THE LEGACY FOUNDATION OF SOUTHEAST ARIZONA: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: THE LEGACY FOUNDATION OF SOUTHEAST ARIZONA (EIN 86-0186064)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-13
IRS object ID: 201321339349302817
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-13T12:29:31-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	TWO NORTH CENTRAL AVENUE STE 2300	AddressLine1
City	PHOENIX	City
State	AZ	State
ZIP Code	85004	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	860186064	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SIERRA VISTA REGIONAL HEALTH CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% STEVEN CALABRESE CPA	InCareOfName
Name Control	SIER	NameControl
Phone	5204173911	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 EL CAMINO REAL	AddressLine1
City	SIERRA VISTA	City
State	AZ	State
ZIP Code	85635	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	BRUCE NORTON	Name
Title	SVP/CFO	Title
Date Signed	2013-05-07	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	6023223000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARGARET HEPBURN CEO	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	300 EL CAMINO REAL	AddressLine1
City	SIERRA VISTA	City
State	AZ	State
ZIP Code	85635	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	94259461	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SVRHC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1963	YearFormation
State Legal Domicile	AZ	StateLegalDomicile
Activity Or Mission Description	SIERRA VISTA REGIONAL HEALTH CENTER WILL: BE COMMITTED TO CUSTOMER-FOCUSED QUALITY HEALTH CARE THROUGH EXCELLENCE IN PRACTICE, SERVICE, AND LEADERSHIP.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	888	TotalNbrEmployees
Total Nbr Volunteers	143	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	261249	ContributionsGrantsPriorYear
Contributions Grants Current Year	260882	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	97244892	ProgramServiceRevenuePriorYear
Program Service Revenue CY	90184151	ProgramServiceRevenueCY
Investment Income Prior Year	1343994	InvestmentIncomePriorYear
Investment Income Current Year	1421889	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-241646	OtherRevenuePriorYear
Other Revenue Current Year	2206981	OtherRevenueCurrentYear
Total Revenue Prior Year	98608489	TotalRevenuePriorYear
Total Revenue Current Year	94073903	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5500	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	44048407	SalariesEtcPriorYear
Salaries Etc Current Year	44763624	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	48013433	OtherExpensePriorYear
Other Expenses Current Year	45597806	OtherExpensesCurrentYear
Total Expenses Prior Year	92067340	TotalExpensesPriorYear
Total Expenses Current Year	90361430	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	6541149	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	3712473	RevenuesLessExpensesCY
Total Assets BOY	114139847	TotalAssetsBOY
Total Assets EOY	115335896	TotalAssetsEOY
Total Liabilities BOY	39990443	TotalLiabilitiesBOY
Total Liabilities EOY	37431476	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	74149404	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	77904420	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SIERRA VISTA REGIONAL HEALTH CENTER WILL: BE COMMITTED TO CUSTOMER-FOCUSED QUALITY HEALTH CARE THROUGH EXCELLENCE IN PRACTICE, SERVICE, AND LEADERSHIP.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	65545577	Expense
Grants	0	Grants
Revenue	92308577	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	65545577	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	162	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	888	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	AZ	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	STEVEN CALABRESE CPA	NamePerson
Telephone Number	5204173911	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	300 EL CAMINO REAL	AddressLine1
City	Sierra Vista	City
State	AZ	State
ZIP Code	85635	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
MARI PETERSON
TRUSTEE	4.0	X	0	0	0
RONALD WAGNER
TRUSTEE	4.0	X	0	0	0
ANDREA DUNLAP
TRUSTEE	4.0	X	0	0	0
JOHN HAUN MD
TRUSTEE	4.0	X	0	0	0
DAVID KNAPP MD
TRUSTEE	4.0	X	77772	0	0
SUSAN A WARNE
TRUSTEE	4.0	X	0	0	0
WILLIAM MILLER
TRUSTEE	4.0	X	0	0	0
ALAN OSUMI MD
TRUSTEE	4.0	X	45335	0	0
RONALD L SCOTT
TRUSTEE	4.0	X	0	0	0
LANNY KOPE
TRUSTEE/CHAIR	4.0	X	2400	0	0	X
BRUCE DOCKTER
TRUSTEE/VICE CHAIR	4.0	X	0	0	0	X
JOANNA MICHELICH PHD
TRUSTEE/SECRETARY	4.0	X	0	0	0	X
JAYAY MADDUR MD
MED CHIEF OF STAFF/EX OFFICIO	40.0		38058	0	0	X
MARGARET HEPBURN - SVRH
CEO - SEE SCH J	40.0		436666	0	48472	X
MARGARET HEPBURN - CHN
CEO - SEE SCH J	0.0		130214	0	0	X
BRUCE NORTON
SR VICE PRES., FINANCE	40.0		295039	0	52969	X
MARIE WURTH
VICE PRESIDENT	40.0		208808	0	20722		X
REBECCA MCCALMONT
VICE PRESIDENT	40.0		190501	0	37401		X
THERESA FRENCH
STAFF NURSE	40.0		126309	0	1062			X
ANDREA WHITE
CLINICAL EDUCATOR	40.0		127101	0	18612			X
STEVEN CALABRESE
CONTROLLER	40.0		123109	0	26772			X
DAMIEN WHEELER
ULTRASOUND SONOGRAPHER	40.0		120744	0	6964			X
MARK GRABOWSKA
ADMINISTRATIVE DIRECTOR	40.0		114843	0	26142			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2036899	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	239116	TotalOtherCompensation
Number Individuals GT100 K	25	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	true	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ARAMARK CORPORATION
24863 NETWORK PLACE	CHICAGO	IL	60673	BIO MED/MGT CONTRACT	3635087
COMPREHENSIVE PHARMACY
PO BOX 1000 DEPT 176	MEMPHIS	TN	38148	PHARMACY MANAGEMENT	2150724
CERNER CORPORATION
PO BOX 412702	KANSAS CITY	MO	64141	SOFTWARE MAINTENANCE	2718921
MIDWESTERN UNIVERSITY
19555 NORTH 59TH AVE	GLENDALE	AZ	85308	RESIDENTS	1263651
WE O'NEIL CONSTRUCTION CO
710 S CAMPBELL AVE	TUCSON	AZ	85719	CONSTRUCTION	1523948

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	35	NumberOfContractorsGT100K
Related Organizations	129420	RelatedOrganizations
All Other Contributions	131462	AllOtherContributions
Total Contributions	260882	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
NET PATIENT SERVICE (MEDICARE/MEDICAID)	446199	43755508	43755508
NET PATIENT SERVICE (OTHER)	446199	45518109	45518109
MOB/RENTAL	531120	82555		$82,555
CAFETERIA	722210	399724	399724
RADIOLOGY PRO FEE	541900	231384	231384

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	196871	TotalRevenueColumn
Related Or Exempt Function Income	196871	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	90184151	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1607447	TotalRevenueColumn
Exclusion	$1,607,447	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	185558	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-185558	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-185558	TotalRevenueColumn
Exclusion	-$185,558	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEANINGFUL USE - EHR	900099	2080812	2080812
MANAGEMENT FEE SAMC	541610	126169	126169

Field	Value	IRS element (for citing)
Total Other Revenue	2206981	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	94073903	TotalRevenueColumn
Related Or Exempt Function Income	92308577	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,504,444	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1418429	Total
Program Services	0	ProgramServices
Management And General	1418429	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	34729111	Total
Program Services	26430617	ProgramServices
Management And General	8298494	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	767839	Total
Program Services	443735	ProgramServices
Management And General	324104	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	5303195	Total
Program Services	3394462	ProgramServices
Management And General	1908733	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2545050	Total
Program Services	1898264	ProgramServices
Management And General	646786	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	314431	Total
Program Services	0	ProgramServices
Management And General	314431	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	287625	Total
Program Services	0	ProgramServices
Management And General	287625	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	13425574	Total
Program Services	8853207	ProgramServices
Management And General	4572367	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	448906	Total
Program Services	0	ProgramServices
Management And General	448906	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	14437741	Total
Program Services	12783912	ProgramServices
Management And General	1653829	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3249976	Total
Program Services	2107531	ProgramServices
Management And General	1142445	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1391227	Total
Program Services	958787	ProgramServices
Management And General	432440	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	117780	Total
Program Services	35869	ProgramServices
Management And General	81911	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	422697	Total
Program Services	44838	ProgramServices
Management And General	377859	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1753009	Total
Program Services	1402407	ProgramServices
Management And General	350602	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	5415621	Total
Program Services	3192718	ProgramServices
Management And General	2222903	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	-275131	Total
Program Services	0	ProgramServices
Management And General	-275131	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROVISION FOR NOTE RECEIVABLE	1182056	1182056	0
EQUIPMENT REPAIRS & MAINT	2504135	2483360	20775
MINOR EQUIPMENT & INSTRUMENTS	246293	157266	89027
BLDG REPAIRS & MAINT	184372	110624	73748

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	491494	Total
Program Services	65924	ProgramServices
Management And General	425570	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	90361430	Total
Program Services	65545577	ProgramServices
Management And General	24815853	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	14883870	BOY
EOY	14891010	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	8593614	BOY
EOY	8783078	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2390380	BOY
EOY	1991099	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2759565	BOY
EOY	4218753	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	93129283	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	55986949	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	34802744	BOY
EOY	37142334	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	48915289	BOY
EOY	46207199	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	82535	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1711850	BOY
