FLAGSTAFF MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: FLAGSTAFF MEDICAL CENTER (EIN 86-0110232)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-12
IRS object ID: 202301319349307620
Schema version: 2021v4.2
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 I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-12T01:02:28+00:00	ReturnTs
Tax Period End	2022-06-30	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	2323 VICTORY AVENUE SUITE 2000	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	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	2023-05-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	CLIFFORD	PersonFirstNm
Person Last	LOADER	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Patrick Shields	PreparerPersonNm
PTIN	P01508556	PTIN
Phone	2149698000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOSHUA TINKLE	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	$520,038,158	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	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	18	TotalVolunteersCnt
Total Gross UBI	$947,449	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$14,911,930	PYContributionsGrantsAmt
CY Contributions Grants	$13,720,011	CYContributionsGrantsAmt
PY Program Service Revenue	$456,276,454	PYProgramServiceRevenueAmt
CY Program Service Revenue	$483,091,778	CYProgramServiceRevenueAmt
PY Investment Income	$38,672,739	PYInvestmentIncomeAmt
CY Investment Income	$21,025,722	CYInvestmentIncomeAmt
PY Other Revenue	$1,111,880	PYOtherRevenueAmt
CY Other Revenue	$2,200,647	CYOtherRevenueAmt
PY Total Revenue	$510,973,003	PYTotalRevenueAmt
CY Total Revenue	$520,038,158	CYTotalRevenueAmt
PY Grants And Similar Paid	$250,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$100,174	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$175,760,876	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$206,471,574	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$243,665,237	PYOtherExpensesAmt
CY Other Expenses	$261,299,358	CYOtherExpensesAmt
PY Total Expenses	$419,676,113	PYTotalExpensesAmt
CY Total Expenses	$467,871,106	CYTotalExpensesAmt
PY Revenues Less Expenses	$91,296,890	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$52,167,052	CYRevenuesLessExpensesAmt
Total Assets BOY	$939,720,721	TotalAssetsBOYAmt
Total Assets EOY	$845,814,540	TotalAssetsEOYAmt
Total Liabilities BOY	$267,091,571	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$217,502,290	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$672,629,150	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$628,312,250	NetAssetsOrFundBalancesEOYAmt
Mission	IMPROVING HEALTH, HEALING PEOPLE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$381,695,989	ExpenseAmt
Grant	$100,174	GrantAmt
Revenue	$436,691,814	RevenueAmt
Desc	FLAGSTAFF MEDICAL CENTER PROVIDES COMPREHENSIVE HEALTHCARE SERVICES, INCLUDING PRIMARY CARE AND SPECIALTY PHYSICIAN CLINICS, CANCER CENTERS OF NORTHERN ARIZONA HEALTHCARE, ENTIRECARE REHAB SPORTS MEDICINE, AND FIT KIDS OF ARIZONA. 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 AND CHILDREN'S SERVICES; AND MORE. FMC CURRENTLY HAS: - 268 INPATIENT BEDS - 257 PHYSICIANS ON OUR ACTIVE MEDICAL STAFF - 19,275 ANNUAL INPATIENT HOSPITAL ADMISSIONS - 66,855 INPATIENT DAYS - 106,114 ANNUAL OUTPATIENT HOSPITAL VISITS - 41,736 ANNUAL EMERGENCY DEPARTMENT VISITS - 986 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	$28,449,586	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$36,745,325	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	$9,915,095	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$11,855,286	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.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$420,060,670	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
