VERDE VALLEY MEDICAL CENTER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- VERDE VALLEY MEDICAL CENTER (EIN 86-0100882)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-17
- IRS object ID
- 202131379349304068
- Schema version
- 2019v5.1
- 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 | 2021-05-17T16:04:52-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 E WASHINGTON ST STE 910 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860100882 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERDE VALLEY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % WILLIE FELTS | InCareOfNm |
| Business Name Control | VERD | BusinessNameControlTxt |
| Phone | 9286396442 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 269 SOUTH CANDY LANE | AddressLine1Txt |
| City | COTTONWOOD | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86326 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CLIFFORD LOADER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9282143545 | PhoneNum |
| Signature | 2021-05-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PATRICK SHIELDS | PreparerPersonNm |
| PTIN | P01508556 | PTIN |
| Phone | 6023223000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | FLORENCE L SPYROW | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 N BEAVER | AddressLine1Txt |
| City | FLAGSTAFF | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $172,983,903 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NAHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1939 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | IMPROVING HEALTH, HEALING PEOPLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 79 | TotalVolunteersCnt |
| Total Gross UBI | $422,342 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $231,169 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,411,977 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $152,905,971 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $155,852,092 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,366,013 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,760,073 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,532,188 | PYOtherRevenueAmt |
| CY Other Revenue | $3,959,761 | CYOtherRevenueAmt |
| PY Total Revenue | $171,035,341 | PYTotalRevenueAmt |
| CY Total Revenue | $172,983,903 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $195,275 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $272,234 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $64,793,305 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $65,697,544 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $66,601,321 | PYOtherExpensesAmt |
| CY Other Expenses | $71,019,692 | CYOtherExpensesAmt |
| PY Total Expenses | $131,589,901 | PYTotalExpensesAmt |
| CY Total Expenses | $136,989,470 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $39,445,440 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $35,994,433 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $342,075,199 | TotalAssetsBOYAmt |
| Total Assets EOY | $391,874,841 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $81,100,867 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $111,883,175 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $260,974,332 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $279,991,666 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | IMPROVING HEALTH, HEALING PEOPLE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $110,002,464 | ExpenseAmt |
| Grant | $272,234 | GrantAmt |
| Revenue | $145,397,448 | RevenueAmt |
| Desc | TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY THROUGH INPATIENT, OUTPATIENT AND EMERGENCY HOSPITAL CARE AND RELATED MEDICAL SERVICES, CHARITY CARE AND COMMUNITY SERVICE. TOTAL INPATIENT DISCHARGES WERE 4,764 AND 15,973 PATIENT DAYS. OUTPATIENT VISITS APPROXIMATED 623,414 AND 22,752 EMERGENCY visits. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,041,355 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $14,306,503 | RevenueAmt |
| Desc | TO PROVIDE EMERGENCY SERVICES, CANCER TREATMENT, AND OTHER ANCILLARY SERVICES TO THE COMMUNITY THROUGH THE OPERATION OF THE VERDE VALLEY MEDICAL CENTER SEDONA CAMPUS. EMERGENCY VISITS WERE 5,773. RADIATION ONCOLOGY PROCEDURES WERE 13,131. MEDICAL IMAGING PROCEDURES WERE 12,055. LABORATORY PROCEDURES WERE 29,899. PHYSICAL THERAPY VISITS WERE 42,383. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $117,043,819 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | Yes (true) | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 156 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIE FELTS | PersonNm |
| Phone | 9282143545 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1120 W UNIVERSITY AVE 2ND FLOOR | AddressLine1Txt |
| City | FLAGSTAFF | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| FLORENCE SPYROW | ||||||||||
| NAH PRESIDENT/CEO | 6.0 | 34.0 | Yes (X) | Yes (X) | $0 | $824,984 | $17,092 | |||
| CAROLE PEET | ||||||||||
| CHIEF ADMINISTRATIVE OFFICER | 34.0 | 6.0 | Yes (X) | $0 | $482,724 | $18,742 | ||||
| ROBERT THAMES | ||||||||||
| FORMER NAH PRESIDENT/CEO | 0.0 | 0.0 | $0 | $470,767 | $0 | Yes (X) | ||||
| CLIFFORD LOADER | ||||||||||
| NAH CFO (AS OF 8/19) | 8.0 | 32.0 | Yes (X) | $0 | $331,571 | $5,629 | ||||
| HU BLAKE | ||||||||||
| FORMER CMI | 0.0 | 0.0 | $0 | $286,843 | $19,193 | Yes (X) | ||||
| RUSSELL DILTS | ||||||||||
| DIRECTOR ONCOLOGY | 40.0 | 0.0 | $0 | $261,704 | $33,394 | Yes (X) | ||||
| LORI GREEN | ||||||||||
| CHIEF NURSING OFFICER | 20.0 | 20.0 | $0 | $249,219 | $38,445 | Yes (X) | ||||
| CHERYL CHASE | ||||||||||
| MANAGER - PHARMACY OPERATIONS | 40.0 | 0.0 | $0 | $187,017 | $34,216 | Yes (X) | ||||
| DEBORAH ASHBY | ||||||||||
| ADMINISTRATIVE COORDINATOR | 40.0 | 0.0 | $0 | $170,883 | $39,376 | Yes (X) | ||||
| SHEA HERMES | ||||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | $0 | $168,400 | $20,292 | Yes (X) | ||||
| JON COOK | ||||||||||
| DIRECTOR REHABILITATION SVCS | 40.0 | 0.0 | $0 | $169,437 | $18,198 | Yes (X) | ||||
| JEFFREY TREASURE | ||||||||||
| FORMER OFFICER | 0.0 | 0.0 | $0 | $142,704 | $12,467 | Yes (X) | ||||
| ALICE GAGNAIRE RN | ||||||||||
| DIRECTOR/CHAIR | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JANET CORRIGAN | ||||||||||
| DIRECTOR/VICE CHAIR | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SHAWN ORME | ||||||||||
| DIRECTOR/SECRETARY (thru 9/19) | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM JEFFERS | ||||||||||
| DIRECTOR/TREASURER | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RANDALL GARRISON | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLES MARR | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL MARTINELL | ||||||||||
| DIRECTOR (AS OF 10/19) | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| ELIZABETH MCFARLAND | ||||||||||
| DIRECTOR (THRU 9/19) | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM RILEY | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN RIVERS | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| KENNETH SALCE MD | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| RAY SELNA | ||||||||||
