YAVAPAI COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- YAVAPAI COMMUNITY HOSPITAL ASSOCIATION (EIN 86-0098923)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-08-06
- IRS object ID
- 201902189349301330
- Schema version
- 2018v3.1
- 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 | 2019-08-06T17:53:33-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | 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 | 2018-01-01 | 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 | 2019-08-15 | 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 | 84022720192185000003 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-08-06 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AF58D4CD08CD36936EE0B06487AAF04874613AA6 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 19466AA61A357D31F4873695DF4DFE6460C1305A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | 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 | $463,945,570 | 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 | 2403 | TotalEmployeeCnt |
| Total Volunteers | 710 | TotalVolunteersCnt |
| Total Gross UBI | $11,230 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $9,968 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $625,876 | PYContributionsGrantsAmt |
| CY Contributions Grants | $996,965 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $366,931,198 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $394,943,306 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,555,734 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,547,867 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,964,394 | PYOtherRevenueAmt |
| CY Other Revenue | $2,426,222 | CYOtherRevenueAmt |
| PY Total Revenue | $377,077,202 | PYTotalRevenueAmt |
| CY Total Revenue | $404,914,360 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $263,626 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $670,526 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $155,873,531 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $167,683,875 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,498,262 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $174,854,134 | PYOtherExpensesAmt |
| CY Other Expenses | $191,057,891 | CYOtherExpensesAmt |
| PY Total Expenses | $330,991,291 | PYTotalExpensesAmt |
| CY Total Expenses | $359,412,292 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $46,085,911 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $45,502,068 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $430,884,254 | TotalAssetsBOYAmt |
| Total Assets EOY | $468,069,652 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $129,666,136 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $130,762,688 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $301,218,118 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $337,306,964 | 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 | $300,258,157 | ExpenseAmt |
| Grant | $670,526 | GrantAmt |
| Revenue | $395,144,210 | RevenueAmt |
| Desc | PROGRAM SERVICE DESCRIPTION: Yavapai Regional Medical Center (YRMC) provides health, healing and hope for every man, woman and child living in our region through high quality inpatient and outpatient services as well as a wide range of valuable community outreach programs. YRMC proudly 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 for 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 honor 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 2018. 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. YRMC has two hospitals; one in Prescott, YRMC West, and one in Prescott Valley, YRMC East. Consider that in 2018, 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 2018, YRMC touched nearly every one of the residents in our service area through our community benefit and health education programs. YRMC directly partnered with 46 community-based organizations and engaged a large number of community members as a result. YRMCs Celebrate Life Health Expo hosted 86 exhibitors to provide a wide range of health information and education for 758 participants from the community. The spirit of YRMC is one of treating each patient as a unique and valuable human being. Every one of the tiny newborns entering the world at YRMCs Family Birthing Center is one of those special people. The frail elderly patients many of whom are centenarians are among those special people. The uninsured women diagnosed with cancer and who receive help from our BreastCare Center thanks to our Community Care Fund 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 a special person. 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. 