2018-06-25T14:21:44-05:00 2017-09-30 910189318 Moss Adams LLP 8800 E Raintree Drive Ste 210 Scottsdale AZ 85260 990 2016-10-01 866007596 Yuma Regional Medical Center YUMA 9283367000 2400 S Avenue A Yuma AZ 85364 Morgan Hay Admin. Director of Finance 9283367000 2018-04-20 1 Tracy S Paglia P00366884 4804443424 2018-04-20 2016 2022-09-23 18:48:47Z Dr Robert Trenschel 2400 S Avenue A Yuma AZ 85364 591088423 0 X WWW.YUMAREGIONAL.ORG X 1967 AZ Improve the health and well-being of individuals, families, and the community we serve. We provide high quality, patient centered care at our 406 bed inpatient hospital and numerous outpatient clinics. 16 13 2926 400 37050 0 1003160 1270481 437051436 474800252 11519983 9376941 -1691319 -1155183 447883260 484292491 512306 26422 0 0 191739329 216664492 0 0 5013765 223505037 228579520 415756672 445270434 32126588 39022057 737734766 793125693 344540382 328663212 393194384 464462481 X The mission of Yuma Regional Medical Center is to improve the health and well-being of individuals, families, and the community we serve through excellence, innovation, and prudent use of resources. 0 0 409182992 26422 474272440 See Schedule O 409182992 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 1 0 0 1 265 0 1 2926 1 1 1 0 0 0 0 0 0 0 0 0 X 16 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 AZ X David Willie 9283367000 2400 S Avenue A Yuma AZ 85364 Jeff Andrews Immediate Past Chair 4.00 X X 0 0 0 Victor Alvarez Trustee 4.00 X 0 0 0 Lora Dana Trustee 4.00 X 0 0 0 Julie Engel Trustee 4.00 X 0 0 0 Louie Gradias Trustee 4.00 X 0 0 0 Larry Deason Chairperson 8.00 X X 0 0 0 Ismael Guerrero MD Trustee 4.00 X 0 0 0 Mario Jauregui Trustee 4.00 X 0 0 0 Woody Martin Trustee 4.00 X 0 0 0 Page Misenhimer Trustee 4.00 X 0 0 0 Sridhar Rajamani MD Secretary/ Treasurer 8.00 X X 0 0 0 Phillip Richemont MD Vice Chair 8.00 X X 0 0 0 Ashvin Shah MD Trustee 4.00 X 0 0 0 John Sternitzke Trustee 4.00 X 0 0 0 John Williams Trustee 4.00 X 0 0 0 Sultan Lalani Chief of Staff 10.00 X X 18000 0 0 Robert Trenschel CEO 40.00 X 859509 0 247866 David Willie CFO 40.00 X 540486 0 126997 Claudia Dima Vice Chief of Staff 5.00 X 12000 0 0 Timothy Graham Officer of Physician Relations 5.00 X 0 0 0 Deborah Carver Thru 82116 Vp Patient Care Services 40.00 X 178534 0 40522 Marshall Jones thru 0817 Vp Human Resources 40.00 X 493462 0 87852 Ricci Sanchez thru 0817 Vp Clinical Service Lines/Abul Care 40.00 X 310407 0 79405 Deborah Aders Vp Patient Care & Cno 40.00 X 283496 0 45137 Justin Farren Vp Strategy & Development 40.00 X 269102 0 61357 Machele Headington Vp Communications And Marketing 40.00 X 304445 0 95862 Bharat Magu CMO 40.00 X 588805 0 111939 Fred Peet Vp Info Tech/Chief Info Officer 40.00 X 327507 0 87323 Robert Seibel General Counsel 40.00 X 382076 0 62022 Ambuga Badari Cancer Center Physician 40.00 X 387786 0 13641 Abhinav Chandra Med Director Oncology Program 40.00 X 762950 0 33072 Petere Tsai Cardiothoractic Surgeon 40.00 X 1745736 0 33276 Ravikumar Ramaswamy Cardiothoractic Surgeon 40.00 X 1673661 0 33273 Gregory Baker Neurologist 40.00 X 679053 0 19108 9817015 0 1178652 276 0 1 0 Yuma Heart And Vascular LLC 2400 S AVENUE A Yuma AZ 85364 CATH LAB SERVICES 25314572 Mckesson Drug Company FILE 57256 LOS ANGELES CA 90074 MCKESSON DRUG COMPANY 14236038 Mckesson Plasma & Bio 16578 COLLECTIONS CTR DR CHICAGO IL 60693 MCKESSON PLASMA BIOLOGICALS 4731298 University Of Arizona 1401 E UNIVERISTY BOULEVARD TUCSON AZ 85721 PHYSICIAN RESIDENCY PROGRAM 3764020 Healthcare Select Ll 2680 SOUTH VAL VISTA DR SUITE 161 GILBERT AZ 85295 RECRUITMENT SERVICES 3761595 154 10900 1259581 1270481 PATIENT SERVICES 621110 466020663 466020663 Inc from affiliates 900099 4303179 4303179 Contract Revenue 624100 871574 871574 Gift Shop/Snack Bar 453220 732499 204687 527812 Health Education 611710 11159 11159 2861178 2861178 474800252 6147182 6147182 1047207 2202390 -1155183 -1155183 37050 -1192233 107747588 75713 104538829 54713 3208759 21000 3229759 3229759 484292491 474272440 37050 8712520 X 26422 26422 5203600 225389 4978211 553676 553676 163043303 147194305 12675371 3173627 6104202 5569969 400675 133558 30052074 27810555 1636851 604668 11707637 10771026 702458 234153 1687768 1524055 163713 4192890 2393697 1799193 339827 339827 34153 34153 1210598 1210598 55200638 52012536 3188102 920103 525222 394881 5423496 4230327 325410 867759 7708400 7708400 7020472 6107811 912661 585871 522597 63274 854522 545594 308928 5838944 5838944 34238362 34238362 3489386 3489386 MEDICAL SUPPLIES 65170385 65170385 BAD DEBT 23733831 23733831 Equipment Rental 586291 480759 105532 10343583 8509744 1833839 445270434 409182992 31073677 5013765 33959465 43526120 42868261 20831122 52558304 47607563 1907456 1165871 7540625 7502511 6206220 6833864 691330683 313187480 372305014 378143203 187149039 255461169 21378387 19650083 9714155 9714155 2147840 2690032 737734766 793125693 40841763 36505646 179382402 179178281 18170756 35083723 51937 1266922 106093524 76628640 344540382 328663212 X 388667203 458770761 4426719 5607650 100462 84070 393194384 464462481 737734766 793125693 X 39022057 8946711 23299329 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 34153 34153 0 Part II-B, Line 1: Yuma Regional Medical Center (YRMC) is a member of the American Hospital Association (AHA) and Arizona Hospital Association (AZHHA). YRMC paid a total of $196,281 to AHA for membership during FY 9/30/17. Of the amount reported, 17.40% or $34,153 of dues were expended by AHA for specific lobbying purposes. 