| DIRECTOR (thru 9/19) | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| JENNIFER WESSELHOFF | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| GUADALUPE WOODSON FNP | ||||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,746,253 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $257,044 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HEALTHCARE SELECT | |||||
| DEPT LA 24465 | PASADENA | CA | 911854465 | CONTRACT LABOR | $1,792,345 |
| CAREFUSION SOLUTIONSPYXIS | |||||
| 25082 NETWORK PLACE | CHICAGO | IL | 606731250 | MEDICAL EQUIPMENT | $1,375,512 |
| MAYO COLLABORATIVE SERVICES | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 554809146 | LABORATORY SERVICES | $739,488 |
| CRITICAL CARE CONSULTANTS PLLC | |||||
| PO BOX 967 | FLAGSTAFF | AZ | 86002 | MEDICAL SERVICES | $643,504 |
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 753972651 | STAFFING SERVICES | $366,931 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,411,977 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Total Contributions | $3,411,977 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT SERVICES REVENUE | 622110 | $140,614,399 | $140,614,399 | $0 | $0 |
| LABORATORY SERVICES | 621500 | $10,204,300 | $10,186,976 | $17,324 | $0 |
| LABORATORY PATHOLOGY SERVICES | 621500 | $4,628,375 | $4,628,375 | $0 | $0 |
| PHARMACY RETAIL | 446110 | $405,018 | $0 | $405,018 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $155,852,092 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,758,903 | TotalRevenueColumnAmt |
| Exclusion | $5,758,903 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $107,902 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $107,902 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $107,902 | TotalRevenueColumnAmt |
| Exclusion | $107,902 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,763,770 | SecuritiesAmt |
| Other | $237,400 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,763,770 | SecuritiesAmt |
| Other | $237,400 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,001,170 | TotalRevenueColumnAmt |
| Exclusion | $4,001,170 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA SALES | 722514 | $879,918 | $879,918 | $0 | $0 |
| GIFT SHOP SALES | 900099 | $62,520 | $62,520 | $0 | $0 |
| 340B REVENUE | 446110 | $63,287 | $63,287 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,846,134 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,846,134 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,851,859 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $172,983,903 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $159,281,609 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $422,342 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,867,975 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,234 | TotalAmt |
| Program Services | $272,234 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $665,140 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $665,140 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,613,221 | TotalAmt |
| Program Services | $42,316,737 | ProgramServicesAmt |
| Management And General | $9,296,484 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,958,996 | TotalAmt |
| Program Services | $1,570,101 | ProgramServicesAmt |
| Management And General | $388,895 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,956,322 | TotalAmt |
| Program Services | $6,376,851 | ProgramServicesAmt |
| Management And General | $1,579,471 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,503,865 | TotalAmt |
| Program Services | $2,808,286 | ProgramServicesAmt |
| Management And General | $695,579 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,500 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $12,500 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,890 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $125,890 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,180 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $5,180 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,244,916 | TotalAmt |
| Program Services | $4,274,876 | ProgramServicesAmt |
| Management And General | $2,970,040 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,139 | TotalAmt |
| Program Services | $3,042 | ProgramServicesAmt |
| Management And General | $6,097 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,586,463 | TotalAmt |
| Program Services | $4,867,203 | ProgramServicesAmt |
| Management And General | $1,719,260 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,552,939 | TotalAmt |
| Program Services | $1,522,250 | ProgramServicesAmt |
| Management And General | $30,689 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,849 | TotalAmt |
| Program Services | $44,616 | ProgramServicesAmt |
| Management And General | $108,233 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,038,716 | TotalAmt |
| Program Services | $765,206 | ProgramServicesAmt |
| Management And General | $273,510 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,485,616 | TotalAmt |
| Program Services | $7,380,135 | ProgramServicesAmt |
| Management And General | $1,105,481 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,167,167 | TotalAmt |
| Program Services | $993,219 | ProgramServicesAmt |
| Management And General | $173,948 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $24,717,953 | $24,717,953 | $0 | $0 |
| EXP REIMBURSEMENT TO NAH | $17,968,766 | $17,318,792 | $649,974 | $0 |
| MEDICAL PURCHASE SERVICES | $1,625,517 | $1,625,517 | $0 | $0 |
| OTHER FEES AND TAXES | $124,847 | $5,093 | $119,754 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,234 | TotalAmt |
| Program Services | $181,708 | ProgramServicesAmt |
| Management And General | $19,526 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,989,470 | TotalAmt |
| Program Services | $117,043,819 | ProgramServicesAmt |
| Management And General | $19,945,651 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,015 | BOYAmt |
| EOY | $6,015 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,856,362 | BOYAmt |
| EOY | $87,015,024 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,843,668 | BOYAmt |
| EOY | $20,971,771 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,209,697 | BOYAmt |
| EOY | $3,983,463 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,803,895 | BOYAmt |
| EOY | $1,524,633 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $230,158,718 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $137,904,018 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,584,108 | BOYAmt |
| EOY | $92,254,700 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,243,650 | BOYAmt |
| EOY | $181,299,630 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,122,279 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,170,525 | BOYAmt |
| EOY | $4,819,605 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $342,075,199 | BOYAmt |
| EOY | $391,874,841 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,252,348 | BOYAmt |
| EOY | $13,132,501 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $27,979,264 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,407,764 | BOYAmt |