2018 was another year of providing personalized care to many thousands of people. For example, 993 babies were born in YRMC's obstetrics department. With YRMCs 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 heroin, meth and other hard drugs a heartbreaking reality in many Arizona homes which is directly related to the lack of even minimal mental health and substance abuse services, prenatal care and other support services to those in need. Its the helpless and innocent infants who suffer the most. YRMCs 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 951 parents on how to care for their newborns through the First Steps program. And personal visits were provided to 76 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 try 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 who work in conjunction with a local pediatrician. School-age children and their 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 unemployment 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 to the point that their teeth are 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 program helps ensure all these children are given the care and treatment they need but could not otherwise receive. Health problems can seriously impede children's ability to learn and to grow up as healthy and productive adults. In 2018, 1,094 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 to those in need. There are also numerous beneficial programs provided for adults by YRMC. For example, in 2018 more than 195 people suffering with respiratory problems were helped to breathe easier through the hospitals classes in respiratory wellness. YRMC provided more than 500 meals for the local womens shelter in 2018. 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 2018, YRMC provided 491 electrophysiology procedures in the new hybrid operating room. There were 1,174 cardiac catheterization procedures and 211 open heart surgeries. There were also 41 TAVR procedures. There were 560 interventional cardiology procedures and 279 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 1,865 patients participated in YRMCs Diabetes Support Program. A vigorous community outreach program reached more than 95,000 homes each month throughout 2018 with complimentary, current health information. This includes free community newsletters and mailers, health fairs and a speakers bureau service, providing 174 presentations from YRMC health professionals about health-related topics to 3,480 people. Many speakers also distribute additional free take-home information provided by YRMC for future reference, whether it be about fitness, nutrition, stress management or whatever topic the group requests. YRMC's Physical Rehabilitation department also provides a free stroke support group for stroke patients and their caregivers. Everyone can benefit from the fall risk assessment program which helps determine an individual's risk of falling down. Falls can lead to debilitating injuries and even death, especially for those over the age of 65. Given the fact this community has a disproportionately high number of people over the age of 65, this is a critically important health education effort. This assessment program helps identify risk factors and physical rehab can help assist people with specific strengthening exercises | Desc |
| Total Program Service Expenses | $300,258,157 | 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 |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | 299 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2403 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 | Yes (true) | 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 (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Paula Kneisl | |||||||||
| Trustee | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Steve Sischka | |||||||||
| Trustee | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Mike Beatty | |||||||||
| Vice-Chairman | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Jane Bristol | |||||||||
| Chairman | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Jim Howard | |||||||||
| Trustee | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Daniel Storvick | |||||||||
| Secretary | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Tony Ferrulli | |||||||||
| Treasurer | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Charlie Bomberger | |||||||||
| Trustee | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| M Keith Piatt | |||||||||
| Trustee | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Diane Drexler | |||||||||
| CNO | 40.0 | 0.0 | $355,493 | $0 | $118,888 | Yes (X) | |||
| Larry P Burns | |||||||||
| COO | 40.0 | 0.0 | $916,492 | $0 | $86,690 | Yes (X) | |||
| Lee Livin | |||||||||
| CFO | 39.0 | 1.0 | $515,634 | $0 | $126,951 | Yes (X) | |||
| John R Amos | |||||||||
| CEO | 39.0 | 1.0 | $920,580 | $0 | $203,969 | Yes (X) | |||
| Timothy Roberts | |||||||||
| CIO | 40.0 | 0.0 | $287,378 | $0 | $43,568 | Yes (X) | |||
| Anthony Torres | |||||||||
| CMO | 40.0 | 0.0 | $446,126 | $0 | $119,032 | Yes (X) | |||
| Frank Almendarez | |||||||||
| Chief ADMIN OFFICER | 40.0 | 0.0 | $282,548 | $0 | $95,414 | Yes (X) | |||
| Mark Timm | |||||||||
| DIRECTOR OF HUMAN RESOURCES | 40.0 | 0.0 | $302,307 | $0 | $90,288 | Yes (X) | |||
| Roberta Nicol | |||||||||
| Director of Philanthropy | 39.0 | 1.0 | $319,755 | $0 | $84,256 | Yes (X) | |||
| George T Rizk | |||||||||
| Physician | 40.0 | 0.0 | $762,389 | $0 | $41,926 | Yes (X) | |||
| NISHA TUNG-TAKHER | |||||||||
| Physician | 40.0 | 0.0 | $1,327,724 | $0 | $57,048 | Yes (X) | |||
| Shayan Alam | |||||||||
| Physician | 40.0 | 0.0 | $894,969 | $0 | $56,512 | Yes (X) | |||
| John J Giardina | |||||||||
| Physician | 40.0 | 0.0 | $738,930 | $0 | $34,122 | Yes (X) | |||
| Soundos K Moualla | |||||||||
