YUMA REGIONAL MEDICAL CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- YUMA REGIONAL MEDICAL CENTER (EIN 86-6007596)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-07-10
- IRS object ID
- 202401929349301625
- Schema version
- 2022v5.0
- 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 F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-07-10T15:21:29-05:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Moss Adams LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5415 E High Street Ste 350 | AddressLine1Txt |
| City | Phoenix | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85054 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 866007596 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Yuma Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | YUMA | BusinessNameControlTxt |
| Phone | 9283367000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 S Avenue A | AddressLine1Txt |
| City | Yuma | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85364 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Vernon Moore | PersonNm |
| Person Title | SVP/Chief Financial Officer | PersonTitleTxt |
| Phone | 9283367000 | PhoneNum |
| Signature | 2024-07-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Vernon | PersonFirstNm |
| Person Last | Moore | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lauren A Haverlock | PreparerPersonNm |
| PTIN | P00545829 | PTIN |
| Phone | 4804443424 | PhoneNum |
| Preparation | 2024-06-27 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Dr Robert J Trenschel | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 S Avenue A | AddressLine1Txt |
| City | Yuma | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85364 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,254,254,158 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.yumaregional.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | Through prudent use of resources, our 406-bed inpatient hospital, along with numerous outpatient clinics, serves as the healthcare hub for all of Yuma County. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 3091 | TotalEmployeeCnt |
| Total Volunteers | 291 | TotalVolunteersCnt |
| Total Gross UBI | $185,398 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,167,312 | PYContributionsGrantsAmt |
| CY Contributions Grants | $532,542 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $738,063,870 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $802,510,970 | CYProgramServiceRevenueAmt |
| PY Investment Income | $24,193,130 | PYInvestmentIncomeAmt |
| CY Investment Income | $28,447,342 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$518,106 | PYOtherRevenueAmt |
| CY Other Revenue | $947,135 | CYOtherRevenueAmt |
| PY Total Revenue | $765,906,206 | PYTotalRevenueAmt |
| CY Total Revenue | $832,437,989 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $282,001 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $243,427 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $325,267,383 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $347,225,029 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $366,254,087 | PYOtherExpensesAmt |
| CY Other Expenses | $425,499,727 | CYOtherExpensesAmt |
| PY Total Expenses | $691,803,471 | PYTotalExpensesAmt |
| CY Total Expenses | $772,968,183 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $74,102,735 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $59,469,806 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,139,108,002 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,307,260,079 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $379,511,582 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $438,293,571 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $759,596,420 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $868,966,508 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Yuma Regional Medical Center is to improve the health and wellbeing of individuals, families and the communities we serve through excellence, innovation and prudent use of resources. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $673,802,991 | ExpenseAmt |
| Grant | $243,427 | GrantAmt |
| Revenue | $802,691,714 | RevenueAmt |
| Desc | See Schedule O. | Desc |
| Total Program Service Expenses | $673,802,991 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 357 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3091 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Vernon Moore SVPChief Financial O | PersonNm |
| Phone | 9283367000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 S Avenue A | AddressLine1Txt |
| City | Yuma | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85364 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Robert J Trenschel DO MPH | |||||||||
| President/CEO | 40.00 | 2.00 | Yes (X) | Yes (X) | $1,457,735 | $0 | $347,226 | ||
| Simon Lavotshikin MD | |||||||||
| General Surgeon | 40.00 | $1,263,833 | $0 | $12,730 | Yes (X) | ||||
| Nader Haddad MD | |||||||||
| Obstetrician/Gynecologist | 40.00 | $1,137,972 | $0 | $40,915 | Yes (X) | ||||
| Abhinav Chandra | |||||||||
| Oncology Program Medical Director | 40.00 | $1,060,381 | $0 | $40,915 | Yes (X) | ||||
| Robert Takesuye MD | |||||||||
| Radiation Oncologist | 40.00 | 2.00 | $1,057,475 | $0 | $13,461 | Yes (X) | |||
| Jon-Rene Suffern MD | |||||||||
| Anesthesiologist | 40.00 | $1,006,157 | $0 | $40,467 | Yes (X) | ||||
| Bharat Magu MD | |||||||||
| SVP/Chief Medical Officer | 40.00 | $629,150 | $0 | $120,408 | Yes (X) | ||||
| David Willie - SVPChief | |||||||||
| Financial Officer (thru 10/22) | 40.00 | 2.00 | Yes (X) | $663,322 | $0 | $30,034 | |||
| Diane Poirot | |||||||||
| SVP/Human Resources (thru 05/22) | 40.00 | $611,831 | $0 | $8,389 | Yes (X) | ||||
| Deborah Aders RN MS CIC | |||||||||
| SVP/Chief Nursing Officer | 40.00 | $541,614 | $0 | $21,587 | Yes (X) | ||||
| Trudie Milner | |||||||||
| SVP/Operations | 40.00 | $463,270 | $0 | $78,613 | Yes (X) | ||||
| Fred Peet | |||||||||
| SVP/Chief Information Officer | 40.00 | $420,655 | $0 | $93,378 | Yes (X) | ||||
| Machele Headington | |||||||||
| SVP/Marketing and Communications | 36.00 | 4.00 | $330,769 | $0 | $99,672 | Yes (X) | |||
| Robert Seibel | |||||||||
| SVP/General Counsel (thru 09/22) | 40.00 | $391,910 | $0 | $29,185 | Yes (X) | ||||
| Matthew McElrath | |||||||||
| SVP/Human Resources | 40.00 | $298,186 | $0 | $85,607 | Yes (X) | ||||
| Vernon Moore | |||||||||
| SVP/Chief Financial Officer | 40.00 | 2.00 | Yes (X) | $303,988 | $0 | $76,249 | |||
| James Adamson | |||||||||
| SVP/General Counsel | 40.00 | 2.00 | $274,830 | $0 | $67,607 | Yes (X) | |||
| Ashvin Shah MD | |||||||||
| Board Member | 5.00 | Yes (X) | $73,500 | $0 | $0 | ||||
| Claudia Dima MD | |||||||||
| Board Member | 5.00 | Yes (X) | $32,600 | $0 | $0 | ||||
| Woody Martin | |||||||||
| Board Chair | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| John Sternitzke | |||||||||
| Vice Chair | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Lora Dana | |||||||||
| Secretary/Treasurer | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Fred Earle | |||||||||
| Board Member | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Julie Engel | |||||||||
| Board Member (thru 02/23) | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Louie Gradias | |||||||||
| Board Member | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $12,019,178 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,206,443 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 416 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Yuma Heart and Vascular LLC | |||||
| 2400 S Avenue A | Yuma | AZ | 85364 | Medical Healthcare Services | $14,836,117 |
| Hospitality Healthcare Serv | |||||
| 6929 West Southern Avenue | Laveen | AZ | 85339 | Custodial Services | $7,825,679 |
| Pat Walker Construction LLC | |||||
| PO BOX 26059 | Yuma | AZ | 85367 | Construction Services | $6,702,705 |
| SW Rehabilitation Assoc LTD | |||||
| 2281 West 24th Street Suite 10 | Yuma | AZ | 85364 | Rehab Services | $3,854,376 |
| Monolith Diagnostics | |||||
| 1740 Sycamore Avenue Suite C | Kingman | AZ | 86401 | Anatomic and Clinical Pathology Services | $3,527,133 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 159 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $428,067 | RelatedOrganizationsAmt |
| All Other Contributions | $104,475 | AllOtherContributionsAmt |
| Total Contributions | $532,542 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient services | 621110 | $786,286,348 | $786,286,348 | ||
| Health education | 611710 | $6,695,826 | $6,695,826 | ||
| Inc from affiliates | 523000 | $4,415,257 | $4,229,859 | $185,398 | |
