2019-08-06T17:53:33-05:00 2018-12-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2018-01-01 860098923 Yavapai Community Hospital Association % LEE LIVIN CFO YAVA 9287715691 1003 Willow Creek Road Prescott AZ 86301 LEE LIVIN CFO 9287715691 2019-08-15 true Adam R Smith CPA P00958966 7194714290 167.68.126.162 84022720192185000003 2019-08-06 P AF58D4CD08CD36936EE0B06487AAF04874613AA6 19466AA61A357D31F4873695DF4DFE6460C1305A 2018 2019-02-21 02:37:17Z Yavapai Regional Medical Center JOHN R AMOS CEO 1003 Willow Creek Road PRESCOTT AZ 86301 463945570 false X WWW.YRMC.ORG X 1942 AZ YRMC'S MISSION IS TO PROVIDE COMPREHENSIVE, HIGH QUALITY HEALTHCARE CONSISTENT WITH OUR communities' needs. 9 9 2403 710 11230 9968 625876 996965 366931198 394943306 7555734 6547867 1964394 2426222 377077202 404914360 263626 670526 0 0 155873531 167683875 0 0 1498262 174854134 191057891 330991291 359412292 46085911 45502068 430884254 468069652 129666136 130762688 301218118 337306964 X TO PROVIDE COMPREHENSIVE, HIGH-QUALITY HEALTHCARE CONSISTENT WITH OUR COMMUNITIES' NEEDS. false false 300258157 670526 395144210 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 300258157 true true false true false false false false false true true false false false true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false true 299 0 2403 true false false false false false false false false false false false false X 9 9 false false true false true true true true true false false true true true true true true true true true true X LEE LIVIN CFO 9287715691 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 X Paula Kneisl Trustee 5.0 0.0 X 0 0 0 Steve Sischka Trustee 5.0 0.0 X 0 0 0 Mike Beatty Vice-Chairman 5.0 0.0 X X 0 0 0 Jane Bristol Chairman 5.0 0.0 X X 0 0 0 Jim Howard Trustee 5.0 0.0 X 0 0 0 Daniel Storvick Secretary 5.0 0.0 X X 0 0 0 Tony Ferrulli Treasurer 5.0 0.0 X X 0 0 0 Charlie Bomberger Trustee 5.0 0.0 X 0 0 0 M Keith Piatt Trustee 5.0 0.0 X 0 0 0 Diane Drexler CNO 40.0 0.0 X 355493 0 118888 Larry P Burns COO 40.0 0.0 X 916492 0 86690 Lee Livin CFO 39.0 1.0 X 515634 0 126951 John R Amos CEO 39.0 1.0 X 920580 0 203969 Timothy Roberts CIO 40.0 0.0 X 287378 0 43568 Anthony Torres CMO 40.0 0.0 X 446126 0 119032 Frank Almendarez Chief ADMIN OFFICER 40.0 0.0 X 282548 0 95414 Mark Timm DIRECTOR OF HUMAN RESOURCES 40.0 0.0 X 302307 0 90288 Roberta Nicol Director of Philanthropy 39.0 1.0 X 319755 0 84256 George T Rizk Physician 40.0 0.0 X 762389 0 41926 NISHA TUNG-TAKHER Physician 40.0 0.0 X 1327724 0 57048 Shayan Alam Physician 40.0 0.0 X 894969 0 56512 John J Giardina Physician 40.0 0.0 X 738930 0 34122 Soundos K Moualla Physician 40.0 0.0 X 740418 0 33896 8810743 0 1192560 221 false true false CERNER CORP PO BOX 959156 ST LOUIS MO 631959156 Software Service 17597333 Cardinal Distribution File 57130 LOS ANGELES CA 900717130 Medical 14385851 Owens and Minor Inc File No 53523 LOS ANGELES CA 900743523 Healthcare Logistics 6603354 NAZ Hospitalists PO Box 11720 MINNEAPOLIS AZ 86304 Medical Service 4506200 Boston Scientific Corporation PO BOX 951653 DALLAS TX 753951653 Medical Devices 429422 175 616292 380673 996965 PATIENT SERVICE REVENUE 561110 393407146 393407146 RURAL HOSPITAL/EMERGENCY FUND PAYMENTS 