| Physician | 40.0 | 0.0 | $740,418 | $0 | $33,896 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,810,743 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,192,560 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 221 | 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 | $17,597,333 |
| Cardinal Distribution | |||||
| File 57130 | LOS ANGELES | CA | 900717130 | Medical | $14,385,851 |
| Owens and Minor Inc | |||||
| File No 53523 | LOS ANGELES | CA | 900743523 | Healthcare Logistics | $6,603,354 |
| NAZ Hospitalists | |||||
| PO Box 11720 | MINNEAPOLIS | AZ | 86304 | Medical Service | $4,506,200 |
| Boston Scientific Corporation | |||||
| PO BOX 951653 | DALLAS | TX | 753951653 | Medical Devices | $429,422 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 175 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $616,292 | RelatedOrganizationsAmt |
| All Other Contributions | $380,673 | AllOtherContributionsAmt |
| Total Contributions | $996,965 | 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 | $393,407,146 | $393,407,146 | ||
| RURAL HOSPITAL/EMERGENCY FUND PAYMENTS | 900099 | $1,486,319 | $1,486,319 | ||
| WELLNESS PROGRAM | 561110 | $227,592 | $227,592 | ||
| INCOME/(LOSS) FROM EQUITY INVESTEE | 561110 | -$200,904 | $11,230 | -$212,134 | |
| MISCELLANEOUS PROGRAM INCOME | 900099 | $23,153 | $23,153 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $394,943,306 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,697,251 | TotalRevenueColumnAmt |
| Exclusion | $4,697,251 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,760 | TotalRevenueColumnAmt |
| Exclusion | $21,760 | 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 | $627,219 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $627,219 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $627,219 | TotalRevenueColumnAmt |
| Exclusion | $627,219 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $60,658,284 | SecuritiesAmt |
| Other | $23,450 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $58,852,878 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,805,406 | SecuritiesAmt |
| Other | $23,450 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,828,856 | TotalRevenueColumnAmt |
| Exclusion | $1,828,856 | 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 | $263,671 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $178,332 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,339 | TotalRevenueColumnAmt |
| Exclusion | $85,339 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA | 722514 | $1,680,275 | $1,680,275 |
| VENDING/COPY MACHINE | 900099 | $33,389 | $33,389 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,713,664 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $404,914,360 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $395,144,210 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $11,230 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,761,955 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $670,526 | TotalAmt |
| Program Services | $670,526 | 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 | $5,632,456 | TotalAmt |
| Program Services | $824,411 | ProgramServicesAmt |
| Management And General | $4,464,636 | ManagementAndGeneralAmt |
| Fundraising | $343,409 | 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 | $125,327,554 | TotalAmt |
| Program Services | $100,329,720 | ProgramServicesAmt |
| Management And General | $24,457,672 | ManagementAndGeneralAmt |
| Fundraising | $540,162 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,998,529 | TotalAmt |
| Program Services | $2,400,442 | ProgramServicesAmt |
| Management And General | $585,163 | ManagementAndGeneralAmt |
| Fundraising | $12,924 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,141,128 | TotalAmt |
| Program Services | $20,126,479 | ProgramServicesAmt |
| Management And General | $4,906,291 | ManagementAndGeneralAmt |
| Fundraising | $108,358 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,584,208 | TotalAmt |
| Program Services | $6,872,002 | ProgramServicesAmt |
| Management And General | $1,675,208 | ManagementAndGeneralAmt |
| Fundraising | $36,998 | 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 | $382,226 | TotalAmt |
| Management And General | $382,226 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,589 | TotalAmt |
| Management And General | $149,589 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,041 | TotalAmt |
| Management And General | $43,041 | 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 | $326,468 | TotalAmt |
| Management And General | $326,468 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,264,311 | TotalAmt |
| Program Services | $19,424,552 | ProgramServicesAmt |
| Management And General | $4,735,180 | ManagementAndGeneralAmt |
| Fundraising | $104,579 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $504,761 | TotalAmt |
| Program Services | $404,081 | ProgramServicesAmt |
| Management And General | $98,504 | ManagementAndGeneralAmt |
| Fundraising | $2,176 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,505,586 | TotalAmt |
| Program Services | $6,809,062 | ProgramServicesAmt |
| Management And General | $1,659,865 | ManagementAndGeneralAmt |
| Fundraising | $36,659 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,906,668 | TotalAmt |
