VERDE VALLEY MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: VERDE VALLEY MEDICAL CENTER (EIN 86-0100882)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-12
IRS object ID: 202311319349307621
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 C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-12T01:03:21+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	860100882	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	VERD	BusinessNameControlTxt
Phone	9286396442	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	269 SOUTH CANDY LANE	AddressLine1Txt
City	COTTONWOOD	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86326	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
Preparation	2023-05-11	PreparationDt

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	$209,945,790	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	1939	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	7	TotalVolunteersCnt
Total Gross UBI	$370,979	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,955,282	PYContributionsGrantsAmt
CY Contributions Grants	$5,032,057	CYContributionsGrantsAmt
PY Program Service Revenue	$175,713,011	PYProgramServiceRevenueAmt
CY Program Service Revenue	$193,870,140	CYProgramServiceRevenueAmt
PY Investment Income	$14,412,145	PYInvestmentIncomeAmt
CY Investment Income	$7,881,737	CYInvestmentIncomeAmt
PY Other Revenue	$3,551,746	PYOtherRevenueAmt
CY Other Revenue	$3,161,856	CYOtherRevenueAmt
PY Total Revenue	$199,632,184	PYTotalRevenueAmt
CY Total Revenue	$209,945,790	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$64,749,592	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$75,648,064	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$95,889,651	PYOtherExpensesAmt
CY Other Expenses	$91,436,737	CYOtherExpensesAmt
PY Total Expenses	$160,639,243	PYTotalExpensesAmt
CY Total Expenses	$167,084,801	CYTotalExpensesAmt
PY Revenues Less Expenses	$38,992,941	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$42,860,989	CYRevenuesLessExpensesAmt
Total Assets BOY	$444,389,010	TotalAssetsBOYAmt
Total Assets EOY	$370,915,260	TotalAssetsEOYAmt
Total Liabilities BOY	$91,770,893	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$66,441,425	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$352,618,117	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$304,473,835	NetAssetsOrFundBalancesEOYAmt
Mission	IMPROVING HEALTH, HEALING PEOPLE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$140,967,408	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$181,786,073	RevenueAmt
Desc	TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY THROUGH INPATIENT, OUTPATIENT AND EMERGENCY HOSPITAL CARE AND RELATED MEDICAL SERVICES, CHARITY CARE AND COMMUNITY SERVICE. TOTAL INPATIENT DISCHARGES WERE 5,386 AND 21,138 PATIENT DAYS. OUTPATIENT VISITS APPROXIMATED 602,381 AND 22,077 EMERGENCY VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$7,009,311	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$15,202,847	RevenueAmt
Desc	TO PROVIDE EMERGENCY SERVICES, CANCER TREATMENT, AND OTHER ANCILLARY SERVICES TO THE COMMUNITY THROUGH THE OPERATION OF THE VERDE VALLEY MEDICAL CENTER SEDONA CAMPUS. EMERGENCY VISITS WERE 7,962. RADIATION ONCOLOGY PROCEDURES WERE 11,575. MEDICAL IMAGING PROCEDURES WERE 13,977. LABORATORY PROCEDURES WERE 35,107. PHYSCIAL THERAPY VISITS WERE 34,373.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$147,976,719	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	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	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	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	32	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 (23 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
FLORENCE SPYROW
NAH PRESIDENT/CEO	6.0	34.0	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	8.0	32.0		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)
Brett Brawley
Clinical Manager	40.0	0.0			$0	$178,997	$30,407		Yes (X)
