YAVAPAI COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- YAVAPAI COMMUNITY HOSPITAL ASSOCIATION (EIN 86-0098923)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-13
- IRS object ID
- 201223189349301737
- Schema version
- 2011v1.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-13T13:00:03-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 South Tejon Suite 800 | AddressLine1 |
| City | Colorado Springs | City |
| State | CO | State |
| ZIP Code | 809039848 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860098923 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Yavapai Community Hospital Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % BRIAN HOEFLECFO | InCareOfName |
| Name Control | YAVA | NameControl |
| Phone | 9287715660 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1003 Willow Creek Road | AddressLine1 |
| City | Prescott | City |
| State | AZ | State |
| ZIP Code | 86301 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Brian Hoefle | Name |
| Title | CFO | Title |
| Date Signed | 2012-11-07 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | David S Mason CPA | Name |
| Phone | 7194714290 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Yavapai Regional Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Timothy Barnett CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1003 Willow Creek Road | AddressLine1 |
| City | Prescott | City |
| State | AZ | State |
| ZIP Code | 86301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 259670901 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.yrmc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1942 | YearFormation |
| State Legal Domicile | AZ | StateLegalDomicile |
| Activity Or Mission Description | To provide comprehensive, high-quality healthcare consistent with our communities' needs. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1963 | TotalNbrEmployees |
| Total Nbr Volunteers | 825 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2327962 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2551196 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 229145635 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 253942898 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 826994 | InvestmentIncomePriorYear |
| Investment Income Current Year | 619575 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2188534 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2381896 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 234489125 | TotalRevenuePriorYear |
| Total Revenue Current Year | 259495565 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 297902 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 55745 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 115461618 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 117237605 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 220800 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 549797 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 104926078 | OtherExpensePriorYear |
| Other Expenses Current Year | 111406381 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 220906398 | TotalExpensesPriorYear |
| Total Expenses Current Year | 228699731 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 13582727 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 30795834 | RevenuesLessExpensesCY |
| Total Assets BOY | 291965997 | TotalAssetsBOY |
| Total Assets EOY | 332464687 | TotalAssetsEOY |
| Total Liabilities BOY | 138687535 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 148527797 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 153278462 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 183936890 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE COMPREHENSIVE, HIGH-QUALITY HEALTHCARE CONSISTENT WITH OUR COMMUNITIES' NEEDS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 203042518 | Expense |
| Grants | 55745 | Grants |
| Revenue | 254079306 | Revenue |
| Description | See Schedule O. | Description |
| Total Program Service Expense | 203042518 | 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 | true | 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 | true | 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 | true | 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 | 249 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1963 | 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 | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | 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 | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | 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 | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | AZ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BRIAN HOEFLECFO | NamePerson |
| Telephone Number | 9287715691 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1003 WILLOW CREEK ROAD | AddressLine1 |
| City | Prescott | City |
| State | AZ | State |
| ZIP Code | 86301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Mike Shaffer | ||||||||
| Vice Chairman | 5.0 | X | X | 0 | 0 | 0 | ||
| Steve Binkley | ||||||||
| Secretary | 5.0 | X | X | 0 | 0 | 0 | ||
| Clifford Morgan | ||||||||
| Treasurer | 5.0 | X | X | 0 | 0 | 0 | ||
| Joe Jackson | ||||||||
| Trustee | 5.0 | X | 0 | 0 | 0 | |||
| Oren Thompson | ||||||||
| Trustee | 5.0 | X | 0 | 0 | 0 | |||
| Linda Medina | ||||||||
| Trustee | 5.0 | X | 0 | 0 | 0 | |||
| Paula Kneisl | ||||||||
| Trustee | 5.0 | X | 0 | 0 | 0 | |||
| Jane Bristol | ||||||||
| Trustee | 5.0 | X | 0 | 0 | 0 | |||
| John MacKenzie | ||||||||
| Chairman | 5.0 | X | X | 0 | 0 | 0 | ||
| Timothy J Barnett | ||||||||
| CEO | 39.0 | X | 644689 | 0 | 250217 | |||
| Margaret E Taylor | ||||||||
| CNO | 40.0 | X | 147271 | 0 | 6063 | |||
| Larry P Burns | ||||||||
| COO | 40.0 | X | 238056 | 0 | 21661 | |||
| Brian L Hoefle | ||||||||
| CFO | 39.0 | X | 277662 | 0 | 47128 | |||
| Diane Drexler | ||||||||
| CNO | 40.0 | X | 154324 | 0 | 16498 | |||
| John R Amos | ||||||||
| EC Administrator | 40.0 | X | 223001 | 0 | 46571 | |||
| Joseph H Goldberger | ||||||||
| CMO | 40.0 | X | 162736 | 0 | 18022 | |||
| Mohammad Rahman | ||||||||
| CIO | 40.0 | X | 157691 | 0 | 35681 | |||
| Roberta Nicol | ||||||||
| Dir of Philanthropy | 39.0 | 174697 | 0 | 36891 | X | |||
| Mark Timm | ||||||||
| Dir of HR | 40.0 | 160219 | 0 | 37867 | X | |||
| Baldwin Stutts | ||||||||
| Physician | 40.0 | 712290 | 0 | 26940 | X | |||
| George Rizk | ||||||||
| Physician | 40.0 | 646530 | 0 | 30284 | X | |||
| Yusuf Hassan | ||||||||
| Physician | 40.0 | 581655 | 0 | 19041 | X | |||
| Sergio Soto | ||||||||
| Physician | 40.0 | 538961 | 0 | 33078 | X | |||
| Robert Stomel | ||||||||
| Physician | 40.0 | 523839 | 0 | 22428 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5343621 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 648370 | TotalOtherCompensation |
| Number Individuals GT100 K | 97 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Phoenix Cardiac Surgery PC | |||||
| 3131 E Clarendon Ave Suite 102 | PHOENIX | AZ | 850167069 | Medical/Healthcare | 1161659 |
| NAZ HOSPITALISTS | |||||
| PO BOX 11720 | PRESCOTT | AZ | 86304 | Medical/Healthcare | 949167 |
| PRESCOTT ANESTHESIA LLC | |||||
| 1003 Willow Creek Road | PRESCOTT | AZ | 86301 | Medical/Healthcare | 845000 |
| FPR HOLDINGS LP | |||||
| 8200 SPRINGWOOD DR | IRVING | TX | 75063 | CONSULTING | 503391 |
| FOCUSONE SOLUTIONS LLC | |||||