17229986 17229986 426090373 130037205 296053168 17058722 11704463 5354259 230951602 171445812 59505790 378143203 INTEREST RATE SWAPS AND CAP 8449552 OTHER LIABILITIES 8426725 MINIMUM PENSION LIABILITY 57351317 Third Party Settlements 2401046 76628640 1 1 X 1 X 1 X 1 1 1 0 1 1 1 10151 5285906 4056507 1229399 0.00290 97663890 88964585 8699305 0.02060 1 10151 102949796 93021092 9928704 0.02350 0 19941 333839 333839 0.00080 220755 220755 0.00050 19941 554594 554594 0.00130 1 30092 103504390 93021092 10483298 0.02480 1 0 750 0 750 0.00000 3 0 36638 0 36638 0.00010 1 0 2750 0 2750 0.00000 1 0 3000 0 3000 0.00000 2 1200 1200 0.00000 1 15657 15657 0.00000 9 59995 59995 0.00010 1 23733831 0 146070263 146093904 -23641 X 1 1 3 1 YUMA REGIONAL MEDICAL CENTER 2400 S AVENUE A YUMA AZ 85364 www.yumaregional.org H0097 X X X A 2 YUMA REGIONAL MEDICAL CENTER - FOOTHILLS 11142 S SCOTTSDALE DRIVE YUMA AZ 85367 www.yumaregional.org H0097 X A 3 YUMA REGIONAL MEDICAL PLAZA 1501 WEST 24TH STREET YUMA AZ 85364 www.yumaregional.org H0097 X OP SURGERY; IMAGING; CARDIAC Rehab; Wound Care; BARIATRIC A YUMA REGIONAL MEDICAL CENTER 0 0 1 X X X X X X X X X 16 1 0 1 1 X http://www.yumaregional.org X X 1 16 1 HTTP://WWW.YUMAREGIONAL.ORG 0 1 X 200.000000000000 350.000000000000 X X X X X 1 1 X X X 1 X http://www.yumaregional.org X http://www.yumaregional.org X http://www.yumaregional.org X X X X X 1 X 0 X X X X 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: YUMA REGIONAL MEDICAL CENTER, - Facility 2: YUMA REGIONAL MEDICAL CENTER - FOOTHILLS, - Facility 3: YUMA REGIONAL MEDICAL PLAZA YUMA REGIONAL MEDICAL CENTER Part V, Section B, line 5: Following the 2013 Community Health Needs Assessment, YRMC developed the Alliance for Healthy Communities committee formed of local leaders to implement and align the Community Health Improvement Plan. This committee worked collectively to complete a SWAT analysis and research to develop the 2016 Community Health Needs Assessment and Implementation Plan. The Alliance for Healthy Communities is formed of the following local community leaders: - David Rodgers, CEO at Sunset Community Health Centers (FQHC) - Diana Gomez, Director, Yuma County Public Health Services District - Iris Betancourt, Choose Health Manager (Assists communities in 8 counties in dimensions of health and wellness) - Gina Wittington, Human Services Director, WACOG - Maria Chavoya, Regional Manager for La Paz, Yuma, and Pima County, Cenpatico (Mental Health Services) - Emma Torres, Executive Director, Campesinos Sin Fronteras - Craig Shapiro, retired public health physician volunteering with Campesinos Sin Fronteras - John Williams, Executive Director, Hospice of Yuma - Amanda Aguirre, CEO, Regional Center for Border Health & San Luis Walk-in Clinic, Inc. - Dr. Bharat Magu, Chief Medical Officer, YRMC - John Bowles, Administrative Director of Nursing Operations, YRMC - Machele Headington, Vice President of Marketing/Communications & Support Services, YRMC - Ricci Sanchez, Vice President Clinical Service Lines, YRMC YUMA REGIONAL MEDICAL CENTER Part V, Section B, line 6b: - Sunset Community Health Centers (FQHC)- Yuma County Public Health Services District - Western Arizona Council of Governments (WACOG)- Cenpatico (Mental Health Services)- Campesinos Sin Fronteras - Hospice of Yuma - Regional Center for Border Health & San Luis Walk-in Clinic, Inc. YUMA REGIONAL MEDICAL CENTER Part V, Section B, line 7d: Available upon request by contacting us through our "Contact Us" page on our website, www.yumaregional.org, or by calling the hospital. YUMA REGIONAL MEDICAL CENTER Part V, Section B, line 11: The significant needs identified in the 2016 Community Health Needs Assessment are obesity and diabetes, shortage of Health Providers, and adequate Health Insurance. YRMC is addressing these needs by partnering with local leaders and organizations to develop three sub-committees that will focus on a need and develop a plan of action for the hospital to implement to improve outcomes. The key areas of focus for each need are: 1) Obesity and Diabetes: Focusing on the major risk factors of poor nutrition, sedentary lifestyles and obesity; establish life-long wellness choices; partner with providers to expand diabetes education and lifestyle coaching; focus on prevention and early education facilitating early adoption of lifelong health habits for those ages 0-14; and focus on nutritional education and supportive services for a healthier lifestyle for those ages 65-84. 2) Shortage of Health Providers: Expand primary care services; recruit clinicians to meet community needs; and partner with YRMC Residency Program to make it an attractive program for medical students. 3)Adequate Health Insurance coverage: target uninsured high risk population with enrollment in Medicaid, MarketPlace and KidsCare; and continue collaborative grassroots outreach to provide enrollment assistance. Part I, Line 7: YRMC'S COST ACCOUNTING SYSTEM IS TRENDSTAR. COSTS ARE ASSIGNED TO EACH CHARGE ITEM ON AN RVU BASIS FOR ALL PATIENT TYPES AND PAYORS. PATIENT ACCOUNTS HAVE COST ALLOCATED BASED ON EACH LINE-ITEM CHARGE ON THE ACCOUNT. COST-TO-CHARGE RATIOS WERE NOT USED TO DETERMINE AMOUNTS REPORTED IN THE TABLE. THE "OTHER BENEFIT" SECTION IS ACTUAL EXPENSE NOT ALLOCATED BY THE COST ACCOUNTING SYSTEM. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 23,733,831. Part I line 7: It should be noted that the increase in eligibility for Medicaid coverage in the State of Arizona as a result of the Affordable Care Act has decreased the uninsured population and therefore decreased the Financial Assistance and Means - Tested Government Programs in FY 17 (YRMC's 2016 990) compared to FY 16 (YRMC's 2015 990). Part II, Community Building Activities: Economic Development:Leader/Executive participation in greater Yuma economic development, Chamber of Commerce, and Yuma Visitors Bureau. In those roles, YRMC leadership plays an active role in supporting the business and economic drivers and workforce needs.Yuma Regional Medical Center actively supports tourism as a major economic drive for the community. With approximately 100,000 annual winter visitors, YRMC has actively partnered with the local Yuma Convention & Visitors Bureau (YCVB) to ensure the medical needs of a high volume of visitors. With that, YRMC administrator Machele Headington serves on the YCVB Board of Directors, contributing an estimated 3-4 hours per month in professional leadership. Tourism is a major industry for both Arizona and Yuma County. With proximity to California and Mexico, the area attracts large numbers of travelers and international shoppers. During the winter, Yuma's influx of seasonal visitors positively