2021-11-05T13:21:45-05:00 2020-12-31 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2020-01-01 860098923 YAVAPAI COMMUNITY HOSPITAL ASSOCIATION DBA YAVAPAI REGIONAL MEDICAL CENTER YAVA 9287715691 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 MATTHEW RICE CFO 9287715691 2021-10-28 1 MATTHEW RICE 999009999 MARK STOCKI P00642127 3032989100 2021-10-29 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOHN R AMOS 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 638797502 0 X WWW.YRMC.ORG X 1942 AZ TO PROVIDE COMPREHENSIVE, HIGH-QUALITY HEALTHCARE CONSISTENT WITH OUR COMMUNITIES' NEEDS. 13 10 2570 618 135539 95923 1033170 13490168 397260750 377040692 9609194 5503522 2098779 2050397 410001893 398084779 675099 372656 0 0 174448065 184462278 0 0 1807282 187412506 196196020 362535670 381030954 47466223 17053825 574266540 582751353 180775829 172896324 393490711 409855029 X YAVAPAI COMMUNITY HOSPITAL ASSOCIATION'S MISSION IS TO PROVIDE COMPREHENSIVE, HIGH QUALITY HEALTHCARE CONSISTENT WITH OUR COMMUNITIES' NEEDS. 0 0 310737418 372656 376905153 SEE SCHEDULE O 310737418 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 276 0 1 2570 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 13 10 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X MATTHEW RICE CFO 9287715691 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 X LINDA HUNT TRUSTEE (STARTED 11/1/20) 5.00 50.00 X 0 1639570 472754 MANSOUR H ASSAR CARDIOLOGIST-INTERVENTIONAL 50.00 0.00 X 1453853 0 29700 JOHN AMOS CHIEF EXECUTIVE OFFICER 50.00 1.00 X X 1136479 0 58633 NISHA TUNG-TAKHER ELECTROPHYSIOLOGIST 50.00 0.00 X 1200322 0 61936 SHAYAN ALAM GASTROENTEROLOGIST 50.00 0.00 X 1003497 0 61535 GEORGE T RIZK CARDIOLOGIST-INVASIVE 50.00 0.00 X 786772 0 45614 ROBERT CANDIPAN CARDIOLOGIST-INTERVENTIONAL 50.00 0.00 X 739074 0 48035 KEITH FREY MD TRUSTEE (STARTED 11/1/20) 5.00 50.00 X 0 653571 56883 LEE LIVIN CHIEF FINANCIAL OFFICER 50.00 1.00 X 549943 0 151896 ANTHONY TORRES CHIEF MEDICAL OFFICER 50.00 0.00 X 512249 0 141916 FRANK ALMENDAREZ CHIEF ADMIN OFFICER 50.00 0.00 X 324406 0 102977 MARK TIMM CHIEF HUMAN RESOURCE OFFICER 50.00 0.00 X 319503 0 96509 TIMOTHY ROBERTS CHIEF INFORMATION OFFICER 50.00 0.00 X 309886 0 100701 ROBERTA NICOL EXECUTIVE DIRECTOR OF PHILANTHROPY 50.00 1.00 X 335348 0 34279 KEITH A NICHOLS CHIEF OPERATING OFF (STARTED 1/14/20) 50.00 0.00 X 308504 0 28404 DIANE DREXLER CHIEF NURSING OFF (THRU 4/3/20) 50.00 0.00 X 240987 0 26304 IRENE E CONNOR CHIEF NURSING OFF (STARTED 6/28/20) 50.00 0.00 X 200637 0 28965 CHARLIE BOMBERGER TRUSTEE 5.00 0.00 X 0 0 0 JIM HOWARD TRUSTEE 5.00 0.00 X 0 0 0 PAULA KNEISL TRUSTEE (THRU 8/31/20) 5.00 0.00 X 0 0 0 ARABINDA PANI MD TRUSTEE 5.00 5.00 X 0 0 0 STEVE SISCHKA TRUSTEE 5.00 0.00 X 0 0 0 MARNIE UHL TRUSTEE (STARTED 9/1/20) 5.00 0.00 X 0 0 0 MIKE BEATTY CHAIR 5.00 0.00 X X 0 0 0 JANE BRISTOL TRUSTEE/ CHAIR - THRU 4/30/20 5.00 0.00 X X 0 0 0 TONY FERRULLI VICE-CHAIR /TREASURER - THRU 4/30/20 5.00 0.00 X X 0 0 0 M KEITH PIATT MD TREASURER (STARTED 5/1/20) 5.00 0.00 X X 0 0 0 DAN STORVICK SECRETARY 5.00 0.00 X X 0 0 0 9421460 2293141 1547041 309 0 1 0 MCCARTHY HOLDINGS INC 1341 N ROCK HILL RD ST LOUIS MO 63124 CONTRACTOR 43734889 CERNER CORP PO BOX 959156 ST LOUIS MO 631959156 IT SERVICES 16789205 FOCUSONE SOLUTIONS 13609 CALIFORNIA ST STE 420 OMAHA NE 68154 STAFFING SERVICE 7356789 YAVAPAI CARDIAC SURGERY PC 3131 E CLARENDN AVE SUITE 102 PHOENIX AZ 85016 MEDICAL SERVICES 3682793 PRESCOTT RADIOLOGISTS PO BOX 11510 PRESCOTT AZ 86304 MEDICAL SERVICES 3432595 170 425629 13064539 13490168 PATIENT SERVICE REVENU 900099 368256967 368256967 STATE MEDICAID SUPPLEM 