| Program Services | $17,537,164 | ProgramServicesAmt |
| Management And General | $4,275,086 | ManagementAndGeneralAmt |
| Fundraising | $94,418 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,141,454 | TotalAmt |
| Program Services | $3,315,399 | ProgramServicesAmt |
| Management And General | $808,205 | ManagementAndGeneralAmt |
| Fundraising | $17,850 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $388,043 | TotalAmt |
| Program Services | $310,644 | ProgramServicesAmt |
| Management And General | $75,727 | ManagementAndGeneralAmt |
| Fundraising | $1,672 | 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 | $283,392 | TotalAmt |
| Program Services | $226,867 | ProgramServicesAmt |
| Management And General | $55,304 | ManagementAndGeneralAmt |
| Fundraising | $1,221 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,474,769 | TotalAmt |
| Program Services | $2,781,692 | ProgramServicesAmt |
| Management And General | $678,101 | ManagementAndGeneralAmt |
| Fundraising | $14,976 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,649,584 | TotalAmt |
| Program Services | $12,528,118 | ProgramServicesAmt |
| Management And General | $3,054,016 | ManagementAndGeneralAmt |
| Fundraising | $67,450 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,129,729 | TotalAmt |
| Program Services | $1,704,933 | ProgramServicesAmt |
| Management And General | $415,617 | ManagementAndGeneralAmt |
| Fundraising | $9,179 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $62,612,395 | $62,612,395 | ||
| BAD DEBT | $21,648,302 | $21,648,302 | ||
| REPAIRS & MAINTENANCE | $8,167,139 | $6,538,122 | $1,593,817 | $35,200 |
| MINOR EQUIPMENT | $1,674,988 | $1,340,895 | $326,874 | $7,219 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,805,446 | TotalAmt |
| Program Services | $11,852,351 | ProgramServicesAmt |
| Management And General | $2,889,283 | ManagementAndGeneralAmt |
| Fundraising | $63,812 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,412,292 | TotalAmt |
| Program Services | $300,258,157 | ProgramServicesAmt |
| Management And General | $57,655,873 | ManagementAndGeneralAmt |
| Fundraising | $1,498,262 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,937,651 | BOYAmt |
| EOY | $27,632,882 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,638,917 | BOYAmt |
| EOY | $14,461,883 | 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 | $41,640,922 | BOYAmt |
| EOY | $43,155,358 | 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 | $364,800 | BOYAmt |
| EOY | $373,167 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,353,751 | BOYAmt |
| EOY | $6,446,150 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,417,870 | BOYAmt |
| EOY | $1,197,213 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $361,668,586 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $196,982,698 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,045,240 | BOYAmt |
| EOY | $164,685,888 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,153,942 | BOYAmt |
| EOY | $203,345,077 | 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 | $4,038,288 | BOYAmt |
| EOY | $3,769,214 | 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 | $3,292,873 | BOYAmt |
| EOY | $3,002,820 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $430,884,254 | BOYAmt |
| EOY | $468,069,652 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,396,265 | BOYAmt |
| EOY | $32,931,444 | 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 | $1,416,003 | BOYAmt |
| EOY | $1,360,352 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,975,000 | BOYAmt |
| EOY | $87,090,000 | 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 | $2,453,177 | BOYAmt |
| EOY | $2,129,637 | 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 | $5,425,691 | BOYAmt |
| EOY | $7,251,255 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,666,136 | BOYAmt |
| EOY | $130,762,688 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,200,685 | BOYAmt |
| EOY | $337,289,368 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,433 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $17,596 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,218,118 | BOYAmt |
| EOY | $337,306,964 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $430,884,254 | BOYAmt |
| EOY | $468,069,652 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $45,502,068 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$9,407,920 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,302 | 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
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 | $43,041 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $43,041 | 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 | $22,225 | BeginningYearBalanceAmt |
| Contributions | $163 | ContributionsAmt |
| Investment Earnings Or Losses | $446 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $420 | OtherExpendituresAmt |
| End Year Balance | $22,414 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $204,159 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $280 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $156,415 | OtherExpendituresAmt |
