 0 0 802687 0 0 Joshua Tinkle FORMER COO/INTERIM NAH CEO 0 310224 0 0 0 87140 0 12384 0 8811 0 418559 0 0 DAVID CHENEY NAH PRESIDENT/CEO 0 534532 0 300000 0 14969 0 16500 0 13134 0 879135 0 0 Clifford Loader Chief Financial Officer 0 492971 0 0 0 25451 0 17500 0 7255 0 543177 0 0 DEREK FEUQUAY Chief Medical Officer 0 471128 0 0 0 12538 0 17500 0 18085 0 519251 0 0 MATT SENA VP Operations 0 312054 0 0 0 534 0 17363 0 17622 0 347573 0 0 TYFFANY J SWEENEY Chief Nursing Officer 0 304010 0 0 0 470 0 6938 0 11451 0 322869 0 0 Andrew J Burkle Pharmacist 0 132975 0 0 0 112594 0 12599 0 22601 0 280769 0 0 Mark S Jensen Pharmacist 0 118652 0 3524 0 102562 0 1800 0 20243 0 246781 0 0 Christopher Konradi Pharmacist 0 152941 0 5275 0 50610 0 10785 0 19543 0 239154 0 0 Jacob D Stearley Pharmacist 0 113439 0 1381 0 92966 0 21840 0 8336 0 237962 0 0 Scott Waldrop Director of Pharmacy Services 0 215368 0 5851 0 4250 0 11694 0 20731 0 257894 0 0 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 KARA MARX RECEIVED SEVERANCE IN THE AMOUNT OF $175,594. FLORENCE SPYROW RECEIVED SEVERANCE IN THE AMOUNT OF $802,609. 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). A INDUSTRIAL DEVELOPMENT AUTHORITY OF YAVAPAI COUNTY 860376099 000000000 2015-06-30 54783825 SEE PART VI false false false B INDUSTRIAL DEVELOPMENT AUTHORITY OF YAVAPAI COUNTY 860376099 000000000 2017-05-29 21316659 SEE PART VI false false false C INDUSTRIAL DEVELOPMENT AUTHORITY OF YAVAPAI COUNTY 860376099 000000000 2021-07-06 25222364 SEE PART VI false false false A 8146640 0 54783825 0 0 0 1111308 0 0 0 53672517 0 2015 true false true true B 0 0 21316659 0 0 0 171169 0 0 21145490 0 0 2017 false false false true C 4450875 0 25222364 0 0 0 263396 0 0 0 24958968 0 2021 true false true true A false false true true false 0.0 0.0 0.0 false false true B false false true true false 0.0 0.0 0.0 false false true C false false true true false 0.0 0.0 0.0 false false true A false false true false false false false false true B false true false false true false false false false C false false true false false false false false true A true B true C true Schedule K, Part I, Column (f) SCHEDULE K, PART I, COLUMN (F) - SCHEDULE K, PART I, COLUMN (F) 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. 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 ALL OTHER REVENUE - Total Revenue: 962281, Related or Exempt Function Revenue: 962281, 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 - 2254142; SUPPORT TO RELATED COMPANIES (VVMC, NAH) - -63284874; OTHER - 15128; 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 true false false false false false false false false false true true false false false true false true true true VERDE VALLEY MEDICAL CENTER Q 90425153 COST