EOY	2102423	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	114139847	BOY
EOY	115335896	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	4205335	BOY
EOY	4666366	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	25552129	BOY
EOY	24322261	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	264220	BOY
EOY	119597	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	9968759	BOY
EOY	8323252	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	39990443	BOY
EOY	37431476	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	74101315	BOY
EOY	77860577	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	48089	BOY
EOY	43843	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	74149404	BOY
EOY	77904420	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	114139847	BOY
EOY	115335896	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	3712473	ReconcilationRevenueExpenses
Reconcilation Other Changes	42543	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	true	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	true	MailingsMembers
Publications Or Broadcast	true	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$1,523	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$10,576	OtherActivitiesAmount
Total Lobbying Expenditures IIB	12099	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING ACTIVITIES	Identifier
Return Reference	SCHEDULE C, PART II-B	ReturnReference
Explanation	LINE 1G - ACTIVITY CONSISTED OF DINNER IN PHOENIX AZ WITH STATE REPRESENTATIVES AND MEMBERS OF THE HOSPITAL STAFF AND TRUSTEES. THE PURPOSE OF THE MEETING WAS TO DISCUSS THE IMPACT OF STATE LEGISLATION UPON THE HOSPITAL. LINE 1I - THIS AMOUNT REPRESENTS THE PORTION OF AMERICAN HOSPITAL ASSOCIATION DUES THAT HAVE BEEN ALLOCATED TO LOBBYING ACTIVITIES.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1824928	OtherCostOrOtherBasis
Book Value	1824928	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	39793189	OtherCostOrOtherBasis
Depreciation	19429238	Depreciation
Book Value	20363951	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	45362203	OtherCostOrOtherBasis
Depreciation	34119476	Depreciation
Book Value	11242727	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6148963	OtherCostOrOtherBasis
Depreciation	2438235	Depreciation
Book Value	3710728	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	37142334	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
ACCRUED COMPENSATION	$3,872,080
ESTIMATED THIRD PARTY LIAB.	$2,644,856
OTHER LIABILITIES	$1,806,316

Field	Value	IRS element (for citing)
Total Of Amounts	8323252	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	PART X, LINE 1	Identifier
Return Reference	ASC 740 FOOTNOTE	ReturnReference
Explanation	THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2012 DO NOT CONTAIN AN ASC 740 FOOTNOTE. MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT REQUIRE ACCRUAL OR DISCLOSURE.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	800.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1419437	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1419437	NetCommunityBenefitExpense
Percent Of Total Expense	0.01570	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14099265	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11479681	DirectOffsettingRevenue
Net Community Benefit Expense	2619584	NetCommunityBenefitExpense
Percent Of Total Expense	0.02900	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2973	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2241	DirectOffsettingRevenue
Net Community Benefit Expense	732	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15521675	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11481922	DirectOffsettingRevenue
Net Community Benefit Expense	4039753	NetCommunityBenefitExpense
Percent Of Total Expense	0.04470	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	199013	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	199013	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1776886	TotalCommunityBenefitExpense
Direct Offsetting Revenue	797085	DirectOffsettingRevenue
Net Community Benefit Expense	979801	NetCommunityBenefitExpense
Percent Of Total Expense	0.01080	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	70285	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2175	DirectOffsettingRevenue
Net Community Benefit Expense	68110	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2046184	TotalCommunityBenefitExpense
Direct Offsetting Revenue	799260	DirectOffsettingRevenue
Net Community Benefit Expense	1246924	NetCommunityBenefitExpense
Percent Of Total Expense	0.01380	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17567859	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12281182	DirectOffsettingRevenue
Net Community Benefit Expense	5286677	NetCommunityBenefitExpense
Percent Of Total Expense	0.05850	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	20592	TotalCommunityBuildingExpense
Net Community Building Expense	20592	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	22500	TotalCommunityBuildingExpense
Net Community Building Expense	22500	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	49076	TotalCommunityBuildingExpense
Net Community Building Expense	49076	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	84246	TotalCommunityBuildingExpense
Net Community Building Expense	84246	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	176414	TotalCommunityBuildingExpense
Net Community Building Expense	176414	NetCommunityBuildingExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$1,553,047	BadDebtExpenseAmount
Amount Reimbursed By Medicare	22566775	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	25950809	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3384034	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SIERRA VISTA REGIONAL HLTH CNTR	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	300 EL CAMINO REAL	AddressLine1
City	SIERRA VISTA	City
State	AZ	State
ZIP Code	85635	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SIERRA VISTA REGIONAL HLTH CNTR	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	800.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Collection Activities	true	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Other Reason	X	OtherReason
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	4	NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MOORMAN AVE OUTPATIENT SVCS
185 S MOORMAN AVE	SIERRA VISTA	AZ	85635	LAB/INFUSION/HOSPICE
SIERRA VISTA REGIONAL HEALTH CENTER
151 COLONIA DE SALUD	SIERRA VISTA	AZ	85635	OUT PATIENT SURGERY CENTER
SIERRA VISTA REGIONAL HEALTH CENTER
151 COLONIA DE SALUD	SIERRA VISTA	AZ	85635	IMAGING CENTER
SIERRA VISTA REGIONAL HEALTH CENTER
2151 S HWY 92	SIERRA VISTA	AZ	85635	REHABILITATION SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I LINE 3C	1. PHILOSOPHY: IN KEEPING WITH SIERRA VISTA REGIONAL HEALTH CENTERS VISION TO BE A LEADER IN IMPROVING THE COMMUNITY'S HEALTH CARE STATUS, IT IS CONSIDERED NOT ONLY NECESSARY BUT ALSO APPROPRIATE TO MAKE ADJUSTMENT TO PATIENT CARE CHARGES UNDER CERTAIN CIRCUMSTANCES. IT IS NOT THE INTENT OF THIS POLICY TO RESTRICT THIS PRACTICE, BUT TO ESTABLISH CLEAR GUIDELINES BY WHICH TO ACCOMPLISH THE TASK. 2. DEFINITIONS: BECAUSE ADJUSTMENTS CAN OCCUR FOR SEVERAL REASONS, IT IS NECESSARY TO DEFINE CERTAIN TYPES OF ADJUSTMENTS. A. UNCOMPENSATED CARE: UNCOMPENSATED CARE/CHARITY CARE IS DEFINED AS SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE TO PAY BASED ON INCOME LEVEL, FINANCIAL ANALYSIS, DEMOGRAPHIC INDICATORS AND/OR FURTHER HEALTHCARE NEEDS BASED ON DIAGNOSIS OR CATASTROPHIC CIRCUMSTANCES. B. SELF - PAY DISCOUNT: A PAYMENT ADJUSTMENT MAY OCCUR WHEN THE PATIENT AGREES TO MAKE IMMEDIATE OR PROMPT PAYMENT IN RETURN FOR A REDUCTION IN THE AMOUNT DUE. C. PROCESS: ALL ADJUSTMENTS OF PATIENT CARE CHARGES REQUESTED SHALL BE APPROVED BY PERSONS DESIGNATED AS FOLLOWS: - $25,000 + CFO - $5,000 TO $24,999 DIRECTOR OF REVENUE MANAGEMENT - $101 TO $4,999 ASSISTANT MANAGER OF A/R - $1.00 TO $100 A/R STAFF - SELF PAY DISCOUNTS: A SELF PAY DISCOUNT OF 50% WILL BE APPLIED AT THE TIME OF BILLING. - SELF PAY PACKAGE PRICING: SELF PAY PACKAGE PRICING IS NOT ELIGIBLE FOR THE 50% DISCOUNT AS THESE CHARGES ARE ALREADY DISCOUNTED IN THE PACKAGE PRICING METHODOLOGY. D. PLEASE NOTE ON SELF PAY AFTER INSURANCE, THERE IS NO DISCOUNT ON DEDUCTIBLES OR CO-PAYS AS THIS IS PART OF THE CONTRACTUAL RELATIONSHIP BETWEEN THE PAYER AND THE SUBSCRIBER. ONLY COINSURANCE BALANCES ARE ELIGIBLE FOR DISCOUNTS. E. A COINSURANCE DISCOUNT OF 30% WILL BE APPLIED AT THE TIME OF BILLING. F. UNCOMPENSATED CARE - CHARITY CARE POLICY REQUEST FOR CHARITY CARE (FINANCIAL ASSISTANCE): FINANCIAL ASSISTANCE REQUEST MAY BE MADE BY THE PATIENT, OUTSIDE HEALTH CARE PROVIDERS, COMMUNITY OR RELIGIOUS GROUPS, SOCIAL SERVICES, FAMILY MEMBERS, AND SVRHC PERSONNEL. THE FINANCIAL COUNSELOR WILL KEEP ON FILE (AND FOR REFERENCE) AN ANNUAL "POVERTY GUIDELINES" AS PUBLISHED BY THE FEDERAL REGISTRY. 1. ELIGIBILITY CONSIDERATIONS FOR FINANCIAL ASSISTANCE: - FINANCIAL ASSISTANCE IS SECONDARY TO ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT INCLUDING INSURANCE, GOVERNMENT PROGRAMS, THIRD PARTY LIABILITY, AND PERSONAL ASSISTS. - FULL FINANCIAL ASSISTANCE WILL BE PROVIDED TO A PATIENT/GUARANTOR WITH A GROSS FAMILY INCOME 100% OF THE FEDERAL POVERTY GUIDELINES. DEPENDENT UPON THE ELIGIBILITY CRITERIA FOR THE AHCCCS PROGRAMS - MOST PROGRAMS AHCCCS ELIGIBILITY 100% FPL (FEDERAL POVERTY LEVEL) - A PATIENT/GUARANTOR WILL BE GIVEN PARTIAL FINANCIAL ASSISTANCE BASED ON HIS OR HER INCOME LEVEL UP TO 800% OF THE POVERTY GUIDELINES. - COSMETIC AND OTHER SERVICES THAT ARE NOT MEDICALLY NECESSARY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE - OTHER CATASTROPHIC CIRCUMSTANCES MAY BE CONSIDERED IN THE CHARITY DECISION. - AHCCCS ELIGIBILITY WITHIN 60 DAYS OF SERVICE WILL BE PROOF OF INDIGENCE - MEDICAL INDIGENCE -EVALUATE ADDITIONAL CIRCUMSTANCE - MEDICAL BILLS (COMBINED) GREATER THAN 1 YEAR TIMES ANNUAL INCOME - CATASTROPHIC EVENT/DIAGNOSIS - ASSET AVAILABILITY - PATIENTS/GUARANTORS WILL BE ASKED TO COMPLETE AN APPLICATION FOR ASSISTANCE AND PROVIDE PROOF OF INCOME SUCH AS EMPLOYER PAYMENTS STUBS, BANK STATEMENTS AND/OR TAX RETURN. 2. DETERMINATION: - PATIENTS/GUARANTORS WILL BE NOTIFIED OF FINANCIAL ASSISTANCE DETERMINATION BY PHONE OR IN WRITING. - PATIENTS/GUARANTORS MAY APPEAL A FINANCIAL ASSISTANCE DETERMINATION BY PROVIDING ADDITIONAL INFORMATION SUCH AS INCOME VERIFICATION OR AN EXPLANATION OF EXTENUATING CIRCUMSTANCES TO THE FINANCIAL COUNSELOR FOR REVIEW. - SVRHC'S DECISION TO PROVIDE FINANCIAL ASSISTANCE IN NO WAY AFFECTS THE PATIENTS/GUARANTOR FINANCIAL OBLIGATION TO THEIR PHYSICIAN OR OTHER HEALTH CARE PROVIDERS.