900099 3863256 3863256 MEDICARE SHARED SAVING 900099 1533099 1533099 RURAL HOSPITAL/EMERGEN 900099 1292918 1292918 QUALITY PERFORMANCE IN 900099 797736 797736 1296716 1161177 135539 377040692 3805192 3805192 229667 229667 242010790 21176 240563303 0 1447487 21176 1468663 1468663 245661 149420 96241 96241 CAFETERIA 722514 1292877 1292877 VENDOR REBATES 900099 649338 649338 VENDING/COPY MACHINE 900099 11941 11941 1954156 398084779 376905153 135539 7553919 X 372656 372656 4959540 546644 4098713 314183 139073936 115431367 23086273 556296 3001042 2490865 498173 12004 27794072 23069080 4613816 111176 9633688 7995961 1599192 38535 2159247 2159247 143489 143489 28650 28650 41079 41079 36923290 30646330 6129266 147694 483487 401294 80259 1934 8728677 7244802 1448960 34915 21685243 17998752 3599750 86741 3976426 3300433 660087 15906 237444 197078 39416 950 148867 123560 24712 595 3500104 2905087 581017 14000 16696411 13858021 2771604 66786 1991947 1653316 330663 7968 MEDICAL SUPPLIES 68212826 68212826 REPAIRS & MAINTENANCE 11417239 5476308 5895262 45669 LOSS EARLY EXTINGUISHME 4069939 3378049 675610 16280 UNRELATED BUSINESS TAX 51453 51453 15700202 5434989 9929563 335650 381030954 310737418 68486254 1807282 19511229 21375471 33130991 146025866 0 42147887 39795489 0 0 280005 248611 6913172 7890788 1995715 2762918 469244316 229951142 196029423 239293174 265427611 120472872 0 3552998 -609162 0 5277509 5495326 574266540 582751353 39462470 33037335 0 1304701 1778560 129535000 126335000 0 0 4620051 7409928 0 5853607 4335501 180775829 172896324 X 393471260 409832012 19451 23017 393490711 409855029 574266540 582751353 X 17053825 -571966 6 -117547 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 28650 28650 0 PART II-B, LINE 1: YAVAPAI COMMUNITY HOSPITAL ASSOCIATION RECEIVED CORRESPONDENCE FROM THE ARIZONA HOSPITAL ASSOCIATION REGARDING THEIR MEMBERSHIP DUES. A PORTION OF THEIR DUES WERE ATTRIBUTABLE TO LOBBYING. 24291 3561 4841 23011 22414 1854 830 807 24291 22225 163 446 420 22414 22296 107 1014 1192 22225 50315 7367 2718 38104 22296 0.00000 0.00000 1.00000 0 1 1 17884376 17884376 173467809 64159201 109308608 12662511 9859029 2803482 145548837 110598178 34950659 119680783 45334734 74346049 239293174 DEFERRED COMPENSATION (SERP LIABILITY) 1295802 ACCRUED BOND INTEREST 1204243 BOND PREMIUM 1835456 4335501 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: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 1 0 1 1 2075377 2075377 0.00540 45307473 28542393 16765080 0.04400 47382850 28542393 18840457 0.04940 23 118306 844107 92278 751829 0.00200 49428570 21994600 27433970 0.07200 626594 626594 0.00160 23 118306 50899271 22086878 28812393 0.07560 23 118306 98282121 50629271 47652850 0.12500 1 23199 23199 0.00010 1 155 155 0.00000 1 5750 5750 0.00000 1 619 619 0.00000 4 29723 29723 0.00010 1 18330663 86724004 121589315 -34865311 X 1 1 2 1 YAVAPAI REGIONAL MEDICAL CENTER WEST 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 WWW.YRMC.ORG H0115 X X X A 2 YAVAPAI REGIONAL MEDICAL CENTER EAST 7700 E FLORENTINE ROAD PRESCOTT AZ 86301 WWW.YRMC.ORG H3964 X X X A FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X 19 1 1 0 1 X WWW.YRMC.ORG/SUPPORT-AND-COMMUNITY/COMMUNITY-HEALTH 1 19 1 WWW.YRMC.ORG/SUPPORT-AND-COMMUNITY/COMMUNITY-HEALTH 0 1 X 150.000000000000 350.000000000000 X X X X X 1 1 X X X X 1 X WWW.YRMC.ORG/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE X WWW.YRMC.ORG/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE X WWW.YRMC.ORG/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 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 COMMUNITY HEALTH NEEDS ASSESSMENT FOR ITS SERVICE AREA, YAVAPAI REGIONAL MEDICAL CENTER (YRMC) CONDUCTED A COMMUNITY HEALTH NEEDS SURVEY. PRIMARY DATA COLLECTION INCLUDED A WEB BASED SURVEY PROCESS AND PERSONAL INTERVIEWS WITH LOCAL ORGANIZATIONS. 