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	Yes (true)	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	167	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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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
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
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WILLIE FELTS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9282143545	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1120 W UNIVERSITY AVENUE 2ND FLOOR	AddressLine1Txt
City	FLAGSTAFF	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86001	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 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
FLORENCE SPYROW
NAH PRESIDENT/CEO	10.0	30.0	Yes (X)	Yes (X)	$0	$1,284,451	$32,656
Janet Corrigan
DIRECTOR/CHAIR (CHAIR THRU 09/21)	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
KENNETH SALCE MD
DIRECTOR/SECRETARY (THRU 11/21)	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL MARTINELL
DIRECTOR/VICE CHAIR (AS OF 10/21)	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM RILEY
DIRECTOR/CHAIR (AS OF 10/21)	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Alice Gagnaire RN
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
CHARLES MARR
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
Charlie Agee
DIRECTOR (AS OF 9/21)	1.0	2.0	Yes (X)		$0	$0	$0
ERIC CROWELL
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
GUADALUPE WOODSON FNP
DIRECTOR (THRU 7/21)	1.0	2.0	Yes (X)		$0	$0	$0
JOHN RIVERS
DIRECTOR/SECRETARY (AS OF 10/21)	1.0	2.0	Yes (X)		$0	$0	$0
Randall Garrison
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
Troy Lorents
Director (AS OF 7/21)	1.0	2.0	Yes (X)		$0	$0	$0
WILLIAM JEFFERS
DIRECTOR/TREASURER (AS OF 10/21)	1.0	2.0	Yes (X)		$0	$0	$0
CLIFFORD LOADER
Chief Financial Officer	12.0	28.0		Yes (X)	$0	$581,017	$18,705
JOSHUA TINKLE
CHIEF OPERATING OFFICER	10.0	30.0		Yes (X)	$0	$572,835	$35,385
Derek Feuquay
Chief Medical Officer	10.0	30.0			$0	$529,875	$31,875	Yes (X)
Leon Pontikes
Chief Medical Officer (Thru 8/21)	10.0	30.0			$0	$543,790	$25,627	Yes (X)
MATTHEW SENA
VP OPERATIONS	20.0	20.0			$0	$343,441	$29,510	Yes (X)
TYFFANY SWEENEY
CHIEF NURSING OFFICER	28.0	12.0			$0	$326,911	$11,385	Yes (X)
DUSTIN WINDLE
DIR GUARDIAN AIR TRANSPORT	40.0	0.0			$0	$189,496	$31,976		Yes (X)
Lisa Derosa
Director Cardiovascular Systems	40.0	0.0			$0	$272,138	$32,597		Yes (X)
Nicole Dhanraj
Director Medical Imaging Services	40.0	0.0			$0	$221,211	$28,482		Yes (X)
SCOTT WALDROP
DIRECTOR PHARMACY SERVICES	40.0	0.0			$0	$250,725	$24,515		Yes (X)
YARI VALLE
MANAGER OUTPATIENT PHARMACY	40.0	0.0			$0	$210,641	$26,742		Yes (X)
LORI SMITHSON
FORMER DIRECTOR CLINICAL CARE	0.0	40.0			$0	$213,649	$29,792			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,540,180	TotReportableCompRltdOrgAmt
Total Other Compensation	$359,247	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
AYA HEALTHCARE INC
PO BOX 123519	DALLAS	TX	75312	CONTRACT LABOR	$23,870,789
TRAUMA ACUTE CARE SURGEONS OF NORTHERN AZ
77 W FOREST AVE STE 206	FLAGSTAFF	AZ	86001	MEDICAL SERVICES	$2,943,348
PHOENIX CARDIAC SURGERY
3131 E CLAREDON AVE STE 102	PHOENIX	AZ	85016	MEDICAL SERVICES	$2,858,882
CRITICAL CARE CONSULTANTS OF AZ
PO BOX 967	FLAGSTAFF	AZ	86002	MEDICAL SERVICES	$2,527,560
CALENCE LLC
PO BOX 731069	DALLAS	TX	75373	CONTRACT LABOR	$2,254,418