PART I LINE 6A	THE ORGANIZATION HAD A COMMUNITY BENEFIT REPORT PREPARED FOR THIS TAX YEAR IN APRIL OF 2012 BY HMS ASSOCIATES.
PART I LINE 7	COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE IS PRIMARILY THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF SCHEDULE H. OTHER COSTS COME FROM OUR FY2012 COST REPORT.
PART II	COMMUNITY BUILDING ACTIVITIES SIERRA VISTA REGIONAL HEALTH CENTER'S MISSION REFLECTS THE PHILOSOPHY THAT WE WILL PROVIDE HEALTHCARE EDUCATION, RESOURCES, AND PROGRAMS TO CITIZENS WITHIN THE COMMUNITY IN ADDITION TO THOSE WHO ARE UNDERINSURED AND UNINSURED. THIS TYPE OF COMMUNITY BENEFIT INCLUDES THE COST OF TRADITIONAL CHARITY CARE, UNPAID PORTIONS OF AHCCCS, AND SUPPLIES OR STAFF TIME VOLUNTEERED ON BEHALF OF THE COMMUNITY. THROUGH OUR WELLNESS DEPOT IN THE MALL AT SIERRA VISTA, OUR COMMUNITY BENEFIT COORDINATOR HAS IMPLEMENTED AND HOSTED APPROXIMATELY 142 DIFFERENT HEALTH AND WELLNESS RELATED PROGRAMS AND EVENTS FOR THE PUBLIC. THE OVERWHELMING RESPONSE TO THESE OFTEN FREE EDUCATIONAL SYMPOSIUMS HAS BEEN NOTHING BUT POSITIVE. IN SOME CASES, WE'VE EVEN SAVED LIVES BY RECOGNIZING HIGH BLOOD PRESSURE, SYMPTOMS OF HEART DISEASE, AND TEACHING THE POSITIVE EFFECTS OF A PLANT BASED DIET. WE KNOW THAT OUR WELLNESS DEPOT HAS A VERY POSITIVE IMPACT WITHIN THE COMMUNITY BECAUSE WE HEAR TIME AND AGAIN HOW THANKFUL THE COMMUNITY IS FOR PROVIDING OUTREACH TO THOSE WHO MAY NOT HAVE REGULAR ACCESS TO HEALTHCARE. THROUGH THE DEPOT, WE'VE TOUCHED ABOUT 37,000 LIVES WITHIN THE LAST THREE YEARS WHICH IS AN INCREDIBLE NUMBER OF PEOPLE WE ARE REACHING. SIERRA VISTA REGIONAL HEALTH CENTER ALSO COMMITS SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND CRITICAL SERVICES WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. MANY OF THESE ACTIVITIES ARE SPONSORED WITH THE KNOWLEDGE THAT THEY WILL NOT BE FINANCIALLY VIABLE. THE DEVELOPMENT AND VALUE OF THESE PROGRAMS IS BASED ON A COMMUNITY HEALTH CARE ASSESSMENT PERFORMED BY AN INDEPENDENT COMPANY. ONGOING COMMUNITY OUTREACH PROGRAMS: ADULT HEARING LOSS SUPPORT GROUP ADVANCED DIRECTIVES ALZHEIMER EDUCATIONAL CLASSES ANIMAL THERAPY ARTHRITIS PROGRAMS ARTHRITIS SELF-HELP CLASSES BETTER BREATHERS CLUB BLOOD PRESSURE CHECKS BODY MASS INDEX BREASTFEEDING SUPPORT CARDIAC & PULMONARY REHABILITATION CHAIR ZUMBA CHOLESTEROL EDUCATION: KNOW WHAT YOUR NUMBERS MEAN COMPRESSION ONLY CPR CONGESTIVE HEART FAILURE CLASSES DIABETES EDUCATION ESSENTIAL OILS EDUCATION FLU PRECAUTION PROGRAMS FLU VACCINE CLINICS FOOD DRIVES HEALTHY LIFESTYLE CHOICES HELP WITH MEDICARE HOSPICE BEREAVEMENT GROUP SCHOOL & KIDS SPORTS TEAMS 1ST AID KITS KIDNEY SMART KIGONG LIVING WILLS MALL WALKERS PROGRAM MATH & SCIENCE EXPERIENCE AT COCHISE COLLEGE MUSIC THERAPY NUTRITION CLASSES FOR CHILDREN OSTOMY GROUP PARISH NURSE PROGRAM PET AND MUSIC THERAPY FOR PATIENTS PERINATAL GRIEF SUPPORT POSTPARTUM DEPRESSION INFORMATION PRENATAL CLASSES PULMONARY REHABILITATION PULSE OXYGEN TESTS SHINGLES AWARENESS TAI CHI SENIOR NUTRITION CLASS SERIES SPEAKERS BUREAU STROKE/BRAIN INJURY SUPPORT GROUP SUN SAFETY TELECARE HOME BOUND VICAP SPACE AND SUPPLIES VIRTUAL TOUR KITS FOR ALL SCHOOLS WEIGHT MANAGEMENT PROGRAM WELLNESS DEPOT ZUMBA GOLD FOR SENIORS SPECIAL COMMUNITY OUTREACH PROGRAMS: A BUYERS GUIDE TO HOME HEALTHCARE A MATTER OF BALANCE ATRIAL FIBRILLATION BAT EDUCATION BRAIN INJURY BREAST CANCER AWARENESS CHRONIC DISEASE MANAGEMENT CHRONIC SINUSITIS SUFFERS COLORECTAL CANCER AWARENESS DIGITAL MAMMOGRAPHY EDUCATION DOMESTIC VIOLENCE INFORMATION BUCKETLIST: END OF LIFE DECISIONS EPILEPSY 101 FALL INTO STEP GLUTEN FREE DIET HEALTH FAIRS HEALTHY LIFESTYLE CHOICES HEART HEALTH HEART SAVING CT SCANNING EDUCATION HPV: WHAT EVERY WOMAN SHOULD KNOW IMMUNIZATION INFORMATION LIVING VEGAN/MEATLESS MONDAY MAMMOGRAPHY EDUCATION MEDICAL IDENTITY THEFT MEDITATION: MIND & BODY MEDITERRANEAN COOKING MENTAL HEALTH MRSA AWARENESS MRSA FOR PARENTS MULTIPLE SCLEROSIS EDUCATION OSTEOPOROSIS EDUCATIONS PEACEFUL DYING: HOSPICE MONTH PROPER FITTING FOOTWEAR FOR SUMMER PREVENTION, STABILIZATION & REVERSAL OF CAD THROUGH A PLANT BASED DIET RADICAL SELF CARE FOR THE MODERN WOMAN REVERSAL OF DIABETES STRENGTH TRAINING FOR THE OLDER ADULT STRESS ON YOUR HEART STRESS MANAGEMENT STRESS RELIEF FOR THE HOLIDAYS SUGAR BLUES SURVIVAL STRATEGIES FOR THE HOLIDAYS SURVIVING THE HOLIDAYS WITH HUMOR THE GLUTEN CONNECTION THE "GUT" CONNECTION VENOMOUS REPTILES EDUCATION WHITE POISONS WOMEN & HEART DISEASE WOMEN & A PLANT BASED DIET EDUCATION SIERRA VISTA REGIONAL HEALTH CENTER, THE LARGEST NONPROFIT MEDICAL CENTER IN SOUTHEASTERN ARIZONA, OFFERS EXTENSIVE GRADUATE MEDICAL EDUCATION AND A RESOURCE MENTOR PROGRAM FOR NURSES, PHYSICIANS, AND OTHER HEALTHCARE PROFESSIONALS. EDUCATIONAL OFFERINGS INCLUDE: - SVRHC IS HOME TO THE ONLY COUNTY-WIDE INTERNAL MEDICINE & FAMILY RESIDENCY PROGRAMS - SVRHC PROVIDES TRAINING AT THE HOSPITAL TO NURSES FROM COCHISE COLLEGE - SVRHC HOSTS NURSING, REHABILITATION, PHARMACY, LABORATORY, DIAGNOSTIC IMAGING STUDENTS - SVRHC PROVIDES HOUSING AND MEALS TO MEDICAL STUDENTS AND RESIDENTS - THE SUMMER VOLUNTEEN PROGRAM PROVIDES REAL WORLD JOB EXPERIENCE AND MENTORING FOR STUDENTS INTERESTED IN PURSUING HEALTHCARE CAREERS COMMUNITY EVENTS THE HOSPITAL SPONSORS ORGANIZATIONS AND EVENTS IN THE COMMUNITY WHICH PROMOTE HEALTHY LIFE STYLES AND/OR DISEASE PREVENTION/INFORMATION. SOME OF THESE INCLUDE: AMERICAN CANCER SOCIETY AMERICAN RED CROSS BLOOD DRIVE VISTABILITY FAIR FORGACH HOUSE (BATTERED WOMEN/CHILDREN) GOOD NEIGHBOR ALLIANCE (MEN'S SHELTER) UNITED WAY MARCH OF DIMES JUST KIDS, INC (CLOTHING PROGRAM)SIERRA VISTA OPEN HIGH SCHOOL SCHOLARSHIPS COLLEGE