Cheryl Chase
Manager Pharmacy Operations	40.0	0.0			$0	$202,708	$28,554		Yes (X)
Frank Rafie
Chief Medical Radiation Physicist Clinicist	40.0	0.0			$0	$312,266	$31,158		Yes (X)
LORI SMITHSON
Clinical Manager (As of 10/21)	40.0	0.0			$0	$213,649	$29,792		Yes (X)
Stewart Wilson
Pharmacist	40.0	0.0			$0	$182,969	$15,612		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,602,556	TotReportableCompRltdOrgAmt
Total Other Compensation	$279,771	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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	$9,066,752
MAYO CLINIC MAYO MEDICAL LABOR
PO BOX 9146	MINNEAPOLIS	MN	55480	MEDICAL SERVICES	$930,920
CRITICAL CARE CONSULTANTS OF AZ
PO BOX 967	FLAGSTAFF	AZ	86002	MEDICAL SERVICES	$618,104
GE MED SYSTEMS ULTRASOUND PRIMARY CARE
PO BOX 74008831	CHICAGO	IL	60674	CONTRACT LABOR	$482,148
INSTRUMENTATION LABORATORY COMPANY
PO BOX 347934	PITTSBURGH	PA	15251	LABORATORY SERVICES	$258,061

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Government Grants	$5,032,057	GovernmentGrantsAmt
Total Contributions	$5,032,057	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES REVENUE	622110	$170,777,451	$170,777,451
LABORATORY SERVICES	621500	$18,283,324	$18,277,815	$5,509
LABORATORY PATHOLOGY SERVICES	621500	$4,443,895	$4,443,895
PHARMACY RETAIL	446110	$365,470		$365,470

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	$193,870,140	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,736,977	TotalRevenueColumnAmt
Exclusion	$6,736,977	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$43,076	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$43,076	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$43,076	TotalRevenueColumnAmt
Exclusion	$43,076	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$631,401	SecuritiesAmt
Other	$513,359	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$631,401	SecuritiesAmt
Other	$513,359	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,144,760	TotalRevenueColumnAmt
Exclusion	$1,144,760	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA SALES	722514	$988,050	$988,050
340B REVENUE	446110	$74,916	$74,916
GIFT SHOP SALES	900099	$80,026	$80,026

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,975,788	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,975,788	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,118,780	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$209,945,790	TotalRevenueColumnAmt
Related Or Exempt Func Income	$196,617,941	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$370,979	UnrelatedBusinessRevenueAmt
Exclusion	$7,924,813	ExclusionAmt

Benefits To Members BenefitsToMembersGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$65,186,029	TotalAmt
Program Services	$56,953,628	ProgramServicesAmt
Management And General	$8,232,401	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$585,586	TotalAmt
Program Services	$476,439	ProgramServicesAmt
Management And General	$109,147	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,511,565	TotalAmt
Program Services	$5,297,882	ProgramServicesAmt
Management And General	$1,213,683	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,364,884	TotalAmt
Program Services	$2,737,707	ProgramServicesAmt
Management And General	$627,177	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$90,021	TotalAmt
Management And General	$90,021	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$4,933	TotalAmt
Management And General	$4,933	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,287,945	TotalAmt
Program Services	$5,096,899	ProgramServicesAmt
Management And General	$2,191,046	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,613	TotalAmt
Program Services	$1,212	ProgramServicesAmt
Management And General	$401	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,971,560	TotalAmt
Program Services	$6,825,396	ProgramServicesAmt
Management And General	$2,146,164	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$149,953	TotalAmt