| End Year Balance | $48,024 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.21240 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.78760 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,532,949 | OtherCostOrOtherBasisAmt |
| Book Value | $12,532,949 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $151,878,798 | OtherCostOrOtherBasisAmt |
| Depreciation | $54,070,237 | DepreciationAmt |
| Book Value | $97,808,561 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,662,511 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,297,546 | DepreciationAmt |
| Book Value | $3,364,965 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $132,504,204 | OtherCostOrOtherBasisAmt |
| Depreciation | $91,272,400 | DepreciationAmt |
| Book Value | $41,231,804 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,090,124 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,342,515 | DepreciationAmt |
| Book Value | $9,747,609 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $164,685,888 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED BOND INTEREST | $1,318,017 |
| BOND PREMIUM | $2,419,272 |
| SERP LIABILITY | $1,258,111 |
| EMR | $2,255,855 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,251,255 | 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 | $2,145,710 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,145,710 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,070,290 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,250,345 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,819,945 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03210 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,216,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,250,345 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,965,655 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03840 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 26 | ActivitiesOrProgramsCnt |
| Persons Served | 336912 | PersonsServedCnt |
| Total Community Benefit Expns | $922,419 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $342,260 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $580,159 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1517 | PersonsServedCnt |
| Total Community Benefit Expns | $42,122,363 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,734,277 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,388,086 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06610 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 55312 | PersonsServedCnt |
| Total Community Benefit Expns | $185,229 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $185,229 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 32 | ActivitiesOrProgramsCnt |
| Persons Served | 393741 | PersonsServedCnt |
| Total Community Benefit Expns | $43,230,011 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,076,537 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,153,474 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06830 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 32 | ActivitiesOrProgramsCnt |
| Persons Served | 393741 | PersonsServedCnt |
| Total Community Benefit Expns | $89,446,011 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $53,326,882 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $36,119,129 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10670 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $22,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 12060 | PersonsServedCnt |
| Total Community Benefit Expns | $15,118 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,118 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 31 | PersonsServedCnt |
| Total Community Benefit Expns | $4,512 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,512 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,751 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,751 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 12091 | PersonsServedCnt |
| Total Community Benefit Expns | $43,881 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $43,881 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01740 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $21,648,302 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $89,629,871 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $108,725,476 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$19,095,605 | 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 | 16 | 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 |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | 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 | URL WHERE CHNA REPORT AND IMPLEMENTATION PLAN IS MADE WIDELY AVAILABLE: https://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. Web-Based Physical Activity Program Arizona and the local community rank very low in support of childrens services and education, including physical education and sports. In order to help remedy those challenges, YRMC provides a free web-based comprehensive program to all local schools. The web-based program is called GoNoodle and includes hundreds of movement games and videos to get kids moving, jumping, stretching, deep breathing and more. Kids look forward to exercising which re-energizes them, focuses attention, improves behavior and allows