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 YAVAPAI REGIONAL MEDICAL CENTER. YRMC CONDUCTED LIVE, ONE ON ONE MEETINGS WITH KEY LOCAL ORGANIZATIONS, THE COUNTY HEALTH DEPARTMENT AND THE YAVAPAI PRESCOTT TRIBE. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A: YAVAPAI REGIONAL MEDICAL CENTER 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 OUR COMMUNITY.- 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 MEDCIAL 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. 19 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 203 PRESCOTT VALLEY AZ 86314 PHYSICIAN PRACTICE-SURGERY 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 PART I, LINE 7: THE ORGANIZATION USED A COST-TO CHARGE RATIO FOR LINE 7A-7C & 7G. THE COST TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE ORGANIZATION USED A COST ACCOUNTING AMOUNT FOR THE OTHER MEANS TESTED PROGRAMS ON LINE 7C THAT RELATED TO THE JOINT VENTURES. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS. 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 NEUROSURGEY 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. SCHEDULE H, PART I, LINE 3 IN ADDITION TO THE FEDERAL POVERTY GUIDELINES YAVAPAI REGIONAL MEDICAL CENTER USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, RESIDENCY. 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 PROVIDES A BENEFIT FOR OUR COMMUNITY. PART III, LINE 2: THE HOSPITAL RECOGNIZES ITS RESPONSIBILITY TO PROVIDE FOR THE NEEDS OF THE COMMUNITY, REGARDLESS OF PATIENTS' ABILITY TO PAY. IN MANY CASES, PATIENTS ARE UNWILLING OR UNABLE TO PAY AFTER SERVICES HAVE BEEN PROVIDED, EVENTUALLY RESULTING IN BAD DEBT. NEVERTHELESS, IF THESE SERVICES WERE NOT PROVIDED BY THE ORGANIZATION, THE HEALTHCARE NEEDS OF THESE PATIENTS MIGHT NOT OTHERWISE BE FULFILLED WITHIN THE COMMUNITY. THEREFORE, THE ORGANIZATION BELIEVES THAT THE SERVICES NOT PAID FOR SHOULD BE INCLUDED IN COMMUNITY BENEFIT. PART III, LINE 4: ACCOUNTING STANDARD CODIFICATION TOPIC 606, REVENUE FROM CONTRACTS WITH CUSTOMERS HAS CHANGED HOW YAVAPAI RECOGNIZES REVENUE. THE NEW STANDARD REMOVES THE BAD DEBT EXPENSE FROM BEING REPORTED ON THE AUDITED FINANCIAL STATEMENTS. DUE TO THE CHANGE IN REVENUE RECOGNITION YAVAPAI REGIONAL MEDICAL CENTER DOES NOT HAVE A BAD DEBT EXPENSE LISTED IN THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE SHORTFALL FROM MEDICARE SHOULD BE CONSIDERED COMMUNITY BENEFIT TO THE EXTENT THAT THE ORGANIZATION COULD NOT REASONABLY REDUCE ITS COSTS TO A LOWER LEVEL. WHILE HARD TO PROJECT THE POTENTIAL SAVINGS FROM VARIOUS POSSIBLE COST CUTTING MEASURES, IT IS REASONABLE TO ASSUME THAT AT LEAST 50% OF THE SHORTFALL MIGHT NOT OTHERWISE BE RECOVERED THROUGH SAVINGS MEASURES.BECAUSE THE ORGANIZATION IS COMMITTED TO MEETING THE NEEDS OF THE COMMUNITY, ANY PATIENT THAT PRESENTS FOR MEDICAL TREATMENT WHO IS COVERED UNDER MEDICARE WILL BE SERVED, DESPITE THE POTENTIAL DETRIMENTAL IMPACT ON THE ORGANIZATION'S FINANCIALS.WITH RESPECT TO THE SOURCE USED TO DETERMINE THE MEDICARE ALLOWABLE COST ON LINE 6, THE FOLLOWING LINES FROM THE MEDICARE COST REPORT WERE USED: LINE 53 (TOTAL PROGRAM INPATIENT OPERATING COST EXCLUDING CAPITAL RELATED, NON-PHYSICIAN ANESTHETIST, AND MEDICAL EDUCATION COSTS) AND LINE 104 (NET CHARGES FOR ANCILLARY SERVICE COST CENTERS.) PART III, LINE 9B: IF IT WAS NOT KNOWN AT THE POINT OF SERVICE THAT THE PATIENT HAD THE INABILITY TO PAY, THE PATIENT MAY BE SCREENED: 1) BY PHONE OR 2) IN PERSON BY THE CUSTOMER SERVICES REPRESENTATIVE. THE CUSTOMER SERVICE REPRESENTATIVE WILL UTILIZE THE FINANCIAL ASSISTANCE WORKSHEET TO DETERMINE THE PATIENT'S ABILITY/INABILITY TO PAY. IF THE DETERMINATION INDICATES THE PATIENT HAS THE ABILITY TO PAY, OTHER OPTIONS FOR PAYMENTS WILL BE EXPLAINED. IF THERE IS NO ABILITY TO PAY, THEN THE APPLICATION WILL BE SUBMITTED FOR CONSIDERATION. 