SCHOLARSHIPS SENIOR EXPO FT. HUACHUCA HEALTH DAY (2/YR) CHAMBER BACK TO SCHOOL EVENT CHAMBER BUSINESS EXPO CHAMBER HEALTH DAY SCHOOL CAREER DAYS MOUNTAIN EMPIRE ROTARY SACA AMERICAN RED CROSS FIREFIGHTER'S TOY DRIVE VICAP SIERRA VISTA AND TOMBSTONE - PROJECT GRADUATION (DRUG/ALCOHOL FREE EVENING FOR GRADUATING SENIORS) CARONDELET HEALTH FOUNDATION ARTHRITIS FOUNDATION COMFORT ZONE (FREE BLOOD PRESSURE CHECKS) MINISTRY FAIR (FREE BLOOD PRESSURE CHECKS) LOWE'S HEALTH & SAFETY FAIR FEEDBACK SIERRA VISTA REGIONAL HEALTH CENTER PROVIDES MANY OPPORTUNITIES FOR COMMUNITY MEMBERS TO PROVIDE US FEEDBACK ON THE PROGRAMS AND SERVICES DELIVERED BY THE HOSPITAL. THESE PROGRAMS INCLUDE: SVRHC AUXILIARY SVRHC FOUNDATION FACILITY TOURS FOCUS GROUPS VOLUNTEER SERVICES COMMUNITY BREAKFASTS PRESS GANEY SURVEYS SUGGESTION BOXES LOCAL PHYSICIAN OFFICES COMMUNITY ASSESSMENTS WEB SITE CLERGY BREAKFASTS ANNUAL REPORT PASTORAL BREAKFASTS FACEBOOK HEALTH BEAT COMMUNICATION STATISTICS 1. COMMUNITY SPEAKERS 3,542 2. ATTENDANCE AT SPEAKING ENGAGEMENTS 5,120 3. SUPPORT GROUPS/CLASSES 2,100 4. COMMUNITY FEEDBACK OVER 3,500 5. WEB SITE HITS 3.7 MILLION 6. WELLNESS DEPOT ANNUAL RENTAL SPACE $ 49,076 7. COMMUNITY BENEFIT STAFF AND BENEFIT COST $ 84,246 8. ANNUAL VISITORS TO DEPOT 13,000 10. DIRECT MAIL OF HEALTH BEAT 52,000 12 TIMES PER YEAR 11. AMBULANCE SUPPLIES $ 16,532 12. VICAP SPACE & UTILITIES $ 4,060 13. SCHOLARSHIP COST $ 22,500 HIGH SCHOOL AND COLLEGE
PART III LINE 4	THE BAD DEBT EXPENSE (AT COST) WAS CALCULATED USING THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF SCHEDULE H. THE BAD DEBT EXPENSE IS RECORDED ON THE FINANCIALS AT GROSS CHARGES. EVERY EFFORT IS MADE TO IDENTIFY CHARITY PATIENTS AT THE POINT OF SERVICE SO NONE OF THE PATIENTS WRITTEN OFF TO BAD DEBT SHOULD HAVE BEEN ELIGIBLE FOR CHARITY CARE. IT IS POSSIBLE THAT SOME PATIENTS REFUSED TO COMPLETE THE CHARITY APPLICATION SO THAT NEED COULD NOT BE DETERMINED.
PART III LINE 8	MEDICARE ALLOWABLE COSTS WERE CALCULATED USING THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF SCHEDULE H. EXPENSE FOR HEALTH PROFESSIONAL EDUCATION WAS THEN EXCLUDED FROM RESULTING COST. THE ENTIRE SHORTFALL CALCULATED SHOULD BE ATTRIBUTABLE TO COMMUNITY BENEFIT, SINCE THERE ARE NO OTHER HOSPITALS IN THE AREA THAT COULD PROVIDE CARE FOR THESE PATIENTS.
PART III LINE 9B	- HEALTH CARE OUT SOURCING NETWORK (HON) WILL PROVIDE A LISTING WEEKLY OF ACCOUNTS FOR POSSIBLE APPROVAL FOR BAD DEBT PROCESSING. - ALL ACCOUNTS WILL HAVE BEEN IN SELF PAY COLLECTIONS FOR 120 DAYS PRIOR TO ASSIGNMENT. - ALL ACCOUNTS WILL BE SCREENED TO ENSURE THAT THE CO-PAY AND OR DEDUCTIBLE AMOUNT IS CORRECT. - ALL ACCOUNTS WILL BE SCREENED PRIOR TO BAD DEBT PLACEMENT FOR POSSIBLE PAYMENTS, OTHER THIRD PARTY INSURANCE. AND OR OTHER AGENCY. - A LISTING OF ANY ACCOUNTS TO BE PULLED FROM COLLECTIONS WILL BE PROVIDED BACK TO HON FOR FURTHER WORK UP.	BAD DEBT REVIEW
PART V LINE 18D	PURPOSE THE EMERGENCY MEDICAL TREATMENT AND LABOR ACT (EMTALA) IMPOSES REQUIREMENTS ON HOSPITALS THAT PARTICIPATE IN THE MEDICARE PROGRAM. THESE OBLIGATIONS INCLUDE A REQUIREMENT THAT A HOSPITAL WITH A DEDICATED EMERGENCY DEPARTMENT (DED) PROVIDE A MEDICAL SCREENING EXAMINATION TO PERSONS REQUESTING OR REQUIRING SUCH SERVICES, A REQUIREMENT THAT HOSPITALS PROVIDE STABILIZING TREATMENT OR APPROPRIATE TRANSFER TO PERSONS WITH EMERGENCY MEDICAL CONDITIONS, A REQUIREMENT THAT HOSPITALS WITH SPECIALIZED CAPABILITIES ACCEPT CERTAIN TRANSFERS, AND VARIOUS NOTICE, RECORDKEEPING, REPORTING, AND ON-CALL PHYSICIAN REQUIREMENTS. THE PURPOSE OF EMTALA IS TO PREVENT HOSPITALS FROM "DUMPING" PERSONS WHO ARE UNABLE TO PAY FOR THEIR TREATMENT, EITHER BY REFUSING TO PROVIDE EMERGENCY MEDICAL SERVICES OR BY INAPPROPRIATELY TRANSFERRING OR DISCHARGING THESE PERSONS FOR FINANCIAL REASONS. ALL HOSPITALS WITH A DED MUST COMPLY WITH ALL OF THE EMTALA REQUIREMENTS. POLICY A. MEDICAL SCREENING EXAMINATION (MSE) 1. SVRHC PROVIDES EMERGENCY SERVICES AND MUST PROVIDE A MEDICAL SCREENING EXAMINATION TO ANYONE WHO COMES TO SVRHC OR THE SVRHC'S DEDICATED EMERGENCY DEPARTMENT AND REQUESTS (OR ON WHOSE BEHALF A REQUEST IS MADE) SUCH AN EXAMINATION OR TREATMENT. THE REQUEST MAY BE EXPRESSED OR IMPLIED. THIS INCLUDES PATIENTS WHO PRESENT TO THE SVRHC'S DED OR A PERSON WHO MAY HAVE FAILED TO ACTUALLY ENTER THE DED BUT IS ON SVRHC CAMPUS. IN THE ABSENCE OF A REQUEST FOR EXAM OR TREATMENT, A REQUEST WILL BE CONSIDERED TO EXIST IF A PRUDENT LAYPERSON OBSERVER WOULD BELIEVE, BASED ON THE PERSON'S APPEARANCE OR BEHAVIOR, THAT THE PERSON NEEDS EMERGENCY TREATMENT OR EXAM. A. THE PURPOSE OF THE MEDICAL SCREENING EXAMINATION IS TO DETERMINE WHETHER OR NOT THE PERSON HAS AN EMERGENCY MEDICAL CONDITION. AN EMERGENCY MEDICAL CONDITION IS: (1) A MEDICAL CONDITION MANIFESTING ITSELF BY ACUTE SYMPTOMS OF SUFFICIENT SEVERITY (INCLUDING SEVERE PAIN, PSYCHIATRIC DISTURBANCES, AND/OR SYMPTOMS OF SUBSTANCE ABUSE) SUCH THAT THE ABSENCE OF IMMEDIATE MEDICAL ATTENTION COULD REASONABLY BE EXPECTED TO RESULT IN THE FOLLOWING: (A) PLACING THE HEALTH OF THE PERSON (OR, WITH RESPECT TO A PREGNANT WOMAN, THE HEALTH OF THE WOMAN OR HER UNBORN CHILD) IN SERIOUS JEOPARDY; (B) SERIOUS IMPAIRMENT TO BODILY FUNCTIONS; OR (C) SERIOUS DYSFUNCTION OF ANY BODILY ORGAN OR PART; OR WITH RESPECT TO A PREGNANT WOMAN WHO IS HAVING CONTRACTIONS: (D) THERE IS INADEQUATE TIME TO EFFECT A SAFE TRANSFER TO ANOTHER HOSPITAL BEFORE DELIVERY; OR (E) A TRANSFER POSING A THREAT TO THE HEALTH OR SAFETY OF THE WOMAN OR THE UNBORN CHILD. THE MEDICAL SCREENING EXAMINATION AND THE DETERMINATION OF WHETHER THE PERSON HAS AN EMERGENCY MEDICAL CONDITION MUST BE PROVIDED BY