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	71	CntrctRcvdGreaterThan100KCnt
Government Grants	$13,556,660	GovernmentGrantsAmt
All Other Contributions	$163,351	AllOtherContributionsAmt
Total Contributions	$13,720,011	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	$477,109,710	$477,109,710
PHARMACY REVENUE	446110	$4,057,908	$3,110,459	$947,449
CAFETERIA REVENUE	900099	$1,582,359	$1,582,359
INTERCOMPANY RENT INCOME	531120	$251,168	$251,168
AUXILIARY GIFT SHOP SALES	453220	$90,633	$90,633

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	$483,091,778	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,399,089	TotalRevenueColumnAmt
Exclusion	$18,399,089	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	$2,214,216	SecuritiesAmt
Other	$412,417	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,214,216	SecuritiesAmt
Other	$412,417	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,626,633	TotalRevenueColumnAmt
Exclusion	$2,626,633	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NON-PATIENT ROOMS	900099	$197,461	$197,461
STAND-BY FEES	900099	$165,585	$165,585
PROGRAM FEES	900099	$60,314	$60,314

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,777,287	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,777,287	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,200,647	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$520,038,158	TotalRevenueColumnAmt
Related Or Exempt Func Income	$484,344,976	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$947,449	UnrelatedBusinessRevenueAmt
Exclusion	$21,025,722	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$100,174	TotalAmt
Program Services	$100,174	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	$1,223,945	TotalAmt
Program Services	$61,197	ProgramServicesAmt
Management And General	$1,162,748	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$176,422,434	TotalAmt
Program Services	$164,059,241	ProgramServicesAmt
Management And General	$12,363,193	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,072,685	TotalAmt
Program Services	$3,034,335	ProgramServicesAmt
Management And General	$38,350	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,860,910	TotalAmt
Program Services	$14,749,422	ProgramServicesAmt
Management And General	$1,111,488	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,891,600	TotalAmt
Program Services	$9,198,424	ProgramServicesAmt
Management And General	$693,176	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$107,689	TotalAmt
Program Services	$105,189	ProgramServicesAmt
Management And General	$2,500	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$118,805	TotalAmt
Management And General	$118,805	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$11,510	TotalAmt
Management And General	$11,510	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$9,260	TotalAmt
Management And General	$9,260	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$35,677,535	TotalAmt
Program Services	$34,282,825	ProgramServicesAmt
Management And General	$1,394,710	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$166,338	TotalAmt
Program Services	$125,990	ProgramServicesAmt
Management And General	$40,348	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$102,392,435	TotalAmt
Program Services	$97,801,631	ProgramServicesAmt
Management And General	$4,590,804	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,607,407	TotalAmt
Program Services	$706,628	ProgramServicesAmt
Management And General	$900,779	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,679,922	TotalAmt
Program Services	$5,490,985	ProgramServicesAmt
Management And General	$188,937	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$431,291	TotalAmt
Program Services	$294,886	ProgramServicesAmt
Management And General	$136,405	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$270,553	TotalAmt
Program Services	$232,804	ProgramServicesAmt
Management And General	$37,749	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,137,279	TotalAmt
Program Services	$48,523	ProgramServicesAmt
Management And General	$2,088,756	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,815,745	TotalAmt
Program Services	$19,603,503	ProgramServicesAmt
Management And General	$212,242	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,031,414	TotalAmt
Program Services	$478,589	ProgramServicesAmt
Management And General	$1,552,825	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
EXP REIMBURSEMENT TO NAH	$60,273,510	$63,400,536	-$3,127,026
CONTRACT MAINTENANCE	$9,752,031	$5,592,206	$4,159,825
COLLECTION EXPENSE	$385,429	$16,661	$368,768
AHCCCS ASSESSMENTS	$20,434,700		$20,434,700

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$3,495	TotalAmt
Program Services	$676,921	ProgramServicesAmt
Management And General	-$680,416	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$467,871,106	TotalAmt
Program Services	$420,060,670	ProgramServicesAmt
Management And General	$47,810,436	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$41,144,285	BOYAmt
EOY	$159,831	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,359,803	BOYAmt
EOY	$10,019,013	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	$74,093,366	BOYAmt
EOY	$86,905,940	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	$8,019,096	BOYAmt
EOY	$5,188,888	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,074,862	BOYAmt
EOY	$9,029,557	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,997,228	BOYAmt
EOY	$3,193,485	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$519,178,800	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$326,219,666	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$180,164,805	BOYAmt
EOY	$192,959,134	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$595,124,253	BOYAmt
EOY	$524,434,142	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	$12,743,023	BOYAmt
EOY	$13,924,550	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$939,720,721	BOYAmt
EOY	$845,814,540	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$40,871,592	BOYAmt
EOY	$43,738,641	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	$119,452,680	BOYAmt
EOY	$113,680,680	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	$939,569	BOYAmt
EOY	$1,033,196	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	$105,827,730	BOYAmt
EOY	$59,049,773	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$267,091,571	BOYAmt
EOY	$217,502,290	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	$672,629,150	BOYAmt
EOY	$628,312,250	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	$672,629,150	BOYAmt
EOY	$628,312,250	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$939,720,721	BOYAmt
EOY	$845,814,540	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$52,167,052	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$90,733,666	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$5,750,286	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

