YAVAPAI COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- YAVAPAI COMMUNITY HOSPITAL ASSOCIATION (EIN 86-0098923)
- Tax period
- 2021-01-01 to 2021-06-30
- Filed
- 2022-05-04
- IRS object ID
- 202211249349300531
- Schema version
- 2020v4.2
- 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 | 2022-05-04T11:05:47-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 470617373 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMONSPIRIT HEALTH | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 198 INVERNESS DRIVE WEST | AddressLine1Txt |
| City | ENGLEWOOD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860098923 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YAVAPAI COMMUNITY HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Business Name Line2 | DBA YAVAPAI REGIONAL MEDICAL CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | YAVA | BusinessNameControlTxt |
| Phone | 9287715691 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1003 WILLOW CREEK ROAD | AddressLine1Txt |
| City | PRESCOTT | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATTHEW RICE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9287715691 | PhoneNum |
| Signature | 2022-05-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MATTHEW | PersonFirstNm |
| Person Last | RICE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA NOEL | PreparerPersonNm |
| PTIN | P01051055 | PTIN |
| Phone | 3032989100 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN R AMOS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1003 WILLOW CREEK ROAD | AddressLine1Txt |
| City | PRESCOTT | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $230,541,199 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.YRMC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1942 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE COMPREHENSIVE, HIGH-QUALITY HEALTHCARE CONSISTENT WITH OUR COMMUNITIES' NEEDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 2570 | TotalEmployeeCnt |
| Total Volunteers | 357 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,490,168 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,638,184 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $377,040,692 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $211,255,833 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,503,522 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,176,127 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,050,397 | PYOtherRevenueAmt |
| CY Other Revenue | $1,282,887 | CYOtherRevenueAmt |
| PY Total Revenue | $398,084,779 | PYTotalRevenueAmt |
| CY Total Revenue | $217,353,031 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $372,656 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $475,813 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $184,462,278 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $105,689,510 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $196,196,020 | PYOtherExpensesAmt |
| CY Other Expenses | $100,890,047 | CYOtherExpensesAmt |
| PY Total Expenses | $381,030,954 | PYTotalExpensesAmt |
| CY Total Expenses | $207,055,370 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $17,053,825 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,297,661 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $582,751,353 | TotalAssetsBOYAmt |
| Total Assets EOY | $699,729,755 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $172,896,324 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $179,662,479 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $409,855,029 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $520,067,276 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | YAVAPAI COMMUNITY HOSPITAL ASSOCIATION'S MISSION IS TO PROVIDE COMPREHENSIVE, HIGH QUALITY HEALTHCARE CONSISTENT WITH OUR COMMUNITIES' NEEDS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $171,020,258 | ExpenseAmt |
| Grant | $475,813 | GrantAmt |
| Revenue | $211,255,833 | RevenueAmt |
| Desc | YAVAPAI COMMUNITY HOSPITAL ASSOCIATION DBA YAVAPAI REGIONAL MEDICAL CENTER (YRMC) IS HONORED TO SERVE THE ENTIRE COMMUNITY OF WESTERN YAVAPAI COUNTY. WE CARE FOR PEOPLE LIVING IN OUR REGION THROUGH HIGH QUALITY INPATIENT AND OUTPATIENT SERVICES AS WELL AS A WIDE RANGE OF VALUABLE COMMUNITY OUTREACH AND HEALTH EDUCATION PROGRAMS. YRMC SERVES THE HEALTHCARE NEEDS OF PEOPLE OF ALL AGES AND FROM ALL WALKS OF LIFE. WE'RE PLEASED TO MEET THOSE NEEDS 24 HOURS A DAY, 365 DAYS A YEAR.YRMC HAS TWO HOSPITALS; ONE IN PRESCOTT, YRMC WEST, AND ONE IN PRESCOTT VALLEY, YRMC EAST. BETWEEN JANUARY AND JUNE OF 2021, YRMC EMBRACED ITS NOT-FOR-PROFIT MISSION BY INVESTING IN COMMUNITY BENEFIT FOR THE PEOPLE OF WESTERN YAVAPAI COUNTY. THIS INCLUDES DIRECT HEALTHCARE SERVICES AS WELL AS PROGRAMS THAT IMPROVE HEALTH AND PREVENT ILLNESS. DURING THIS TIME PERIOD, YRMC SERVED MANY RESIDENTS IN OUR SERVICE AREA THROUGH OUR COMMUNITY BENEFIT AND HEALTH EDUCATION EFFORTS. IN SPITE OF THE CHALLENGES PRESENTED BY COVID-19 YRMC WAS STILL ABLE TO PROVIDE 8 COMMUNITY PRESENTATIONS ON HEALTH TOPICS WITH THE HELP OF VIDEO FOR REMOTE PROGRAMS PEOPLE COULD VIEW FROM THEIR HOMES. THERE WERE 1,082 VERIFIED VIEWS OF OUR HEALTHY CONVERSATIONS PRESENTATIONS AND VIDEOS IN 2021.YRMC ALSO OFFERS A PATIENT ASSISTANCE PROGRAM TO HELP PEOPLE WHO HAVE NO INSURANCE OR WHO HAVE LIMITED INSURANCE COVERAGE.2021 WAS ANOTHER YEAR OF PROVIDING PERSONALIZED CARE TO MANY THOUSANDS OF PEOPLE. FOR EXAMPLE, 510 BABIES WERE BORN BETWEEN JANUARY AND JUNE AT YRMC'S OBSTETRICS DEPARTMENT. BIRTHING AND BREASTFEEDING CLASSES HOSTED 140 EXPECTANT PARENTS WITH MOST OF THEM PARTICIPATING ONLINE DURING THIS SAME TIME FRAME.YRMC PROVIDES FAMILY RESOURCE CENTER SERVICES THAT INCLUDE FREE PARENTING EDUCATION, COUNSELING SERVICES AND COORDINATION WITH OTHER COMMUNITY RESOURCES THAT CAN HELP SUPPORT YOUNG FAMILIES IN NEED. THESE PROGRAMS FOCUS ON ELIMINATING CHILD ABUSE AND NEGLECT AMONG PARTICIPATING FAMILIES. THESE PROGRAMS HAVE ALSO PROVIDED BASIC NECESSITIES FOR NEW FAMILIES SUCH AS BABY FORMULA AND DIAPERS. THE FAMILY RESOURCE CENTER PROVIDED PARENTS WITH 1,120 VISITS ON HOW TO CARE FOR THEIR CHILDREN BETWEEN JANUARY AND JUNE. WITH THE COVID-19 RESTRICTIONS NEW TELEHEALTH OPTIONS MADE IT POSSIBLE TO NEARLY DOUBLE THE NUMBER OF VISITS FROM THE PRIOR YEAR. THIS IS ANOTHER EXAMPLE OF HOW YRMC WAS ABLE TO ADAPT TO THE UNIQUE CHALLENGES OF COVID-19.YRMC ALSO OFFERS THE PARTNERS FOR HEALTHY STUDENTS PROGRAM, ANOTHER EFFORT TO FILL GAPS IN THE NATIONAL POLICY REGARDING THE PROVISION OF HEALTHCARE SERVICES FOR THE UNDERSERVED. THIS IS A SCHOOL-BASED HEALTH PROGRAM FOR CHILDREN WHO ARE UNINSURED OR UNDERINSURED. THE PROGRAM IS LED BY TWO PEDIATRIC NURSE PRACTITIONERS (PNPS) WHO WORK IN CONJUNCTION WITH A LOCAL PEDIATRICIAN. SCHOOL-AGE CHILDREN AND THEIR YOUNGER SIBLINGS ARE DIAGNOSED AND TREATED FOR A WIDE VARIETY OF HEALTH PROBLEMS. A SPECIALLY-EQUIPPED MEDICAL VAN IS SENT TO LOCAL SCHOOLS. THE PNPS ALSO WORK COLLABORATIVELY WITH DENTISTS TO GET THESE CHILDREN THE HELP THEY NEED FOR DENTAL PROBLEMS.AGAIN, COVID-19 PRESENTED UNIQUE CHALLENGES FOR THIS PROGRAM DUE TO SCHOOL CLOSURES AND REMOTE TEACHING. WITH PHILANTHROPIC SUPPORT, THE PROGRAM CONTINUED YEAR-LONG WITH THE MOBILE CLINIC LOCATED AT YRMC EAST IN PRESCOTT VALLEY. SPECIAL INFECTION CONTROL PRECAUTIONS WERE IMPLEMENTED TO KEEP STAFF, PARENTS AND CHILDREN SAFE. BETWEEN JANUARY AND JUNE 2021, 381 STUDENTS RECEIVED FREE HEALTHCARE SERVICES THROUGH PARTNERS FOR HEALTHY STUDENTS. YRMC IS PROUD TO PROVIDE THESE SERVICES AT NO CHARGE FOR THOSE IN NEED.ANOTHER OPPORTUNITY PRESENTED ITSELF WITH COVID-19 AND SCHOOL CLOSURES. YRMC'S POPULAR GO NOODLE ONLINE FITNESS PROGRAM FOR AREA SCHOOLS AND FAMILIES CONTINUED THROUGH 2021. THIS FREE PROGRAM SERVED 802 FAMLIES WITH 26,008 MINUTES OF GO NOODLE FUN EXERCISES AT HOME. IN ADDITION, 73 SCHOOLS AND 333 TEACHERS PROVIDED THE PROGRAM TO 7,958 STUDENTS IN OUR REGION WITH 1,093,453 MINUTES OF EXERCISE IN SCHOOLS.IN ADDITION, YRMC PROVIDED MORE THAN 145 MEALS FOR A LOCAL HOUSING SHELTER DURING THE FIRST SIX MONTHS OF 2021. YRMC ALSO HELPED FINANCIALLY SUPPORT THE HUNGRY KIDS PROGRAM TO FEED CHILDREN FROM UNDERSERVED HOMES YEAR-ROUND.THE JAMES FAMILY HEART CENTER AT YRMC PERFORMS HUNDREDS OF CARDIAC AND THORACIC CASES AND HAS ALSO PERFECTED A BLOOD MANAGEMENT PROGRAM WHICH GREATLY BENEFITS PATIENTS. IN 2021, YRMC PROVIDED 133 OPEN HEART AND THORACIC SURGERIES. IN ADDITION, 1,942 CARDIAC CATHETERIZATION, ELECTROPHYSIOLOGY, INTERVENTIONAL CARDIOLOGY AND INTERVENTIONALRADIOLOGY PROCEDURES WERE PROVIDED. YRMC SURGEONS ALSO PROVIDED 61 TRANSCATHETER AORTIC VALVE REPLACEMENTS (TAVR) AND TRANSCATHETER MITRAL VALVE REPLACEMENTS (TMVR).YRMC'S COMMUNITY OUTREACH PROGRAM REACHED THOUSANDS OF PEOPLE IN OUR LOCAL COMMUNITY WITH COMPLIMENTARY, CURRENT HEALTH INFORMATION. THIS INCLUDES A SPEAKERS' - BUREAU SERVICE, PROVIDING 8 PRESENTATIONS FROM YRMC HEALTH PROFESSIONALS ABOUT HEALTH-RELATED TOPICS FOR THE COMMUNITY. DUE TO COVID RESTRICTIONS, MOST OF THOSE WERE PRESENTED ONLINE. YRMC IS HONORED TO SERVE THE ENTIRE COMMUNITY OF WESTERN YAVAPAI COUNTY. WE CARE FOR PEOPLE LIVING IN OUR REGION THROUGH HIGH QUALITY INPATIENT AND OUTPATIENT SERVICES AS WELL AS A WIDE RANGE OF VALUABLE COMMUNITY OUTREACH AND HEALTH EDUCATION PROGRAMS. YRMC SERVES THE HEALTHCARE NEEDS OF PEOPLE OF ALL AGES AND FROM ALL WALKS OF LIFE. WE'RE PLEASED TO MEET THOSE NEEDS 24 HOURS A DAY, 365 DAYS A YEAR.YRMC'S HEALTHCARE TEAM - NURSES, PHYSICIANS AND OTHER MEDICAL PROFESSIONALS CARED FOR 5,901 INPATIENTS DURING THE FIRST SIX MONTHS OF 2021. DURING THE SAME TIME PERIOD, NEARLY 30,356 PEOPLE RECEIVED CARE IN YRMC'S EMERGENCY DEPARTMENTS. WE FREQUENTLY SEE MENTAL HEALTH PATIENTS BROUGHT TO THE ED WITH SUICIDAL IDEATION - NOT MEDICAL CONDITIONS. THOSE PATIENTS RANGE FROM VERY YOUNG CHILDREN TO PEOPLE WHO ARE MORE THAN 90 YEARS OLD. YRMC HAS COLLABORATED CLOSELY WITH SEVERAL BEHAVIORAL HEALTH ORGANIZATIONS IN AN EFFORT TO HELP THE COMMUNITY AS A TEAM. WE HAVE ALSO PROVIDED FINANCIAL SUPPORT FOR LOCAL NON-PROFIT PROVIDERS. MENTAL HEALTH HAS CONSISTENTLY BEEN A COMMUNITY NEED AND, UNFORTUNATELY, YAVAPAI COUNTY HAS ONE OF THE HIGHEST SUICIDE RATES IN THE STATE. WE CONTINUE TO WORK WITH OTHER COMMUNITY AGENCIES TO ADDRESS THIS CHALLENGE.YRMC'S SOCIAL MEDIA ENGAGEMENT WAS STRONG IN 2021. PEOPLE ENGAGED IN YRMC'S BLOG, YRMC HEALTHCONNECT WITH 53,094 ENGAGEMENTS AND YRMC'S FACEBOOK COMMUNITY INCLUDED 70,453 ENGAGEMENTS. YRMC'S YOUR HEALTHY KITCHEN COMMUNITY HAD 3,267 ENGAGEMENTS AND THERE WERE 46,893 ENGAGEMENTS VIA YRMC'S TWITTER COMMUNITY. WEBSITE TRAFFIC TO YRMC.ORG EXCEEDED 503,000 PAGE VIEWS WITH OVER 146,000 VISITORS. ALL THESE VENUES PROVIDE VALUABLE HEALTH INFORMATION. | Desc |
| Total Program Service Expenses | $171,020,258 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 276 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2570 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATTHEW RICE CFO | PersonNm |
| Phone | 9287715691 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1003 WILLOW CREEK ROAD | AddressLine1Txt |
| City | PRESCOTT | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| LINDA HUNT | ||||||||||
| BOARD MEMBER | 5.00 | 50.00 | Yes (X) | $0 | $1,639,570 | $472,754 | ||||
| MANSOUR H ASSAR | ||||||||||
| CARDIOLOGIST-INTERVENTIONAL | 50.00 | 0.00 | $1,453,853 | $0 | $29,700 | Yes (X) | ||||
| JOHN R AMOS | ||||||||||
| PRESIDENT | 50.00 | 1.00 | Yes (X) | $1,136,479 | $0 | $58,633 | Yes (X) | |||
| NISHA TUNG-TAKHER | ||||||||||
| ELECTROPHYSIOLOGIST | 50.00 | 0.00 | $1,200,322 | $0 | $61,936 | Yes (X) | ||||
| SHAYAN ALAM | ||||||||||
| GASTROENTEROLOGIST | 50.00 | 0.00 | $1,003,497 | $0 | $61,535 | Yes (X) | ||||
| GEORGE T RIZK | ||||||||||
| CARDIOLOGIST-INVASIVE | 50.00 | 0.00 | $786,772 | $0 | $45,614 | Yes (X) | ||||
| ROBERT CANDIPAN | ||||||||||
| CARDIOLOGIST-INTERVENTIONAL | 50.00 | 0.00 | $739,074 | $0 | $48,035 | Yes (X) | ||||
| LEE LIVIN | ||||||||||
| CFO (THRU 1/31/21) | 50.00 | 0.00 | $549,943 | $0 | $151,896 | Yes (X) | ||||
| KEITH FREY MD | ||||||||||
| BOARD MEMBER | 5.00 | 50.00 | Yes (X) | $0 | $653,571 | $56,883 | ||||
| ANTHONY TORRES | ||||||||||
| CMO | 50.00 | 0.00 | $512,249 | $0 | $141,916 | Yes (X) | ||||
| FRANK ALMENDAREZ | ||||||||||
| CHIEF ADMIN OFFICER | 50.00 | 0.00 | $324,406 | $0 | $102,977 | Yes (X) | ||||
| MARK TIMM | ||||||||||
| CHIEF HUMAN RESOURCE OFFICER | 50.00 | 0.00 | $319,503 | $0 | $96,509 | Yes (X) | ||||
| TIMOTHY ROBERTS | ||||||||||
| CIO | 50.00 | 0.00 | $309,886 | $0 | $100,701 | Yes (X) | ||||
| ROBERTA NICOL | ||||||||||
| EXECUTIVE DIRECTOR OF PHILANTHROPY | 50.00 | 0.00 | $335,348 | $0 | $34,279 | Yes (X) | ||||
| KEITH A NICHOLS | ||||||||||
| COO | 50.00 | 0.00 | $308,504 | $0 | $28,404 | Yes (X) | ||||
| DIANE DREXLER | ||||||||||
| FORMER OFFICER (THRU 4/3/20) | 50.00 | 0.00 | $240,987 | $0 | $26,304 | Yes (X) | ||||
| IRENE E CONNOR | ||||||||||
| CNO | 50.00 | 0.00 | $200,637 | $0 | $28,965 | Yes (X) | ||||
| MATTHEW RICE | ||||||||||
| CFO (STARTED 2/1/21) | 50.00 | 1.00 | $121,550 | $0 | $30,395 | Yes (X) | ||||
| MIKE BEATTY | ||||||||||
| CHAIR | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| TONY FERRULLI | ||||||||||
| VICE-CHAIR | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| M KEITH PIATT MD | ||||||||||
| TREASURER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| DAN STORVICK | ||||||||||
| SECRETARY | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| CHARLIE BOMBERGER | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JANE BRISTOL | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JIM HOWARD | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| ARABINDA PANI MD | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVE SISCHKA | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARNIE UHL | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,543,010 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,293,141 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,577,436 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 309 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCCARTHY HOLDINGS INC | |||||
| 1341 N ROCK HILL RD | ST LOUIS | MO | 63124 | CONTRACTOR | $43,734,889 |
| CERNER CORP | |||||
| PO BOX 959156 | ST LOUIS | MO | 631959156 | IT SERVICE | $16,789,205 |
| FOCUSONE SOLUTIONS | |||||
| 13609 CALIFORNIA ST STE 420 | OMAHA | NE | 68154 | STAFFING SERVICE | $7,356,789 |
| YAVAPAI CARDIAC SURGERY PC | |||||
| 3131 E CLARENDN AVE SUITE 102 | PHOENIX | AZ | 85016 | MEDICAL SERVICES | $3,682,793 |
| PRESCOTT RADIOLOGISTS | |||||
| PO BOX 11510 | PRESCOTT | AZ | 86304 | MEDICAL SERVICES | $3,432,595 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 170 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,467,351 | RelatedOrganizationsAmt |
| Government Grants | $170,833 | GovernmentGrantsAmt |
| Total Contributions | $1,638,184 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 900099 | $208,242,146 | $208,242,146 |
| MEDICARE / MEDICAID PAYMENTS | 900099 | $1,304,974 | $1,304,974 |
| PAYOR INCENTIVE/BONUS PAYMENTS FO | 900099 | $1,116,117 | $1,116,117 |
| PROGRAM RELATED RENTAL INCOME | 900099 | $292,146 | $292,146 |
| VACCINE CLINIC | 900099 | $100,000 | $100,000 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $200,450 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $200,450 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $211,255,833 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,329,320 | TotalRevenueColumnAmt |
| Exclusion | $1,329,320 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $14,914,069 | SecuritiesAmt |
| Other | $14,625 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,081,887 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,832,182 | SecuritiesAmt |
| Other | $14,625 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,846,807 | TotalRevenueColumnAmt |
| Exclusion | $1,846,807 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $115,151 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $106,281 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,870 | TotalRevenueColumnAmt |
| Exclusion | $8,870 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA | 722514 | $592,138 | $592,138 |
| GPO SHAREBACK/REBATES | 900099 | $580,361 | $580,361 |
| AP SPEND REVENUE SHARE | 900099 | $88,014 | $88,014 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,504 | TotalRevenueColumnAmt |
| Exclusion | $13,504 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,274,017 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $217,353,031 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $211,255,833 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,459,014 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $475,813 | TotalAmt |
| Program Services | $475,813 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,794,782 | TotalAmt |
| Program Services | $949,472 | ProgramServicesAmt |
| Management And General | $2,845,310 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,693,659 | TotalAmt |
| Program Services | $74,223,039 | ProgramServicesAmt |
| Management And General | $7,470,620 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,994,572 | TotalAmt |
| Program Services | $1,108,011 | ProgramServicesAmt |
| Management And General | $886,561 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,860,822 | TotalAmt |
| Program Services | $4,947,875 | ProgramServicesAmt |
| Management And General | $7,912,947 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,345,675 | TotalAmt |
| Program Services | $887,382 | ProgramServicesAmt |
| Management And General | $4,458,293 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,561 | TotalAmt |
| Management And General | $288,561 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,934 | TotalAmt |