| Contract revenue | 624100 | $1,136,964 | $1,136,964 | ||
| Gift Shop/Snack Bar | 459420 | $1,006,969 | $77,444 | $929,525 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,969,606 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,969,606 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $802,510,970 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,694,823 | TotalRevenueColumnAmt |
| Exclusion | $14,694,823 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,598,791 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $832,400 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $766,391 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $766,391 | TotalRevenueColumnAmt |
| Exclusion | $766,391 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $434,722,007 | SecuritiesAmt |
| Other | $14,281 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $420,964,325 | SecuritiesAmt |
| Other | $19,444 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,757,682 | SecuritiesAmt |
| Other | -$5,163 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,752,519 | TotalRevenueColumnAmt |
| Exclusion | $13,752,519 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Research trial revenue | Desc |
| Business | 541900 | BusinessCd |
| Total Revenue Column | $180,744 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $180,744 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $180,744 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $832,437,989 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $801,576,791 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $185,398 | UnrelatedBusinessRevenueAmt |
| Exclusion | $30,143,258 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,427 | TotalAmt |
| Program Services | $243,427 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,532,168 | TotalAmt |
| Management And General | $6,532,168 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,826 | TotalAmt |
| Program Services | $299,826 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,008,425 | TotalAmt |
| Program Services | $258,875,152 | ProgramServicesAmt |
| Management And General | $22,133,273 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,688,669 | TotalAmt |
| Program Services | $9,624,078 | ProgramServicesAmt |
| Management And General | $1,064,591 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,315,680 | TotalAmt |
| Program Services | $29,707,514 | ProgramServicesAmt |
| Management And General | $3,608,166 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,380,261 | TotalAmt |
| Program Services | $13,848,387 | ProgramServicesAmt |
| Management And General | $1,531,874 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,148,134 | TotalAmt |
| Management And General | $2,148,134 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,375,532 | TotalAmt |
| Management And General | $13,375,532 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $326,550 | TotalAmt |
| Management And General | $326,550 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,656 | TotalAmt |
| Management And General | $24,656 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,044,177 | TotalAmt |
| Management And General | $3,044,177 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,148,849 | TotalAmt |
| Program Services | $92,766,729 | ProgramServicesAmt |
| Management And General | $12,382,120 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,007,412 | TotalAmt |
| Management And General | $1,007,412 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,615,415 | TotalAmt |
| Program Services | $5,553,069 | ProgramServicesAmt |
| Management And General | $3,062,346 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,761,148 | TotalAmt |
| Program Services | $21,394,824 | ProgramServicesAmt |
| Management And General | $2,366,324 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,932,898 | TotalAmt |
| Program Services | $7,928,430 | ProgramServicesAmt |
| Management And General | $2,004,468 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,016,711 | TotalAmt |
| Management And General | $2,016,711 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $308,576 | TotalAmt |
| Management And General | $308,576 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,694,678 | TotalAmt |
| Program Services | $9,517,162 | ProgramServicesAmt |
| Management And General | $2,177,516 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,839,348 | TotalAmt |
| Program Services | $28,352,361 | ProgramServicesAmt |
| Management And General | $6,486,987 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,896,005 | TotalAmt |
| Program Services | $6,455,109 | ProgramServicesAmt |
| Management And General | $2,440,896 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical supplies | $99,430,221 | $99,430,221 | |
| Bad debt expense | $60,142,880 | $60,142,880 | |
| Operations & Other | $40,786,537 | $29,663,822 | $11,122,715 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $772,968,183 | TotalAmt |
| Program Services | $673,802,991 | ProgramServicesAmt |
| Management And General | $99,165,192 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,247,071 | BOYAmt |
| EOY | $46,857,380 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,781,537 | BOYAmt |
| EOY | $14,868,781 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,501,217 | BOYAmt |
| EOY | $145,775,481 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,835,363 | BOYAmt |
| EOY | $13,955,839 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,112,774 | BOYAmt |
| EOY | $13,698,819 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $932,256,150 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $515,927,554 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $387,248,272 | BOYAmt |
| EOY | $416,328,596 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $460,002,098 | BOYAmt |
| EOY | $554,930,090 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,479,177 | BOYAmt |
| EOY | $27,021,623 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,602,666 | BOYAmt |
| EOY | $36,653,488 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,297,827 | BOYAmt |
| EOY | $37,169,982 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,139,108,002 | BOYAmt |
| EOY | $1,307,260,079 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,500,160 | BOYAmt |
| EOY | $83,550,696 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,336,313 | BOYAmt |
| EOY | $1,256,347 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,258,566 | BOYAmt |
| EOY | $175,359,061 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,569,966 | BOYAmt |
| EOY | $34,020,087 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,846,577 | BOYAmt |
| EOY | $144,107,380 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $379,511,582 | BOYAmt |
| EOY | $438,293,571 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $759,596,420 | BOYAmt |
| EOY | $868,966,508 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $759,596,420 | BOYAmt |
| EOY | $868,966,508 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,139,108,002 | BOYAmt |
| EOY | $1,307,260,079 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $59,469,806 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $34,232,792 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $15,667,490 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $24,656 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $24,656 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Yuma Regional Medical Center (YRMC) is a member of the American Hospital Association (AHA) and Arizona Hospital Association (AZHHA). YRMC paid a total of $236,852 to AHA for membership during FY2023. Of the amount reported, 10.41% or $24,656 of dues were expended by AHA for specific lobbying purposes. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,686,283 | BeginningYearBalanceAmt |
| Contributions | $617 | ContributionsAmt |
| Investment Earnings Or Losses | $1,730,745 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $188,661 | GrantsOrScholarshipsAmt |
| End Year Balance | $17,228,984 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,050,847 | BeginningYearBalanceAmt |
| Contributions | $500 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,183,917 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $181,147 | GrantsOrScholarshipsAmt |
| End Year Balance | $15,686,283 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,025,276 | BeginningYearBalanceAmt |
| Contributions | $35,001 | ContributionsAmt |
| Investment Earnings Or Losses | $3,086,808 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $80,238 | GrantsOrScholarshipsAmt |
| Other Expenditures | $16,000 | OtherExpendituresAmt |