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	$11,510	OtherActivitiesAmt
Total Lobbying Expenditures	$11,510	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 AMERICAN HOSPITAL ASSOCIATION, THE AMERICA'S ESSENTIAL HOSPITALS AND THE HEALTH SYSTEM ALLIANCE OF ARIZONA. A PERCENTAGE OF THIS AMOUNT, $11,510, WAS ESTIMATED TO BE ATTRIBUTABLE TO LOBBYING RELATED TO HEALTH CARE ADVOCACY AT THE FEDERAL, STATE, REGIONAL AND LOCAL LEVELS. FLAGSTAFF MEDICAL CENTER ALSO PARTICIPATES IN HEALTHCARE RELATED LOBBYING ACTIVITIES THROUGH THE SOLE COMMUNITY HOSPITAL COALITION.	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	$256,382,139	OtherCostOrOtherBasisAmt
Depreciation	$155,804,803	DepreciationAmt
Book Value	$100,577,336	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,577,887	OtherCostOrOtherBasisAmt
Depreciation	$1,401,948	DepreciationAmt
Book Value	$175,939	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$214,463,597	OtherCostOrOtherBasisAmt
Depreciation	$166,470,711	DepreciationAmt
Book Value	$47,992,886	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,360,088	OtherCostOrOtherBasisAmt
Depreciation	$2,542,204	DepreciationAmt
Book Value	$38,817,884	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$192,959,134	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
DEFERRED LIABILITIES	$24,371,938
ACCRUED PENSION LIABILITY	$14,479,206
MALPRACTICE INSURANCE RESERVE LT	$5,610,603
OPERATING LEASE LIABILITY	$4,183,913
UNEMPLOYMENT PAYABLE	$799,314
OTHER-GAAP PRESENTATION	$1,803,114
THIRD-PARTY PAYOR SETTLEMENTS	$1,799,927
MALPRACTICE INSURANCE RESERVE	$1,885,416
PROFESSIONAL AND AUDIT FEES	$41,486
OTHER	$4,074,856

Field	Value	IRS element (for citing)
Total Liability	$59,049,773	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

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
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	false	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,159,390	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,159,390	NetCommunityBenefitExpnsAmt
Total Expense	0.0516	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$160,629,544	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,038,185	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$119,591,359	NetCommunityBenefitExpnsAmt
Total Expense	0.2556	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	$184,788,934	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,038,185	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$143,750,749	NetCommunityBenefitExpnsAmt
Total Expense	0.3072	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,460,377	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,505	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,413,872	NetCommunityBenefitExpnsAmt
Total Expense	0.0052	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

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

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	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,460,377	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,505	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,413,872	NetCommunityBenefitExpnsAmt
Total Expense	0.0052	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$187,249,311	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,084,690	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$146,164,621	NetCommunityBenefitExpnsAmt
Total Expense	0.3124	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)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

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

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$42,511,075	BadDebtExpenseAmt
Bad Debt Expense Attributable	$11,650,580	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$98,448,600	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$102,017,569	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,568,969	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	22	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	22	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. 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 - COST AS A BARRIER TO PHYSICIAN VISITS - DIFFICULTY ACCESSING HEALTHCARE - 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 2019 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 FINANCIAL 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.