| Management And General | $129,934 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,567 | TotalAmt |
| Management And General | $29,567 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,762 | TotalAmt |
| Management And General | $38,762 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,736,577 | TotalAmt |
| Program Services | $26,341,358 | ProgramServicesAmt |
| Management And General | $5,395,219 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,302 | TotalAmt |
| Program Services | $50,588 | ProgramServicesAmt |
| Management And General | $217,714 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,249,954 | TotalAmt |
| Program Services | $1,659,950 | ProgramServicesAmt |
| Management And General | $1,590,004 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $694,170 | TotalAmt |
| Program Services | $128,270 | ProgramServicesAmt |
| Management And General | $565,900 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,040,873 | TotalAmt |
| Program Services | $1,859,082 | ProgramServicesAmt |
| Management And General | $181,791 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,679 | TotalAmt |
| Program Services | $79,576 | ProgramServicesAmt |
| Management And General | $33,103 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,053 | TotalAmt |
| Program Services | $45,862 | ProgramServicesAmt |
| Management And General | $9,191 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,270 | TotalAmt |
| Management And General | $377,270 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,139,581 | TotalAmt |
| Program Services | $9,290,411 | ProgramServicesAmt |
| Management And General | $1,849,170 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,825,903 | TotalAmt |
| Program Services | $623,007 | ProgramServicesAmt |
| Management And General | $1,202,896 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $39,641,910 | $39,586,058 | $55,852 |
| MEDI-CAL PROVIDER FEE | $8,136,392 | $8,136,392 | |
| FOOD | $601,523 | $499,264 | $102,259 |
| RECRUITING | $183,068 | $344 | $182,724 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,968 | TotalAmt |
| Program Services | $128,504 | ProgramServicesAmt |
| Management And General | $211,464 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,055,370 | TotalAmt |
| Program Services | $171,020,258 | ProgramServicesAmt |
| Management And General | $36,035,112 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,375,471 | BOYAmt |
| EOY | $6,750 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,025,866 | BOYAmt |
| EOY | $156,823,368 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,795,489 | BOYAmt |
| EOY | $40,997,792 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $248,611 | BOYAmt |
| EOY | $216,111 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,890,788 | BOYAmt |
| EOY | $8,092,117 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,762,918 | BOYAmt |
| EOY | $4,389,424 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $309,890,610 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,784,888 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $239,293,174 | BOYAmt |
| EOY | $296,105,722 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,472,872 | BOYAmt |
| EOY | $97,595,834 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $32,052,992 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$609,162 | BOYAmt |
| EOY | $61,717 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $58,000,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,495,326 | BOYAmt |
| EOY | $5,387,928 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $582,751,353 | BOYAmt |
| EOY | $699,729,755 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,037,335 | BOYAmt |
| EOY | $38,044,382 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,712,030 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,778,560 | BOYAmt |
| EOY | $1,750,735 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,335,000 | BOYAmt |
| EOY | $126,335,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,409,928 | BOYAmt |
| EOY | $6,399,353 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,335,501 | BOYAmt |
| EOY | $4,420,979 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,896,324 | BOYAmt |
| EOY | $179,662,479 | 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 | $409,832,012 | BOYAmt |
| EOY | $520,064,547 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,017 | BOYAmt |
| EOY | $2,729 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $409,855,029 | BOYAmt |
| EOY | $520,067,276 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $582,751,353 | BOYAmt |
| EOY | $699,729,755 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $10,297,661 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$138,022 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $1,359,371 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $98,693,237 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $29,567 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $29,567 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | YAVAPAI COMMUNITY HOSPITAL ASSOCIATION RECEIVED CORRESPONDENCE FROM THE ARIZONA HOSPITAL ASSOCIATION REGARDING THEIR MEMBERSHIP DUES. A PORTION OF THEIR DUES WERE ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $23,011 | BeginningYearBalanceAmt |
| Contributions | $23,432 | ContributionsAmt |
| Investment Earnings Or Losses | $3 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $43,717 | AdministrativeExpensesAmt |
| End Year Balance | $2,729 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,291 | BeginningYearBalanceAmt |
| Contributions | $3,561 | ContributionsAmt |
| Administrative Expenses | $4,841 | AdministrativeExpensesAmt |
| End Year Balance | $23,011 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,414 | BeginningYearBalanceAmt |
| Contributions | $1,854 | ContributionsAmt |
| Investment Earnings Or Losses | $830 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $807 | AdministrativeExpensesAmt |
| End Year Balance | $24,291 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,225 | BeginningYearBalanceAmt |
| Contributions | $163 | ContributionsAmt |
| Investment Earnings Or Losses | $446 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $420 | AdministrativeExpensesAmt |
| End Year Balance | $22,414 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,296 | BeginningYearBalanceAmt |
| Contributions | $107 | ContributionsAmt |
| Investment Earnings Or Losses | $1,014 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,192 | AdministrativeExpensesAmt |
| End Year Balance | $22,225 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,100,000 | OtherCostOrOtherBasisAmt |
| Book Value | $33,100,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $128,144,130 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,386,919 | DepreciationAmt |
| Book Value | $124,757,211 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,912 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,283 | DepreciationAmt |
| Book Value | $14,629 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $56,371,838 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,393,459 | DepreciationAmt |
| Book Value | $45,978,379 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $92,255,730 | OtherCostOrOtherBasisAmt |
| Depreciation | $227 | DepreciationAmt |
| Book Value | $92,255,503 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $296,105,722 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION (SERP LIABILITY) | $944,265 |
| SELF-INSURANCE LIABILITIES | $1,920,350 |
| DUE TO RELATED PARTIES | $58,695 |
| RIGHT OF USE LEASE LIABILITY | $1,532,532 |
| ANNUITY PAYABLE | -$34,863 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,420,979 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE ORGANIZATION HAS BEEN LIMITED BY DONORS TO SPECIFIED TIME PERIOD OR PURPOSE. PERMANENTLY RESTRICTED NET ASSETS ARE RESTRICTED FOR THE HENDRICKS ENDOWMENT FUND, WHICH WAS CREATED TO HELP SUPPORT EDUCATION FOR INDIVIDUALS WHO ARE INTERESTED IN WORKING IN A HEALTHCARE ENVIRONMENT. |
| PART X, LINE 2: | THE ORGANIZATION REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1516 | PersonsServedCnt |
| Total Community Benefit Expns | $1,375,669 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,375,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4061 | PersonsServedCnt |
| Total Community Benefit Expns | $28,792,852 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,191,286 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,601,566 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02710 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 5577 | PersonsServedCnt |
| Total Community Benefit Expns | $30,168,521 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,191,286 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,977,235 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03370 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 24 | ActivitiesOrProgramsCnt |
| Persons Served | 30324 | PersonsServedCnt |
| Total Community Benefit Expns | $465,238 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,168 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $444,070 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 97663 | PersonsServedCnt |
| Total Community Benefit Expns | $27,914,469 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,158,657 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,755,812 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06160 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 3543 | PersonsServedCnt |
| Total Community Benefit Expns | $53,917 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $53,917 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 28 | ActivitiesOrProgramsCnt |
| Persons Served | 131530 | PersonsServedCnt |
| Total Community Benefit Expns | $28,433,624 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,179,825 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,253,799 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06400 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 28 | ActivitiesOrProgramsCnt |
| Persons Served | 137107 | PersonsServedCnt |
| Total Community Benefit Expns | $58,602,145 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,371,111 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,231,034 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09770 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 87 | PersonsServedCnt |
| Total Community Benefit Expns | $982 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $982 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,559 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,559 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $69 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $69 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 87 | PersonsServedCnt |
| Total Community Benefit Expns | $2,610 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,610 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,277,930 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $43,650,093 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $60,733,485 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$17,083,392 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|
| YAVAPAI REGIONAL MEDICAL CENTER WEST | ||||||||||
| 1 | 1003 WILLOW CREEK ROAD | PRESCOTT | AZ | 86301 | WWW.YRMC.ORG | H0115 | Yes (X) | Yes (X) | Yes (X) | A |
| YAVAPAI REGIONAL MEDICAL CENTER EAST | ||||||||||
| 2 | 7700 E FLORENTINE ROAD | PRESCOTT | AZ | 86301 | WWW.YRMC.ORG | H3964 | Yes (X) | Yes (X) | Yes (X) | A |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FACILITY REPORTING GROUP A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (1) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.YRMC.ORG/SUPPORT-AND-COMMUNITY/COMMUNITY-HEALTH | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.YRMC.ORG/SUPPORT-AND-COMMUNITY/COMMUNITY-HEALTH | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.YRMC.ORG/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.YRMC.ORG/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.YRMC.ORG/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE | 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 (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: YAVAPAI REGIONAL MEDICAL CENTER WEST, - FACILITY 2: YAVAPAI REGIONAL MEDICAL CENTER EAST |
| FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5: | IN CONDUCTING THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT FOR ITS SERVICE AREA IN TY 2019, YAVAPAI REGIONAL MEDICAL CENTER (YRMC) CONDUCTED A COMMUNITY HEALTH NEEDS SURVEY COMPLETED BY 61 STAKEHOLDERS, AND ANALYZED QUANTITATIVE DATA ON COMMUNITY DEMOGRAPHICS, MORBIDITY AND MORTALITY, AND HEALTH OUTCOMES AND FACTORS. PRIMARY DATA COLLECTION INCLUDED A WEB BASED SURVEY PROCESS AND PERSONAL INTERVIEWS WITH LOCAL ORGANIZATIONS, INCLUDING INDIVIDUALS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. SURVEY RECIPIENTS WERE CHOSEN BASED ON THE CRITERIA OF BEING PROFESSIONALS SERVING THE HEALTH NEEDS OF THE COMMUNITY AND THE SURVEYS WERE DISTRIBUTED ELECTRONICALLY DURING THE YEAR. PERSONAL INTERVIEWS WERE CONDUCTED BY STAFF AT YRMC. YRMC CONDUCTED LIVE MEETINGS WITH KEY LOCAL ORGANIZATIONS, THE COUNTY HEALTH DEPARTMENT AND THE YAVAPAI PRESCOTT TRIBE. LOCAL ORGANIZATIONS INCLUDED SOCIAL SERVICE AGENCIES, SCHOOL SYSTEMS AND UNIVERSITIES, ELECTED OFFICIALS AND GOVERNMENT AGENCIES, BUSINESSES, AND OTHER MEDICAL PROVIDERS. |
| FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A: | YRMC OPERATES TWO HOSPITAL FACILITIES, THE WEST CAMPUS AND THE EAST CAMPUS. BOTH HOSPITALS WERE INCLUDED IN THE CHNA. |
| FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: | THE IMPLEMENTATION STRATEGY OUTLINES THE TOP COMMUNITY HEALTH NEEDS DESCRIBED IN THE 2019 CHNA THAT YRMC PLANS TO ADDRESS IN WHOLE OR IN PART IN FULFILLMENT OF ITS MISSION. YRMC HAS SELECTED THE TOP FIVE PRIORITIES OF THE TWELVE HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA. THE SELECTION WAS BASED ON PRIORITY RANKING AS WELL AS RESOURCE AVAILABILITY AND APPROPRIATENESS TO YRMC'S AREAS OF EXPERTISE. THIS IMPLEMENTATION STRATEGY MAY BE MODIFIED AS CONDITIONS CHANGE AND AS APPROPRIATE OVER THE COURSE OF THE NEXT THREE YEARS.FOR EACH HEALTH NEED THAT YRMC PLANS TO ADDRESS, THE STRATEGY DESCRIBES:- ACTIONS YRMC INTENDS TO TAKE, INCLUDING PROGRAMS AND RESOURCES IT PLANS TO COMMIT- ANTICIPATED IMPACT OF THESE ACTIONS- PLANNED COLLABORATION BETWEEN YRMC AND OTHER ORGANIZATIONS1. HEALTHY BEHAVIORS/LIFESTYLE CHANGESYRMC HAS SUCCESSFULLY PROVIDED WELLNESS AND HEALTH PROMOTION PROGRAMS FOR DECADES. THESE POPULAR PROGRAMS WILL PROVIDE THE FOUNDATION FOR COMMUNITY OUTREACH IN THE AREA OF HEALTHY BEHAVIORS AND LIFESTYLES. WE ANTICIPATE AN INCREASE IN THE NUMBER OF COMMUNITY MEMBERS WHO ACTIVELY MAKE HEALTHIER CHOICES.- SOCIAL MEDIA WILL CONTINUE TO EXPAND TO HELP MEET INFORMATION NEEDS SURROUNDING GOOD HEALTH CHOICES.- EDUCATIONAL RESOURCES FOR HEALTHY LIVING CHOICES (E.G. EXERCISE PROGRAMS, NUTRITIOUS RECIPES, MENTAL HEALTH SELF-CARE)- ACCESS TO LATEST HEALTH INFORMATION (E.G. SURGERY PREPARATION, COVID-19 RESOURCES, BREAST HEALTH) TO RESULT IN HIGHER POSITIVE HEALTH OUTCOMES- LIBRARY OF SEARCHABLE HEALTH INFORMATION ARCHIVES TO INCREASE AND ENABLE HEALTH LITERACY SKILLS- TRACKING REPORTS ARE RUN MONTHLY TO GAUGE TRAFFIC TO VARIOUS SOCIAL MEDIA PAGES- CONTINUE PENDLETON CENTERS' PROGRAMS ON THE WEST CAMPUS AND THE EAST CAMPUS THAT ADAPT EXERCISE SUITABLE FOR THE AGE AND PHYSICAL CONDITION OF INDIVIDUAL PARTICIPANTS, E.G., CHAIR EXERCISES FOR THOSE WITH LIMITED PHYSICAL CAPACITY. THROUGHOUT 2020 THE COVID-19 PANDEMIC GREATLY REDUCED PARTICIPATION FOR ALL IN-PERSON PROGRAMS BUT THESE PROGRAMS STILL EXIST DEPENDING ON COVID AND DIGNITY-COMMONSPIRIT GUIDELINES.- PHYSICAL EXERCISE PROGRAMS TAILORED TO SPECIFIC PATIENT HEALTH NEEDS- CUSTOMIZATION OF TECHNIQUES AND ACCOMMODATIONS FOR PATIENTS WITH LIMITED MOBILITY TO FACILITATE GREATER COMPLIANCE AND PROFICIENCY IN PHYSICAL EXERCISE- EXPLORE COLLABORATION WITH YAVAPAI COUNTY COMMUNITY HEALTH SERVICES AND LOCAL SCHOOLS FOR IN-SCHOOL PROGRAMS TO PROMOTE HEALTHY BEHAVIORS AND EDUCATE CHILDREN ON THE IMPORTANCE OF MAINTAINING THEIR HEALTH. IN-SCHOOL PROGRAMS HAVE BEEN LIMITED DUE TO COVID RESTRICTIONS BUT WE CONTINUED TO PROVIDE PARTNERS FOR HEALTHY STUDENTS FREE PRIMARY HEALTHCARE FOR UNDERSERVED CHILDREN.- HEALTH EDUCATION TOOLS FOR TEACHERS AND STUDENTS TO BUILD HEALTHY HABITS AND CULTIVATE SUPPORTIVE PEER AND TEACHER/STUDENT RELATIONSHIPS (E.G., GO NOODLE WEB-BASED EXERCISE PROGRAM THAT INCREASES PHYSICAL ACTIVITY AND TEACHES RELAXATION/STRESS MANAGEMENT TECHNIQUES AND SKILLS, SMOKING PREVENTION, OTHER FITNESS RESOURCES)- IN COLLABORATION WITH SUBJECT MATTER EXPERTS (SME), CONTINUE THE UTILIZATION OF THE WIDELY POPULAR YRMC SPEAKERS BUREAU TO INCLUDE THE TOPIC OF HEALTHY BEHAVIORS. DUE TO COVID RESTRICTIONS THESE WERE ONLY OFFERED VIA WEB PORTALS.- SEEK OUT CONNECTIONS WITH LOCAL CHAMBERS, PEO GROUPS, CIVIC GROUPS, ETC., FOR OPPORTUNITIES TO PRESENT HEALTH INFORMATION IN THEIR NEWSLETTERS OR CONNECT THEM TO WEB-BASED RESOURCES.- EXPLORE COLLABORATION WITH LOCAL RETIREMENT CENTERS AND ASSISTED LIVING FACILITIES TO PROVIDE HEALTH INFORMATION AND SOCIAL MEDIA CONTACT.- COVID-19 PANDEMIC HAS RAISED SIGNIFICANT CHALLENGES FOR SUCH FACILITIES TO ENABLE CONTACT AMONG RESIDENTS, INHIBITING THE SOCIAL CONNECTION THAT IS ESPECIALLY IMPORTANT DURING CHALLENGING TIMES TO MINIMIZE ISOLATION, MAINTAIN HEALTH AND CULTIVATE WELL-BEING OF RESIDENTS.