for better academic performance. The program also can be customized by the user and can report on minutes of physical activity much like FitBits do for adults. GoNoodle provides Arizona Department of Education core subject-aligned videos and is a great motivator for increasing childrens involvement. This is especially important when many kids have issues with their weight and lack of physical activity. Physical education and sports are no longer a routine, free option for school kids due to budget cuts. GoNoodle supports healthier kids, encourages them to spend time away from computer games and cell phones to be physically active, and provides families free use of the program at home. To give children a head start for a healthy future, YRMC invested $40,000 in 2018 to support local health education. Partners for Healthy Students Because of the large number of working poor families in our area, many children go without much needed primary care. Our Partners for Healthy Students (PHS) program is a free school-based clinic that has four fixed sites as well as a mobile clinic to connect with the outlying communities in our huge geographic service area. School-age children and their younger siblings are eligible to participate. PHS is staffed with two pediatric nurse practitioners (PNPs) who work under the guidance of a pediatrician who serves as Medical Director. The PNPs see hundreds of children from uninsured and underinsured families. Many of the children they see suffer from chronic conditions such as asthma, malnutrition, poor dental health, etc. Because of the PNPs diligence, there have been several major instances of serious health problems that have been identified and served. One case was a preschooler who was identified to have a congenital heart defect through PHS. The child was referred to a pediatric cardiac surgeon in Phoenix, transportation and lodging was arranged and the child today is a healthy, happy little girl. Another case was a middle-school girl who was found to have a suspicious growth on her breast. She was diagnosed with breast cancer and was immediately placed into a care plan for treatment and support. The less dramatic stories are also important. For example, the children with black, rotting teeth that need multiple root canals assuming theres enough tooth left and crowns so that the child can eat painlessly. This condition can also lead to severe social isolation and embarrassment due to discolored or missing teeth and halitosis. The PNPs also treat ear infections which may have previously gone untreated and may result in hearing loss. Throat infections, scabies and other ailments are also diagnosed and treated. The PHS program covers the entire range of health needs in children and also coordinates specialized care as necessary. In 2018, our pediatric nurse practitioners care for 1,094 children who wouldnt have otherwise been able to receive care. Local Health Fair YRMC is very visible in local health fairs of all types. In 2018, we participated in health fairs for local major employers. The premier health fair of the year is the Annual Health Expo named Celebrate Life, sponsored by YRMC and held at the Prescott Valley Event Center. We invited other non-profit agencies from throughout the community to participate and share information about their programs and services. We had more than 86 various exhibitors, including a number of YRMC departments that were present. Some YRMC departments offered basic screening and health education such as Cardiac Rehab and ER staff doing blood pressure checks. Physical Therapy department also provided helpful information about how to prevent falls for older adults. The YRMC BreastCare Center exhibited valuable information about breast cancer and much more health education information. The Health Expo was designed to highlight YRMCs many programs and to help centralize many fragmented efforts by non-profits to a single point of information to inform local residents about community services. This is not only an example of promoting health education but also an example of building collaboration among non-profit agencies. Speakers Bureau We sponsor a Speakers Bureau that has become extraordinarily popular with local groups, clubs, civic organizations, faith-based communities, etc. In 2018 we provided 49 different speakers for groups in our community. Each presentation was planned, designed and presented by an expert in the respective field requested by the host site. We reached approximately 2,720 people in groups of varying sizes. Topics ranged from suicide prevention to exercise to nutrition and many more. The Speakers Bureau topics are listed on our website and contact information is provided to facilitate ease of scheduling through our Community Outreach Department. THE FOLLOWING NEEDS WERE NOT SELECTED TO BE ADDRESSED IN THE CHNA: FOOD INSECURITY: THIS WILL NOT BE ADDRESSED BY YRMC BECAUSE THERE ARE A NUMBER OF COMMUNITY ORGANIZATIONS THAT WORK ON THIS ISSUE THAT ARE BETTER SUITED TO MEET THIS NEED. TRANSPORTATION FOR THE UNINSURED: PEOPLE WHO CARE IS ONE OF THE LOCAL ORGANIZATIONS THAT PROVIDE TRANSPORTATION FOR THOSE IN NEED. TEEN PREGNANCY: THIS ISSUE WAS NOT SELECTED AS A TOP PRIORITY FOR YRMC TO ADDRESS IN ITS PROGRAMS BECAUSE OF A LACK OF RESOURCES TO DO SO. MOTOR VEHICLE DEATHS: THIS ISSUE WAS NOT SELECTED AS A TOP PRIORITY FOR YRMC TO ADDRESS IN ITS PROGRAMS BECAUSE OF A LACK OF RESOURCES TO DO SO. GRADUATION RATE: THIS ISSUE IS NOT AN AREA THAT YRMC CAN ADDRESS SINCE IT IS NOT WITHIN YRMC'S MISSION. |