Program Services	$149,953	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$119,604	TotalAmt
Program Services	$47,700	ProgramServicesAmt
Management And General	$71,904	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,030,578	TotalAmt
Program Services	$765,148	ProgramServicesAmt
Management And General	$265,430	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,219,641	TotalAmt
Program Services	$8,013,617	ProgramServicesAmt
Management And General	$1,206,024	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,495,379	TotalAmt
Program Services	$1,301,563	ProgramServicesAmt
Management And General	$193,816	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$30,100,479	$30,100,479
EXPENSE REIMBURSEMENT TO NAH	$23,000,124	$20,361,309	$2,638,815
AHCCCS ASSESSMENTS	$7,860,599	$7,860,599
MEDICAL PURCHASE SERVICES	$1,685,355	$1,685,355

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$418,953	TotalAmt
Program Services	$301,833	ProgramServicesAmt
Management And General	$117,120	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$167,084,801	TotalAmt
Program Services	$147,976,719	ProgramServicesAmt
Management And General	$19,108,082	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,993	BOYAmt
EOY	$5,745	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$104,111,058	BOYAmt
EOY	$59,061,811	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	$22,124,558	BOYAmt
EOY	$25,413,856	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	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,457,509	BOYAmt
EOY	$4,738,727	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,280,932	BOYAmt
EOY	$1,577,777	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$238,433,540	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$155,011,583	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$88,796,583	BOYAmt
EOY	$83,421,957	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$218,086,768	BOYAmt
EOY	$192,192,495	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	$4,525,609	BOYAmt
EOY	$4,502,892	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$444,389,010	BOYAmt
EOY	$370,915,260	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,049,013	BOYAmt
EOY	$9,743,501	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	$19,903,350	BOYAmt
EOY	$4,820,632	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$42,097,297	BOYAmt
EOY	$40,887,904	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	$0	BOYAmt
EOY	$0	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	$14,721,233	BOYAmt
EOY	$10,989,388	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$91,770,893	BOYAmt
EOY	$66,441,425	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	$352,618,117	BOYAmt
EOY	$304,473,835	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	$352,618,117	BOYAmt
EOY	$304,473,835	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$444,389,010	BOYAmt
EOY	$370,915,260	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$42,860,989	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$33,229,792	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$57,775,479	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 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	$4,933	OtherActivitiesAmt
Total Lobbying Expenditures	$4,933	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	VERDE VALLEY 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, TOTALING $4,933, WAS ESTIMATED TO BE ATTRIBUTABLE TO LOBBYING RELATED TO HEALTHCARE ADVOCACY AT THE FEDERAL, STATE, REGIONAL, AND LOCAL LEVELS.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,238,797	OtherCostOrOtherBasisAmt
Book Value	$4,238,797	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$134,924,422	OtherCostOrOtherBasisAmt
Depreciation	$81,800,568	DepreciationAmt
Book Value	$53,123,854	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,014,335	OtherCostOrOtherBasisAmt
Depreciation	$948,329	DepreciationAmt
Book Value	$66,006	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$85,197,280	OtherCostOrOtherBasisAmt