QUALIFIED MEDICAL PERSONNEL DESIGNATED BY SVRHC IN ITS BYLAWS, RULESAND REGULATIONS, OR OTHER POLICIES OR PROCEDURES APPROVED BY SVRHC'S GOVERNING BOARD. QUALIFIED MEDICAL PERSONNEL TYPICALLY INCLUDE PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, MIDWIVES, AND NURSES AND OTHER NON-PHYSICIAN PERSONNEL WITH SPECIALIZED COMPETENCIES CONSISTENT WITH THEIR SCOPE OF PRACTICE. B. SVRHC MAY NOT DELAY MSES OR STABILIZING TREATMENT TO INQUIRE ABOUT PATIENT'S INSURANCE STATUS. C. REFER TO EMTALA GUIDELINES FOR SPECIAL CONDITIONS REGARDING LAW ENFORCEMENT REQUESTS, PREGNANT WOMEN, AND BEHAVIORAL HEALTH PATIENTS. B. NECESSARY STABILIZING TREATMENT 1. IF SVRHC'S QUALIFIED MEDICAL PERSON HAS DETERMINED THAT THE PERSON HAS AN EMERGENCY MEDICAL CONDITION, SVRHC MUST PROVIDE FURTHER MEDICAL EXAMINATION AND TREATMENT NECESSARY TO STABILIZE THE EMERGENCY MEDICAL CONDITION, OR TRANSFER THE PERSON SUBJECT TO THE TRANSFER REQUIREMENTS. A. A PERSON WITH AN EMERGENCY MEDICAL CONDITION IS STABILIZED WHEN NO MEDICAL DETERIORATION OF THE CONDITION IS LIKELY, WITHIN REASONABLE MEDICAL PROBABILITY, TO RESULT FROM OR OCCUR DURING THE TRANSFER OF THE PERSON FROM A FACILITY OR, WITH RESPECT TO A WOMAN HAVING CONTRACTIONS WHO HAS AN EMERGENCY MEDICAL CONDITION, THE WOMAN HAS DELIVERED THE CHILD AND THE PLACENTA. TO BE CONSIDERED STABILIZED, CMS HAS STATED THAT THE EMERGENCY MEDICAL CONDITION MUST BE "RESOLVED," BUT THE UNDERLYING MEDICAL CONDITION MAY STILL PERSIST. C. TRANSFER 1. THE PERSON OR PERSON'S LEGAL REPRESENTATIVE MAKES A WRITTEN REQUEST FOR TRANSFER AFTER HAVING BEEN INFORMED OF SVRHC'S OBLIGATION TO PROVIDE AN EXAMINATION AND STABILIZING TREATMENT, AND HAS BEEN INFORMED OF THE RISKS OF TRANSFER (THE WRITTEN REQUEST FORM MUST STATE THE REASONS FOR THE PERSON'S REQUEST; OR A. PHYSICIAN CERTIFIES IN WRITING THAT THE BENEFITS REASONABLY EXPECTED FROM TREATMENT AT ANOTHER FACILITY OUTWEIGH THE INCREASED RISKS TO THE PERSON (OR A PREGNANT WOMAN'S UNBORN CHILD) FROM THE TRANSFER AND THE PERSON OR HIS OR HER REPRESENTATIVE CONSENTS IN WRITING TO THE TRANSFER. IF A PHYSICIAN IS NOT PRESENT IN THE EMERGENCY DEPARTMENT AT THE TIME OF THE TRANSFER, THE QUALIFIED MEDICAL PERSON MAY SIGN THE CERTIFICATION IF A PHYSICIAN CONSULTING WITH THE QUALIFIED MEDICAL PERSON HAS MADE THE DETERMINATION THAT THE BENEFITS OF THE TRANSFER OUTWEIGH THE RISKS, AND THE PHYSICIAN LATER COUNTERSIGNS THE CERTIFICATION. D. DUTY TO REPORT QUESTIONABLE TRANSFERS 1. SVRHC IS REQUIRED TO REPORT TO CMS OR THE STATE SURVEY AGENCY ANY TIME IT HAS REASON TO BELIEVE THAT IT MAY HAVE RECEIVED A TRANSFER FROM ANOTHER HOSPITAL IN VIOLATION OF EMTALA. REPORTS MAY BE VERBAL OR IN WRITING AND SHOULD INCLUDE THE FOLLOWING INFORMATION: A. PATIENT NAME; B. DATE AND TIME OF SERVICE; C. DESCRIPTION OF THE INCIDENT; AND D. NAMES OF ANY WITNESSES, IF APPLICABLE. E. EMTALA SIGNAGE 1. SVRHC MUST CONSPICUOUSLY POST SIGNS IN THEIR EMERGENCY DEPARTMENT(S) AND OTHER PLACES LIKELY TO BE NOTICED BY ALL PERSONS WAITING FOR EMERGENCY EXAMINATION AND TREATMENT (E.G., THE ENTRANCE, ADMITTING AREA, WAITING ROOMS, AND TREATMENT AREAS) THAT EXPLAINS THE RIGHTS OF PERSONS TO EMERGENCY EXAMINATION AND TREATMENT FOR EMERGENCY MEDICAL CONDITIONS UNDER EMTALA. F. CENTRAL LOG 1. SVRHC MUST MAINTAIN A CENTRAL LOG THAT LISTS EACH WHO COMES TO SVRHC'S EMERGENCY DEPARTMENT(S) SEEKING ASSISTANCE FOR A MEDICAL CONDITION. THE CENTRAL LOG MUST CONTAIN THE FOLLOWING INFORMATION: A. THE NAME OF THE PERSON WHO CAME TO THE DED SEEKING EXAMINATION OR TREATMENT FOR A MEDICAL CONDITION; AND B. THE PERSON'S DISPOSITION; SPECIFICALLY WHETHER: (1) THE PERSON REFUSED TREATMENT; (2) SVRHC REFUSED TO EXAMINE OR TREAT THE PERSON (WHICH WOULD LIKELY CONSTITUTE AND EMTALA VIOLATION; (3) THE PERSON WAS TRANSFERRED; (4) THE PERSON WAS ADMITTED AND TREATED; (5) THE PERSON WAS STABILIZED AND TRANSFERRED; OR (6) THE PERSON WAS DISCHARGED. G. ON-CALL PHYSICIAN LIST 1. SVRHC MUST MAINTAIN A LIST OF PHYSICIANS ON-CALL TO PROVIDE STABILIZING TREATMENT TO PERSONS WITH EMERGENCY MEDICAL CONDITIONS. THE EMTALA REGULATIONS REQUIRE SVRHC TO MAINTAIN ITS ON-CALL LIST IN ACCORDANCE WITH THE RESOURCES AVAILABLE TO SVRHC, INCLUDING THE AVAILABILITY OF ON-CALL PHYSICIANS. 2. ON-CALL PHYSICIAN REQUIREMENTS A. THE DESIGNATED ON-CALL PHYSICIAN MAY RESPOND TO THE CALL TELEPHONICALLY OR IN PERSON, DEPENDING ON THE NEEDS OF THE PATIENT AS DETERMINED BY THE PHYSICIAN OR QUALIFIED MEDICAL PERSON ATTENDING THE PATIENT. THE EMTALA INTERPRETIVE GUIDELINES STATE THAT THE PERSON WHO ATTENDS TO THE PATIENT DETERMINES WHETHER THE PRESENCE OF THE ON-CALL PHYSICIAN IF REQUIRED. IF THE PHYSICIAN OR QUALIFIED MEDICAL PERSON REQUIRES THE ON-CALL PHYSICIAN'S PRESENCE, THEN THE ON-CALL PHYSICIAN MUST COME TO THE HOSPITAL. B. IF THE ON-CALL PHYSICIAN IS UNABLE IS UNABLE TO RESPOND TO THE CALL DUE TO CIRCUMSTANCES BEYOND HIS OR HER CONTROL (E.G., IN SURGERY AT ANOTHER HOSPITAL), THE ON-CALL PHYSICIAN SHOULD NOTIFY THE PERSON ATTENDING TO THE PATIENT THAT THE PHYSICIAN IS UNABLE TO RESPOND AND THE REASONS WHY. THE PHYSICIAN SHOULD EITHER PERSONALLY DOCUMENT, OR ENSURE THAT THE ATTENDING PHYSICIAN OR QUALIFIED MEDICAL PERSON DOCUMENTS, THE REASONS THAT THE PHYSICIAN COULD NOT RESPOND TO CALL IN THE MEDICAL RECORD. CMS DOES NOT VIEW "A FULL OFFICE" AS A VALID REASON FOR REFUSING TO RESPOND TO CALL. C. IF THE ON-CALL PHYSICIAN CONTENDS THAT HE OR SHE IS NOT QUALIFIED TO TREAT A PATIENT, THEN THE EMERGENCY DEPARTMENT PHYSICIAN OR QUALIFIED MEDICAL PERSON MAY STILL REQUEST THE PHYSICIAN'S PRESENCE IN THE EMERGENCY DEPARTMENT, EVEN IF THE ON-CALL PHYSICIAN WILL ONLY BE ABLE TO HELP MANAGE THE PATIENT'S TRANSFER. D. THE ON-CALL PHYSICIAN MAY DELEGATE HIS OR HER EVALUATION AND STABILIZATION DUTIES TO A NURSE PRACTITIONER OR PHYSICIAN ASSISTANT UNDER THE PHYSICIAN'S SUPERVISION, BUT ONLY IF: (1) THE ON-CALL PHYSICIAN MAKES A DETERMINATION ON A CASE-BY-CASE BASIS THAT THE NON-PHYSICIAN PRACTITIONER IS CAPABLE OF PROVIDING THE NECESSARY CARE, CONSISTENT WITH THE PATIENT'S NEEDS; (2) THE PATIENT'S CARE NEEDS ARE WITHIN THE SCOPE OF THE NON-PHYSICIAN PRACTITIONER'S PRACTICE, IN ACCORDANCE WITH STATE LAW; AND (3) SVRHC'S POLICIES AND PROCEDURES PERMIT THIS PRACTICE. IF THE TREATING PHYSICIAN DISAGREES WITH THE ON-CALL PHYSICIAN