| End Year Balance | $17,050,847 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,942,714 | BeginningYearBalanceAmt |
| Contributions | $400 | ContributionsAmt |
| Investment Earnings Or Losses | $1,509,032 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $240,753 | GrantsOrScholarshipsAmt |
| Other Expenditures | $186,117 | OtherExpendituresAmt |
| End Year Balance | $14,025,276 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,274,083 | BeginningYearBalanceAmt |
| Contributions | $3,259,188 | ContributionsAmt |
| Investment Earnings Or Losses | $487,075 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $77,631 | OtherExpendituresAmt |
| End Year Balance | $12,942,715 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.38000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.19000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.43000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,034,567 | OtherCostOrOtherBasisAmt |
| Book Value | $29,034,567 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $497,151,397 | OtherCostOrOtherBasisAmt |
| Depreciation | $192,012,123 | DepreciationAmt |
| Book Value | $305,139,274 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,155,337 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,930,053 | DepreciationAmt |
| Book Value | $7,225,284 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $322,702,782 | OtherCostOrOtherBasisAmt |
| Depreciation | $309,985,378 | DepreciationAmt |
| Book Value | $12,717,404 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $62,212,067 | OtherCostOrOtherBasisAmt |
| Book Value | $62,212,067 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $416,328,596 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Interest rate swaps and CAP | $1,013,725 |
| Self-insurance liability | $9,392,859 |
| Minimum pension liability | $3,065,476 |
| Third party settlements | $68,565,320 |
| ROU financing liability | $58,622,667 |
| 457(f) fund payable | $3,447,333 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $144,107,380 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: | FormAndLineReferenceDesc |
| Explanation | THE FOUNDATION OF YUMA REGIONAL MEDICAL CENTER HOLDS THE ENDOWMENT FUNDS: MCDANIEL ENDOWMENT FUND IS USED FOR VARIOUS PURPOSES RELATED TO CANCER CARE IN YUMA COUNTY. UNRESTRICTED ENDOWMENT FUNDS ARE USED TO SUPPORT SPECIAL PROJECTS, PROGRAMS, AND PRESSING NEEDS OF THE SUPPORTED ORGANIZATION, AS WELL AS COMMUNITY WELLNESS INITIATIVES AND SCHOLARSHIP SUPPORT FOR LOCAL STUDENTS. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Investment | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $9,279,726 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $9,279,726 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $9,279,726 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | Yes (1) | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part III Accounting Method: | FormAndLineReferenceDesc |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | 0 | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,283,486 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,933,218 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,350,268 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $224,882,590 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $188,471,521 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $36,411,069 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05110 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $232,166,076 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $191,404,739 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,761,337 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05720 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 19 | ActivitiesOrProgramsCnt |
| Persons Served | 18065 | PersonsServedCnt |
| Total Community Benefit Expns | $367,657 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $119,884 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $247,773 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 226 | PersonsServedCnt |
| Total Community Benefit Expns | $6,841,555 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,841,555 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00960 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 894 | PersonsServedCnt |
| Total Community Benefit Expns | $181,590 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $181,590 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $245,061 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $245,061 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 27 | ActivitiesOrProgramsCnt |
| Persons Served | 19185 | PersonsServedCnt |
| Total Community Benefit Expns | $7,635,863 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $119,884 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,515,979 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 27 | ActivitiesOrProgramsCnt |
| Persons Served | 19185 | PersonsServedCnt |
| Total Community Benefit Expns | $239,801,939 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $191,524,623 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $48,277,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06770 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 2182 | PersonsServedCnt |
| Total Community Benefit Expns | $23,174 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $23,174 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 1000 | PersonsServedCnt |
| Total Community Benefit Expns | $22,258 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,258 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 444 | PersonsServedCnt |
| Total Community Benefit Expns | $34,742 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,742 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Persons Served | 3626 | PersonsServedCnt |
| Total Community Benefit Expns | $80,174 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $80,174 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $60,142,880 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $250,039,657 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $341,510,490 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$91,470,833 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 6 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (6 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Yuma Regional Medical Center | |||||||||||
| 1 | 2400 S Avenue A | Yuma | AZ | 85364 | www.yumaregional.org | H0097 | Yes (X) | Yes (X) | Yes (X) | A | |
| Yuma Regional Medical Center - Foothills | |||||||||||
| 2 | 11142 S Scottsdale Drive | Yuma | AZ | 85367 | www.yumaregional.org | H0097 | Yes (X) | A | |||
| Yuma Regional Medical Plaza | |||||||||||
| 3 | 2460 Parkview Loop | Yuma | AZ | 85364 | www.yumaregional.org | H0097 | Yes (X) | A | OP Surgery, Imaging, Cardiac Rehab, Wound Care, Bariatric | ||
| Yuma Regional Cancer Center | |||||||||||
| 4 | 2375 Ridgeview Drive | Yuma | AZ | 85364 | www.yumaregional.org | H0097 | Yes (X) | A | Cancer Center, Oncology, Hematology, Radiation | ||
| Yuma Rehabilitation Hospital | |||||||||||
| 5 | 901 W 24th Street | Yuma | AZ | 85364 | www.encompasshealth.com | SH3378 | Yes (X) | B | |||
| Foothills Medical Plaza ER | |||||||||||
| 6 | 11351 E South Frontage Road | Yuma | AZ | 85367 | www.yumaregional.org | H0097 | Yes (X) | Yes (X) | A | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Other PublicityOtherPublicityInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Yuma Regional Medical Center | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 22 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | See Part V | Yes (X) | Yes (1) | 22 | Yes (1) | See Part V | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Part V | Yes (X) | See Part V | Yes (X) | See Part V | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |||
| Yuma Rehabilitation Hospital | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 22 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | Yes (1) | 22 | Yes (1) | See Part V | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Part V | Yes (X) | See Part V | Yes (X) | See Part V | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | Yes (X) | See Part V | Yes (X) | |||||
Supplemental Information SupplementalInformationGrp (24 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B. Facility Reporting Group A: | Part V, Section B, Line 7a:The Hospital Facility's Website Where The CHNA Report Is Available:https://www.yumaregional.org/community/community-health-needs-assessment |