Depreciation	$65,769,548	DepreciationAmt
Book Value	$19,427,732	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,058,706	OtherCostOrOtherBasisAmt
Depreciation	$6,493,138	DepreciationAmt
Book Value	$6,565,568	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$83,421,957	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
INSURANCE DEDUCTIBLES RES-LT	$10,179,613
MINIMUM PENSION LIABILITY	$7,780,641
GAAP PRESENTATION OF INS CLAIMS	$772,763
OPERATING LEASE LIABILITIES-CURRENT	$29,737
CLAIMS MALPRACTICE	-$7,773,366

Field	Value	IRS element (for citing)
Total Liability	$10,989,388	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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$10,444,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,444,624	NetCommunityBenefitExpnsAmt
Total Expense	0.0625	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,096,478	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,699,321	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,397,157	NetCommunityBenefitExpnsAmt
Total Expense	0.1041	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	$43,541,102	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,699,321	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,841,781	NetCommunityBenefitExpnsAmt
Total Expense	0.1666	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,144,120	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$187,312	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$956,808	NetCommunityBenefitExpnsAmt
Total Expense	0.0057	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	$1,144,120	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$187,312	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$956,808	NetCommunityBenefitExpnsAmt
Total Expense	0.0057	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$44,685,222	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,886,633	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,798,589	NetCommunityBenefitExpnsAmt
Total Expense	0.1724	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	$8,289,944	BadDebtExpenseAmt
Bad Debt Expense Attributable	$11,530,677	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$49,479,203	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$41,834,062	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$7,645,141	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	VERDE VALLEY MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	269 S CANDY LANE	AddressLine1Txt
City	COTTONWOOD	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86326	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://NAHEALTH.COM	WebsiteAddressTxt
State License	H0122	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	VERDE VALLEY 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
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
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 - VERDE VALLEY MEDICAL CENTER. AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, A FOCUS GROUP WAS HELD IN 2022 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 COUNCIL 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 - VERDE VALLEY MEDICAL CENTER. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN CONJUNCTION WITH ITS RELATED HOSPITAL FACILITY, FLAGSTAFF MEDICAL CENTER.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - VERDE VALLEY MEDICAL CENTER. THE FOLLOWING "AREAS OF OPPORTUNITY" REPRESENT THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, BASED ON THE INFORMATION GATHERED THROUGH THIS COMMUNITY HEALTH NEEDS ASSESSMENT. FROM THESE DATA, OPPORTUNITIES FOR HEALTH IMPROVEMENT EXIST IN THE AREA WITH REGARD TO THE FOLLOWING HEALTH ISSUES. THE AREAS OF OPPORTUNITY WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THESE ALSO TAKE INTO ACCOUNT THOSE ISSUES OF GREATEST CONCERN TO THE COMMUNITY STAKEHOLDERS (KEY INFORMANTS) GIVING INPUT TO THIS PROCESS. AREAS OF OPPORTUNITY IDENTIFIED THROUGH THIS ASSESSMENT: ACCESS