| 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 langauge 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 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 I, LINE 7, COLUMN F | BAD DEBT EXPENSE: TOTAL BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR PRIOR TO THE PERCENTAGE CALCULATION = $21,648,302. |
| SCHEDULE H, PART II | COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL IS DEDICATED TO PROMOTING THE GENERAL HEALTH OF THE POPULATION. THE ACTIVITIES IN PART II CONTRIBUTE TO THE VITALITY OF THE COMMUNITY WHICH IS ONE OF MANY FACTORS THAT IMPACT THE HEALTH OF THE COMMUNITY AND PROVIDES A BENEFIT OF 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 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: 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 AERE 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 | AFFILIATED HEALTH CARE SYSTEM: Yavapai Regional Medical Center is not part of an affiliated health care system. |
| Schedule H, Part VI, Line 7 | STATE FILING OF COMMUNITY BENEFIT REPORT: Yavapai Regional Medical Center does not file a community benefit report with the state. |
| SCHEDULE H, PART VI | ADDITIONAL COMMUNITY BENEFIT OVERVIEW FOR 2018: 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, its growth and development, people who are in search of more information about their health and how to take better care of themselves, and those who are vulnerable. YRMC is the major employer in all of Yavapai County with 1,983 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 443 providers representing a wide range of specialties and touting training for highly prestigious locations such as Johns Hopkins, 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, sponsoring a walking club at the local indoor shopping mall, being a national leader in Patient Blood Management and much more. YRMC greatly enhanced its presence in electronic and social media in 2018. YRMCs 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. YRMCs 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 very expensive for YRMC to provide, it eliminates the need 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 what jobs they may have. Our entire obstetrics service line is a community benefit in a day and age where 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 2018, 993 babies entered the world at YRMC's Family Birthing Center. In 2018, operating expenses for the Family Birthing Center were $5,892,043.00. 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 what the guidelines are 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 Child Protective Services and those women are required to participate in FRC programs. FRC provides education, motivation, 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 2018, the First Steps Program in Family Resource Center advised 951 parents on how to care for their newborns and the Healthy Families program worked with 76 families. In 2018, operating expenses for the Family Resource Center were $340,911.00. 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 often 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 1,900 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 are brought in to present fascinating research and information in terms that the lay public can understand. In 2018 the Symposium was live streamed globally and reached 1,900 viewers. 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 new 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 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 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) | $367,313 | Healthcare |
| Humboldt Education Foundation INC | |||||||
| 6411 N Robert Road | Prescott Valley | AZ | 86314 | 866003010 | Government | $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 |
| West Yavapai Guidance Clinic | |||||||
| 3343 N Windsong Dr | Prescott | AZ | 86314 | 860206928 | 501(c)(3) | $25,000 | To Support Organization |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, Line 2 | FormAndLineReferenceDesc |
| Explanation | GRANT MONITORING PROCESS: 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. | 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 | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | Yes (true) | InitialContractExceptionInd |
| Rebuttable Presumption Proc | Yes (true) | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|
| Diane Drexler | |||||||
| CNO | $243,447 | $47,654 | $64,392 | $91,893 | $26,995 | $474,381 | $62,943 |
| Larry P Burns | |||||||
| COO | $231,547 | $75,539 | $609,406 | $73,959 | $12,731 | $1,003,182 | $208,378 |
| Lee Livin | |||||||
| CFO | $344,227 | $83,720 | $87,687 | $111,000 | $15,951 | $642,585 | $75,365 |
| John R Amos | |||||||
| CEO | $613,246 | $143,569 | $163,765 | $180,448 | $23,521 | $1,124,549 | $137,426 |
| Mark Timm | |||||||
| DIRECTOR OF HUMAN RESOURCES | $206,184 | $40,877 | $55,246 | $64,767 | $25,521 | $392,595 | $48,082 |
| Roberta Nicol | |||||||