- WORKING WITH LOCAL FACILITIES TO PROVIDE EDUCATION ON ALTERNATIVE FORMS OF CONTACT THROUGH TECHNOLOGY (E.G. WEB-BASED MEETINGS, CELL PHONE VIDEO CHAT SESSIONS, ONLINE FORUMS) TO SHARE INFORMATION ABOUT BENEFICIAL FOODS, EXERCISE AND OTHER HEALTHY HABITS. THIS EDUCATION ENHANCES RESIDENTS' PROFICIENCY IN HEALTH BEHAVIORS.2. LACK OF PRIMARY CARE PHYSICIANSTHE 2013, 2016 AND 2019 CHNA PLANS IDENTIFIED A NEED FOR SPECIALISTS AS WELL AS PRIMARY CARE. WE STILL SEE A NEED FOR PRIMARY CARE AND PLAN TO ADDRESS THIS NEED ACCORDINGLY. IT IS ANTICIPATED THAT MORE PRIMARY CARE PROVIDERS WILL BE AVAILABLE FOR OUR COMMUNITY. WE ARE HOPEFUL THAT ADDITIONAL RESOURCES FROM DIGNITY-COMMONSPIRIT WILL HELP AUGMENT THE PHYSICIAN SHORTAGES IN OUR COMMUNITY.- YRMC WILL USE ADVANCED PRACTICE PROVIDERS (NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS) TO AUGMENT THE NEED FOR PRIMARY CARE.- NEEDS FOR SUITABLE OFFICE SPACE TO ACCOMMODATE ADDITIONAL PHYSICIANS WILL BE MET BASED PRIMARILY ON DIGNITY HEALTH'S MASTER FACILITIES PLAN FOR OUR COMMUNITY AND TAKING ADVANTAGE OF SPACE IN OUR COMMUNITIES THAT MAY BECOME AVAILABLE.- EXPLORE FEASIBILITY OF OPTIONS SUCH AS WALK-IN CLINICS, SATELLITE OFFICES, AND EXTENDED HOURS FOR YRMG CLINICS, ETC. - COVID-19 HAS DRAMATICALLY INCREASED USE OF TELEMEDICINE OPTIONS, RESULTING IN GREATER FAMILIARITY AND EASE OF USE AMONG PROVIDERS. THESE TECHNIQUES WILL BE USED TO EXPAND ACCESS TO PATIENTS WITH MOBILITY ISSUES OR LIMITED AVAILABILITY.- IN COLLABORATION WITH LOCAL SCHOOLS, YRMC WILL CONTINUE TO PROVIDE FREE PRIMARY CARE TO UNINSURED AND UNDERINSURED SCHOOL CHILDREN AND THEIR YOUNGER SIBLINGS THROUGH THE PARTNERS FOR HEALTHY STUDENTS PROGRAM, STAFFED BY NURSE PRACTITIONERS AND LED BY A MEDICAL DIRECTOR.- THE ECONOMIC IMPACT OF COVID-19 HAS BEEN PARTICULARLY DEVASTATING DUE TO TEMPORARY LAYOFFS RESULTING IN MORE CHILDREN WITHOUT INSURANCE COVERAGE AND IN NEED OF CARE. AS OF MAY 2020, AN ESTIMATED 17% (ONE IN SIX) WORKING ADULTS ARE RECEIVING UNEMPLOYMENT BENEFITS. TO ADDRESS THIS ISSUE, YRMC APPROVED THE EXTENSION OF PHS SERVICES BEYOND THE TRADITIONAL SCHOOL YEAR AND THROUGH THE SUMMER OF 2020.- YRMC WILL CONTINUE TO COLLABORATE WITH THE ARIZONA SONSHINE ORGANIZATION THAT PROVIDES FREE HEALTHCARE IN OUR REGION FOR SEVERAL DAYS ANNUALLY TO HELP MEET THE NEEDS OF THE UNDERSERVED.- DUE TO THE COVID-19 PANDEMIC, THE ARIZONA SONSHINE 2020 EVENT HAS BEEN CANCELED. THE ARIZONA SONSHINE ORGANIZATION IS CURRENTLY INVESTIGATING THE FEASIBILITY OF SETTING UP MOBILE MEDICAL UNITS IN SELECT AREAS IF THE CRISIS CONTINUES LONG-TERM, TO BE STAFFED BY VOLUNTEERS.3. LACK OF HEALTH KNOWLEDGEHEALTH LITERACY IS DEFINED AS A PERSON'S ABILITY TO READ, UNDERSTAND, EVALUATE AND ACT UPON HEALTH INFORMATION. LOW HEALTH LITERACY IS LINKED TO POORER HEALTH STATUS AND MORE EMERGENCY ROOM VISITS AND HOSPITALIZATIONS. AN ESTIMATED 75 MILLION ENGLISH-SPEAKING ADULTS IN THE UNITED STATES HAVE LIMITED HEALTH LITERACY, MAKING IT DIFFICULT FOR THEM TO UNDERSTAND AND USE BASIC HEALTH INFORMATION. (SOURCE: AGENCY FOR HEALTHCARE RESEARCH AND QUALITY). YRMC'S EFFORTS ARE EXPECTED TO IMPROVE HEALTH LITERACY IN OURCOMMUNITY.- YRMC WILL CONTINUE TO USE SOCIAL MEDIA AND OTHER ELECTRONIC METHODS OF REACHING OUT TO THE COMMUNITY AND EDUCATING PEOPLE ABOUT HEALTH AND HEALTHCARE.- YRMC HEALTHCONNECT LIBRARY OF SEARCHABLE HEALTH INFORMATION ARCHIVES TO INCREASE AND ENABLE HEALTH LITERACY SKILLS.- INFORMATIVE ARTICLES ON HEALTHCONNECT TO EDUCATE READERS ON VARIOUS BODY MECHANISMS, PROCEDURES, AND MEDICAL DEVELOPMENTS.- EXPLORE UTILIZING THE YRMC SPEAKERS BUREAU FOR PROVIDING HEALTH INFORMATION FOR THE COMMUNITY.- PARTICIPANTS ATTEND VIRTUAL SESSIONS AND CAN REVIEW RESOURCE MATERIALS AT THEIR OWN PACE.- EXPLORE OTHER HEALTH LITERACY PROGRAMS AVAILABLE WITHIN THE DIGNITY-COMMONSPIRIT SYSTEM AND, IF FEASIBLE, ADAPT ONE OR MORE OF THESE PROGRAMS TO THE YRMC MARKET. THESE PROGRAMS HELP INCREASE UNDERSTANDING AND COMPLIANCE WITH HEALTH ADVICE AND RECOMMENDATIONS. |
| SCHEDULE H, PART V, SECTION B, LINE 11- CONTINUATION | 4. PHYSICAL INACTIVITYCARDIOVASCULAR DISEASE IS THE LEADING CAUSE OF DEATH IN THE U.S. (SOURCE: AMERICAN FAMILY PHYSICIAN, 2016). THIRTY-FIVE PERCENT OF CARDIOVASCULAR DISEASE IS DUE TO PHYSICAL INACTIVITY. APPROXIMATELY 60% OF AMERICANS 18 YEARS AND OLDER REPORT PHYSICAL INACTIVITY. THE AMERICAN HEART ASSOCIATION RECOMMENDS 30-60 MINUTES OF AEROBIC EXERCISE THREE TO FOUR TIMES A WEEK. OUR LOCAL DEMOGRAPHICS AND ECONOMIC REALITIES POSE CHALLENGES IN HELPING OUR COMMUNITY RECOGNIZE THE ISSUE AND, MOST IMPORTANTLY, MAKE EFFORTS TO IMPROVE THEIR ACTIVITY LEVELS.- COLLABORATE WITH YAVAPAI COUNTY COMMUNITY HEALTH SERVICES AND YRMC'S OWN EMPLOYEE HEALTH PROGRAM, IF APPROPRIATE, TO CREATE MORE EDUCATION ABOUT THE IMPORTANCE OF PHYSICAL ACTIVITY.- COLLABORATE WITH LOCAL SCHOOLS (MANY OF WHOM NO LONGER OFFER FREE PHYSICAL EDUCATION CLASSES OR SPORTS OPPORTUNITIES) TO INCLUDE PROGRAM IDEAS FOR BRIEF PHYSICAL ACTIVITY WITHIN THE CLASSROOM THROUGHOUT THE DAY AS BREAKS FOR CHILDREN.- EXPLORE YRMC SPONSORED HIKES/WALKS FOR THE COMMUNITY AND PROMOTE THEM ACCORDINGLY.- PROMOTE THROUGH YRMC HEALTH CONNECT PROGRAM THE MANY OPPORTUNITIES TO ENGAGE IN LOCAL HIKING PROGRAMS (E.G. HIGHLANDS CENTER FOR NATURAL HISTORY, PRESCOTT HIKING CLUB).- EDUCATE THE COMMUNITY ABOUT THE HEALTH BENEFITS OF DOMESTIC ACTIVITIES SUCH AS GARDENING, ETC.- PROMOTE THROUGH YRMC HEALTH CONNECT PROGRAM THE MANY LOW-COST OPPORTUNITIES TO ENGAGE IN HOME-BASED PHYSICAL ACTIVITY (YAVAPAI COLLEGE MASTER GARDENING PROGRAM, PRESCOTT COMMUNITY GARDENS) TO ENABLE MORE PEOPLE TO ENGAGE IN PHYSICAL ACTIVITY IN NEW AND CREATIVE WAYS NOT PREVIOUSLY CONSIDERED.- EXPLORE FURTHER COLLABORATION WITH GROUPS SUCH AS SILVER SNEAKERS FOR THE PENDLETON CENTERS FOR HEALTH AND WELLNESS AND PROMOTE SUCH PROGRAMS AND THEIR BENEFITS.- EXPLORE THE VALUE OF PARTICIPANTS FROM THE PENDLETON PROGRAMS TO PROVIDE TESTIMONIALS ON SOCIAL MEDIA AND OTHER OUTLETS REGARDING HOW STAYING PHYSICALLY ACTIVE HAS IMPROVED THEIR LIVES.5. LACK OF MENTAL HEALTH PROVIDERSYRMC WORKS CLOSELY WITH LOCAL MENTAL HEALTH PROVIDERS. SEVERAL LOCAL MENTAL HEALTH PROVIDERS REGULARLY COME TO ASSESS PATIENTS IN YRMC'S EMERGENCY DEPARTMENTS TO DETERMINE MENTAL HEALTH STATUS. BECAUSE OF THE PROLIFERATION OF MENTAL HEALTH AND SUBSTANCE ABUSE PROBLEMS IN OUR COMMUNITY, YRMC ALSO COLLABORATES CLOSELY WITH LOCAL LAW ENFORCEMENT AGENCIES. MANY PATIENTS ARE BROUGHT INTO THE EMERGENCY DEPARTMENTS BY LAW ENFORCEMENT, ESPECIALLY THOSE EXHIBITING COMBATIVE, VIOLENT BEHAVIOR AND/OR THOSE WHO ARE HOMELESS OR OTHERWISE WITHOUT FAMILY SUPPORT. ACCORDING TO HEALTH DEPARTMENTS IN THE STATE OF ARIZONA, THE COVID-19 PANDEMIC HAS RESULTED IN AN INCREASED INCIDENCE OF SUICIDES AND DOMESTIC VIOLENCE INCIDENTS.- CONTINUE COLLABORATING WITH LOCAL BEHAVIORAL HEALTH PROVIDERS IN COMMUNITY PRESENTATIONS TO HELP EDUCATE THE PUBLIC ABOUT MENTAL HEALTH AND THE FACT THAT IT DOES NOT DESERVE TO BE STIGMATIZED.- COVID-19 HAS DRAMATICALLY INCREASED THE USE OF TELEMEDICINE OPTIONS, RESULTING IN GREATER FAMILIARITY AND EASE OF USE AMONG PROVIDERS. THESE TECHNIQUES CAN BE USED TO EXPAND ACCESS TO PATIENTS WITH ANXIETY ISSUES OR LIMITED AVAILABILITY DUE TO FAMILY DEMANDS.- TRACKING TO BE CONDUCTED PERIODICALLY TO GAUGE USAGE AND TOPICS IN HIGHEST DEMAND.- CONTINUE THE COLLABORATION WITH POLARA HEALTH (FORMERLY KNOWN AS WEST YAVAPAI GUIDANCE CLINIC) AND OTHER MENTAL HEALTH PROVIDERS IN CREATION OF NEW PROGRAMS FOR MENTAL HEALTH TOPICS. INCREASED SUPPORT PROVIDED FOR THE POLARA HEALTH CRISIS STABILIZATION UNIT (CSU). HOWEVER, COVID HAS CAUSED A CLOSURE OF THE CSU FOR THE TIME BEING.- EVALUATE ADDITIONAL PARTNERSHIP OPPORTUNITIES WITH MENTAL HEALTH PROVIDERS AS THEY BECOME AVAILABLE.- A LOCAL GROUP OF PSYCHOLOGISTS HAS OFFERED FREE MENTAL HEALTH SERVICES FOR YRMC STAFF TO ASSIST WITH ISSUES RESULTING FROM THE COVID-19 AND ECONOMIC CRISES.- EXPLORE WITH LOCAL LAW ENFORCEMENT AND MENTAL HEALTH PROVIDERS POSSIBLE ALTERNATIVES TO YRMC'S EDS AS A "HOLDING" RESOURCE WHEN NO MEDICAL NEED IS APPARENT. SUCH ALTERNATIVES SUPPORT LAW ENFORCEMENT'S EFFORTS FOR BEHAVIORAL HEALTH HOUSING WITHIN DETENTION CENTERS IN THE COMMUNITY.- FURTHER PROMOTE PHILANTHROPICALLY SUPPORTED PROGRAMS TO ENHANCE BEHAVIORAL HEALTH SERVICES. FOR EXAMPLE, YRMC'S PARTNERS FOR HEALTHY STUDENTS (PHS) PROGRAM LAUNCHED ADOLESCENT BEHAVIORAL HEALTH SERVICES IN 2019 MADE POSSIBLE BY COMMUNITY SUPPORT AND GENEROSITY. PHS COLLABORATES WITH SOUTHWEST BEHAVIORAL HEALTH, SPECTRUM HEALTH, POLARA HEALTH AND OTHER PROVIDERS.- EXPLORE OPPORTUNITIES TO COLLABORATE WITH YRMC'S PALLIATIVE MEDICINE DEPARTMENT AND MEMORY CARE SERVICES IN THE AREA, ESPECIALLY GIVEN OUR COMMUNITY NEED FOR SUCH CARE AND INFORMATION ABOUT THESE SERVICES. - EXPLORE A HEALTHY AGING SERVICE LINE WITH A GERIATRIC ASSESSMENT CLINIC FOR OUR LOCAL COMMUNITY IN COLLABORATION WITH YRMC PALLIATIVE MEDICINE PROGRAM TO INCREASE AVAILABILITY OF MENTAL HEALTH SERVICES FOR THE SENIOR POPULATION IN WESTERN YAVAPAI COUNTY. MORE THAN ONE-THIRD OF THE POPULATION OF YRMC'S SERVICE AREA IS OVER THE AGE OF 65.THE FOLLOWING NEEDS WERE NOT SELECTED TO BE ADDRESSED IN THE CHNA:LIMITED ACCESS TO HEALTHY FOODS: THIS WILL NOT BE ADDRESSED BY YRMC BECAUSE THERE ARE A NUMBER OF COMMUNITY ORGANIZATIONS THAT WORK ON THIS ISSUE THAT ARE BETTER SUITED TO MEET THIS NEED. HOWEVER, WE DO FINANCIALLY SUPPORT LOCAL FOOD BANKS.TRANSPORTATION: PEOPLE WHO CARE IS ONE OF THE LOCAL ORGANIZATIONS THAT PROVIDE TRANSPORTATION FOR THOSE IN NEED.AGING POPULATION: THE GREATER PRESCOTT AREA HAS MORE THAN 35% OF PEOPLE OVER 65 WHICH IS NEARLY DOUBLE THAT OF THE REST OF ARIZONA AND THE NATION. YRMC CARES FOR ALL PEOPLE IN ALL AGE GROUPS IN OUR SERVICE AREA BUT THIS WAS NOT A SELECTED NEED FOR THE CHNA IMPLEMENTATION PLAN. HIGH COST OF HEALTHCARE: THIS ISSUE IS BEYOND THE SCOPE OF YRMC TO ADDRESS AND IS MORE APPROPRIATE AS AN ISSUE THAT INCLUDES ALL ASPECTS OF HEALTHCARE, NOT JUST HOSPITALS.POVERTY/CHILDREN IN POVERTY/LACK OF FINANCIAL RESOURCES: IN YRMC'S SERVICE AREA 38% OF THE LOCAL WORKFORCE IS CONSIDERED WORKING POOR AND 25% OF CHILDREN LIVE AT OR BELOW THE POVERTY LEVEL. YRMC CARES FOR ALL PEOPLE REGARDLESS OF ABILITY TO PAY. UNINSURED AND UNDERINSURED: YRMC PROVIDES CARE TO THE UNINSURED AND UNDERINSURED PEOPLE IN OUR SERVICE AREA. |
| SCHEDULE H, PART V, SECTION B, LINE 16I | TRANSLATION OF FAP INTO PRIMARY LANGUAGE SPOKEN BY LEP POPULATIONS: YRMC HAS TRANSLATED THE FAP INTO SPANISH AND WOULD CONSIDER TRANSLATING INTO ANOTHER LANGUAGE WHEN IT IS KNOWN THAT PATIENTS WILL NEED THE TRANSLATION AND ARE NOT SERVED BY THE CURRENT FORMS AND STATEMENTS. YRMC USES DEMOGRAPHIC DATA FROM THEIR SYSTEM AND THE COUNTIES TO DETERMINE IF A PATIENT POPULATION EXISTS THAT IS OVER 1,000 INDIVIDUALS THAT DO NOT SPEAK ENGLISH OR SPANISH. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 19 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - YRMC - DEL E WEBB OUTPATIENT CENTER | |||||
| 3262 WINDSONG ROAD | PRESCOTT VALLEY | AZ | 86314 | OUTPATIENT DIAGNOSTICS, REHABILITATION & LABORATORY | |
| 2 - PENDLETON WELLNESS CENTER | |||||
| 930 DIVISION STREET | PRESCOTT | AZ | 86301 | CARDIAC REHABILITATION, PHYSICAL THERAPY, & WELLNESS OUTPATIENT CENTER | |
| 3 - PRESCOTT OUTPATIENT SURGICAL CENTER | |||||
| 815 AINSWORTH DR | PRESCOTT | AZ | 86301 | OUTPATIENT SURGICAL CENTER | |
| 4 - YRMC PC INTERNAL MEDICINE I | |||||
| 3120 CLEARWATER DR | PRESCOTT | AZ | 86305 | PHYSICIAN PRACTICE - INTERNAL MEDICINE | |
| 5 - YRMC PC FAMILY MEDICINE I | |||||
| 7712 E FLORENTINE | PRESCOTT VALLEY | AZ | 86314 | PHYSICIAN PRACTICE - FAMILY MEDICINE | |
| 6 - YRMC PC BREAST CARE | |||||
| 7700 E FLORENTINE ROAD BLD B STE | PRESCOTT VALLEY | AZ | 86314 | PHYSICIAN PRACTICE-SURGERY | 203 |
| 7 - YRMC PC FAMILY MEDICINE III | |||||
| 1050 GAIL GARDNER WAY SUITE B | PRESCOTT | AZ | 86301 | PHYSICIAN PRACTICE - FAMILY MEDICINE | |
| 8 - YRMC PC FAMILY MEDICINE IV-BAGDAD | |||||
| 12 HOPE DRIVE | BAGDAD | AZ | 86321 | PHYSICIAN PRACTICE - FAMILY MEDICINE | |
| 9 - YRMC PC CARDIOLOGY I | |||||
| 802 E AINSWORTH DR SUITE A | PRESCOTT | AZ | 86301 | PHYSICIAN PRACTICE - CARDIOLOGY | |
| 10 - YRMC PC CARDIOLOGY II | |||||
| 7700 E FLORENTINE RD BLD B STE 206 | PRESCOTT VALLEY | AZ | 86314 | PHYSICIAN PRACTICE - CARDIOLOGY | |
| 11 - YRMC PC CARDIOLOGY III | |||||
| 726 GAIL GARDNER WAY SUITE A | PRESCOTT | AZ | 86305 | PHYSICIAN PRACTICE - CARDIOLOGY | |
| 12 - YRMC PC CARDIOLOGY IV | |||||
| 980 WILLOW CREEK ROAD | PRESCOTT | AZ | 86301 | PHYSICIAN PRACTICE - CARDIOLOGY | |
| 13 - YRMC PC NEUROSURGERY | |||||
| 1001 DIVISION STREET | PRESCOTT | AZ | 86301 | PHYSICIAN PRACTICE - NEUROSURGERY | |
| 14 - YRMC PC GASTROENTROLOGY | |||||
| 811 AINSWORTH STREET | PRESCOTT | AZ | 86301 | PHYSICIAN PRACTICE - GASTROENTROLOGY | |
| 15 - YRMC PC PEDIATRICS | |||||
| 2120 CENTERPOINTE WEST | PRESCOTT | AZ | 86301 | PHYSICIAN PRACTICE - PEDIATRICS | |
| 16 - YRMC PC PALLIATIVE CARE | |||||
| 1003 WILLOW CREEK ROAD | PRESCOTT | AZ | 86301 | PHYSICIAN PRACTICE - PALLIATIVE CARE | |
| 17 - YRMC PC SURGERY III | |||||
| 810 AINSWORTH DRIVE | PRESCOTT | AZ | 86301 | PHYSICIAN PRACTICE-SURGERY | |
| 18 - YRMC PC SURGERY IV | |||||
| 810 AINSWORTH DRIVE | PRESCOTT | AZ | 86301 | PHYSICIAN PRACTICE-SURGERY | |
| 19 - YRMC PC PRIMARY CARE | |||||
| 7700 E FLORENTINE RD BLDG B STE 101 | PRESCOTT VALLEY | AZ | 86314 | PHYSICIAN PRACTICE - FAMILY MEDICINE | |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, YRMC USES AN ADJUSTED COST TO CHARGE RATIO CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 IS USED IN THE CBISA SOFTWARE TO CALCULATE EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS. |
| PART I, LINE 7G: | THE SUBSIDIZED SERVICES ON LINE 7G INCLUDE PHYSICIAN CLINICS IN PRESCOTT AND PRESCOTT VALLEY. THE CLINICS IMPROVE COMMUNITY ACCESS TO HEALTHCARE SERVICES SUCH AS CARDIOLOGY AND NEUROSURGERY. WITHOUT THE CARDIOLOGY CLINICS, THE COMMUNITY WOULD BE UNDERSERVED, AS THIS WOULD CAUSE A SHORTAGE OF ACCESS FOR THIS TYPE OF CARE. THE DEMOGRAPHICS ARE MAINLY THAT OF THE MEDICARE POPULATION, AND ADDITIONAL TRAVEL TIME FOR RESIDENTS TO OBTAIN SIMILAR CARE IN OTHER AREAS WOULD BE DIFFICULT FOR RESIDENTS. THE NEUROSURGERY CLINIC IS THE ONLY CENTER AVAILABLE IN THE CITY OF PRESCOTT.PART I, LN 7 COL(F):THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE HOSPITAL IS DEDICATED TO PROMOTING THE GENERAL HEALTH OF THE POPULATION. THE ACTIVITIES IN PART II CONTRIBUTE TO THE VITALITY OF THE COMMUNITY WHICH IS ONE OF MANY FACTORS THAT IMPACT THE HEALTH OF THE COMMUNITY AND PROVIDE A BENEFIT FOR OUR COMMUNITY. |
| PART III, LINE 2: | THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE SCHEDULE H, PART I, LINE 7) TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR DISCOUNTED CARE, GOVERNMENT SPONSOREDPROGRAMS OR OTHER FINANCIAL ASSISTANCE, AND ARE OTHERWISE UNINSURED. ANY PORTION OF A PATIENT BILL REMAINING AFTER APPLYING FINANCIAL, UNINSURED OR OTHER DISCOUNTS OR PAYMENTS RECEIVED ON THE ACCOUNT THAT ARE ULTIMATELY DETERMINED TO BE UNCOLLECTIBLE ARE WRITTEN OFF TO BAD DEBT.AS NOTED IN PART I, LINE 3, YRMC PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THREE CATEGORIES; UNDER 200%, 201%-350% OR 351%-500% OF THE FEDERAL POVERTY LEVEL. YRMC ALSO PROVIDES PATIENTS OPTIONS FOR PROMPT PAY DISCOUNTS, AND INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS RECEIVE AN AUTOMATIC UNINSURED DISCOUNT OF 30%. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. |
| PART III, LINE 3: | YRMC MAKES EVERY EFFORT IN DETERMINING IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. YRMC FOLLOWS DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY. DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUSCOMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. DIGNITY HEALTH ALSO UTILIZES A PAYMENT ASSISTANCERANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF AN UNINSURED PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL UNINSURED PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE FINANCIAL ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSESOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT NO SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE WERE REPORTED AS BAD DEBT. AS SUCH, YRMC DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THEORGANIZATION'S FINANCIAL ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE.PART III, LINE 4:THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2021, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE:PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FORPATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES.YRMC MANAGES ITS COLLECTION RISK BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES. RESERVES FOR CHARITY AND UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEET. |
| PART III, LINE 8: | COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1, 2150FF AND PRM 15-2, 1000FF. AS SUCH, THE FOLLOWING LANGUAGE PER THE PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT:TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR TO BE CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS.COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. YRMC'S SHORTFALL INCLUDES $17 MILLION REPORTED ON PART III, SECTION B, LINE 7, PRIMARILY FOR FEE FOR SERVICE MEDICARE PATIENTS, AS WELL AS THE UNREIMBURSED PORTION OF MEDICARE MANAGED CARE AND MEDICARE CAPITATED PROGRAMS. |
| PART III, LINE 9B: | YRMC ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. YRMC FOLLOWS DIGNITY HEALTH'S BILLING AND COLLECTION POLICY. DIGNITY HEALTH'S COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHOM THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF YRMC OR THE BILLING COMPANY RETAINED BY DIGNITY HEALTH IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED FINANCIAL ASSISTANCE OR FOR ASSISTANCE UNDER DIGNITY HEALTH'S PATIENT FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, YRMC WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT.ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY DIGNITY HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, YRMC REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. |