TO HEALTH SERVICES - COST OF PHYSICIAN VISITS (FLAGSTAFF REGION) - ACCESS TO PRIMARY CARE PHYSICIANS (VERDE VALLEY REGION) - ADULT ROUTINE MEDICAL CARE - RATINGS OF LOCAL HEALTH CARE RESOURCES AVAILABLE FOR ACCESS TO HEALTH SERVICES (INCLUDING TRANSPORTATION AS A BARRIER) APRICUS CANYON LANDS HEALTH CARE CATHOLIC SOCIAL SERVICES CITY OF FLAGSTAFF COCONINO COUNTY COMMUNITY HEALTH CENTER OF YAVAPAI COMMUNITY HEALTH LEADERS CONCIERGE PRACTICES DENTIST'S OFFICES DOCTOR'S OFFICES FLAGSTAFF MEDICAL CENTER FLAGSTAFF SHELTER SERVICES THE GUIDANCE CENTER, INC. HAVEN HEALTH HOSPITALS NATIVE AMERICANS FOR COMMUNITY ACTION (NACA) NORTH COUNTRY HEALTHCARE NORTHERN ARIZONA HEALTHCARE BEHAVIORAL HEALTH NORTHERN ARIZONA HEALTHCARE MEDICAL GROUP OPIOID OVERDOSE PREVENTION PROGRAM PATHFINDER HEALTH POORE MEDICAL CLINIC RED ROCK PEDIATRICS SPECTRUM HEALTHCARE TERROS HEALTH UNIVERSITY URGENT CARE VERA WHOLE HEALTH VERDE VALLEY MEDICAL CENTER VETERAN'S ADMINISTRATION YAVAPAI COUNTY HEALTH DEPARTMENT ACTIONS/CHANGES FOR ACCESS TO HEALTHCARE SINCE 2019 CHNA NORTHERN ARIZONA HEALTHCARE CONDUCTED ITS LAST CHNA IN 2019 AND REVIEWED THE HEALTH PRIORITIES IDENTIFIED THROUGH THAT ASSESSMENT. TAKING INTO ACCOUNT THE TOP-IDENTIFIED NEEDS - AS WELL AS HOSPITAL RESOURCES AND OVERALL ALIGNMENT WITH THE HOSPITAL'S MISSION, GOALS AND STRATEGIC PRIORITIES - IT WAS DETERMINED AT THAT TIME THAT NORTHERN ARIZONA HEALTHCARE, WHICH OPERATES FLAGSTAFF MEDICAL CENTER AND VERDE VALLEY MEDICAL CENTER, WOULD FOCUS ON DEVELOPING AND/OR SUPPORTING STRATEGIES AND INITIATIVES TO IMPROVE: - ACCESS TO HEALTH SERVICES - MENTAL HEALTH MENTAL DISORDERS - CHRONIC DISEASE STRATEGIES FOR ADDRESSING THESE NEEDS WERE OUTLINED IN NORTHERN ARIZONA HEALTHCARE'S IMPLEMENTATION STRATEGY. PURSUANT TO IRS REQUIREMENTS, THE FOLLOWING SECTIONS PROVIDE AN EVALUATION OF THE IMPACT OF THE ACTIONS TAKEN BY FLAGSTAFF MEDICAL CENTER AND VERDE VALLEY MEDICAL CENTER TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS IN OUR COMMUNITY. PRIORITY AREA: ACCESS TO HEALTH SERVICES STRATEGY #1: BUILD THE CAPACITY OF EMPLOYED PRIMARY CARE CLINICS RESULTS: - IMMEDIATE CARE CREATED AT VVMC - VIRTUAL CARE SERVICES EXPANDED TO PRIMARY CARE AT FMC AND VVMC. - FMC AND VVMC EXPANDED OFFICE HOURS TO INCLUDE SAME DAY AND SATURDAY APPOINTMENTS - NON-EMERGENT ED APPOINTMENTS DECREASED FOR THE NAH EMPLOYEES AND DEPENDENTS 3.5% FROM 2020 TO 2021. - AMOUNT PAID PER ED VISITS DECREASED 29.3% FROM 2020 TO 2021. - WELL VISITS AND PREVENTATIVE SCREENINGS VISITS INCREASED FOR THE NAH EMPLOYEE AND DEPENDENT POPULATION FROM 39% IN 2019 TO 40% IN 2021. - NAH PRIMARY CARE HAS INCREASED BY 2699 PATIENTS BETWEEN 2019 AND 2021. STRATEGY #2: PROVIDE REMOTE PATIENT MONITORING RESULTS: - TELEHEALTH VISITS INCREASED 76.8% BETWEEN 2020 AND 2021 FOR NAH EMPLOYEES AND DEPENDENTS - 86 PATIENTS WERE ENROLLED IN REMOTE PATIENT MONITORING BETWEEN 2019 AND 2021 STRATEGY #3: IDENTIFY APPROPRIATE PATIENTS TO ENROLL IN COMMUNITY CARE NETWORK PROGRAM RESULTS: - NAH SAVED AN ADDITIONAL $76,858 FROM 2020 AND 2021 IN COMPLEX CARE MANAGEMENT OF EMPLOYEES AND DEPENDENTS - 773 PATIENTS WERE ENROLLED IN COMMUNITY CARE MANAGEMENT IN 2021 PRIORITY AREA: CHRONIC DISEASE STRATEGY #1: SETTING UP AND RUNNING A COVID-19 VACCINATION CLINIC RESULTS: - OVER 32,000 COVID VACCINATIONS GIVEN STRATEGY #2: DEVELOP A COMPREHENSIVE CARDIOVASCULAR SERVICE LINE RESULTS: - INCREASED ACCESS TO CARDIOVASCULAR CARE BY O ADDED 2 NEW PROVIDERS SINCE 2019 - ADDED ELECTROPHYSIOLOGY SINCE 2019 - ADDED TO AND UPGRADED PHONE SYSTEM - ADDED SUPPORT STAFF TO MEET COMMUNITY NEED - NAH EMPLOYEES AND DEPENDENTS INCREASED CHOLESTEROL SCREENINGS BY 3% FROM 2019 TO 2021 STRATEGY #3: CONDUCT CARDIOVASCULAR / DIABETES AND TOBACCO COMMUNITY SCREENINGS RESULTS: - 1900 NORTHERN AZ RURAL AND UN/UNDER INSURED COMMUNITY MEMBERS WERE SCREENED FOR CHOLESTEROL, DIABETES, AND TOBACCO USE - THE COVID WORLDWIDE PANDEMIC PAUSED THE COMMUNITY SCREENINGS FOR 2020 AND 2021 PRIORITY AREA: MENTAL