PART V LINE 19D	SELF-PAY PATIENTS ARE TYPICALLY DISCOUNTED 50%. THEY CAN QUALIFY FOR ADDITIONAL DISCOUNTS BASED ON THEIR INCOME. THIS IS DONE ON A CASE BY CASE BASIS.	DETERMINATION OF MAXIMUM CHARGES FOR FAP-ELIGIBLE INDIVIDUAL
PART VI, LINE 2	A COMMUNITY HEALTH ASSESSMENT WAS PERFORMED BY HMS ASSOCIATES, A NATIONAL COMPANY FOR SIERRA VISTA REGIONAL HEALTH CENTER IN JULY, 2007. THE COMPANY CONDUCTED THE SURVEY UTILIZING THREE TYPES OF INFORMATION: A. STATISTICS ON DEATHS, BIRTHS, SERVICE USE B. COMMUNITY SURVEYS C. OPINIONS OF KEY ORGANIZATIONS THE ASSESSMENT COVERED ALL OF THE HOSPITAL'S SERVICE AREAS WITHIN THE COUNTY AND KEY EFFORTS INCLUDED DURING THE ANALYSIS WERE: GATHERING DATA, ASSIGNING DATA TO HEALTHY PEOPLE PROGRAM CATEGORIES, COMPARING DATA TO BENCHMARKS, ANALYZING DATA AND SELECTING PRIORITIES, AND SUMMARIZING FINDINGS. THE ASSESSMENT WAS THE FOUNDATION FOR SVRHC'S COMMUNITY BENEFIT PLAN WHICH INCLUDES ACTIVITIES AND PROGRAMS TO IMPROVE THE COMMUNITY HEALTH OF OUR CITIZENS.	NEEDS ASSESSMENT
PART VI, LINE 3	SIERRA VISTA REGIONAL HEALTH CENTER INFORMS AND EDUCATES OUR PATIENTS AND COMMUNITY MEMBERS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS AND UNDER THE HOSPITAL'S CHARITY CARE POLICY IN THE FOLLOWING WAYS: A. INFORMATION ON ELIGIBILITY ASSISTANCE IS PROVIDED ON THE WEBSITE, AT THE HOSPITAL'S WELLNESS DEPOT, AND IN PAMPHLETS. B. EACH PATIENT IS VISITED BY AN ELIGIBILITY SPECIALIST TO DISCUSS ONE-ON-ONE ELIGIBILITY ASSISTANCE. C. THERE ARE POSTED SIGNS WITHIN THE HOSPITAL NOTIFYING PATIENTS/COMMUNITY MEMBERS ON ASSISTANCE. D. FOR PATIENTS UNABLE TO INTERACT WITH AN ELIGIBILITY SPECIALIST AT THE TIME OF ARRIVAL THROUGH THE EMERGENCY ROOM, THE DEMOGRAPHICS AND INFORMATION SHEET IS VIEWED BY THE SPECIALIST AND CONTACT IS MADE WITH EACH ONE TO DISCUSS ELIGIBILITY. E. THERE IS A STATEMENT ON EACH BILL SENT TO ALL PATIENTS ABOUT ELIGIBILITY ASSISTANCE.	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
PART VI, LINE 4	THE HOSPITAL UTILIZED THE DEMOGRAPHIC INFORMATION PROVIDED BY THE ASSESSMENT ON THE POPULATIONS OF THE CITIES WITHIN COCHISE COUNTY AND INFUSED THESE FINDINGS INTO OUR PLAN. WE LOOKED AT THE POPULATION SIZE AND DENSITY, DISTRIBUTION, AND VITAL STATISTICS OF EACH CITY COUPLED WITH THE HEALTH NEED FINDINGS TO ESTABLISH EDUCATION AND PROGRAMS FOR THE POPULACE. SOME OF THE DEMOGRAPHIC INFLUENCES UNIQUE TO OUR SERVICE AREA INCLUDE THE FOLLOWING: A. DUE TO ANTICIPATED POPULATION GROWTH, THE NEED FOR SERVICES WILL GROW BY 50% OVER THE NEXT 20 YEARS B. THE POPULACE OF 50+ YEARS IS PROJECTED TO GROW BY 54% OVER THE NEXT 20 YEARS C. RETIREE GROWTH IS ALSO PROJECTED TO GROW BY 18% OVER THE NEXT 20 YEARS D. POPULATIONS DENSITY VARIES (FROM 500 TO 65,000) DUE TO MOST OF OUR SERVICE AREA BEING RURAL E. ALL OF OUR SERVICE AREA HAS CULTURAL SENSITIVITY CHARACTERISTICS F. THE POPULACE HAS SPECIAL POPULATIONS WITHIN OF GROUP HOMES, ARMED FORCES, CIVILIAN VETERANS (TWO AGE GROUPS - 18 TO 64 AND OVER 64) G. DEMOGRAPHICS SHOW HIGH HEALTH RISK BEHAVIOR LEVELS, POOR HEALTH STATUS, AND CONSIDERABLE CONCERN BY COMMUNITY LEADERS AND KEY HEALTH CARE PROVIDERS WITHIN THE COUNTY H. ACCESS TO CARE WAS A MAJOR CONCERN IDENTIFIED FOR THE COUNTY I. THE COUNTY RELIES ON THE EMERGENCY ROOM FOR CARE MORE THAN ANY OTHER COUNTY IN THE STATE	COMMUNITY INFORMATION
PART VI, LINE 5	SEE NARRATIVE FOR SCHEDULE H, PART II.	PROMOTION OF COMMUNITY HEALTH
PART VI, LINE 6	THE HOSPITAL WAS NOT PART OF AN AFFILIATED HEALTH SYSTEM.	AFFILATED HEALTH CARE SYSTEM
PART VI, LINE 7	THERE ARE NO STATES IN WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT.	STATE FILING OF COMMUNITY BENEFIT REPORT

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARGARET HEPBURN - SVRH
292395	0	135607	0	8664	0	30522	0	17950	0	485138	0	0	0
MARGARET HEPBURN - CHN
119376	0	0	0	10838	0	0	0	0	0	130214	0	0	0
BRUCE NORTON
216944	0	74291	0	3804	0	29593	0	23376	0	348008	0	0	0
MARIE WURTH
156668	0	50082	0	2058	0	0	0	20722	0	229530	0	0	0
REBECCA MCCALMONT
140712	0	47671	0	2118	0	16332	0	21069	0	227902	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE J, PART II	ADDITIONAL COMPENSATION INFORMATION	ON APRIL 17, 2010 SIERRA VISTA REGIONAL HEALTH CENTER (SVRHC) ENTERED INTO AN AFFILIATION AGREEMENT WITH THE CARONDELET HEALTH NETWORK (CHN). AS A RESULT OF THAT AGREEMENT THE EMPLOYMENT OF MS HEPBURN, CEO, WAS TERMINATED. SHE WAS PAID BY SVRHC ACCORDING TO THE TERMS OF HER EMPLOYMENT CONTRACT. BEGINNING APRIL 17, 2010, MS HEPBURN BECAME EMPLOYED BY THE CHN. SHE WAS ASSIGNED BY CHN TO SERVE AS THE CEO OF SVRHC FOR THE PURPOSE OF CARRYING OUT THE GOALS AND OBJECTIVES OF THE AFFILIATION AGREEMENT. UNDER THE AGREEMENT SVRHC REIMBURSED THE CHN FOR THOSE SERVICES BEGINNING APRIL 17, 2010. SVRHC TERMINATED ITS AFFILIATION AGREEMENT WITH CHN IN APRIL 2011. AS A RESULT, MS HEPBURN, CEO, THEN BECAME AN EMPLOYEE OF SVRHC. IN ORDER TO MORE CLEARLY REFLECT HER 2011 COMPENSATION FROM EACH ORGANIZATION, TWO LINES OF DISCLOSURE HAVE BEEN PRESENTED ON THE FORM 990 PART VII AND SCHEDULE J PART II.