| 13609 CALIFORNIA ST 500 | OMAHA | NE | 681545233 | MEDICAL/HEALTHCARE | 496713 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 22 | NumberOfContractorsGT100K |
| Related Organizations | 1243873 | RelatedOrganizations |
| Government Grants | 550108 | GovernmentGrants |
| All Other Contributions | 757215 | AllOtherContributions |
| Total Contributions | 2551196 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 900099 | 250378695 | 250378695 |
| GAIN FROM DISCONTINUED OPERATIONS | 900099 | 1518382 | 1518382 |
| CMS PAYMENTS | 900099 | 859134 | 859134 |
| INPATIENT FUNDS | 900099 | 598532 | 598532 |
| INCOME FROM EQUITY INVESTEE | 900099 | 46611 | 46611 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 541544 | TotalRevenueColumn |
| Related Or Exempt Function Income | 538981 | RelatedOrExemptFunctionIncome |
| Exclusion | $2,563 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 253942898 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 148384 | TotalRevenueColumn |
| Exclusion | $148,384 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 478622 | TotalRevenueColumn |
| Exclusion | $478,622 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 993125 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 993125 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 993125 | TotalRevenueColumn |
| Exclusion | $993,125 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 14975 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 22406 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -7431 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -7431 | TotalRevenueColumn |
| Exclusion | -$7,431 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 250851 | GrossSalesOfInventory |
| Cost Of Goods Sold | 152930 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 97921 | TotalRevenueColumn |
| Exclusion | $97,921 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA | 722210 | 1096865 | $1,096,865 | |
| INTERNAL MEDICINE | 900099 | 138971 | 138971 | |
| VENDING/SNACK CART | 900099 | 44153 | $44,153 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10861 | TotalRevenueColumn |
| Exclusion | $10,861 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1290850 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 259495565 | TotalRevenueColumn |
| Related Or Exempt Function Income | 254079306 | RelatedOrExemptFunctionIncome |
| Exclusion | $2,865,063 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55745 | Total |
| Program Services | 55745 | ProgramServices |
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 | 2340346 | Total |
| Program Services | 2012698 | ProgramServices |
| Management And General | 320627 | ManagementAndGeneral |
| Fundraising | 7021 | Fundraising |
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 | 91714057 | Total |
| Program Services | 78874089 | ProgramServices |
| Management And General | 12564826 | ManagementAndGeneral |
| Fundraising | 275142 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2175319 | Total |
| Program Services | 1870774 | ProgramServices |
| Management And General | 298019 | ManagementAndGeneral |
| Fundraising | 6526 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13962228 | Total |
| Program Services | 12007516 | ProgramServices |
| Management And General | 1912825 | ManagementAndGeneral |
| Fundraising | 41887 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7045655 | Total |
| Program Services | 6059263 | ProgramServices |
| Management And General | 965255 | ManagementAndGeneral |
| Fundraising | 21137 | Fundraising |
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 | 274107 | Total |
| Program Services | 235732 | ProgramServices |
| Management And General | 37553 | ManagementAndGeneral |
| Fundraising | 822 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172211 | Total |
| Program Services | 148101 | ProgramServices |
| Management And General | 23593 | ManagementAndGeneral |
| Fundraising | 517 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29193 | Total |
| Management And General | 29193 | ManagementAndGeneral |
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 | 14761057 | Total |
| Program Services | 12694509 | ProgramServices |
| Management And General | 2022265 | ManagementAndGeneral |
| Fundraising | 44283 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 375932 | Total |
| Program Services | 323301 | ProgramServices |
| Management And General | 51503 | ManagementAndGeneral |
| Fundraising | 1128 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16221237 | Total |
| Program Services | 13950264 | ProgramServices |
| Management And General | 2222309 | ManagementAndGeneral |
| Fundraising | 48664 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3616123 | Total |
| Program Services | 3109866 | ProgramServices |
| Management And General | 495409 | ManagementAndGeneral |
| Fundraising | 10848 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3304336 | Total |
| Program Services | 2841729 | ProgramServices |
| Management And General | 452694 | ManagementAndGeneral |
| Fundraising | 9913 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 250691 | Total |
| Program Services | 215594 | ProgramServices |
| Management And General | 34345 | ManagementAndGeneral |
| Fundraising | 752 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151733 | Total |
| Program Services | 130491 | ProgramServices |
| Management And General | 20787 | ManagementAndGeneral |
| Fundraising | 455 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5780644 | Total |
| Program Services | 4971354 | ProgramServices |
| Management And General | 791948 | ManagementAndGeneral |
| Fundraising | 17342 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9119752 | Total |
| Program Services | 7842987 | ProgramServices |
| Management And General | 1249406 | ManagementAndGeneral |
| Fundraising | 27359 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1809740 | Total |
| Program Services | 1556377 | ProgramServices |
| Management And General | 247934 | ManagementAndGeneral |
| Fundraising | 5429 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 28496959 | 28496959 | 0 | 0 |
| BAD DEBT | 16898658 | 16898658 | 0 | 0 |
| REPAIRS & MAINTENANCE | 6677065 | 5742276 | 914758 | 20031 |
| MINOR EQUIPMENT | 2069402 | 1779686 | 283508 | 6208 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1397541 | Total |
| Program Services | 1224549 | ProgramServices |
| Management And General | 168659 | ManagementAndGeneral |
| Fundraising | 4333 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 228699731 | Total |
| Program Services | 203042518 | ProgramServices |
| Management And General | 25107416 | ManagementAndGeneral |
| Fundraising | 549797 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52002666 | BOY |
| EOY | 51645568 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37765541 | BOY |
| EOY | 35892246 | 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 | 31511810 | BOY |
| EOY | 41770634 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 432419 | BOY |
| EOY | 344272 | 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 | 1639398 | BOY |
| EOY | 1829439 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4346513 | BOY |
| EOY | 4732073 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2237323 | BOY |
| EOY | 3360139 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 243768504 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 95066310 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142221327 | BOY |