| PART VI, LINE 2: | YRMC USES SEVERAL MEASURES BY WHICH TO ASSESS COMMUNITY HEALTH NEEDS. ONE MEASURE IS OUR MIGRATION BY SERVICE. AS AN EXAMPLE, PRIOR TO OPENING OUR CARDIOVASCULAR SURGERY PROGRAM IN 2007, WE SAW MANY HUNDREDS OF PEOPLE LEAVING OUR COMMUNITY TO GO TO PHOENIX - 100 MILES AWAY - FOR OPEN HEART SURGERY. THIS WAS AN INDICATION OF A NEED IN OUR COMMUNITY THAT REQUIRED YRMC'S FOCUSED ATTENTION AND EFFORTS THAT CULMINATED IN THE HEART CENTER AT YRMC. YRMC CONSTANTLY MONITORS VOLUME AND UTILIZATION DATA IN ITS SERVICE LINES TO HELP DETERMINE LEVEL OF NEED IN THE COMMUNITY FOR EACH SERVICE LINE. ONE OF THE MOST PROMINENT REASONS FOR PEOPLE LEAVING THE AREA FOR HEALTHCARE IS THE SHORTAGE OF AVAILABLE PHYSICIANS AND SPECIALISTS. IT IS HOPED THAT ADDITIONAL RESOURCES FROM COMMONSPIRIT HEALTH WILL HELP ALLEVIATE THAT SHORTAGE FOR THIS COMMUNITY.YRMC ALSO SPENDS A GREAT DEAL OF TIME LISTENING TO THE COMMUNITY BY WAY OF COMMUNITY INVOLVEMENT BY SENIOR MANAGEMENT, PATIENT SURVEY FEEDBACK, AND COMMUNITY OUTREACH EFFORTS. COMMUNITY MEMBERS FEEL VERY COMFORTABLE IN SHARING THEIR PERCEPTIONS AND PERSPECTIVES. YRMC ALSO ENGAGED BKD AUDITING FIRM TO CONDUCT COMMUNITY NEEDS ASSESSMENT RESEARCH. THE STUDY OBJECTIVES INCLUDED THE FOLLOWING:A. MEASURE AND EVALUATE HEALTH STATUS AND HEALTHCARE UTILIZATION WITHIN THE COMMUNITY.B. IDENTIFY THE PREVALENCE OF CHRONIC CONDITIONS WITHIN VARIOUS DEMOGRAPHIC SEGMENTS WITHIN THE COMMUNITY.C. PROFILE HIGH-RISK POPULATIONS.D. IDENTIFY GAPS IN CARE AND PREVENTIVE HEALTH BEHAVIORS AMONG VARIOUS DEMOGRAPHIC SEGMENTS WITHIN THE COMMUNITY. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR COMMUNICATION OF THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS AND THE PUBLIC:YRMC FOLLOWS DIGNITY HEALTH'S FINANCIAL ASSISTANCE PROGRAM. INFORMATION ABOUT DIGNITY HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE YRMC'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS YRMC MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES YRMC SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT ALL UNINSURED PATIENTS RECEIVE AN UNINSURED DISCOUNT OF 30%, AND THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION OR WITH PROMPT PAYMENT. FINANCIAL ASSISTANCE INFORMATION, GOVERNMENT PROGRAM RESOURCE INFORMATION, TOOLS TO ASSIST PATIENTS IN FINDING HEALTH COVERAGE, ANSWERS TO FREQUENTLY ASKED BILLING QUESTIONS, AND OTHER SUCH INFORMATION CAN ALSO BE FOUND ON YRMC'S WEBSITE AT HTTPS://WWW.YRMC.ORG/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE AND ALSO ON DIGNITY HEALTH'S WEBSITE AT WWW.DIGNITYHEALTH.ORG.IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO UNINSURED PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS WITHOUT INSURANCE COVERAGE THAT THEY MAY BE ELIGIBLE FOR A GOVERNMENT SPONSORED PROGRAM OR FACILITY FUNDED FINANCIAL ASSISTANCE, INSTRUCTIONS ON HOW TO APPLY FOR A GOVERNMENT PROGRAM OR FINANCIAL ASSISTANCE AND THE PROVISION OF SUCH APPLICATIONS. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF YRMC REQUIRES ALL INITIAL STATEMENTS TO UNINSURED PATIENTS TO INCLUDE VERBIAGE INFORMING PATIENTS OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND A COPY OF THE FINANCIAL ASSISTANCE APPLICATION. ALSO, ANY MEMBER OF THE YRMC STAFF OR MEDICAL STAFF MAY MAKE REFERRALS OF PATIENTS FOR FINANCIAL ASSISTANCE. THE PATIENT, A FAMILY MEMBER, A CLOSE FRIEND OR AN ASSOCIATE OF THE PATIENT MAY ALSO MAKE A REQUEST FOR FINANCIAL ASSISTANCE. |
| PART VI, LINE 4: | COMMUNITY INFORMATION: YRMC SERVES THE RURAL COMMUNITIES IN THE WESTERN PORTION OF YAVAPAI COUNTY IN NORTHERN ARIZONA. YRMC SERVES APPROXIMATELY 150,000 MEN, WOMEN AND CHILDREN LIVING IN AN AREA LARGER THAN THE STATE OF NEW JERSEY. THE COMMUNITIES IN WHICH THE TOP 75 PERCENT OF YRMC'S PATIENTS RESIDE HAS THE FOLLOWING CHARACTERISTICS: TOTAL POPULATION: 148,698 WHITE - NON-HISPANIC: 81.0%BLACK/AFRICAN AMERICAN: 0.8%HISPANIC OR LATINO: 14.3%ASIAN/PACIFIC ISLANDER: 1.4%ALL OTHERS: 2.5%% BELOW POVERTY: 6.6%UNEMPLOYMENT: 6.6%NO HIGH SCHOOL DIPLOMA: 9.2%MEDICAID (HOUSEHOLD): 7.2%UNINSURED (HOUSEHOLD): 5.0% |
| PART VI, LINE 5: | YRMC PROUDLY SERVES A 5,500 SQUARE MILE AREA OF WESTERN YAVAPAI COUNTY. YRMC IS DEEPLY COMMITTED TO SUPPORTING THE LOCAL COMMUNITY IN MULTIPLE WAYS, MANY OF WHICH ARE PROVIDED AT NO COST OR AT A FINANCIAL LOSS TO BENEFIT OUR COMMUNITY. WE PROVIDE RESOURCES FOR PEOPLE WHO ARE IN SEARCH OF MORE INFORMATION ABOUT THEIR HEALTH AND HOW TO IMPROVE THEIR QUALITY OF LIFE, AND WE ALSO OFFER ASSISTANCE TO THOSE WHO ARE VULNERABLE.YRMC IS THE MAJOR EMPLOYER IN ALL OF YAVAPAI COUNTY WITH 2,048 EMPLOYEES. OUR ANNUAL SALARIES, WAGES AND BENEFITS OF $184,461,556 TURN OVER MULTIPLE TIMES THROUGHOUT THE COMMUNITY AND SUPPORT THE LOCAL ECONOMY. WE ARE HONORED TO HAVE MORE THAN 600 VOLUNTEERS FROM THE LOCAL COMMUNITY WHO DEDICATE THEIR TIME AND TALENT TO HELPING YRMC, OUR PROGRAMS, SERVICES AND PATIENTS. WITH A MEDICAL STAFF OF APPROXIMATELY 395 PROVIDERS REPRESENTING A WIDE RANGE OF SPECIALTIES AND TOUTING TRAINING FOR HIGHLY PRESTIGIOUS INSTITUTIONS SUCH AS HARVARD, UCLA, DUKE UNIVERSITY, MAYO CLINIC AND MORE, WE CLEARLY HAVE A HIGHLY QUALIFIED HEALTHCARE TEAM TO SERVE THE COMMUNITY.YRMC PRIDES ITSELF IN ITS INVOLVEMENT IN COMMUNITY OUTREACH ACTIVITIES SUCH AS ACTIVE PARTICIPATION IN ALL THE LOCAL CHAMBERS OF COMMERCE, BEING A NATIONAL LEADER IN PATIENT BLOOD MANAGEMENT AND MUCH MORE. YRMC GREATLY ENHANCED ITS PRESENCE IN ELECTRONIC AND SOCIAL MEDIA IN 2021. YRMC'S PREMIER WEBSITE IS A TRUSTED HEALTH INFORMATION SOURCE. IT INCLUDES INFORMATION ABOUT OUR SERVICES, OUR PHYSICIANS, OUR COMMUNITY BENEFIT PROGRAMS, OUR MANY COMMUNITY OUTREACH EFFORTS, AND LINKS WITH OTHER VALUABLE ONLINE SITES. YRMC'S ACTIVE PRESENCE ON FACEBOOK AND TWITTER ARE EXAMPLES OF THE MANY WAYS YRMC CONNECTS WITH THE COMMUNITY IN REAL TIME.OBSTETRICS AND NURSERY SERVICES:AS A SOLE COMMUNITY PROVIDER FOR THIS REGION, YRMC PROVIDES OBSTETRICS SERVICES FOR YOUNG FAMILIES. BECAUSE THIS AREA IS BASED ON TOURISM AND SERVICE INDUSTRIES, THERE IS VERY LITTLE OPPORTUNITY FOR WORKERS TO EARN A SUFFICIENT LIVING CONSEQUENLTY WE HAVE A PREVALENCE OF "WORKING POOR." AS A RESULT, OUR FAMILY BIRTHING CENTER PROVIDES CARE TO A MARKET THAT IS PREDOMINANTLY COVERED BY THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (AHCCCS), ARIZONA'S BRAND OF MEDICAID. AND BECAUSE WE ARE LOCATED MORE THAN 90 MILES FROM A HOSPITAL THAT PROVIDES SPECIALIZED NEONATE CARE, WE EARNED LICENSURE AS A LEVEL II NURSERY IN OUR FAMILY BIRTHING CENTER.THIS NURSERY CARES FOR PREMATURE BABIES AS WELL AS THOSE THAT ARE BORN ADDICTED TO CONTROLLED SUBSTANCES. OUR ENTIRE OBSTETRICS SERVICE LINE IS A COMMUNITY BENEFIT WHEN MANY HOSPITALS IN ARIZONA HAVE CLOSED THEIR OB SERVICES ENTIRELY. AS THE COMMUNITY'S HOSPITAL, THIS WAS NOT AN OPTION TO BE CONSIDERED AT YRMC FROM JANUARY THROUGH JUNE 2021, 423 BABIES ENTERED THE WORLD AT YRMC'S FAMILY BIRTHING CENTER. FROM JANUARY THROUGH JUNE 2021, OPERATING EXPENSES FOR THE FAMILY BIRTHING CENTER WERE $3,426,450.FAMILY RESOURCE CENTERIN ADDITION TO COMPREHENSIVE OBSTETRICS SERVICES AND PROGRAMS, YRMC ALSO SUPPORTS YOUNG FAMILIES WHO ARE EXPERIENCING STRESS RELATED TO PARENTHOOD, FINANCIAL PRESSURES, LACK OF EXTENDED FAMILY SUPPORT LOCALLY AND LACK OF GOOD MODELING IN THEIR OWN CHILDHOOD OF PARENTING INFANTS AND YOUNG CHILDREN. THE FAMILY RESOURCE CENTER (FRC) IS A CERTIFIED PROGRAM THAT PROVIDES SUPPORT AND EDUCATION TO YOUNG FAMILIES IN AN EFFORT TO REDUCE AND ELIMINATE CHILD ABUSE AND NEGLECT. SINCE WE HAVE A PREDOMINANCE OF WORKING POOR FAMILIES IN OUR COMMUNITY, STRESS RELATED TO PARENTING IS EXACERBATED BY FINANCIAL ISSUES.EVERY NEW MOTHER WHO DELIVERS HER BABY AT YRMC IS VISITED BY AN FRC REPRESENTATIVE AND IS GIVEN A CHILD DEVELOPMENT CALENDAR SO THE MOTHER WILL KNOW THE GUIDELINES FOR DEVELOPMENTAL EXPECTATIONS DURING THE CHILD'S FIRST YEAR OF LIFE. THEY ARE INTRODUCED TO THE PROGRAM AND ARE INVITED TO REACH OUT TO FRC FOR MORE INFORMATION AND FOR SERVICES. SOME MOTHERS ARE REFERRED BY THE ARIZONA DEPARTMENT OF CHILD SAFETY AND THOSE WOMEN ARE REQUIRED TO PARTICIPATE IN FRC PROGRAMS.COMMUNITY OUTREACHYRMC WAS TOUTED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT BY MANY RESPONDENTS FOR ITS EXCELLENT COMMUNITY OUTREACH AND HEALTH EDUCATION EFFORTS. OUTREACH PROVIDES HEALTH AND WELLNESS NEWS FROM YRMC AND ALSO DESCRIBES SPECIFIC SERVICE LINES AND INCLUDES PERSONAL STORIES OF PATIENTS WHOSE LIVES WERE CHANGED BY THOSE SERVICES.FOR EACH NEW PHYSICIAN OR PHYSICIAN EXTENDER WHO JOINS YRMG'S PHYSICIAN EMPLOYED NETWORK, COMMUNITY OUTREACH COORDINATES PHOTOS AND BIOS ON EACH PERSON. THESE ARE COMPILED INTO NOTEBOOKS FOR EACH PHYSICIAN'S RECEPTION AREA SO PATIENTS CAN READ ABOUT THE BACKGROUND, EXPERIENCE AND EXPERTISE OF EACH PHYSICIAN. NEW PHYSICIANS MAY ALSO BE INTRODUCED TO THE COMMUNITY VIA DISPLAY ADS IN LOCAL PUBLICATIONS, PRESS RELEASES, HEALTHCONNECT AND LOCAL JOURNALS SUCH AS PRESCOTT WOMAN MAGAZINE.COMMUNITY OUTREACH ALSO CREATED A COOKING SHOW CALLED "YOUR HEALTHY KITCHEN." IT IS HOSTED BY A REGISTERED DIETITIAN WHO WAS ALSO TRAINED AT CORDON BLEU CULINARY SCHOOL IN FRANCE. THE PROGRAM IS FILMED LIVE AT A LOCAL TV STUDIO AND THOSE PROGRAMS ARE AVAILABLE ON YRMC'S WEBSITE AND IN DVD FORMAT. EACH PROGRAM INCLUDES VALUABLE INFORMATION ABOUT NUTRITION, SHOPPING FOR HEALTHY FOOD, AND GREAT RECIPES. THERE ARE SPECIAL PROGRAMS FOR THOSE WHO HAVE SPECIFIC DIETARY NEEDS OR RESTRICTIONS. THE HOST OF THE PROGRAM HAS ALSO CONDUCTED A "TOUR" OF GROCERY STORE AISLES AND DISCUSSED FOOD LABELS TO HELP PEOPLE MAKE GOOD DECISIONS ABOUT FOOD PURCHASES. THERE ARE ALSO SEASONALLY-THEMED PROGRAMS FOR THANKSGIVING, THE SUMMER MONTHS, WINTER COOKING, AND MORE.THE HOSPITAL IS DEDICATED TO MEETING COMMUNITY NEEDS AND PROMOTING THE GENERAL HEALTH OF THE POPULATION. WHEN YRMC BUILT AND OPENED THE FAMILY BIRTHING CENTER, IT WAS NOT BECAUSE IT BELIEVED THAT THIS WOULD BE A PROFITABLE SERVICE LINE (THE MAJORITY OF ADMITS TO OB ARE ON THE STATE'S MEDICAID PROGRAM) BUT BECAUSE IT UNDERSTOOD THERE WAS A COMMUNITY NEED FOR EXPANDED SERVICES.YRMC ALSO SUBSIDIZES THE FAMILY RESOURCE CENTER, A PROGRAM THAT HELPS YOUNG PARENTS LEARN HEALTHY PARENTING SKILLS AND MATCHES THEM TO LOCAL RESOURCES THEY NEED. THE STAFF WORKS CLOSELY WITH THE OB STAFF IN VISITING ALL NEW MOMS WHO DELIVER BABIES AT YRMC. THEY ARE PRESENTED WITH A GROWTH AND DEVELOPMENT CALENDAR TO HELP THEM UNDERSTAND WHAT CAN BE EXPECTED IN THEIR BABIES' FIRST YEAR. STAFF ALSO INVITES NEW PARENTS TO PARTICIPATE IN THE FAMILY RESOURCE CENTER PROGRAMS.IN ADDITION, THE HOSPITAL HAS IMPLEMENTED AN EMPLOYED PHYSICIAN MODEL IN ORDER TO FURTHER ASSIST THE COMMUNITY IN ADDRESSING A SEVERE SHORTAGE OF PHYSICIANS.THE HOSPITAL'S BOARD OF DIRECTORS IS COMMUNITY BASED AND REPRESENTS THE LOCAL COMMUNITY.THE HOSPITAL INVESTS AND UTILIZES ANY EXCESS FUNDS FROM OPERATIONS AS A SAFEGUARD FOR POTENTIAL FINANCIAL CHALLENGES AND TO FUND FUTURE CAPITAL NEEDS. |
| PART VI, LINE 6: | YRMC BECAME PART OF THE COMMONSPIRIT HEALTH SYSTEM EFFECTIVE NOVEMBER 2020.AFFILIATES OF YRMC ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN CALIFORNIA, ARIZONA, AND NEVADA AND IN 18 ADDITIONAL STATES THROUGH THE ALLIANCE WITHIN COMMONSPIRIT HEALTH SYSTEM. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTING REVENUE FOR COMMONSPIRIT AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES YRMC, FOR THE YEAR ENDED JUNE 30, 2021, IS $2.6 BILLION. A SUMMARY OF COMMONSPIRIT'S COMMUNITY BENEFITS CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGE 45. |
| SCHEDULE H, PART VI, LINE 7 | YRMC DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH THE STATE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION | ||||||||||
| 1003 WILLOW CREEK ROAD | PRESCOTT | AZ | 86301 | 861038463 | 501(C)(3) | $340,894 | $0 | NA | NA | FOUNDATION SUPPORT |
| HUMBOLDT EDUCATION FOUNDATION INC | ||||||||||
| PO BOX 25606 | PRESCOTT VALLEY | AZ | 86312 | 473592724 | 501(C)(3) | $10,000 | $0 | NA | NA | COMMUNITY HEALTH |
| PRESCOTT COMMUNITY CUPBOARD FOOD BANK | ||||||||||
| 777 W HILLSIDE AVE | PRESCOTT | AZ | 86301 | 942765898 | 501(C)(3) | $6,500 | $0 | NA | NA | COMMUNITY HEALTH |
| YAVAPAI COLLEGE FOUNDATION | ||||||||||
| 1100 E SHELDON ST | PRESCOTT | AZ | 86301 | 237232985 | 501(C)(3) | $82,970 | $0 | NA | NA | EDUCATION SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | YAVAPAI REGIONAL MEDICAL CENTER'S COMMUNITY OUTREACH DEPARTMENT IS RESPONSIBLE FOR REVIEWING AND APPROVING DONATION REQUESTS FROM ORGANIZATIONS THAT SHARE OUR VISION OF A TOTAL HEALING ENVIRONMENT. WE CHOOSE TO SUPPORT ORGANIZATIONS THAT BENEFIT THOSE IN OUR COMMUNITY WHO ARE VULNERABLE AND UNDERSERVED. WE PRIORITIZE ORGANIZATIONS THAT: - ADVANCE RESEARCH IN AREAS SPECIFICALLY IMPORTANT TO THE PEOPLE WE SERVE. EXAMPLES ARE THE AMERICAN CANCER SOCIETY AND THE ALZHEIMER'S ASSOCIATION. - ADDRESS FOOD INSECURITY IN OUR REGION. EXAMPLES INCLUDE LOCAL FOOD BANKS, MEALS ON WHEELS AND BACKPACK NUTRITION PROGRAMS FOR CHILDREN. - PROVIDE BEHAVIORAL HEALTH SERVICES TO THOSE IN NEED. THIS INCLUDES DONATIONS TO POLARA HEALTH AND OTHER ORGANIZATIONS THAT ADDRESS BEHAVIORAL HEALTH AND CHEMICAL DEPENDENCY ISSUES IN OUR COMMUNITY. THIS ALSO INCLUDES FINANCIAL SUPPORT TO PROVIDE NARCAN AT NO COST FOR LOCAL LAW ENFORCEMENT AGENCIES TO UTILIZE IN THE FIELD. - EXTEND CARE TO THOSE IN OUR COMMUNITY WHO ARE UNDERSERVED. WE MAKE AN ANNUAL DONATION TO ARIZONA SONSHINE, WHICH PROVIDES FREE MEDICAL, DENTAL AND VISION CARE TO THE UNDERSERVED. OUR DONATION OF APPROXIMATELY $60,000 ANNUALLY IN RADIOLOGY SERVICES TO THE YAVAPAI COMMUNITY HEALTH CENTER IS ANOTHER EXAMPLE OF OUR COMMITMENT TO EXTENDING CARE TO THE UNDERSERVED IN THE COMMUNITY. - SUPPORT OUR AGING POPULATION. THIS INCLUDES REGULAR ANNUAL DONATIONS TO THE VARIOUS COMMUNITY CENTERS IN THE REGION THAT PROVIDE SUPPORT AND FELLOWSHIP FOR OUR AREA'S SENIORS. - NURTURE CHILD DEVELOPMENT AND EDUCATION. EXAMPLES INCLUDE THE BOYS AND GIRLS CLUBS, PREVENT CHILD ABUSE ARIZONA, LOCAL SCHOOL DISTRICTS, AND OTHERS. - PROMOTE HEALTHY LIFESTYLES AND ADDRESS PHYSICAL INACTIVITY. EXAMPLES INCLUDE DONATIONS TO THE NORTH STAR CHARITABLE FOUNDATION TO BENEFIT LOCAL ADOLESCENT AND TEEN GROUPS, THE PRESCOTT MOUNTAIN BIKE ASSOCIATION'S SUMMER YOUTH PROGRAM, THE YMCA, AND MUCH MORE. THESE ARE A FEW EXAMPLES OF THE VARIOUS ORGANIZATIONS WE CHOOSE TO SUPPORT TO BENEFIT THOSE IN OUR COMMUNITY. EACH REQUEST IS REVIEWED AND APPROVED BY THE DIRECTOR OF MARKETING AND COMMUNICATIONS WHO MANAGES THE COMMUNITY BENEFIT PROGRAM FOR YRMC. DONATIONS ARE BUDGETED MONTHLY AND PRIORITIES MAY SHIFT BASED ON COMMUNITY NEED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | Yes (1) | InitialContractExceptionInd |
| Rebuttable Presumption Proc | Yes (1) | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LINDA HUNT | ||||||||||||||
| BOARD MEMBER | $0 | $670,045 | $0 | $584,837 | $0 | $384,688 | $0 | $397,118 | $0 | $75,636 | $0 | $2,112,324 | $0 | $204,806 |
| MANSOUR H ASSAR | ||||||||||||||
| CARDIOLOGIST-INTERVENTIONAL | $1,450,965 | $0 | $0 | $0 | $2,888 | $0 | $14,250 | $0 | $15,450 | $0 | $1,483,553 | $0 | $0 | $0 |
| JOHN R AMOS | ||||||||||||||
| PRESIDENT | $763,227 | $0 | $161,621 | $0 | $211,631 | $0 | $33,462 | $0 | $25,172 | $0 | $1,195,113 | $0 | $181,271 | $0 |
| NISHA TUNG-TAKHER | ||||||||||||||
| ELECTROPHYSIOLOGIST | $947,566 | $0 | $252,100 | $0 | $656 | $0 | $33,462 | $0 | $28,475 | $0 | $1,262,259 | $0 | $0 | $0 |
| SHAYAN ALAM | ||||||||||||||
| GASTROENTEROLOGIST | $533,147 | $0 | $469,912 | $0 | $438 | $0 | $33,750 | $0 | $27,785 | $0 | $1,065,032 | $0 | $0 | $0 |
| GEORGE T RIZK | ||||||||||||||
| CARDIOLOGIST-INVASIVE | $605,078 | $0 | $178,806 | $0 | $2,888 | $0 | $33,462 | $0 | $12,153 | $0 | $832,387 | $0 | $0 | $0 |
| ROBERT CANDIPAN | ||||||||||||||
| CARDIOLOGIST-INTERVENTIONAL | $736,186 | $0 | $0 | $0 | $2,888 | $0 | $14,250 | $0 | $33,785 | $0 | $787,109 | $0 | $0 | $0 |
| LEE LIVIN | ||||||||||||||
| CFO (THRU 1/31/21) | $313,828 | $0 | $84,200 | $0 | $151,915 | $0 | $133,935 | $0 | $17,961 | $0 | $701,839 | $0 | $85,116 | $0 |
| KEITH FREY MD | ||||||||||||||
| BOARD MEMBER | $0 | $502,547 | $0 | $123,126 | $0 | $27,898 | $0 | $31,131 | $0 | $25,752 | $0 | $710,454 | $0 | $0 |
| ANTHONY TORRES | ||||||||||||||
| CMO | $300,076 | $0 | $80,000 | $0 | $132,173 | $0 | $116,567 | $0 | $25,348 | $0 | $654,164 | $0 | $0 | $0 |
| FRANK ALMENDAREZ | ||||||||||||||
| CHIEF ADMIN OFFICER | $192,258 | $0 | $43,044 | $0 | $89,104 | $0 | $73,490 | $0 | $29,487 | $0 | $427,383 | $0 | $54,448 | $0 |
| MARK TIMM | ||||||||||||||
| CHIEF HUMAN RESOURCE OFFICER | $184,348 | $0 | $46,004 | $0 | $89,151 | $0 | $70,928 | $0 | $25,581 | $0 | $416,012 | $0 | $52,138 | $0 |
| TIMOTHY ROBERTS | ||||||||||||||
| CIO | $206,142 | $0 | $36,844 | $0 | $66,900 | $0 | $77,384 | $0 | $23,317 | $0 | $410,587 | $0 | $22,546 | $0 |
| ROBERTA NICOL | ||||||||||||||
| EXECUTIVE DIRECTOR OF PHILANTHROPY | $233,279 | $0 | $33,901 | $0 | $68,168 | $0 | $11,113 | $0 | $23,166 | $0 | $369,627 | $0 | $52,216 | $0 |
| KEITH A NICHOLS | ||||||||||||||
| COO | $302,394 | $0 | $0 | $0 | $6,110 | $0 | $5,169 | $0 | $23,235 | $0 | $336,908 | $0 | $82,004 | $0 |
| DIANE DREXLER | ||||||||||||||
| FORMER OFFICER (THRU 4/3/20) | $70,739 | $0 | $53,878 | $0 | $116,370 | $0 | $16,343 | $0 | $9,961 | $0 | $267,291 | $0 | $59,936 | $0 |
| IRENE E CONNOR | ||||||||||||||
| CNO | $193,438 | $0 | $0 | $0 | $7,199 | $0 | $10,553 | $0 | $18,412 | $0 | $229,602 | $0 | $0 | $0 |
| MATTHEW RICE | ||||||||||||||