| Schedule H, Part V, Section B. Facility Reporting Group B: | Part V, Section B, Line 7a:The Hospital Facility's Website Where The CHNA Report Is Available:https://encompasshealth.com/-/media/healthsouth/project/healthsouth/locations/yumarehab-03016500/2022-prc-chna-report-sept-2022---yuma-county-az-pdf.pdf?la=en&hash=CE5D8D61F6BA97AC9490CBDDD1215D34D626B4DA |
| Schedule H, Part V, Section B. Facility Reporting Group B: | Part V, Section B, Line 7b:Other Website Where The CHNA Report Is Available:https://www.yumaregional.org/community/community-health-needs-assessment |
| Schedule H, Part V, Section B. Facility Reporting Group A: | Part V, Section B, Line 10:The Hospital's Most Recently Adopted Implementation Strategy:https://www.yumaregional.org/wp-content/uploads/2023/03/CHIP-2022-23.pdf |
| Schedule H, Part V, Section B. Facility Reporting Group B: | Part V, Section B, Line 10:The Hospital's Most Recently Adopted Implementation Strategy:https://encompasshealth.com/-/media/healthsouth/project/healthsouth/locations/yumarehab-03016500/yuma-rehabilitation-hospital-chip-pdf.pdf?la=en&hash=55AD1903F0938A360F24F5C0075532FE01DF1A98 |
| Schedule H, Part V, Section B. Facility Reporting Group A: | Part V, line 16a, FAP website:https://www.yumaregional.org/patients-and-visitors/patient-resources/patient-financial-services/ |
| Schedule H, Part V, Section B. Facility Reporting Group B: | Part V, line 16a, FAP website:https://encompasshealth.com/locations/yumarehab/financial-assistance |
| Schedule H, Part V, Section B. Facility Reporting Group A: | Part V, line 16b FAP Application Website:https://www.yumaregional.org/patients-and-visitors/patient-resources/patient-financial-services/ |
| Schedule H, Part V, Section B. Facility Reporting Group B: | Part V, line 16b FAP Application Website:https://encompasshealth.com/-/media/healthsouth/project/healthsouth/files/financial-assistance/instructions_applications/yuma-instructions-and-application.pdf?la=en&hash=4D6F409109401A5E28CC153B20C84171057E1923 |
| Schedule H, Part V, Section B. Facility Reporting Group A; | Part V, line 16c FAP Plain Language Summary Website:https://www.yumaregional.org/patients-and-visitors/patient-resources/patient-financial-services/ |
| Schedule H, Part V, Section B. Facility Reporting Group B: | Part V, line 16c FAP Plain Language Summary Website:https://encompasshealth.com/-/media/healthsouth/project/healthsouth/files/financial-assistance/plain_language/yuma-plain-language-summary.pdf?la=en&hash=56CCC3813DA31D8F0C11FEEF53C7CF54D3982EF6 |
| Part V, Section B | Facility Reporting Group A |
| Facility Reporting Group A consists of: | - Facility 1: Yuma Regional Medical Center, - Facility 2: Yuma Regional Medical Center - Foothills, - Facility 3: Yuma Regional Medical Plaza, - Facility 4: Yuma Regional Cancer Center, - Facility 6: Foothills Medical Plaza ER |
| Yuma Regional Medical Center Part V, Section B, line 5: | Significant health needs of the community for Yuma Medical Center and Yuma Rehab Hospital:Yuma Regional Medical Center and Yuma Rehabilitation Hospital conducted a Community Health Needs Assessment in 2022. Working collaboratively with our Yuma County public health partners and Southwest Arizona town hall (formerly known as the Southwest Arizona futures forum, or SAFF), Yuma Regional Medical Center adopted the below-listed community health priorities as a working document and vision to address the top health concerns within our defined service area, Yuma County. In alignment with our mission, goals and strategic priorities, Yuma Regional Medical Center will focus on the below listed five (5) priorities:1. Mental health2. Substance use/abuse3. Access to healthcare services 4. Diabetes5. CancerStrategies for addressing these identified health priorities are outlined below. |
| Yuma Regional Medical Center Part V, Section B, line 6a: | Yuma Rehabilitation Hospital |
| Yuma Regional Medical Center Part V, Section B, line 11: | Yuma Regional Medical Center and Yuma Rehabilitation Hospital leaders, along with leaders and partners from various community stakeholder groups, have continued to address needs from the most recent 2022 CHNA. The following community health improvement plan results are shared:Priority Area: Mental HealthHigh incidence of those who reported fair or poor mental health. Symptoms of chronic depression. Suicide deaths (particularly in young adults), ratio of mental health providers. Of note, key informants rated mental health as a top concern. Goals:- Increase availability/access to behavioral health providers in community- Reduce ER holding times due to lack of inpatient psychiatric facility beds- Reduce ER transfers of psychiatric inpatients to facilities outside Yuma County- Increase awareness among adults and teens related to mental health wellness strategies and coping skillsStrategy #1: Recruit additional behavioral health providers to the community to expand access to care (increased providers means more appointments).Target population(s): Patients currently needing to travel for care due to no available providers and appointments.Actions:Recruited the following providers during the year:- Dr. Eyuel Terefe, psychiatry residency program director - Janelle Rudnick, NP, inpatient BHU- Full-time agency provider coverage for inpatient BHU - The onboarding of a psychiatry residency program director is instrumental in preparing for and establishing YRMC's psychiatry residency program to begin summer 2025, where we will train and retain psychiatry providers in Yuma County and increase access to care. The program director cares for patients in the outpatient setting. In addition, a child and adolescent psychiatrist for our psychiatry residency program has been recruited and will start August 25, 2024. This serves as an important step in meeting the identified need for expanded services for children. Strategy #2: Initiate community coalition to minimize duplication of resources and eliminate gaps in care. Target population(s): Community leaders, key stakeholders, social service organizations, law enforcement and those directly impacted (families and patients). Actions:- Launched collaboration with local law enforcement for education and training.- Expanded partnership with local law enforcement to accept direct voluntary referrals for evaluation. - Collaboration with outpatient community programs for potential referrals to inpatient behavioral health unit (BHU) and intensive outpatient program (IOP).- Initiated transport for patients at outpatient clinics to provide urgent assessments and admission to BHU minimizing unnecessary emergency department visits where appropriate.- Collaboration with local jail to provide court-ordered treatments for patients (April 2024).- YRMC serves as an active hub coordinating between agencies to minimize resource use.- Coordination of efforts with local military and law enforcement to minimize the need to transfer patients outside of the community for care.Strategy #3: Expand local availability of behavioral health services (acute inpatient and intensive outpatient) to reduce need to travel out of town for care.Target population(s): Yuma County service area. Patients and families seeking services.Actions:- YRMC opened a 24-bed inpatient adult behavioral health unit in February 2023. - Behavioral health crisis assessments are now provided on-site by crisis team. Additionally, YRMC assessment team is also now providing assessments in the YRMC emergency departments, meeting patients where the need is. -YRMC now accepts direct admits from local law enforcement minimizing wait times during crisis episodes.- YRMC also added a full series of needed intensive outpatient program/groups, including: -General Mood Disorders -Acute Disorders -Military, Veterans and First Responders -Spanish- New programs/groups starting 2024: - Senior (65+) Therapy - Post-partum Depression - Adolescent Emergency (11-17)-Recruited the following providers in 2023 to expand local availability to behavioral health services. - Dr. Eyuel Terefe, Psychiatry Residency Program Director - Janelle Rudnick, NP, Inpatient BHU - Full-time agency coverage provider for inpatient BHU- YRMC opened a 24-bed inpatient behavioral health unit in February 2023 to expand access to inpatient behavioral health. The IP BHU also established a robust iop for long-term treatment and management of behavioral health patients.Strategy #4: Partner to host behavioral health educational sessions to build community awareness and support.Target population(s): School systems, adult care facilities, caregivers, and directly impacted patients and families.Actions:- Partnership with Yuma County Anti-Drug Coalition to provide ongoing education and support to local schools with a heavy focus on high schools and parents.