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	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. THE HOSPITAL HAS NOT IDENTIFIED ANY PERSONS DIRECTLY AFFECTED BY THE MINOR AND INADVERTENT OMISSIONS RELATED TO ITS CHNA. THE HOSPITAL WILL CONTINUE TO MONITOR ITS COMPLIANCE WITH THE SECTION 501(R) REGULATIONS AND PROCEDURES HAVE BEEN PUT IN PLACE TO MONITOR COMPLIANCE THROUGH PERIODIC REVIEWS.
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	COMMUNITY BUILDING IS ADVANCED BY FLAGSTAFF MEDICAL CENTER 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 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 FY2022 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 2022 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 DOESN'T QUALIFY FOR FINANCIALASSISTANCE, 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 OR "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 I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHERN ARIZONA HEALTHCARE FDN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1030 SAN FRANCISCO ST	AddressLine1Txt
City	FLAGSTAFF	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86001	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	813137336	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$100,174	CashGrantAmt
Purpose Of Grant	ENDOWMENT COMM. BENEFITS	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	1) INDIVIDUALS ON THE USER LEVEL ARE RESPONSIBLE FOR SCREENING AND IDENTIFYING THE NEEDS FOR DISTRIBUTION OF GRANT FUNDS. 2) DEPARTMENT HEADS AND/OR PROGRAM COORDINATORS MUST VALIDATE AND SIGN ALL REQUESTS FOR PAYMENT OR DISBURSEMENT OF THESE FUNDS. 3) WRITTEN REQUESTS ARE REVIEWED BY THE FOUNDATION SPECIALIST FOR OPERATIONS TO VERIFY AVAILABLE FUND BALANCES AND PROPER ACCOUNT NUMBERS. 4) THE FOUNDATION SPECIALIST FOR GRANTS THEN INITIALS THE DOCUMENTS AFTER VERIFYING THE CRITERIA FOR DISBURSEMENT. 5) THE VICE PRESIDENT OF DEVELOPMENT AUTHORIZES THE DISBURSEMENT OF FUNDS BY SIGNATURE. 6) THE FOUNDATION SCANS ALL DOCUMENTS AND SAVES THEM DIGITALLY ON A SECURE SERVER. 7) ALL ORIGINAL DOCUMENTS ARE SUBMITTED TO ACCOUNTS PAYABLE FOR FINAL RECORDING AND PAYMENT. ORIGINAL DOCUMENTS ARE FILED AND ARCHIVED IN A SECURE LOCATION FOR THE REQUIRED LENGTH OF TIME. FMC RELIES ON THE GOVERNANCE PRACTICES OF THE RECIPIENT ORGANIZATION TO USE THE FUNDS FOR THE INTENDED PURPOSE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	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
FLORENCE SPYROW
NAH PRESIDENT/CEO	$0	$716,323	$0	$215,319	$0	$352,809	$0	$11,902	$0	$20,754	$0	$1,317,107	$0	$0
CLIFFORD LOADER
Chief Financial Officer	$0	$449,869	$0	$130,047	$0	$1,101	$0	$11,871	$0	$6,834	$0	$599,722	$0	$0
JOSHUA TINKLE
CHIEF OPERATING OFFICER	$0	$450,020	$0	$121,877	$0	$938	$0	$11,253	$0	$24,132	$0	$608,220	$0	$0
Derek Feuquay