SCHEDULE J, PART I, LINE 4B	ADDITIONAL COMPENSATION INFORMATION	MARGARET HEPBURN, BRUCE NORTON, MARIE WURTH AND REBECCA MCCALMONT ALL PARTICIPATE IN A SERP PLAN.
SCHEDULE J, PART I, LINE 7	BONUS PROGRAM	THE EXECUTIVE TEAM, WHICH CONSISTS OF THE CEO, CFO, VICE PRESIDENTS, DIRECTORS, AND MANAGERS, ARE ELIGIBLE FOR PARTICIPATION IN THE BONUS PROGRAM. THE AMOUNT OF BONUS IS DETERMINED BY A BONUS MATRIX, ONE OF THE COMPONENTS OF WHICH IS AN EARNINGS TRIGGER. NONE OF THE BONUS MATRIX IS DISCRETIONARY OR NON-FIXED; THEREFORE, THIS QUESTION IS ANSWERED NO.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	THE INDUSTRIAL DEV AUTHORITY OF COUNTY OF COCHISE	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	860445518	IssuerEIN
CUSIP Number	191320BL3	CUSIPNumber
Date Issued	2003-06-05	DateIssued
Issue Price	2670000	IssuePrice
Description Of Purpose	REFUND BONDS ISSUED ON 12/31/1996	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	2670000	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	53400	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	2670000	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2003	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	true	ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART I, LINE 6	VOLUNTEER SERVICES	VOLUNTEERS IMPACT EVERY DEPARTMENT AND ARE A SOURCE OF COMFORT TO PATIENTS AND FAMILY MEMBERS. THE QUALITY OF CARE THAT SVRHC PROVIDES IS NOT JUST A RESULT OF THE OUTSTANDING STAFF AND PHYSICIANS, BUT ALSO A DIRECT IMPACT FROM THE FRIENDLINESS AND CHEERY ATTITUDES EACH VOLUNTEER GIVES TO THE HOSPITAL. VOLUNTEERS SACRIFICE THEIR TIME AND ENERGY AS AMBASSADORS FOR SVRHC AND ARE TRUE GEMS IN THE COMMUNITY. WE UTILIZE VOLUNTEERS IN MOST OF THE DEPARTMENTS HERE AT THE HOSPITAL. THESE AREAS INCLUDE CLINICAL DEPARTMENTS SUCH AS MATERNAL CHILD, MED. SURGICAL, ICU/TELE, EMERGENCY DEPARTMENTS AND REHABILITATION SERVICES. OUR VOLUNTEERS WORK CLOSELY WITH OUR NURSING STAFF AND TECHNICIANS TO LEND ASSISTANCE WHENEVER NEEDED. THEY HELP GREET PATIENTS AND FAMILY MEMBERS, ANSWER PHONES, STOCK SMALL SUPPLIES, CREATE PACKETS, HELP WITH CHARTS AND TAKE ITEMS TO PATIENTS' ROOMS SUCH AS FLOWERS OR MAIL. OUR NON-CLINICAL DEPARTMENTS INCLUDE MEDICAL RECORDS, CLIENT SERVICES, HUMAN RESOURCES, PATIENT ACCOUNTS AND NUTRITION & FOOD SERVICES. OUR VOLUNTEERS HELP OUT IN THESE AREAS BY MAKING COPIES, DATA ENTRY, PUTTING TOGETHER PACKETS, ANSWERING PHONES, COVERING THE OFFICE FOR MEETINGS, MAKING FILES AND DOING FOOD PREPARATION. TRAINING IS REQUIRED WHICH PROVIDES VOLUNTEERS THE NECESSARY TRAINING AND TOOLS TO ASSIST THESE SPECIAL CLIENTS IN THEIR DAILY LIVES. WE ARE REQUIRED TO HAVE A CERTAIN PERCENTAGE OF VOLUNTEER HOURS TO STAFF HOURS TO MAINTAIN OUR STATUS AND MEET MEDICARE GUIDELINES.
FORM 990, PART III, LINE 4A	EXEMPT PURPOSE ACHIEVEMENTS	SIERRA VISTA REGIONAL HEALTH CENTER (SVRHC) OPERATES AN 84 BED SHORT-TERM PRIMARY CARE FACILITY IN RURAL ARIZONA. SVRHC PROVIDES A FULL RANGE OF INPATIENT, OUTPATIENT, DIAGNOSTIC AND REHABILITATION SERVICES. SERVICES PROVIDED FOR YEAR ENDED JUNE 30, 2012 INCLUDED 15,273 INPATIENT PATIENT DAYS, 100,064 OUTPATIENT REGISTRATIONS AND 26,301 EMERGENCY ROOM VISITS. IN SUPPORT OF ITS MISSION AND PHILOSOPHY THE HOSPITAL PROVIDES CARE TO ALL PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE AND ACCORDINGLY THEY ARE NOT RECORDED AS REVENUE. CHARITY CARE SERVICES TOTALED APPROXIMATELY $1,431,000 WHEN MEASURED AT THE HOSPITAL'S ESTABLISHED RATES. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO HAVE ENTERED THE COMMUNITY ILLEGALLY. THE CHARGES FOR THESE PATIENTS ARE PARTIALLY REIMBURSED UNDER SECTION 1011 OF THE MEDICARE PRESCRIPTION DRUG IMPROVEMENT AND MODERNIZATION ACT OF 2003. THE UNREIMBURSED COSTS FOR SERVING THESE PATIENTS WERE APPROXIMATELY $1,000. PUBLIC PROGRAMS SUCH AS AHCCCS AND MEDICARE PROVIDE FOR THE POOR, INDIGENT AND ELDERLY. PUBLIC PROGRAMS DO NOT ALWAYS COVER THE COSTS OF PROVIDING THESE SERVICES; THE UNREIMBURSED COSTS OF THE MEDICARE PROGRAM WERE APPROXIMATELY $8,544,000. BENEFITS PROVIDED TO THE COMMUNITY INCLUDE THE COST OF PROVIDING SERVICES TO OTHER POPULATIONS WHO MAY QUALIFY AS POOR BUT MAY NEED SPECIAL SERVICES AND SUPPORT. THIS TYPE OF COMMUNITY BENEFIT INCLUDES THE COST OF PROGRAMS FOR SENIOR CITIZENS SUCH AS HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, IT ALSO INCLUDES COSTS INCURRED BY THE HOSPITAL FOR TRAINING HEALTH PROFESSIONALS SUCH AS MEDICAL RESIDENTS, NURSING STUDENTS IN ALLIED HEALTH PROFESSIONALS. THE HOSPITAL ALSO COMMITS SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND CRITICAL SERVICES WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. MANY OF THESE ACTIVITIES ARE SPONSORED WITH THE KNOWLEDGE THAT THEY WILL NOT BE FINANCIALLY VIABLE. THE DEVELOPMENT OF THESE PROGRAMS IS BASED UPON A COMMUNITY ASSESSMENT PERFORMED BY AN INDEPENDENT COMPANY. SUCH ENDEAVORS INCLUDE LOCAL CHARITIES, NOT-FOR-PROFIT ORGANIZATIONS, YOUTH GROUPS AND OTHER PATIENT SUPPORT GROUPS SUCH AS BUT NOT INCLUSIVE OF: HEALTH SCREENINGS AND ASSESSMENTS, CANCER AND OTHER SUPPORT GROUPS, FREE TRANSPORTATION, MEALS AND MEDICATIONS FOR TRANSIENT PATIENTS WHEN NEEDED, THE AMERICAN HEART ASSOCIATION, MARCH OF DIMES, CANCER SOCIETY, AMERICAN RED CROSS, PRENATAL CLASSES, SENIOR OLYMPICS, HEALTH FAIRS, BLOOD PRESSURE CHECKS, HEALTH CAREER SCHOLARSHIPS FOR HIGH SCHOOL AND COLLEGE STUDENTS, BOY SCOUTS OF AMERICA, LITTLE LEAGUE AND PARTICIPATION IN REGULAR BLOOD DRIVES.
FORM 990, PART VI, LINE 11B	PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990	THE 990 IS PREPARED BY THE CONTROLLER CAREFULLY CONSIDERING THE ORGANIZATION'S ENTRIES ON THE RETURN. THOSE QUESTIONS CONCERNING COMPENSATION HAVE BEEN REVIEWED WITH THE VICE PRESIDENT OF HUMAN RESOURCES AND ALL COMPENSATION HAS BEEN SUPPLIED BY THE HUMAN RESOURCES DEPARTMENT. THE ENTIRE RETURN HAS BEEN REVIEWED FOR CORRECTNESS WITH THE CFO. ONCE COMPLETED THE RETURN WAS THEN REVIEWED BY E&Y TAX DEPARTMENT. BEFORE THE FINAL RETURN IS FILED, THE COMPLETED 990 IS REVIEWED WITH THE FINANCE COMMITTEE OF THE BOARD HIGHLIGHTING THE AREAS OF CONCERN TO A GOVERNING BODY. A COMPLETED COPY IS MADE AVAILABLE FOR ALL TRUSTEES TO REVIEW PRIOR TO FILING. ANSWERS ARE PROVIDED TO ANY QUESTIONS OR CONCERNS.