| CFO (STARTED 2/1/21) | $116,361 | $0 | $475 | $0 | $4,714 | $0 | $6,619 | $0 | $23,776 | $0 | $151,945 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | CERTAIN LISTED PERSONS PAID BY THE RELATED ORGANIZATION, DIGNITY HEALTH, PARTICIPATE IN A SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 1 TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE PLAN. NO PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2020. THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM A YRMC NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE AMOUNTS LISTED INCLUDE AMOUNTS IN W-2 BOX 5 WAGES AND AMOUNTS INCLUDED IN DEFERRED COMPENSATION. W-2 BOX 5 DEFERRED COMP 181,271 0 JOHN AMOS, CEO 85,116 100,185 LEE LIVIN, CFO 59,936 1,185 DIANE DREXLER, CNO 52,138 59,385 MARK TIMM, HR DIR 52,216 0 ROBERTA NICOL, DEV. DIR 54,448 59,240 FRANK ALMENDAREZ, EXEC. ADMIN. 22,546 63,134 TIMOTHY ROBERTS, CIO 82,004 92,567 ANTHONY TORRES, MD DIR 0 5,169 KEITH NICHOLS, COO CERTAIN LISTED PERSONS PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NON-QUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2020. CERTAIN LISTED PERSONS PAID BY THE RELATED ORGANIZATION, DIGNITY HEALTH, ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE; THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS OCCURRED DURING 2020 PURSUANT TO THIS PLAN INCLUDE L HUNT, $204,806. FOR CERTAIN LISTED PERSONS PAID BY THE RELATED ORGANIZATION, DIGNITY HEALTH, COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS OTHER REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)). |
| PART I, LINE 7 | THE HOSPITAL PROVIDED PERFORMANCE AWARDS TO ITS EXECUTIVE TEAM IN 2020. WHILE THE PERFORMANCE AWARDS REWARDED OUTSTANDING PERFORMANCE, THEY WERE NOT CONTINGENT ON ACHIEVING A STATED REVENUE OR NET EARNINGS AMOUNT AND WERE SOLEY AT THE DISCRETION OF THE HOSPITAL'S CEO. |
| PART I, LINE 8 | JOHN AMOS' COMPENSATION IS COVERED BY HIS INITIAL CONTRACT DATED OCTOBER 1ST, 2013. PLEASE SEE SCHEDULE O, PART VI, LINE 15A NARRATIVE FOR MORE INFORMATION. |
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 |
|---|---|---|---|---|---|---|---|---|
| THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI | ||||||||
| A | 860376099 | 985900DJ5 | 2013-08-13 | $33,842,071 | REFUND '03 ISSUE | 0 | 0 | 0 |
| THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI | ||||||||
| B | 860376099 | 985900EF2 | 2016-11-03 | $47,762,252 | REFUND '97,'02, & '08 ISSUES | 0 | 0 | 0 |
| THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI | ||||||||
| C | 860376099 | 985900ES4 | 2019-06-30 | $71,434,271 | SEE PART VI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capitalized InterestCapitalizedInterestAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $11,250,000 | $33,842,071 | $660,341 | $33,181,730 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $1,960,000 | $47,762,252 | $319,511 | $46,965,118 | 2016 | Yes (1) | 0 | Yes (1) | Yes (1) | $477,623 |
| C | $71,434,271 | $1,005,938 | $70,428,333 | 2021 | Yes (1) | 0 | 0 | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
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 | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: | (A) ISSUER NAME: THE INDUST. DEV'T AUTH OF THE COUNTY OF YAVAPAI DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2018 |
| SCHEDULE K, PART I, COLUMN (F) | BOND C DESCRIPTION OF PURPOSE: THE BOND WAS ISSUED TO REFUND THE '13 ISSUANCE AND $50 MILLION IN NEW MONEY FOR FACILITIES AND EQUIPMENT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 15 | THE 2020 FORM 4720 WAS FILED WITH THE INTERNAL REVENUE SERVICES ON NOVEMBER 15, 2021 CONCURRENT WITH THE SUBMISSION OF THE CALENDAR YEAR 2020 FORM 990. |
| FORM 990, PART VI, SECTION A, LINE 6 | EFFECTIVE NOVEMBER 1, 2020, THE SOLE MEMBER OF YRMC IS DIGNITY COMMUNITY CARE. |
| FORM 990, PART VI, SECTION A, LINE 7A | AS PART OF THE AFFILIATION, WITH THE EFFECTIVE DATE AS OF NOVEMBER 1, 2020, DIGNITY COMMUNITY CARE, AS THE SOLE CORPORATE MEMBER OF THE FILING, WAS GRANTED SPECIFIC RESERVED RIGHTS SET FORTH IN THE SYSTEM GOVERNANCE MATRIX. THE RIGHTS OF THE CORPORATE MEMBER SHALL BE FURTHER SUBJECT TO THE POWERS RESERVED TO COMMONSPIRIT HEALTH ("COMMONSPIRIT") UNDER THE GOVERNANCE MATRIX. THE COUNCIL OF ELECTORS (THE COUNCIL) IS CHARGED WITH THE AUTHORITY TO NOMINATE AND SUBMIT TO THE BOARD OF DIRECTORS INDIVIDUALS FROM THE COMMUNITY TO SERVE ON THE ORGANIZATION'S BOARD OF DIRECTORS. THE COUNCIL IS COMPOSED OF PUBLICLY ELECTED OFFICIALS AND REPRESENTATIVES FROM SELECTED GOVERNMENT AND NON-PROFIT ORGANIZATIONS THROUGHOUT THE COMMUNITY. THE SOLE CORPORATE MEMBER RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY COMMUNITY CARE BOARD APPOINTS AND APPROVES NEW BOARD MEMBERS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE ORGANIZATION IS SUBJECT TO THE GOVERNANCE REQUIREMENTS OF THE COMMONSPIRIT GOVERNANCE MATRIX. THUS, MANY KEY DECISIONS ADDRESSED IN THE BYLAWS REQUIRE THE ORGANIZATION TO ACT BY MAKING A "RECOMMENDATION," WHICH IS THEN FORMALLY ACTED ON BY THE DIGNITY COMMUNITY CARE BOARD. EXAMPLES INCLUDE AMENDING CORPORATE DOCUMENTS, APPROVING MEMBERS OF GOVERNING BOARD, APPROVING REMOVAL OF MEMBERS OF GOVERNING BOARD, APPROVAL OF DISSOLUTION AND SELLING, TRANSFERRING OR DISPOSING OF ASSETS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S CFO REVIEWED THE FORM 990. IN ADDITION, COMMONSPIRIT'S TAX DEPARTMENT WORKED CLOSELY WITH THE CFO TO REVIEW THE RETURN. THE FORM 990, IN ITS ENTIRETY, WAS ELECTRONICALLY PROVIDED TO THE ORGANIZATION'S BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS ADOPTED THE RELATED ORGANIZATION, COMMONSPIRIT'S CONFLICTS OF INTEREST POLICY. THE CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") WAS PUT IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. THE POLICY WAS LAST UPDATED DURING THE TAX YEAR ENDED 6/30/2021. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. |
| FORM 990, PART VI, SECTION B, LINE 15 | UNDER THE DIRECTION OF THE HOSPITAL BOARD OF DIRECTORS, WITH SUPPORT FROM AN INDEPENDENT CONSULTANT RESPONSIBLE FOR ENSURING MARKET EQUITY FOR THE CEO COMPENSATION AND BENEFITS A MARKET EQUITY ANALYSIS WAS PERFORMED. IN 2020, GALLAGHER INTEGRATED WAS RETAINED TO CONDUCT A TOTAL COMPENSATION REVIEW, INCLUDING AN ANALYSIS OF ALL ELEMENTS OF CEO TOTAL COMPENSATION, INCLUDING SALARY, INCENTIVES, BENEFITS AND PERQUISITES COMPARED TO MARKET PRACTICES. THEY PROVIDED THE HOSPITAL HUMAN RESOURCES COMMITTEE (A SUBCOMMITTEE OF THE HOSPITAL BOARD) WITH A COMPREHENSIVE DESCRIPTION AND VALUATION OF ALL CASH COMPENSATION AND BENEFIT PRACTICES AND ASSESSED COMPENSATION FOR COMPETITIVENESS AND COMPLIANCE WITH REGULATORY REQUIREMENTS. IN ADDITION, GALLAGHER PROVIDED APPROPRIATE RECOMMENDATIONS FOR MODIFYING THE TOTAL COMPENSATION PROGRAM. ANY CHANGES TO THE CEO TOTAL COMPENSATION WERE APPROVED BY THE HOSPITAL BOARD OF DIRECTORS. COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE MINUTES OF THE HUMAN RESOURCES COMMITTEE AND BY SIGNED COMPENSATION AGREEMENTS IN PERSONNEL FILES MAINTAINED BY HR. FORM 990, PART VI, SECTION B, LINE 15B YRMC UTILIZES A THIRD-PARTY INDUSTRY EXPERT CONSULTANT TO DETERMINE MARKET COMPETITIVE EXECUTIVE COMPENSATION. THE ESSENTIAL ELEMENTS IN DETERMINING MARKET COMPETITIVENESS INCLUDE; 1.) DETERMINING PEER ORGANIZATIONS THAT ARE SIMILAR TO YRMC - NOT-FOR-PROFIT, REVENUE SIZE, NON-TEACHING HOSPITAL. 2.) EVALUATION OF EACH POSITIONS RESPONSIBILITIES AND SCOPE TO FIND SUITABLE INDUSTRY PAY BENCHMARKS. OUR COMPENSATION CONSULTANT THEN SETS APPROPRIATE PAY RANGES BASED ON THIS DATA. EVERY THREE YEARS A FULL MARKET PAY STUDY IS PERFORMED AND PAY RANGES ARE UPDATED ACCORDINGLY. IN THE OTHER YEARS, THE PAY RANGES ARE UPDATED BASED ON INDUSTRY PAY TREND DATA PROVIDED BY OUR COMPENSATION CONSULTANT. ANY CHANGES TO THE EXECUTIVES TOTAL COMPENSATION WERE APPROVED BY THE HOSPITAL BOARD OF DIRECTORS. COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE MINUTES OF THE HUMAN RESOURCES COMMITTEE AND BY SIGNED COMPENSATION AGREEMENTS IN PERSONNEL FILES MAINTAINED BY HR. |
| FORM 990, PART VI, SECTION C, LINE 19 | FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION IS INCLUDED IN COMMONSPIRIT'S CONSOLIDATED FINANCIAL STATEMENTS WHICH ARE AVAILABLE ON COMMONSPIRIT'S WEBSITE AND UPON REQUEST. |
| FORM 990, PART VII, SECTION A | CURRENT BOARD MEMBERS L HUNT'S AND K FREY'S COMPENSATION REPORTED REPRESENT COMPENSATION AS EMPLOYEES OF THE RELATED ORGANIZATION. |
| FORM 990, PART IX, LINE 11G | MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 12,144,187. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,144,187. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 5,260,353. MANAGEMENT AND GENERAL EXPENSES 1,999,043. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,259,396. MANAGEMENT FEE: PROGRAM SERVICE EXPENSES 5,821,166. MANAGEMENT AND GENERAL EXPENSES 2,212,163. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,033,329. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,100,253. MANAGEMENT AND GENERAL EXPENSES 418,119. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,518,372. LAUNDRY/LINEN: PROGRAM SERVICE EXPENSES 440,030. MANAGEMENT AND GENERAL EXPENSES 167,221. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 607,251. COLLECTION AGENCIES: PROGRAM SERVICE EXPENSES 208,404. MANAGEMENT AND GENERAL EXPENSES 79,198. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 287,602. RESEARCH DATA SERVICE: PROGRAM SERVICE EXPENSES 158,133. MANAGEMENT AND GENERAL EXPENSES 60,094. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 218,227. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,208,832. MANAGEMENT AND GENERAL EXPENSES 459,381. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,668,213. |
| FORM 990, PART XI, LINE 9: | ADJ OF ASSETS AND LIABILITIES, NET, TO FAIR VALUE PURSUANT TO BUSINESS COMB 98,897,380. ADJUSTMENT OF FUND BALANCED DUE TO BUSINESS AFFILIATION -204,143. |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| YAVAPAI REG MED CTR PHYSICIAN CARE LLC | |||||||||
| 1003 WILLOW CREEK ROAD | PRESCOTT | AZ | 86301 | 263257358 | MEDICAL SERVICES | AZ | $13,535,783 | $0 | YRMC |
| NORTH CENTRAL ARIZONA ACCOUNTABLE CARE | |||||||||
| 1003 WILLOW CREEK ROAD | PRESCOTT | AZ | 86301 | 465648068 | MEDICAL SERVICES | AZ | $0 | $105 | YRMC |
| PRESCOTT MEDICAL IMAGING | |||||||||
| 1003 WILLOW CREEK ROAD | PRESCOTT | AZ | 86301 | 770603441 | MEDICAL SERVICES | AZ | $0 | $0 | YRMC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (223 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 | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT CREIGHTON CLINIC | |||||||||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470765154 | HOSPITAL | NE | 501(C)(3) | LINE 3 | ACH | 0 | |||||||
| ALEGENT CREIGHTON HEALTH | |||||||||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470757164 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM | |||||||||||||||||
| 7500 MERCY RD | OMAHA | NE | 68124 | 470484764 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| ALEGENT HEALTH - COMM MEM HOSP OF MO VALLEYIA | |||||||||||||||||
| 631 N 8TH ST | MISSOURI VALLEY | IA | 51555 | 420776568 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| ALEGENT HEALTH - IMMANUEL MEDICAL CENTER | |||||||||||||||||
| 6901 N 72ND ST | OMAHA | NE | 68122 | 470376615 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER | |||||||||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 470399853 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA | |||||||||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 420782518 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| ALVERNA APARTMENTS | |||||||||||||||||
| 300 SE 8TH AVE | LITTLE FALLS | MN | 56345 | 411351177 | LTERM CARE | MN | 501(C)(3) | LINE 10 | CSH | 0 | |||||||
| APPLETREE COURT | |||||||||||||||||
| 601 OAK ST | BRECKENRIDGE | MN | 56520 | 411850500 | SENIOR LIVING | MN | 501(C)(3) | LINE 10 | SFH | 0 | |||||||
| ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION | |||||||||||||||||
| 345 S HALCYON RD | ARROYO GRANDE | CA | 93420 | 203256066 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| BAKERSFIELD MEMORIAL HOSPITAL | |||||||||||||||||
| 420 34TH STREET | BAKERSFIELD | CA | 93301 | 951802779 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 0 | |||||||
| BARROW FOUNDATION UK | |||||||||||||||||
| 311724184 | FUNDRAISING FOUNDATION | 501(C)(3) | LINE 12D, III-O | 0 | 13 CHURCH STREET | NUNNEY | ENGLAND | UK | BA11 4LW | UK | N/A | ||||||
| BARROW NEUROLOGICAL FOUNDATION | |||||||||||||||||
| 350 WEST THOMAS ROAD | PHOENIX | AZ | 85013 | 860174371 | FUNDRAISING FOUNDATION | AZ | 501(C)(3) | LINE 7 | DIGNITY HEALTH | 0 | |||||||
| BAYLOR ST LUKE'S HEALTH VENTURES | |||||||||||||||||
| 17200 ST LUKES WAY STE 170 | THE WOODLANDS | TX | 77384 | 274499340 | PHYSICIANS | TX | 501(C)(3) | LINE 12A, I | SLHS | 0 | |||||||
| BAYLOR ST LUKE'S MEDICAL GROUP | |||||||||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760458535 | PHYSICIANS | TX | 501(C)(3) | LINE 3 | BSLHV | 0 | |||||||
| BORNEMANN HEALTHCARE CORPORATION | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232187242 | INACTIVE | PA | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| BRAZOSPORT HEALTH FOUNDATION INC | |||||||||||||||||
| 1 WEST WAY CT | LAKE JACKSON | TX | 77566 | 760080110 | FUNDRAISING FOUNDATION | TX | 501(C)(3) | LINE 12A, I | TCHB | 0 | |||||||
| BRAZOSPORT REGIONAL PHYSICIAN SERVICES | |||||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 800240261 | PHYSICIANS | TX | 501(C)(3) | LINE 3 | TCHB | 0 | |||||||
| BURLESON ST JOSEPH HEALTH CENTER | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742759890 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SJSC | 0 | |||||||
| BURLESON ST JOSEPH MANOR | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742913931 | REHABILITATION | TX | 501(C)(3) | LINE 10 | SJSC | 0 | |||||||
| CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION | |||||||||||||||||
| 1401 SOUTH GRAND AVENUE | LOS ANGELES | CA | 90015 | 954000909 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY COMMUNITY CARE | 0 | |||||||
| CARRINGTON HEALTH CENTER | |||||||||||||||||
| 800 N 4TH ST | CARRINGTON | ND | 58421 | 450227311 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| CATHOLIC HEALTH INITIATIVES - COLORADO | |||||||||||||||||
| 9100 EAST MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 840405257 | HOSPITAL | CO | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| CATHOLIC HEALTH INITIATIVES - IOWA CORP | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420680448 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | |||||||||||||||||
| 9100 EAST MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 840902211 | FUNDRAISING FOUNDATION | CO | 501(C)(3) | LINE 7 | CHIC | 0 | |||||||
| CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION | |||||||||||||||||
| 1150 KELLY JOHNSON BLVD 204 | COLORADO SPRINGS | CO | 80920 | 270930004 | FUNDRAISING FOUNDATION | CO | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 460992796 | TELEHEALTH | CO | 501(C)(3) | LINE 12A, I | CHI NS | 0 | |||||||
| CENTENNIAL MEDICAL GROUP INC | |||||||||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 263946191 | SURGERY CENTER | OR | 501(C)(3) | LINE 10 | MMC - ROSEBURG | 0 | |||||||
| CENTRAL CALIFORNIA HEALTH CENTERS | |||||||||||||||||
| 300 OLD RIVER ROAD STE 200 | BAKERSFIELD | CA | 93311 | 844171789 | CLINIC | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 0 | |||||||
| CENTRAL KANSAS MEDICAL CENTER | |||||||||||||||||
| 3515 BROADWAY | GREAT BEND | KS | 67530 | 480543724 | INACTIVE | KS | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| CHI HEALTH CONNECT AT HOME - FARGO | |||||||||||||||||
| 4816 AMBER VALLEY PKWY S | FARGO | ND | 58104 | 271966847 | SENIOR LIVING | MN | 501(C)(3) | LINE 10 | CSH | 0 | |||||||
| CHI HEALTH FOUNDATION | |||||||||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470648586 | FUNDRAISING FOUNDATION | NE | 501(C)(3) | LINE 7 | ACH | 0 | |||||||
| CHI KENTUCKY INC | |||||||||||||||||
| 3900 OLYMPIC BLVD STE 400 | ERLANGER | KY | 41018 | 202741651 | INVESTMENTS | KY | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| CHI LIVING COMMUNITIES | |||||||||||||||||
| 5942 RENAISSANCE PLACE STE A | TOLEDO | OH | 43623 | 341892096 | SENIOR LIVING | OH | 501(C)(3) | LINE 12A, I | SFH-OH | 0 | |||||||
| CHI MEMORIAL HOSPITAL - GEORGIA | |||||||||||||||||
| 100 GROSS CRESCENT CIRCLE | FORT OGLETHORPE | GA | 30742 | 822748395 | HOSPITAL | GA | 501(C)(3) | LINE 3 | MHCS | 0 | |||||||
| CHI NATIONAL HOME CARE | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 451261716 | HOME HEALTH | CO | 501(C)(3) | LINE 10 | CHI NS | 0 | |||||||
| CHI NATIONAL SERVICES | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 452532084 | HOLDING CO | CO | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| CHI NEBRASKA | |||||||||||||||||
| 12809 WEST DODGE ROAD | OMAHA | NE | 68510 | 363233121 | HOLDING CO | NE | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| CHI ST JOSEPH CHILDREN'S HEALTH | |||||||||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 232342997 | HEALTHCARE | PA | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| CHI ST JOSEPH'S CHILDREN | |||||||||||||||||
| 1516 5TH ST NW | ALBUQUERQUE | NM | 87102 | 710897107 | COMMUNITY | NM | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| CHI ST VINCENT HOSPITAL HOT SPRINGS | |||||||||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 710236913 | HOSPITAL | AR | 501(C)(3) | LINE 3 | CHISVHS | 0 | |||||||
| CHI ST VINCENT HOT SPRINGS | |||||||||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 261125064 | HOLDING CO | AR | 501(C)(3) | LINE 12A, I | SVIMC | 0 | |||||||
| CHI ST VINCENT MEDICAL GROUP HOT SPRINGS | |||||||||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 261125131 | PHYSICIANS | AR | 501(C)(3) | LINE 3 | CHISVHS | 0 | |||||||
| COMMONSPIRIT HEALTH | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470617373 | HEALTHCARE | CO | 501(C)(3) | LINE 12A, I | 0 | N/A | |||||||
| COMMONSPIRIT HEALTH FOUNDATION | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 853374038 | FUNDRAISING FOUNDATION | CO | 501(C)(3) | LINE 7 | CSH | 0 | |||||||
| COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC | |||||||||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 850919176 | OPERATING INVESTMENTS | DE | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| COMMONSPIRIT HEALTH RESEARCH INSTITUTE | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 271050565 | RESEARCH | CO | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| COMMUNITY HOSPITAL OF SAN BERNARDINO | |||||||||||||||||
| 1805 MEDICAL CENTER DRIVE | SAN BERNARDINO | CA | 92411 | 951643373 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 0 | |||||||
| COMMUNITY LIMITED CARE DIALYSIS CENTER | |||||||||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 237419853 | HOLDING CO | OH | 501(C)(4) | N/A | GSH | 0 | |||||||
| COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION | |||||||||||||||||
| 631 N 8TH ST | MISSOURI VALLEY | IA | 51555 | 421294399 | FUNDRAISING FOUNDATION | IA | 501(C)(3) | LINE 12A, I | AH-CMHMV | 0 | |||||||
| CONTINUING CARE HOSPITAL | |||||||||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611400619 | HOSPITAL | KY | 501(C)(3) | LINE 3 | SJHS | 0 | |||||||
| DIGNITY COMMUNITY CARE | |||||||||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 815009488 | HOSPITAL | CO | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| DIGNITY HEALTH | |||||||||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 941196203 | HOSPITAL | CA | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| DIGNITY HEALTH CONNECTED LIVING | |||||||||||||||||
| 200 MERCY OAKS DRIVE | REDDING | CA | 96003 | 237115371 | SENIOR CENTER SERVICES | CA | 501(C)(3) | LINE 7 | DIGNITY HEALTH | 0 | |||||||
| DIGNITY HEALTH FOUNDATION | |||||||||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 462037641 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DIGNITY HEALTH FOUNDATION - INLAND EMPIRE | |||||||||||||||||
| 2101 N WATERMAN AVENUE | SAN BERNARDINO | CA | 92404 | 237440086 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DIGNITY HEALTH FOUNDATION EAST VALLEY | |||||||||||||||||
| 475 SOUTH DOBSON ROAD | CHANDLER | AZ | 85224 | 742418514 | FUNDRAISING FOUNDATION | AZ | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DIGNITY HEALTH HPL SELF-INSURANCE TRUST | |||||||||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 943006034 | SELF INSURANCE | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DIGNITY HEALTH INSURANCE NEVADA LTD | |||||||||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 813800752 | SELF INSURANCE | NV | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DIGNITY HEALTH MEDICAL FOUNDATION | |||||||||||||||||
| 3400 DATA DRIVE | RANCHO CORDOVA | CA | 95670 | 680220314 | MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC | CA | 501(C)(3) | LINE 12A, I | DIGNITY COMMUNITY CARE | 0 | |||||||
| DIGNITY HEALTH WORKERS COMP SELF-INSURANCE TRUST | |||||||||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 946612446 | SELF INSURANCE | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DOMINICAN HEALTH SERVICES | |||||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 770056778 | COMMUNITY HEALTH SYSTEM | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DOMINICAN HOSPITAL FOUNDATION | |||||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 942450442 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DOMINICAN OAKS CORPORATION | |||||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 770127719 | OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS | CA | 501(C)(3) | LINE 10 | DIGNITY HEALTHS | 0 | |||||||
| EAST TEXAS CLINICAL SERVICES | |||||||||||||||||
| 2801 VIA FORTUNA SUITE 500 | AUSTIN | TX | 78746 | 454736213 | HEALTHCARE | TX | 501(C)(3) | LINE 12A, I | SLHS | 0 | |||||||
| ENUMCLAW REGIONAL HOSPITAL ASSOCIATION | |||||||||||||||||
| 1455 BATTERSBY AVE | ENUMCLAW | WA | 98022 | 910715805 | HOSPITAL | WA | 501(C)(3) | LINE 3 | FHS | 0 | |||||||
| FLAGET HEALTHCARE INC | |||||||||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 611345363 | HOSPITAL | KY | 501(C)(3) | LINE 3 | KOH | 0 | |||||||
| FLAGET MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 562351341 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 12A, I | FH | 0 | |||||||
| FRANCISCAN CARE CENTER | |||||||||||||||||
| 4111 N HOLLAND-SYLVANIA RD | TOLEDO | OH | 43623 | 341931806 | HEALTHCARE | OH | 501(C)(3) | LINE 10 | CHILC | 0 | |||||||
| FRANCISCAN FOUNDATION | |||||||||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911145592 | FUNDRAISING FOUNDATION | WA | 501(C)(3) | LINE 10 | FHS | 0 | |||||||
| FRANCISCAN HEALTH SYSTEM | |||||||||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 910564491 | HOSPITAL | WA | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| FRANCISCAN HEALTH VENTURES | |||||||||||||||||
| TACOMA FNC CTR BLDG 1145 BROADWAY | TACOMA | WA | 98402 | 431882377 | INACTIVE | MO | 501(C)(3) | LINE 10 | CSH | 0 | |||||||
| FRANCISCAN MEDICAL GROUP | |||||||||||||||||
| 1313 BROADWAY STE 200 | TACOMA | WA | 98402 | 911939739 | PHYSICIANS | WA | 501(C)(3) | LINE 10 | FHS | 0 | |||||||
| FRANCISCAN VILLA OF SOUTH MILWAUKEE INC | |||||||||||||||||
| 3601 S CHICAGO AVE | SOUTH MILWAUKEE | WI | 53172 | 391093829 | INACTIVE | WI | 501(C)(3) | LINE 10 | CSH | 0 | |||||||
| FRENCH HOSPITAL MEDICAL CENTER FOUNDATION | |||||||||||||||||
| 1911 JOHNSON AVENUE | SAN LUIS OBISPO | CA | 93401 | 203256125 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY COMMUNITY CARE | 0 | |||||||
| GARRISON MEMORIAL HOSPITAL | |||||||||||||||||
| 407 THIRD AVENUE SOUTHEAST | GARRISON | ND | 58540 | 450227752 | HOSPITAL | ND | 501(C)(3) | LINE 3 | SAMC | 0 | |||||||
| GLENDALE MEMORIAL HEALTH FOUNDATION | |||||||||||||||||
| 1420 SOUTH CENTRAL AVENUE | GLENDALE | CA | 91204 | 953625651 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY COMMUNITY CARE | 0 | |||||||
| GLOBAL HEALTH INITIATIVES | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 201536108 | INACTIVE | CO | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE | |||||||||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311778403 | EDUCATION | OH | 501(C)(3) | LINE 2 | GSH | 0 | |||||||
| GOOD SAMARITAN FOUNDATION OF CINCINNATI INC | |||||||||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311206047 | FUNDRAISING FOUNDATION | OH | 501(C)(3) | LINE 12A, I | GSH | 0 | |||||||
| GOOD SAMARITAN HOSPITAL | |||||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470379755 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| GOOD SAMARITAN HOSPITAL FOUNDATION | |||||||||||||||||
| 111 W 31ST ST | KEARNEY | NE | 68847 | 470659443 | FUNDRAISING FOUNDATION | NE | 501(C)(3) | LINE 7 | GSH-KN | 0 | |||||||
| HARRISON MEDICAL CENTER | |||||||||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 910565546 | HOSPITAL | WA | 501(C)(3) | LINE 3 | FHS | 0 | |||||||
| HARRISON MEDICAL CENTER FOUNDATION | |||||||||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 911197626 | FUNDRAISING FOUNDATION | WA | 501(C)(3) | LINE 7 | HMC | 0 | |||||||
| HEALTHCARE AND WELLNESS FOUNDATION | |||||||||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 760761782 | FUNDRAISING FOUNDATION | MN | 501(C)(3) | LINE 12A, I | SFMC-MN | 0 | |||||||
| HIGHLINE MEDICAL CENTER | |||||||||||||||||
| 16251 SYLVESTER RD SW | BURIEN | WA | 98166 | 910712166 | HOSPITAL | WA | 501(C)(3) | LINE 3 | FHS | 0 | |||||||
| HOUSE OF MERCY | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421323808 | ASSIST LIVING | IA | 501(C)(3) | LINE 7 | CHI-IA CORP | 0 | |||||||
| JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC | |||||||||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611029768 | HOSPITAL | KY | 501(C)(3) | LINE 3 | KOH | 0 | |||||||
| KENTUCKYONE HEALTH MEDICAL GROUP INC | |||||||||||||||||
| 100 E LIBERTY ST STE 800 | LOUISVILLE | KY | 40202 | 611352729 | PHYSICIANS | KY | 501(C)(3) | LINE 10 | JHSMH | 0 | |||||||
| KENTUCKYONE HEALTH INC | |||||||||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611029769 | HEALTHCARE | KY | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| LAKEWOOD HEALTH CENTER | |||||||||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 410758434 | HOSPITAL | MN | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| LAKEWOOD REGIONAL HEALTHCARE FOUNDATION | |||||||||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 411893795 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 7 | LHC | 0 | |||||||
| LEGACY FOUNDATION OF KENTUCKIANA INC | |||||||||||||||||
| 1451 HARRODSBURG RD STE D-308 | LEXINGTON | KY | 40504 | 832170324 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 12A, I | KOH | 0 | |||||||
| LISBON AREA HEALTH SERVICES | |||||||||||||||||
| 905 MAIN ST | LISBON | ND | 58054 | 820558836 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| LUFKIN VISION ACQUISITIONS | |||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75901 | 820563768 | PROPERTY MGMT | TX | 501(C)(3) | LINE 12A, I | MHSET | 0 | |||||||
| MADISON ST JOSEPH HEALTH CENTER | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742761145 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SJSC | 0 | |||||||
| MADONNA MANOR INC | |||||||||||||||||
| 2344 AMSTERDAM ROAD | VILLA HILLS | KY | 51017 | 610654635 | ASSIST LIVING | KY | 501(C)(3) | LINE 10 | CHILC | 0 | |||||||
| MARIAN REGIONAL MEDICAL CENTER FOUNDATION | |||||||||||||||||
| 1400 E CHURCH STREET | SANTA MARIA | CA | 93454 | 953818027 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| MARK TWAIN MEDICAL CENTER | |||||||||||||||||
| 768 MOUNTAIN RANCH ROAD | SAN ANDREAS | CA | 95249 | 680127677 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 0 | |||||||
| MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC | |||||||||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 621839548 | FUNDRAISING FOUNDATION | TN | 501(C)(3) | LINE 7 | MHCS | 0 | |||||||
| MEMORIAL HEALTH CARE SYSTEM INC | |||||||||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 620532345 | HOSPITAL | TN | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| MEMORIAL HEALTH PARTNERS FOUNDATION INC | |||||||||||||||||
| 5600 BRAINERD RD STE 500 | CHATTANOOGA | TN | 37411 | 030417049 | HEALTHCARE | TN | 501(C)(3) | LINE 10 | MHCS | 0 | |||||||
| MEMORIAL HEALTH SYSTEM OF EAST TEXAS | |||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 750755367 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLHS | 0 | |||||||
| MEMORIAL MEDICAL CENTER - LIVINGSTON | |||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 760436439 | HOSPITAL | TX | 501(C)(3) | LINE 3 | MHSET | 0 | |||||||
| MEMORIAL MEDICAL CENTER - SAN AUGUSTINE | |||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752663904 | HOSPITAL | TX | 501(C)(3) | LINE 3 | MHSET | 0 | |||||||
| MEMORIAL MULTISPECIALTY ASSOCIATES | |||||||||||||||||
| 1201 FRANK AVE | LUFKIN | TX | 95904 | 752721155 | PHYSICIANS | TX | 501(C)(3) | LINE 12A, I | MHSET | 0 | |||||||
| MEMORIAL SPECIALTY HOSPITAL | |||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 95902 | 752492741 | INACTIVE | TX | 501(C)(3) | LINE 3 | MHSET | 0 | |||||||
| MERCY AUXILIARY OF CENTRAL IOWA | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 426076069 | AUXILIARY | IA | 501(C)(3) | LINE 12A, I | MF-DM IA | 0 | |||||||
| MERCY CLINICS INC | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421193699 | PHYSICIANS | IA | 501(C)(3) | LINE 10 | CHI-IA CORP | 0 | |||||||
| MERCY COLLEGE OF HEALTH SCIENCES | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421511682 | EDUCATION | IA | 501(C)(3) | LINE 2 | CHI-IA CORP | 0 | |||||||
| MERCY FOUNDATION BAKERSFIELD | |||||||||||||||||
| PO BOX 119 | BAKERSFIELD | CA | 93302 | 770201321 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| MERCY FOUNDATION NORTH | |||||||||||||||||
| 2625 EDITH AVENUE SUITE E | REDDING | CA | 96001 | 943136799 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | 0 | N/A | |||||||
| MERCY FOUNDATION OF DES MOINES IA | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 237358794 | FUNDRAISING FOUNDATION | IA | 501(C)(3) | LINE 7 | CHI-IA CORP | 0 | |||||||
| MERCY FOUNDATION INC | |||||||||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 936088946 | FUNDRAISING FOUNDATION | OR | 501(C)(3) | LINE 7 | MMC - ROSEBURG | 0 | |||||||
| MERCY FOUNDATION SACRAMENTO | |||||||||||||||||
| 3400 DATA DRIVE 3RD FLR | RANCHO CORDOVA | CA | 95670 | 237072762 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | 0 | N/A | |||||||
| MERCY HEALTH CARE FOUNDATION | |||||||||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 421461064 | FUNDRAISING FOUNDATION | IA | 501(C)(3) | LINE 12A, I | AHMH-CORNING | 0 | |||||||
| MERCY HEALTHCARE FOUNDATION | |||||||||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450435338 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 12A, I | MHVC | 0 | |||||||
| MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS | |||||||||||||||||
| 800 MERCY DR | COUNCIL BLUFFS | IA | 51503 | 421178204 | FUNDRAISING FOUNDATION | IA | 501(C)(3) | LINE 12A, I | AHBMHS | 0 | |||||||
| MERCY HOSPITAL OF DEVILS LAKE | |||||||||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 450227012 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| MERCY HOSPITAL OF DEVILS LAKE FOUNDATION | |||||||||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 352367360 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 7 | MHDL | 0 | |||||||
| MERCY HOSPITAL OF VALLEY CITY | |||||||||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450226553 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| MERCY MCMAHON TERRACE | |||||||||||||||||
| 3865 J STREET | SACRAMENTO | CA | 95816 | 680117340 | SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES | CA | 501(C)(3) | LINE 10 | DIGNITY HEALTH | 0 | |||||||
| MERCY MEDICAL CENTER | |||||||||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450231183 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| MERCY MEDICAL CENTER - CENTERVILLE | |||||||||||||||||
| ONE ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CHI-IA CORP | 0 | |||||||
| MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER | |||||||||||||||||
| 204 N 4TH AVE E | NEWTON | IA | 50314 | 421470935 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CHI-IA CORP | 0 | |||||||
| MERCY MEDICAL CENTER MERCED FOUNDATION | |||||||||||||||||
| 301 E 13TH STREET | MERCED | CA | 95340 | 770035928 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| MERCY MEDICAL CENTER INC | |||||||||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 930386868 | HOSPITAL | OR | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| MERCY MEDICAL FOUNDATION | |||||||||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450381803 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 12A, I | MMC WILLISTON | 0 | |||||||
| NEBRASKA HEART HOSPITAL | |||||||||||||||||
| 7500 S 91ST ST | LINCOLN | NE | 68526 | 392031968 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| NORTHLAND HEALTHCARE ALLIANCE | |||||||||||||||||
| 2223 EAST ROSSER AVENUE | BISMARCK | ND | 58501 | 911845296 | MANAGEMENT | ND | 501(C)(3) | LINE 7 | SAMC | 0 | |||||||
| NORTHRIDGE HOSPITAL FOUNDATION | |||||||||||||||||
| 18300 ROSCOE BLVD | NORTHRIDGE | CA | 91328 | 237444901 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY COMMUNITY CARE | 0 | |||||||
| OAKES COMMUNITY HOSPITAL | |||||||||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 450231675 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| OAKES COMMUNITY HOSPITAL FOUNDATION | |||||||||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 710966606 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 12A, I | OCH | 0 | |||||||
| PACIFIC CENTRAL COAST HEALTH CENTERS | |||||||||||||||||
| 1400 E CHURCH STREET | SANTA MARIA | CA | 93454 | 770447575 | CLINIC | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 0 | |||||||
| PINEYWOODS MEDICAL DEVELOPMENT CORP | |||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752493116 | PROPERTY MGMT | TX | 501(C)(3) | LINE 12A, I | MHSET | 0 | |||||||
| PORT CITY OPERATING COMPANY LLC | |||||||||||||||||
| 3400 DATA DRIVE | RANCHO CORDOVA | CA | 95670 | 465322209 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DIGNITY HEALTH | 0 | |||||||
| PROVIDENCE CARE CENTER | |||||||||||||||||
| 2025 HAYES AVENUE | SANDUSKY | OH | 44870 | 341658625 | LTERM CARE | OH | 501(C)(3) | LINE 10 | CHILC | 0 | |||||||
| PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION | |||||||||||||||||
| 5055 PROVIDENCE DRIVE | SANDUSKY | OH | 44870 | 341896807 | LIVING COMM | OH | 501(C)(3) | LINE 10 | CHILC | 0 | |||||||
| PUEBLO STEPUP | |||||||||||||||||
| 1925 E ORMAN AVE STE G52 | PUEBLO | CO | 81004 | 841234295 | COMMUNITY | CO | 501(C)(3) | LINE 7 | CHIC | 0 | |||||||
| SET OF COLORADO SPRINGS INC | |||||||||||||||||
| 9100 E MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 841183335 | SENIOR CENTER SERVICES | CO | 501(C)(3) | LINE 7 | CHIC | 0 | |||||||
| SAINT CLARE'S COMMUNITY CARE INC | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 222876836 | INACTIVE | NJ | 501(C)(3) | LINE 10 | SCHS | 0 | |||||||
| SAINT CLARE'S HEALTH SERVICES INC | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 223639733 | INACTIVE | NJ | 501(C)(3) | LINE 10 | CSH | 0 | |||||||
| SAINT CLARE'S HOSPITAL INC | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 223319886 | INACTIVE | NJ | 501(C)(3) | LINE 3 | SCHS | 0 | |||||||
| SAINT ELIZABETH FOUNDATION | |||||||||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470625523 | FUNDRAISING FOUNDATION | NE | 501(C)(3) | LINE 7 | SERMC | 0 | |||||||
| SAINT ELIZABETH HEALTH SERVICES | |||||||||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 363233120 | INACTIVE | NE | 501(C)(3) | LINE 3 | SERMC | 0 | |||||||
| SAINT ELIZABETH REGIONAL MEDICAL CENTER | |||||||||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470379836 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| SAINT FRANCIS MEDICAL CENTER | |||||||||||||||||