HEALTH AND MENTAL DISORDERS STRATEGY #1: PARTNER WITH COMMUNITY AGENCIES TO PROVIDE COLLABORATIVE CARE RESULTS: - VVMC PARTNERED WITH SPECTRUM HEALTHCARE TO CREATE A COMMUNITY FOCUSED APPROACH TO ED PATIENTS WITH MENTAL HEALTH NEEDS - CPI TRAINING FOR SITTERS AND ED STAFF AT FMC AND VVMC - NAHMG INTEGRATED BEHAVIORAL HEALTH WITH PRIMARY CARE - NAH FOUNDATION PROVIDED GRANTS TO NACA FOR SUICIDE PREVENTION - FMC PARTNERED WITH NAU TO SURVEY EMPLOYEES WITH THEIR UNDERSTANDING OF BEHAVIORAL AND MENTAL HEALTH - THE 2020 FLAGSTAFF LEADERSHIP PROGRAM CHOSE MENTAL HEALTH AS THEIR COMMUNITY LEADERSHIP PROJECT - DEPRESSION SUBSTANCE ABUSE SCREENING AT NAHMG PRIMARY CARE CLINICS - CREATION OF THE PEDIATRIC BEHAVIORAL HEALTH COLLABORATIVE IN 2019 - FMC SUPPORTS DUI/DRUG COURT TREATMENT PROGRAM - FMC ED STARTED TRAUMA START SCREENINGS AND BRIEF INTERVENTION / ASSESSMENT STRATEGY #2: SUPPORT MENTAL HEALTH FIRST AID TRAINING RESULTS: - FMC AND VVMC OFFER MENTAL HEALTH FIRST AID TRAINING FOR EMPLOYEES AND COMMUNITY MEMBERS - NAH FOUNDATION RAISED FUNDS FOR MENTAL HEALTH FIRST AID TRAINING - FMC IS A SUPPORTING MEMBER OF THE STRONGER AS ONE COLLABORATIVE STRATEGY #3: BEHAVIORAL HEALTH SERVICES OFFERED VIA TELEHEALTH RESULTS: - 393 NAH EMPLOYEES AND DEPENDENTS HAD TELEHEALTH BH VISITS IN 2021 - 19 NAH EMPLOYEES AND DEPENDENTS WERE ENROLLED IN COMPLEX CARE PROGRAM, VIA TELEHEALTH, FOR BH AND SA IN 2021
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - VERDE VALLEY MEDICAL CENTER. TO BE ELIGIBLE FOR NAH'S FINANCIAL ASSISTANCE PROGRAM, YOU MUST BE: - INELIGIBLE FOR MEDICAID; APPROVED FOR MEDICAID AFTER THE DATE OF MEDICAL SERVICE; OR MEDICAID-ELIGIBLE BUT RECEIVING SERVICES NOT COVERED BY MEDICAID - RECEIVING MEDICALLY NECESSARY CARE - ABLE TO DEMONSTRATE FINANCIAL NEED ACCORDING TO THE FEDERAL POVERTY LEVEL, OR FPL, WHICH MEANS YOUR GROSS INCOME IS LESS THAN 400 PERCENT OF THE MINIMUM AMOUNT REQUIRED TO SUSTAIN A FAMILY AS DETERMINED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
VVMC SEDONA CAMPUS
3700 WEST HIGHWAY 89A	SEDONA	AZ	86366	EMERGENCY SERVICE, LAB, RADIOLOGY, PHYSICIAN OFFICE
VVMC MEDICAL OFFICE BUILDING
294 WEST HIGHWAY 89A	COTTONWOOD	AZ	86326	PHYSICIAN OFFICES, VVMIC RADIOLOGY
VVMC CAMP VERDE CAMPUS
1298 WEST FINNIE FLAT RD	CAMP VERDE	AZ	86322	PHYSICIAN OFFICES, LAB, RADIOLOGY, PHYSICAL THERAPY
ENTIRECARE REHAB SPORT MED - SEDONA
35 DRY CREEK ROAD	SEDONA	AZ	86366	PHYSICAL THERAPY
ENTIRECARE REHAB SPORT MEDICINE - VOC
6560 HIGHWAY 179 SUITES 118 120	VILLAGE OF OAK CREEK	AZ	86351	PHYSICAL THERAPY
VVMC MEDICAL OFFICE BLDG - VOC
61 BELL ROCK PLAZA SUITE A B C	VILLAGE OF OAK CREEK	AZ	86351	PHYSICIAN OFFICES, LAB
NAHMG-MANZANITA BLDG
450 S WILLARD ST STE 101	COTTONWOOD	AZ	86326	PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3 FEDERAL POVERTY LEVEL WRITE-OFF PERCENTAGES	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 BENEFIT REPORT	THE INFORMATION FOR THE COMMUNITY BENEFITS REPORT IS GATHERED BY THE COMMUNITY RELATIONS DEPARTMENT WHICH IS A DEPARTMENTS 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 I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE	VERDE VALLEY 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 A FOCUS AT VERDE VALLEY MEDICAL CENTER. COMMUNITY BUILDING IS ADVANCED BY VERDE VALLEY MEDICAL CENTER THROUGH ITS SUPPORT OF PHYSICIAN RECRUITMENT AND WORK WITH VARIOUS COMMUNITY ORGANIZATIONS, INCLUDING LOCAL SCHOOLS, THE COTTONWOOD AND SEDONA 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	VERDE VALLEY 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 VERDE VALLEY MEDICAL CENTER. FOR FY2022 MEDICARE IS A SURPLUS PRIMARILY DUE TO A RATE INCREASE AFFECTING THE COST TO CHARGE RATIO RESULTING IN AN IMPROVEMENT TO COST OR A DECREASE IN COST, PLUS AN INCREASE IN MEDICARE REIMBURSEMENT, INDICATING AN INCREASE IN VOLUME AND/OR COMPLEX CASES FOR MEDICARE TYPE PATIENTS. ORGANIZATION'S MANAGEMENT HAS BEEN WORKING ON CONTROLLING AND MAINTAINING COST TO REDUCE THE COST TO PATIENTS.