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 DIGNITY-COMMONSPIRIT 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: WHEN PATIENTS PRESENT FOR ADMISSION, THEY ARE ASKED TO REVIEW AND INITIAL A PATIENT CONSENT FORM. THE PATIENT CONSENT FORM CONTAINS A PARAGRAPH ENTITLED FINANCIAL ASSISTANCE PROGRAMS. THIS PARAGRAPH INDICATES THAT THE PATIENT MAY BE CONSIDERED FOR FINANCIAL ASSISTANCE IF ELIGIBILITY CRITERIA WERE MET. THE PATIENT IS REQUIRED TO INITIAL A BOX NEXT TO THE PARAGRAPH INDICATING THEY HAVE READ IT AND CONSENT. THIS SAME FORM ALSO CONTAINS LANGUAGE REGARDING THE ASSIGNMENT OF BENEFITS IF ELIGIBLE FOR MEDICARE. IN ADDITION TO THE ABOVE, PATIENTS MAY WORK DIRECTLY WITH PATIENT FINANCIAL SERVICES AT THE HOSPITAL TO MAKE PAYMENT ARRANGEMENTS OR APPLY FOR FINANCIAL ASSISTANCE. EDUCATION REGARDING ASSISTANCE GENERALLY OCCURS AS THE NEED ARISES. PART VI, LINE 4: COMMUNITY INFORMATION: YRMC SERVES THE RURAL COMMUNITIES IN THE WESTERN PORTION OF YAVAPAI COUNTY IN NORTHERN ARIZONA. YRMC'S SERVES APPROXIMATELY 175,000 MEN, WOMEN AND CHILDREN LIVING IN AN AREA LARGER THAN THE STATE OF NEW JERSEY.YAVAPAI REGIONAL MEDICAL CENTER 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 2020. 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. IN 2020, 938 BABIES ENTERED THE WORLD AT YRMC'S FAMILY BIRTHING CENTER. IN 2020, OPERATING EXPENSES FOR THE FAMILY BIRTHING CENTER WERE $6,249,249.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.FRC PROVIDES EDUCATION, MOTIVATION, COUNSELING, SUPPORT AND TRAINING FOR THESE FAMILIES. THE FRC STAFF CONSISTS OF TRAINED FAMILY SUPPORT SPECIALISTS WHO MAKE HOME VISITS AND WORK WITH EACH FAMILY IN AN INDIVIDUALIZED CARE PLAN. FRC ALSO PROVIDES OPPORTUNITIES FOR SUPPORT WITH SOCIAL EVENTS TO HELP YOUNG CHILDREN LEARN APPROPRIATE SOCIAL SKILLS AND TO PROVIDE THEIR PARENTS WITH THE ABILITY TO NETWORK WITH OTHER YOUNG MEN AND WOMEN WHO ARE FACING SIMILAR CHALLENGES. FRC ALSO WILL REFER PARENTS TO MENTAL HEALTH CARE RESOURCES WHEN NEEDED. THE FAMILY CARE STAFF REMAINS IN CONSTANT CONTACT WITH EACH FAMILY THROUGHOUT THEIR CHILDREN'S EARLY YEARS. IN 2020, THE FAMILY RESOURCE CENTER PROVIDED 2,278 VISITS TO PARENTS ON HOW TO CARE FOR THEIR NEWBORNS. IN 2020, OPERATING EXPENSES FOR THE FAMILY RESOURCE CENTER WERE $438,658.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.THIS COMPRISES A BRIEF SUMMARY OF THE OUTSTANDING PROGRAMS THAT YRMC PROVIDES TO BENEFIT ALL PEOPLE IN OUR SERVICE AREA. PART VI, LINE 5: 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: YAVAPAI REGIONAL MEDICAL CENTER BECAME PART OF THE COMMONSPIRIT HEALTH SYSTEM EFFECTIVE NOVEMBER 2020.AFFILIATES OF DIGNITY COMMUNITY CARE ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, AND GRASS VALLEY/NEVADA CITY, CALIFORNIA, PHOENIX, CHANDLER AND GILBERT, ARIZONA AND LAS VEGAS AND HENDERSON, NEVADA AND IN 18 ADDITIONAL STATES THROUGH THE ALLIANCE WITHIN COMMONSPIRIT HEALTH SYSTEM. THESE AFFILIATES FOLLOW PRACTICES IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. SCHEDULE H, PART VI, LINE 7 YAVAPAI REGIONAL MEDICAL CENTER DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH THE STATE. 