- YRMC serves as an active member of the Yuma County Anti-Drug Coalition current efforts include education and state-supported distribution of Narcan to patients and families who present to the emergency department with fentanyl overdose.- Ongoing collaborative efforts with local schools and adult facilities to provide education and support for identifying a person in crisis/need.- YRMC is currently in the process of developing geriatric behavioral health services and IOP for local long-term care facilities. Strategy #5: Develop and implement psychiatry residency program to grow and retain psychiatrists in our community.Target population(s): Yuma County service area.Actions:- Dr. Terefe recruited and hired in July 2023 to lead the psychiatry residency program. Residency application submitted, new building purchased and renovated to accommodate the residency program and increase space (access) to psychiatry services. ACGME site visit scheduled for May 2024.- YRMC psychiatry residency program is on track to open its doors to resident physicians in July 2025. - The following providers were recruited/started in development of the psychiatry residency program in 2023. - Dr. Eyuel Terefe, Psychiatry Residency Program DirectorDr. Terefe is instrumental in preparing for and establishing our psychiatry residency program starting summer 2025, where we will train and retain psychiatry physicians in Yuma County and improve/increase access to care. Dr. Terefe also cares for patients in the outpatient setting at YRMC Behavioral Health Center. The ACGME site visit is scheduled for May 2024 to gain approval/accreditation of our psychiatry residency program.- In addition, a child and adolescent psychiatrist for our psych residency program has been recruited and will start August 25, 2024.- Active recruitment is underway for additional faculty physicians to support and build the academic foundation for our psychiatry residency program. A number of candidates are in process and anticipated to finalize in 2024.Priority Area: Substance AbuseHigh incidence of cirrhosis, liver disease death, excessive drinking, unintentional drug-related deaths, illicit drug use. Key informants ranked substance use as a top concern a total of 24.1% of area adults are excessive drinkers (heavy and/or binge drinkers).Benchmark: Higher than found across Arizona.Trend: Marks a significant increase since 2019.Disparity: Highest in Yuma. More often reported among men, adults younger than 65, Hispanic.Barriers to access attributed: Lack of locally available detox and support groups.Goals: - Reduce number of patients needing to travel out of town for substance detox and treatment- Expand awareness and education among students and parentsStrategy #1: Develop acute medical detox and treatment services in Yuma CountyTarget population(s): Yuma County service areaActions:- Develop inpatient chemical dependency detox unit (2024).- Expand iop services for chemical dependency patients and families.- Initiate the ED Naloxone program for those identified in need and at high risk.- This is underway with the establishment of our psychiatry residency program and recruitment of an addiction psychiatrist. Active contract negotiations are underway with an addiction psychiatrist anticipated to start late summer 2024. Strategy #2: Partner with community leaders, schools and families to enhance awareness through outreach and educationTarget population(s): Yuma County service areaActions:- Family medicine resident physicians rotate through local elementary and middle schools to mentor and educate underserved students through a variety of activities and presentations. |
| Part V, Section B | Facility Reporting Group B |
| Facility Reporting Group B consists of: | - Facility 5: Yuma Rehabilitation Hospital |
| Yuma Rehabilitation Hospital Part V, Section B, line 5: | Please see the narrative response for Yuma Regional Medical Center (Reporting Group A) |
| Yuma Rehabilitation Hospital Part V, Section B, line 6a: | Yuma Regional Medical Center |
| Yuma Rehabilitation Hospital Part V, Section B, line 11: | Please see the narrative response for Yuma Regional Medical Center (Reporting Group A) For Yuma Rehabilitation Hospital (YRH):Priority Area: Potentially Disabling Conditions Approximately 36.8% of county residents report having three or more chronic health conditions. People with disabilities are less likely to get preventive health care services. Goals: -Increase independence in populations with chronic conditions.-Decrease risk for injuries related to chronic conditions Strategy 1: Educate community and partners on self and rapid admission program to help support individuals with chronic conditions being referred to YRH for inpatient rehabilitation Target Population(s): Yuma County service area Strategy 2: Yuma Rehabilitation Hospital therapy department education on fall prevention strategies for patients and community outreach Target Population(s): YRH patient population and Yuma County service area |
| Yuma Rehabilitation Hospital Part V, Section B, line 16j: | The FAP, FAP application form and plain language summary of the FAP were translated into the primary language(s) spoken by Limited English Proficiency (LEP) populations. |
| Part V, Section B, Line 11, Continued: | Strategy #3: Recruit a Hepatology practitionerTarget population(s): Yuma County service areaActions: - Recruited an internal medicine/Hepatology physician, Dr. Jinendra Satiya, who will start April 7, 2024.Strategy #4: Develop curriculum for family medicine residents in partnership with psychiatry program - to include detox medicine.Target population(s): Yuma County service areaActions:- Psychiatry program director has begun a quarterly behavioral health series presented to family medicine residents during their didactics. - The new behavioral health track just announced its first family medicine resident physician participant, who will begin their focused educational track in July 2024. Priority Area: Access to Health Care ServicesBarriers to access attributed to: Inconvenient office hours, lack of available appointments (wait time to get an appointment), primary care physician ratio well below national standard. Emergency department utilization burdened with high volume of non-acute care.Goals:- Expand availability of appointments and reduce wait time for appointments- Expand availability of primary care providers across community- Improve physician-to-population ratioStrategy #1: Expand family & community medicine residency program (growing our own)Target population(s): Medical students with strong interest in serving communityActions: - Family medicine residency program will welcome 11 residents in July 2024, as we expand our incoming class size by two and welcome a transfer PGY2 resident. - YRMC continues to welcome growing numbers of medical students who rotate through a variety of specialty clinical rotations. - Overall goal to expand program from 26 to 36 residents - 12 per class per year. For this year's match, the program was seeking 12 new residents and matched 11. Now completing soap week to work on filling the remaining open spot.Strategy #2: Expand clinic hours and location to serve more peopleTarget population(s): New graduate physicians serving Yuma County residents and visitorsActions:- New Foothills Medical Plaza opened in July 2023. Over 12,000 new patient appointments completed.- Acquired internal medicine and diabetes medical practice adding two providers specializing in diabetes care.- Increased pediatric and primary care appointments by nearly 4% by expanding hours and increasing efficiency.- In particular, FM, IM, PEDs and OB increased hours to see patients by staggering provider and staff schedules. Some work 7:00 am to 4:00 pm and others 9:00 am to 6:00 pm. This allows clinics to open earlier, close later and offer Saturday services.- Fall 2023, YRMC opened its Foothills Medical Plaza, adding a second emergency department location with the addition of primary care, PEDs, OB, and podiatry providers within that same location. This helps to improve access to care, even closer to patients' homes.