| EOY | $43,294,287 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,440,755 | BOYAmt |
| EOY | $27,477,123 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,100,867 | BOYAmt |
| EOY | $111,883,175 | 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 | $260,974,332 | BOYAmt |
| EOY | $279,991,666 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $260,974,332 | BOYAmt |
| EOY | $279,991,666 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $342,075,199 | BOYAmt |
| EOY | $391,874,841 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $35,994,433 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,724,416 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$14,252,683 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $0 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $5,180 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,180 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | VERDE VALLEY MEDICAL CENTER PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION, THE AMERICA'S ESSENTIAL HOSPITALS AND THE HEALTH SYSTEM ALLIANCE OF ARIZONA. A PERCENTAGE OF THIS AMOUNT, TOTALING $5,180, WAS ESTIMATED TO BE ATTRIBUTABLE TO LOBBYING RELATED TO HEALTHCARE ADVOCACY AT THE FEDERAL, STATE, REGIONAL, AND LOCAL LEVELS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,744,202 | OtherCostOrOtherBasisAmt |
| Book Value | $4,744,202 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $127,056,026 | OtherCostOrOtherBasisAmt |
| Depreciation | $73,898,689 | DepreciationAmt |
| Book Value | $53,157,337 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,014,335 | OtherCostOrOtherBasisAmt |
| Depreciation | $887,401 | DepreciationAmt |
| Book Value | $126,934 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,998,425 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,961,762 | DepreciationAmt |
| Book Value | $17,036,663 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,345,730 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,156,166 | DepreciationAmt |
| Book Value | $17,189,564 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $92,254,700 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| MINIMUM PENSION LIABILITY | $24,491,325 |
| INSURANCE DEDUCTIBLE RES-LT | $8,218,901 |
| GAAP PRESENTATION OF INS CLAIMS | $487,516 |
| OPERATING LEASE LIAB-NON-CURRENT | $386,527 |
| CLAIMS MALPRACTICE | -$6,107,146 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $27,477,123 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE CORPORATION IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION'S MANAGEMENT IS NOT AWARE OF ANY EVENTS THAT WOULD CAUSE THE CORPORATION TO LOSE ITS TAX-EXEMPT STATUS. MANAGEMENT HAS REVIEWED ALL OPEN TAX YEARS AND HAS DETERMINED THAT THE CORPORATION HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | false | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,180,217 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,180,217 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,102,197 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,466,193 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,636,004 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06300 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,282,414 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,466,193 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,816,221 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09300 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,282,414 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,466,193 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,816,221 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09300 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,603,913 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $7,587,657 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $44,930,742 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $40,310,930 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $4,619,812 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERDE VALLEY MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 269 S CANDY LANE | AddressLine1Txt |
| City | COTTONWOOD | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86326 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://NAHEALTH.COM | WebsiteAddressTxt |
| State License | H0122 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERDE VALLEY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCH H, PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SCH H, PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Sch H, Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Sch H, Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SCH H, PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | As part of the Community Health Needs Assessment, a focus group was held in 2019 collaboration with Coconino County Health and Human Services and Yavapai County Community Health Services as part of their Community Health Improvement Plans. The focus group included key informants in the community, such as: representatives from public health; physicians; other health professionals; social service providers; and other community leaders. Agencies represented were: Coconino County CHIP Access to Care Group: North Country Healthcare, Flagstaff Unified School District, Northern Arizona University, Native Americans for Community Action, Northern Arizona Regional Behavioral Health Authority, Highlands Fire District, Salvation Army, United Way of Northern Arizona, Northern Arizona Counsel on Aging, First Things First, Flagstaff Family Food Bank, and Northern Arizona Intergovernmental Public Transportation Authority. Yavapai County CHIP Group: Yavapai Justice & Mental Health Coalition, Spectrum Healthcare, Cottonwood-Oak Creek Unified School District, NAMI Sedona, NAMI Yavapai, Care 1st, Family Involvement Center, Expect More AZ, NACOG-AAA, Verde Valley Caregivers, Alzheimer's Association, and First Things First. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Participants included a representative of public health, as well as several individuals who work with low-income, minority or other medically underserved populations, and those who work with persons with chronic disease conditions. Written comments were solicited by the groups and individuals listed above, as well as the communities served at large through a Survey Monkey instrument. Community members are encouraged to provide feedback and input for our prior and current Community Health Needs Assessment and Implementation Plan. Comments may be emailed to: PublicRelations@nahealth.com. |