1 YAVAPAI COLLEGE FOUNDATION 1100 E SHELDON ST PRESCOTT AZ 86301 237232985 501(C)(3) 113713 EDUCATION SUPPORT COMMUNITY HEALTH CENTER OF YAVAPAI 1090 COMMERCE DR PRESCOTT AZ 86305 860744955 501(C)(3) 66000 COMMUNITY HEALTH YAVAPAI FOOD BANK PO BOX 4151 PRESCOTT AZ 86302 860709163 501(C)(3) 29000 COMMUNITY HEALTH WEST YAVAPAI GUIDANCE CLINIC FOUNDATION 3343 N WINDSONG DR PRESCOTT VALLEY AZ 86314 860576008 501(C)(3) 25000 COMMUNITY HEALTH PRESCOTT MEALS ON WHEELS 1280 E ROSSER ST PRESCOTT AZ 86301 860417621 501(C)(3) 20000 COMMUNITY HEALTH HUMBOLDT EDUCATION FOUNDATION INC PO BOX 25606 PRESCOTT VALLEY AZ 86312 473592724 501(C)(3) 15000 COMMUNITY HEALTH PRESCOTT MOUNTAIN BIKE ALLIANCE PO BOX 3027 PRESCOTT AZ 86302 272333931 501(C)(3) 10000 COMMUNITY HEALTH CASA SENIOR CENTER 9360 MANZANITA CIR PRESCOTT VALLEY AZ 86314 942866243 501(C)(3) 7500 COMMUNITY HEALTH 8 0 PART I, LINE 2: 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. X X X X 0 1 0 0 0 0 0 1 1 1 LINDA HUNT TRUSTEE (STARTED 11/1/20) 0 670045 0 584837 0 384688 0 397118 0 75636 0 2112324 0 204806 MANSOUR H ASSAR CARDIOLOGIST-INTERVENTIONAL 1450965 0 0 0 2888 0 14250 0 15450 0 1483553 0 0 0 JOHN AMOS CHIEF EXECUTIVE OFFICER 763227 0 161621 0 211631 0 33462 0 25172 0 1195113 0 181271 0 NISHA TUNG-TAKHER ELECTROPHYSIOLOGIST 947566 0 252100 0 656 0 33462 0 28475 0 1262259 0 0 0 SHAYAN ALAM GASTROENTEROLOGIST 533147 0 469912 0 438 0 33750 0 27785 0 1065032 0 0 0 GEORGE T RIZK CARDIOLOGIST-INVASIVE 605078 0 178806 0 2888 0 33462 0 12153 0 832387 0 0 0 ROBERT CANDIPAN CARDIOLOGIST-INTERVENTIONAL 736186 0 0 0 2888 0 14250 0 33785 0 787109 0 0 0 KEITH FREY MD TRUSTEE (STARTED 11/1/20) 0 502547 0 123126 0 27898 0 31131 0 25752 0 710454 0 0 LEE LIVIN CHIEF FINANCIAL OFFICER 313828 0 84200 0 151915 0 133935 0 17961 0 701839 0 85116 0 ANTHONY TORRES CHIEF MEDICAL OFFICER 300076 0 80000 0 132173 0 116567 0 25348 0 654164 0 0 0 FRANK ALMENDAREZ CHIEF ADMIN OFFICER 192258 0 43044 0 89104 0 73490 0 29487 0 427383 0 54448 0 MARK TIMM CHIEF HUMAN RESOURCE OFFICER 184348 0 46004 0 89151 0 70928 0 25581 0 416012 0 52138 0 TIMOTHY ROBERTS CHIEF INFORMATION OFFICER 206142 0 36844 0 66900 0 77384 0 23317 0 410587 0 22546 0 ROBERTA NICOL EXECUTIVE DIRECTOR OF PHILANTHROPY 233279 0 33901 0 68168 0 11113 0 23166 0 369627 0 52216 0 KEITH A NICHOLS CHIEF OPERATING OFF (STARTED 1/14/20 302394 0 0 0 6110 0 5169 0 23235 0 336908 0 82004 0 DIANE DREXLER CHIEF NURSING OFF (THRU 4/3/20) 70739 0 53878 0 116370 0 16343 0 9961 0 267291 0 59936 0 IRENE E CONNOR CHIEF NURSING OFF (STARTED 6/28/20) 193438 0 0 0 7199 0 10553 0 18412 0 229602 0 0 0 PART I, LINE 4B 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, CAO 22,546; 63,134 - TIMOTHY ROBERTS, CIO 82,004; 92,567 - ANTHONY TORRES, CMO 0; 5,169 - KEITH NICHOLS, COO CERTAIN LISTED PERSONS PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED 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 NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS 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 J, PART I, LINE 4A 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. A THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI 860376099 985900DJ5 2001-08-13 33842071 REFUND '03 ISSUE 0 0 0 B THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI 860376099 985900EF2 2016-11-03 47762252 REFUND '97,'02, & '08 ISSUES 0 0 0 C THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI 860376099 985900ES4 2019-06-30 71434271 SEE PART VI 0 0 0 A 11250000 33842071 660341 33181730 2013 1 0 1 1 B 1960000 47762252 477623 319511 46965118 2016 1 0 1 1 C 71434271 1005938 31146042 1 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 1 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED 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 FACILTIES AND EQUIPMENT. FORM 990, PART III, LINE 4A YAVAPAI COMMUNITY HOSPITAL ASSOCIATION DBA YAVAPAI REGIONAL MEDICAL CENTER (YRMC) IS HONORED TO SERVE THE ENTIRE COMMUNITY OF WESTERN YAVAPAI COUNTY. WE CARE FOR EVERYONE 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. CONSIDER THAT IN 2020, 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. IN 2020, YRMC TOUCHED MANY OF THE 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 38 COMMUNITY PRESENTATIONS ON HEALTH TOPICS WITH THE HELP OF VIDEO FOR REMOTE PROGRAMS PEOPLE COULD VIEW FROM THEIR HOMES. THERE WERE 806 YOUTUBE VIEWS OF OUR HEALTHY CONVERSATIONS PRESENTATIONS AND VIDEOS IN 2020. YRMC ALSO OFFERS A PATIENT ASSISTANCE PROGRAM TO HELP PEOPLE WHO HAVE NO INSURANCE OR WHO HAVE LIMITED INSURANCE COVERAGE. 2020 WAS ANOTHER YEAR OF PROVIDING PERSONALIZED CARE TO MANY THOUSANDS OF PEOPLE. FOR EXAMPLE, 938 BABIES WERE BORN IN YRMC'S OBSTETRICS DEPARTMENT. BIRTHING AND BREASTFEEDING CLASSES HOSTED 140 EXPECTANT PARENTS WITH MOST OF THEM PARTICIPATING ONLINE. 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. THIS PROGRAM HAS ALSO PROVIDED BASIC NECESSITIES FOR NEW FAMILIES SUCH AS BABY FORMULA AND DIAPERS. THE FAMILY RESOURCE CENTER PROVIDED PARENTS 2,278 VISITS ON HOW TO CARE FOR THEIR CHILDREN. 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 NIMBLY 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. IN 2020, 843 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 2020. THIS FREE PROGRAM SERVED 2,356 FAMLIES WITH 76,538 MINUTES OF GO NOODLE FUN EXERCISES AT HOME. IN ADDITION 39 SCHOOLS AND 327 TEACHERS PROVIDED THE PROGRAM TO 7,585 STUDENTS IN OUR REGION. IN ADDITION, YRMC PROVIDED MORE THAN 290 MEALS FOR A LOCAL HOUSING SHELTER IN 2020. YRMC ALSO HELPED FINANCIALLY SUPPORT THE NO HUNGRY KIDS INITIATIVE 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 2020, YRMC PROVIDED 217 OPEN HEART AND THORACIC SURGERIES. IN ADDITION, 2,236 CARDIAC CATHETERIZATION, ELECTROPHYSIOLOGY, INTERVENTIONAL CARDIOLOGY AND INTERVENTIONAL RADIOLOGY PROCEDURES WERE PROVIDED. YRMC SURGEONS ALSO PROVIDED 66 TRANSCATHETER AORTIC VALVE REPLACEMENTS (TAVR) AND TRANSCATHETER MITRAL VALVE REPLACEMENTS (TMVR). A VIGOROUS COMMUNITY OUTREACH PROGRAM REACHED THOUSANDS OF PEOPLE IN OUR LOCAL COMMUNITY WITH COMPLIMENTARY, CURRENT HEALTH INFORMATION. THIS INCLUDES A SPEAKERS' - BUREAU SERVICE, PROVIDING 38 PRESENTATIONS FROM YRMC HEALTH PROFESSIONALS ABOUT HEALTH-RELATED TOPICS FOR THE COMMUNITY. DUE TO COVID RESTRICTIONS, MOST OF THOSE WERE PRESENTED ONLINE. YAVAPAI COMMUNITY HOSPITAL ASSOCIATION DBA YAVAPAI REGIONAL MEDICAL CENTER (YRMC) IS HONORED TO SERVE THE ENTIRE COMMUNITY OF WESTERN YAVAPAI COUNTY. WE CARE FOR EVERYONE 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 11,170 INPATIENTS IN 2020. THAT SAME YEAR, NEARLY 60,000 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 THE HIGHEST SUICIDE RATE IN THE STATE. WE CONTINUE TO WORK WITH OTHER COMMUNITY AGENCIES TO ADDRESS THIS CHALLENGE. YRMC'S SOCIAL MEDIA ENGAGEMENT INCREASED AGAIN IN 2020. PEOPLE ENGAGED IN YRMC'S BLOG, HEALTHCONNECT WITH 106,625 CONNECTIONS AND YRMC' S FACEBOOK COMMUNITY INCLUDED 2,530,579 CONNECTIONS. YRMC'S YOUR HEALTHY KITCHEN COMMUNITY HAD 105,104 CONNECTIONS AND THERE WERE 172,100 CONNECTIONS VIA YRMC'S TWITTER COMMUNITY. WEBSITE TRAFFIC TO YRMC.ORG SAW MORE THAN ONE MILLION PAGE VIEWS WITH 293,080 VISITORS. ALL THESE VENUES PROVIDE VALUABLE HEALTH INFORMATION. FORM 990, PART VI, SECTION A, LINE 4 IN NOVEMBER 2020, A CONSOLIDATED AFFILIATE OF COMMONSPIRIT, DIGNITY COMMUNITY CARE ("DCC"), AND YAVAPAI