impacts the economy.Community Support:Yuma Regional Medical Center in involved in several community building activities that address the root causes of health problems. Through these activities, YRMC supports community assets by offering the expertise and resources of our healthcare organization. We encourage employees to be involved in the community through community boards, health advocacy programs, and physical improvement projects to continuously improve the quality of life for the community we serve.Coalition Building:Hospital representation to community coalitions related to community health such as:- Yuma Community Food Bank- Food For Life- Salvation Army Christmas Angels ProgramCommunity Health Improvement Advocacy:Local, state, and notional advocacy in areas such as access to healthcare, public health, transportation and housing:- Crossroads Mission-help the homeless shelter by providing bedding & financial support for drug/detox program- Regional Center for Border Health- Amberly's Place - support and assistance for victims of sexual abuse Part III, Line 4: YRMC PERIODICALLY REVIEWS ITS COLLECTION RATES FOR ALL SELF PAY ACCOUNTS AND ESTIMATES THE ANTICIPATED COLLECTIONS ON ALL OUTSTANDING SELF PAY BALANCES. A RESERVE IS ESTABLISHED TO ESTIMATE THOSE ACCOUNT BALANCES THAT ARE NOT EXPECTED TO BE COLLECTED BASED ON THOSE HISTORICAL COLLECTION RATES.YRMC'S COST ACCOUNTING SYSTEM IS TRENDSTAR. COSTS ARE ASSIGNED TO EACH CHARGE ITEM ON AN RVU BASIS FOR ALL PATIENT TYPES AND PAYORS. PATIENT ACCOUNTS HAVE COST ALLOCATED BASED ON EACH LINE-ITEM CHARGE ON THE ACCOUNT. ACCOUNTS ELIGIBLE FOR CHARITY CARE WERE IDENTIFIED BY CROSS REFERENCING TO PREVIOUS FINANCIAL ASSISTANCE.See Note 2 on page 11 of the attached financial statements for the footnote "Accounts receivable and allowance for contractual adjustments and doubtful accounts". Part III, Line 8: YRMC'S COST ACCOUNTING SYSTEM IS TRENDSTAR. COSTS ARE ASSIGNED TO EACH CHARGE ITEM ON AN RVU BASIS FOR ALL PATIENT TYPES AND PAYORS. PATIENT ACCOUNTS HAVE COST ALLOCATED BASED ON EACH LINE-ITEM CHARGE ON THE ACCOUNT. Part III, Line 9b: PATIENTS MAY BE ELIGIBLE FOR FULL FINANCIAL ASSISTANCE OR PARTIAL ASSISTANCE. IF PARTIAL, THE REMAINING BALANCE ON THE ACCOUNT WILL BE SUBJECT TO YRMC'S NORMAL COLLECTION PROCESS AND PAYMENT ARRANGEMENTS WILL BE MADE. THE BALANCE WILL BE TURNED OVER TO A COLLECTION AGENCY IF ANY OF THE FOLLOWING EVENTS OCCUR: 1. MAIL RETURNED - NOT ABLE TO LOCATE PATIENT. ACCOUNT GOES TO COLLECTIONS AFTER TWO CONSECUTIVE MAIL RETURNS.2. NO TELEPHONE LISTING OR DISCONNECTED. 3. REGULAR SEQUENCE OF STATEMENTS AND COLLECTION NOTICES SENT, INCLUDING A FINAL, WITH NO RESPONSE. Part VI, Line 2: YUMA REGIONAL MEDICAL CENTER (YRMC) HAS PROACTIVELY DEVELOPED SEVERAL MECHANISMS FOR CONTINUOUS EVALUATION OF COMMUNITY HEALTH NEEDS. YRMC HAS LED THE COLLECTIVE EFFORTS AND FORMATION OF THE ALLIANCE FOR HEALTHY COMMUNITIES. THE ALLIANCE FOR HEALTHY COMMUNITIES (STARTED IN 1996) IS A REPRESENTATION OF PEOPLE WHO CARE ABOUT THE FUTURE HEALTH NEEDS OF OUR RESIDENTS. MEMBERSHIP IN THE ALLIANCE IS ABOUT PARTNERING TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY THROUGH COLLABORATION. MEMBERSHIP INCLUDES ORGANIZATIONS FROM THROUGHOUT YUMA COUNTY SUCH AS LOCAL SCHOOLS/COLLEGES, HEALTH PROVIDERS, PUBLIC HEALTH, LAW ENFORCEMENT, MEDIA, MILITARY, BUSINESS AND MORE. IN FY13 THE GROUP COLLECTIVELY CONDUCT A COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT, FUNDED BY YUMA REGIONAL MEDICAL CENTER. THE FINDINGS OF THAT SURVEY WERE SHARED DURING A YUMA COUNTY LEADERSHIP PLENARY SESSION DESIGNED FOR COMMUNITY FEEDBACK AND COMMUNITY HEALTH NEEDS. ADDITIONAL ASSESSMENTS INCLUDE THE DEVELOPMENT OF AN ANNUAL PHYSICIAN MANPOWER REVIEW. EACH YEAR THE YRMC BOARD OF DIRECTORS CONDUCTS A COMPREHENSIVE MEDICAL STAFF DEVELOPMENT PLAN (MSDP). THE PLAN, WHICH IS APPROVED ANNUALLY AND REVIEWED/MODIFIED AT THE SIX MONTH MARK, INCLUDES EXTENSIVE DATA COLLECTION AND RESEARCH RELATING TO THE PHYSICIAN ACCESS. THE STUDY INCLUDES SIX KEY INDICATORS/EVALUATION: (1) COMPARISON TO NATIONAL PHYSICIAN TO POPULATION RATIOS; (2) BLIND SECRET SHOPPER PHONE SURVEY MEASURING "WAIT TIME FOR AN APPOINTMENT - HOW QUICKLY A NEW PATIENT CAN GET INTO SEE A PHYSICIAN; (3) INSURANCE - MAJOR INSURANCES ACCEPTED FOR EACH PROVIDER/BY SPECIALTY; (4) AGE/RETIREMENT PROJECTS; (5) OUT-MIGRATION (WHAT MEDICAL SERVICES COMMUNITY MEMBERS ARE TRAVELING TO RECEIVE); (6) PROJECTED HEALTH NEEDS.BASED ON A REVIEW OF THE ABOVE LISTED INDICATORS, THE BOARD REVIEWS AND APPROVES THE DEVELOPMENT OF A MSDP. YUMA REGIONAL MEDICAL CENTER THEN IMPLEMENTS THE PLAN TO RECRUIT THOSE PROVIDERS NEEDED INTO THE COMMUNITY. RECRUITMENT ASSISTANCE/SUPPORT IS ALSO PROVIDED TO DESIGNATED LOCAL HEALTH PROVIDERS. Part VI, Line 3: As each patient is registered for services, request for insurance or payment is completed. If a patient states that they have no insurance we will request payment in full or a deposit. If a balance is left at this time we have Medassist which is a contracted provider to interview the patient and complete YRMC financial assistance form. At this time the patient is given the information about the AHCCCS application process and the application is completed if the patient is eligible (residency and income for example). The application process is an online web based application called Healthy E AZ. This online process gives you a tentative approved pending verification of information is they potentially might qualify for AHCCCS. Once it is determined that the patient will not qualify for any government programs then the financial counselor will visit with the patient and explains the financial assistance program and if the patient wishes to apply, will collaborate with Medassit in retrieving all of the necessary proof of income to complete the financial assistance process. The completion of this process may continue after the patient leaves the hospital and the financial assistance process is completed by the staff in the Patient Accounting Department. If the patient is only an ER patient and does not qualify for completing a