| SCHEDULE H, PART V, SECTION B, LINE 6a | THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN CONJUNCTION WITH ITS RELATED HOSPITAL FACILITY, FLAGSTAFF MEDICAL CENTER. SCHEDULE H, PART V, SECTION B, LINE 7A AND 10 THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND 2019 IMPLEMENTATION STRATEGY ARE AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://NAHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| SCHEDULE H, PART V, SECTION B, LINE 11 | NAH RANKED IDENTIFIED HEALTH ISSUES AGAINST THE FOLLOWING ESTABLISHED, UNIFORM CRITERIA: . MAGNITUDE. THE NUMBER OF PERSONS AFFECTED, ALSO TAKING INTO ACCOUNT VARIANCE FROM BENCHMARK DATA AND HEALTHY PEOPLE TARGETS. . IMPACT/SERIOUSNESS. THE DEGREE TO WHICH THE ISSUE AFFECTS OR EXACERBATES OTHER QUALITY OF LIFE AND HEALTH-RELATED ISSUES. . FEASIBILITY. THE ABILITY TO REASONABLY IMPACT THE ISSUE, GIVEN AVAILABLE RESOURCES. . CONSEQUENCES OF INACTION. THE RISK OF NOT ADDRESSING THE PROBLEM AT THE EARLIEST OPPORTUNITY. . PRIORITIZATION RESULTS AREAS OF OPPORTUNITY IDENTIFIED THROUGH THIS ASSESSMENT: ACCESS TO HEALTH SERVICES NAH HAS WORKED CONSISTENTLY SINCE 2016 TO IMPROVE ACCESS TO CARE, AS HAVE OTHER HEALTHCARE PROVIDERS. COMMUNITY MEMBERS CONTINUE TO CONSISTENTLY EXPRESS CONCERN ABOUT ACCESS. THEREFORE, THIS IS STILL A PRIORITY FOR THE 2019 CHNA. . ADULT OVERALL HEALTH STATUS . COST AS A BARRIER TO PHYSICIAN VISITS . COST AS A BARRIER TO PHYSICIAN VISITS . DIFFICULTY ACCESSING HEALTHCARE . DIFFICULTY ACCESSING HEALTHCARE . INSURANCE INSTABILITY FOR ADULTS AND CHILDREN . LACK OF ACCESS TO AFFORDABLE HEALTH INSURANCE . LACK OF LOCAL SPECIALISTS (ENDOCRINOLOGIST, NEUROLOGIST, PEDIATRIC) . PROVIDERS (PHYSICIAN/ STAFF) SEEN AS UNCARING, LONG WAIT FOR APPOINTMENTS . ROUTINE CHECKUPS (ADULTS) . ROUTINE CHECKUPS (ADULTS) . TRANSPORTATION RESOURCES AVAILABLE FOR ACCESS TO HEALTH SERVICES (INCLUDING TRANSPORTATION AS A BARRIER) . ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (AHCCCS) . CAMP VERDE UNIFIED SCHOOL DISTRICT . COCONINO COUNTY HEALTH & HUMAN SERVICES . COMMUNITY HEALTH CENTER OF YAVAPAI (FQHC) . COTTONWOOD - OAK CREEK SCHOOL DISTRICT . FLAGSTAFF MEDICAL CENTER . FLAGSTAFF SHELTER SERVICES . FLAGSTAFF UNIFIED SCHOOL DISTRICT . GUARDIAN MEDICAL TRANSPORT . HIGHLANDS FIRE DISTRICT . HOSPICE COMASSUS . INDEPENDENT PROVIDERS . LHC GROUP . LYFT . MINGUS HIGH SCHOOL DISTRICT . MOUNTAIN LINE BUS SYSTEM . NATIVE AMERICANS FOR COMMUNITY ACTION . NORTHCOUNTRY HEALTH CARE (FQHC) . NORTHERN ARIZONA HEALTHCARE MEDICAL GROUP . NORTHERN ARIZONA UNIVERSITY HEALTH SERVICES . NORTHLAND HOSPICE . POORE MEDICAL CLINIC . SACRED PEAKS HEALTH CENTER . SEDONA - OAK CREEK UNIFIED SCHOOL DISTRICT . SEDONA FIRE DEPARTMENT . SPECTRUM HEALTHCARE . UBER . VERDE VALLEY AMBULANCE . VERDE VALLEY CAREGIVERS . VERDE VALLEY CATLINE . VERDE VALLEY MEDICAL CENTER . YAVAPAI COUNTY DEPARTMENT OF HEALTH SERVICES ACTIONS/CHANGES FOR ACCESS TO HEALTHCARE SINCE 2016 CHNA . IDENTIFIED PATIENT POPULATIONS ARE ENROLLED IN COMMUNITY CARE MANAGEMENT AT FMC AND VVMC . NORTHERN ARIZONA HEALTHCARE MEDICAL GROUP PRIMARY CARE CLINICS HAVE INCREASED THE NUMBER OF PROVIDERS TO PROVIDE PRIMARY AND PREVENTIVE HEALTHCARE SERVICES. 1. SAME DAY APPOINTMENTS ARE OFFERED BY FMC AND VVMC PRIMARY CARE OFFICES 2. FMC AND VVMC PRIMARY CARE OFFICES OFFER EXTENDED HOURS TO IMPROVE ACCESS 3. NAH IS IN PARTNERSHIP WITH PATHFINDERHEALTH ACO TO SUPPORT INDEPENDENT PROVIDERS TO INCREASE ACCESS TO THEIR PRACTICES IN THE FMC AND VVMC MARKETS . INSURANCE/PAYOR REGISTRATION SUPPORT FOR FMC AND VVMC PATIENTS . FMC AND VVMC PROVIDE MEDICAL DIRECTION AND SUPPORT FOR COMMUNITY INTEGRATED PARAMEDICINE . FMC AND VVMC PROVIDE REMOTE PATIENT MONITORING FOR PATIENTS MENTAL HEALTH & MENTAL DISORDERS MANY MENTAL HEALTH ISSUES TAKE LONGER THAN 3 YEARS TO CHANGE ON A POPULATION BASIS. THEREFORE, THIS IS STILL A PRIORITY FOR THE 2019 CHNA. . SUICIDES . VIOLENT DEATHS (INCLUDING FIREARM-RELATED DEATHS, HOMICIDE & SUICIDE) . LACK OF ACCESS TO BEHAVIORAL HEALTH CARE RESOURCES AVAILABLE FOR MENTAL HEALTH & MENTAL DISORDERS . Alcoholics Anonymous . Back2Basics . Catholic Social Services . Child Family Services . Community Mental Health First Aid . Cottonwood County Drug Task Force . Flagstaff Medical Center - Behavior Health Services . Health Choice Integrated Care . Independent Providers . MATFORCE . National Alliance on Mental Illness . Native Americans for Community Action . NORTH COUNTRY HEALTHCARE BEHAVIORAL HEALTH . NORTHERN ARIZONA REGIONAL BEHAVIORAL HEALTH AUTHORITY . NORTHERN ARIZONA UNIVERSITY COUNSELING SERVICES . NORTHERN ARIZONA UNIVERSITY HEALTH AND PSYCHOLOGY CENTER . SOUTHWEST BEHAVIORAL HEALTH . SOUTHWEST BEHAVIORAL HEALTH SERVICES . SPECTRUM HEALTHCARE . THE GUIDANCE CENTER . VERDE VALLEY GUIDANCE CLINIC . VERDE VALLEY MEDICAL CENTER ACTIONS/CHANGES FOR MENTAL HEALTH SINCE 2016 CHNA . VVMC PARTNERS WITH SPECTRUM HEALTH FOR A COMMUNITY FOCUSED APPROACH TO PATIENTS ARRIVING IN THE ED WITH MENTAL HEALTH NEEDS . FMC AND VVMC ARE INTEGRATING BEHAVIORAL HEALTH INTO PRIMARY CARE . MENTAL HEALTH MATTERS COLLABORATION IN FLAGSTAFF (FMC) . COCONINO JUSTICE COALITION (CJCC): LEGAL ISSUES WITH MENTALLY ILL (FMC) . AA GROUP MEETINGS ON BHU (FMC) . CRISIS CALLS FROM COMMUNITY: INTAKE / REFERRALS (FMC/VVMC) . FOR FLAGSTAFF POLICE DEPARTMENT (FMC) 1. DE-ESCALATION SKILL TRAINING 2. CIT: CRISIS INTERVENTION TRAINING . NACA: SUICIDE PREVENTION GRANT COLLABORATION (FMC) . HEALTH FAIRS (FMC AND VVMC) . SCREENINGS (FMC AND VVMC PRIMARY CARE CLINICS) 1. DEPRESSION 2. SUBSTANCE ABUSE . INTERNAL / EXTERNAL TO NAH DEBRIEFING CRISIS INTERVENTION (FMC/VVMC) . DUI/DRUG COURT TREATMENT PROGRAMS (FMC) . MENTAL HEALTH / VETERAN COURT HEARINGS (FMC) . TITLE 36 (ED INTAKE) - SHORT TERM CRISIS (FMC/VVMC) . TRAUMA START: SCREENINGS AND BRIEF INTERVENTION / ASSESSMENT (FMC) 1. REFERRALS AT DISCHARGE FOR PATIENTS WITH ALCOHOL AND DRUG USE ISSUES . TALKS AND PRESENTATIONS FOR COMMUNITY GROUPS (FMC) . RN AND SW STUDENTS ROTATE THROUGH DEPARTMENT (FMC) . CPI TRAINING (DE-ESCALATION) FOR SITTERS AND ED STAFF (FMC/VVMC) . MENTAL HEALTH AND SUBSTANCE ABUSE INFORMATION FOR NEW GRADS (FMC/VVMC) . PROVIDE MEETING SITE FOR MONTHLY NATIONAL ASSOCIATION OF SUBSTANCE ABUSE COUNSELORS (NASAC) MEETINGS (FMC) . FMC/VVMC OFFER MENTAL HEALTH FIRST AID TRAINING TO EMPLOYEES AND COMMUNITY MEMBERS . FMC IS A SUPPORTING MEMBER OF "STRONGER AS ONE" COLLABORATION - WHICH IS AN OUTCOME OF THE 2017 CHNA. . Chronic Disease . Chronic disease are, by nature, health issues that take longer than 3 years to change on a population basis. Therefore, this is still a priority for the 2019 CHNA. . Cancer . Cardiovascular Disease . Cirrhosis/Liver Disease . Diabetes . Obesity . Osteoporosis/Arthritis . Respiratory Health . Resources available for Chronic Disease . Arizona Health Care Cost Containment System (AHCCCS) . Bountiful Baskets . Camp Verde Unified School District . Coconino County Health & Human Services . Community Health Center of Yavapai (FQHC) . Cornucopia Food Pantry . Cottonwood - Oak Creek School District . Fit Kids of Arizona . Flagstaff Community Supported Agriculture Project . Flagstaff Medical Center . Flagstaff Shelter Services . Flagstaff Unified School District . Guardian Medical Transport . HIGHLANDS FIRE DISTRICT . HOSPICE COMASSUS . INDEPENDENT PROVIDERS . LOCAL FARMER'S MARKETS . NATIVE AMERICANS FOR COMMUNITY ACTION . NORTHCOUNTRY HEALTH CARE (FQHC) . NORTHERN ARIZONA HEALTHCARE MEDICAL GROUP . NORTHERN ARIZONA UNIVERSITY HEALTH SERVICES . NORTHLAND HOSPICE . POORE MEDICAL CLINIC . SACRED PEAKS HEALTH CENTER . SEDONA - OAK CREEK UNIFIED SCHOOL DISTRICT . SEDONA FIRE