| EOY | 148702194 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5532406 | BOY |
| EOY | 30204619 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3508176 | BOY |
| EOY | 3508176 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6193846 | BOY |
| EOY | 6471568 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 371743 | BOY |
| EOY | 30000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4202829 | BOY |
| EOY | 3973759 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 291965997 | BOY |
| EOY | 332464687 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15418289 | BOY |
| EOY | 19815419 | 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 | 1929735 | BOY |
| EOY | 1820247 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116300000 | BOY |
| EOY | 113545000 | 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 | 3141737 | BOY |
| EOY | 11586182 | 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 | 1897774 | BOY |
| EOY | 1760949 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138687535 | BOY |
| EOY | 148527797 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153247713 | BOY |
| EOY | 183917375 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30749 | BOY |
| EOY | 19515 | 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 | 153278462 | BOY |
| EOY | 183936890 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 291965997 | BOY |
| EOY | 332464687 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 30795834 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -137406 | 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 | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $29,193 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 29193 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING EXPENSE | Identifier |
| Return Reference | PART II-B, LINE 1G | ReturnReference |
| Explanation | YAVAPAI COMMUNITY HOSPITAL ASSOCIATION RECEIVED CORRESPONDANCE FROM THE ARIZONA HOSPITAL ASSOCIATION REGARDING THEIR MEMBERSHIP DUES. A PORTION OF THEIR DUES WERE ATTRIBUTABLE TO LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 30749 | BeginningOfYearBalance |
| Contributions | -11315 | Contributions |
| Investment Earnings Or Losses | 81 | InvestmentEarningsOrLosses |
| End Of Year Balance | 19515 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 165949 | BeginningOfYearBalance |
| Contributions | -102126 | Contributions |
| Investment Earnings Or Losses | 51 | InvestmentEarningsOrLosses |
| Other Expenditures | 33125 | OtherExpenditures |
| End Of Year Balance | 30749 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 226473 | BeginningOfYearBalance |
| Contributions | 45530 | Contributions |
| Investment Earnings Or Losses | 174 | InvestmentEarningsOrLosses |
| Other Expenditures | 106228 | OtherExpenditures |
| End Of Year Balance | 165949 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 240410 | BeginningOfYearBalance |
| Contributions | 29908 | Contributions |
| Investment Earnings Or Losses | 35933 | InvestmentEarningsOrLosses |
| Other Expenditures | 79778 | OtherExpenditures |
| End Of Year Balance | 226473 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5847387 | OtherCostOrOtherBasis |
| Book Value | 5847387 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 130182291 | OtherCostOrOtherBasis |
| Depreciation | 24974054 | Depreciation |
| Book Value | 105208237 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12628293 | OtherCostOrOtherBasis |
| Depreciation | 6703677 | Depreciation |
| Book Value | 5924616 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 67789046 | OtherCostOrOtherBasis |
| Depreciation | 47927239 | Depreciation |
| Book Value | 19861807 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27321487 | OtherCostOrOtherBasis |
| Depreciation | 15461340 | Depreciation |
| Book Value | 11860147 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 148702194 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ACCRUED BOND INTEREST | Description |
| Amount | $1,760,949 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1760949 | TotalOfAmounts |
| Total Revenue | 259495565 | TotalRevenue |
| Total Expenses | 228699731 | TotalExpenses |
| Excess Or Deficit For Year | 30795834 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -120611 | NetUnrealizedGLOnInvestments |
| Other | -$16,795 | OtherAmount |
| Total Adjustments | -137406 | TotalAdjustments |
| Excess Or Deficit Per FS | 30658428 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 256699197 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -120611 | NetUnrealizedGainsInvestments |
| Other Revenues | 152930 | OtherRevenues |
| Revenue Not Rptd F990 | 32319 | RevenueNotRptdF990 |
| Revenue Subtotal | 256666878 | RevenueSubtotal |
| Other Revenues Not Included | 2828687 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 2828687 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 259495565 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 226040769 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 152930 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 152930 | ExpensesNotRptdF990 |
| Expenses Subtotal | 225887839 | ExpensesSubtotal |
| Other Expenses Not Included | 2811892 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 2811892 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 228699731 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART V, LINE 4 | INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS | TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE ORGANIZATION HAS BEEN LIMITED BY DONORS TO SPECIFIED TIME PERIOD OR PURPOSE. |
| PART X, LINE 2 | UNCERTAIN TAX POSITIONS | Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. |
| PART XI, LINE 8 | OTHER CHANGES IN NET ASSETS | CHANGE IN SPLIT INTEREST AGREEMENT (7,303) TIMING AND BOOK/TAX DIFFERENCES ON INVESTMENT IN EQUITY INVESTEES (9,492) TOTAL (16,795) |
| PART XII, LINE 2D | OTHER REVENUE ON BOOKS, NOT ON RETURN | GIFT SHOP COST OF GOODS SOLD 152,930 |
| PART XII, LINE 4B | OTHER REVENUE ON RETURN, NOT ON BOOKS | CHANGE IN SPLIT INTEREST AGREEMENT 7,303 TIMING AND BOOK/TAX DIFFERENCES ON INVESTMENT IN EQUITY INVESTEES 9,492 INCOME ELIMINATIONS RECLASSED FROM EXPENSE 1,445,471 EXPENSE FROM SALE OF DISCONTINUED OPERATIONS RECLASSED FROM REVENUE 1,366,421 TOTAL 2,828,687 |
| PART XIII, LINE 2B | OTHER EXPENSE ON BOOKS, NOT ON RETURN | GIFT SHOP COST OF GOODS SOLD 152,930 |
| PART XIII, LINE 4B | OTHER EXPENSE ON RETURN, NOT ON BOOKS | INCOME ELIMINATIONS RECLASSED FROM EXPENSE 1,445,471 EXPENSE FROM SALE OF DISCONTINUED OPERATIONS RECLASSED FROM REVENUE 1,366,421 TOTAL 2,811,892 |
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 |
| Pcent250 | X | Pcent250 |