AHCCCS application, the patient is given a sheet of instructions explaining the financial assistance process, documents that are needed to complete the application and phone numbers to call to make an appointment so they can complete the financial assistance process.This process is completed between a collaboration of front end registrars, financial counselors, Medassist employees, cashier and the Patient Accounting department. Part VI, Line 4: Yuma Regional Medical Center (YRMC) is in a rural setting. It is the only hospital in Yuma County and also serves surrounding areas (towns on the California/Arizona border) and residents of Mexican border towns. The county has been designated as a Medically Underserved area.In the city of Yuma, over 60 percent of the population is Hispanic or Latino, and in the city of San Luis and the city of Somerton (both in Yuma County), over 90 percent of the population is Hispanic or Latino. Nearly 63 percent of the population is under 45 years old. Yuma County's population is about 205,000 and is expected to grow by 8 percent in the next five years.Over 26 percent of the population in Yuma County has a GED or high school diploma; seven percent have an associate degree and eight percent have a bachelor's degree. Approximately four percent have a master's degree.The main industries in Yuma County are agriculture, tourism and the military. There are two military bases here - Marine Corps Air Station Yuma and Yuma Proving Grounds (Army).Approximately 21% of the population is below the poverty line.The geography of Yuma County is desert land accented with rugged mountains. It is bordered by both California and Mexico. There are valley regions that are irrigated with water from the Colorado River. The average temperature in July is 107 degrees and in January it's 70 degrees. Part VI, Line 5: Yuma Regional Medical Center is involved in several community building activities that address the root causes of health problems. Through these activities, YRMC supports community assets by offering the expertise and resources of our healthcare organization.We encourage employees to be involved in the community through community boards, health advocacy programs and physical improvement projects to continuously improve the quality of life for the communities we serve.See descriptions for Schedule H, Part II. Part VI, Line 6: n/a Part VI, Line 7, Reports Filed With States AZ 1 YUMA REGIONAL MEDICAL CENTER FOUNDATION 2400 S Avenue A Yuma AZ 85364 510179146 501(c)(3) 26422 Program Support 1 0 Part I, Line 2: CASH GRANTS AND DONATIONS: ALL REQUESTS MUST BE PRESENTED IN WRITING ALLOWING THE OPTION OF A FORMAL PRESENTATION ON THE REQUEST OF THE FOUNDATION BOARD OF TRUSTEES OR ITS RESPECTIVE REVIEW COMMITTEE. ALL REQUESTS WILL BE INITIALLY REVIEWED BY THE FOUNDATION EXECUTIVE COMMITTEE. THE PROPOSALS THAT FALL WITHIN THE IDENTIFIED GUIDELINES WILL BE PRESENTED TO THE BOARD OF TRUSTEES OR THEIR DESIGNATED COMMITTEE FOR A DECISION OF FUNDING. ALL REQUESTS WILL BE REVIEWED AND ACTION TAKEN BY THE FOUNDATION ADMINISTRATIVE COMMITTEE AND THE RESULTS WILL BE REPORTED TO THE BOARD OF TRUSTEES. FUNDING WILL BE BASED ON THE FOLLOWING GUIDELINES: 1) THE PROJECT OR ACTIVITY MUST DIRECTLY SUPPORT HEALTH CARE. 2) THE REQUEST MUST BE SUPPORTED BY FACTS ON HOW THE FUNDS WILL BE USED. 3) THE REQUEST FITS WITH THE MISSION OF THE HOSPITAL AND THE FOUNDATION. 4) THE REQUEST MUST DIRECTLY BENEFIT THE YUMA COMMUNITY. ADDITIONAL CONSIDERATIONS: 1) INDIVIDUAL REQUESTS WILL BE CONSIDERED IF THEY ARE HEALTH CARE RELATED. 2) GOLF TOURNAMENT SPONSORSHIPS WILL NOT BE CONSIDERED. X X 1 1 X X X X 1 1 0 0 0 0 0 1 0 Robert Trenschel CEO 763687 0 74300 0 21522 0 225400 0 22466 0 1107375 0 0 0 David Willie CFO 400078 0 119850 0 20558 0 104700 0 22297 0 667483 0 0 0 Deborah Carver Thru 82116 Vp Patient Care Services 0 0 0 0 178534 0 35015 0 5507 0 219056 0 0 0 Marshall Jones thru 0817 Vp Human Resources 172308 0 84050 0 237104 0 71395 0 16457 0 581314 0 0 0 Ricci Sanchez thru 0817 Vp Clinical Service Lines/Abul Care 245416 0 40538 0 24453 0 66338 0 13067 0 389812 0 0 0 Deborah Aders Vp Patient Care & Cno 224014 0 59457 0 25 0 37223 0 7914 0 328633 0 0 0 Justin Farren Vp Strategy & Development 207510 0 61135 0 457 0 39332 0 22025 0 330459 0 0 0 Machele Headington Vp Communications And Marketing 227994 0 61776 0 14675 0 79467 0 16395 0 400307 0 0 0 Bharat Magu CMO 396249 0 191316 0 1240 0 103760 0 8179 0 700744 0 0 0 Fred Peet Vp Info Tech/Chief Info Officer 256869 0 69396 0 1242 0 65222 0 22101 0 414830 0 0 0 Robert Seibel General Counsel 295196 0 86880 0 0 0 45532 0 16490 0 444098 0 0 0 Ambuga Badari Cancer Center Physician 358931 0 28547 0 308 0 6103 0 7538 0 401427 0 0 0 Abhinav Chandra Med Director Oncology Program 350891 0 362687 0 49372 0 10800 0 22272 0 796022 0 0 0 Petere Tsai Cardiothoractic Surgeon 1410426 0 173050 0 162260 0 10800 0 22476 0 1779012 0 0 0 Ravikumar Ramaswamy Cardiothoractic Surgeon 1459297 0 173000 0 41364 0 10800 0 22473 0 1706934 0 0 0 Gregory Baker Neurologist 617516 0 34749 0 26788 0 10800 0 8308 0 698161 0 0 0 Part I, Line 1a TRAVEL FOR COMPANIONS IS AVAILABLE TO BOARD MEMBERS AND IS TREATED AS TAXABLE COMPENSATION. THE CEO IS PROVIDED A MONTHLY PERQ ALLOWANCE WHICH IS TREATED AS TAXABLE COMPENSATION. Part I, Lines 4a-b LINE 4A: DEBORAH CARVER AND MARSHALL JONES RECEIVED SEVERANCE PAYMENTS DURING THE YEAR. THE AGREEMENTS ARE SUBJECT TO A CONFIDENTIALITY CLAUSE. DETAILS WILL BE PROVIDED TO THE IRS UPON REQUEST. DEBORAH CARVER- $178,534 MARSHALL JONES- $237,104 LINE 4B: YUMA REGIONAL MEDICAL CENTER ESTABLISHED THE "CAPITAL ACCUMULATION AND RETENTION PLAN" AS AN INELIGIBLE DEFERRED COMPENSATION PLAN AS DESCRIBED IN SECTION 457(F) OF THE CODE (INTERNAL REVENUE CODE OF 1986) AS APPROVED BY THE BOARD OF DIRECTORS. THE PURPOSE OF THIS PLAN IS TO PROVIDE CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO ELIGIBLE EXECUTIVES. THE BOARD MAY ONLY DESIGNATE PARTICIPANTS FROM AMONG THOSE EMPLOYEES WHO ARE PART OF A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. YRMC WILL ESTABLISH AN INTIAL VESTING DATE FOR EACH PARTICIPANT AND WITHIN THE BOARD'S DISCRETION MAY OFFER TO EXTEND A PARTICIPANT'S VESTING DATE MEETING SPECIFIC CRITERIA AS SET FORTH WITHIN THE PLAN DOCUMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN AND HAD CONTRIBUTIONS TO THE PLAN IN 2016: DEBORAH CARVER - $29,995 MACHELE HEADINGTON - $33,108 MARSHALL JONES - $30,228 BHARAT MAGU - $45,480 FRED PEET - $26,397 RICCI SANCHEZ - $29,400 ROBERT TRENSCHEL - $66,000 DAVID WILLIE - $45,960 Part I, Line 7 YUMA REGIONAL MEDICAL CENTER HAS A PAY AT RISK INCENTIVE PROGRAM FOR CERTAIN EXECUTIVES. SEE SECTION II OF THE SCHEDULE O DISCLOSURE FOR 990, PART VI, LINES 15A AND 15B FOR A DESCRIPTION OF THIS PROGRAM. A INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA ARIZONA 860498547 988514CE3 2014-02-05 179884512 TO REFUND BONDS & TO FINANCE IMPROVEMENTS AND RENOVATIONS TO THE HOSPITAL. 