900099 1486319 1486319 WELLNESS PROGRAM 561110 227592 227592 INCOME/(LOSS) FROM EQUITY INVESTEE 561110 -200904 11230 -212134 MISCELLANEOUS PROGRAM INCOME 900099 23153 23153 394943306 4697251 4697251 21760 21760 0 627219 627219 0 627219 627219 60658284 23450 58852878 1805406 23450 1828856 1828856 0 0 0 0 0 0 263671 178332 85339 85339 CAFETERIA 722514 1680275 1680275 VENDING/COPY MACHINE 900099 33389 33389 1713664 404914360 395144210 11230 8761955 670526 670526 0 0 0 5632456 824411 4464636 343409 0 125327554 100329720 24457672 540162 2998529 2400442 585163 12924 25141128 20126479 4906291 108358 8584208 6872002 1675208 36998 0 382226 382226 149589 149589 43041 43041 0 326468 326468 24264311 19424552 4735180 104579 504761 404081 98504 2176 8505586 6809062 1659865 36659 21906668 17537164 4275086 94418 0 4141454 3315399 808205 17850 388043 310644 75727 1672 0 283392 226867 55304 1221 3474769 2781692 678101 14976 0 15649584 12528118 3054016 67450 2129729 1704933 415617 9179 MEDICAL SUPPLIES 62612395 62612395 BAD DEBT 21648302 21648302 REPAIRS & MAINTENANCE 8167139 6538122 1593817 35200 MINOR EQUIPMENT 1674988 1340895 326874 7219 14805446 11852351 2889283 63812 359412292 300258157 57655873 1498262 28937651 27632882 18638917 14461883 0 0 41640922 43155358 0 0 0 0 364800 373167 5353751 6446150 2417870 1197213 361668586 196982698 159045240 164685888 167153942 203345077 0 0 4038288 3769214 0 0 3292873 3002820 430884254 468069652 30396265 32931444 0 0 1416003 1360352 89975000 87090000 0 0 0 0 2453177 2129637 0 0 5425691 7251255 129666136 130762688 X 301200685 337289368 17433 0 0 17596 301218118 337306964 430884254 468069652 X 45502068 -9407920 -5302 X false true X true false X false false false false false false true 43041 false false 43041 false SCHEDULE C, PART II-B, LINE 1G DESCRIPTION OF LOBBYING ACTIVITY: YAVAPAI COMMUNITY HOSPITAL ASSOCIATION RECEIVED CORRESPONDENCE FROM THE ARIZONA HOSPITAL ASSOCIATION REGARDING THEIR MEMBERSHIP DUES. A PORTION OF THEIR DUES WERE ATTRIBUTABLE TO LOBBYING. 22225 163 446 420 22414 22296 107 1014 1192 22225 50315 7367 2718 38104 22296 48024 2291 50315 204159 280 156415 48024 0.21240 0.78760 false false 12532949 12532949 151878798 54070237 97808561 12662511 9297546 3364965 132504204 91272400 41231804 52090124 42342515 9747609 164685888 0 ACCRUED BOND INTEREST 1318017 BOND PREMIUM 2419272 SERP LIABILITY 1258111 EMR 2255855 7251255 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. 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X X X X X true true X X X X true X see part v, section c for url X see part v, section c for url X see part v section c for url X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR YAVAPAI COUNTY, YAVAPAI REGIONAL MEDICAL CENTER (YRMC) CONDUCTED A COMMUNITY HEALTH NEEDS SURVEY. PRIMARY DATA COLLECTION WAS DIVIDED INTO A WEB BASED SURVEY PROCESS AND PERSONAL INTERVIEWS WITH LOCAL ORGANIZATIONS. SURVEY RECIPIENTS WERE CHOSEN BASED ON THE CRITERIA OF BEING PROFESSIONALS SERVING THE HEALTH NEEDS OF THE COMMUNITY AND THE SURVEYS WERE DISTRIBUTED ELECTRONICALLY DURING THE YEAR. PERSONAL INTERVIEWS WERE CONDUCTED BY STAFF AT YAVAPAI REGIONAL MEDICAL CENTER. YRMC CONDUCTED LIVE, ONE ON ONE MEETINGS WITH THREE KEY LOCAL ORGANIZATIONS - THE COUNTY HEALTH DEPARTMENT, YAVAPAI TRIBE, AND A MENTAL HEALTH PROVIDER. SCHEDULE H, PART V, SECTION B, LINE 6A HOSPITAL FACILITIES INCLUDED IN THE CHNA: YAVAPAI REGIONAL MEDICAL CENTER OPERATES TWO HOSPITAL FACILITIES, THE WEST CAMPUS AND THE EAST CAMPUS. BOTH HOSPITALS WERE INCLUDED IN THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 7a & 10a 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. 