| 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 | 1065032 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1065032 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00500 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29799653 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 28542488 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1257165 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00590 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1329362 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 708459 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 620903 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32194047 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29250947 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2943100 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01270 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1039524 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1073 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1038451 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00480 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 55095 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 55095 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11309375 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7985715 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3323660 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01550 | 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 | 77371 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 77371 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12481365 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7986788 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4494577 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02100 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 44675412 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37237735 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7437677 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03370 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1220 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1220 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 202 | PersonsServed |
| Total Community Building Expense | 8188 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8188 | NetCommunityBuildingExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 16 | PersonsServed |
| Total Community Building Expense | 4638 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4638 | NetCommunityBuildingExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 89 | PersonsServed |
| Total Community Building Expense | 1994 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1994 | NetCommunityBuildingExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1145 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1145 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 307 | PersonsServed |
| Total Community Building Expense | 17185 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 17185 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $5,103,177 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 66691517 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 80466703 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -13775186 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| Prescott Med Imaging | |||
| Medical imaging center | 0.50000 | 0.00000 | 0.50000 |
| Prescott Outpatient | |||
| Outpatient surgery center | 0.20000 | 0.00000 | 0.80000 |
| Surgery Center | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|
| Yavapai Regional Medical Center - West | |||||||
| 1 | 1003 Willow Creek Road | Prescott | AZ | 86301 | X | X | X |
| Yavapai Regional Medical Center - East | |||||||
| 2 | 7700 E Florentine Road | Prescott Valley | AZ | 86314 | X | X | X |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Attached To InvoicesAttachedToInvoices | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Yavapai Regional Medical Center - West | ||||||||||||||||||||||||||||
| 1 | true | true | 200. | true | 250. | true | X | X | X | X | X | X | true | true | X | X | X | X | true | false | X | X | X | X | true | X | false | false |
| Yavapai Regional Medical Center - East | ||||||||||||||||||||||||||||
| 2 | true | true | 200. | true | 250. | true | X | X | X | X | X | X | true | true | X | X | X | X | true | false | X | X | X | X | true | X | false | false |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 11 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (11 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| YRMC - Del E Webb Outpatient Center | ||||
| 3262 Windsong Road | Prescott Valley | AZ | 86314 | Outpatient diagnostics, Rehabilitation & laboratory |
| Pendleton Wellness Center | ||||
| 930 Division Street | Prescott | AZ | 86301 | Cardiac rehabilitation, physical therapy, & wellness outpatient center |
| YRMC PC Cardiology | ||||
| 802 E Ainsworth Dr Ste A | Prescott | AZ | 86301 | Physician Practice - Cardiology |
| Prescott Medical Imaging | ||||
| 810 Whipple Street | Prescott | AZ | 86301 | Medical imaging center |
| Prescott Outpatient Surgical Center | ||||
| 815 Ainsworth Drive | Prescott | AZ | 86301 | Outpatient surgery center |
| YRMC PC Internal Medicine | ||||
| 3120 Clearwater Dr | Prescott | AZ | 86305 | Physician Practice - Internal Medicine |
| YRMC PC Family Medicine I | ||||
| 7712 E Florentine | Prescott Valley | AZ | 86314 | Physician Practice - Family Medicine |
| YRMC PC Family Medicine III | ||||
| 1050 Gail Gardner Way Ste 300 | Prescott | AZ | 86305 | Physician Practice - Family Medicine |
| YRMC PC Cardiology II | ||||
| 3198 N Windsong Dr | Prescott Valley | AZ | 86314 | Physician Practice - Cardiology |
| YRMC PC CARDIOLOGY III | ||||
| 726 GAIL GARDNER WAY SUITE A | PRESCOTT | AZ | 86305 | PHYSICIAN PRACTICE - CARDIOLOGY |
| YRMC PC NEUROSURGERY | ||||
| 820 E AINSWORTH DR SUITE B | PRESCOTT | AZ | 86301 | PHYSICIAN PRACTICE - NEUROSURGERY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE H, PART I, LINE 4 | FINANCIAL ASSISTANCE POLICY | Although the financial assistance policy does not specifically address free or discounted care for the medically indigent, the practice has been to address the needs of those individuals on a case by case basis and to document these practices in memo form. Each person deemed to be medically indigent can meet with a financial counselor to determine to what extent they are eligible for financial assistance. SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE Total bad debt expense removed from the denominator prior to the percentage calculation = 16,898,658. |
| SCHEDULE H, PART I, LINE 7 | CALCULATION OF COMMUNITY BENEFIT EXPENSES | The organization used a cost-to charge ratio for line 7a. The cost-to-charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The organization used a cost accounting amount for the other means tested programs on line 7c that related to the MSO and Joint Ventures. The hospital's unreimbursed medicaid was determined using the cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The information for lines 7e through 7h was derived from information in the general ledger and other financial data related specifically to the various types of community benefits. Sch H, Part I, Line 7g Subsidized Services The organization included as subsidized health services, costs that were attributable to physician clinics that are important in providing access to all segments of the population. The total costs were 11,293,154. |