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 AHCCS OR OTHER MEDICAID PROGRAMS. IF NO OUTSIDE ASSISTANCE IS AVAILABLE, 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	- VERDE VALLEY 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	- VERDE VALLEY 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	- VERDE VALLEY MEDICAL CENTER: Line 16c URL: WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/;
Schedule H, Part VI, Line 2 Needs assessment	VERDE VALLEY MEDICAL CENTER ASSESSED COMMUNITY HEALTHCARE NEEDS THROUGH A SURVEY DESIGNED AND ADMINISTERED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. 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 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 FINANCIAL ASSISTANCE, INCOME LEVELS ARE ASSESSED TO DETERMINE IF THEY QUALIFY FOR A LONG-TERM PAYMENT PROGRAM. IF THE CHARITY APPLICATION IS NOT TURNED IN AND PAYMENT HAS NOT BEEN MADE AFTER NUMEROUS FOLLOW UP PHONE CALLS, THE PATIENT ACCOUNT GOES TO BAD DEBT. THE VERDE VALLEY MEDICAL CENTER (VVMC) WEBSITE HAS A BILLING CONTACT NUMBER. BEFORE PRE-ADMISSION, PATIENTS ARE CONTACTED BY VVMC'S CASHIER. WHEN PATIENTS ARE CONTACTED, THEY ARE EDUCATED OF THE FINANCIAL ASSISTANCE POLICY. VVMC FINANCIAL COUNSELORS ASSIGNED TO EACH NURSING UNIT ARE ABLE TO ANSWER OR ASSIST WITH BILLING QUESTIONS. AT EACH PATIENT REGISTRATION DESK 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 VERDE VALLEY MEDICAL CENTER AS EVIDENCED BY THE NUMEROUS ACTIVITIES SPONSORED EACH YEAR. THE CANCER CENTER AT SEDONA CAMPUS HOSTS A SERIES OF FREE OR LOW-COST SCREENINGS DESIGNED TO HELP RESIDENTS IN THE COMMUNITY DETECT ISSUES AS SOON AS POSSIBLE. COMMUNITY BUILDING IS ADVANCED BY VERDE VALLEY MEDICAL CENTER THROUGH ITS SUPPORT OF PHYSICIAN RECRUITMENT AND WORK WITH VARIOUS COMMUNITY ORGANIZATIONS INCLUDING THE COTTONWOOD AND SEDONA CHAMBER OF COMMERCE AND THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION.
Schedule H, Part VI, Line 6 Affiliated health care system	VERDE VALLEY MEDICAL CENTER IS AFFILIATED WITH FLAGSTAFF MEDICAL CENTER. THE BOARD MEMBER MEETINGS ARE COMBINED. THE COMMUNITY BENEFIT REPORT IS SUMMARIZED TOGETHER AND POSTED ON THE HOSPITAL'S WEBSITE.

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 (10 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
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
Brett Brawley
Clinical Manager	$0	$154,613	$0	$15,474	$0	$8,910	$0	$6,952	$0	$23,455	$0	$209,404	$0	$0
Cheryl Chase
Manager Pharmacy Operations	$0	$181,790	$0	$20,753	$0	$165	$0	$8,124	$0	$20,430	$0	$231,262	$0	$0
Frank Rafie
Chief Medical Radiation Physicist Clinicist	$0	$260,931	$0	$39,044	$0	$12,291	$0	$10,640	$0	$20,518	$0	$343,424	$0	$0
LORI SMITHSON
Clinical Manager (As of 10/21)	$0	$183,825	$0	$19,795	$0	$10,029	$0	$8,836	$0	$20,956	$0	$243,441	$0	$0
Stewart Wilson
Pharmacist	$0	$178,211	$0	$189	$0	$4,569	$0	$7,340	$0	$8,272	$0	$198,581	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 SUPPLEMENTAL COMPENSATION INFORMATION	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, BOARD MEMBER AND OFFICER BUSINESS TRAVEL EXPENSES ARE APPROVED BY THE NEXT HIGHEST LEVEL.