0 0 0 A 179884512 1127545 75381967 103375000 2015 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 Part II, Line 11, Column (a): THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS THAT ARE NO LONGER IN ESCROWS. Southwestern Critical Care Entity more than 35% owned by Dr. Rajamani, BOD Secretary/ Treasurer 3167122 MEDICAL SERVICES 0 Southwest Emergency Physicians Entity more than 35% owned by Dr. Richemont, BOD Vice Chair 1072191 GROUP INCENTIVES/TRANSCRIPTION 0 MICHAEL HEADINGTON FAMILY MEMBER OF MACHELE HEADINGTON, KEY EMPLOYEE 117659 SALARIES & WAGES 0 GARY ADERS FAMILY MEMBER OF DEB ADERS, KEY EMPLOYEE 96905 SALARIES & WAGES 0 LYDIA BROWN FAMILY MEMER OF ISMAEL GUERRERO, BOD Trustee 94304 SALARIES & WAGES 0 MIGUEL GUERRERO FAMILY MEMER OF ISMAEL GUERRERO, BOD Trustee 44305 SALARIES & WAGES 0 WANDA WILLIAMS FAMILY MEMBER OF JOHN WILLIAMS, BOD TRUSTEE 62266 SALARIES & WAGES 0 DONNA GRADIAS FAMILY MEMBER OF LOUIE GRADIAS, BOD TRUSTEE 40457 SALARIES & WAGES 0 Form 990, Part I, Line 6: Services Provided by Volunteers VOLUNTEERS ARE A VITAL PART OF YUMA REGIONAL MEDICAL CENTER. THAT'S WHY YRMC OFFERS OPPORTUNITIES FOR SERVICE THAT ACCOMMODATE THE SCHEDULES OF WORKING ADULTS, STUDENTS AND RETIREES. SOME OF OUR VOLUNTEERS WORK DIRECTLY WITH PATIENTS, WHILE OTHERS PROVIDE INVALUABLE ASSISTANCE IN SUPPORT AREAS OR WITH SPECIAL PROJECTS. IN 2017, 400 VOLUNTEERS HELPED OUT IN NUMEROUS SERVICE AREAS AND CONTRIBUTED OVER 60,000 VOLUNTEER HOURS. VOLUNTEERS ARE AN ESSENTIAL PART OF YRMC PERFORMING A VARIETY OF SERVICES TO HELP PATIENTS, VISITORS AND STAFF. THEY OFFER SUPPORT IN CLINICAL AS WELL AS NON-CLINICAL AREAS BY PERFORMING SUCH DUTIES AS INFORMATION DESK RECEPTIONIST, TRANSPORTING VISITORS AS A CART DRIVER, BOOK AND BEVERAGE CART SERVICES, PATIENT VISITORS AND WHEEL CHAIR TRANSPORTERS, SOOTHING A CRYING BABY IN THE NICU, PRINT SHOP, WAREHOUSE AND OFFICE ASSISTANTS. IN ADDITION, VOLUNTEERS SUPPORT UBS BLOOD DRIVES, HOSPITAL SUPPORT GROUPS, COMMUNITY OUTREACH EVENTS, AND THE PATIENT AND FAMILY CARE CENTER. Form 990, Part III, Line 4a: Programs Service Accomplishments: OUR VISION THE VISION OF YUMA REGIONAL MEDICAL CENTER WILL BE RECOGNIZED AS THE FOCUS FOR HEALTHCARE. WE WILL WORK COLLABORATIVELY TO EVOLVE THE BEST SYSTEM OF COORDINATED HEALTHCARE IN OUR SERVICE AREA. OUR MISSION THE MISSION OF YUMA REGIONAL MEDICAL CENTER IS TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND THE COMMUNITY WE SERVE THROUGH EXCELLENCE, INNOVATION AND PRUDENT USE OF RESOURCES. OUR VALUES COMMITMENT - RESPECT - SAFETY / QUALITY - CREATIVITY - TEAMWORK OVERVIEW YUMA REGIONAL MEDICAL CENTER IS A 405 LICENSED BED GENERAL ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT, EMERGENCY ROOM AND OTHER ACUTE CARE AND HOSPITAL RELATED SERVICES TO THE PEOPLE OF YUMA, ARIZONA AND THE SURROUNDING COMMUNITIES. PRESIDENT/CEO AS A NOT-FOR-PROFIT COMMUNITY HOSPITAL, YUMA REGIONAL MEDICAL CENTER IS DEDICATED TO MEETING THE HEALTHCARE NEEDS OF THIS COMMUNITY TODAY, TOMORROW AND WELL INTO THE FUTURE. THROUGH THIS REPORT, YOU WILL LEARN ABOUT MANY SERVICES AND PROGRAMS THAT WE PROVIDE. THE YRMC TEAM CONSISTS OF OVER 2,000 EMPLOYEES, SOME 300 PHYSICIANS AND 400 VOLUNTEERS. YRMC MAINTAINS THE HIGHEST STANDARDS FOR OUR MEDICAL STAFF TO HELP ENSURE YOU RECEIVE THE QUALITY CARE YOU EXPECT. MORE THAN 95 PERCENT OF THE PHYSICIANS PRACTICING AT YRMC ARE BOARD CERTIFIED/ELIGIBLE IN ONE OR MORE SPECIALTIES. WE PLEDGE TO SERVE AS AN ACTIVE COMMUNITY PARTNER WHILE CONTINUING OUR MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. CHAIRMAN, YRMC BOARD OF DIRECTORS. THE BOARD OF YUMA REGIONAL MEDICAL CENTER IS COMPOSED OF AN ARRAY OF PROFESSIONALS WHO BRING THEIR SKILLS AND TALENTS TOGETHER TO WORK WITHOUT PAY SO THAT YOU CAN RECEIVE THE HIGHEST QUALITY OF MEDICAL CARE IN YOUR COMMUNITY. AS WE LOOK TO THE FUTURE, THE YRMC BOARD OF DIRECTORS HAS AGAIN SET THE BAR HIGH. IT IS OUR VISION TO WORK COLLABORATIVELY TO EVOLVE THE BEST SYSTEM OF COORDINATED HEALTH CARE IN OUR SERVICE AREA. AS A NON-PROFIT COMMUNITY HOSPITAL, WE REINVEST FUNDS REMAINING AT THE CLOSE OF THE YEAR TO NEW SERVICES AND PROGRAMS FOR THE COMMUNITY. OUR STRATEGIES MOVING FORWARD INCLUDE A FIVE-PHASE IMPLEMENTATION OF AN ELECTRONIC HEALTH RECORD TO IMPROVE PATIENT SAFETY AND QUALITY; IMPROVE PATIENT ACCESS TO SERVICES THROUGH RECRUITMENT OF PHYSICIANS IN IDENTIFIED SHORTAGE AREAS, INVESTMENT IN NEW TECHNOLOGIES; REMAINING FINANCIALLY SOUND; AND PROVIDING THE HIGHEST STANDARD OF CARE AND PATIENT SAFETY. AS A NOT-FOR-PROFIT HOSPITAL, YRMC HAS NO SHAREHOLDERS. WE ANSWER TO AND ARE OWNED BY THE COMMUNITY WE SERVE. FINANCIAL: A SOLID FUTURE AS A NON-PROFIT HOSPITAL, YUMA REGIONAL MEDICAL CENTER RELIES SOLELY ON PATIENT REVENUES FOR FUNDING. WE DO NOT RECEIVE LOCAL, STATE OR FEDERAL TAX MONEY. THERE ARE NO OUT-OF-STATE CORPORATIONS OR PRIVATE SHAREHOLDERS INVOLVED WITH YRMC - THE ONLY SHAREHOLDERS ARE THE PEOPLE AND COMMUNITIES WE SERVE. CHARITY CARE/FINANCIAL ASSISTANCE AT YUMA REGIONAL MEDICAL CENTER, WE BELIEVE THAT ALL PEOPLE HAVE A RIGHT TO MEDICALLY NECESSARY HEALTH CARE AND EQUAL ACCESS TO DIAGNOSTIC AND THERAPEUTIC TREATMENT, REGARDLESS OF FINANCIAL STATUS. ELIGIBILITY CRITERIA FOR CHARITY CARE OR DISCOUNTS ARE BASED ON A PERCENTAGE OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUAL "POVERTY GUIDELINES." ELIGIBILITY CRITERIA INCLUDES INDIVIDUAL OR FAMILY INCOME, INDIVIDUAL OR FAMILY NET WORTH, EMPLOYMENT STATUS, OTHER FINANCIAL OBLIGATIONS, AMOUNT AND FREQUENCY OF HEALTHCARE BILLS AND OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT. BECAUSE YRMC DOES NOT PURSUE COLLECTIONS, CHARITY CARE IS NOT INCLUDED IN NET PATIENT SERVICE REVENUE. A COPY OF THE YRMC'S CHARITY CARE POLICY IS AVAILABLE ON THE WEBSITE WWW.YUMAREGIONAL.ORG. WE'RE NOT FOR PROFIT... WE'RE FOR HELPING CHILDREN A BACKPACK, PENCILS AND PENS, ERASERS, NOTEPAPER, RULER AND CRAYONS - IT SEEMS LIKE A SMALL EXPENSE. BUT FOR MANY STRUGGLING FAMILIES, THE GIFT OF A BACKPACK FILLED WITH SCHOOL SUPPLIES MEANS SOMETHING VERY SPECIAL. IT MEANS THAT THEIR CHILDREN ARE EQUIPPED WITH THE TOOLS NEEDED TO SUCCESSFULLY START THE SCHOOL YEAR. IN 2012, SEVERAL THOUSAND NEEDY CHILDREN BENEFITED FROM THE YRMC DRIVE FOR SCHOOL SUPPLIES. FOR 10 YEARS, YUMA REGIONAL MEDICAL CENTER HAS STEPPED IN TO SUPPORT THE COMMUNITY'S UNDERPRIVILEGED CHILDREN BY SPONSORING THIS LARGE PROJECT. THE DRIVE FOR SCHOOL SUPPLIES IS TRULY A COMMUNITY COLLABORATION THAT TAKES PLACE EACH JULY. YRMC WORKS WITH BUSINESSES AND OTHER ORGANIZATIONS TO SET UP DONATION BOXES AT VARIOUS LOCATIONS. PRINCIPALS FROM AREA SCHOOLS THROUGHOUT YUMA COUNTY ARE ASKED TO DETERMINE HOW MANY BACKPACKS THEY NEED FOR THEIR STUDENTS. INDIVIDUALS THROUGHOUT THE COMMUNITY ALSO DONATE CASH TOWARDS THE PROJECT. SEVERAL AREA MERCHANTS OFFER YRMC BULK DISCOUNTS FOR BACKPACKS AND SUPPLIES PAID FOR WITH THESE CASH DONATIONS AND GRANTS. IN FISCAL 2014, 153 OF OUR TINIEST PATIENTS WERE ADMITTED TO AND CARED FOR BY THE SPECIALLY TRAINED STAFF IN THE NEONATAL INTENSIVE CARE UNIT (NICU). YRMC'S NICU IS LICENSED TO CARE FOR INFANTS 28 WEEKS AND OLDER. A FULL TERM INFANT IS 40 WEEKS. INFANTS THAT ARE BORN AT YRMC AT LESS THAN 28 WEEKS ARE CARED FOR IN THE NICU UNTIL THEY ARE STABLE ENOUGH TO TRANSPORT. OUR YOUNGEST INFANTS HAVE BEEN 22 WEEKS. BY HAVING A NICU, FAMILIES ARE RELIEVED OF THE EXPENSE OF GOING OUT OF TOWN FOR EXTENDED PERIODS OF TIME TO BE NEAR THEIR SICK INFANT AND HAVE A SUPPORT SYSTEM NEARBY. TO RAISE AWARENESS ABOUT HEART DISEASE, THE NUMBER ONE KILLER OF WOMEN, AND ITS RISKS, YUMA REGIONAL MEDICAL CENTER PARTICIPATES IN THE AMERICAN HEART ASSOCIATION'S GO RED FOR WOMEN CAMPAIGN AND ALSO HOLDS A WOMEN AND HEART DISEASE AWARENESS CAMPAIGN. DURING THE CAMPAIGN, THOUSANDS OF HEART KITS CONTAINING INFORMATION ON HEART DISEASE, HEART-HEALTHY RECIPES AND COUPONS FOR FREE AND DISCOUNTED LABORATORY SERVICES ARE DISTRIBUTED THROUGHOUT YUMA COUNTY. OUR SPEAKERS BUREAU PROVIDED SPEAKERS TO CLUBS AND ORGANIZATIONS ON WOMEN AND HEART DISEASE. YRMC PARTNERS WITH PHYSICIANS, RETAIL MERCHANTS AND RESTAURANTS TO PROMOTE NATIONAL WEAR RED DAY, WHICH SHOWS SUPPORT FOR WOMEN'S HEART DISEASE AWARENESS. EDUCATION ABOUT WOMEN AND HEART DISEASE IS OFFERED AT ALL SPRING COMMUNITY OUTREACH EVENTS, INCLUDING HEART HEALTHY COOKING, THE YUMA COUNTY FAIR AND THE WOMEN'S EXPO. WE'RE NOT FOR PROFIT... WE'RE FOR EDUCATING THE COMMUNITY YUMA REGIONAL MEDICAL CENTER IS COMMITTED TO THE EDUCATION OF HEALTHCARE PROFESSIONALS BY PROVIDING LEARNING OPPORTUNITIES TO NURSES AT OUR EDUCATION CENTER AND TO PHARMACY STUDENTS WORKING ON PATIENT FLOORS. SUCH EDUCATIONAL PROGRAMS GIVE STUDENTS A CHANCE TO WORK ON THEIR SKILLS AT A PREMIER HEALTHCARE CENTER WHILE PROVIDING THE COMMUNITY WITH HIGHLY QUALIFIED CAREGIVERS. TRAINING TOMORROW'S NURSES AT THE YUMA REGIONAL EDUCATION CENTER, NURSING STUDENTS FROM NORTHERN ARIZONA UNIVERSITY - YUMA APPLY CLASSROOM LESSONS IN A SETTING THAT MIRRORS A HOSPITAL ENVIRONMENT. STUDENTS WORK IN A SKILLS LAB THAT HAS ADULT, CHILD AND INFANT VITALSIMS. MANNEQUINS PREPROGRAMMED WITH HEART RHYTHMS, LUNG AND BOWEL SOUNDS AND EVEN VOICES. IN A WORKSHOP OUTFITTED WITH MORE ADVANCED MANNEQUINS, CALLED SIMSMAN AND SIMSBABY, AN OBSERVING INSTRUCTOR CONTROLS THE PHYSICAL TRAITS OF THE SIMULATED PATIENT IN RESPONSE TO THE NURSE'S CARE DURING FULL LIFELIKE SCENARIOS. "THE GOAL OF OUR EDUCATION CENTER IS TO PROVIDE AS MANY RESOURCES AS POSSIBLE TO HELP NURSING STUDENTS AND EMPLOYEES GROW IN KNOWLEDGE AND SKILL," SAYS A CLINICAL LAB SPECIALIST AT YUMA REGIONAL MEDICAL CENTER. "WE FEEL IT'S AN ESSENTIAL COMPONENT IN PROVIDING EXCELLENT PATIENT CARE." WE'RE NOT FOR PROFIT... WE'RE FOR UNITING FOR THE COMMUNITY YUMA REGIONAL MEDICAL CENTER HAS JOINED FORCES WITH YUMA REHABILITATION HOSPITAL, A NATIONALLY RECOGNIZED STROKE REHABILITATION CENTER OF EXCELLENCE, TO PROVIDE A STROKE PROGRAM FOR THE COMMUNITY. EVERY 45 SECONDS SOMEONE IN AMERICA HAS A STROKE. MOST STROKE SURVIVORS WILL TELL YOU THAT THEY INITIALLY IGNORED THE WARNING SIGNS BECAUSE THEY THOUGHT IT COULDN'T HAPPEN TO THEM. A STROKE CAN HAPPEN TO ANYONE. CANCER PATIENTS NEED A TEAM OF NURSES, SOCIAL WORKERS, CHAPLAINS AND PHYSICIANS TO HELP IN-PATIENTS AND THEIR FAMILIES WITH PALLIATIVE CARE SERVICES, WHICH HELP PEOPLE WORK THROUGH THE PHYSICAL, EMOTIONAL AND SPIRITUAL CONCERNS OF SERIOUS, PROGRESSIVE ILLNESSES. THE GOALS ARE TO HELP PEOPLE HAVE THE BEST POSSIBLE QUALITY OF LIFE AND TO BE ALLOWED TO DIE WITH DIGNITY. TREATMENTS AND TECHNIQUES FOCUS ON IMPROVING THE QUALITY OF LIFE OF PATIENTS WITH ILLNESSES SUCH AS CANCER, HEART FAILURE AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE. PAIN MANAGEMENT PLAYS A KEY ROLE IN PALLIATIVE CARE. PALLIATIVE CARE HELPS PATIENTS UNDERSTAND THE NATURE OF THEIR ILLNESS AND TO MAKE TIMELY, INFORMED DECISIONS ABOUT THEIR LIVES. Form 990, Part III, Line 4a: Programs Service Accomplishments Continued: EDUCATION AND MANAGEMENT ARE KEY FACTORS FOR PATIENTS WITH DIABETES. THE DIABETES EDUCATION PROGRAM AT YRMC HELPS THESE PATIENTS TO UNDERSTAND WHAT TYPES OF FOOD ARE BEST FOR THEM; POTENTIAL HAZARDS OF IGNORING THE DISEASE AND OFFERS A DIABETES SUPPORT GROUP FOR PATIENTS AND THEIR FAMILIES. THE PROGRAM ALSO PROVIDES INFORMATION ON MANAGEMENT OF THE DISEASE TO HELP PATIENTS UNDERSTAND THAT IT IS AN ON-GOING PROCESS. IN 2009, THE PROGRAM ADDED DIABETES 101. THIS INFORMATIVE, TWO-HOUR CLASS IS