| SCHEDULE H, PART III, LINE 4 | BAD DEBT EXPENSE | Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Organization analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounting and provision for bad debts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Organization analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Organization records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Organization's allowance for doubtful accounts for self-pay patients increased from 62% of self-pay accounts receivable at December 31, 2010, to 71% of self-pay accounts receivable at December 31, 2011. In addition, the Organization's provision for uncollectible accounts increased approximately $1,400,000 from approximately $15,500,000 for the year ended December 31, 2010, to approximately $16,900,000 for the year ended December 31, 2011. Both increases were the result of negative trends experienced in the collection of amounts from self-pay patients in fiscal year 2011. The cost to charge ratio calculated on the organization's cost report was applied to bad debt expense to reduce the gross amount to cost. The same percentage was used to calculate the estimated bad debt expense attributable to patients eligible under the organization's charity care policy. The hospital recognizes its responsibility to provide for the needs of the community, regardless of patients' ability to pay. In many cases, patients are unwilling or unable to pay after services have been provided, eventually resulting in bad debt. Nevertheless, if these services were not provided by the organization, the healthcare needs of these patients might not otherwise be fulfilled within the community. Therefore, the organization believes that the services not paid for should be included in community benefit. |
| SCHEDULE H, PART III, LINE 8 | MEDICARE | The shortfall from Medicare should be considered community benefit to the extent that the organization could not reasonably reduce its costs to a lower level. While hard to project the potential savings from various possible cost cutting measures, it is reasonable to assume that at least 50% of the shortfall might not otherwise be recovered through savings measures. Because the organization is committed to meeting the needs of the community, any patient that presents for medical treatment who is covered under Medicare will be served, despite the potential detrimental impact on the organization's financials. The total revenue received from Medicare as indicated on line 5 was derived from line 7 of the Medicare cost report. With respect to the source used to determine the Medicare allowable cost on line 6, the following lines from the Medicare cost report were used: Line 49 (total program inpatient operating cost excluding capital related, non-physician anesthetist, and medical education costs) and line 202 (net charges for ancillary service cost centers.) Schedule H, Part III, Line 9b Debt Collection Policies If it was not known at the point of service that the patient had the inability to pay, the patient may be screened: 1) by phone or 2) in person by the Customer Services Representative. The Customer Service Representative will utilize the Financial Assistance worksheet to determine the patient's ability/inability to pay. If the determination indicates the patient has the ability to pay, other options for payments will be explained. If there is no ability to pay, then the application will be submitted for consideration. |
| SCHEDULE H, PART VI | NEEDS ASSESSMENT | YRMC uses several measures by which to assess community health needs. One measure is our migration by service. As an example, prior to opening our cardiovascular surgery program in 2007, we saw many hundreds of people leaving our community to go to Phoenix - 100 miles away - for open heart surgery. This was an indication of a need in our community that required YRMC's focused attention and efforts that culminated in The Heart Center at YRMC. YRMC constantly monitors volume and utilization data in its service lines to help determine level of need in the community for each service line. When volume figures vary from anticipated volume, YRMC carefully explores reasons behind those variances and addresses them appropriately. For example, if a drop in surgical volume is related to a need for more general surgeons, efforts ensue to recruit additional surgeons. YRMC also spends a great deal of time listening to the community by way of focus groups, community involvement by senior management, patient survey feedback, and community outreach efforts. As our CEO has stated, "We learn more by listening than by talking." YRMC is regarded by the community as a key resource and an asset. Consequently, community members feel very comfortable and free in sharing their perceptions and perspectives. YRMC also engages National Research Corporation (NRC) to conduct community needs assessment research. The study objectives include the following: a. Measure and evaluate health status and healthcare utilization within the community. b. Identify the prevalence of chronic conditions within various demographic segments within the community. c. Profile high-risk populations. d. Identify gaps in care and preventive health behaviors among various demographic segments within the community. In 2011, YRMC engaged Dixon Hughes Goodman to perform community health needs assessment. We plan to publish the assessment on our website beginning in January 2013 and are currently working on an action plan to respond to the needs identified. |
| SCHEDULE H, PART VI | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | When patients present for admission, they are asked to review and initial a patient consent form. The patient consent form contains a paragraph entitled "Financial Assistance Programs." This paragraph indicates that the patient may be considered for financial assistance if eligibility criteria are met. The patient is required to initial a box next to the paragraph indicating they have read it and consent. This same form also contains language regarding the assignment of benefits if eligible for Medicare. In addition to the above, patients may work directly with patient financial services at the hospital to make payment arrangements or apply for financial assistance. Education regarding assistance generally occurs as the need arises. |
| SCHEDULE H, PART VI | COMMUNITY INFORMATION | YRMC serves the rural communities in the western portion of Yavapai County in northern Arizona. YRMC's serves approximately 175,000 men, women and children living in an area larger than the state of New Jersey. Prescott is the Yavapai county seat and has been a very popular retirement area for many years. Consequently, the demographics of YRMC's service area is skewed towards the Medicare population. In fact, more than 21% of the population is over the age of 65. This region's economy is based primarily on the service industry. There are no large corporate headquarters or major presence here. YRMC is a major employer in the County with over 1,600 employees. |
| SCHEDULE H, PART VI | PROMOTION OF COMMUNITY HEALTH | The hospital is dedicated to meeting community needs and promoting the general health of the population. Recently, for example, it completed construction and opened a new women's pavilion and family birthing center, not because it believed that this would be a profitable service line (70% of admits to OB are on the state's medicaid program) but because it understood there was a community need for expanded services. And in further support of the health of the community, the hospital completed construction and opened for patients a new breast care center in October, 2011. In addition, the hospital is actively recruiting physicians to the community and has recently implemented an employed physician model in order to further assist the community in addressing a severe shortage of physicians. The hospital's board of directors is community based and selected by a council of electors comprised of representatives from various government and community agencies and non-profit groups from throughout the hospital's service area. The hospital invests and utilizes any excess funds from operations as a safeguard for potential financial challenges and to fund future capital needs. |