| Director of Philanthropy | $212,113 | $40,562 | $67,080 | $62,320 | $21,936 | $404,011 | $48,632 |
| Timothy Roberts | |||||||
| CIO | $236,126 | $43,243 | $8,009 | $23,822 | $19,746 | $330,946 | $5,387 |
| Anthony Torres | |||||||
| CMO | $329,765 | $70,562 | $45,799 | $95,353 | $23,679 | $565,158 | $30,959 |
| Frank Almendarez | |||||||
| Chief ADMIN OFFICER | $212,498 | $42,689 | $27,361 | $67,399 | $28,015 | $377,962 | $22,458 |
| George T Rizk | |||||||
| Physician | $619,955 | $139,702 | $2,732 | $32,250 | $9,676 | $804,315 | |
| NISHA TUNG-TAKHER | |||||||
| Physician | $937,545 | $389,549 | $630 | $32,250 | $24,798 | $1,384,772 | |
| Shayan Alam | |||||||
| Physician | $526,282 | $368,267 | $420 | $32,250 | $24,262 | $951,481 | |
| John J Giardina | |||||||
| Physician | $736,158 | $2,772 | $32,250 | $1,872 | $773,052 | ||
| Soundos K Moualla | |||||||
| Physician | $739,788 | $630 | $21,237 | $12,659 | $774,314 | ||
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 4A | Description of Severance PAyment: Yavapai regional Medical Center paid Larry burns severance pay in the amount of $391,255. |
| SCHEDULE J, PART I, LINE 4B | NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE AMOUNTS LISTED INCLUDE AMOUNTS IN W-2 BOX 5 WAGES AND AMOUNTS INCLUDED IN DEFERRED COMPENSATION. W-2 Box 5 Deferred Comp John Amos, CEO 137,426 148,198 Lee Livin, CFO 75,365 84,700 Diane Drexler, CNO 62,943 59,643 Larry P. Burns, COO 208,378 48,578 Mark Timm, HR Dir 48,082 51,883 Roberta Nicol, Dev. Dir 48,632 51,961 Frank Almendarez, Exec. Admin. 22,458 54,182 Timothy Roberts, CIO 5,387 Anthony Torres, MD Dir 30,959 81,603 |
| SCHEDULE J, PART I, LINE 7 | NON-FIXED PAYMENTS: THE HOSPITAL PROVIDED PERFORMANCE AWARDS TO ITS EXECUTIVE TEAM IN 2018. 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 | INITIAL CONTRACT EXCEPTION: 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 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 2018 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 | 2013-09-19 | $20,400,000 | REFUND '08 ISSUE | false | false | false | |
| THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI | ||||||||
| C | 860376099 | 985900EF2 | 2016-11-03 | $47,762,252 | REFUND '97,'02, & '08 ISSUES | 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 | $8,940,000 | $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 | $0 | $0 | $20,400,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $20,400,000 | $0 | 2013 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $1,805,000 | $0 | $47,762,252 | $0 | $477,623 | $0 | $319,511 | $0 | $0 | $0 | $49,965,118 | $0 | 2016 | Yes (true) | false | Yes (true) | 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 | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | false | Yes (true) |
| B | false | false | false | false | 0 | false | false | false | Yes (true) |
| C | false | false | false | false | 0 | 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 | false | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule K, Part IV, Line 2c | FormAndLineReferenceDesc |
| Explanation | 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. Bond B issued on 09/19/2013 arbritage calculation was performed on November 16, 2018. At this time it was determined that no rebate liability was due. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | Significant Changes to the BYlaws: the BYlaws were updated to limit who can serve as a board member. the bYlaws restrict Employed staff, including physicians and Administrators from serving as a board member. |
| 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 | PROCESS TO REVIEW THE FORM 990: 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 | PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: 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 | REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION: 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 2017, 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 | REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION: 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 2017, 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 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: CHANGE IN SPLIT INTEREST AGREEMENT (3,774) ELIMINATIONS ON CONSOLIDATED AUDIT REMOVED FOR 990 (1,528) TOTAL (5,302) |
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 | $23,189,360 | $9,761,392 | YRMC |
| NORTH CENTRAL ARIZONA ACCOUNTABLE CARE | |||||||||
| 1003 WILLOW CREEK ROAD | PRESCOTT | AZ | 86301 | 465648068 | MEDICAL SVCS | AZ | $74,060 | $100 | YRMC |
| PRESCOTT MEDICAL IMAGING | |||||||||
| 801 WHIPPLE STREET | PRESCOTT | AZ | 86301 | 770603441 | MED IMAGING | AZ | $30,169,619 | $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 | $718,306 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $226,838 | ShareOfEOYAssetsAmt |
| UBI Code V | $0 | UBICodeVAmt |
| 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 | false | 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 | $1,652,454 | AMT TRANSFERRED |
| YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION | ||
| C | $616,292 | AMT TRANSFERRED |
| YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION | ||
| D | $90,122 | INTERCO AMOUNT |