OPEN TO ANYONE WHO WANTS TO LEARN ABOUT THE BASIC SKILLS NEEDED TO CONTROL TYPE 2 DIABETES. IT IS TAUGHT BY CERTIFIED DIABETES EDUCATORS WHO GIVE AN OVERVIEW OF TYPE 2 DIABETES, THE MEDICATIONS USED TO CONTROL DIABETES, MEAL PLANNING AND HEALTHY BEHAVIORS THAT CAN HELP PATIENTS AVOID COMPLICATIONS. THE YUMA REGIONAL CARELINE OFFERS ASSISTANCE FREE OF CHARGE 24 HOURS A DAY, SEVEN DAYS A WEEK, THE CARELINE PROVIDES CALLERS WITH FREE HEALTH ADVICE FROM A REGISTERED NURSE, HELP FINDING A DOCTOR AND ACCESS TO OVER 1,500 AUDIO HEALTH TOPICS. PROMOTIONAL ITEMS FEATURING THE CARELINE TELEPHONE NUMBER AND FLYERS ABOUT THE FREE SERVICE ARE HANDED OUT AT YRMC COMMUNITY OUTREACH EVENTS, AND COMMUNITY AWARENESS IS HEIGHTENED THROUGH NEWSPAPER AND BILLBOARD ADS. FULLY FUNDED BY YRMC, THE CARELINE IS DESIGNED TO HELP OUR COMMUNITY ACCESS THE MOST APPROPRIATE LEVEL OF CARE FOR ITS HEALTH NEEDS. YUMA REGIONAL CARELINE 336-CARE (2273) THE CHILDBIRTH EDUCATION PROGRAM COORDINATOR AT YRMC HAS EARNED THE TITLE "QUEEN OF CAR SEATS". ACCORDING TO SAFE KIDS WORLDWIDE, SHE CHECKS AN AVERAGE OF 70 CAR SEATS PER MONTH FOR PROPER INSTALLATION. YRMC OFFERS CHILDBIRTH PREPARATION INCLUDING CAR SEAT SAFETY, NEWBORN CARE, SIBLING, BREASTFEEDING AND CPR/FIRST AID CLASSES AT A NOMINAL FEE. MORE THAN 1,000 PEOPLE PARTICIPATE IN THESE CLASSES IN A YEAR. CLINICAL PASTORAL EDUCATION PROGRAM THE CLINICAL PASTORAL EDUCATION (CPE) PROGRAM AT YUMA REGIONAL MEDICAL CENTER TRAINS CLERGY OF ALL FAITHS TO PROVIDE HEALING, COMFORT AND SUPPORT TO PATIENTS AND THEIR FAMILIES DURING THEIR HOSPITAL EXPERIENCE. YRMC OFFERS LEVEL 1, LEVEL 2 AND SUPERVISORY CPE. THE CPE PROGRAM IS ACCREDITED BY THE ASSOCIATION FOR CLINICAL PASTORAL EDUCATION. RECOGNIZED FOR ITS EXCEPTIONALLY HIGH STANDARDS, THE YEAR-LONG RESIDENCY PROGRAM AT YRMC OFFERS A STIMULATING LEARNING ENVIRONMENT THAT ENCOURAGES BOTH PERSONAL AND PROFESSIONAL GROWTH. STUDENTS LEARN HOW TO PROVIDE EMOTIONAL AND SPIRITUAL SUPPORT TO INDIVIDUALS OF ALL FAITHS AND BELIEFS TO HELP EMPOWER THEM IN THEIR HEALTHCARE EXPERIENCE. STUDENTS MAY EXPERIENCE A WIDE RANGE OF UNIQUE OPPORTUNITIES TO PRACTICE CHAPLAINCY WITHIN A CLINICAL TEAM ENVIRONMENT, SUCH AS WORKING WITH TRAUMAS, CELEBRATING BIRTHS AND END-OF-LIFE ISSUES. RESIDENTS BECOME EXPERT IN ACTIVE LISTENING SKILLS, ORGAN AND TISSUE DONATION AND ADVANCE DIRECTIVES. YRMC TYPICALLY OFFERS FIVE RESIDENCIES PER YEAR. Form 990, Part VI, Section B, line 11b Prior to filing the 990, the form is uploaded to the Board Portal and Board members are notified of its existence. The Board is encouraged to review prior to the board meeting. At the board meeting, the Board approves the 990 for filing which is documented in the meeting minutes. Form 990, Part VI, Section B, line 12c Megan Castillo and Erik Tigard review any potential conflicts of interest. New members are required to disclose any potential issues when joining the board. YRMC recognizes that the potential for conflicts of interest exists for decision-makers at all levels within the organization. Levels within the organization include YRMC employees, volunteers, and board members. YRMC requires the disclosure of potential conflicts of interest so that appropriate action may be taken to ensure that such conflicts will not inappropriately influence important decisions. Employees are required to disclose any and all potential conflicts of interest that could inappropriately influence decisions. This would include becoming involved as a vendor, or receiving remuneration or other benefit from a vendor. This includes immediate family members. If a transaction is planned, the employee must disclose the following information to his or her department director and the V.P. of Human Resources: the employee's or family member's personal interest, and a description of the proposed transaction including all relevant information. YRMC's workforce member acknowledgement, confidentiality agreement, conflict of interest and disclosure statement and certification form is signed upon entry and then annually. Records are retained in the personnel file in the volunteer department office or the human resources department office. Documents signed by members of the YRMC board of directors are kept with the board coordinator. Form 990, Part VI, Section B, line 15 The Board of Yuma Regional Medical Center has adopted a competitive pay strategy in order to attract and retain qualified executives to lead our organization and to fairly compensate executives for advancing the mission of Yuma Regional Medical Center. The policy is also intended to establish a formal, consistent process for governing executive compensation decisions. This process is meant to establish a "Rebuttable Presumption of Reasonableness" under IRC section 4958. To secure a legal "Rebuttable Presumption of Reasonableness" in determining compensation of the CEO and other executives considered disqualified individuals, an outside consultant is engaged periodically to provide comparability data and contemporaneous substantiation of the deliberation and decision in setting up total compensation packages including an incentive pay program known as "Pay at Risk and executive retirement programs. Our Total Compensation Philosophy is comprised of the following elements: Role of the Executive Committee: The Board's Executive Committee, after reviewing the material provided by the consultant, sets the compensation for the President/CEO as well as the compensation policy and strategy for other executives. The Executive Committee will review and approve, or modify as appropriate, the CEO's recommendations for other executives. The Executive Committee presents its recommendations to the full Board for endorsement. Peer Group: A national peer group of health care organizations comparable to YRMC in revenue, structure, mission and scope of operations will be used in collecting comparability data. Competitive Positioning: -Salary range midpoints are set at the 60th percentile of the peer group. Individual salaries are positioned within the salary ranges based on factors such as qualifications, experience