| SCHEDULE H PART II | Community Building Activities | As mentioned in the Part VI narrative regarding promotion of community health, the hospital is dedicated to promoting the general health of the population. The activities in Part II contribute to the vitality of the community which is one of many factors that impact the health of the community and provides a benefit of our community. |
| Schedule H, Part V, Line 19 | The hospital's FAP is based on income and the ability to pay. The patient is informed but must choose to apply. The federal poverty grid is used and a multiplying factor based upon income attached to the grid. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Yavapai Regional Medical Center Foundation | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1003 Willow Creed Road | AddressLine1 |
| City | Prescott | City |
| State | AZ | State |
| ZIP Code | 86301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 861038463 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 38310 | AmountOfCashGrant |
| Purpose Of Grant | Healthcare | PurposeOfGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART I, QUESTION 2 | Identifier |
| Return Reference | GRANT MONITORING PROCESS | ReturnReference |
| Explanation | Generally, grants are made to the YRMC Foundation (the Foundation), a supporting organization of the Hospital. All grants reported on the Hospital's 990 represent funds originally intended for the Foundation but payable to the order of YRMC. These funds are deposited with the Foundation, but an entry is recorded to recognize receipt of the contribution by the Hospital. An entry is then made to record the grant to recognize the deposit of funds with the Foundation. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| 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 | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Timothy J Barnett | |||||||||||||
| 427274 | 0 | 30000 | 0 | 187415 | 0 | 233739 | 0 | 16478 | 0 | 894906 | 0 | 69630 | 0 |
| Margaret E Taylor | |||||||||||||
| 119599 | 0 | 18000 | 0 | 9672 | 0 | 5929 | 0 | 134 | 0 | 153334 | 0 | 0 | 0 |
| Larry P Burns | |||||||||||||
| 192717 | 0 | 18000 | 0 | 27339 | 0 | 10916 | 0 | 10745 | 0 | 259717 | 0 | 21214 | 0 |
| Brian L Hoefle | |||||||||||||
| 189017 | 0 | 18000 | 0 | 70645 | 0 | 35996 | 0 | 11132 | 0 | 324790 | 0 | 33336 | 0 |
| Diane Drexler | |||||||||||||
| 146448 | 0 | 0 | 7876 | 0 | 6760 | 0 | 9738 | 0 | 170822 | 0 | 0 | 0 | |
| John R Amos | |||||||||||||
| 175434 | 0 | 18000 | 0 | 29567 | 0 | 32207 | 0 | 14364 | 0 | 269572 | 0 | 2793 | 0 |
| Joseph H Goldberger | |||||||||||||
| 139057 | 0 | 9000 | 0 | 14679 | 0 | 16540 | 0 | 1482 | 0 | 180758 | 0 | 0 | 0 |
| Roberta Nicol | |||||||||||||
| 135302 | 0 | 12000 | 0 | 27395 | 0 | 26146 | 0 | 10745 | 0 | 211588 | 0 | 0 | 0 |
| Mohammad Rahman | |||||||||||||
| 138271 | 0 | 0 | 19420 | 0 | 21063 | 0 | 14618 | 0 | 193372 | 0 | 0 | 0 | |
| Mark Timm | |||||||||||||
| 120645 | 0 | 12000 | 0 | 27574 | 0 | 23255 | 0 | 14612 | 0 | 198086 | 0 | 7728 | 0 |
| Baldwin Stutts | |||||||||||||
| 627206 | 0 | 85084 | 0 | 0 | 0 | 8070 | 0 | 18870 | 0 | 739230 | 0 | 0 | 0 |
| George Rizk | |||||||||||||
| 506114 | 0 | 140416 | 0 | 0 | 0 | 8320 | 0 | 21964 | 0 | 676814 | 0 | 0 | 0 |
| Yusuf Hassan | |||||||||||||
| 581655 | 0 | 0 | 0 | 0 | 0 | 3121 | 0 | 15920 | 0 | 600696 | 0 | 0 | 0 |
| Sergio Soto | |||||||||||||
| 318579 | 0 | 220382 | 0 | 0 | 0 | 10300 | 0 | 22778 | 0 | 572039 | 0 | 0 | 0 |
| Robert Stomel | |||||||||||||
| 353771 | 0 | 170068 | 0 | 0 | 0 | 7350 | 0 | 15078 | 0 | 546267 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| nonqualified retirement plan | Part I, Line 4b | The following individuals participated in or received payment from a non-qualified supplemental retirement plan. The amounts listed include amounts in W-2 Box 5 wages and amounts included in deferred compensation. W-2 Box 5 Deferred Comp Tim Barnett 69,629.94 52,827.84 Larry Burns 21,213.67 - Brian Hoefle 33,335.78 24,044.81 John Amos 2,793.47 21.108.44 Mark Timm 7,728.40 15,369.12 Diane Drexler - 6,759.90 Joseph Goldberger - 7,944.04 Roberta Nicol - 17,330.56 Mohammad Rahman - 18,501.60 |
| Non-Fixed Payments | Part I, Line 7 | The hospital provided performance awards to its executive team in 2011. While the performance awards provided rewarded outstanding performance, they were not contingent on achieving a stated revenue or net earnings amount and were solely at the discretion of the hospital's CEO. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI | |||||||
| 860376099 | 985900bl2 | 2003-08-28 | 41494716 | CONSTRUCT HOSPITAL | false | false | false |
| THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI | |||||||
| 860376099 | 985900BM0 | 2008-02-06 | 20400000 | REFUND 2003 BONDS & PURCH EQUIP | false | false | false |
| THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI | |||||||
| 860376099 | 958900BR9 | 2008-05-08 | 29577215 | CONSTRUCTION & PURCH EQUIP | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2880000 | 0 | 42904476 | 4572279 | 3626111 | 0 | 584908 | 865715 | 0 | 35158097 | 0 | 0 | 2006 | false | false | true | true |
| 0 | 0 | 20400000 | 0 | 0 | 17895587 | 3488890 | 155113 | 0 | 1969675 | 0 | 0 | 2008 | true | false | true | true |
| 0 | 0 | 30519966 | 2211546 | 2572535 | 0 | 459950 | 0 | 0 | 24343792 | 0 | 0 | 2011 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|
| 0 | ||||||
| false | false | false | false | 0 | false | false |
| 0 | ||||||
| false | true | false | false | 0 | false | false |
| 0 | ||||||
| false | false | false | false | 0 | false | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Schedule L IRS990ScheduleL
Loan Table LoanTable (2 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| BALDWIN S STUTTS | ||||||
| PHYSICIAN LOAN | X | $401,290 | 299272 | true | false | true |
| BALDWIN S STUTTS | ||||||
| PHYSICIAN LOAN | X | $45,000 | 45000 | true | false | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 344272 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Program Service Description | Form 990, Part III, Line 4a | Yavapai Regional Medical Center (YRMC) provides health, healing and hope for every man, woman and child living in our region through high quality inpatient and outpatient services as well as a wide range of valuable community outreach programs. YRMC proudly serves the healthcare needs of people of all ages and from all walks of life. We're pleased to meet those needs 24 hours a day, 365 days a year. YRMC's sole purpose is to provide high-quality healthcare for the communities we serve. There are no stockholders to whom we must pay dividends; we focus instead on the people we serve. The "dividends" they receive are healthier lives for themselves and those they love. Any money remaining after YRMC has paid its bills goes back into the organization to help expand programs and add new services for the people in our communities. YRMC's Vision is Creating a Total Healing Environment, in which the people associated with YRMC work in partnership with patients and their families who are seeking peace of mind and peace of heart as well as physical cure and comfort because we honor the indivisible relationship that exists between body, mind and the human spirit. The spirit of caring is a higher calling that resonated throughout YRMC in 2011. YRMC's family which is comprised of board members, community