- Increased transitional care hours by 10 hours per week by expanding hours (7:30am to 6:00pm Monday through Friday). Strategy #3: Recruit and retain additional providers to meet community needsTarget population(s): New graduate physicians serving Yuma County residents and visitorsActions:- Added 40 new providers in 2023 - Primary care added 6 providers in 2023 to include providers in San Luis, Yuma, Foothills - Erika Benitez, NP, May 2023 - YRMC Primary Care San Luis - Selina Villarreal, NP, Jul 2023 - YRMC FMC W. 24th Street - Cara Piotrowicz, NP, Jul 2023 - YRMC Foothills Medical Plaza - Dr. Stephen Gipson, Aug 2023 - YRMC Family Medicine Center - Wanda Garcia, NP, Jul 2023 - YRMC Transitional Care - Kaitlin Toner, PA, Feb 2023 - YRMC Transitional Care - Pediatrics added 1 new provider in 2023 expanding care in the Foothills - James Lurquin, NP, Feb 2023 YRMC Foothills Medical Plaza - Specialty care 12 additional providers recruited in 2023 - Bariatric Surgeon 2023 - Cardiac Electrophysiology 2023 - Endocrinologist 2023 - Gastro NP 2023 - General Surgeon 2023 - General Surgery PA 2023 - Ob/Gyn Women's Health NP 2023 - Psychiatrist 2023 - Psychiatry NP 2023- Two physicians from the class of 2023 YRMC family medicine residency are now serving the community as full-time providers. An additional three physicians from the class of 2024 have made a commitment to serving our Yuma community after residency. This speaks to our ongoing dedication to supporting a flourishing graduate medical education program where over 35% of graduates from our program are choosing to stay in Yuma following graduation. Priority Area: DiabetesHigh incidence of deaths attributed to diabetes. Overall prevalence of diabetes is high among adults. Kidney disease prevalence and deaths. Key informants ranked diabetes as a top concern.Goals:- Reduce incidence through diabetes education (inpatient and outpatient)- Recruit additional providers to include pediatric endocrinologyStrategy #1: Expand availability of diabetes support and education (inpatient and outpatient)Target population(s): Patients diagnosed as diabetic or borderlineActions: - Acquired internal medicine/diabetes medical practice adding two providers specializing in diabetes care.- Implemented chronic care management program focused specifically on keeping our diabetic patient population healthier.- Implemented nutrition counseling in our diabetes and primary care practices.- Develop (2024) national accreditation for best practice inpatient diabetes management program with standardization in treatment and follow-up.- Added registered dietician to transitional care services to help with diabetes management.- Pediatric endocrinologist coverage by Dr. Hassan through YRMC pediatrics subspecialty clinic.Strategy #2: Recruit additional specialists (adult endocrinology)Target population(s): Serving Yuma County residents and visitorsActions: Adult endocrinologist recruited and hired August 23. Pediatric endocrinologist coverage by Sr. Hassan through YRMC pediatrics subspecialty clinic.Priority Area: Cancer CareCancer is a leading cause of death in Yuma County. Identified high prevalence of cancer (non-skin) in Yuma County.Goals:- Improve lung cancer early detection and reduce deaths- Increase local availability of advanced clinical trials and treatmentsStrategy #1: Implement lung screening programTarget population(s): Yuma County service area - patients with history of smokingActions:- Put lung screening program into services in 2022 for patients with a history of smoking. Patients meeting criteria are scheduled for a low-dose cat lung scan. - 471 patients scanned with 14 patients receiving pre-symptom diagnoses and many others being actively monitored. Strategy #2: Invest in advanced clinical research facilities and programsTarget population(s): Yuma County service areaActions:- Increasing the number of clinical trials available to cancer patients. - Initiated an afflation with University of Arizona clinical trial network to have access to national co-op group trials. - Recognized as a top performing leader in the recruitment of minorities to clinical trials. - Lauded as a top recruiting site for a Novartis trial. Strategy #3: Recruit additional radiation oncology and palliative care providersTarget population(s): Yuma County service areaActions: - Recruited Ramon Perez, NP for palliative care who started January 14, 2024. - Actively recruiting two full-time medical oncologists. - Actively recruiting three palliative care advanced practice providers and one palliative care physician. Secondary Focus:It should be noted that the below-listed identified health needs will remain visible and may be addressed as resources allow - to include potential community partnerships that minimize duplication of effort: Nutrition, heart disease and stroke, respiratory disease, infant health & family planning, injury & violence, physical activity & weight, potentially disabling conditions, tobacco use, oral health. |
| Part V, Section B, Line 11, Continued: | In these areas, we have made progress by:- Starting a stroke support group (February 2024) for patients and their families/caregivers to provide support and resources.- Earning American Heart Association "get with the guidelines" award to include recognition for the addition of diabetes management in our stroke program for best practices.- Expanding cardiac rehab program in conjunction with pulmonologists to develop cardio-pulmonary rehab services.- Expanding stroke education into the local middle schools and high schools to increase awareness of signs and symptoms for early identification and treatment.- Hired a chest pain coordinator (December 2022) and applied for DNV chest pain/stemi certification (March 2024).- Offering new shockwave IVL procedure for coronaries and peripheral arteries new procedure.- Rolling out endobronchial ultrasound (EBUS) new procedure.- Bringing the new watchman left atrial appendage occluder (LAAO) procedure to the community.- Championing ventilator protocol implementation.- Supporting cath lab nurses, rad techs, echo techs and respiratory therapists who volunteer regularly at community events. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 49 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (49 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Anticoagulation Clinic | ||||
| 2451 S Avenue A Suite B101 | Yuma | AZ | 85364 | Anticoagulation Clinic |
| 2 - Anticoagulation Clinic - Foothills | ||||
| 11351 S Frontage Road | Yuma | AZ | 85367 | Anticoagulation Clinic |
| 3 - Bariatric Clinic | ||||
| 2460 S Parkview Loop Suite 3 | Yuma | AZ | 85364 | Bariatric Clinic |
| 4 - Tuscany Plaza | ||||
| 2851 S Avenue B Bldg 19 | Yuma | AZ | 85364 | Behavioral Health Clinic |
| 5 - Behavioral Health Clinic | ||||
| 7201 E 31st Place | Yuma | AZ | 85365 | Behavioral Health Clinic |
| 6 - Bone and Joint Tuscany Plaza | ||||
| 2851 S Avenue B Bldg 20 Suite 2001 | Yuma | AZ | 85364 | Bone and Joint Clinic |
| 7 - Cardiology | ||||
| 1951 W 25th Street Suite F | Yuma | AZ | 85364 | Cardiology Clinic |
| 8 - Cardiopulmonary Rehabilitation | ||||
| 2460 S Parkview Loop Suite 206 | Yuma | AZ | 85364 | Rehabilitation Clinic |
| 9 - Cardiovascular and Thoracic Surgery Clinic | ||||
| 2460 S Parkview Loop Suite 203 | Yuma | AZ | 85364 | Surgery Center |
| 10 - Center for Bone and Joint Health | ||||
| 2460 S Parkview Loop Suite 3 | Yuma | AZ | 85364 | Bone and Joint Clinic |
| 11 - Children's Rehabilitative Services | ||||
| 2851 S Avenue B Bldg 25 Ste 2504 | Yuma | AZ | 85364 | Rehabilitation Clinic |
| 12 - Diagnostic Imaging Parkview | ||||
| 2460 S Parkview Loop Suite 2 | Yuma | AZ | 85364 | Imaging Clinic |
| 13 - Diagnostic Imaging Promed | ||||
| 2270 Ridgeview Drive Suite 127 | Yuma | AZ | 85364 | Imaging Clinic |
| 14 - Ear Nose and Throat | ||||
| 2680 S Avenue B | Yuma | AZ | 85364 | ENT Clinic |
| 15 - Emergency ResponseLab Annex | ||||
| 2451 S Avenue A | Yuma | AZ | 85364 | COVID testing site |
| 16 - Endoscopy Center | ||||
| 2261 S Avenue B | Yuma | AZ | 85364 | Endoscopy Center |
| 17 - Family Medicine Center | ||||
| 2500 S 8th Avenue Suite 200 | Yuma | AZ | 85364 | Family Medical Clinic |
| 18 - Family Medicine Center - West | ||||
| 1965 W 24th Street Suite A | Yuma | AZ | 85364 | Family Medical Clinic |
| 19 - Foot and Ankle | ||||
| 1881 W 24th Street Suite C | Yuma | AZ | 85364 | Foot and Ankle Clinic |
| 20 - Foothills MOB | ||||
| 11351 E South Frontage Road | Yuma | AZ | 85367 | Foothills Health Campus |
| 21 - Gastroenterology | ||||
| 1390 W 16th Street | Yuma | AZ | 85364 | Gastroenterology Clinic |
| 22 - General Surgery | ||||
| 2270 Ridgeview Drive Suite 201 | Yuma | AZ | 85364 | Surgery Center |
| 23 - General Surgery | ||||
| 2270 Ridgeview Drive Suite 128 | Yuma | AZ | 85364 | Surgery Center |
| 24 - General Surgery | ||||
| 2270 Ridgeview Drive Suite 130 | Yuma | AZ | 85364 | Surgery Center |
| 25 - Health Clinics | ||||
| 2851 S Avenue B Bldg 25 Ste 2503 | Yuma | AZ | 85364 | Health Clinic |
| 26 - Internal Medicine & Diabetes Clinic | ||||
| 3800 W 24th Street Suite 1 | Yuma | AZ | 85364 | Internal Medicine & Diabetes Clinic |
| 27 - Ophthalmology | ||||
| 2270 Ridgeview Drive Suite 303 | Yuma | AZ | 85364 | Ophthalmology Clinic |