19 YRMC - Del E Webb Outpatient Center 3262 Windsong Road Prescott Valley AZ 86314 OUTPATIENT DIAGNOSTICS, Rehabilitation & laboratory Pendleton Wellness Center 930 Division Street Prescott AZ 86301 Cardiac rehabilitation, physical therapy, & wellness outpatient center PRESCOTT OUTPATIENT SURGICAL CENTER 815 AINSWORTH DR Prescott AZ 86301 OUTPATIENT SURGICAL CENTER YRMC PC Internal Medicine I 3120 Clearwater Dr Prescott AZ 86305 Physician Practice - Internal Medicine YRMC PC Family Medicine I 7712 E Florentine Prescott Valley AZ 86314 Physician Practice - Family Medicine YRMC PC BREAST CARE 7700 E FLORENTINE ROAD BLD B SUIT PRESCOTT VALLEY AZ 86314 PHYSICIAN PRACTICE-SURGERY YRMC PC FAMILY MEDICINE III 1050 GAIL GARDNER WAY SUITE B PRESCOTT AZ 86301 Physician Practice - FAMILY MEDICINE YRMC PC FAMILY MEDICINE IV-BAGDAD 12 HOPE DRIVE BAGDAD AZ 86321 PHYSICIAN PRACTICE - FAMILY MEDICINE YRMC PC CARDIOLOGY I 802 E AINSWORTH DR SUITE A PRESCOTT AZ 86301 PHYSICIAN PRACTICE - CARDIOLOGY YRMC PC CARDIOLOGY II 7700 E FLORENTINE RD BLD B SUITE PRESCOTT VALLEY AZ 86314 PHYSICIAN PRACTICE - CARDIOLOGY YRMC PC CARDIOLOGY III 726 GAIL GARDNER WAY SUITE A PRESCOTT AZ 86305 PHYSICIAN PRACTICE - CARDIOLOGY YRMC PC CARDIOLOGY IV 980 WILLOW CREEK ROAD PRESCOTT AZ 86301 PHYSICIAN PRACTICE - CARDIOLOGY YRMC PC NEUROSURGERY 1001 DIVISION STREET PRESCOTT AZ 86301 PHYSICIAN PRACTICE - NEUROSURGERY YRMC PC GASTROENTROLOGY 811 AINSWORTH STREET PRESCOTT AZ 86301 PHYSICIAN PRACTICE - GASTROENTROLOGY YRMC PC PEDIATRICS 2120 CENTERPOINTE WEST PRESCOTT AZ 86301 PHYSICIAN PRACTICE - PEDIATRICS YRMC PC PALLIATIVE CARE 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 PHYSICIAN PRACTICE - PALLIATIVE CARE YRMC PC SURGERY III 810 AINSWORTH DRIVE PRESCOTT AZ 86301 PHYSICIAN PRACTICE-SURGERY YRMC PC SURGERY IV 810 AINSWORTH DRIVE PRESCOTT AZ 86301 PHYSICIAN PRACTICE-SURGERY YRMC PC PRIMARY CARE 7700 E FLORENTINE RD BLD B SUITE PRESCOTT VALLEY AZ 86314 PHYSICIAN PRACTICE-FAMILY MEDICINE SCHEDULE H, PART I, LINE 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 true Yavapai Regional Medical Center Foundation 1003 Willow Creed Road Prescott AZ 86301 861038463 501(c)(3) 367313 Healthcare Humboldt Education Foundation INC 6411 N Robert Road Prescott Valley AZ 86314 866003010 Government 10000 no more hungry kids program Yavapai College Foundation 1100 e sheldon St Prescott AZ 86301 237232985 501(C)(3) 17400 Scholars Program West Yavapai Guidance Clinic 3343 N Windsong Dr Prescott AZ 86314 860206928 501(c)(3) 25000 To Support Organization Prescott Mountain Bike Alliance PO BOX 3027 PRESCOTT AZ 86302 272333931 501(c)(3) 10000 Mountain Bike Alliance EPIC RIDES 534 N Stone Avenue TUCSON AZ 85705 272677971 501(c)(3) 7500 Whiskey Off-Road 6 SCHEDULE I, PART I, Line 2 