| 2620 W FAIDLEY | GRAND ISLAND | NE | 68803 | 470376601 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| SAINT FRANCIS MEDICAL CENTER FOUNDATION | |||||||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 470630267 | FUNDRAISING FOUNDATION | NE | 501(C)(3) | LINE 7 | SFMC-NE | 0 | |||||||
| SAINT FRANCIS MEMORIAL HOSPITAL | |||||||||||||||||
| 900 HYDE STREET | SAN FRANCISCO | CA | 94109 | 941156295 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 0 | |||||||
| SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC | |||||||||||||||||
| 305 ESTILL ST | BEREA | KY | 40403 | 260152877 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 7 | SJHS | 0 | |||||||
| SAINT JOSEPH HEALTH SYSTEM INC | |||||||||||||||||
| ONE ST JOSEPHS DRIVE | LEXINGTON | KY | 40504 | 611334601 | HOSPITAL | KY | 501(C)(3) | LINE 3 | KOH | 0 | |||||||
| SAINT JOSEPH HOSPITAL FOUNDATION INC | |||||||||||||||||
| 701 BOB OLINK DR 200 | LEXINGTON | KY | 40504 | 611159649 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 12A, I | SJHS | 0 | |||||||
| SAINT JOSEPH LONDON FOUNDATION INC | |||||||||||||||||
| 1001 SAINT JOSEPH LANE | LONDON | KY | 40741 | 260438748 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 7 | SJHS | 0 | |||||||
| SAINT JOSEPH MOUNT STERLING FOUNDATION INC | |||||||||||||||||
| 225 FALCON DR | MOUNT STERLING | KY | 40353 | 272884584 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 7 | SJHS | 0 | |||||||
| SAINT JOSEPH'S HOSPITAL FOUNDATION | |||||||||||||||||
| 2500 FAIRWAY STREET | DICKINSON | ND | 58601 | 363418207 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 12A, I | SJHHC | 0 | |||||||
| SAN GABRIEL VALLEY MEDICAL CENTER FOUNDATION | |||||||||||||||||
| 438 WEST LAS TUNAS DRIVE | SAN GABRIEL | CA | 91776 | 953430341 | INACTIVE | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 363630014 | FUNDRAISING FOUNDATION | NE | 501(C)(3) | LINE 12A, I | AHMHS | 0 | |||||||
| SEQUOIA HOSPITAL FOUNDATION | |||||||||||||||||
| 170 ALAMEDA DE LAS PULGAS | REDWOOD CITY | CA | 94062 | 942909990 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12D, III-O | 0 | N/A | |||||||
| SIERRA NEVADA MEMORIAL-MINERS HOSPITAL | |||||||||||||||||
| 155 GLASSON WAY | GRASS VALLEY | CA | 95945 | 941439787 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 0 | |||||||
| SJRMC JOPLIN MISSOURI | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 440545809 | HOSPITAL | MO | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| ST FRANCIS FOUNDATION OF SANTA BARBARA | |||||||||||||||||
| 2323 DE LA VINA ST SUITE 104 | SANTA BARBARA | CA | 93105 | 237137119 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| ST FRANCIS HOSPITAL SUPPORT CORPORATION | |||||||||||||||||
| 601 E MICHELTORENA STREET | SANTA BARBARA | CA | 93103 | 770022302 | INACTIVE | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| ST JOHNS HEALTHCARE FOUNDATION | |||||||||||||||||
| 1600 NORTH ROSE AVENUE | OXNARD | CA | 93030 | 202865781 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| ST JOSEPHS FOUNDATION | |||||||||||||||||
| 350 WEST THOMAS ROAD | PHOENIX | AZ | 85013 | 942941245 | FUNDRAISING FOUNDATION | AZ | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| ST JOSEPHS FOUNDATION OF SAN JOAQUIN | |||||||||||||||||
| 1800 N CALIFORNIA STREET | STOCKTON | CA | 95204 | 510432777 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| ST MARY MEDICAL CENTER FOUNDATION | |||||||||||||||||
| 1050 LINDEN AVENUE | LONG BEACH | CA | 90813 | 237153876 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| ST MARY PROFESSIONAL BUILDING INC | |||||||||||||||||
| 1050 LINDEN AVENUE | LONG BEACH | CA | 90813 | 237373088 | INACTIVE | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| ST MARYS MEDICAL CENTER FOUNDATION | |||||||||||||||||
| 450 STANYAN STREET | SAN FRANCISCO | CA | 94117 | 943336143 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| ST ROSE DOMINICAN HEALTH FOUNDATION | |||||||||||||||||
| 3001 ST ROSE PARKWAY | HENDERSON | NV | 89052 | 880349432 | FUNDRAISING FOUNDATION | NV | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| ST ALEXIUS MEDICAL CENTER | |||||||||||||||||
| 900 EAST BROADWAY AVENUE | BISMARCK | ND | 58501 | 450226711 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| ST ANNE OC | |||||||||||||||||
| 1145 BROADWAY PLAZA STE 1200 | TACOMA | WA | 98402 | 863590968 | INACTIVE | WA | 501(C)(3) | LINE 10 | FHS | 0 | |||||||
| ST ANTHONY HOSPITAL | |||||||||||||||||
| 2801 ST ANTHONY WAY | PENDLETON | OR | 97801 | 930391614 | HOSPITAL | OR | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| ST ANTHONY HOSPITAL FOUNDATION | |||||||||||||||||
| 2801 ST ANTHONY WAY | PENDLETON | OR | 97801 | 930992727 | FUNDRAISING FOUNDATION | OR | 501(C)(3) | LINE 12A, I | SAH | 0 | |||||||
| ST ANTHONY'S HOSPITAL ASSOCIATION | |||||||||||||||||
| FOUR HOSPITAL DR | MORRILTON | AR | 72110 | 710245507 | HOSPITAL | AR | 501(C)(3) | LINE 3 | SVIMC | 0 | |||||||
| ST CATHERINE HOSPITAL | |||||||||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 480543721 | HOSPITAL | KS | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION | |||||||||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 200598702 | FUNDRAISING FOUNDATION | KS | 501(C)(3) | LINE 12A, I | SCH | 0 | |||||||
| ST CLARE COMMONS | |||||||||||||||||
| 12469 FIVE POINT ROAD | TOLEDO | OH | 43551 | 270163752 | LIVING COMM | OH | 501(C)(3) | LINE 10 | CHILC | 0 | |||||||
| ST DOMINIC OF ONTARIO OREGON | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 930433692 | INVESTMENTS | OR | 501(C)(4) | N/A | CSH | 0 | |||||||
| ST FRANCIS HOME | |||||||||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 410729978 | LTERM CARE | MN | 501(C)(3) | LINE 10 | CSH | 0 | |||||||
| ST FRANCIS LIFE CARE CORPORATION | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 222536017 | INACTIVE | NJ | 501(C)(3) | LINE 8 | SCHS | 0 | |||||||
| ST FRANCIS MEDICAL CENTER | |||||||||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 410695598 | HOSPITAL | MN | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| ST JOSEPH FOUNDATION OF BRYAN TEXAS | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742351158 | FUNDRAISING FOUNDATION | TX | 501(C)(3) | LINE 12A, I | SJSC | 0 | |||||||
| ST JOSEPH MANOR | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742847594 | LTERM CARE | TX | 501(C)(3) | LINE 10 | SJSC | 0 | |||||||
| ST JOSEPH MEDICAL CENTER INC | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 520591461 | INACTIVE | MD | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| ST JOSEPH PHYSICIAN ASSOCIATES | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 203159302 | PHYSICIANS | TX | 501(C)(3) | LINE 3 | SJSC | 0 | |||||||
| ST JOSEPH PHYSICIAN ENTERPRISE INC | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 521311775 | INACTIVE | MD | 501(C)(3) | LINE 12A, I | SJMC | 0 | |||||||
| ST JOSEPH REGIONAL HEALTH CENTER | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 741282696 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SJSC | 0 | |||||||
| ST JOSEPH REGIONAL HEALTH PARTNERS | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 454088170 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SJSC | 0 | |||||||
| ST JOSEPH REGIONAL HEALTH PARTNERS ACO | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 463265423 | HEALTHCARE | TX | 501(C)(3) | LINE 10 | SJSC | 0 | |||||||
| ST JOSEPH SERVICES CORPORATION | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742455161 | MANAGEMENT | TX | 501(C)(3) | LINE 12A, I | SLHS | 0 | |||||||
| ST JOSEPH'S AREA HEALTH SERVICES | |||||||||||||||||
| 600 PLEASANT AVE | PARK RAPIDS | MN | 56470 | 410695603 | HOSPITAL | MN | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| ST JOSEPH'S HOSPITAL AND HEALTH CENTER | |||||||||||||||||
| 2500 FAIRWAY ST | DICKINSON | ND | 58601 | 450226429 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| ST LEONARD | |||||||||||||||||
| 8100 CLYO ROAD | CENTERVILLE | OH | 45458 | 341940863 | LIVING COMM | OH | 501(C)(3) | LINE 10 | CHILC | 0 | |||||||
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC | |||||||||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 273733278 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLHS | 0 | |||||||
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND | |||||||||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 261947374 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLHS | 0 | |||||||
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS | |||||||||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 260335902 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLHS | 0 | |||||||
| ST LUKE'S COMMUNITY HEALTH SERVICES | |||||||||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760536234 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLHS | 0 | |||||||
| ST LUKE'S FOUNDATION | |||||||||||||||||
| 1213 HERMANN DRIVE STE 855 | HOUSTON | TX | 77004 | 453811485 | FUNDRAISING FOUNDATION | TX | 501(C)(3) | LINE 7 | SLHS | 0 | |||||||
| ST LUKE'S HEALTH SYSTEM CORPORATION | |||||||||||||||||
| PO BOX 20269 | HOUSTON | TX | 77225 | 760536232 | MANAGEMENT | TX | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| ST LUKE'S HOSPITAL AT THE VINTAGE | |||||||||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 263734606 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLHS | 0 | |||||||
| ST LUKE'S PROPERTIES CORPORATION | |||||||||||||||||
| 1213 HERMANN DRIVE STE 855 | HOUSTON | TX | 77004 | 760531716 | PROPERTY MGMT | TX | 501(C)(3) | LINE 12A, I | SLHS | 0 | |||||||
| ST LUKE'S SUGAR LAND PROPERTIES CORPORATION | |||||||||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 454120549 | PROPERTY MGMT | TX | 501(C)(3) | LINE 12A, I | SLCDC-SL | 0 | |||||||
| ST MARY'S COMMUNITY HOSPITAL | |||||||||||||||||
| 1301 GRUNDMAN BOULEVARD | NEBRASKA CITY | NE | 68410 | 470443636 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| ST MARY'S HOSPITAL FOUNDATION | |||||||||||||||||
| 1314 3RD AVE | NEBRASKA CITY | NE | 68410 | 470707604 | FUNDRAISING FOUNDATION | NE | 501(C)(3) | LINE 7 | SMCH | 0 | |||||||
| ST VINCENT FOUNDATION | |||||||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 510169537 | FUNDRAISING FOUNDATION | AR | 501(C)(3) | LINE 12A, I | SVIMC | 0 | |||||||
| ST VINCENT INFIRMARY MEDICAL CENTER | |||||||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710236917 | HOSPITAL | AR | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| ST VINCENT MEDICAL GROUP | |||||||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710830696 | PHYSICIANS | AR | 501(C)(3) | LINE 10 | SVIMC | 0 | |||||||
| SYLVANIA FRANCISCAN HEALTH | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 341412964 | HOLDING CO | OH | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| SYLVANIA FRANCISCAN HEALTH FOUNDATION | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 455357161 | INACTIVE | OH | 501(C)(3) | LINE 12A, I | SFH-OH | 0 | |||||||
| THE COMMONS OF PROVIDENCE | |||||||||||||||||
| 5000 PROVIDENCE DRIVE | SANDUSKY | OH | 44870 | 341826097 | ASSIST LIVING | OH | 501(C)(3) | LINE 10 | CHILC | 0 | |||||||
| THE COMMUNITY HOSPITAL OF BRAZOSPORT | |||||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 741385192 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLHS | 0 | |||||||
| THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH | |||||||||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 310537486 | HOSPITAL | OH | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| THE PHYSICIAN NETWORK | |||||||||||||||||
| 2000 Q ST STE 500 | LINCOLN | NE | 68503 | 470780857 | PHYSICIANS | NE | 501(C)(3) | LINE 12A, I | CHI NEBRASKA | 0 | |||||||
| TOTAL HEALTHCARE | |||||||||||||||||
| 9100 E MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 840927232 | INACTIVE | CO | 501(C)(3) | LINE 3 | CHIC | 0 | |||||||
| TRINITY HEALTH FOUNDATION | |||||||||||||||||
| 380 SUMMIT AVENUE | STEUBENVILLE | OH | 43952 | 311329423 | FUNDRAISING FOUNDATION | OH | 501(C)(3) | LINE 12A, I | THS | 0 | |||||||
| TRINITY HEALTH SYSTEM | |||||||||||||||||
| 380 SUMMIT AVENUE | STEUBENVILLE | OH | 43952 | 341818681 | HEALTHCARE | OH | 501(C)(3) | LINE 12A, I | 0 | N/A | |||||||
| TRINITY HOSPITAL TWIN CITY | |||||||||||||||||
| 819 NORTH FIRST STREET | DENNISON | OH | 44621 | 275401105 | HOSPITAL | OH | 501(C)(3) | LINE 3 | THS | 0 | |||||||
| TRI-STATE HEALTH SERVICES INC | |||||||||||||||||
| ONE ROSS PARK BLVD | STEUBENVILLE | OH | 43952 | 341522484 | ASSIST LIVING | OH | 501(C)(3) | LINE 7 | THS | 0 | |||||||
| UNITY FAMILY HEALTHCARE | |||||||||||||||||
| 815 SE 2ND ST | LITTLE FALLS | MN | 56345 | 410721642 | HOSPITAL | MN | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| VILLA NAZARETH INC | |||||||||||||||||
| 801 PAGE DR | FARGO | ND | 58103 | 450226714 | LTERM CARE | ND | 501(C)(3) | LINE 10 | CSH | 0 | |||||||
| VISITING NURSE ASSOCIATION OF ST CLARE'S INC | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 221768334 | INACTIVE | NJ | 501(C)(3) | LINE 10 | SCHS | 0 | |||||||
| WOODLAND MEMORIAL HOSPITAL FOUNDATION | |||||||||||||||||
| 1321 COTTONWOOD STREET 305 | WOODLAND | CA | 95695 | 946167964 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 7 | 0 | N/A | |||||||
| YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION | |||||||||||||||||
| 1003 WILLOW CREEK ROAD | PRESCOTT | AZ | 86301 | 861038463 | FUNDRAISING FOUNDATION | AZ | 501(C)(3) | LINE 12A, I | YRMC | Yes (1) | |||||||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (83 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMERICAN MERCY HOME CARE LLC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 830486150 | HOME HEALTH | OH | N/A | N/A | 0 | 0 | ||||
| ARIZONA CARE NETWORK-NEXT LLC | ||||||||||||||
| 4222 E THOMAS RD STE 400 | PHOENIX | AZ | 85018 | 474696671 | CARE NETWORK | AZ | N/A | N/A | 0 | 0 | ||||
| ARIZONA CARE NETWORK LLC | ||||||||||||||
| 4222 E THOMAS RD STE 400 | PHOENIX | AZ | 85013 | 454494682 | CARE NETWORK | AZ | N/A | N/A | 0 | 0 | ||||
| ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC | ||||||||||||||
| 1510 COTNER AVENUE | LOS ANGELES | CA | 90025 | 851067265 | DIAGNOSTIC SERVICES | CA | N/A | N/A | 0 | 0 | ||||
| AUDUBON LAND COMPANY LLC | ||||||||||||||
| 630 SOUTHPOINTE COURT 200 | COLORADO SPRINGS | CO | 80906 | 841513085 | REAL ESTATE | CO | N/A | N/A | 0 | 0 | ||||
| BAYLOR CHI ST LUKES HEALTH SERVICES LLC | ||||||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 472079184 | HEALTHCARE SRVC | TX | N/A | N/A | 0 | 0 | ||||
| BERGAN MERCY SURGERY CENTER LLC | ||||||||||||||
| 7710 MERCY RD STE 200 | OMAHA | NE | 68124 | 208671994 | AMBUL SURG CTR | NE | N/A | N/A | 0 | 0 | ||||
| BERYWOOD OFFICE PROPERTIES LLC | ||||||||||||||
| 2501 CITICO AVENUE | CHATTANOGA | TN | 37404 | 621875199 | PHYS OFFICE | TN | N/A | N/A | 0 | 0 | ||||
| BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD | ||||||||||||||
| HEALTH SERVICES | N/A | N/A | 0 | 0 | 709 WING ON PLAZA 62 MODY ROAD TST | HONG KONG | CH | CH | ||||||
| BLUEGRASS REGIONAL IMAGING CENTER | ||||||||||||||
| 1218 SOUTH BROADWAY STE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAGNOSTIC IMAGING | KY | N/A | N/A | 0 | 0 | ||||
| CBCC OUTSMARTING CANCER LLC | ||||||||||||||
| 6501 TRUXTUN AVENUE | BAKERSFIELD | CA | 93309 | 461602286 | RADIATION / ONCOLOGY | CA | N/A | N/A | 0 | 0 | ||||
| CENTRAL NEBRASKA REHAB SVCS LLC | ||||||||||||||
| 3004 W FAIDLEY AVENUE | GRAND ISLAND | NE | 68803 | 810653461 | PHYSICAL THERAPY | NE | N/A | N/A | 0 | 0 | ||||
| CENTURA-SCA HOLDINGS LLC | ||||||||||||||
| 569 BROOK VILLAGE STE 901 | BIRMINGHAM | AL | 35209 | 474823023 | OP SURGERY CENTER | AL | N/A | N/A | 0 | 0 | ||||
| CHI OPERATING INVESTMENT PROGRAM LP | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470727942 | INVESTMENTS | CO | N/A | N/A | 0 | 0 | ||||
| CHICAMSURG SURGERY CENTERS LLC | ||||||||||||||
| 1A BURTON HILLS BLVD | NASHVILLE | TN | 37215 | 465683027 | SURGERY CENTER | CO | N/A | N/A | 0 | 0 | ||||
| COLORADO SPRINGS CK LEASING LLC | ||||||||||||||
| 630 SOUTHPOINTE COURT 200 | COLORADO SPRINGS | CO | 80906 | 262982714 | REAL ESTATE | CO | N/A | N/A | 0 | 0 | ||||
| COMMUNITY MERCY HOME CARE SERVICES OF SPRINGFIELD LLC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311746556 | HOME HEALTH | OH | N/A | N/A | 0 | 0 | ||||
| DE JV LLC | ||||||||||||||
| 8686 NEW TRAILS DRIVE | THE WOODLANDS | TX | 77381 | 320496548 | EMERGENCY CARE | NV | N/A | N/A | 0 | 0 | ||||
| DHHP SURGERY CENTERS LLC | ||||||||||||||
| 1513 S GRAND AVENUE STE 350 | LOS ANGELES | CA | 90015 | 831847466 | SURGERY | DE | N/A | N/A | 0 | 0 | ||||
| DHRT HOLDINGS LLC | ||||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 352484591 | HOLDING COMPANY | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITY-GOHEALTH URGENT CARE MGMT LLC | ||||||||||||||
| 5555 GLENRIDGE CONNECTOR STE 700 | ATLANTA | GA | 30342 | 352548698 | MANAGEMENT SERVICES | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITY HEALTH AT HOME LLC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 824674115 | HEALTHCARE SRVC | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITY HEALTH SPECIALTY PHARMACY LLC | ||||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 320589462 | SPECIALTY PHARMACY SERVICES | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITY HOME RECOVERY CARE LLC | ||||||||||||||
| 49 MUSIC SQUARE WEST SUITE 401 | NASHVILLE | TN | 37203 | 832832522 | HOME RECOVERY PROGRAM | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 202999237 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSP NORCAL SURGERY CENTERS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 202468509 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSP PHOENIX SURGERY CENTERS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 134248908 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 352584991 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITY-ABRAZO HEALTH NETWORK LLC | ||||||||||||||