DEPARTMENT . SPECTRUM HEALTHCARE . ST. MARY'S FOOD BANK . VERDE VALLEY AMBULANCE . VERDE VALLEY CAREGIVERS . VERDE VALLEY MEDICAL CENTER . YAVAPAI COUNTY DEPARTMENT OF HEALTH SERVICES . YMCA ACTIONS/CHANGES FOR CHRONIC DISEASE SINCE 2016 CHNA . FOOD IS MEDICINE FOR DIABETES COMMUNITY EDUCATION CLASSES AT FMC AND VVMC . HEALTHY BASICS EATING CLASS AT FMC AND VVMC . CHEF COOKING DEMO'S AT FMC . FMC REFERS PATIENTS TO THE CANCER SUPPORT COMMUNITY PROGRAMS . FREEDOM FROM SMOKING PROGRAM- OFFERED AT VVMC- OPEN TO THE COMMUNITY . SUPPORT GROUPS FOR CHRONIC DISEASE AT VVMC AND FMC . COMPREHENSIVE CARE MANAGEMENT AT VVMC AND FMC . PATHFINDERHEALTH ACO CARE PROCESS MODELS AT VVMC AND FMC . COMMUNITY SCREENINGS FOR CVD AND DIABETES IN THE VVMC AND FMC COMMUNITIES . FMC AND VVMC OFFER DIABETES EDUCATION AND SUPPORT . VVMC OFFERS CARDIAC REHAB AND PULMONARY WELLNESS . FMC AND VVMC ARE DEVELOPING PLANS FOR SUSTAINABLE GROWTH TO EXPAND CHRONIC CARE SERVICE LINES TO THE COMMUNITY . PARTNERING WITH INDIAN HEALTH TO SUPPORT CANCER CARE ON RESERVATIONS SCHEDULE H, PART V, SECTION B, LINE 13B ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON THE INCOME AND FAMILY SIZE OF THE PATIENT/GUARANTOR. INCOME LEVELS ARE BASED ON THE FEDERAL POVERTY LEVELS ("FPL") PUBLISHED BY THE FEDERAL REGISTER ANNUALLY. HOUSEHOLD MEMBERS ARE DEFINED AS ALL DEPENDENTS AND ADULTS PRESIDING WITH THE PATIENT. APPLICANTS WITH HOUSEHOLD INCOME OF 400% OF FPL OR LOWER MAY RECEIVE FINANCIAL ASSISTANCE BASED UPON A TIERED DISCOUNT. |
| SCHEDULE H, PART V, SECTION B, LINES 16A-C | THE FINANCIAL ASSISTANCE POLICY ("FAP"), PLAIN LANGUAGE SUMMARY AND APPLICATION ARE AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://NAHEALTH.COM/PATIENT-RIGHTS-POLICIES/FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| VVMC SEDONA CAMPUS | ||||
| 3700 WEST HIGHWAY 89A | SEDONA | AZ | 86366 | EMERGENCY SERVICE, LAB, RADIOLOGY, PHYSICIAN OFFICES |
| VVMC MEDICAL OFFICE BUILDING | ||||
| 294 WEST HIGHWAY 89A | COTTONWOOD | AZ | 86326 | PHYSICIAN OFFICES, VVMIC RADIOLOGY |
| VVMC CAMP VERDE CAMPUS | ||||
| 1298 WEST FINNIE FLAT RD | CAMP VERDE | AZ | 86322 | PHYSICIAN OFFICES, LAB, RADIOLOGY, PHYSICAL THERAPY |
| ENTIRECARE REHAB SPORT MED - SEDONA | ||||
| 35 DRY CREEK ROAD | SEDONA | AZ | 86366 | PHYSICAL THERAPY |
| ENTIRECARE REHAB SPORT MEDICINE - VOC | ||||
| 6560 HIGHWAY 179 SUITES 118 120 | VILLAGE OF OAK CREEK | AZ | 86351 | PHYSICAL THERAPY |
| VVMC MEDICAL OFFICE BLDG - VOC | ||||
| 61 BELL ROCK PLAZA SUITE A B C | VILLAGE OF OAK CREEK | AZ | 86351 | PHYSICIAN OFFICES, LAB |
| NAHMG-MANZANITA BLDG | ||||
| 450 S WILLARD ST STE 101 | COTTONWOOD | AZ | 86326 | PHYSICIAN OFFICE |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3A AND 3B | EXPLANATION FOR VARIOUS PERCENTAGES USED: 200% OF THE FEDERAL POVERTY LEVEL ("FPL") = 100% CHARITY WRITE-OFF. 201-250% OF FPL = 75% CHARITY WRITE-OFF. 251-300% OF FPL = 50% WRITE-OFF. 301-350% OF FPL = 25% WRITE-OFF. 351-400% OF FPL = 15% WRITE-OFF. SCHEDULE H, PART I, LINE 3C CHARITY CARE INCOME LEVELS ARE BASED ON THE FEDERAL POVERTY GUIDE PUBLISHED IN THE FEBRUARY FEDERAL REGISTER ON AN ANNUAL BASIS. A TIERED METHOD IS UTILIZED FOR DETERMINING WHETHER A PATIENT IS ELIGIBLE FOR 100%, 75%, 50%, 25%, OR 15% WRITE-OFF OF THE SELF-PAY BALANCE. SCHEDULE H, PART I, LINE 6A THE INFORMATION FOR THE COMMUNITY BENEFITS REPORT IS GATHERED BY THE COMMUNITY RELATIONS DEPARTMENT WHICH IS A DEPARTMENTS OF NORTHERN ARIZONA HEALTHCARE. FLAGSTAFF MEDICAL CENTER AND VERDE VALLEY MEDICAL CENTER ARE IDENTIFIED SEPARATELY ON THESE REPORTS. THE COMMUNITY BENEFIT REPORT IS AVAILABLE AT: HTTPS://NAHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART I, LINE 7 VERDE VALLEY MEDICAL CENTER USED A COST-TO-CHARGE RATIO, WHERE APPLICABLE, TO CALCULATE THE MOST ACCURATE COST OF CHARITY CARE AND OTHER COMMUNITY BENEFITS REPORTED IN LINE 7. SCHEDULE H, PART II COMMUNITY BUILDING IS A FOCUS AT VERDE VALLEY MEDICAL CENTER. COMMUNITY BUILDING IS ADVANCED BY VERDE VALLEY MEDICAL CENTER THROUGH ITS SUPPORT OF PHYSICIAN RECRUITMENT AND WORK WITH VARIOUS COMMUNITY ORGANIZATIONS, INCLUDING LOCAL SCHOOLS, THE COTTONWOOD AND SEDONA CHAMBER OF COMMERCE, AND THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION. SCHEDULE H, PART III, LINE 2 THE COSTING METHODOLOGY USED TO DETERMINE THE BAD DEBT COST COMES FROM THE PERCENTAGE CALCULATED IN SCHEDULE H, PART I, WORKSHEET 2. SCHEDULE H, PART III, LINE 3 VERDE VALLEY MEDICAL CENTER'S CALCULATION OF FINANCIAL ASSISTANCE COST IS BASED ON ACTUAL FINANCIAL ASSISTANCE WRITE-OFFS BY THE BUSINESS OFFICE MULTIPLIED BY THE COST-TO-CHARGE RATIO. ALL OF THE FINANCIAL ASSISTANCE WRITE-OFFS ARE ATTRIBUTABLE TO PATIENTS WHO QUALIFIED UNDER THE FINANCIAL ASSISTANCE POLICY. AS A NOT-FOR-PROFIT ENTITY, SERVICES ARE PROVIDED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND MAKING THIS AVAILABLE TO THE COMMUNITY QUALIFIES BAD DEBT AS A COMMUNITY BENEFIT. |
| SCHEDULE H, PART III, LINE 4 | FOOTNOTE 2 TO THE FINANCIAL STATEMENTS INDICATES NET PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE HAVE BEEN ADJUSTED TO THE ESTIMATED AMOUNTS EXPECTED TO BE RECEIVED. THESE ESTIMATED AMOUNTS ARE SUBJECT TO FURTHER ADJUSTMENTS UPON REVIEW BY THIRD-PARTY PAYORS. MANAGEMENT ESTIMATES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON THE HISTORICAL COLLECTION EXPERIENCE SUBJECT TO FURTHER ADJUSTMENTS UPON REVIEW BY THIRD-PARTY PAYORS. MANAGEMENT ESTIMATES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON THE HISTORICAL COLLECTION EXPERIENCE. |
| SCHEDULE H, PART III, LINE 8 | THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS THE FY2020 MEDICARE COST REPORT FOR THE ORGANIZATION. A CONTRACTED COST REPORT PROFESSIONAL PREPARED AN ANALYSIS OF THE AMOUNT BASED ON THE SUBMITTED COST REPORT FOR VERDE VALLEY MEDICAL CENTER. FOR FY2020 MEDICARE IS A SURPLUS PRIMARILY DUE TO A RATE INCREASE AFFECTING THE COST TO CHARGE RATIO RESULTING IN AN IMPROVEMENT TO COST OR A DECREASE IN COST, PLUS AN INCREASE IN MEDICARE REIMBURSEMENT, INDICATING AN INCREASE IN VOLUME AND/OR COMPLEX CASES FOR MEDICARE TYPE PATIENTS. ORGANIZATION'S MANAGEMENT HAS BEEN WORKING ON CONTROLLING AND MAINTAINING COST TO REDUCE THE COST TO PATIENTS. SCHEDULE H, PART III, LINE 9B ACCORDING TO OUR CHARITY CARE POLICY, THE FINANCIAL COUNSELORS ASSESS THE PATIENT'S ABILITY TO PAY AT TIME OF ADMISSION/REGISTRATION. IF THE PATIENT STATES THAT THEY ARE UNABLE TO PAY OUT-OF-POCKET EXPENSES, A DETERMINATION IS MADE WHETHER COVERAGE IS AVAILABLE THROUGH AHCCS OR OTHER MEDICAID PROGRAMS. IF NO OUTSIDE ASSISTANCE IS AVAILABLE, APPLICATION IS GIVEN TO THE PATIENT TO BE SUBMITTED FOR CHARITY CARE CONSIDERATION. IF THE PATIENT DOESN'T QUALIFY FOR CHARITY CARE ASSISTANCE, INCOME LEVELS ARE ASSESSED TO DETERMINE IF THEY QUALIFY FOR A LONG-TERM PAYMENT PROGRAM. IF THE CHARITY APPLICATION IS NOT TURNED IN AND PAYMENT HAS NOT BEEN MADE AFTER NUMEROUS FOLLOW-UP PHONE CALLS, THE PATIENT ACCOUNT GOES TO BAD DEBT. |