Chief Medical Officer	$0	$422,287	$0	$85,753	$0	$21,835	$0	$11,841	$0	$20,034	$0	$561,750	$0	$0
MATTHEW SENA
VP OPERATIONS	$0	$262,650	$0	$54,799	$0	$25,992	$0	$9,433	$0	$20,077	$0	$372,951	$0	$0
TYFFANY SWEENEY
CHIEF NURSING OFFICER	$0	$271,895	$0	$54,614	$0	$402	$0	$4,425	$0	$6,960	$0	$338,296	$0	$0
Leon Pontikes
Chief Medical Officer (Thru 8/21)	$0	$343,222	$0	$100,625	$0	$99,943	$0	$11,797	$0	$13,830	$0	$569,417	$0	$0
LORI SMITHSON
FORMER DIRECTOR CLINICAL CARE	$0	$183,825	$0	$19,795	$0	$10,029	$0	$8,836	$0	$20,956	$0	$243,441	$0	$0
Lisa Derosa
Director Cardiovascular Systems	$0	$215,290	$0	$47,592	$0	$9,256	$0	$11,144	$0	$21,453	$0	$304,735	$0	$0
Nicole Dhanraj
Director Medical Imaging Services	$0	$161,819	$0	$59,242	$0	$150	$0	$1,105	$0	$27,377	$0	$249,693	$0	$0
YARI VALLE
MANAGER OUTPATIENT PHARMACY	$0	$189,001	$0	$21,377	$0	$263	$0	$5,635	$0	$21,107	$0	$237,383	$0	$0
SCOTT WALDROP
DIRECTOR PHARMACY SERVICES	$0	$207,715	$0	$42,171	$0	$839	$0	$10,183	$0	$14,332	$0	$275,240	$0	$0
DUSTIN WINDLE
DIR GUARDIAN AIR TRANSPORT	$0	$169,753	$0	$19,586	$0	$157	$0	$7,939	$0	$24,037	$0	$221,472	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 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 7 Non-fixed payments	THE FOLLOWING INDIVIDUALS RECEIVED A ONE-TIME RELOCATION PAYMENT. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): JOSHUA TINKLE $500
Schedule J, Part I, Line 1a SCHEDULE J, PART I, LINES 1A 1B	ALL COMPENSATION, BENEFITS AND REIMBURSEMENTS ARE PAID BY NORTHERN ARIZONA HEALTHCARE, THE PARENT ORGANIZATION. GROSS-UP OF TAXES IS DONE ON ALL EMPLOYEE GIFT CERTIFICATES OF $25 OR MORE. IN PRACTICE, THE BOARD MEMBER AND OFFICER BUSINESS TRAVEL EXPENSES ARE APPROVED BY THE NEXT HIGHEST LEVEL.
Schedule J, Part I, Line 4b OTHER INFORMATION DISCLOSURES - RETIREMENT	CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DURING THE YEARS ARE AS FOLLOWS. THESE AMOUNTS WERE INCLUDED IN TAXABLE WAGES (SCHEDULE J, PART II, COLUMN (B)(III)) AND ALSO IN COLUMN (F) SINCE THESE AMOUNTS HAVE PREVIOUSLY BEEN REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990: FLORENCE SPYROW $315,250
Schedule J, Part II OTHER INFORMATIONAL DISCLOSURES	THE FOLLOWING INDIVIDUALS CASHED OUT ACCUMULATED PTO DURING THE YEAR. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): DEREK FEUQUAY $21,154 MATTHEW SENA $25,570 LISA DE ROSA $8,780
Schedule J, Part II OTHER INFORMATIONAL DISCLOSURES	NORTHERN ARIZONA HEALTHCARE CORPORATION MAKES DISCRETIONARY MANAGEMENT INCENTIVE PAYMENTS BASED ON METINGS VARIOUS ORGANIZATION GOALS. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II): FLORENCE SPYROW $215,319 CLIFFORD LOADER $130,047 JOSHUA TINKLE $121,877 DEREK FEUQUAY $85,753 TYFFANY SWEENEY $54,614 MATTHEW SENA $54,799 LISA DE ROSA $47,592 SCOTT WALDROP $42,171 NICOLE DHANRAJ $59,242 YARI VALLE $21,377 DUSTIN WINDLE $19,586