| 28 - Outpatient Laboratory Foothills | ||||
| 11282 N Frontage Road | Yuma | AZ | 85367 | Laboratory |
| 29 - Outpatient Laboratory Parkview | ||||
| 2460 S Parkview Loop Suite 2 | Yuma | AZ | 85364 | Laboratory |
| 30 - Outpatient Nutrition Services | ||||
| 2460 S Parkview Loop | Yuma | AZ | 85364 | Nutrition Education Services for Bariatric Pts |
| 31 - Outpatient Services | ||||
| 1320 W 24th Street | Yuma | AZ | 85364 | Outpatient Center |
| 32 - Outpatient Surgery | ||||
| 2460 S Parkview Loop Suite 1 | Yuma | AZ | 85364 | Surgery Center |
| 33 - Pain Management | ||||
| 2460 S Parkview Loop Entrance 3 | Yuma | AZ | 85364 | Pain Management/PMR Clinic |
| 34 - Pediatric Sub-Specialty Clinic | ||||
| 2851 S Avenue B Bldg 25 Ste 2504 | Yuma | AZ | 85364 | Pediatric Clinic |
| 35 - Pediatrics Tuscany Plaza | ||||
| 2851 S Avenue B Bldg 25 | Yuma | AZ | 85364 | Pediatric Clinic |
| 36 - Plastic and Reconstructive Surgery | ||||
| 2460 S Parkview Loop Suite 201 | Yuma | AZ | 85364 | Plastic and Reconstructive Surgery |
| 37 - Walk-in Clinic Foothills | ||||
| 11142 S Scottsdale Drive | Yuma | AZ | 85367 | Primary Care Clinic |
| 38 - Primary Care San Luis | ||||
| 845 E B Street | San Luis | AZ | 85349 | Primary Care Clinic |
| 39 - Southwest PETCT Institute | ||||
| 1320 W 24th Street | Yuma | AZ | 85364 | Imaging Clinic |
| 40 - Specialty Clinics | ||||
| 2851 S Avenue B Bldg 20 Ste 2001 | Yuma | AZ | 85364 | Specialty Clinic |
| 41 - Sports Medicine | ||||
| 2851 S Avenue B Suite 201 | Yuma | AZ | 85364 | Sports Medicine/YRMC Bone & Joint Tuscany |
| 42 - Surgical Specialties | ||||
| 2270 Ridgeview Drive Suite 302 | Yuma | AZ | 85364 | Urology Clinic |
| 43 - Transitional Care ServicesPalliative Care | ||||
| 2451 S Avenue A Suite 104A | Yuma | AZ | 85364 | Transitional Care/Palliative Care Services |
| 44 - Women's Health Center | ||||
| 2911 S 8th Avenue | Yuma | AZ | 85364 | Women's Clinic |
| 45 - Women's Health Center Laborists | ||||
| 2911 S 8th Avenue | Yuma | AZ | 85364 | OB/GYN Laborists-WHC |
| 46 - Women's Health Center Tuscany Plaza | ||||
| 2851 S Avenue B Bldg 6 | Yuma | AZ | 85364 | Perinatology Clinic |
| 47 - Wound Care Center | ||||
| 2460 S Parkview Loop Suite 205 | Yuma | AZ | 85364 | Wound Care Center |
| 48 - YRMC Pediatrics | ||||
| 2359 S 22nd Drive Suite 2 | Yuma | AZ | 85364 | Pediatric Clinic |
| 49 - Yuma Regional Corporate Center | ||||
| 399 W 32nd Street | Yuma | AZ | 85364 | Administrative Services |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Utilizing the worksheets included in the instructions for Schedule H, cost-to-charge ratios were calculated and used to determine amounts reported in the table. |
| Part I, Ln 7 Col(f): | The bad debt expense included on Form 990, Part IX, Line 25(a), but subtracted for purposes of calculating the percentage in this column is $60,142,880. |
| Part II, Community Building Activities: | Economic development:Leader/executive participation in greater Yuma economic development, chamber of commerce, Yuma Visitors Bureau, and Arizona Western College collaborative. In those activities, Yuma Regional Medical Center (YRMC) leadership plays an active role in supporting the business and economic drivers and workforce needs.Yuma Regional Medical Center actively supports tourism as a major economic driver for the community. With approximately 100,000 annual winter visitors, YRMC has actively partnered with the local Yuma Visitors Bureau (YVB) to ensure the medical needs of a high volume of visitors. YRMC leader Shay Andres serves on the YVB board of directors, contributing approximately 3-4 hours per month in professional leadership support. Tourism is a major industry for both Arizona and Yuma County. With proximity to California and Mexico, the area attracts large numbers of travelers and international shoppers. During the winter, Yuma's influx of seasonal visitors positively impacts the economy.Community Support:Yuma Regional Medical Center is involved in several community building activities that address the root causes of health problems. Through these activities, YRMC supports community assets by offering the expertise and resources of our healthcare organization. We encourage employees to be involved in the community through community boards, health advocacy programs, and physical improvement projects to continuously improve the quality of life for the community we serve. Community building activities include the following:Coalition Building:Hospital representation to community coalitions related to community health such as:- Yuma County Anti-drug Coalition- Yuma Community Food Bank- Yuma Drowning Prevention CoalitionCommunity Health Improvement Advocacy:Local, state, and national advocacy in areas such as access to healthcare, public health, transportation, and housing:Crossroads Mission- Financial support for drug/detox program- YRMC hosted the Southwest AZ Town Hall "mental health, substance use and homelessness"- School Health/Sports Physicals.- Healthy Kids Program (teaches family wellness, nutrition, exercise, etc.)- Amberly's Place - support and assistance for victims of sexual abuse |
| Part III, Line 2: | Note 4: Patients who are covered by third-party payors are responsible for related deductibles and coinsurance, which vary in amount. The Medical Center also provides services to uninsured patients and offers those uninsured patients a discount, either by policy or law, from standard charges. The Medical Center estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. For the years ended September 30, 2023 and 2022, additional revenue of approximately $3,247,000 and $3,219,000, respectively, was recognized due to changes in its estimates of implicit price concessions, discounts, and contractual adjustments for performance obligations satisfied in prior years. |
| Part III, Line 4: | YRMC periodically reviews its collection rates for all self-pay accounts and estimates the anticipated collections on all outstanding self-pay balances. A reserve is established to estimate those account balances that are not expected to be collected based on those historical collection rates.See Note 2 on page 11 of the attached financial statements for the footnote "patient accounts receivable, net and Note 4 on page 16 for the footnote "net patient service revenue." |
| Part III, Line 8: | The organization provides acute medical care to all in need without regard to the patient's ability to pay and without regard to their payor source. The community benefits from the prompt provision of acute care services and, to the extent YRMC incurs a shortfall providing such services, this is clearly a benefit to the community.The organization utilizes the step-down method of cost allocation, as prescribed by CMS in the Medicare Cost Report. |
| Part III, Line 9b: | Patients may be eligible for full financial assistance or partial assistance. If partial, the remaining balance on the account will be subject to YRMC'S normal collection process and payment arrangements will be made. The balance will be turned over to a collection agency if any of the following events occur:1. Mail returned - not able to locate patient. Account goes to a collection agency after two consecutive mail returns.2. No telephone listing or disconnected.3. Regular sequence of statements and collection notices sent, including a final notice, with no response. |
| Part VI, Line 2: | Yuma Regional Medical Center (YRMC) has proactively developed several mechanisms for continuous evaluation of community health needs. A comprehensive Community Health Needs Assessments, funded by YRMC. The findings of that survey were shared during a Yuma County leadership plenary session designed for community feedback and community health needs. More recently, YRMC has conducted Community Health Needs Assessments in 2016, 2019 and 2022, as outlined in Part V of this Schedule H.Periodically, the YRMC board of directors conducts a comprehensive physician manpower review, then prepares a medical staff development plan (MSDP). YRMC then implements the plan to recruit those providers needed into the community. |