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. X X X X true true false false false false false true true true Diane Drexler CNO 243447 47654 64392 91893 26995 474381 62943 Larry P Burns COO 231547 75539 609406 73959 12731 1003182 208378 Lee Livin CFO 344227 83720 87687 111000 15951 642585 75365 John R Amos CEO 613246 143569 163765 180448 23521 1124549 137426 Mark Timm DIRECTOR OF HUMAN RESOURCES 206184 40877 55246 64767 25521 392595 48082 Roberta Nicol Director of Philanthropy 212113 40562 67080 62320 21936 404011 48632 Timothy Roberts CIO 236126 43243 8009 23822 19746 330946 5387 Anthony Torres CMO 329765 70562 45799 95353 23679 565158 30959 Frank Almendarez Chief ADMIN OFFICER 212498 42689 27361 67399 28015 377962 22458 George T Rizk Physician 619955 139702 2732 32250 9676 804315 NISHA TUNG-TAKHER Physician 937545 389549 630 32250 24798 1384772 Shayan Alam Physician 526282 368267 420 32250 24262 951481 John J Giardina Physician 736158 2772 32250 1872 773052 Soundos K Moualla Physician 739788 630 21237 12659 774314 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. A THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI 860376099 985900DJ5 2013-08-13 33842071 REFUND '03 ISSUE false false false B THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI 860376099 2013-09-19 20400000 REFUND '08 ISSUE false false false C THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI 860376099 985900EF2 2016-11-03 47762252 REFUND '97,'02, & '08 ISSUES false false false A 8940000 0 33842071 0 0 0 660341 0 0 0 33181730 0 2013 true false true true B 0 0 20400000 0 0 0 0 0 0 0 20400000 0 2013 true false true true C 1805000 0 47762252 0 477623 0 319511 0 0 0 49965118 0 2016 true false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false false true false false 0 false 0 false true B false false false true true false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true Schedule K, Part IV, Line 2c Date of Arbitrage calculation: Bond A issued on 08/13/2013 arbritage calculation was performed on September 25,2018. At this time it was determined that no rebate liability was due. 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. 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) YAVAPAI REG'L MED CTR PHYSICIAN CARE LLC 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 263257358 MEDICAL SVCS AZ 23189360 9761392 YRMC NORTH CENTRAL ARIZONA ACCOUNTABLE CARE 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 465648068 MEDICAL SVCS AZ 74060 100 YRMC PRESCOTT MEDICAL IMAGING 801 WHIPPLE STREET PRESCOTT AZ 86301 770603441 MED IMAGING AZ 30169619 0 YRMC YAVAPAI REGIONAL MEDICAL CENTER FDN 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 861038463 SUPPORT ORG AZ 501(C)(3) LN12 TYPE I YRMC true Prescott Outpatient Surgical Center LP 815 Ainsworth Drive Prescott AZ 86301 860548048 Surgery AZ NA Surgery Center 718306 226838 0 false 0.20000 false true true true false false false false false false false false true true true false false false false YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION B 1652454 AMT TRANSFERRED YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION C 616292 AMT TRANSFERRED YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION D 90122 INTERCO AMOUNT