FORM 990, PART VI, LINE 12C	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST	THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. THE FOLLOWING PROCEDURES ARE EMPLOYED. ALL OFFICERS, LEADERS OR IDENTIFIED OTHERS SHALL COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AND SUBMIT IT TO THE HOSPITAL ANNUALLY. THE TERM "CONFLICT OF INTEREST" MEANS THAT CIRCUMSTANCES WHERE THE BEST INTERESTS OF SIERRA VISTA REGIONAL HEALTH CENTER (SVRHC) CONFLICT WITH EITHER THE ECONOMIC, PROFESSIONAL, POLITICAL OR PERSONAL INTERESTS OF ONE OR MORE OFFICERS, LEADERS OR IDENTIFIED OTHER OF SVRHC. THE RELATIONSHIP BETWEEN SVRHC AND ITS OFFICERS, LEADERS AND IDENTIFIED OTHERS IS ONE WHICH IS COMPLEX AND CHANGING. THERE ARE CIRCUMSTANCES WHICH MAY EXIST WHICH MAY INTERTWINE THE INTERESTS OF SVRHC AND ITS OFFICERS, LEADERS AND IDENTIFIED OTHERS. IN ORDER TO RECOGNIZE AND EFFECTIVELY DEAL WITH CIRCUMSTANCES OF THIS NATURE THE FOLLOWING POLICY HAS BEEN ADOPTED. ANY AND ALL CONFLICTS OF INTEREST SHALL BE DISCLOSED TO THE HOSPITAL EITHER AT THE TIME OF HIRE, INCEPTION OF RELATIONSHIP AND/OR AT THE TIME OF AN INITIAL AGREEMENT/CONTRACT OR AT ANY TIME A CONFLICT OF INTEREST OCCURS. A CONFLICT OF INTEREST QUESTIONNAIRE IS SUBMITTED TO THE HOSPITAL. FAILURE TO COMPLETE AND SUBMIT A QUESTIONNAIRE WILL RESULT IN THE OFFICER LEADER OR IDENTIFIED OTHER BEING REMOVED FROM THEIR RELATIONSHIP WITH THE HOSPITAL. WHILE THIS IS AN ANNUAL REQUIREMENT, IT IS NOT MEANT TO TAKE THE PLACE OF IMMEDIATE AND APPROPRIATE DISCLOSURE OF A CONFLICT OF INTEREST BY AN OFFICER, LEADER OR IDENTIFIED OTHER TO THE HOSPITAL WHEN CIRCUMSTANCES OCCUR. ANY POTENTIAL CONFLICT OF INTEREST SHALL BE DISCLOSED TO THE HOSPITAL. THE POTENTIAL CONFLICT WILL BE REVIEWED EITHER BY THE CEO/PRESIDENT OR HIS/HER DESIGNEE(S) OR BY THE BOARD OF TRUSTEES' CHAIRPERSON OR HIS/HER DESIGNEE(S) DEPENDING ON THE NATURE OF THE POTENTIAL CONFLICT. A DECISION PERTAINING TO THE CONFLICT OF INTEREST AND THE OFFICER'S, LEADER'S AND IDENTIFIED OTHER'S ABILITY TO CONTINUE IN HIS/HER POSITION AND/OR RELATIONSHIP WILL BE DETERMINED AND SHARED WITH THE OFFICER, LEADER OR IDENTIFIED OTHER.
FORM 990, PART VI, LINES 15A AND 15B	PROCEDURES USED TO DETERMINE COMPENSATION	IT IS THE POLICY OF SIERRA VISTA REGIONAL HEALTH CENTER THAT AN EXECUTIVE'S BASE SALARY WILL BE MAINTAINED AT OR ABOVE THE 50TH PERCENTILE AND THAT ANNUALLY THE BOARD OF TRUSTEES WILL DEVELOP A COMPENSATION PLAN UTILIZING A THIRD PARTY CONSULTANT AND CURRENT MARKET DATA. IT IS THE POLICY OF SIERRA VISTA REGIONAL HEALTH CENTER THAT EXECUTIVES WILL BE PAID AN INCENTIVE BONUS BASED UPON AN ANNUAL PLAN COMPRISED OF FINANCIAL AND NON-FINANCIAL METRICS APPROVED BY THE BOARD OF TRUSTEES, THE PLAN WILL BE APPROPRIATELY ALIGNED WITH THE PROBABILITY OF ACHIEVEMENT. PROCEDURE: - ENGAGE AN INDEPENDENT COMPANY TO CONDUCT A COMPENSATION VALUATION STUDY OF COMPENSATION ARRANGEMENTS IN TAX- EXEMPT ORGANIZATIONS UNDER THE INTERMEDIATE SANCTIONS LEGISLATION. - THE INDEPENDENT COMPANY WILL PROVIDE THE SVRHC BOARD OF TRUSTEES' EXECUTIVE COMPENSATION COMMITTEE COMPETITIVE MARKET DATA TO INCLUDE: A CONFIRMATION OF THE SCOPE, DATA CUTS AND SURVEY SOURCES WITH THE HUMAN RESOURCE TEAM. PROVIDE MARKET COMPARABILITY DATA IN ORDER TO REVIEW THE COMPETITIVENESS OF SVRHC'S PROGRAM. RESEARCH MARKET PRACTICES FOR BOTH SHORT AND LONG TERM PLANS TO DETERMINE ALIGNMENT. REVIEW EXECUTIVE BENEFIT AND PERQUISITE PREVALENCE DATA. - THE INDEPENDENT COMPANY WILL SELECT RELEVANT DATA AND ADJUST THE DATA TO ACCURATELY REFLECT THE SIZE AND SCOPE OF SVRHC'S ROLES AND MEDIAN REVENUE SIZE. - THE INDEPENDENT COMPANY WILL UTILIZE THE SAME METHODOLOGY TO CONDUCT A REVIEW OF INCENTIVE BONUS PLANS FOR THE EXECUTIVE STAFF. - THE INDEPENDENT COMPANY WILL CONSIDER THE FOLLOWING WHEN REVIEWING A PARTICULAR INDIVIDUAL'S COMPENSATION: PRIOR SKILLS AND EXPERIENCE OF INCUMBENTS IN THE ROLE. THE MIX OF COMPENSATION ELEMENTS AND OTHER REWARD COMPONENTS. THE HOSPITAL'S PERFORMANCE VERSUS COMPARABLE PEER PERFORMANCE. THE ABILITY OF THE HOSPITAL TO PAY AT COMPETITIVE LEVELS. - THE INDEPENDENT COMPANY WILL MAKE RECOMMENDATIONS FOR COMPENSATION AND BONUS PERCENTAGES FOR THE EXECUTIVE STAFF TO THE SVRHC BOARD OF TRUSTEES EXECUTIVE COMPENSATION COMMITTEE. - THE COMMITTEE WILL REVIEW THE RECOMMENDATIONS AND FORWARD THEM TO THE ENTIRE SVRHC BOARD OF TRUSTEES FOR APPROVAL.
FORM 990, PART VI, LINE 19	AVAILABILITY OF CERTAIN DOCUMENTS TO GENERAL PUBLIC	THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5	OTHER CHANGES IN NET ASSETS	UNREALIZED GAIN ON INVESTMENTS $46,788 TEMPORARILY RESTRICTED GRANTS AND CONTRIBUTIONS 23,200 ASSETS RELEASED FROM RESTRICTIONS (27,445) __________ TOTAL $42,543 ==========

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
SVRHC PROPERTIES LLC
300 EL CAMINO REAL	SIERRA VISTA	AZ	85635	860186064	MOB	AZ	0	0	NA
SVRHC OFFICE COMPLEX LLC
300 EL CAMINO REAL	SIERRA VISTA	AZ	85635	455165711	ASSOCIATION	AZ	0	0	NA

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
SVRHC FOUNDATION
300 EL CAMINO REAL	SIERRA VISTA	AZ	85625	860729397	FUND RAISING	AZ	501 (C)(3)	509 (A)(2)	NA	false
SIERRA VISTA COMMUNITY HOSPITAL AUX INC
300 EL CAMINO REAL	SIERRA VISTA	AZ	85625	860431251	FUND RAISING	AZ	501 (C)(3)	509 (A)(2)	NA	false

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	ARIZONA FAMILY CARE ASSOCIATES	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	6 SOUTH 2ND ST	AddressLine1
City	SIERRA VISTA	City
State	AZ	State
ZIP Code	85635	ZIPCode

Field	Value	IRS element (for citing)
Primary Activity	PHYSICIANS GROUP	PrimaryActivity
Legal Domicile State	AZ	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C CORP	TypeOfEntity
Share Of Total Income	0	ShareOfTotalIncome
Share Of EOY Assets	0	ShareOfEOYAssets
Percentage Ownership	0.61110	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	SVRHC FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionType
Amount Involved	129420	AmountInvolved
Method Of Amt Determination	ACCRUAL	MethodOfAmtDetermination