| SCHEDULE H, PART VI, LINE 2 | VERDE VALLEY MEDICAL CENTER ASSESSED COMMUNITY HEALTHCARE NEEDS THROUGH A SURVEY DESIGNED AND ADMINISTERED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. THIS SURVEY WAS LAST CONDUCTED IN NOVEMBER 2019 AND WAS A FOLLOW-UP TO OTHER SURVEYS THE HOSPITAL HAS CONDUCTED. THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS, AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. |
| SCHEDULE H, PART VI, LINE 3 | ACCORDING TO OUR FINANCIAL ASSISTANCE POLICY, FINANCIAL COUNSELORS ASSESS THE PATIENT'S ABILITY TO PAY AT TIME OF ADMISSION/REGISTRATION. IF THE PATIENT STATES THAT THEY ARE UNABLE TO PAY OUT-OF-POCKET EXPENSES, A DETERMINATION IS MADE WHETHER COVERAGE IS AVAILABLE THROUGH AHCCCS OR OTHER MEDICAID PROGRAMS. IF NO OUTSIDE ASSISTANCE IS AVAILABLE, AN APPLICATION IS GIVEN TO THE PATIENT TO BE SUBMITTED FOR FINANCIAL ASSISTANCE CONSIDERATION. IF THE PATIENT DOESN'T QUALIFY FOR FINANCIAL ASSISTANCE, INCOME LEVELS ARE ASSESSED TO DETERMINE IF THEY QUALIFY FOR A LONG-TERM PAYMENT PROGRAM. IF THE CHARITY APPLICATION IS NOT TURNED IN AND PAYMENT HAS NOT BEEN MADE AFTER NUMEROUS FOLLOW UP PHONE CALLS, THE PATIENT ACCOUNT GOES TO BAD DEBT. THE VERDE VALLEY MEDICAL CENTER (VVMC) WEBSITE HAS A BILLING CONTACT NUMBER. BEFORE PRE-ADMISSION, PATIENTS ARE CONTACTED BY VVMC'S CASHIER. WHEN PATIENTS ARE CONTACTED, THEY ARE EDUCATED OF THE FINANCIAL ASSISTANCE POLICY. VVMC FINANCIAL COUNSELORS ASSIGNED TO EACH NURSING UNIT ARE ABLE TO ANSWER OR ASSIST WITH BILLING QUESTIONS. AT EACH PATIENT REGISTRATION DESK ARE DISPLAYS AND BROCHURES OF THE BILLING INFORMATION, INCLUDING THE FINANCIAL ASSISTANCE POLICY. |
| SCHEDULE H, PART VI, LINE 4 | THE STUDY AREA FOR THE SURVEY EFFORT (REFERRED TO AS THE "NAH SERVICE AREA"FLAGSTAFF OR VERDE VALLEY REGION" IN THIS REPORT) INCLUDES THE FOLLOWING COUNTIES REPRESENTED IN NORTHERN AZ: APACHE, GILA, MOJAVE, NAVAJO, COCONINO AND YAVAPAI. COCONINO COUNTY (CC)- AS OF JULY 1, 2018 ESTIMATES, THE TOTAL POPULATION IN COCONINO COUNTY WAS 142,854. THE POPULATION IS 50.6% FEMALE AND 49.4% MALE. THE POPULATION WAS FOUND TO BE 54.0% WHITE (NOT HISPANIC OR LATINO), 27.6% AMERICAN INDIAN OR ALASKAN NATIVE, 14.3% HISPANIC OR LATINO, 1.5% BLACK OR AFRICAN AMERICAN, AND 2.1% ASIAN. MOHAVE COUNTY (MC)- THE TOTAL POPULATION IN MOHAVE COUNTY WAS 209,550 IN 2018. THE COUNTY IS 49.4% FEMALE AND 50.6% MALE. THE MAJORITY OF THE COUNTY IS WHITE (NOT HISPANIC OR LATINO) AT 76.9% WHILE THE LARGEST MINORITY GROUP IS HISPANIC OR LATINO AT 16.8% OF THE POPULATION. THE POPULATION IS 3.0% AMERICAN INDIAN OR ALASKAN NATIVE, 1.3% BLACK OR AFRICAN AMERICAN, AND 1.2% ASIAN. GILA COUNTY (GC)- GILA COUNTY'S POPULATION WAS 53,889 IN 2018. THE POPULATION WAS FOUND TO BE 50.6% FEMALE AND 49.4% MALE. THE MAJORITY OF THE COUNTY IS WHITE (NOT HISPANIC OR LATINO) AT 62.0%. THE COUNTY IS 18.7% HISPANIC OR LATINO, 17.8% AMERICAN INDIAN OR ALASKAN NATIVE, .8% BLACK OR AFRICAN AMERICAN, AND .9% ASIAN. APACHE COUNTY (AC)- AS OF 2018, THE TOTAL POPULATION IN APACHE COUNTY WAS 71,818. APACHE COUNTY HAS SLIGHTLY MORE FEMALES WITH 50.8% OF THE POPULATION FEMALE AND 49.2% MALE. THE MAJORITY OF THE POPULATION IS AMERICAN INDIAN OR ALASKAN NATIVE AT 74.9%. THE POPULATION IS 18.1% WHITE (NOT HISPANIC OR LATINO) AND 6.4% HISPANIC OR LATINO. NAVAJO COUNTY (NC)- THE POPULATION OF NAVAJO COUNTY WAS 110,445 IN 2018. THIS COUNTY IS 49.9% FEMALE AND 50.1% MALE. THE COUNTY'S POPULATION IS 41.7% WHITE (NOT HISPANIC OR LATINO), 45.6% NATIVE AMERICAN OR ALASKAN NATIVE, 11.5% HISPANIC, 1.0% BLACK AND .7% ASIAN YAVAPAI COUNTY (YC)- IN 2018 THERE WERE 231,993 INDIVIDUALS LIVING IN YAVAPAI COUNTY. THE POPULATION IS 51.2% FEMALE AND 48.8% MALE. THE MAJORITY OF THE POPULATION IS WHITE (NOT HISPANIC OR LATINO) AT 80.4%. THE POPULATION IS 14.7% HISPANIC OR LATINO, 2.1% AMERICAN INDIAN OR ALASKAN NATIVE, 1.2% ASIAN, AND .9% BLACK OR AFRICAN AMERICAN. AGE DISTRIBUTION* CC-IN 2018, PERSONS UNDER THE AGE OF 18 IS 20.6%, NEARING THE STATE AVERAGE OF 22.9%. AN ESTIMATED 12.5% OF THE POPULATION IS 65 YEARS OR OLDER. MC- IT WAS FOUND THAT 17.1% OF MOHAVE COUNTY'S RESIDENTS WERE UNDER THE AGE OF 18 WHILE 30.3% WERE OVER THE AGE OF 65. GC- THE POPULATION OF GILA COUNTY HAD 20.1% OF ITS RESIDENTS AGED 18 OR UNDER AND 28.8% AGED 65 OR OLDER IN 2018. AC-IN APACHE COUNTY, PERSONS UNDER THE AGE OF 18 IS 27.2% AND PERSONS OLDER THAT 65 WAS AT 15.3% IN 2018. NC-IT WAS FOUND THAT 26.7% OF NAVAJO COUNTY'S POPULATION IS UNDER THE AGE OF 18 AND 18.1% IS OVER THE AGE OF 65. YC- AN ESTIMATED 31.6% OF THE POPULATION IS 65 YEARS OR OLDER AND 16.2% IS UNDER THE AGE OF 18. EDUCATION* CC- A PERCENTAGE OF 35.4% OF PERSONS 25 YEARS OR OLDER, HAS EARNED A BACHELOR'S DEGREE. THESE RATES ARE HIGHER THAN THE STATE AVERAGE OF 28.4%. EDUCATIONAL ATTAINMENT IN THE COUNTY IS HIGHER THAN THE STATE'S AVERAGE WITH RESPECT TO ADULTS THAT HAVE GRADUATED FROM HIGH SCHOOL. MC- IN MOHAVE COUNTY, ONLY 12.3% OF ADULTS OVER THE AGE OF 25 HAVE EARNED THEIR BACHELOR'S DEGREE. THIS IS LESS THAN HALF OF THE STATE AVERAGE WHO HAVE EARNED A BACHELOR'S DEGREE AT 28.4%. PERSONS AGED 25 AND OLDER WHO ARE HIGH SCHOOL GRADUATES WAS FOUND TO BE 84.7%. GC- THE PERCENTAGE OF PERSONS AGED 25 OR OLDER THAT ACHIEVED A BACHELOR'S DEGREE IN GILA COUNTY WAS 19.0%. THOSE WITH A HIGH SCHOOL DIPLOMA THAT ARE 25 OR OLDER MAKE UP 85.0% OF THE POPULATION. AC- THE EDUCATIONAL ATTAINMENT IN APACHE COUNTY IS WELL BELOW THE STATE AVERAGE. IN THE COUNTY ONLY 11.5% OF THE POPULATION AGED 25 OR OLDER HAS ATTAINED A BACHELOR'S DEGREE AND 78.6% OF THE POPULATION AGED 25 OR OLDER IS A HIGH SCHOOL GRADUATE. NC- A PERCENTAGE (82.6%) OF THE NAVAJO COUNTY POPULATION (AGE 25+) HAS GRADUATED FROM HIGH SCHOOL, LOWER THAN THE STATE AVERAGE OF 86.5%. THOSE WITH A BACHELOR'S DEGREE WAS ALSO BELOW THE STATE AVERAGE AT 15.5% OF THE POPULATION (AGE 25+). YC- 25.0% OF THE POPULATION (25+) HAS EARNED A BACHELOR'S DEGREE. YAVAPAI HAD A HIGH SCHOOL GRADUATION RATE OF 90.2% FOR THOSE AGED 25 OR OLDER. INCOME AND POVERTY* CC-THE MEDIAN HOUSEHOLD INCOME IN THE COCONINO COUNTY IS $53,523, AND 15.9% OF THE POPULATION ARE BELOW THE POVERTY LEVEL. COCONINO COUNTY HAS 47,588 HOUSEHOLDS WITH AN AVERAGE HOUSEHOLD SIZE OF 2.65. MC- THE MEDIAN HOUSEHOLD INCOME IS $41,567 IN MOHAVE COUNTY. THE COUNTY HAS 16.8% OF ITS POPULATION BELOW THE POVERTY LEVEL. THERE ARE 83,902 HOUSEHOLDS IN THE COUNTY WITH AN AVERAGE OF 2.39 PERSONS PER HOUSEHOLD. GC- IN GILA COUNTY THE MEDIAN HOUSEHOLD INCOME IS $41,179 AND 20.4% OF THE POPULATION FALLS UNDER THE POVERTY LINE. THERE ARE 21,585 HOUSEHOLDS IN THE COUNTY WITH AN AVERAGE OF 2.42 PERSONS PER HOUSEHOLD. AC- THE MEDIAN INCOME IN APACHE COUNTY WAS FOUND TO BE $32,360 AND 37.3% OF THE COUNTY FALLS BELOW THE POVERTY LEVEL. THE COUNTY HAS 19,530 HOUSEHOLDS WITH AN AVERAGE OF 3.59 PERSONS PER HOUSEHOLD. NC-THE ESTIMATED 2017 MEDIAN HOUSEHOLD INCOME IN THE COUNTY IS $38,798. THE MEDIAN HOUSEHOLD INCOME IN THE STATE OF ARIZONA IS $53,510 AND THE UNITED STATES $57,652. 28.5% OF THE NAVAJO COUNTY POPULATION IS BELOW THE POVERTY LEVEL AS COMPARED TO 14.0% IN THE STATE OF ARIZONA AND 11.8 % IN THE UNITED STATES. NAVAJO COUNTY HAS 34,251 HOUSEHOLDS WITH AN AVERAGE OF 3.07 PERSONS PER HOUSEHOLD. YC- THE MEDIAN HOUSEHOLD INCOME IN YAVAPAI COUNTY IS $48,259, AND 13.2% OF THE YAVAPAI COUNTY POPULATION IS BELOW THE POVERTY LEVEL. THERE ARE 94,343 HOUSEHOLDS IN YAVAPAI COUNTY WITH AN AVERAGE OF 2.29 PERSONS PER HOUSEHOLD. |