supporters, donors, employees, physicians and volunteers did not waver from this spirit of caring. YRMC has two hospitals; one in Prescott, YRMC West, and one in Prescott Valley, YRMC East. YRMC is truly two great hospitals with one caring spirit. Consider that in 2011, YRMC embraced its not-for-profit mission by providing more than seven million dollars in community benefit to the people of western Yavapai County. This includes direct healthcare services as well as programs that improve health and prevent illness. In 2011, YRMC touched more than 163,000 area residents through our community benefit programs. The spirit of YRMC is one of treating each patient as a unique and valuable human being. The long-awaited tiny newborn taking her first breath at YRMC is one of those special people. The frail yet feisty 89-year-old blind gentleman who enjoys entertaining his assisted living neighbors with his piano music and who now struggles with congestive heart failure is one of those special people. The young mother of four small children who recently had the frightening diagnosis of cancer and is planning her treatment with the help of our BreastCare Center is one of those special people. YRMC provides peace of mind and peace of heart year in and year out to all our patients, each one of whom is a special person. YRMC also offers a patient assistance program to help people who have no insurance or who have limited insurance coverage. At no time has this kind of support been more important - or more welcomed - than now. YRMC works diligently with patients to allow them to worry less about paying for services and be able to focus more directly on recovering and getting back on their feet. 2011 was another year of providing personalized care to many thousands of people. For example, 993 babies entered the world in YRMC's obstetrics department. These little ones represent the love, dreams, and hopes of their parents and are also the promise of tomorrow for the world. Nearly 490 women received additional preparation for their new babies through YRMC's Childbirth Education program which was especially important for first-time moms. YRMC also opened a new Breast Care Center in August of 2011. Increasingly discouraging economic conditions along with the added challenges of new babies can create stress that's unmanageable for many young families. Consequently, YRMC provides Family Resource Center services that include free parenting education, counseling services, and coordination with other community resources that can help support young families. This program has also provided much-needed necessities to new families such as baby formula and diapers. In 2011, thousands of area residents participated in this remarkable program. The Family Resource Center advised 2,052 parents on how to care for their newborns through the First Steps program, and 2,470 visits were provided to 173 families for ongoing support through YRMC's Healthy Families Program. These programs have virtually eliminated child abuse and neglect among participating families. This is a remarkable achievement at a time when economic stressors have increased along with the national rate of child abuse and neglect. YRMC is also pleased to offer the Partners for Healthy Students program. This is a school-based health program for children who are uninsured or underinsured. The program is led by a pediatric nurse practitioner who works in conjunction with a local pediatrician. School-age children and their siblings are diagnosed and treated for a wide variety of health problems. A specially-equipped van is sent to local schools and children receive the care and treatment they need. Some children have previously undiagnosed chronic health problems like asthma, allergies, ear infections, and subsequent hearing loss, or vision problems. Many children have never seen a dentist and have painful tooth decay to the point that their teeth are literally rotted down to the gums. These children suffer unimaginable pain every day. The program helps ensure all these children are given the care and treatment they need but could not otherwise receive. Health problems can seriously impede children's ability to learn and to grow up healthy. More than 1,018 children in 27 school-based clinics benefited from services provided by the Partners for Healthy Students program last year. YRMC is proud to provide these services at no charge. There are also numerous beneficial programs provided for adults by YRMC. For example, in 2011 more than 394 people suffering with respiratory problems were helped to breathe easier through wellness classes offered by YRMC's Respiratory Wellness program. YRMC also offered smoking cessation classes for 25 people who wanted to give up tobacco in 2011. YRMC physicians and physical therapists gave educational presentations to more than 311 community members throughout our service area about back health. The James Family Heart Center at YRMC performs hundreds of cardiac and thoracic cases and has also perfected a blood management program which greatly benefits patients. In 2011, YRMC helped 819 individuals with diabetes better manage their health in order to prevent hospitalization. Many newly-diagnosed diabetics learned more about their condition and how to maintain and optimize their health. Many people who have lived with diabetes for years learned new information about how to live healthier lives. A vigorous community outreach program reached more than 93,000 residents throughout 2011 with complimentary, current health information. This includes free community newsletters and mailers, health fairs and a speakers bureau service. Local community and faith groups have enjoyed 130 presentations from YRMC health professionals about health-related topics. Many speakers also distribute additional free take-home information provided by YRMC for future reference, whether it be about fitness, nutrition, stress management, or whatever topic the group requests. YRMC's Physical Rehabilitation department also provides a free stroke support group for stroke patients and their caregivers. Everyone can benefit from the fall risk assessment program which helps determine an individual's risk of falling down. Falls can lead to debilitating injuries and even death, especially for those over the age of 65. This assessment program helps identify risk factors and physical rehab can help assist people with specific strengthening exercises to help prevent falls. YRMC's healthcare team - nurses, physicians and other medical professionals - cared for 11,002 inpatients in 2011. That same year, 67,215 people, which is 1,292 people a week, received care in YRMC's Emergency Departments. YRMC is extremely proud of the fact that it is one of the largest employers in Yavapai County and has an outstanding reputation for attracting top healthcare professionals. Another source of pride is YRMC's dedicated volunteer force of 825 people who collectively donated 104,960 hours, breaking the 100,000-hour mark for the fourth year in a row. This is yet another example of the community's strong support for YRMC and how YRMC is regarded as a treasured community asset by the entire region. |
| Members of the Organization | Form 990, Part VI, Question 6 | Each resident of the Central Yavapai Hospital District who is at least (18) years of age shall be a member of the Association (Hospital) at his will and shall be eligible to cast one vote in person upon any issue presented at an annual or special meeting. There shall be no proxy or cumulative voting. |