and performance as well as recruitment and retention needs. -Annual incentive opportunity for the President/CEO, Vice Presidents and Directors are positioned on par with the average levels provided to individuals occupying comparable positions in the peer group. -Benefit expenditures are positioned above the 75th percentile and designed to encourage retention and stability of the executive team. -Our Total Compensation including cash compensation and benefits will be positioned at approximately the 75th percentile for expected performance. Total compensation above the 75th percentile may be achieved for exceptional or superior performance. Appropriate perquisites will be provided based on position level and typically will be funded by a PERQ Allowance. A moderate severance policy is also provided based on position level. See the Severance Policy for further detail. Pay at Risk Incentive Program: YRMC's annual incentive plan (our "Pay at Risk" program) uses a combination of organizational and individual performance measures. Organizational measures aligned with the organization's Pillars of Performance including Quality/Safety; Service Satisfaction; People, Systems, Processes; Finance and Growth are established annually and approved by the Board Executive Committee. The weighting for each measure is established annually and slightly more weight may apply to any of these five categories. -Triggers are established to define certain minimum performance levels that must be met before incentive awards may be paid. -Net Operating Margin must be achieved at a minimum of 80% of budget. -Accreditation must be maintained. -Performance measures are typically expressed in terms of defined outcomes: Each performance measure includes three levels of performance that correspond to three levels of award opportunity: -A threshold level of performance representing "significant progress" toward achieving the planned performance objective. (TARGET) -A stretch level of performance indicating that the planned performance objective has been fully achieved. (WINNING) -An outstanding level of performance representing results that "clearly exceed" the planned performance objective. (MAXIMUM OR CHAMPION) TARGETS are set at the 60th percentile of national data when available. -WINNING level is set at the 75th percentile and CHAMPION level is the 90th percentile. For financial measures, WINNING is set at the budget level with 95% equaling TARGET and 105% equaling CHAMPION level. Each year, the CEO recommends to the Committee the outcomes required to achieve each goal level and provides supporting rationale and data for the recommendations. The Committee reviews the recommendations, modifies as appropriate, and approves the final goals and required outcomes. PERFORMANCE LEVEL percentages are set based on position. -CEO's WINNING LEVEL equals 40% of incumbent's salary with a minimum of 30% and a maximum of 50% with 100% weighting on organizational goals. -Vice President's WINNING LEVEL equals 20% of incumbent's salary with a minimum of 10% and a maximum of 30% with 70% weighting on organizational goals, 30% weighting for division goals. -Director's WINNING LEVEL equals 10% of midpoint of salary range with a minimum of 5% and a maximum of 15% with 60% weighting on organizational goals, 40% weighting for division goals. -The amount, if any, due will be paid prior to the December 31 following the close of the fiscal year. Insurance Products: A number of executive insurance products are available at the executive's choice. These benefits are optional and executives will have an opportunity to elect these benefits at any time. With the exception of Survivor Life Insurance, executives may be billed directly for these products and premiums are paid on an after tax basis. The currently available programs are: -Long-Term Care insurance for the executive and spouse -Executive Disability coverage (this would supplement the basic hospital plan) -Survivor Life Insurance - for executives enrolling in this benefit, the hospital will pay the executive's premium. Under applicable tax rules, the premium payments made by the hospital will be treated as a loan. The executive must pay interest on hospital paid premiums. The hospital will be repaid from the cash surrender value of the policy or the face amount of the policy in the event of death. This arrangement is documented by an agreement acceptable to the hospital. Paid Leave Time Cash Out: Refer to the Executive Paid Leave time Cash Out policy for details. The purpose of this policy is to allow executives to cash out a limited amount of PLT to fund premiums or other costs for insurance or to use the proceeds in whatever manner they wish. The executive has to meet certain criteria to qualify. Form 990, Part VI, Section C, line 18 Available on certain bond websites (DAC) and public is directed to those sites as a first resource. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy, and financial statements are available to the general public upon request. Form 990, Part IX, line 11g PURCHASED SERVICES: Program service expenses 33,672,549. Management and general expenses 687,195. Fundraising expenses 0. Total expenses 34,359,744. Physician Fees: Program service expenses 18,339,987. Management and general expenses 2,500,907. Fundraising expenses 0. Total expenses 20,840,894. Form 990, Part XI, line 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS 3,868,369. INCREASE IN PENSION LIABILITY 19,430,960. YUMA REGIONAL MED CTR PROF SVCS GROUP 2400 S AVENUE A YUMA AZ 85364 352381086 Healthcare AZ -198236 0 YUMA REGIONAL MEDICAL CENTER Southwest Health Collaborative LLC 2400 S AVENUE A Yuma AZ 85364 822352860 Healthcare AZ -43704 0 YUMA REGIONAL MEDICAL CENTER Yuma Regional Health System insurance llc 2400 S AVENUE A YUMA AZ 85364 823158109 Healthcare AZ 0 0 YUMA REGIONAL MEDICAL CENTER YUMA HEALTHCARE SERVICES INC 2400 S AVENUE A YUMA AZ 85364 860775929 HEALTHCARE AZ Yuma Regional Medical Center C 276317 1.00000 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 YUMA HEALTHCARE SERVICES INC A 54900 FMV