| SCHEDULE H, PART VI, LINE 5 | COMMUNITY HEALTH AND COMMUNITY BUILDING ARE A FOCUS AT VERDE VALLEY MEDICAL CENTER AS EVIDENCED BY THE NUMEROUS ACTIVITIES SPONSORED EACH YEAR. THE CANCER CENTER AT SEDONA CAMPUS HOSTS A SERIES OF FREE OR LOW-COST SCREENINGS DESIGNED TO HELP RESIDENTS IN THE COMMUNITY DETECT ISSUES AS SOON AS POSSIBLE. COMMUNITY BUILDING IS ADVANCED BY VERDE VALLEY MEDICAL CENTER THROUGH ITS SUPPORT OF PHYSICIAN RECRUITMENT AND WORK WITH VARIOUS COMMUNITY ORGANIZATIONS INCLUDING THE COTTONWOOD AND SEDONA CHAMBER OF COMMERCE AND THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION. |
| SCHEDULE H, PART VI, LINE 6 | VERDE VALLEY MEDICAL CENTER IS AFFILIATED WITH FLAGSTAFF MEDICAL CENTER. THE BOARD MEMBER MEETINGS ARE COMBINED. THE COMMUNITY BENEFIT REPORT IS SUMMARIZED TOGETHER AND POSTED ON THE HOSPITAL'S WEBSITE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northern Arizona Healthcare Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1030 San Francisco | AddressLine1Txt |
| City | Flagstaff | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 813137336 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $272,234 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | Endowment &Community Benefit | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | DONATIONS TO OTHER TAX-EXEMPT ENTITIES ARE MADE IN SUPPORT OF THEIR MISSIONS, AND Verde Valley Medical Center relies on the governance practices of the recipient organization to use the funds for the intended purpose. Verde Valley Medical Center receives quarterly reports from Northern Arizona Healthcare Foundation per their grant agreements. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLIFFORD LOADER | ||||||||||||||
| NAH CFO (AS OF 8/19) | $0 | $260,587 | $0 | $70,000 | $0 | $984 | $0 | $3,012 | $0 | $2,617 | $0 | $337,200 | $0 | $0 |
| CAROLE PEET | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $0 | $330,049 | $0 | $91,816 | $0 | $60,859 | $0 | $6,086 | $0 | $12,656 | $0 | $501,466 | $0 | $0 |
| JEFFREY TREASURE | ||||||||||||||
| FORMER OFFICER | $0 | $74,028 | $0 | $0 | $0 | $68,676 | $0 | $5,795 | $0 | $6,672 | $0 | $155,171 | $0 | $0 |
| HU BLAKE | ||||||||||||||
| FORMER CMI | $0 | $209,769 | $0 | $0 | $0 | $77,074 | $0 | $8,554 | $0 | $10,639 | $0 | $306,036 | $0 | $0 |
| LORI GREEN | ||||||||||||||
| CHIEF NURSING OFFICER | $0 | $222,450 | $0 | $25,848 | $0 | $921 | $0 | $12,963 | $0 | $25,482 | $0 | $287,664 | $0 | $0 |
| RUSSELL DILTS | ||||||||||||||
| DIRECTOR ONCOLOGY | $0 | $199,672 | $0 | $12,186 | $0 | $49,846 | $0 | $12,725 | $0 | $20,669 | $0 | $295,098 | $0 | $0 |
| DEBORAH ASHBY | ||||||||||||||
| ADMINISTRATIVE COORDINATOR | $0 | $149,351 | $0 | $11,169 | $0 | $10,363 | $0 | $28,016 | $0 | $11,360 | $0 | $210,259 | $0 | $0 |
| CHERYL CHASE | ||||||||||||||
| MANAGER - PHARMACY OPERATIONS | $0 | $176,163 | $0 | $10,691 | $0 | $163 | $0 | $11,148 | $0 | $23,068 | $0 | $221,233 | $0 | $0 |
| ROBERT THAMES | ||||||||||||||
| FORMER NAH PRESIDENT/CEO | $0 | $23,077 | $0 | $0 | $0 | $447,690 | $0 | $0 | $0 | $0 | $0 | $470,767 | $0 | $0 |
| SHEA HERMES | ||||||||||||||
| NURSE PRACTITIONER | $0 | $158,523 | $0 | $0 | $0 | $9,877 | $0 | $9,682 | $0 | $10,610 | $0 | $188,692 | $0 | $0 |
| JON COOK | ||||||||||||||
| DIRECTOR REHABILITATION SVCS | $0 | $154,240 | $0 | $8,702 | $0 | $6,495 | $0 | $9,443 | $0 | $8,755 | $0 | $187,635 | $0 | $0 |
| FLORENCE SPYROW | ||||||||||||||
| NAH PRESIDENT/CEO | $0 | $663,461 | $0 | $131,929 | $0 | $29,594 | $0 | $16,700 | $0 | $392 | $0 | $842,076 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINES 1A & 1B | SUPPLEMENTAL COMPENSATION INFORMATION ALL COMPENSATION, BENEFITS AND REIMBURSEMENTS ARE PAID BY NORTHERN ARIZONA HEALTHCARE, THE PARENT ORGANIZATION. GROSS-UP OF TAXES IS DONE ON ALL EMPLOYEE GIFT CERTIFICATES OF $25 OR MORE. IN PRACTICE, BOARD MEMBER AND OFFICER BUSINESS TRAVEL EXPENSES ARE APPROVED BY THE NEXT HIGHEST LEVEL. |
| SCHEDULE J, PART I, LINE 3 | CEO COMPENSATION IS DERIVED BY THE PARENT ORGANIZATION, NORTHERN ARIZONA HEALTHCARE, BY THE FOLLOWING METHODS: COMPENSATION COMMITTEE, WRITTEN CONTRACT, INDEPENDENT CONSULTANT, COMPENSATION SURVEY, AND RECOMMENDATION OF COMPENSATION COMMITTEE TO BOARD FOR APPROVAL. |
| Schedule J, Part I, line 4A | Severance payments were made as follows. These payments are included in Schedule J, Part II, column (B)(iii): ROBERT THAMES SEVERANCE $ 447,690 HU BLAKE SEVERANCE $ 74,597 CAROLE PEET SEVERANCE $ 58,634 |
| Schedule J, Part I, line 4b | CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DURING THE YEAR ARE AS FOLLOWS. THESE AMOUNTS WERE INCLUDED IN TAXABLE WAGES (SCHEDULE J, PART II, COLUMN (B)(III)) AND ALSO IN COLUMN (F) SINCE THESE AMOUNTS HAVE PREVIOUSLY BEEN REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. NONE |
| SCHEDULE J, PART I, LINE 7 | 1) Northern Arizona Healthcare Corporation makes discretionary management incentive payments based on meeting various organizational goals. These payments are included in Schedule J, Part II, column (B)(ii): FLORENCE SPYROW $ 131,929 DEBORAH ASHBY $ 11,169 CAROLE PEET $ 91,816 CHERYL CHASE $ 10,691 RUSSELL DILTS $ 12,186 LORI GREEN $ 25,848 JON COOK $ 8,702 2) Northern Arizona Healthcare Corporation makes discretionary payments to physicians based on quality goals. These payments are included in Schedule J, Part II, column (B)(ii): NONE 3) The following individuals received a one-time relocation payment. These amounts are included in Schedule J, Part II, column (B)(ii): RUSSELL DILTS $ 48,445 4) The following individuals received a one-time sign-on bonus. These amounts are included in Schedule J, Part II, column (B)(ii): CLIFFORD LOADER $ 70,000 5) The following individuals received a one-time bonus for stabilizing the company's operating margins. These amounts are included in Schedule J, Part II, column (B)(ii): NONE |
| SCHEDULE J, PART II | OTHER INFORMATIONAL DISCLOSURES THE FOLLOWING INDIVIDUALS CASHED OUT ACCUMULATED PTO DURING THE YEAR. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B) (III): JON COOK $ 6,370 DEBORAH ASHBY $ 9,446 SHEA HERMES $ 9,674 NAH paid Loader Group $128,533 for interim CFO services rendered by Cliff Loader during calendar year 2019. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| INDUSTRIAL DEVELOPMENT AUTHORITY YAVAPAI COUNTY | ||||||||
| A | 860376099 | 985900CX5 | 2011-10-12 | $13,829,141 | SEE PART IV | false | false | false |
| INDUSTRIAL DEVELOPMENT AUTHORITY YAVAPAI COUNTY | ||||||||
| B | 860376099 | 000000000 | 2015-06-30 | $37,340,563 | SEE PART IV | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $13,829,141 | $0 | $0 | $0 | $133,606 | $0 | $0 | $0 | $13,695,535 | $0 | 2011 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $37,340,563 | $0 | $0 | $0 | $338,010 | $0 | $0 | $0 | $37,002,553 | $0 | 2015 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | 0 | false | false | false | Yes (true) |