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 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	false	false	false
INDUSTRIAL DEVELOPMENT AUTHORITY OF YAVAPAI COUNTY
B	860376099	000000000	2017-05-29	$40,000,000	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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 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	$5,737,511	$0	$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	$41,447,300	$0	$0	$0	$333,014	$0	$0	$23,616,887	$17,497,399	$0	2017	false	false	false	Yes (true)
C	$0	$0	$25,222,364	$0	$0	$0	$263,396	$0	$0	$0	$24,958,968	$0	2021	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	Yes (true)	false	false	false	false
C	false	false	Yes (true)	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	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)	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 ALLOCATED TO FLAGSTAFF MEDICAL CENTER (FMC). FMC FUNDED VVMC CAPITAL PROJECTS FROM THESE FUNDS. 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.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 6 VOLUNTEERS	FMC VOLUNTEERS PROVIDE CLERICAL ASSISTANCE IN MULTIPLE DEPARTMENTS AND SUPPORT SERVICES SUCH AS WHEELCHAIR ASSISTANCE AND ESCORTING PATIENTS AND FAMILIES WHO ENTER AT THE MAIN ENTRY. THEY VOLUNTEER AT THE INFORMATION DESK AND GIFT SHOP AND MAKE DELIVERIES OF GIFTS, READING MATERIALS AND MAIL TO PATIENT ROOMS. THEY PROVIDE LOBBY MUSIC, NAVAJO AND SPANISH INTERPRETATION, SPIRITUAL CARE, AND CARING CANINE AND CARING CLOWN VISITS TO PATIENTS. THEY ROCK BABIES IN THE SPECIAL CARE NURSERY, PROVIDE MENDED HEARTS PATIENT AND FAMILY SUPPORT, AND ASSIST AT THE FOUNDATION AND AT SPECIAL EVENTS. VOLUNTEERS ASSIST IN OTHER DEPARTMENTS SUCH AS THE CANCER CENTER, BIOMEDICAL ENGINEERING, MAIL ROOM, NUTRITION SERVICES, PHARMACY, WOMEN AND INFANTS' CENTER, PHYSICAL THERAPY, FIT KIDS, BARIATRIC CLINIC, EMERGENCY AND SURGICAL SERVICES, AND THE TAYLOR HOUSE.
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 IN AN EMERGENCY SITUATION ONLY. THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE INDIVIDUALS THEN SERVING AS THE EXECUTIVE COMMITTEE OF NAH, AUTOMATICALLY AND WITHOUT SEPARATE ELECTION. THE EXECUTIVE COMMITTEE SHALL ONLY MEET IF A QUORUM OF THE BOARD IS IMPOSSIBLE AND AN URGENT BOARD VOTE IS REQUIRED. IN SUCH CASES IT SHALL EXERCISE THE POWER AND AUTHORITY OF THE BOARD, AND SHALL REPORT ANY ACTIONS TAKEN AT THE FOLLOWING BOARD MEETING.
Form 990, Part VI, Line 6 Classes of members or stockholders	NORTHERN ARIZONA HEALTHCARE CORPORATION IS THE SOLE CORPORATE MEMBER OF FLAGSTAFF 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 ADMINISTRATIVE 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). THIS IS ACCOMPLISHED BY A NUMBER OF MECHANISMS. FIRST, THE CONFLICT OF INTEREST QUESTIONNAIRE IS REVIEWED BY THE GOVERNANCE COMMITTEE OF THE BOARD. AS PART OF THE QUESTIONNAIRE, SELF-DISCLOSURE IS REQUIRED BY BOARD MEMBERS, OFFICERS, AND VPS. 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 CONTROLLER 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, WHICH MAKES A DETERMINATION AS TO WHETHER A CONFLICT EXISTS.
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, AN INDEPENDENT CONSULTING FIRM. IN ADDITION, THIS INFORMATION IS REVIEWED BY THE BOARD EXECUTIVE COMMITTEE AND DOCUMENTED IN BOARD MINUTES. THE MOST RECENT COMPREHENSIVE REVIEW WAS PERFORMED IN MARCH 2021, AND MOST OFFICER ROLES HAVE BEEN REVIEWED ON AN INDIVIDUAL BASIS SINCE THEN WITHIN THE LAST THREE YEARS.
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, AN INDEPENDENT CONSULTING FIRM. IN ADDITION, THIS INFORMATION IS REVIEWED BY THE BOARD EXECUTIVE COMMITTEE AND DOCUMENTED IN BOARD MINUTES. THE MOST RECENT COMPREHENSIVE REVIEW WAS PERFORMED IN MARCH 2021, AND MOST OFFICER ROLES HAVE BEEN REVIEWED ON AN INDIVIDUAL BASIS SINCE THEN WITHIN THE LAST THREE YEARS.
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: 1777287, Related or Exempt Function Revenue: 1777287, 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 - 2655119; SUPPORT TO RELATED COMPANIES (VVMC, NAH, NAHPG) - -8408757; Other - 3352;

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	$83,244,981	InvolvedAmt
Method Of Amount Determination	COST	MethodOfAmountDeterminationTxt