| Members or Stockholders who can elect members of the governing body, etc. | Form 990, Part VI, Question 7a & 7b | The council of electors (the council) is charged with the responsibility of selecting individuals from the community to serve on the Association's Board of Trustees. The council is composed of publicly elected officials and representatives from selected government and non-profit organizations from throughout the community. Members must approve amendments to the Bylaws or Articles of Incorporation. |
| Process to Review the Form 990 | Form 990, Part VI, Question 11b | The completed 990 is presented to the Audit Committee of the Board of Trustees in a special session for review prior to filing. The committee has the opportunity to review the form in detail during this meeting and to ask questions of the preparer. The committee then presents the results of their review to the full Board of Trustees and obtains final approval for filing from the Board. The full Board is also given the opportunity to review a copy of the 990. |
| Process for Monitoring Compliance with Conflict of Interest Policy | Form 990, Part VI, Question 12c | In January of each year, a Conflict of Interest form and the related policy are sent to each member of the Board of Trustees, officers and directors of the association, managers and key employees, all other exempt employees, members of professional advisory committees, and the medical executive committee. Recipients are asked to review the policy and sign the form each year at this time. In addition, all exempt new hires are asked to review the policy and sign the conflict of interest statement. The returned forms are reviewed and kept on file if no conflict has been identified. If conflicts are identified, the forms are sent to the CEO for review. During discussions at board meetings, those with conflicts identified through this process are excused from discussion and voting on the related matter. |
| Review of CEO or Top Mgmt Official Compensation | Form 990, Part VI, Question 15a | Under the direction of the Hospital Board of Directors, an independent consultant was selected to perform a market equity analysis for the CEO compensation and benefit package. In 2011, Integrated Healthcare Strategies (IHS) was retained to conduct a total compensation review, including an analysis of all elements of CEO total compensation, including salary, incentives, benefits and perquisites compared to market practices. They provided the Hospital Human Resources Committee (a subcommittee of the hospital board) with a comprehensive description and valuation of all cash compensation and benefit practices and assessed compensation for competitiveness and compliance with regulatory requirements. In addition, IHS provided appropriate recommendations for modifying the total compensation program. Any changes to the CEO total compensation were approved by the Hospital Board of Directors. Compensation arrangements are documented in the minutes of the Human Resources Committee and by signed compensation agreements in personnel files maintained by HR. |
| Review of Other Officer or Key Employees Compensation | Form 990, Part VI, Question 15b | In 2010, under the direction of the CEO, an independent consultant, Integrated Healthcare Strategies (IHS), was selected to perform a market equity analysis of the compensation and benefit package for hospital officers and key employees of the organization. This included an analysis of all elements of executive total compensation, including salary, incentives, benefits and perquisites compared to market practices. They provided the Hospital Human Resources Committee (a subcommittee of the hospital board) with a comprehensive description and valuation of all cash compensation and benefit practices and assessed compensation for competitiveness and compliance with regulatory requirements. In addition, IHS provided appropriate recommendations for modifying the total compensation program. Any changes to executive total compensation were approved by the CEO. In 2011, compensation for officers and key employees of the organization was reviewed again, with input from IHS, as part of the committee's annual compensation review process. Compensation arrangements are documented in the minutes of the Human Resources Committee and by signed compensation agreements in personnel files maintained by HR. |
| Public Disclosure of Documents | Form 990, Part VI, Question 19 | The financial statements are summarized in the annual report published on the hospital internet site. The organization's governing documents, conflict of interest policy, and financial statements are made available to the public upon request. |
| Reconciliation of Net Assets | form 990, Part XI, Line 5 | CHANGE IN SPLIT INTEREST AGREEMENT (7,303) TIMING AND BOOK/TAX DIFFERENCES ON INVESTMENT IN EQUITY INVESTEES (9,492) UNREALIZED LOSS (120,611) TOTAL OTHER CHANGES TO NET ASSETS (137,406) |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Timothy J. Barnett TITLE:CEO HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Brian L. Hoefle TITLE:CFO HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Roberta Nicol TITLE:Dir of Philanthropy HOURS:1 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Yavapai Reg'l Med Ctr Physician Care LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1003 Willow Creek Road | AddressLine1 |
| City | Prescott | City |
| State | AZ | State |
| ZIP Code | 86301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263257358 | EIN |
| Primary Activities | Medical Svcs | PrimaryActivities |
| Legal Domicile State | AZ | LegalDomicileState |
| Total Income | 8493369 | TotalIncome |
| EOY Assets | 2329946 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Yavapai Regional Medical Center Fdn | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1003 Willow Creek Road | AddressLine1 |
| City | Prescott | City |
| State | AZ | State |
| ZIP Code | 86301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861038463 | EIN |
| Primary Activities | Support Org | PrimaryActivities |
| Legal Domicile State | AZ | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | LN11 TypeII | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | true | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESCOTT MEDICAL IMAGING LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 810 WHIPPLE | AddressLine1 |
| City | PRESCOTT | City |
| State | AZ | State |
| ZIP Code | 86301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770603441 | EIN |
| Primary Activity | MEDICAL IMAGING | 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) |
|---|---|---|
| Predominant Income Type | related | PredominantIncomeType |
| Share Of Total Income | 16509 | ShareOfTotalIncome |
| Share Of EOY Assets | 430025 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | true | GeneralOrManagingPartner |
| Percentage Ownership | 0.50000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | 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 | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | 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 | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Yavapai Regional Medical Center Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | c | TransactionType |
| Amount Involved | 1243873 | AmountInvolved |
| Method Of Amt Determination | cash transfer | MethodOfAmtDetermination |