YAVAPAI COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: YAVAPAI COMMUNITY HOSPITAL ASSOCIATION (EIN 86-0098923)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-07-27
IRS object ID: 202022099349300742
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	2020-07-27T16:16:24-05:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 South Tejon Suite 800	AddressLine1Txt
City	Colorado Springs	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	809039848	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	860098923	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	YAVAPAI COMMUNITY HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% LEE LIVIN CFO	InCareOfNm
Business Name Control	YAVA	BusinessNameControlTxt
Phone	9287715691	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1003 WILLOW CREEK ROAD	AddressLine1Txt
City	PRESCOTT	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86301	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LEE LIVIN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9287715691	PhoneNum
Signature	2020-07-27	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Adam R Smith CPA	PreparerPersonNm
PTIN	P00958966	PTIN
Phone	7194714290	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	84022720202095000002	FederalOriginalSubmissionId
Federal Original Submission Id	2020-07-27	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	26C3A9CF11B26F9C2D280370FFBE8B4C03C04303	AtSubmissionCreationDeviceId
At Submission Filing Device Id	19466AA61A357D31F4873695DF4DFE6460C1305A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2020-11-19 02:30:22Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	YAVAPAI REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JOHN R AMOS CEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1003 WILLOW CREEK ROAD	AddressLine1Txt
City	PRESCOTT	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86301	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$458,421,087	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.YRMC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1942	FormationYr
Legal Domicile State	AZ	LegalDomicileStateCd
Activity Or Mission	YRMC'S MISSION IS TO PROVIDE COMPREHENSIVE, HIGH QUALITY HEALTHCARE CONSISTENT WITH OUR COMMUNITIES' NEEDS.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	2498	TotalEmployeeCnt
Total Volunteers	712	TotalVolunteersCnt
Total Gross UBI	$147,340	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$126,048	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$996,965	PYContributionsGrantsAmt
CY Contributions Grants	$1,033,170	CYContributionsGrantsAmt
PY Program Service Revenue	$394,943,306	PYProgramServiceRevenueAmt
CY Program Service Revenue	$397,260,750	CYProgramServiceRevenueAmt
PY Investment Income	$6,547,867	PYInvestmentIncomeAmt
CY Investment Income	$9,609,194	CYInvestmentIncomeAmt
PY Other Revenue	$2,426,222	PYOtherRevenueAmt
CY Other Revenue	$2,098,779	CYOtherRevenueAmt
PY Total Revenue	$404,914,360	PYTotalRevenueAmt
CY Total Revenue	$410,001,893	CYTotalRevenueAmt
PY Grants And Similar Paid	$670,526	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$675,099	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$167,683,875	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$174,448,065	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,562,556	CYTotalFundraisingExpenseAmt
PY Other Expenses	$191,057,891	PYOtherExpensesAmt
CY Other Expenses	$187,412,506	CYOtherExpensesAmt
PY Total Expenses	$359,412,292	PYTotalExpensesAmt
CY Total Expenses	$362,535,670	CYTotalExpensesAmt
PY Revenues Less Expenses	$45,502,068	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$47,466,223	CYRevenuesLessExpensesAmt
Total Assets BOY	$468,069,652	TotalAssetsBOYAmt
Total Assets EOY	$574,266,540	TotalAssetsEOYAmt
Total Liabilities BOY	$130,762,688	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$180,775,829	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$337,306,964	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$393,490,711	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE COMPREHENSIVE, HIGH-QUALITY HEALTHCARE CONSISTENT WITH OUR COMMUNITIES' NEEDS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$310,355,877	ExpenseAmt
Grant	$675,099	GrantAmt
Revenue	$397,245,580	RevenueAmt
Desc	YAVAPAI REGIONAL MEDICAL CENTER (YRMC) IS HONORED TO SERVE THE ENTIRE COMMUNITY OF WESTERN YAVAPAI COUNTY. WE CARE FOR EVERYONE LIVING IN OUR REGION THROUGH HIGH QUALITY INPATIENT AND OUTPATIENT SERVICES AS WELL AS A WIDE RANGE OF VALUABLE COMMUNITY OUTREACH AND HEALTH EDUCATION PROGRAMS. YRMC SERVES THE HEALTHCARE NEEDS OF PEOPLE OF ALL AGES AND FROM ALL WALKS OF LIFE. WE'RE PLEASED TO MEET THOSE NEEDS 24 HOURS A DAY, 365 DAYS A YEAR. YRMC'S SOLE PURPOSE IS TO PROVIDE HIGH-QUALITY HEALTHCARE AND IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN THE COMMUNITIES WE SERVE. THERE ARE NO STOCKHOLDERS TO WHOM WE MUST PAY DIVIDENDS; WE FOCUS INSTEAD ON THE PEOPLE WE SERVE. THE DIVIDENDS THEY RECEIVE ARE HEALTHIER LIVES FOR THEMSELVES AND THOSE THEY LOVE. ANY MONEY REMAINING AFTER YRMC HAS COVERED ITS EXPENSES GOES BACK INTO THE ORGANIZATION TO HELP EXPAND PROGRAMS AND ADD NEW SERVICES FOR THE PEOPLE IN OUR COMMUNITIES. YRMC'S VISION IS CREATING A TOTAL HEALING ENVIRONMENT, IN WHICH THE PEOPLE ASSOCIATED WITH YRMC WORK IN PARTNERSHIP WITH PATIENTS AND THEIR FAMILIES WHO ARE SEEKING PEACE OF MIND AND PEACE OF HEART AS WELL AS PHYSICAL CURE AND COMFORT BECAUSE WE RESPECT THE INDIVISIBLE RELATIONSHIP THAT EXISTS BETWEEN BODY, MIND AND THE HUMAN SPIRIT. THE SPIRIT OF CARING IS A HIGHER CALLING THAT RESONATED THROUGHOUT YRMC IN 2019. YRMC'S FAMILY WHICH IS COMPRISED OF BOARD MEMBERS, COMMUNITY LEADERS AND ADVOCATES, PHILANTHROPIC DONORS, EMPLOYEES, PHYSICIANS AND VOLUNTEERS DID NOT WAVER FROM THIS SPIRIT OF CARING AND COMPASSION. YRMC HAS TWO HOSPITALS; ONE IN PRESCOTT, YRMC WEST, AND ONE IN PRESCOTT VALLEY, YRMC EAST. CONSIDER THAT IN 2019, YRMC EMBRACED ITS NOT-FOR-PROFIT MISSION BY INVESTING IN COMMUNITY BENEFIT FOR THE PEOPLE OF WESTERN YAVAPAI COUNTY. THIS INCLUDES DIRECT HEALTHCARE SERVICES AS WELL AS PROGRAMS THAT IMPROVE HEALTH AND PREVENT ILLNESS. IN 2019, YRMC TOUCHED NEARLY EVERY ONE OF THE RESIDENTS IN OUR SERVICE AREA THROUGH OUR COMMUNITY BENEFIT AND HEALTH EDUCATION EFFORTS. YRMC DIRECTLY PARTNERED WITH 47 COMMUNITY-BASED ORGANIZATIONS AND ENGAGED A LARGE NUMBER OF COMMUNITY MEMBERS AS A RESULT. YRMC'S CELEBRATE LIFE HEALTH EXPO WAS HELD OVER TWO DAYS AND HOSTED 114 EXHIBITORS, TO PROVIDE A WIDE RANGE OF HEALTH INFORMATION AND EDUCATION FOR 3,500 PARTICIPANTS FROM THE COMMUNITY. THE SPIRIT OF YRMC IS ONE OF TREATING EACH PATIENT AS A UNIQUE AND VALUABLE HUMAN BEING. EVERY PERSON WE ENCOUNTER, FROM TINY NEWBORNS TO FRAIL CENTENARIANS, ARE AMONG THOSE SPECIAL PEOPLE. YRMC PROVIDES PEACE OF MIND AND PEACE OF HEART YEAR IN AND YEAR OUT TO ALL OUR PATIENTS, EACH ONE OF WHOM IS SPECIAL TO US. YRMC ALSO OFFERS A PATIENT ASSISTANCE PROGRAM TO HELP PEOPLE WHO HAVE NO INSURANCE OR WHO HAVE LIMITED INSURANCE COVERAGE. AT NO TIME HAS THIS KIND OF SUPPORT BEEN MORE IMPORTANT - OR MORE WELCOMED - THAN NOW. YRMC WORKS DILIGENTLY WITH PATIENTS TO ALLOW THEM TO WORRY LESS ABOUT PAYING FOR SERVICES AND BE ABLE TO FOCUS MORE DIRECTLY ON RECOVERING AND GETTING BACK ON THEIR FEET. 2019 WAS ANOTHER YEAR OF PROVIDING PERSONALIZED CARE TO MANY THOUSANDS OF PEOPLE. FOR EXAMPLE, 1,031 BABIES WERE BORN IN YRMC'S OBSTETRICS DEPARTMENT. WITH YRMC'S LEVEL II NURSERY MAny OF THE BABIES WHO ARE UNABLE TO BE DISCHARGED TO HOME SPEND ADDITIONAL DAYS AND WEEKS IN OUR CARE. THESE ARE PRE-TERM BABIES WITH LOW BIRTH WEIGHT AND MANY OF THEM ARE ADDICTED TO CONTROLLED SUBSTANCES DUE TO THEIR MOTHERS - USE OF DRUGS - A HEARTBREAKING REALITY IN MANY ARIZONA HOMES WHICH IS DIRECTLY RELATED TO THE LACK OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, PRENATAL CARE AND OTHER SUPPORT SERVICES TO THOSE IN NEED. IT'S THE HELPLESS AND INNOCENT INFANTS WHO SUFFER THE MOST. YRMC'S OB NURSES DO THEIR LEVEL BEST WHEN THESE TINY, FRAGILE INFANTS ARE IN OUR CARE. INCREASINGLY, ECONOMIC CONDITIONS ALONG WITH THE ADDED CHALLENGES OF NEW BABIES CAN CREATE STRESS THAT'S UNMANAGEABLE FOR MANY YOUNG FAMILIES. CONSEQUENTLY, YRMC PROVIDES FAMILY RESOURCE CENTER SERVICES THAT INCLUDE FREE PARENTING EDUCATION, COUNSELING SERVICES AND COORDINATION WITH OTHER COMMUNITY RESOURCES THAT CAN HELP SUPPORT YOUNG FAMILIES IN NEED. THIS PROGRAM HAS ALSO PROVIDED BASIC NECESSITIES FOR NEW FAMILIES SUCH AS BABY FORMULA AND DIAPERS. THE FAMILY RESOURCE CENTER ADVISED 1,010 PARENTS ON HOW TO CARE FOR THEIR NEWBORNS THROUGH THE FIRST STEPS PROGRAM. AND PERSONAL VISITS WERE PROVIDED TO 102 FAMILIES FOR ONGOING SUPPORT THROUGH YRMC'S HEALTHY FAMILIES PROGRAM. THESE PROGRAMS FOCUS ON ELIMINATING CHILD ABUSE AND NEGLECT AMONG PARTICIPATING FAMILIES. YRMC IS DOING ALL IT CAN TO HELP OUR LOCAL COMMUNITY WITH THESE CHALLENGES AS PART OF OUR NOT-FOR-PROFIT MISSION. YRMC ALSO OFFERS THE PARTNERS FOR HEALTHY STUDENTS PROGRAM, ANOTHER EFFORT TO FILL GAPS IN THE NATIONAL POLICY REGARDING THE PROVISION OF HEALTHCARE SERVICES FOR THE UNDERSERVED. THIS IS A SCHOOL-BASED HEALTH PROGRAM FOR CHILDREN WHO ARE UNINSURED OR UNDERINSURED. HIGH INSURANCE COSTS OFTEN MEAN THAT YOUNG FAMILIES CAN ONLY PURCHASE INSURANCE POLICIES WITH ENORMOUS DEDUCTIBLES, RENDERING THE VALUE OF THEIR INSURANCE FOR REGULAR PREVENTIVE CARE OR BASIC PRIMARY CARE UNAFFORDABLE AND, THEREFORE, INACCESSIBLE. THE PROGRAM IS LED BY TWO PEDIATRIC NURSE PRACTITIONERS (PNPS) WHO WORK IN CONJUNCTION WITH A LOCAL PEDIATRICIAN. SCHOOL-AGE CHILDREN AND THEIR YOUNGER SIBLINGS ARE DIAGNOSED AND TREATED FOR A WIDE VARIETY OF HEALTH PROBLEMS. A SPECIALLY-EQUIPPED MEDICAL VAN IS SENT TO LOCAL SCHOOLS - ESPECIALLY IN THE OUTLYING AREAS WHERE UNEMPLOYME IS RAMPANT. SOME CHILDREN HAVE PREVIOUSLY UNDIAGNOSED CHRONIC HEALTH PROBLEMS LIKE ASTHMA, ALLERGIES, EAR INFECTIONS AND SUBSEQUENT HEARING LOSS, OR VISION PROBLEMS. MANY CHILDREN HAVE NEVER SEEN A DENTIST AND HAVE PAINFUL TOOTH DECAY THAT CAUSES THEIR TEETH TO BE BLACK AND ROTTED DOWN TO THE GUMS. THESE CHILDREN SUFFER TREMENDOUS PAIN EVERY DAY ALONG WITH THE SOCIAL EMBARRASSMENT OF BAD TEETH AND BAD BREATH. THE PNPS WORK COLLABORATIVELY WITH DENTISTS TO GET THESE CHILDREN THE HELP THEY NEED. AND AN EXCITING NEW ELEMENT OF THE PROGRAM FOR CHILDREN WAS ADDED IN 2019. THANKS TO THE GENEROSITY OF LOCAL PHILANTHROPISTS, YRMC'S PARTNERS FOR HEALTHY STUDENTS WAS ABLE TO ADD BEHAVIORAL HEALTH SERVICES. THIS ASPECT OF THE PROGRAM WAS LAUNCHED THROUGH COLLABORATION WITH LOCAL BEHAVIORAL HEALTH PROVIDERS. THE PARTNERS FOR HEALTHY STUDENTS PROGRAM HELPS ENSURE CHILDREN ARE GIVEN THE CARE AND TREATMENT THEY NEED BUT COULD NOT OTHERWISE RECEIVE. PHYSICAL AND BEHAVIORAL HEALTH PROBLEMS CAN SERIOUSLY IMPEDE CHILDREN'S ABILITY TO LEARN AND GROW UP AS HEALTHY AND PRODUCTIVE ADULTS. IN 2019, 1,045 STUDENTS RECEIVED FREE HEALTHCARE SERVICES THROUGH 27 IN-SCHOOL CLINICS AND THE YRMC MOBILE KIDS HEALTH CLINIC. YRMC IS PROUD TO PROVIDE THESE SERVICES AT NO CHARGE FOR THOSE IN NEED. THERE ARE ALSO NUMEROUS BENEFICIAL PROGRAMS PROVIDED FOR ADULTS BY YRMC. FOR EXAMPLE, IN 2019 MORE THAN 145 PEOPLE SUFFERING WITH RESPIRATORY PROBLEMS WERE HELPED TO BREATHE EASIER THROUGH THE HOSPITAL'S CLASSES IN RESPIRATORY WELLNESS. YRMC PROVIDED MORE THAN 290 MEALS FOR A LOCAL HOUSING SHELTER IN 2019. YRMC ALSO HELPED FINANCIALLY SUPPORT THE NO HUNGRY KIDS INITIATIVE TO FEED CHILDREN FROM UNDERSERVED HOMES YEAR-ROUND. THE JAMES FAMILY HEART CENTER AT YRMC PERFORMS HUNDREDS OF CARDIAC AND THORACIC CASES AND HAS ALSO PERFECTED A BLOOD MANAGEMENT PROGRAM WHICH GREATLY BENEFITS PATIENTS. IN 2019, YRMC PROVIDED 517 ELECTROPHYSIOLOGY PROCEDURES IN THE NEW HYBRID OPERATING ROOM. THERE WERE 1,139 CARDIAC CATHETERIZATION PROCEDURES AND 201 OPEN HEART SURGERIES. THERE WERE ALSO 69 TAVR PROCEDURES. THERE WERE 2,403 INTERVENTIONAL CARDIOLOGY PROCEDURES AND 860 INTERVENTIONAL RADIOLOGY PROCEDURES IN ADDITION TO 45 VASCULAR INTERVENTIONAL RADIOLOGY PROCEDURES. IN 2018, YRMC HELPED HUNDREDS OF INDIVIDUALS WITH DIABETES BETTER MANAGE THEIR HEALTH THROUGH OUTPATIENT EDUCATION IN ORDER TO PREVENT HOSPITALIZATION AND THE MANY COMPLICATIONS DIABETES CAN CAUSE. MANY NEWLY- DIAGNOSED DIABETICS LEARNED MORE ABOUT THEIR CONDITION AND HOW TO MAINTAIN AND OPTIMIZE THEIR HEALTH. MORE THAN 795 PATIENTS PARTICIPATED IN YRMC'S DIABETES SELF-MANAGEMENT PROGRAM. A VIGOROUS COMMUNITY OUTREACH PROGRAM REACHED THOUSANDS OF PEOPLE IN OUR LOCAL COMMUNITY WITH COMPLIMENTARY, CURRENT HEALTH INFORMATION. THIS INCLUDES FREE HEALTH FAIRS AND A SPEAKERS' - BUREAU SERVICE, PROVIDING 130 PRESENTATIONS FROM YRMC HEALTH PROFESSIONALS ABOUT HEALTH-RELATED TOPICS FOR THE COMMUNITY. MANY SPEAKERS ALSO DISTRIBUTE ADDITIONAL FREE TAKE-HOME INFORMATION PROVIDED BY YRMC FOR FUTURE REFERENCE, WHETHER IT IS ABOUT FITNESS, NUTRITION, STRESS MANAGEMENT OR WHATEVER TOPIC THE GROUP REQUESTS. OUR MONTHLY COMMUNITY CALENDAR LISTS THE TIME, DATE AND PLACE OF PROGRAMS AND PRESENTATIONS FOR VARIOUS TOPICS FROM CHILDBIRTH CLASSES TO PRE-OPERATIVE PROGRAMS FOR THOSE WHO WILL HAVE HIP OR KNEE REPLACEMENTS, AND STRESS MANAGEMENT TO NUTRITION CLASSES AND MUCH MORE. YRMC'S PHYSICAL REHABILITATION DEPARTMENT OFFERS FALL RISK ASSESSMENTS	Desc
Total Program Service Expenses	$310,355,877	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	Yes (true)	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	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	339	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2498	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
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	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LEE LIVIN CFO	PersonNm
Phone	9287715691	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1003 WILLOW CREEK ROAD	AddressLine1Txt
City	PRESCOTT	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86301	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Assar H Mansour
Physician	40.0	0.0	Yes (X)	$1,321,317	$0	$13,109
Nisha Tung-Takher
Physician	40.0	0.0	Yes (X)	$1,136,298	$0	$39,707
John R Amos
CEO	39.0	1.0		$952,904	$0	$198,299	Yes (X)
Shayan Alam
Physician	40.0	0.0	Yes (X)	$822,868	$0	$39,549
George T Rizk
Physician	40.0	0.0	Yes (X)	$791,477	$0	$26,637
Soundos K Moualla
Physician	40.0	0.0	Yes (X)	$723,075	$0	$45,546
Lee Livin
CFO	39.0	1.0		$532,369	$0	$119,275	Yes (X)
Anthony Torres
CMO	40.0	0.0		$512,856	$0	$124,009	Yes (X)
Diane Drexler
CNO	40.0	0.0		$369,131	$0	$103,324	Yes (X)
Roberta Nicol - Execut
Director of Philanthropy	39.0	1.0		$314,882	$0	$87,106		Yes (X)
Mark Timm
Chief Human Resource Officer	40.0	0.0		$307,742	$0	$91,486		Yes (X)
Frank Almendarez
Chief Admin Officer	40.0	0.0		$290,303	$0	$97,956	Yes (X)
Timothy Roberts
CIO	40.0	1.0		$288,190	$0	$86,906	Yes (X)
Jane Bristol
Chairman	5.0	0.0		$0	$0	$0	Yes (X)		Yes (X)
Mike Beatty
Vice-Chairman	5.0	0.0		$0	$0	$0	Yes (X)		Yes (X)
Tony Ferrulli
Treasurer	5.0	0.0		$0	$0	$0	Yes (X)		Yes (X)
Daniel Storvick
Secretary	5.0	0.0		$0	$0	$0	Yes (X)		Yes (X)
Jim Howard
Trustee	5.0	0.0		$0	$0	$0			Yes (X)
Paula Kneisl
Trustee	5.0	0.0		$0	$0	$0			Yes (X)
Charlie Bomberger
Trustee	5.0	0.0		$0	$0	$0			Yes (X)
Steve Sischka
Trustee	5.0	0.0		$0	$0	$0			Yes (X)
M Keith Piatt
Trustee	5.0	0.0		$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,363,412	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,072,909	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	256	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CERNER CORP
PO BOX 959156	ST LOUIS	MO	631959156	SOFTWARE SERVICE	$16,465,476
CARDINAL DISTRIBUTION
FILE 57130	LOS ANGELES	CA	900717130	MEDICAL	$15,747,984
OWENS AND MINOR INC
FILE NO 53523	LOS ANGELES	CA	900743523	HEALTHCARE LOGISTICS	$7,264,120
MCCARTHY HOLDINGS INC
1341 N ROCK HILL RD	ST LOUIS	MO	63124	MEDICAL SERVICE	$9,897,481
NIHON KOHDEN AMERICA INC
6017 SOLUTIONS CENTER	CHICAGO	IL	606776000	MEDICAL DEVICES	$5,569,073

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	175	CntrctRcvdGreaterThan100KCnt
Related Organizations	$738,850	RelatedOrganizationsAmt
Government Grants	$133,234	GovernmentGrantsAmt
All Other Contributions	$161,086	AllOtherContributionsAmt
Total Contributions	$1,033,170	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Patient Service Revenue	561110	$395,757,127	$395,757,127
Rural Hospital/Emergency Fund Payments	561110	$1,184,757	$1,184,757
Wellness Program	561110	$275,969	$275,969
Income/ (Loss) From Equity Investee	900099	$15,170		$147,340	-$132,170
MISCELLANEOUS PROGRAM INCOME	900099	$27,727	$27,727

Field	Value	IRS element (for citing)
Total Program Service Revenue	$397,260,750	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,785,002	TotalRevenueColumnAmt
Exclusion	$5,785,002	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$257,259	TotalRevenueColumnAmt
Exclusion	$257,259	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$612,636	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$612,636	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$612,636	TotalRevenueColumnAmt
Exclusion	$612,636	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$51,412,859	SecuritiesAmt
Other	$395,326	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$47,865,941	SecuritiesAmt
Other	$375,311	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,546,918	SecuritiesAmt
Other	$20,015	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,566,933	TotalRevenueColumnAmt
Exclusion	$3,566,933	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	$302,856	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$177,942	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$124,914	TotalRevenueColumnAmt
Exclusion	$124,914	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Cafeteria	722514	$1,463,159	$1,463,159
Vending/Copy Machine	900099	$27,923	$27,923
Loss On extinguishment of Debt	900099	-$129,853	-$129,853

Field	Value	IRS element (for citing)
Other Revenue Total	$1,361,229	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$410,001,893	TotalRevenueColumnAmt
Related Or Exempt Func Income	$397,245,580	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$147,340	UnrelatedBusinessRevenueAmt
Exclusion	$11,575,803	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$675,099	TotalAmt
Program Services	$675,099	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,862,828	TotalAmt
Program Services	$860,050	ProgramServicesAmt
Management And General	$3,661,126	ManagementAndGeneralAmt
Fundraising	$341,653	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$132,738,983	TotalAmt
Program Services	$110,663,163	ProgramServicesAmt
Management And General	$21,503,715	ManagementAndGeneralAmt
Fundraising	$572,105	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,243,879	TotalAmt
Program Services	$2,704,389	ProgramServicesAmt
Management And General	$525,508	ManagementAndGeneralAmt
Fundraising	$13,981	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,449,061	TotalAmt
Program Services	$20,382,938	ProgramServicesAmt
Management And General	$3,960,748	ManagementAndGeneralAmt
Fundraising	$105,375	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,153,314	TotalAmt
Program Services	$7,631,026	ProgramServicesAmt
Management And General	$1,482,837	ManagementAndGeneralAmt
Fundraising	$39,451	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$729,503	TotalAmt
Management And General	$729,503	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$114,116	TotalAmt
Management And General	$114,116	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$40,439	TotalAmt
Management And General	$40,439	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$182,028	TotalAmt
Management And General	$182,028	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$33,808,168	TotalAmt
Program Services	$28,185,534	ProgramServicesAmt
Management And General	$5,476,921	ManagementAndGeneralAmt
Fundraising	$145,713	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$461,981	TotalAmt
Program Services	$385,149	ProgramServicesAmt
Management And General	$74,841	ManagementAndGeneralAmt
Fundraising	$1,991	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,266,664	TotalAmt
Program Services	$7,725,525	ProgramServicesAmt
Management And General	$1,501,200	ManagementAndGeneralAmt
Fundraising	$39,939	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$21,813,050	TotalAmt
Program Services	$18,185,322	ProgramServicesAmt
Management And General	$3,533,714	ManagementAndGeneralAmt
Fundraising	$94,014	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,048,976	TotalAmt
Program Services	$3,375,591	ProgramServicesAmt
Management And General	$655,934	ManagementAndGeneralAmt
Fundraising	$17,451	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$395,747	TotalAmt
Program Services	$329,930	ProgramServicesAmt
Management And General	$64,111	ManagementAndGeneralAmt
Fundraising	$1,706	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$294,443	TotalAmt
Program Services	$245,474	ProgramServicesAmt
Management And General	$47,700	ManagementAndGeneralAmt
Fundraising	$1,269	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,835,005	TotalAmt
Program Services	$3,197,205	ProgramServicesAmt
Management And General	$621,271	ManagementAndGeneralAmt
Fundraising	$16,529	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,131,453	TotalAmt
Program Services	$13,448,631	ProgramServicesAmt
Management And General	$2,613,295	ManagementAndGeneralAmt
Fundraising	$69,527	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,603,951	TotalAmt
Program Services	$1,337,198	ProgramServicesAmt
Management And General	$259,840	ManagementAndGeneralAmt
Fundraising	$6,913	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$72,659,883	$72,659,883
REPAIRS & MAINTENANCE	$10,712,369	$8,930,795	$1,735,404	$46,170
MINOR EQUIPMENT	$2,538,977	$2,116,720	$411,314	$10,943
ASSESSMENTS	$6,897,190	$5,750,118	$1,117,345	$29,727

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,878,564	TotalAmt
Program Services	$1,566,138	ProgramServicesAmt
Management And General	$304,327	ManagementAndGeneralAmt
Fundraising	$8,099	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$362,535,670	TotalAmt
Program Services	$310,355,877	ProgramServicesAmt
Management And General	$50,617,237	ManagementAndGeneralAmt
Fundraising	$1,562,556	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$27,632,882	BOYAmt
EOY	$19,511,229	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$14,461,883	BOYAmt
EOY	$33,130,991	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	$43,155,358	BOYAmt
EOY	$42,147,887	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	$373,167	BOYAmt
EOY	$280,005	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,446,150	BOYAmt
EOY	$6,913,172	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,197,213	BOYAmt
EOY	$1,995,715	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$409,026,210	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$212,996,787	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$164,685,888	BOYAmt
EOY	$196,029,423	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$203,345,077	BOYAmt
EOY	$265,427,611	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,769,214	BOYAmt
EOY	$3,552,998	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	$3,002,820	BOYAmt
EOY	$5,277,509	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$468,069,652	BOYAmt
EOY	$574,266,540	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$32,931,444	BOYAmt
EOY	$39,462,470	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	$1,360,352	BOYAmt
EOY	$1,304,701	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$87,090,000	BOYAmt
EOY	$129,535,000	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	$2,129,637	BOYAmt
EOY	$4,620,051	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	$7,251,255	BOYAmt
EOY	$5,853,607	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$130,762,688	BOYAmt
EOY	$180,775,829	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	$337,289,368	BOYAmt
EOY	$393,471,260	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,596	BOYAmt
EOY	$19,451	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$337,306,964	BOYAmt
EOY	$393,490,711	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$468,069,652	BOYAmt
EOY	$574,266,540	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$47,466,223	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$9,296,246	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$578,722	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
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$40,439	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$40,439	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 1G	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF LOBBYING ACTIVITY: YAVAPAI COMMUNITY HOSPITAL ASSOCIATION RECEIVED CORRESPONDENCE FROM THE ARIZONA HOSPITAL ASSOCIATION REGARDING THEIR MEMBERSHIP DUES. A PORTION OF THEIR DUES WERE ATTRIBUTABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,414	BeginningYearBalanceAmt
Contributions	$1,854	ContributionsAmt
Investment Earnings Or Losses	$830	InvestmentEarningsOrLossesAmt
Other Expenditures	$807	OtherExpendituresAmt
End Year Balance	$24,291	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,225	BeginningYearBalanceAmt
Contributions	$163	ContributionsAmt
Investment Earnings Or Losses	$446	InvestmentEarningsOrLossesAmt
Other Expenditures	$420	OtherExpendituresAmt
End Year Balance	$22,414	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,296	BeginningYearBalanceAmt
Contributions	$107	ContributionsAmt
Investment Earnings Or Losses	$1,014	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,192	OtherExpendituresAmt
End Year Balance	$22,225	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$50,315	BeginningYearBalanceAmt
Contributions	$7,367	ContributionsAmt
Investment Earnings Or Losses	$2,718	InvestmentEarningsOrLossesAmt
Other Expenditures	$38,104	OtherExpendituresAmt
End Year Balance	$22,296	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$48,024	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,291	InvestmentEarningsOrLossesAmt
End Year Balance	$50,315	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.19600	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.80400	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,834,376	OtherCostOrOtherBasisAmt
Book Value	$17,834,376	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$171,097,036	OtherCostOrOtherBasisAmt
Depreciation	$58,558,700	DepreciationAmt
Book Value	$112,538,336	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,662,511	OtherCostOrOtherBasisAmt
Depreciation	$9,591,373	DepreciationAmt
Book Value	$3,071,138	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$142,711,552	OtherCostOrOtherBasisAmt
Depreciation	$100,616,656	DepreciationAmt
Book Value	$42,094,896	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$64,720,735	OtherCostOrOtherBasisAmt
Depreciation	$44,230,058	DepreciationAmt
Book Value	$20,490,677	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$196,029,423	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
EMR	$1,014,347
Accrued Bond Interest	$1,267,368
SERP Liability	$1,466,785
Bond Premium	$2,105,107

Field	Value	IRS element (for citing)
Total Liability	$5,853,607	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

DESCRIBE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE ORGANIZATION HAS BEEN LIMITED BY DONORS TO SPECIFIED TIME PERIOD OR PURPOSE. PERMANENTLY RESTRICTED NET ASSETS ARE RESTRICTED FOR THE HENDRICKS ENDOWMENT FUND, WHICH WAS CREATED TO HELP SUPPORT EDUCATION FOR INDIVIDUALS WHO ARE INTERESTED IN WORKING IN A HEALTHCARE ENVIRONMENT.

Schedule D, Part X, Line 2

UNCERTAIN TAX POSITIONS: Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

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
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (true)	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	$2,651,531	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,651,530	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,474,465	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,250,345	DirectOffsettingRevenueAmt
Total Expense	0.02550	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,125,996	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,250,345	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,651,530	NetCommunityBenefitExpnsAmt
Total Expense	0.03280	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	30	ActivitiesOrProgramsCnt
Persons Served	360117	PersonsServedCnt
Total Community Benefit Expns	$1,010,475	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$189,125	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$821,350	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	492	PersonsServedCnt
Total Community Benefit Expns	$48,770,322	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,328,641	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,441,681	NetCommunityBenefitExpnsAmt
Total Expense	0.07020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	532	PersonsServedCnt
Total Community Benefit Expns	$200,242	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$200,242	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	35	ActivitiesOrProgramsCnt
Persons Served	361141	PersonsServedCnt
Total Community Benefit Expns	$49,981,039	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,517,766	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,463,273	NetCommunityBenefitExpnsAmt
Total Expense	0.07310	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	35	ActivitiesOrProgramsCnt
Persons Served	361141	PersonsServedCnt
Total Community Benefit Expns	$95,107,035	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,768,111	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,114,803	NetCommunityBenefitExpnsAmt
Total Expense	0.10590	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$17,550	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,550	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	2891	PersonsServedCnt
Total Community Benefit Expns	$13,127	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,127	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$8,286	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,286	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,135	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,135	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	2891	PersonsServedCnt
Total Community Benefit Expns	$40,098	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$40,098	NetCommunityBenefitExpnsAmt
Total Expense	0.01100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$21,026,636	BadDebtExpenseAmt
Reimbursed By Medicare	$99,232,378	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$117,207,814	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$17,975,436	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
YAVAPAI REGIONAL MEDICAL CENTER WEST
1	1003 WILLOW CREEK ROAD	PRESCOTT	AZ	86301	WWW.YRMC.ORG	H0115	Yes (X)	Yes (X)	Yes (X)	A
YAVAPAI REGIONAL MEDICAL CENTER EAST
2	7700 E FLORENTINE ROAD	PRESCOTT VALLEY	AZ	86314	WWW.YRMC.ORG	H3964	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
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 Part V, Section C for URL	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C FOR URL	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	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	see part v, section c for url	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	see part v, section c for url	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	see part v section c for url	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
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR YAVAPAI COUNTY, YAVAPAI REGIONAL MEDICAL CENTER (YRMC) CONDUCTED A COMMUNITY HEALTH NEEDS SURVEY. PRIMARY DATA COLLECTION WAS DIVIDED INTO A WEB BASED SURVEY PROCESS AND PERSONAL INTERVIEWS WITH LOCAL ORGANIZATIONS. SURVEY RECIPIENTS WERE CHOSEN BASED ON THE CRITERIA OF BEING PROFESSIONALS SERVING THE HEALTH NEEDS OF THE COMMUNITY AND THE SURVEYS WERE DISTRIBUTED ELECTRONICALLY DURING THE YEAR. PERSONAL INTERVIEWS WERE CONDUCTED BY STAFF AT YAVAPAI REGIONAL MEDICAL CENTER. YRMC CONDUCTED LIVE, ONE ON ONE MEETINGS WITH THREE KEY LOCAL ORGANIZATIONS - THE COUNTY HEALTH DEPARTMENT, YAVAPAI TRIBE, AND A MENTAL HEALTH PROVIDER.
SCHEDULE H, PART V, SECTION B, LINE 6A	HOSPITAL FACILITIES INCLUDED IN THE CHNA: YAVAPAI REGIONAL MEDICAL CENTER OPERATES TWO HOSPITAL FACILITIES, THE WEST CAMPUS AND THE EAST CAMPUS. BOTH HOSPITALS WERE INCLUDED IN THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 7A & 10A	WWW.YRMC.ORG/SUPPORT-AND-COMMUNITY/COMMUNITY-HEALTH
SCHEDULE H, PART V, SECTION B, LINE 11	DESCRIBE HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS NOT BEING ADDRESSED. The implementation strategy outlines the top community health needs described in the 2019 CHNA that YRMC plans to address in whole or in part in fulfillment of its mission. YRMC has selected the top five priorities of the twelve health needs that were identified in the CHNA. The selection was based on priority ranking as well as resource availability and appropriateness to YRMCs areas of expertise. This implementation strategy may be modified as conditions change and as appropriate over the course of the next three years. For each health need that YRMC plans to address, the strategy describes: - Actions YRMC intends to take, including programs and resources it plans to commit - Anticipated impact of these actions - Planned collaboration between YRMC and other organizations 1. Healthy Behaviors/Lifestyle Changes YRMC has successfully provided wellness and health promotion programs for decades. These popular programs will provide the foundation for community outreach in the area of healthy behaviors and lifestyles. We anticipate an increase in the number of community members who actively make healthier choices. - Social media will continue to expand to help meet information needs surrounding good health choices. - Educational resources for healthy living choices (e.g. exercise programs, nutritious recipes, mental health self-care) - Access to latest health information (e.g. surgery preparation, COVID-19 resources, breast health) to result in higher positive health outcomes - Library of searchable health information archives to increase and enable health literacy skills - Tracking reports are run monthly to gauge traffic to various pages - Continue Pendleton Centers programs on the West Campus and the East Campus that adapt exercise suitable for the age and physical condition of individual participants, e.g., chair exercises for those with limited physical capacity. - Physical exercise programs tailored to specific patient health needs - Customization of techniques and accommodations for patients with limited mobility to facilitate greater compliance and proficiency in physical exercise - Survey conducted annually to acquire participant feedback, engagement, and compliance with recommendations - Explore collaboration with Yavapai County Community Health Services and local schools for in-school programs to promote healthy behaviors and educate children on the importance of maintaining their health. - Health education tools for teachers and students to build healthy habits and cultivate supportive peer and teacher/student relationships (e.g., GoNoodle web-based exercise program that increases physical activity and teaches relaxation/stress management techniques and skills, smoking prevention, other fitness resources) - Survey conducted with schools annually to acquire feedback and gauge student engagement, and students utilization of program recommendations - Explore collaborating with local churches/synagogues for opportunities to provide wellness programs for their congregations. - Coach local faith-based groups to help them foster positive health choices and well-being within their social networks through peer support (hiking groups, healthy eating support groups) - Focus groups conducted annually to acquire user feedback and program engagement - In collaboration with Subject Matter Experts (SME), continue the utilization of the widely popular YRMC Speakers Bureau to include the topic of healthy behaviors. - Opportunities for participants to review presentation materials at their own pace and contact SMEs for clarification. These interactions are compiled to help gauge participants level of engagement in SME recommendations. - Sample topics: - Swallowing Issues in Adults - Powered by Plants - 5 Simple Ways to Manage Your Anemia - Dietary Supplements: What You Need to Know - Healthy Legs, Healthy Life - Prescription Drug Risks for Older Adults - Your Heart Rhythm and Why it Matters - PRP or Stem Cell Therapy - So No One Faces Cancer Alone - Women and Heart Disease - Promote further collaboration with local housing developments and neighborhoods to provide information and motivation for healthier behaviors. - Provide coaching to housing development directors and neighborhood leaders to help them foster positive health choices within their resident groups and committees through peer support (exercise groups, healthy cooking networking groups) - Focus groups conducted annually to acquire feedback and program engagement - Seek out connections with local Chambers, PEO groups, civic groups, etc., for opportunities to present health information. - Opportunities for SMEs to address Chamber subgroups and other organizations to cultivate learning, sharing, discussion and practice of healthy behaviors (e.g. American Association of University Women/AAUWs Healthy Living committee) - Surveys conducted annually to help gauge participants level of engagement in SME recommendations and sharing of information with associated groups. - Explore collaboration with local retirement centers and assisted living facilities to provide health information and social contact. - COVID-19 pandemic has raised significant challenges for such facilities to enable contact among residents, inhibiting the social connection that is especially important during challenging times to minimize isolation, maintain health and cultivate well-being of residents. - Working with local facilities to provide education on alternative forms of contact through technology (e.g. web-based meetings, cell phone video chat sessions, online forums) to share information about helpful foods, exercise and other healthy habits. This education enhances residents proficiency in health behaviors and encourages technical/Internet 2. Lack of Primary Care Physicians The 2013 and 2016 CHNA plans identified a need for specialists as well as primary care. Since that time, extraordinary efforts have been successful in recruiting physicians and now we have filled many specialties for our community. We still see a need for primary care and plan to address this need accordingly. It is anticipated that more primary care providers will be available for our community. - YRMC hired a physician recruiter and one priority will be to seek and recruit primary care providers. - YRMC will use Advanced Practice Providers (Nurse Practitioners and Physician Assistants) to augment the need for primary care. - Needs for suitable office space to accommodate additional physicians will be met based primarily on YRMCs Master Facilities Plan and taking advantage of space in our communities that may become available. - Explore feasibility of options such as walk-in clinics, satellite offices, and extended hours for YRMC PC clinics, etc. - COVID-19 has dramatically increased use of telemedicine options, resulting in greater familiarity and ease of use among providers. These techniques will be used to expand access to patients with mobility issues or limited availability. - Usage tracking to be conducted annually to gauge usage and most utilized service lines. - In collaboration with local schools, YRMC will continue to provide free primary care to uninsured and underinsured school children and their younger siblings through the Partners for Healthy Students program, staffed by Nurse Practitioners and led by a Medical Director. - The economic impact of COVID-19 has been particularly devastating due to temporary layoffs resulting in more children without insurance coverage and in need of care. As of May 2020, an estimated 17% (one in six) working adults are receiving unemployment benefits. To address this issue, YRMC approved the extension of PHS services beyond the traditional school year and through the summer of 2020. - YRMC will continue to collaborate with the Arizona Sonshine organization that provides free healthcare in our region for several days annually to help meet the needs of the underserved. - Due to the COVID-19 pandemic, the Arizona Sonshine 2020 event has been canceled. The organization is currently investigating the feasibility of setting up mobile medical units in select areas if the crisis continues long-term, to be staffed by volunteers. 3. Lack of Health Knowledge Health literacy is defined as a persons ability to read, understand, evaluate and act upon health information. Low health literacy is linked to poorer health status and more emergency room visits and hospitalizations. An estimated 75 million English-speaking adults in the United States have limited health literacy, making it difficult for them to understand and use basic health information. (Source: Agency for Healthcare Research and Quality). YRMCs efforts are expected to improve health literacy in our community. - YRMC will continue to use social media and other electronic methods of reaching out to t
SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, & 16C	URL where the FAP, FAP application form, and plain language summary can be found: http://www.yrmc.org/patient-financial-services/financial-assistance
SCHEDULE H, PART V, SECTION B, LINE 16I	TRANSLATION OF FAP INTO PRIMARY LANGUAGE SPOKEN BY LEP POPULATIONS: YRMC HAS TRANSLATED THE FAP INTO SPANISH AND WOULD CONSIDER TRANSLATING INTO ANOTHER LANGUAGE WHEN IT IS KNOWN THAT PATIENTS WILL NEED THE TRANSLATION AND ARE NOT SERVED BY THE CURRENT FORMS AND STATEMENTS. YRMC USES DEMOGRAPHIC DATA FROM THEIR SYSTEM AND THE COUNTIES TO DETERMINE IF A PATIENT POPULATION EXISTS THAT IS OVER 1,000 INDIVIDUALS THAT DO NOT SPEAK ENGLISH OR SPANISH.
PART V, SECTION B, LINE 22D	DESCRIBE HOW THE HOSPITAL FACILITY DETERMINED THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESARRY CARE: THE QUALIFYING LEVEL OF ASSISTANCE FOR PATIENTS ELIGIBLE FOR THE FAP WILL BE BASED ON CHARGES AFTER AN UNINSURED DISCOUNT OF 20% OF YRMC'S BILLED CHARGES HAS BEEN APPLIED. PATIENTS THAT QUALIFY UNDER THE FAP WILL NOT BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) FOR SERVICES RENDERED. AGB IS CALCULATED ANNUALLY BY DETERMINING THE AVERAGE PERCENTAGE PAID FOR SERVICES RENDERED TO MEDICARE AND PRIVATE INSURANCE PAYERS. A COPY OF THIS CALCULATION IS AVAILABLE UPON REQUEST BY CALLING THE YRMC BUSINESS OFFICE. THEREAFTER, FINANCIAL ASSISTANCE WILL BE DETERMINED USING A SLIDING-FEE SCALE BASED UPON HOUSEHOLD INCOME AS COMPARED TO THE FEDERAL POVERTY LEVEL (FPL) AND SUBJECT TO A REDUCTION BASED ON QUALIFYING ASSETS.

Field	Value	IRS element (for citing)
Facility	19	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
YRMC - DEL E WEBB OUTPATIENT CENTER
3262 WINDSONG ROAD	PRESCOTT VALLEY	AZ	86314	OUTPATIENT DIAGNOSTICS, Rehabilitation & laboratory
PENDLETON WELLNESS CENTER
930 DIVISION STREET	PRESCOTT	AZ	86301	CARDIAC REHABILITATION, physical therapy, & wellness outpatient center
PRESCOTT OUTPATIENT SURGICAL CENTER
815 AINSWORTH DR	PRESCOTT	AZ	86301	OUTPATIENT SURGICAL CENTER
YRMC PC INTERNAL MEDICINE I
3120 CLEARWATER DR	PRESCOTT	AZ	86305	PHYSICIAN PRACTICE - INTERNAL Medicine
YRMC PC FAMILY MEDICINE I
7712 E FLORENTINE	PRESCOTT VALLEY	AZ	86314	PHYSICIAN PRACTICE - FAMILY Medicine
YRMC PC BREAST CARE
7700 E FLORENTINE ROAD BLD B SUIT	PRESCOTT VALLEY	AZ	86314	PHYSICIAN PRACTICE-SURGERY
YRMC PC FAMILY MEDICINE III
1050 GAIL GARDNER WAY SUITE B	PRESCOTT	AZ	86301	PHYSICIAN PRACTICE - FAMILY MEDICINE
YRMC PC FAMILY MEDICINE IV-BAGDAD
12 HOPE DRIVE	BAGDAD	AZ	86321	PHYSICIAN PRACTICE - FAMILY MEDICINE
YRMC PC CARDIOLOGY I
802 E AINSWORTH DR SUITE A	PRESCOTT	AZ	86301	PHYSICIAN PRACTICE - CARDIOLOGY
YRMC PC CARDIOLOGY II
7700 E FLORENTINE RD BLD B SUITE	PRESCOTT VALLEY	AZ	86314	PHYSICIAN PRACTICE - CARDIOLOGY
YRMC PC CARDIOLOGY III
726 GAIL GARDNER WAY SUITE A	PRESCOTT	AZ	86305	PHYSICIAN PRACTICE - CARDIOLOGY
YRMC PC CARDIOLOGY IV
980 WILLOW CREEK ROAD	PRESCOTT	AZ	86301	PHYSICIAN PRACTICE - CARDIOLOGY
YRMC PC NEUROSURGERY
1001 DIVISION STREET	PRESCOTT	AZ	86301	PHYSICIAN PRACTICE - NEUROSURGERY
YRMC PC GASTROENTROLOGY
811 AINSWORTH STREET	PRESCOTT	AZ	86301	PHYSICIAN PRACTICE - GASTROENTROLOGY
YRMC PC PEDIATRICS
2120 CENTERPOINTE WEST	PRESCOTT	AZ	86301	PHYSICIAN PRACTICE - PEDIATRICS
YRMC PC PALLIATIVE CARE
1003 WILLOW CREEK ROAD	PRESCOTT	AZ	86301	PHYSICIAN PRACTICE - PALLIATIVE CARE
YRMC PC SURGERY III
810 AINSWORTH DRIVE	PRESCOTT	AZ	86301	PHYSICIAN PRACTICE-SURGERY
YRMC PC SURGERY IV
810 AINSWORTH DRIVE	PRESCOTT	AZ	86301	PHYSICIAN PRACTICE-SURGERY
YRMC PC PRIMARY CARE
7700 E FLORENTINE RD BLD B SUITE	PRESCOTT VALLEY	AZ	86314	PHYSICIAN PRACTICE-FAMILY MEDICINE

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LIne 3	Description of additional criteria used to determine Financial Assistance Eligibility: In addition to the Federal Poverty Guidelines Yavapai Regional Medical Center uses the following criteria to determine eligibility for financial assistance: Asset Level, Medical Indigency, Insurance Status, Underinsurance Status, Residency.
SCHEDULE H, PART I, LINE 7	CALCULATION OF COMMUNITY BENEFIT EXPENSES: THE ORGANIZATION USED A COST-TO CHARGE RATIO FOR LINE 7A-7C & 7G. THE COST TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE ORGANIZATION USED A COST ACCOUNTING AMOUNT FOR THE OTHER MEANS TESTED PROGRAMS ON LINE 7C THAT RELATED TO THE JOINT VENTURES. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
SCHEDULE H, PART I, LINE 7G	CLINICS INCLUDED AS SUBSIDIZED SERVICES: THE SUBSIDIZED SERVICES ON LINE 7G INCLUDE PHYSICIAN CLINICS IN PRESCOTT AND PRESCOTT VALLEY. THE CLINICS IMPROVE COMMUNITY ACCESS TO HEALTHCARE SERVICES SUCH AS CARDIOLOGY AND NEUROSURGERY. WITHOUT THE CARDIOLOGY CLINICS, THE COMMUNITY WOULD BE UNDERSERVED, AS THIS WOULD CAUSE A SHORTAGE OF ACCESS FOR THIS TYPE OF CARE. THE DEMOGRAPHICS ARE MAINLY THAT OF THE MEDICARE POPULATION, AND ADDITIONAL TRAVEL TIME FOR RESIDENTS TO OBTAIN SIMILAR CARE IN OTHER AREAS WOULD BE DIFFICULT FOR RESIDENTS. THE NEUROSURGEY CLINIC IS THE ONLY CENTER AVAILABLE IN THE CITY OF PRESCOTT.
SCHEDULE H, PART II	THE HOSPITAL IS DEDICATED TO PROMOTING THE GENERAL HEALTH OF THE POPULATION. THE ACTIVITIES IN PART II CONTRIBUTE TO THE VITALITY OF THE COMMUNITY WHICH IS ONE OF MANY FACTORS THAT IMPACT THE HEALTH OF THE COMMUNITY AND PROVIDES A BENEFIT FOR OUR COMMUNITY.
SCHEDULE H, PART III, SECTION A, LINE 2	THE HOSPITAL RECOGNIZES ITS RESPONSIBILITY TO PROVIDE FOR THE NEEDS OF THE COMMUNITY, REGARDLESS OF PATIENTS' ABILITY TO PAY. IN MANY CASES, PATIENTS ARE UNWILLING OR UNABLE TO PAY AFTER SERVICES HAVE BEEN PROVIDED, EVENTUALLY RESULTING IN BAD DEBT. NEVERTHELESS, IF THESE SERVICES WERE NOT PROVIDED BY THE ORGANIZATION, THE HEALTHCARE NEEDS OF THESE PATIENTS MIGHT NOT OTHERWISE BE FULFILLED WITHIN THE COMMUNITY. THEREFORE, THE ORGANIZATION BELIEVES THAT THE SERVICES NOT PAID FOR SHOULD BE INCLUDED IN COMMUNITY BENEFIT.
SCHEDULE H, PART III, SECTION A, LINE 3	THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, SECTION A, LINE 4	ACCOUNTING STANDARD CODIFICATION TOPIC 606, REVENUE FROM CONTRACTS WITH CUSTOMERS HAS CHANGED HOW YAVAPAI RECOGNIZES REVENUE. THE NEW STANDARD REMOVES THE BAD DEBT EXPENSE FROM BEING REPORTED ON THE AUDITED FINANCIAL STATEMENTS. DUE TO THE CHANGE IN REVENUE RECOGNITION YAVAPAI REGIONAL MEDICAL CENTER DOES NOT HAVE A BAD DEBT EXPENSE LISTED IN THE AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 8	THE SHORTFALL FROM MEDICARE SHOULD BE CONSIDERED COMMUNITY BENEFIT TO THE EXTENT THAT THE ORGANIZATION COULD NOT REASONABLY REDUCE ITS COSTS TO A LOWER LEVEL. WHILE HARD TO PROJECT THE POTENTIAL SAVINGS FROM VARIOUS POSSIBLE COST CUTTING MEASURES, IT IS REASONABLE TO ASSUME THAT AT LEAST 50% OF THE SHORTFALL MIGHT NOT OTHERWISE BE RECOVERED THROUGH SAVINGS MEASURES. BECAUSE THE ORGANIZATION IS COMMITTED TO MEETING THE NEEDS OF THE COMMUNITY, ANY PATIENT THAT PRESENTS FOR MEDICAL TREATMENT WHO IS COVERED UNDER MEDICARE WILL BE SERVED, DESPITE THE POTENTIAL DETRIMENTAL IMPACT ON THE ORGANIZATION'S FINANCIALS. WITH RESPECT TO THE SOURCE USED TO DETERMINE THE MEDICARE ALLOWABLE COST ON LINE 6, THE FOLLOWING LINES FROM THE MEDICARE COST REPORT WERE USED: LINE 53 (TOTAL PROGRAM INPATIENT OPERATING COST EXCLUDING CAPITAL RELATED, NON-PHYSICIAN ANESTHETIST, AND MEDICAL EDUCATION COSTS) AND LINE 104 (NET CHARGES FOR ANCILLARY SERVICE COST CENTERS.)
SCHEDULE H, PART III, SECTION C, LINE 9B	IF IT WAS NOT KNOWN AT THE POINT OF SERVICE THAT THE PATIENT HAD THE INABILITY TO PAY, THE PATIENT MAY BE SCREENED: 1) BY PHONE OR 2) IN PERSON BY THE CUSTOMER SERVICES REPRESENTATIVE. THE CUSTOMER SERVICE REPRESENTATIVE WILL UTILIZE THE FINANCIAL ASSISTANCE WORKSHEET TO DETERMINE THE PATIENT'S ABILITY/INABILITY TO PAY. IF THE DETERMINATION INDICATES THE PATIENT HAS THE ABILITY TO PAY, OTHER OPTIONS FOR PAYMENTS WILL BE EXPLAINED. IF THERE IS NO ABILITY TO PAY, THEN THE APPLICATION WILL BE SUBMITTED FOR CONSIDERATION.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: YRMC USES SEVERAL MEASURES BY WHICH TO ASSESS COMMUNITY HEALTH NEEDS. ONE MEASURE IS OUR MIGRATION BY SERVICE. AS AN EXAMPLE, PRIOR TO OPENING OUR CARDIOVASCULAR SURGERY PROGRAM IN 2007, WE SAW MANY HUNDREDS OF PEOPLE LEAVING OUR COMMUNITY TO GO TO PHOENIX - 100 MILES AWAY - FOR OPEN HEART SURGERY. THIS WAS AN INDICATION OF A NEED IN OUR COMMUNITY THAT REQUIRED YRMC'S FOCUSED ATTENTION AND EFFORTS THAT CULMINATED IN THE HEART CENTER AT YRMC. YRMC CONSTANTLY MONITORS VOLUME AND UTILIZATION DATA IN ITS SERVICE LINES TO HELP DETERMINE LEVEL OF NEED IN THE COMMUNITY FOR EACH SERVICE LINE. WHEN VOLUME FIGURES VARY FROM ANTICIPATED VOLUME, YRMC CAREFULLY EXPLORES REASONS BEHIND THOSE VARIANCES AND ADDRESSES THEM APPROPRIATELY. FOR EXAMPLE, IF A DROP IN SURGICAL VOLUME IS RELATED TO A NEED FOR MORE GENERAL SURGEONS, EFFORTS ENSUE TO RECRUIT ADDITIONAL SURGEONS. YRMC ALSO SPENDS A GREAT DEAL OF TIME LISTENING TO THE COMMUNITY BY WAY OF FOCUS GROUPS, COMMUNITY INVOLVEMENT BY SENIOR MANAGEMENT, PATIENT SURVEY FEEDBACK, AND COMMUNITY OUTREACH EFFORTS. AS OUR CEO HAS STATED, WE LEARN MORE BY LISTENING THAN BY TALKING. YRMC IS REGARDED BY THE COMMUNITY AS A KEY RESOURCE AND AN ASSET. CONSEQUENTLY, COMMUNITY MEMBERS FEEL VERY COMFORTABLE AND FREE IN SHARING THEIR PERCEPTIONS AND PERSPECTIVES. YRMC ALSO ENGAGES NATIONAL RESEARCH CORPORATION (NRC) TO CONDUCT COMMUNITY NEEDS ASSESSMENT RESEARCH. THE STUDY OBJECTIVES INCLUDE THE FOLLOWING: A. MEASURE AND EVALUATE HEALTH STATUS AND HEALTHCARE UTILIZATION WITHIN THE COMMUNITY. B. IDENTIFY THE PREVALENCE OF CHRONIC CONDITIONS WITHIN VARIOUS DEMOGRAPHIC SEGMENTS WITHIN THE COMMUNITY. C. PROFILE HIGH-RISK POPULATIONS. D. IDENTIFY GAPS IN CARE AND PREVENTIVE HEALTH BEHAVIORS AMONG VARIOUS DEMOGRAPHIC SEGMENTS WITHIN THE COMMUNITY.
SCHEDULE H, PART VI, LINE 3	WHEN PATIENTS PRESENT FOR ADMISSION, THEY ARE ASKED TO REVIEW AND INITIAL A PATIENT CONSENT FORM. THE PATIENT CONSENT FORM CONTAINS A PARAGRAPH ENTITLED FINANCIAL ASSISTANCE PROGRAMS. THIS PARAGRAPH INDICATES THAT THE PATIENT MAY BE CONSIDERED FOR FINANCIAL ASSISTANCE IF ELIGIBILITY CRITERIA WERE MET. THE PATIENT IS REQUIRED TO INITIAL A BOX NEXT TO THE PARAGRAPH INDICATING THEY HAVE READ IT AND CONSENT. THIS SAME FORM ALSO CONTAINS LANGUAGE REGARDING THE ASSIGNMENT OF BENEFITS IF ELIGIBLE FOR MEDICARE. IN ADDITION TO THE ABOVE, PATIENTS MAY WORK DIRECTLY WITH PATIENT FINANCIAL SERVICES AT THE HOSPITAL TO MAKE PAYMENT ARRANGEMENTS OR APPLY FOR FINANCIAL ASSISTANCE. EDUCATION REGARDING ASSISTANCE GENERALLY OCCURS AS THE NEED ARISES.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: YRMC SERVES THE RURAL COMMUNITIES IN THE WESTERN PORTION OF YAVAPAI COUNTY IN NORTHERN ARIZONA. YRMC'S SERVES APPROXIMATELY 175,000 MEN, WOMEN AND CHILDREN LIVING IN AN AREA LARGER THAN THE STATE OF NEW JERSEY.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL IS DEDICATED TO MEETING COMMUNITY NEEDS AND PROMOTING THE GENERAL HEALTH OF THE POPULATION. WHEN YRMC BUILT AND OPENED THE FAMILY BIRTHING CENTER, IT WAS NOT BECAUSE IT BELIEVED THAT THIS WOULD BE A PROFITABLE SERVICE LINE (66% OF ADMITS TO OB ARE ON THE STATE'S MEDICAID PROGRAM) BUT BECAUSE IT UNDERSTOOD THERE WAS A COMMUNITY NEED FOR EXPANDED SERVICES. YRMC ALSO SUBSIDIZES THE FAMILY RESOURCE CENTER, A PROGRAM THAT HELPS YOUNG PARENTS LEARN HEALTHY PARENTING SKILLS AND MATCHES THEM TO LOCAL RESOURCES THEY NEED. THE STAFF WORKS CLOSELY WITH THE OB STAFF IN VISITING ALL NEW MOMS WHO DELIVER BABIES AT YRMC. THEY ARE PRESENTED WITH A GROWTH AND DEVELOPMENT CALENDAR TO HELP THEM UNDERSTAND WHAT CAN BE EXPECTED IN THEIR BABIES' FIRST YEAR. STAFF ALSO INVITES NEW PARENTS TO PARTICIPATE IN THE FAMILY RESOURCE CENTER PROGRAMS. IN ADDITION, THE HOSPITAL IS ACTIVELY RECRUITING PHYSICIANS TO THE COMMUNITY AND HAS IMPLEMENTED AN EMPLOYED PHYSICIAN MODEL IN ORDER TO FURTHER ASSIST THE COMMUNITY IN ADDRESSING A SEVERE SHORTAGE OF PHYSICIANS. THE HOSPITAL'S BOARD OF DIRECTORS IS COMMUNITY BASED AND SELECTED BY A COUNCIL OF ELECTORS COMPRISED OF REPRESENTATIVES FROM VARIOUS GOVERNMENT AND COMMUNITY AGENCIES AND NON-PROFIT GROUPS FROM THROUGHOUT THE HOSPITAL'S SERVICE AREA. THE HOSPITAL INVESTS AND UTILIZES ANY EXCESS FUNDS FROM OPERATIONS AS A SAFEGUARD FOR POTENTIAL FINANCIAL CHALLENGES AND TO FUND FUTURE CAPITAL NEEDS.
SCHEDULE H, PART VI, LINE 6	YAVAPAI REGIONAL MEDICAL CENTER IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
SCHEDULE H, PART VI, LINE 7	YAVAPAI REGIONAL MEDICAL CENTER DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH THE STATE.
Schedule H, PART VI	ADDITIONAL COMMUNITY BENEFIT OVERVIEW FOR 2019: Yavapai Regional Medical Center proudly serves a 5,500 square mile area of western Yavapai County. YRMC is deeply committed to supporting the local community in multiple ways, many of which are provided at no cost or at a financial loss to benefit our community. We provide resources for people who are in search of more information about their health and how to improve their quality of life, and we also offer assistance to those who are vulnerable. YRMC is the major employer in all of Yavapai County with 2,048 employees. Our annual salaries, wages and benefits of about $130,006,314 turn over multiple times throughout the community and support the local economy. We are honored to have more than 700 Volunteers from the local community who dedicate their time and talent to helping YRMC, our programs, services and patients. This is another testament to the strong presence of YRMC and the community's appreciation for all we do. With a medical staff of approximately 395 providers representing a wide range of specialties and touting training for highly prestigious institutions such as Harvard, UCLA, Duke University, Mayo Clinic and more, we clearly have a robust healthcare team to serve the community. YRMC prides itself in its involvement in local community-building and community outreach activities such as active participation in all the local Chambers of Commerce, being a national leader in Patient Blood Management and much more. YRMC greatly enhanced its presence in electronic and social media in 2019. YRMC's premier website is a trusted health information source. It includes information about our services, our physicians, our Community Benefit programs, our many Community Outreach efforts, and links with other valuable online sites. YRMC's active presence on Facebook and Twitter are examples of the many ways YRMC connects with the community in real time. Obstetrics and Nursery Services: As a sole community provider for this region, YRMC provides obstetrics services for young families. Because this area is based on tourism and service industries, there is very little opportunity for workers to earn a sufficient living so we have a prevalence of "working poor." As a result, our Family Birthing Center provides care to a market that is predominantly covered by the Arizona Health Care Cost Containment System (AHCCCS), Arizona's brand of Medicaid. And because we are located more than 90 miles from a hospital that provides specialized neonate care, we earned licensure as a Level II Nursery in our Family Birthing Center. This Nursery cares for premature babies as well as those that are born addicted to controlled substances. Although this specialized care is expensive for YRMC to provide, it eliminates the need and costs for parents to go to Phoenix to be with their new baby or to juggle childcare for other children in the family as well as their jobs. Our entire obstetrics service line is a community benefit when many hospitals in Arizona have closed their OB services entirely. As the community's hospital, this was not an option to be considered at YRMC. In 2019, 1,031 babies entered the world at YRMC's Family Birthing Center. In 2019, operating expenses for the Family Birthing Center were $6,413,901.00. Family Resource Center In addition to comprehensive obstetrics services and programs, YRMC also supports young families who are experiencing stress related to parenthood, financial pressures, lack of extended family support locally and lack of good modeling in their own childhood of parenting infants and young children. The Family Resource Center (FRC) is a certified program that provides support and education to young families in an effort to reduce and eliminate child abuse and neglect. Since we have a predominance of working poor families in our community, stress related to parenting is exacerbated by financial issues. Every new mother who delivers her baby at YRMC is visited by an FRC representative and is given a child development calendar so the mother will know the guidelines for developmental expectations during the child's first year of life. They are introduced to the program and are invited to reach out to FRC for more information and for services. Some mothers are referred by the Arizona Department of Child Safety and those women are required to participate in FRC programs. FRC provides education, motivation, counseling, support and training for these families. The FRC staff consists of trained family support specialists who make home visits and work with each family in an individualized care plan. FRC also provides opportunities for support with social events to help young children learn appropriate social skills and to provide their parents with the ability to network with other young men and women who are facing similar challenges. The family care staff remains in constant contact with each family throughout their children's early years. In 2019, the First Steps Program in Family Resource Center advised 1,010 parents on how to care for their newborns and the Healthy Families program worked with 102 families. In 2019, operating expenses for the Family Resource Center were $365,359.00. Community Outreach YRMC was touted in its Community Health Needs Assessment by many respondents for its excellent Community Outreach and health education efforts. Outreach provides health and wellness news from YRMC and also describes specific service lines and includes personal stories of patients whose lives were changed by those services. The Community Outreach Department also plans and produces a monthly community calendar that provides date, time and location of the multiple programs and support groups that are provided by YRMC. This calendar has become a key resource for thousands of people throughout our communities for information on when and where they can find help or can learn more about a topic of personal interest. Programs and activities highlighted in the monthly calendar include such things as Parkinson's Disease exercise classes, respiratory wellness classes, valuable information on prescription medications, improving balance to minimize falls programs, lymphedema support groups, Family Birthing classes, pre-operative hip replacement preparation and information, reversing heart disease, depression in the older adult, stress management, pre-operative knee replacement preparation and information, diabetes self-management and more. Community Outreach supports, promotes and organizes many charity walks with YRMC teams. Because the 2,048 employees and their families are an important component of our local communities, Community Outreach is also a key player in YRMC efforts to keep employees and their families healthy. In addition, for each new physician or physician extender who joins YRMC's Physician Care employed network, Community Outreach coordinates photos and bios on each person. These are compiled into notebooks for each physician's reception area so patients can peruse the books and read about the background, experience and expertise of each physician. New physicians are also introduced to the community via display ads in local publications, press releases, HealthConnect and local journals such as Prescott Woman Magazine. Community Outreach organizes and produces the annual Patient Blood Management Symposium that attracts nearly 400 people each year. Local and national experts present fascinating research and information. In 2019 the Symposium was live streamed globally. The Symposium is also developed into a special DVD for distribution to other interested audience members. The Medical Director of YRMC's James Family Heart Center is an expert on the topic and he has developed the patient blood management program here at YRMC. This program is known worldwide. Because of YRMC's expertise in Patient Blood Management, patients actively seek out this hospital for heart surgery and orthopedic surgery. We have had patients from all over Arizona, California, Oregon and other states specifically to have their surgery with these specialized techniques. This not only meets the needs of those who for faith reasons do not accept blood products but research is demonstrating these techniques actually produce far superior outcomes for the patient. Community Outreach also created a cooking show called "Your Healthy Kitchen." It is hosted by a YRMC dietitian who was also trained at Cordon Bleu culinary school in France. The program is filmed live at a local TV studio and those programs are available on YRMC's website and in DVD format. Each program includes valuable information about nutrition, shopping for healthy food, and great recipes. There are special programs for those who have specific dietary needs or restrictions. The host of the program has also conducted a "tour" of grocery store aisles and discussed food labels to help people make good decisions about food purchases. There are also

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Yavapai Regional Medical Center Foundation
1003 Willow Creed Road	Prescott	AZ	86301	861038463	501(c)(3)	$375,754	Healthcare
WEST YAVAPAI GUIDANCE CLINIC FOUNDATION
3343 N WINDSONG DRIVE	Prescott Valley	AZ	86314	860576008	501(c)(3)	$25,000	To Support Organization
Humboldt Education Foundation INC
6411 N Robert Road	Prescott Valley	AZ	86314	473592724	501(c)(3)	$10,000	no more hungry kids program
Yavapai College Foundation
1100 e sheldon St	Prescott	AZ	86301	237232985	501(C)(3)	$17,400	Scholars Program
COALITION FOR COMPASSION AND JUSTICE
PO BOX 1882	PRESCOTT	AZ	86302	470851633	501(C)(3)	$6,200	Homeless Projects
Prescott Mountain Bike Alliance
PO BOX 3027	PRESCOTT	AZ	86302	272333931	501(c)(3)	$10,000	Mountain Bike Alliance
EPIC RIDES
534 N Stone Avenue	TUCSON	AZ	85705	272677971	501(c)(3)	$7,500	Whiskey Off-Road
Chino Valley Unified School District
650 E Center St	Chino Valley	AZ	86323	866003009	Chino Valley	$7,000	Audiometry Equipment
Community Health Center of Yavapai
1090 Commerce Drive	Prescott	AZ	86305	860744955	501(c)(3)	$60,000	To Support Organization
JAmes Family Prescott YMCA
750 Whipple St	PRescott	AZ	86301	860119151	501(c)(3)	$10,000

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	GRANTS ARE MADE TO THE YRMC FOUNDATION (THE FOUNDATION) A SUPPORTING ORGANIZATION OF THE HOSPITAL. GENERALLY, GRANTS REPORTED ON THE HOSPITAL'S 990 REPRESENT FUNDS ORIGINALLY INTENDED FOR THE FOUNDATION BUT PAID TO THE ORDER OF THE YRMC. THESE FUNDS ARE DEPOSITED WITH THE FOUNDATION, BUT AN ENTRY IS RECORDED TO RECOGNIZE RECEIPT OF THE CONTRIBUTION BY THE HOSPITAL. AN ENTRY IS THEN MADE TO RECORD THE GRANT TO RECOGNIZE THE DEPOSIT OF FUNDS WITH THE FOUNDATION. YRMC ALSO GIVES OUT VARIOUS CASH AND NON-CASH GRANTS TO LOCAL COMMUNITY AGENCIES AND ORGANIZATIONS IN ORDER TO HELP SUPPORT COMMUNITY DEVELOPMENT. Reviewing and Approving Donations to Organizations Yavapai Regional Medical Centers Community Outreach Department is responsible for reviewing and approving donation requests from organizations that share our Vision of a Total Healing Environment. Our Vision is based on the belief that there is an indivisible relationship that exists between body, mind and spirit and we choose to support organizations that benefit those in our community who are vulnerable and underserved. We prioritize organizations that: - Advance research in areas specifically important to the people we serve. Examples are the American Cancer Society and the Alzheimers Association. - Address food insecurity in our region. Examples include local food banks, Meals on Wheels and backpack nutrition programs for children. - Provide behavioral health services to those in need. This includes an annual donation to the West Yavapai Guidance Clinic and other organizations that address behavioral health and chemical dependency issues in our community. This also includes financial support to provide NARCAN at no cost for local law enforcement agencies to utilize in the field. - Extend care to those in our community who are underserved. We make an annual donation to Arizona SonShine, which provides free medical, dental and vision care to the underserved. Our donation of free radiology services to the Yavapai Community Health Center is another example of our commitment to extending care to the underserved in the community. - Support our aging population. This includes regular annual donations to the various community centers in the region that provide support and fellowship for our areas seniors. - Nurture child development and education. Examples include Big Brothers/Big Sisters, the Boys and Girls Clubs, Prevent Child Abuse Arizona, local school districts, and others. - Promote healthy lifestyles and address physical inactivity. Examples include donations to the North Star Charitable Foundation to benefit local adolescent and teen groups, the Prescott Mountain Bike Associations Summer Youth Program, the YMCA, and much more. These are a few examples of the various organizations we choose to support to benefit those in our community. Each request is reviewed and approved by the Director of Marketing and Communications who manages the community benefit program for YRMC. Donations are budgeted monthly and priorities may shift based on community need.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (true)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (true)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Diane Drexler
CNO	$220,576	$0	$54,271	$0	$94,284	$0	$75,419	$0	$27,905	$0	$472,455	$0	$58,370
Lee Livin
CFO	$364,674	$0	$75,000	$0	$92,695	$0	$101,881	$0	$17,394	$0	$651,644	$0	$80,101
John R Amos
CEO	$592,042	$0	$139,320	$0	$221,542	$0	$173,947	$0	$24,352	$0	$1,151,203	$0	$129,831
Mark Timm
Chief Human Resource Officer	$194,571	$0	$31,011	$0	$82,160	$0	$65,976	$0	$25,510	$0	$399,228	$0	$50,014
Roberta Nicol - Executive
Director of Philanthropy	$193,994	$0	$31,068	$0	$89,820	$0	$64,711	$0	$22,395	$0	$401,988	$0	$49,665
Timothy Roberts
CIO	$211,520	$0	$33,122	$0	$43,548	$0	$66,471	$0	$20,435	$0	$375,096	$0	$9,395
Anthony Torres
CMO	$306,654	$0	$75,000	$0	$131,202	$0	$99,499	$0	$24,510	$0	$636,865	$0	$77,335
Frank Almendarez
Chief Admin Officer	$194,723	$0	$32,064	$0	$63,516	$0	$68,851	$0	$29,105	$0	$388,259	$0	$33,238
Shayan Alam
Physician	$508,705	$0	$313,743	$0	$420	$0	$14,000	$0	$25,549	$0	$862,417	$0
George T Rizk
Physician	$584,077	$0	$204,628	$0	$2,772	$0	$14,000	$0	$12,637	$0	$818,114	$0
Nisha Tung-Takher
Physician	$912,154	$0	$223,514	$0	$630	$0	$14,000	$0	$25,707	$0	$1,176,005	$0
Assar H Mansour
Physician	$1,318,585	$0	$0	$0	$2,732	$0	$0	$0	$13,109	$0	$1,334,426	$0
Soundos K Moualla
Physician	$723,075		$0		$0		$32,500		$13,046		$768,621

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 7	THE HOSPITAL PROVIDED PERFORMANCE AWARDS TO ITS EXECUTIVE TEAM IN 2019. WHILE THE PERFORMANCE AWARDS REWARDED OUTSTANDING PERFORMANCE, THEY WERE NOT CONTINGENT ON ACHIEVING A STATED REVENUE OR NET EARNINGS AMOUNT AND WERE SOLEY AT THE DISCRETION OF THE HOSPITAL'S CEO.
SCHEDULE J, PART I, LINE 8	JOHN AMOS' COMPENSATION IS COVERED BY HIS INITIAL CONTRACT DATED OCTOBER 1ST, 2013. PLEASE SEE SCHEDULE O, PART VI, LINE 15A NARRATIVE FOR MORE INFORMATION.
SCHEDULE J, PART I, LINE 4B	NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM A NON-QUALIFIED SUPPLEMENTAL RETI PLAN. THE AMOUNTS LISTED INCLUDE AMOUNTS IN W-2 BOX 5 WAGES AND AMOUNTS INCLUDED IN DEFERRED COMPENSATION. W-2 Box 5 Deferred Comp 133,041 160,368 John Amos, CEO 80,101 87,881 Lee Livin, CFO 58,370 61,419 Diane Drexler, CNO 50,014 54,460 Mark Timm, HR Dir 49,665 53,557 Roberta Nicol, Dev. Dir 33,238 55,829 Frank Almendarez, Exec. Admin. 9,395 57,864 Timothy Roberts, CIO 77,335 85,499 Anthony Torres, MD Dir
SCHEDULE J, PART II, COLUMN F	Compensation reported as deferred in prior 990s: Amounts listed in column F represent the amount of compensation that is included in the 2019 W-2, Box 5. These amounts were reported in previous 990s as deferred compensation.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI
A	860376099	985900DJ5	2013-08-13	$33,842,071	REFUND '03 ISSUE	false	false	false
THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI
B	860376099	985900EF2	2016-11-03	$47,762,252	REFUND '97,'02, & '08 ISSUES	false	false	false
THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI
C	860376099	985900ES4	2019-06-30	$71,434,271	See Part VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$11,250,000	$0	$33,842,071	$0	$0	$0	$660,341	$0	$0	$0	$33,181,730	$0	2013	Yes (true)	false	Yes (true)	Yes (true)
B	$1,960,000	$0	$47,762,252	$0	$477,623	$0	$319,511	$0	$0	$0	$46,965,118	$0	2016	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$71,434,271	$0	$0	$0	$1,005,938	$0	$0	$0	$31,146,042	$39,282,291		Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	Yes (true)	false	false	0		Yes (true)
0
C	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part IV, Line 2c	Date of Arbitrage calculation: Bond A issued on 08/13/2013 arbritage calculation was performed on September 25,2018. At this time it was determined that no rebate liability was due.
Schedule K, Part I, Bond Issue C, Column(f)	Description of Purpose: The bond was issued to refund the '13 issuance and $50 million in new money for facilties and equipment.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS: EACH RESIDENT OF THE CENTRAL YAVAPAI HOSPITAL DISTRICT WHO IS AT LEAST (18) YEARS OF AGE SHALL BE A MEMBER OF THE ASSOCIATION (HOSPITAL) AT HIS WILL AND SHALL BE ELIGIBLE TO CAST ONE VOTE IN PERSON UPON ANY ISSUE PRESENTED AT AN ANNUAL OR SPECIAL MEETING. THERE SHALL BE NO PROXY OR CUMULATIVE VOTING.
FORM 990, PART VI, SECTION A, LINE 7A & 7b	MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY: THE COUNCIL OF ELECTORS (THE COUNCIL) IS CHARGED WITH THE RESPONSIBILITY OF SELECTING INDIVIDUALS FROM THE COMMUNITY TO SERVE ON THE ASSOCIATION'S BOARD OF TRUSTEES. THE COUNCIL IS COMPOSED OF PUBLICLY ELECTED OFFICIALS AND REPRESENTATIVES FROM SELECTED GOVERNMENT AND NON-PROFIT ORGANIZATIONS FROM THROUGHOUT THE COMMUNITY. MEMBERS MUST APPROVE AMENDMENTS TO THE BYLAWS OR ARTICLES OF INCORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE COMPLETED 990 IS PRESENTED TO THE PLANNING AND FINANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW PRIOR TO FILING. THE COMMITTEE HAS THE OPPORTUNITY TO REVIEW THE FORM IN DETAIL DURING THIS MEETING AND TO ASK QUESTIONS OF THE PREPARER. THE FULL BOARD OF TRUSTEES IS ALSO PROVIDED A COPY OF THE 990.
FORM 990, PART VI, SECTION B, LINE 12C	IN JANUARY OF EACH YEAR, A CONFLICT OF INTEREST FORM AND THE RELATED POLICY ARE SENT TO EACH MEMBER OF THE BOARD OF TRUSTEES, OFFICERS AND DIRECTORS OF THE ASSOCIATION, MANAGERS AND KEY EMPLOYEES, ALL OTHER EXEMPT EMPLOYEES, MEMBERS OF PROFESSIONAL ADVISORY COMMITTEES, AND THE MEDICAL EXECUTIVE COMMITTEE. RECIPIENTS ARE ASKED TO REVIEW THE POLICY AND SIGN THE FORM EACH YEAR AT THIS TIME. IN ADDITION, ALL EXEMPT NEW HIRES ARE ASKED TO REVIEW THE POLICY AND SIGN THE CONFLICT OF INTEREST STATEMENT. THE RETURNED FORMS ARE REVIEWED AND KEPT ON FILE IF NO CONFLICT HAS BEEN IDENTIFIED. IF CONFLICTS ARE IDENTIFIED, THE FORMS ARE SENT TO THE CEO FOR REVIEW. DURING DISCUSSIONS AT BOARD MEETINGS, THOSE WITH CONFLICTS IDENTIFIED THROUGH THIS PROCESS ARE EXCUSED FROM DISCUSSION AND VOTING ON THE RELATED MATTER.
FORM 990, PART VI, SECTION B, LINE 15A	UNDER THE DIRECTION OF THE HOSPITAL BOARD OF DIRECTORS, WITH SUPPORT FROM AN INDEPENDENT CONSULTANT RESPONSIBLE FOR ENSURING MARKET EQUITY FOR THE CEO COMPENSATION AND BENEFITS A MARKET EQUITY ANALYSIS WAS PERFORMED. IN 2019, GALLAGHER INTEGRATED WAS RETAINED TO CONDUCT A TOTAL COMPENSATION REVIEW, INCLUDING AN ANALYSIS OF ALL ELEMENTS OF CEO TOTAL COMPENSATION, INCLUDING SALARY, INCENTIVES, BENEFITS AND PERQUISITES COMPARED TO MARKET PRACTICES. THEY PROVIDED THE HOSPITAL HUMAN RESOURCES COMMITTEE (A SUBCOMMITTEE OF THE HOSPITAL BOARD) WITH A COMPREHENSIVE DESCRIPTION AND VALUATION OF ALL CASH COMPENSATION AND BENEFIT PRACTICES AND ASSESSED COMPENSATION FOR COMPETITIVENESS AND COMPLIANCE WITH REGULATORY REQUIREMENTS. IN ADDITION, GALLAGHER PROVIDED APPROPRIATE RECOMMENDATIONS FOR MODIFYING THE TOTAL COMPENSATION PROGRAM. ANY CHANGES TO THE CEO TOTAL COMPENSATION WERE APPROVED BY THE HOSPITAL BOARD OF DIRECTORS. COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE MINUTES OF THE HUMAN RESOURCES COMMITTEE AND BY SIGNED COMPENSATION AGREEMENTS IN PERSONNEL FILES MAINTAINED BY HR.
FORM 990, PART VI, SECTION B, LINE 15B	YRMC utilizes a third-party industry expert consultant to determine market competitive executive compensation. The essential elements in determining market competitiveness include; 1.) determining peer organizations that are similar to YRMC not-for-profit, revenue size, non-teaching hospital. 2.) evaluation of each positions responsibilities and scope to find suitable industry pay benchmarks. Our compensation consultant then sets appropriate pay ranges based on this data. Every three years a full market pay study is performed and pay ranges are updated accordingly. In the other years, the pay ranges are updated based on industry pay trend data provided by our compensation consultant. ANY CHANGES TO THE Executives TOTAL COMPENSATION WERE APPROVED BY THE HOSPITAL BOARD OF DIRECTORS. COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE MINUTES OF THE HUMAN RESOURCES COMMITTEE AND BY SIGNED COMPENSATION AGREEMENTS IN PERSONNEL FILES MAINTAINED BY HR.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE FINANCIAL STATEMENTS ARE SUMMARIZED IN THE ANNUAL REPORT PUBLISHED ON THE HOSPITAL INTERNET SITE. THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: (578,722) CHANGE IN SPLIT INTEREST AGREEMENT

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
YAVAPAI REG'L MED CTR PHYSICIAN CARE LLC
1003 WILLOW CREEK ROAD	PRESCOTT	AZ	86301	263257358	MEDICAL SVCS	AZ	$25,665,329	$7,174,569	YRMC
NORTH CENTRAL ARIZONA ACCOUNTABLE CARE
1003 WILLOW CREEK ROAD	PRESCOTT	AZ	86301	465648068	MEDICAL SVCS	AZ	$89,144	$100	YRMC
PRESCOTT MEDICAL IMAGING
801 WHIPPLE STREET	PRESCOTT	AZ	86301	770603441	MED IMAGING	AZ	$34,258,614	$0	YRMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	YAVAPAI REGIONAL MEDICAL CENTER FDN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1003 WILLOW CREEK ROAD	AddressLine1Txt
City	PRESCOTT	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86301	ZIPCd

Field	Value	IRS element (for citing)
EIN	861038463	EIN
Primary Activities	SUPPORT ORG	PrimaryActivitiesTxt
Legal Domicile State	AZ	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LN12 TYPE I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PRESCOTT OUTPATIENT SURGICAL CENTER LP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	815 AINSWORTH DRIVE	AddressLine1Txt
City	PRESCOTT	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86301	ZIPCd

Field	Value	IRS element (for citing)
EIN	860548048	EIN
Primary Activities	SURGERY	PrimaryActivitiesTxt
Legal Domicile State	AZ	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	SURGERY CENTER	PredominantIncomeTypeTxt
Share Of Total Income	$1,093,166	ShareOfTotalIncomeAmt
Share Of EOY Assets	$197,675	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.20000	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION
B	$375,754	AMT TRANSFERRED
YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION
C	$738,850	AMT TRANSFERRED
YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION
D	$91,501	INTERCO AMOUNT