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 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 I, Line 7 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 FRANK RAFIE $39,044 LORI SMITHSON $18,920 CHERYL CHASE $20,753 BRETT BRAWLEY $14,838
Schedule J, Part I, Line 7 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): FRANK RAFIE $11,693 LORI SMITHSON $9,279 BRETT BRAWLEY $8,801 STEWART WILSON $4,471

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
INDUSTRIAL DEVELOPMENT AUTHORITY YAVAPAI COUNTY
A	860376099	000000000	2015-06-30	$37,340,563	SEE PART VI	false	false	false
INDUSTRIAL DEVELOPMENT AUTHORITY YAVAPAI COUNTY
B	860376099	000000000	2021-07-06	$5,350,198	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 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	$1,429,897	$0	$37,340,563	$0	$0	$0	$338,010	$0	$0	$0	$37,002,553	$0	2015	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$5,350,198	$0	$0	$0	$55,872	$0	$0	$0	$5,294,326	$0	2021	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	0.0	0.0	0.0	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0.0	0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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	false	Yes (true)	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	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 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 (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 6 VOLUNTEERS	VOLUNTEERS WORK IN ALMOST EVERY DEPARTMENT IN THE HOSPITAL AND AT OUR OFFSITE LOCATIONS, SUCH AS VERDE VALLEY MEDICAL CENTER (VVMC) SEDONA CAMPUS, CAMP VERDE, AND VILLAGE OF OAK CREEK. THEY PERFORM CLERICAL AND RECEPTION DUTIES IN MANY DEPARTMENTS, SERVE AS PATIENT AND VISITOR GREETERS, SUPPLY DISTRIBUTION, LANDSCAPING, NUTRITIONAL SERVICES - PASS TRAYS, PARTICIPATE IN VARIOUS ACTIVITIES WITH LIBRARY, TRANSPORT, AND MAKE PILLOWS AND TEDDY BEARS (CRAFTS).
Form 990, Part III, Line 1 ORGANIZATION MISSION	VERDE VALLEY MEDICAL CENTER'S MISSION AND VISION -------------------------------------------------------------- MISSION - IMPROVING HEALTH, HEALING PEOPLE. VISION - ALWAYS BETTER CARE. EVERY PERSON, EVERY TIME...TOGETHER.
Form 990, Part V, Line 2a NUMBER OF EMPLOYEES REPORTED ON FORM W-3	VERDE VALLEY 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 VVMC'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 VERDE VALLEY MEDICAL CENTER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE BOARD OF DIRECTORS IS DETERMINED BY THE ORGANIZATION'S MEMBER, NORTHERN ARIZONA HEALTHCARE (NAH). THE DIRECTORS AT ALL TIMES SHALL BE, AUTOMATICALLY AND WITHOUT THE NEED OF A SEPARATE ELECTION, THE INDIVIDUALS SERVING AS DIRECTORS OF NAH.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	NORTHERN ARIZONA HEALTHCARE CORPORATION IS THE SOLE VOTING MEMBER. THE FOLLOWING ACTIONS MAY BE INITIATED BY THE MEMBER IN ITS SOLE AND ABSOLUTE DISCRETION: A) ADOPTION OF THE CONSOLIDATED ANNUAL BUDGET FOR THE SYSTEM AND ANY AMENDMENTS B) THE SELECTION AND RETENTION OF THE PRESIDENT AND CHIEF 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 ADHOC 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 CORPORATE TREASURER/INTERNAL AUDIT DIRECTOR AND THE ORGANIZATION'S FINANCIAL OPERATIONS GROUP. THE CEO AND/OR 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 FILING. 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 BOARD DEVELOPMENT COMMITTEE. 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 BOARD DEVELOPMENT 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: 1975788, Related or Exempt Function Revenue: 1975788, 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	INCREASE PENSION PLAN VALUATION - 1426772; LOSS ON EXTINGUISHMENT OF BONDS - 101254; VVMC Rounding Adjustment - 1208; TRANSFER TO AFFILIATES - -59304713;

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
FLAGSTAFF MEDICAL CENTER
POST OFFICE BOX 1268	FLAGSTAFF	AZ	86002	860110232	HEALTHCARE	AZ	501(c)(3)	3	NAH	Yes (true)
NORTHERN ARIZONA HEALTHCARE CORPORATION
POST OFFICE BOX 1268	FLAGSTAFF	AZ	86002	742410946	HEALTHCARE	AZ	501(c)(3)	10	NA	false

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	Yes (true)	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	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	FLAGSTAFF MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	P	TransactionTypeTxt
Involved	$83,244,981	InvolvedAmt
Method Of Amount Determination	COST	MethodOfAmountDeterminationTxt