| 4222 E THOMAS RD STE 400 | PHOENIX | AZ | 85018 | 465477985 | MANAGEMENT SERVICES | AZ | N/A | N/A | 0 | 0 | ||||
| DOMINICAN MAGNETIC RESONANCE IMAGING CENTER | ||||||||||||||
| 1545 SOQUEL DRIVE | SANTA CRUZ | CA | 94065 | 770095477 | IMAGING CENTER | CA | N/A | N/A | 0 | 0 | ||||
| ECCS ACQUISITION COMPANY LLC | ||||||||||||||
| 2940 NORTH CIRCLE DRIVE | COLORADO SPRINGS | CO | 80909 | 352656413 | AMBUL SURG CTR | CO | N/A | N/A | 0 | 0 | ||||
| ENDOSCOPY CENTER OF ARKANSAS | ||||||||||||||
| 1024 NORTH UNIVERSITY AVE | LITTLE ROCK | AR | 72207 | 201337002 | DIAGNOSTIC SERVICES | AR | N/A | N/A | 0 | 0 | ||||
| FOLSOM SIERRA ENDOSCOPY CENTER LP | ||||||||||||||
| 1671 CREEKSIDE DRIVE SUITE 100 | FOLSOM | CA | 95630 | 680482416 | ENDOSCOPY | CA | N/A | N/A | 0 | 0 | ||||
| FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC | ||||||||||||||
| 6622 WOLLOCHET DR NW | GIG HARBOR | WA | 98335 | 463494108 | REAL ESTATE | WA | N/A | N/A | 0 | 0 | ||||
| FRANCISCAN SPECIALTY CARE LLC | ||||||||||||||
| 680 SOUTH FOURTH STREET | LOUISVILLE | KY | 40202 | 813725123 | HEALTHCARE SRVC | WA | N/A | N/A | 0 | 0 | ||||
| GOOD SAMARITAN HOME CARE SERVICES OF VINCENNE IN LLC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 201792869 | HOME HEALTH | OH | N/A | N/A | 0 | 0 | ||||
| HC SL VINTAGE I LLC | ||||||||||||||
| 18000 W SARAH LANE STE 250 | BROOKFIELD | WI | 53045 | 270453767 | PROPERTY HOLDING | WI | N/A | N/A | 0 | 0 | ||||
| HEALTHCARE SUPPORT SERVICES LLC | ||||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 721546196 | LAUNDRY | NE | N/A | N/A | 0 | 0 | ||||
| HEARTLAND ONCOLOGY LLC | ||||||||||||||
| 2337 E CRAWFORD ST | SALINA | KS | 67401 | 464265403 | ONCOLOGY | KS | N/A | N/A | 0 | 0 | ||||
| LAKESIDE AMBULATORY SURGICAL CENTER LLC | ||||||||||||||
| 17031 LAKESIDE HILLS DR | OMAHA | NE | 68130 | 204267902 | AMBUL SURG CTR | NE | N/A | N/A | 0 | 0 | ||||
| LAKESIDE ENDOSCOPY CENTER LLC | ||||||||||||||
| 17001 LAKESIDE HILLS PLZ STE 201 | OMAHA | NE | 68130 | 205544496 | ENDOSCOPY SRVC | NE | N/A | N/A | 0 | 0 | ||||
| LEXINGTON MBO PARTNERS LTD | ||||||||||||||
| 5050 SOUTH SYRACUSE ST STE 800 | DENVER | CO | 80237 | 651132855 | REAL ESTATE | CO | N/A | N/A | 0 | 0 | ||||
| LINCOLN CK LEASING LLC | ||||||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 262496856 | REAL ESTATE | NE | N/A | N/A | 0 | 0 | ||||
| MEMORIAL MEDICAL PLAZA | ||||||||||||||
| 3838 SAN DIMAS SUITE B 201 | BAKERSFIELD | CA | 93301 | 364510880 | REAL ESTATE | CA | N/A | N/A | 0 | 0 | ||||
| MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC | ||||||||||||||
| 2740 M STREET | MERCED | CA | 95340 | 943358445 | MANAGEMENT OF CANCER CENTER | CA | N/A | N/A | 0 | 0 | ||||
| MERCY REHABILITATION HOSPITAL LLC | ||||||||||||||
| 680 SOUTH FOURTH STREET | LOUISVILLE | KY | 40202 | 814437201 | HEALTHCARE SRVC | TX | N/A | N/A | 0 | 0 | ||||
| MILITARY ROAD PROPERTIES LLC | ||||||||||||||
| 181 S 333RD STREET STE 250 | FEDERAL WAY | WA | 98003 | 912067879 | REAL ESTATE | WA | N/A | N/A | 0 | 0 | ||||
| NEBRASKA SPINE HOSPITAL LLC | ||||||||||||||
| 6901 N 72ND ST STE 20300 | OMAHA | NE | 68122 | 270263191 | SPINE HOSPITAL | NE | N/A | N/A | 0 | 0 | ||||
| NICU OPERATING CO OF SANTA CRUZ LLC | ||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 460502935 | NEONATAL HEALTHCARE | CA | N/A | N/A | 0 | 0 | ||||
| NORTH RIVER SURGERY CENTER LLC | ||||||||||||||
| 2209 WILDWOOD AVE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | N/A | N/A | 0 | 0 | ||||
| NORTHERN PLAINS LABORATORY LLC | ||||||||||||||
| 401 N 9 STREET | BISMARK | ND | 58501 | 841641341 | DIAGNOSTIC SERVICES | ND | N/A | N/A | 0 | 0 | ||||
| NSC CHANNEL ISLANDS LLC | ||||||||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 770409291 | AMBULATORY SURGICAL CENTER | CA | N/A | N/A | 0 | 0 | ||||
| ORTHOCOLORADO LLC | ||||||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80228 | 371577105 | ORTHO HOSPITAL | CO | N/A | N/A | 0 | 0 | ||||
| PARK RAPIDS AREA HEALTH CARE | ||||||||||||||
| 600 PLEASANT AVENUE S | PARK RAPIDS | MN | 56470 | 204926259 | HEALTHCARE SRVC | MN | N/A | N/A | 0 | 0 | ||||
| PATIENT TRANSPORT SERVICES OF COLUMBUS INC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 264601285 | AMBULANCE | OH | N/A | N/A | 0 | 0 | ||||
| PENINSULA RADIATION ONCOLOGY CENTER LLC | ||||||||||||||
| 314 MLK JR WAY STE 11 | TACOMA | WA | 98405 | 870808610 | HEALTHCARE SRVC | WA | N/A | N/A | 0 | 0 | ||||
| PENRAD IMAGING LLC | ||||||||||||||
| 1390 KELLY JOHNSON BLVD | COLORADO SPRINGS | CO | 80920 | 841072619 | MEDICAL IMAGING | CO | N/A | N/A | 0 | 0 | ||||
| PERFORMANCE MED EQUIP & RESPIR SVSC LLC | ||||||||||||||
| 19625 62ND AVE S STE 101 | KENT | WA | 98032 | 452901632 | HOLDING COMPANY | WA | N/A | N/A | 0 | 0 | ||||
| PLAZA SURGERY CENTER LP | ||||||||||||||
| 525 E PLAZA DRIVE SUITE 100 | SANTA MARIA | CA | 93454 | 770573567 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| PMC HOSPITAL LLC | ||||||||||||||
| 3100 MAIN ST STE 500 | HOUSTON | TX | 77002 | 273280598 | HOSPITAL | TX | N/A | N/A | 0 | 0 | ||||
| PRECISION MEDICINE ALLIANCE LLC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 352569159 | DIAGNOSTIC SERVICES | CO | N/A | N/A | 0 | 0 | ||||
| RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY | ||||||||||||||
| 1700 N ROSE AVENUE SUITE 120 | OXNARD | CA | 93030 | 770191706 | IMAGING | CA | N/A | N/A | 0 | 0 | ||||
| RBR MANAGEMENT LLC | ||||||||||||||
| 91 CORPORATE PARK DRIVE SUITE 120 | HENDERSON | NV | 89074 | 271466450 | AMBULANCE | NV | N/A | N/A | 0 | 0 | ||||
| REID-ANC HOME CARE SERVICES LLC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 371454747 | HOME HEALTH | IN | N/A | N/A | 0 | 0 | ||||
| SAINT JOSEPH - SCA HOLDINGS LLC | ||||||||||||||
| 1451 HARRODSBURG RD | LEXINGTON | KY | 40503 | 453801157 | INACTIVE | DE | N/A | N/A | 0 | 0 | ||||
| SAINT JOSEPH HEALTH ASC LLC | ||||||||||||||
| 1 SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 852155230 | SURGERY | KY | N/A | N/A | 0 | 0 | ||||
| SAINT JOSEPH-ANC HOME CARE SERVICES | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 263330545 | HOME HEALTH | KY | N/A | N/A | 0 | 0 | ||||
| SANTA CRUZ COMPREHENSIVE IMAGING LLC | ||||||||||||||
| 1661 SOQUEL DRIVE SUITE G | SANTA CRUZ | CA | 95065 | 010550623 | IMAGING | CA | N/A | N/A | 0 | 0 | ||||
| SANTA CRUZ LAND & BUILDING LP | ||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 770285236 | REAL ESTATE | CA | N/A | N/A | 0 | 0 | ||||
| SANTA CRUZ SURGERY CENTER LLC | ||||||||||||||
| 3003 PAUL SWEET ROAD | SANTA CRUZ | CA | 95065 | 770194916 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| SEVEN OAKS SURGERY CENTER LLC | ||||||||||||||
| 1801 ORANGE TREE LANE SUITE 200 | REDLANDS | CA | 92374 | 851559544 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| SOUTHEASTERN HOME CARE LLC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 271219638 | HOME HEALTH | OH | N/A | N/A | 0 | 0 | ||||
| ST JOSEPH'S SURGERY CENTER LP | ||||||||||||||
| 15305 DALLAS PARKWAY SUITE 1600 LB | ADDISON | TX | 75001 | 201019390 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| ST ELIZABETH HOME CARE SERVICES LLC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 261236191 | HOME HEALTH | KY | N/A | N/A | 0 | 0 | ||||
| ST FRANCIS LAND COMPANY | ||||||||||||||
| 5390 N ACADEMY BLVD STE 300 | COLORADO SPRINGS | CO | 80918 | 263134100 | REAL ESTATE | CO | N/A | N/A | 0 | 0 | ||||
| ST LUKE'S DIAGNOSTIC CATH LAB LLP | ||||||||||||||
| 6624 FANNIN ST STE 800 | HOUSTON | TX | 77030 | 710959365 | DIAGNOSTIC SERVICES | TX | N/A | N/A | 0 | 0 | ||||
| ST LUKE'S LAKESIDE HOSPITAL LLC | ||||||||||||||
| 6624 FANNIN STE 2505 | HOUSTON | TX | 77030 | 300427437 | HOSPITAL | TX | N/A | N/A | 0 | 0 | ||||
| ST LUKE'S THE WOODLANDS SLEEP CENTER LLC | ||||||||||||||
| 6624 FANNIN STE 800 | HOUSTON | TX | 77030 | 462795726 | DIAGNOSTIC SERVICES | TX | N/A | N/A | 0 | 0 | ||||
| TEMPLETON SURGERY CENTER LLC | ||||||||||||||
| 1310 LAS TABLAS ROAD SUITE 104 | TEMPLETON | CA | 94365 | 202246616 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| THE MEDICAL PAVILION AT ST JOHN'S | ||||||||||||||
| 1600 ROSE AVENUE | OXNARD | CA | 93030 | 770332349 | REAL ESTATE | CA | N/A | N/A | 0 | 0 | ||||
| THREE SPRING IMAGING LLC | ||||||||||||||
| 1 MERCADO ST STE 200A | DURANGO | CO | 81301 | 813571570 | HEALTHCARE SRVC | CO | N/A | N/A | 0 | 0 | ||||
| TIA ARIZONA LLC | ||||||||||||||
| 3030 N CENTRAL AVENUE SUITE 1402 | PHOENIX | AZ | 85012 | 863158670 | CLINIC | AZ | N/A | N/A | 0 | 0 | ||||
| VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC | ||||||||||||||
| 18330 ROSCOE BLVD | NORTHRIDGE | CA | 91328 | 800864336 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (62 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC | ||||||||||||||
| 12809 WEST DODGE RD | OMAHA | NE | 68154 | 470802396 | MANAGED CARE | NE | N/A | C | 0 | |||||
| ALL SAINTS INSURANCE COMPANY SPC LTD | ||||||||||||||
| 980556913 | INSURANCE | N/A | C | 0 | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | CJ | |||||
| ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY INC | ||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742466914 | HEALTHCARE | TX | N/A | C | 0 | |||||
| ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 841112049 | MANAGEMENT SERVICES | CO | N/A | C | 0 | |||||
| AMERICAN NURSING CARE INC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311085414 | HOME HEALTH | OH | N/A | C | 0 | |||||
| AMERIMED INC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311158699 | HOME HEALTH | OH | N/A | C | 0 | |||||
| BC HOLDING COMPANY INC | ||||||||||||||
| 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 311542851 | INACTIVE | KY | N/A | C | 0 | |||||
| BRAZOSPORT HEALTH ALLIANCE | ||||||||||||||
| 1 WEST WAY COURT | LAKE JACKSON | TX | 77566 | 760518376 | HEALTHCARE | TX | N/A | C | 0 | |||||
| CADUCEUS MEDICAL ASSOCIATES INC | ||||||||||||||
| 5600 BRAINERD ROAD STE 500 | CHATTANOOGA | TN | 37411 | 621570736 | HEALTHCARE | TN | N/A | C | 0 | |||||
| CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 272269511 | RESEARCH | CO | N/A | C | 0 | |||||
| CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC | ||||||||||||||
| 1201 W FRANK AVE | LUFKIN | TX | 75904 | 834184717 | CONDO ASSOC | TX | N/A | C | 0 | |||||
| CLEARRIVER HEALTH | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464495960 | INSURANCE | TN | N/A | C | 0 | |||||
| COASTAL SURGICAL SPECIALISTS INC | ||||||||||||||
| 921 OAK PARK BLVD SUITE 101 | PISMO BEACH | CA | 93449 | 743000596 | AMBULATORY SURGERY CENTER | CA | N/A | S | 0 | |||||
| COMCARE SERVICES INC | ||||||||||||||
| 9100 E MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 840904813 | INACTIVE | CO | N/A | C | 0 | |||||
| CONSOLIDATED HEALTH SERVICES | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | N/A | C | 0 | |||||
| DES MOINES MEDICAL CENTER INC | ||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420837382 | REAL ESTATE | IA | N/A | C | 0 | |||||
| DIGNITY HEALTH HOLDING CORPORATION | ||||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 460675371 | HOLDING CO | NV | N/A | C | 0 | |||||
| DIGNITY HEALTH INSURANCE LTD | ||||||||||||||
| 981065338 | CAPTIVE INSURANCE | N/A | C | 0 | PO BOX 1051 | GRAND CAYMAN ISLANDS | GRAND CAYMAN | CJ | CJ | |||||
| DIGNITY HEALTH PROVIDER RESOURCES INC | ||||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 473366764 | HEALTH PLAN | CA | N/A | C | 0 | |||||
| DIVERSIFIED HEALTH RESOURCES INC | ||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 760222679 | HEALTHCARE | TX | N/A | C | 0 | |||||
| FRANCISCAN CITY URGENT CARE SRVS PS | ||||||||||||||
| C/O CPGUSA 1345 AVE OF THE AMERICAS | NEW YORK | NY | 10105 | 812174959 | INACTIVE | NY | N/A | C | 0 | |||||
| FRANCISCAN SERVICES INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232487967 | HOLDING CO | CO | N/A | C | 0 | |||||
| GOOD SAMARITAN OUTREACH SERVICES | ||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470659440 | MEDICAL CLINIC | NE | N/A | C | 0 | |||||
| HARVESTPLAINS HEALTH OF IOWA | ||||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 473451750 | INSURANCE | WA | N/A | C | 0 | |||||
| HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC | ||||||||||||||
| 1400 E CHURCH STREET | SANTA MARIA | CA | 93454 | 770074057 | HEALTHCARE | CA | N/A | C | 0 | |||||
| HEALTH SYSTEMS ENTERPRISES INC | ||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470664558 | MGMT | NE | N/A | C | 0 | |||||
| HEALTHCARE MGMT SERVICES ORGANIZATION INC | ||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911865474 | INACTIVE | WA | N/A | C | 0 | |||||
| HEARTLANDPLAINS HEALTH | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464368223 | INSURANCE | NE | N/A | C | 0 | |||||
| HIGHLINE MEDICAL GROUP | ||||||||||||||
| 1717 S J STREET | TACOMA | WA | 98405 | 911407026 | MEDICAL SERVICES | WA | N/A | C | 0 | |||||
| INTEGRATED MEDICAL SERVICES | ||||||||||||||
| 9250 N 3RD STREET SUITE 4010 | PHOENIX | AZ | 85020 | 860783428 | MULTI-SPECIALTY PHYSICIANS GROUP | AZ | N/A | C | 0 | |||||
| KOMG-LOUISVILLE REGION INC | ||||||||||||||
| 201 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 832481198 | HEALTHCARE | KY | N/A | C | 0 | |||||
| MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC | ||||||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 710720429 | REAL ESTATE | AR | N/A | C | 0 | |||||
| MEDQUEST | ||||||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450392137 | SALE OF DME | ND | N/A | C | 0 | |||||
| MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC | ||||||||||||||
| 1201 W FRANK AVE | LUFKIN | TX | 75904 | 463622849 | INACTIVE | TX | N/A | C | 0 | |||||
| MERCY PARK APARTMENTS LTD | ||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421202422 | INACTIVE | IA | N/A | C | 0 | |||||
| MERCY SERVICES CORP | ||||||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97471 | 930824308 | RETAIL SALES | OR | N/A | C | 0 | |||||
| MHI CLINICAL SERVICES | ||||||||||||||
| 1201 W FRANK AVE | LUFKIN | TX | 75904 | 461967952 | HEALTHCARE | TX | N/A | C | 0 | |||||
| MILLENNIUM SURGERY CENTER INC | ||||||||||||||
| 9300 STOCKDALE HWY 200 | BAKERSFIELD | CA | 93311 | 770513445 | HEALTHCARE | CA | N/A | S | 0 | |||||
| MOUNTAIN MANAGEMENT SERVICES INC | ||||||||||||||
| 6028 SHALLOWFORD RD | CHATTANOOGA | TN | 37421 | 621570739 | MGMT SVC ORG | TN | N/A | C | 0 | |||||
| NORTH CENTRAL HEALTH CARE ALLIANCE | ||||||||||||||
| PO BOX 5538 | BISMARK | ND | 58506 | 450439894 | HEALTHCARE | ND | N/A | C | 0 | |||||
| PATIENT TRANSPORT SERVICES INC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311100798 | HOME HEALTH | OH | N/A | C | 0 | |||||
| QUALCHOICE ADVANTAGE | ||||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 473433912 | INSURANCE | WA | N/A | C | 0 | |||||
| QUALCHOICE HEALTH PLAN SERVICES INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 461224037 | ADMIN SERVICES | CO | N/A | C | 0 | |||||
| QUALCHOICE HEALTH INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 461222808 | HOLDING CO | CO | N/A | C | 0 | |||||
| QUALCHOICE HOLDINGS INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 274075520 | HOLDING CO | AR | N/A | C | 0 | |||||
| QUALCHOICE OF NEBRASKA | ||||||||||||||
| 2401 S 73RD ST | OMAHA | NE | 68124 | 810738827 | INACTIVE | NE | N/A | C | 0 | |||||
| RIVERLINK HEALTH | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464380824 | INSURANCE | OH | N/A | C | 0 | |||||
| RIVERLINK HEALTH OF KENTUCKY INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464828332 | INSURANCE | KY | N/A | C | 0 | |||||
| ROSS PARK PHARMACY INC | ||||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 341832654 | PHARMACY | OH | N/A | C | 0 | |||||
| SAINT CLARE'S PRIMARY CARE INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 222441202 | INACTIVE | NJ | N/A | C | 0 | |||||
| SJH SERVICES CORPORATION | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232307408 | INACTIVE | CO | N/A | C | 0 | |||||
| SJL PHYSICIAN MANAGEMENT SERVICES INC | ||||||||||||||
| 424 LEWIS HARGETT CR STE 160 | LEXINGTON | KY | 40503 | 270164198 | INACTIVE | KY | N/A | C | 0 | |||||
| SOUNDPATH HEALTH INC | ||||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 421720801 | INSURANCE | WA | N/A | C | 0 | |||||
| ST MARY HEALTH VENTURES INC | ||||||||||||||
| 1050 LINDEN AVENUE | LONG BEACH | CA | 90813 | 951912528 | RETAIL PHARMACY | CA | N/A | C | 0 | |||||
| ST ANTHONY DEVELOPMENT COMPANY | ||||||||||||||
| 1415 SOUTHGATE | PENDLETON | OR | 97801 | 931216943 | ATHLETIC CLUB | OR | N/A | C | 0 | |||||
| ST JOSEPH DEVELOPMENT COMPANY INC | ||||||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911480569 | RENTAL | WA | N/A | C | 0 | |||||
| ST LUKE'S HEALTH SYSTEM HOLDINGS INC | ||||||||||||||
| 6624 FANNIN STE 800 | HOUSTON | TX | 77030 | 760637138 | HOLDING CO | TX | N/A | C | 0 | |||||
| ST VINCENT COMMUNITY HEALTH SERVICES INC | ||||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710710785 | HEALTHCARE | AR | N/A | C | 0 | |||||
| STE HOLDINGS | ||||||||||||||
| 12809 WEST DODGE RD | OMAHA | NE | 68154 | 822383629 | HOLDING CO | NE | N/A | C | 0 | |||||
| SUGAR LAND DOCTOR GROUP | ||||||||||||||
| 1317 LAKE POINT PARKWAY | SUGAR LAND | TX | 77478 | 454270163 | INACTIVE | TX | N/A | C | 0 | |||||
| TOWSON MANAGEMENT INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 521710750 | INACTIVE | MD | N/A | C | 0 | |||||
| TRINITY MANAGEMENT SERVICES ORGANIZATION | ||||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 341471026 | MGMT SERVICES | OH | N/A | C | 0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION | ||
| B | $340,894 | AMOUNT TRANSFERRED |
| YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION | ||
| C | $1,467,351 | AMOUNT TRANSFERRED |