| B | Yes (true) | Yes (true) | Yes (true) | Yes (true) | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | false | Yes (true) | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | false | Yes (true) | false | false | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART I, COLUMN F | FormAndLineReferenceDesc |
| Explanation | BOND A - THE NAME OF THE ISSUE IS HOSPITAL REVENUE REFUNDING BONDS (NORTHERN ARIZONA HEALTHCARE SYSTEM) SERIES 2011. THIS ISSUE REFUNDS THE 1996A AND 1998 SERIES BONDS. THE TOTAL ISSUANCE PRICE WAS $78,923,520 WHICH WAS ALLOCATED $65,094,379 TO FLAGSTAFF MEDICAL CENTER (FMC) AND $13,829,141 TO VERDE VALLEY MEDICAL CENTER. BOND B - THE NAME OF THE ISSUE IS HOSPITAL REVENUE REFUNDING BONDS (NORTHERN ARIZONA HEALTHCARE SYSTEM) SERIES 2015A AND 2015B. THIS ISSUE REFUNDS THE 2008A AND 2008B BONDS. THE TOTAL ISSUANCE PRICE OF SERIES 2015A WAS $80,395,000 WHICH WAS ALLOCATED $37,213,977 TO FLAGSTAFF MEDICAL CENTER (FMC), $9,274,438 TO VERDE VALLEY MEDICAL CENTER, AND $33,906,585 TO NORTHERN ARIZONA HEALTHCARE OUTPATIENT SURGERY CENTER. THE 2015A BONDS WERE ALSO USED, IN PART, TO FINANCE "NEW MONEY" PROJECTS. $33,611,679 WAS USED FOR ACQUISITION OF SUMMIT SURGERY CENTER. TOTAL ISSUANCE PRICE OF SERIES 2015B WAS $45,635,975 WHICH WAS ALLOCATED $17,569,850 TO FLAGSTAFF MEDICAL CENTER (FMC) AND $28,066,125 TO VERDE VALLEY MEDICAL CENTER. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 6 | VOLUNTEERS WORK IN ALMOST EVERY DEPARTMENT IN THE HOSPITAL AND AT OUR OFFSITE LOCATIONS, SUCH AS VERDE VALLEY MEDICAL CENTER (VVMC) SEDONA CAMPUS, CAMP VERDE, AND VILLAGE OF OAK CREEK. THEY PERFORM CLERICAL AND RECEPTION DUTIES IN MANY DEPARTMENTS, SERVE AS PATIENT AND VISITOR GREETERS, SUPPLY DISTRIBUTION, LANDSCAPING, NUTRITIONAL SERVICES - PASS TRAYS, PARTICIPATE IN VARIOUS ACTIVITIES WITH LIBRARY, TRANSPORT, AND MAKE PILLOWS AND TEDDY BEARS (CRAFTS). FORM 990, PART III, LINE 4A VERDE VALLEY MEDICAL CENTER'S MISSION AND VISION -------------------------------------------------------------- MISSION - IMPROVING HEALTH, HEALING PEOPLE. VISION - ALWAYS BETTER CARE. EVERY PERSON, EVERY TIME...TOGETHER. FORM 990, PART V, LINE 2A; PART VII, SECTION A, AND PART IX VERDE VALLEY MEDICAL CENTER DOES NOT HAVE EMPLOYEES, BUT SHARES THE COST OF PERSONNEL, SERVICES, AND EXPENSES WITH NORTHERN ARIZONA HEALTHCARE CORPORATION, A RELATED TAX-EXEMPT ORGANIZATION AND VVMC'S SOLE MEMBER. |
| FORM 990, PART VI, LINE 1 | THE BOARD OF DIRECTORS DELEGATES AUTHORITY TO AN EXECUTIVE COMMITTEE IN AN EMERGENCY SITUATION ONLY. THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE INDIVIDUALS THEN SERVING AS THE EXECUTIVE COMMITTEE OF NAH, AUTOMATICALLY AND WITHOUT SEPARATE ELECTION. THE EXECUTIVE COMMITTEE SHALL ONLY MEET IF A QUORUM OF THE BOARD IS IMPOSSIBLE AND AN URGENT BOARD VOTE IS REQUIRED. IN SUCH CASES IT SHALL EXERCISE THE POWER AND AUTHORITY OF THE BOARD, AND SHALL REPORT ANY ACTIONS TAKEN AT THE FOLLOWING BOARD MEETING. FORM 990, PART VI, LINE 6 NORTHERN ARIZONA HEALTHCARE CORPORATION IS THE SOLE CORPORATE MEMBER OF VERDE VALLEY MEDICAL CENTER. |
| FORM 990, PART VI, LINE 7A | THE BOARD OF DIRECTORS IS DETERMINED BY THE ORGANIZATION'S MEMBER, NORTHERN ARIZONA HEALTHCARE (NAH). THE DIRECTORS AT ALL TIMES SHALL BE, AUTOMATICALLY AND WITHOUT THE NEED OF A SEPARATE ELECTION, THE INDIVIDUALS SERVING AS DIRECTORS OF NAH. |
| FORM 990, PART VI, LINE 7B | NORTHERN ARIZONA HEALTHCARE CORPORATION IS THE SOLE VOTING MEMBER. THE FOLLOWING ACTIONS MAY BE INITIATED BY THE MEMBER IN ITS SOLE AND ABSOLUTE DISCRETION: A) ADOPTION OF THE CONSOLIDATED ANNUAL BUDGET FOR THE SYSTEM AND ANY AMENDMENTS B) THE SELECTION AND RETENTION OF THE PRESIDENT AND CHIEF ADMINISTRATIVE OFFICER OF THIS CORPORATION C) THE SELECTION OF BANKING AFFILIATIONS, ACCOUNTING FIRMS, LEGAL COUNSEL AS WELL AS APPROVAL OF THE ENGAGEMENT OF ANY CONSULTANTS NOT SPECIFICALLY PROVIDED FOR IN AN APPROVED BUDGET D) THE SELECTION OF THE MANNER AND LOCATION OF INVESTMENT OF ANY RETAINED EARNINGS E) AUTHORIZATION OF STANDING OR AD HOC COMMITTEES FOR CONTROLLED SUBSIDIARIES WITHIN THE SYSTEM. THE MEMBER MAY NOT TRANSFER ITS MEMBERSHIP OR ANY RIGHTS ARISING THEREFROM. |
| FORM 990, PART VI, LINE 11b | THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM BASED ON DATA GATHERED BY THE CORPORATE TREASURER/INTERNAL AUDIT DIRECTOR AND THE ORGANIZATION'S FINANCIAL OPERATIONS GROUP. THE CEO AND/OR CFO REVIEWS THE DRAFT FORM 990 AND PROVIDES ADDITIONAL COMMENTS. THE FINAL DRAFT VERSION OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. ANY ADDITIONAL COMMENTS SUGGESTED BY THE GOVERNING BODY ARE THEN INCORPORATED INTO THE FINAL VERSION OF THE FORM 990 TO BE FILED WITH THE IRS BY THE FINAL DUE DATE. IF ANY SUGGESTED CHANGES ARE MATERIAL OR SIGNIFICANT, AN ADDITIONAL DRAFT IS DISTRIBUTED TO THE GOVERNING BODY PRIOR TO FILING. |
| FORM 990, PART VI, LINE 12C | THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY (BOARD POLICY 6.1). THIS IS ACCOMPLISHED BY A NUMBER OF MECHANISMS. FIRST, THE CONFLICT OF INTEREST QUESTIONNAIRE IS REVIEWED BY THE BOARD DEVELOPMENT COMMITTEE. AS PART OF THE QUESTIONNAIRE, SELF-DISCLOSURE IS REQUIRED BY BOARD MEMBERS, OFFICERS, AND VPS. IN ADDITION, INDIVIDUAL DISCLOSURE BY BOARD MEMBERS OCCURS AT BOARD MEETINGS WHEN NECESSARY. A BOARD MEMBER MUST EXCLUDE HIMSELF OR HERSELF FROM VOTING ON AN ISSUE IN WHICH HE OR SHE MAY HAVE A CONFLICT OF INTEREST. THE CONTROLLER REVIEWS POTENTIAL CONFLICTS AND FOLLOWS UP WITH ANY ADDITIONAL QUESTIONS, IF NECESSARY. THEN THE SUMMARY OF RESPONSES AND CONFLICTS ARE BROUGHT BEFORE THE BOARD DEVELOPMENT COMMITTEE, WHICH MAKES A DETERMINATION AS TO WHETHER A CONFLICT EXISTS. |
| FORM 990, PART VI, LINES 15A & 15B | THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO AND OTHER OFFICERS INCLUDES THE PREPARATION OF COMPARABLE DATA BY WILLIS TOWERS WATSON, AN INDEPENDENT CONSULTING FIRM. IN ADDITION, THIS INFORMATION IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND IS DOCUMENTED IN THE BOARD MINUTES. THE MOST RECENT REVIEW WAS PERFORMED IN FEBRUARY 2018. |
| FORM 990, PART VI, LINE 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ARIZONA DEPARTMENT OF HEALTH SERVICES. IN ADDITION, THEY ARE AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) AS PART OF THE ORGANIZATION'S CONTINUING DISCLOSURE DOCUMENTS THAT ARE REQUIRED BY ITS PUBLIC DEBT REQUIREMENTS. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC, AS THIS IS NOT REQUIRED. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS ($ 6,510,631) - INCREASE PENSION PLAN VALUATION ($ 7,742,025) - TRANSFER TO AFFILIATES ($ 27) - ROUNDING ______________ ($ 14,252,683) - TOTAL |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| FLAGSTAFF MEDICAL CENTER | ||||||||||
| POST OFFICE BOX 1268 | FLAGSTAFF | AZ | 86002 | 860110232 | HEALTHCARE | AZ | 501(c)(3) | 3 | NAH | Yes (true) |
| NORTHERN ARIZONA HEALTHCARE CORPORATION | ||||||||||
| POST OFFICE BOX 1268 | FLAGSTAFF | AZ | 86002 | 742410946 | HEALTHCARE | AZ | 501(c)(3) | 10 | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (true) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FLAGSATFF MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | p | TransactionTypeTxt |
| Involved | $79,428,721 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |