2020-07-27T16:16:24-05:00 2019-12-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2019-01-01 860098923 YAVAPAI COMMUNITY HOSPITAL ASSOCIATION % LEE LIVIN CFO YAVA 9287715691 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 LEE LIVIN CFO 9287715691 2020-07-27 true Adam R Smith CPA P00958966 7194714290 167.68.126.162 84022720202095000002 2020-07-27 P 26C3A9CF11B26F9C2D280370FFBE8B4C03C04303 19466AA61A357D31F4873695DF4DFE6460C1305A 2019 2020-11-19 02:30:22Z YAVAPAI REGIONAL MEDICAL CENTER JOHN R AMOS CEO 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 458421087 false X WWW.YRMC.ORG X 1942 AZ YRMC'S MISSION IS TO PROVIDE COMPREHENSIVE, HIGH QUALITY HEALTHCARE CONSISTENT WITH OUR COMMUNITIES' NEEDS. 9 9 2498 712 147340 126048 996965 1033170 394943306 397260750 6547867 9609194 2426222 2098779 404914360 410001893 670526 675099 0 0 167683875 174448065 0 0 1562556 191057891 187412506 359412292 362535670 45502068 47466223 468069652 574266540 130762688 180775829 337306964 393490711 X TO PROVIDE COMPREHENSIVE, HIGH-QUALITY HEALTHCARE CONSISTENT WITH OUR COMMUNITIES' NEEDS. false false 310355877 675099 397245580 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 310355877 true true false true false false false false false true true false false false true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false true 339 0 2498 true true true false false false false false false false false false false false X 9 9 false false false false true true true true true false false true true true true true true true true true true X LEE LIVIN CFO 9287715691 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 X Assar H Mansour Physician 40.0 0.0 X 1321317 0 13109 Nisha Tung-Takher Physician 40.0 0.0 X 1136298 0 39707 John R Amos CEO 39.0 1.0 X 952904 0 198299 Shayan Alam Physician 40.0 0.0 X 822868 0 39549 George T Rizk Physician 40.0 0.0 X 791477 0 26637 Soundos K Moualla Physician 40.0 0.0 X 723075 0 45546 Lee Livin CFO 39.0 1.0 X 532369 0 119275 Anthony Torres CMO 40.0 0.0 X 512856 0 124009 Diane Drexler CNO 40.0 0.0 X 369131 0 103324 Roberta Nicol - Execut Director of Philanthropy 39.0 1.0 X 314882 0 87106 Mark Timm Chief Human Resource Officer 40.0 0.0 X 307742 0 91486 Frank Almendarez Chief Admin Officer 40.0 0.0 X 290303 0 97956 Timothy Roberts CIO 40.0 1.0 X 288190 0 86906 Jane Bristol Chairman 5.0 0.0 X X 0 0 0 Mike Beatty Vice-Chairman 5.0 0.0 X X 0 0 0 Tony Ferrulli Treasurer 5.0 0.0 X X 0 0 0 Daniel Storvick Secretary 5.0 0.0 X X 0 0 0 Jim Howard Trustee 5.0 0.0 X 0 0 0 Paula Kneisl Trustee 5.0 0.0 X 0 0 0 Charlie Bomberger Trustee 5.0 0.0 X 0 0 0 Steve Sischka Trustee 5.0 0.0 X 0 0 0 M Keith Piatt Trustee 5.0 0.0 X 0 0 0 8363412 0 1072909 256 false true false CERNER CORP PO BOX 959156 ST LOUIS MO 631959156 SOFTWARE SERVICE 16465476 CARDINAL DISTRIBUTION FILE 57130 LOS ANGELES CA 900717130 MEDICAL 15747984 OWENS AND MINOR INC FILE NO 53523 LOS ANGELES CA 900743523 HEALTHCARE LOGISTICS 7264120 MCCARTHY HOLDINGS INC 1341 N ROCK HILL RD ST LOUIS MO 63124 MEDICAL SERVICE 9897481 NIHON KOHDEN AMERICA INC 6017 SOLUTIONS CENTER CHICAGO IL 606776000 MEDICAL DEVICES 5569073 175 738850 133234 161086 1033170 Patient Service Revenue 561110 395757127 395757127 Rural Hospital/Emergency Fund Payments 561110 1184757 1184757 Wellness Program 561110 275969 275969 Income/ (Loss) From Equity Investee 900099 15170 147340 -132170 MISCELLANEOUS PROGRAM INCOME 900099 27727 27727 397260750 5785002 5785002 257259 257259 0 612636 612636 0 612636 612636 51412859 395326 47865941 375311 3546918 20015 3566933 3566933 0 0 0 0 0 0 302856 177942 124914 124914 Cafeteria 722514 1463159 1463159 Vending/Copy Machine 900099 27923 27923 Loss On extinguishment of Debt 900099 -129853 -129853 1361229 410001893 397245580 147340 11575803 675099 675099 0 0 0 4862828 860050 3661126 341653 0 132738983 110663163 21503715 572105 3243879 2704389 525508 13981 24449061 20382938 3960748 105375 9153314 7631026 1482837 39451 0 729503 729503 114116 114116 40439 40439 0 182028 182028 33808168 28185534 5476921 145713 461981 385149 74841 1991 9266664 7725525 1501200 39939 21813050 18185322 3533714 94014 0 4048976 3375591 655934 17451 395747 329930 64111 1706 0 294443 245474 47700 1269 3835005 3197205 621271 16529 0 16131453 13448631 2613295 69527 1603951 1337198 259840 6913 MEDICAL SUPPLIES 72659883 72659883 REPAIRS & MAINTENANCE 10712369 8930795 1735404 46170 MINOR EQUIPMENT 2538977 2116720 411314 10943 ASSESSMENTS 6897190 5750118 1117345 29727 1878564 1566138 304327 8099 362535670 310355877 50617237 1562556 27632882 19511229 14461883 33130991 0 0 43155358 42147887 0 0 0 0 373167 280005 6446150 6913172 1197213 1995715 409026210 212996787 164685888 196029423 203345077 265427611 0 0 3769214 3552998 0 0 3002820 5277509 468069652 574266540 32931444 39462470 0 0 1360352 1304701 87090000 129535000 0 0 0 0 2129637 4620051 0 0 7251255 5853607 130762688 180775829 X 337289368 393471260 17596 19451 337306964 393490711 468069652 574266540 X 47466223 9296246 -578722 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 40439 false false 40439 false SCHEDULE C, PART II-B, LINE 1G 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. 22414 1854 830 807 24291 22225 163 446 420 22414 22296 107 1014 1192 22225 50315 7367 2718 38104 22296 48024 2291 50315 0.19600 0.80400 false true true 17834376 17834376 171097036 58558700 112538336 12662511 9591373 3071138 142711552 100616656 42094896 64720735 44230058 20490677 196029423 0 EMR 1014347 Accrued Bond Interest 1267368 SERP Liability 1466785 Bond Premium 2105107 5853607 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. true true X true X true X true true true false true true 2651531 2651530 0.00730 42474465 33250345 0.02550 45125996 33250345 2651530 0.03280 30 360117 1010475 189125 821350 0.00230 1 492 48770322 23328641 25441681 0.07020 4 532 200242 200242 0.00060 35 361141 49981039 23517766 26463273 0.07310 35 361141 95107035 56768111 29114803 0.10590 1 17550 17550 0.00480 3 2891 13127 13127 0.00360 1 8286 8286 0.00230 1 1135 1135 0.00030 6 2891 40098 40098 0.01100 true 21026636 99232378 117207814 -17975436 X true true 2 1 YAVAPAI REGIONAL MEDICAL CENTER WEST 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 WWW.YRMC.ORG H0115 X X X A 2 YAVAPAI REGIONAL MEDICAL CENTER EAST 7700 E FLORENTINE ROAD PRESCOTT VALLEY AZ 86314 WWW.YRMC.ORG H3964 X X X A A false false true X X X X X X X X X 19 true true false true X See Part V, Section C for URL true 19 true SEE PART V, SECTION C FOR URL false true X 150. 350. X X X X X true true X X X X true X see part v, section c for url X see part v, section c for url X see part v section c for url X X X X X X true X false X X X X true X false false 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. 19 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 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 true Yavapai Regional Medical Center Foundation 1003 Willow Creed Road Prescott AZ 86301 861038463 501(c)(3) 375754 Healthcare WEST YAVAPAI GUIDANCE CLINIC FOUNDATION 3343 N WINDSONG DRIVE Prescott Valley AZ 86314 860576008 501(c)(3) 25000 To Support Organization Humboldt Education Foundation INC 6411 N Robert Road Prescott Valley AZ 86314 473592724 501(c)(3) 10000 no more hungry kids program Yavapai College Foundation 1100 e sheldon St Prescott AZ 86301 237232985 501(C)(3) 17400 Scholars Program COALITION FOR COMPASSION AND JUSTICE PO BOX 1882 PRESCOTT AZ 86302 470851633 501(C)(3) 6200 Homeless Projects Prescott Mountain Bike Alliance PO BOX 3027 PRESCOTT AZ 86302 272333931 501(c)(3) 10000 Mountain Bike Alliance EPIC RIDES 534 N Stone Avenue TUCSON AZ 85705 272677971 501(c)(3) 7500 Whiskey Off-Road Chino Valley Unified School District 650 E Center St Chino Valley AZ 86323 866003009 Chino Valley 7000 Audiometry Equipment Community Health Center of Yavapai 1090 Commerce Drive Prescott AZ 86305 860744955 501(c)(3) 60000 To Support Organization JAmes Family Prescott YMCA 750 Whipple St PRescott AZ 86301 860119151 501(c)(3) 10000 10 SCHEDULE I, PART I, LINE 2 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. X X X X false true false false false false false true true true Diane Drexler CNO 220576 0 54271 0 94284 0 75419 0 27905 0 472455 0 58370 Lee Livin CFO 364674 0 75000 0 92695 0 101881 0 17394 0 651644 0 80101 John R Amos CEO 592042 0 139320 0 221542 0 173947 0 24352 0 1151203 0 129831 Mark Timm Chief Human Resource Officer 194571 0 31011 0 82160 0 65976 0 25510 0 399228 0 50014 Roberta Nicol - Executive Director of Philanthropy 193994 0 31068 0 89820 0 64711 0 22395 0 401988 0 49665 Timothy Roberts CIO 211520 0 33122 0 43548 0 66471 0 20435 0 375096 0 9395 Anthony Torres CMO 306654 0 75000 0 131202 0 99499 0 24510 0 636865 0 77335 Frank Almendarez Chief Admin Officer 194723 0 32064 0 63516 0 68851 0 29105 0 388259 0 33238 Shayan Alam Physician 508705 0 313743 0 420 0 14000 0 25549 0 862417 0 George T Rizk Physician 584077 0 204628 0 2772 0 14000 0 12637 0 818114 0 Nisha Tung-Takher Physician 912154 0 223514 0 630 0 14000 0 25707 0 1176005 0 Assar H Mansour Physician 1318585 0 0 0 2732 0 0 0 13109 0 1334426 0 Soundos K Moualla Physician 723075 0 0 32500 13046 768621 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. A THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI 860376099 985900DJ5 2013-08-13 33842071 REFUND '03 ISSUE false false false B THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI 860376099 985900EF2 2016-11-03 47762252 REFUND '97,'02, & '08 ISSUES false false false C THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI 860376099 985900ES4 2019-06-30 71434271 See Part VI false false false A 11250000 0 33842071 0 0 0 660341 0 0 0 33181730 0 2013 true false true true B 1960000 0 47762252 0 477623 0 319511 0 0 0 46965118 0 2016 true false true true C 0 0 71434271 0 0 0 1005938 0 0 0 31146042 39282291 true false false true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false false true false false 0 false 0 false true B false false false true true false 0 false 0 true C false true false false false false 0 false 0 false true A true B true C true 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. 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 YAVAPAI REG'L MED CTR PHYSICIAN CARE LLC 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 263257358 MEDICAL SVCS AZ 25665329 7174569 YRMC NORTH CENTRAL ARIZONA ACCOUNTABLE CARE 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 465648068 MEDICAL SVCS AZ 89144 100 YRMC PRESCOTT MEDICAL IMAGING 801 WHIPPLE STREET PRESCOTT AZ 86301 770603441 MED IMAGING AZ 34258614 0 YRMC YAVAPAI REGIONAL MEDICAL CENTER FDN 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 861038463 SUPPORT ORG AZ 501(C)(3) LN12 TYPE I YRMC true PRESCOTT OUTPATIENT SURGICAL CENTER LP 815 AINSWORTH DRIVE PRESCOTT AZ 86301 860548048 SURGERY AZ NA SURGERY CENTER 1093166 197675 false false 0.20000 false true true true false false false false false false false true true true true false false false false YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION B 375754 AMT TRANSFERRED YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION C 738850 AMT TRANSFERRED YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION D 91501 INTERCO AMOUNT