COMMUNITY HOSPITAL ASSOCIATION, DBA YAVAPAI REGIONAL MEDICAL CENTER ("YRMC"), AN ARIZONA NONPROFIT CORPORATION, EFFECTED A BUSINESS COMBINATION WHICH TRANSFERRED THE SOLE MEMBERSHIP OF YRMC AND ITS APPLICABLE SUBSIDIARIES TO DCC FOR NO CASH CONSIDERATION. YRMC OWNS AND OPERATES TWO ACUTE CARE HOSPITALS, A REGIONAL WELLNESS CENTER, AN IMAGING CENTER, A NETWORK OF PRIMARY AND SPECIALTY PHYSICIAN CLINICS, AND A FUNDRAISING FOUNDATION IN THE PRESCOTT, ARIZONA AREA. IN ADDITION TO THE CHANGE OF MEMBERSHIP OUTLINED ABOVE , OTHER SIGNIFICANT CHANGES WERE MADE TO THE ORGANIZATION DOCUMENTS WHICH INCLUDE THE FOLLOWING. - THE SOLE CORPORATE MEMBER, DCC, SHALL HAVE SUCH RIGHTS AND POWERS WITH RESPECT TO THE GOVERNANCE OF THE YRMC. - THE NUMBER OF PERSONS SERVING ON THE YRMC BOARD OF DIRECTORS SHALL CONSIST OF AT LEAST NINE AND NO MORE THAN 21 MEMBERS OF WHICH SHOULD INCLUDE TWO MEMBERS WHO WILL BE APPOINTED BY THE CORPORATE MEMBER. -THE PRESIDENT/CEO OF YRMC, AND YRMC'S CHIEF OF THE MEDICAL STAFF (OR ANOTHER DESIGNATED MEMBER OF YRMC'S EXECUTIVE MEDICAL COMMITTEE) WILL EACH SERVE AS EX OFFICIO VOTING MEMBERS OF THE YRMC BOARD. -UPON DISSOLUTION OR LIQUIDATION OF YRMC, THE BOARD OF DIRECTORS SHALL TRANSFER ALL PROPERTY AND ASSETS OF ANY NATURE OF YRMC TO THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 6 PRIOR TO AFFILIATION WITH COMMONSPIRIT, EACH RESIDENT OF THE CENTRAL YAVAPAI HOSPITAL DISTRICT WHO IS AT LEAST (18) YEARS OF AGE SHALL BE A MEMBER OF THE ASSOCIATION (HOSPITAL) AT HIS WILL AND SHALL BE ELIGIBLE TO CAST ONE VOTE IN PERSON UPON ANY ISSUE PRESENTED AT AN ANNUAL OR SPECIAL MEETING. THERE SHALL BE NO PROXY OR CUMULATIVE VOTING. EFFECTIVE NOVEMBER 1, 2020, THE SOLE MEMBER OF YRMC IS DIGNITY COMMUNITY CARE. FORM 990, PART VI, SECTION A, LINE 7A AND FORM 990, PART VI, SECTION A, LINE 7B: PRIOR TO AFFILIATION WITH COMMONSPIRIT HEALTH (CSH) AS OF 11/1/2020, THE COUNCIL OF ELECTORS (THE COUNCIL) IS CHARGED WITH THE RESPONSIBILITY OF SELECTING INDIVIDUALS FROM THE COMMUNITY TO SERVE ON THE ORGANIZATION'S BOARD OF TRUSTEES. THE COUNCIL IS COMPOSED OF PUBLICLY ELECTED OFFICIALS AND REPRESENTATIVES FROM SELECTED GOVERNMENT AND NON-PROFIT ORGANIZATIONS FROM THROUGHOUT THE COMMUNITY. MEMBERS MUST APPROVE AMENDMENTS TO THE BYLAWS OR ARTICLES OF INCORPORATION. 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 ORGANIZATION, 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 CSH 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. THE ORGANIZATION IS SUBJECT TO THE GOVERNANCE REQUIREMENTS OF THE COMMONSPIRIT HEALTH 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 A, LINE 7B SEE FORM 990, PART VI, SECTION A, LINE 7A AND 7B ABOVE. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S CFO REVIEWED THE FORM 990. IN ADDITION, COMMONSPIRIT HEALTH'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 IN JANUARY OF EACH YEAR, A CONFLICT OF INTEREST FORM AND THE RELATED POLICY ARE SENT TO EACH MEMBER OF THE BOARD OF TRUSTEES, OFFICERS AND DIRECTORS OF THE ASSOCIATION, MANAGERS AND KEY EMPLOYEES, ALL OTHER EXEMPT EMPLOYEES, MEMBERS OF PROFESSIONAL ADVISORY COMMITTEES, AND THE MEDICAL EXECUTIVE COMMITTEE. RECIPIENTS ARE ASKED TO REVIEW THE POLICY AND SIGN THE FORM EACH YEAR AT THIS TIME. IN ADDITION, ALL EXEMPT NEW HIRES ARE ASKED TO REVIEW THE POLICY AND SIGN THE CONFLICT OF INTEREST STATEMENT. THE RETURNED FORMS ARE REVIEWED AND KEPT ON FILE IF NO CONFLICT HAS BEEN IDENTIFIED. IF CONFLICTS ARE IDENTIFIED, THE FORMS ARE SENT TO THE CEO FOR REVIEW. DURING DISCUSSIONS AT BOARD MEETINGS, THOSE WITH CONFLICTS IDENTIFIED THROUGH THIS PROCESS ARE EXCUSED FROM DISCUSSION AND VOTING ON THE RELATED MATTER. AS PART OF THE AFFILIATION, EFFECTIVE NOVEMBER 1, 2020, 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 COVERED PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. THIS POLICY APPLIES TO MEMBERS OF COMMONSPIRIT SYSTEM ENTITIES, CORPORATE BOARDS AND COMMITTEES OF THOSE CORPORATE BOARDS, MEMBERS OF CERTAIN COMMUNITY BOARDS OF COMMONSPIRIT SYSTEM ENTITIES AND MEMBERS OF COMMITTEES OF THOSE COMMUNITY BOARDS, CORPORATE OFFICERS OF COMMONSPIRIT SYSTEM ENTITIES, EMPLOYEES OF COMMONSPIRIT SYSTEM ENTITIES AT THE LEVEL OF VICE PRESIDENT OR ABOVE, AND ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY. PURSUANT TO THE AFORESAID POLICY, DISCLOSURE, REVIEW AND MANAGEMENT OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS AS DESCRIBED BELOW. A. DISCLOSURE OBLIGATIONS: EACH COVERED 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 A COVERED 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. B. CONFLICTS REVIEW: REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY COMMONSPIRIT LEGAL OR COMPLIANCE TEAM MEMBERS. IF IT IS DETERMINED THAT A POTENTIAL OR ACTUAL CONFLICT OF INTEREST MAY EXIST, SUCH ISSUES ARE ELEVATED TO AN APPROPRIATE REVIEW BODY OR INDIVIDUAL, DEPENDING ON THE DISCLOSER'S ORGANIZATIONAL ROLE, FOR DETERMINATION AS TO THE EXISTENCE OF A CONFLICT AND, IF/AS NEEDED, FOR CONFLICT MANAGEMENT: -THE COMMONSPIRIT BOARD CHAIR OR DESIGNEE (E.G., BOARD AUDIT & COMPLIANCE COMMITTEE) - FOR COMMONSPIRIT BOARD, COMMITTEE, AND OFFICER CONFLICTS. -OTHER COMMONSPIRIT CONFLICT OF INTEREST MULTI-DISCIPLINARY REVIEW BODIES OR INDIVIDUALS - IN THE CASE OF OTHER CONFLICTS. C. CONFLICTS DETERMINATION AND MANAGEMENT: SHOULD A CONFLICT OF INTEREST BE DETERMINED TO EXIST, THE APPLICABLE REVIEW BODY OR INDIVIDUAL WILL DETERMINE WHETHER THE CONFLICT CAN BE MANAGED AND, IF SO, WILL IMPLEMENT A CONFLICT MANAGEMENT AND MONITORING PLAN TO PROTECT COMMONSPIRIT'S INTERESTS. IF THE CONFLICT CANNOT BE MANAGED, COMMONSPIRIT MAY REQUIRE THE COVERED PERSON TO ALTER OR END THE RELATIONSHIP THAT CREATES THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B, LINE 15A 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 THE FINANCIAL STATEMENTS ARE SUMMARIZED IN THE ANNUAL REPORT PUBLISHED ON THE ORGANIZATION'S WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC 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 PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 15,997,115. MANAGEMENT AND GENERAL EXPENSES 3,199,423. FUNDRAISING EXPENSES 77,095. TOTAL EXPENSES 19,273,633. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 6,536,909. MANAGEMENT AND GENERAL EXPENSES 1,307,382. FUNDRAISING EXPENSES 31,503. TOTAL EXPENSES 7,875,794. CONSULTING & OTHER PROF FEES: PROGRAM SERVICE EXPENSES 1,888,794. MANAGEMENT AND GENERAL EXPENSES 377,759. FUNDRAISING EXPENSES 9,103. TOTAL EXPENSES 2,275,656. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,223,512. MANAGEMENT AND GENERAL EXPENSES 1,244,702. FUNDRAISING EXPENSES 29,993. TOTAL EXPENSES 7,498,207. FORM 990, PART XI, LINE 9: CHANGE IN SPLIT INTEREST AGREEMENT -117,547. YAVAPAI REG MED CTR PHYSICIAN CARE LLC 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 263257358 MEDICAL SERVICES AZ 410888968 46796349 YRMC NORTH CENTRAL ARIZONA ACCOUNTABLE CARE 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 465648068 MEDICAL SERVICES AZ 68799 2857 YRMC PRESCOTT MEDICAL IMAGING 801 WHIPPLE STREET PRESCOTT AZ 86301 770603441 MEDICAL SERVICES AZ 24755609 0 YRMC 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 - 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 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