| Part VI, Line 3: | As each patient is registered for services, request for insurance information or payment is completed. If a patient states that they have no insurance, we will request payment in full or a deposit. If a balance remains, we will interview the patient and complete YRMC financial assistance forms. At this time the patient is given information about the AHCCCS application process, and the application is completed if the patient is eligible (based on residency and income, for example). The application process is an online web-based application called Health-E-AZ. This online process provides a tentative approval pending verification of information to determine if the patient might potentially qualify for AHCCCS. Once it is determined that the patient will not qualify for any government programs, then the financial counselor will visit with the patient and explain the financial assistance program and, if the patient wishes to apply, will retrieve all of the necessary proof of income to complete the financial assistance process. The completion of this process may continue after the patient leaves the hospital until the financial assistance process is completed by the staff in the patient accounting department.If the patient is an emergency room (ER) patient and does not qualify for completing an AHCCCS application, the patient is given a sheet of instructions explaining the financial assistance process, documents that are needed to complete the application, and phone numbers to call to make an appointment to complete the financial assistance process.The financial assistance process involves the collaboration of front-end registrars, financial counselors, med-assist employees, cashiers, and the patient accounting department. |
| Part VI, Line 4: | YRMC is the only hospital in Yuma County and also serves surrounding areas (towns on the California/Arizona border) and residents of Mexican border towns. The county has been designated as a medically underserved area.In Yuma County, approximately 65 percent of the population is Hispanic or Latino and, in the city of San Luis and the city of Somerton (both in Yuma County), over 90 percent of the population is Hispanic or Latino. Yuma County's population is about 208,000 and is expected to grow by 5-6 percent in the next five years.Over 75 percent of the population in Yuma County has a GED or high school diploma; 16 percent have a bachelor's degree or higher. Approximately five percent have a master's degree.The main industries in Yuma County are agriculture, tourism, and the military. There are two military bases here - Marine Corps Air Station Yuma and Yuma Proving Grounds (US Army).Approximately 17 percent of the population is below the poverty line. |
| Part VI, Line 5: | YRMC is involved in several community building activities that address the root causes of health problems. Through these activities, YRMC supports community assets by offering the expertise and resources of our healthcare organization. YRMC encourages employees to be involved in the community through community boards, health advocacy programs and physical improvement projects to continuously improve the quality of life for the communities we serve.See also community-building activities listed for Schedule H, Part II above. |
| Part VI, Line 6: | N/A |
| Part VI, Line 7, Reports Filed With States | AZ |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation of Yuma Regional Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 S Avenue A | AddressLine1Txt |
| City | Yuma | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85364 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 510179146 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $243,427 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | General operating grant | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Yuma Regional Medical Center exercises control over the Foundation of Yuma Regional Medical Center and monitors the use of grant funds through shared members of the Board of Directors of each organization. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert J Trenschel DO MPH | ||||||||||||||
| President/CEO | $1,112,519 | $0 | $319,729 | $0 | $25,487 | $0 | $325,146 | $0 | $22,080 | $0 | $1,804,961 | $0 | $0 | $0 |
| Simon Lavotshikin MD | ||||||||||||||
| General Surgeon | $487,227 | $0 | $775,843 | $0 | $763 | $0 | $12,200 | $0 | $530 | $0 | $1,276,563 | $0 | $0 | $0 |
| Nader Haddad MD | ||||||||||||||
| Obstetrician/Gynecologist | $341,182 | $0 | $796,427 | $0 | $363 | $0 | $12,200 | $0 | $28,715 | $0 | $1,178,887 | $0 | $0 | $0 |
| Abhinav Chandra | ||||||||||||||
| Oncology Program Medical Director | $570,722 | $0 | $488,849 | $0 | $810 | $0 | $12,200 | $0 | $28,715 | $0 | $1,101,296 | $0 | $0 | $0 |
| Robert Takesuye MD | ||||||||||||||
| Radiation Oncologist | $527,056 | $0 | $528,097 | $0 | $2,322 | $0 | $12,200 | $0 | $1,261 | $0 | $1,070,936 | $0 | $0 | $0 |
| Jon-Rene Suffern MD | ||||||||||||||
| Anesthesiologist | $593,994 | $0 | $411,714 | $0 | $449 | $0 | $12,200 | $0 | $28,267 | $0 | $1,046,624 | $0 | $0 | $0 |
| Bharat Magu MD | ||||||||||||||
| SVP/Chief Medical Officer | $478,820 | $0 | $149,084 | $0 | $1,246 | $0 | $120,144 | $0 | $264 | $0 | $749,558 | $0 | $0 | $0 |
| David Willie - SVPChief | ||||||||||||||
| Financial Officer (thru 10/22) | $398,242 | $0 | $256,414 | $0 | $8,666 | $0 | $12,200 | $0 | $17,834 | $0 | $693,356 | $0 | $0 | $0 |
| Diane Poirot | ||||||||||||||
| SVP/Human Resources (thru 05/22) | $210,938 | $0 | $0 | $0 | $400,893 | $0 | $8,041 | $0 | $348 | $0 | $620,220 | $0 | $0 | $0 |
| Deborah Aders RN MS CIC | ||||||||||||||
| SVP/Chief Nursing Officer | $417,756 | $0 | $117,000 | $0 | $6,858 | $0 | $12,200 | $0 | $9,387 | $0 | $563,201 | $0 | $0 | $0 |
| Trudie Milner | ||||||||||||||
| SVP/Operations | $346,306 | $0 | $113,400 | $0 | $3,564 | $0 | $78,224 | $0 | $389 | $0 | $541,883 | $0 | $0 | $0 |
| Fred Peet | ||||||||||||||
| SVP/Chief Information Officer | $316,933 | $0 | $101,400 | $0 | $2,322 | $0 | $92,600 | $0 | $778 | $0 | $514,033 | $0 | $0 | $0 |
| Machele Headington | ||||||||||||||
| SVP/Marketing and Communications | $236,947 | $0 | $91,500 | $0 | $2,322 | $0 | $77,592 | $0 | $22,080 | $0 | $430,441 | $0 | $0 | $0 |
| Robert Seibel | ||||||||||||||
| SVP/General Counsel (thru 09/22) | $250,614 | $0 | $136,021 | $0 | $5,275 | $0 | $12,200 | $0 | $16,985 | $0 | $421,095 | $0 | $0 | $0 |
| Matthew McElrath | ||||||||||||||
| SVP/Human Resources | $228,718 | $0 | $67,275 | $0 | $2,193 | $0 | $67,936 | $0 | $17,671 | $0 | $383,793 | $0 | $0 | $0 |
| Vernon Moore | ||||||||||||||
| SVP/Chief Financial Officer | $225,709 | $0 | $75,475 | $0 | $2,804 | $0 | $75,882 | $0 | $367 | $0 | $380,237 | $0 | $0 | $0 |
| James Adamson | ||||||||||||||
| SVP/General Counsel | $193,253 | $0 | $80,505 | $0 | $1,072 | $0 | $57,416 | $0 | $10,191 | $0 | $342,437 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | The President/CEO is provided a monthly PERQ allowance which is treated as taxable compensation. |
| Part I, Lines 4a-b | Yuma Regional Medical Center established the "capital accumulation and in section 457(f) of the code (Internal Revenue Code of 1986) as approved retention plan" as a non-qualified deferred compensation plan as described by the Board of Directors. The purpose of this plan is to provide certain supplemental retirement benefits to eligible executives. The Board may only designate participants from among those employees who are part of a select group of management or highly compensated employees. YRMC will establish an initial vesting date for each participant and, within the Board's discretion, may offer to extend a participant's vesting date meeting specific criteria as set forth within the plan document. The following individuals participated in the plan and had contributions to the plan in 2022: James Adamson - $56,701 Machele Headington - $65,392 Bharat Magu - $107,944 Matthew McElrath - $56,814 Trudie Milner - $66,024 Vernon Moore - $66,054 Fred Peet - $80,400 Robert J. Trenschel - $312,946 There were no withdrawals from the plan in calendar year 2022. Severance payments were made in calendar year 2022 to the following individuals: Diane Poirot - $400,000 |
| Part I, Line 5 | Yuma Regional Medical Center has a pay-at-risk incentive program for certain executives. See Section II of the Schedule O disclosure for Form 990, Part VI, Lines 15a and 15b for a description of this program. |
| Part I, Line 6 | Yuma Regional Medical Center has a pay-at-risk incentive program for certain executives. See Section II of the Schedule O disclosure for Form 990, Part VI, Lines 15a and 15b for a description of this program. |
| Part I, Line 7 | Yuma Regional Medical Center has a pay-at-risk incentive program for certain executives. See Section II of the Schedule O disclosure for Form 990, Part VI, Lines 15a and 15b for a description of this program. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Industrial Development Authority of City of Yuma Arizona | ||||||||
| A | 860498547 | 988514CE3 | 2014-02-05 | $179,884,512 | See Part VI | 0 | 0 | 0 |
| Arizona Health Facilities Authority | ||||||||
| B | 860453292 | 2015-09-15 | $20,000,000 | Facilities improvements | 0 | 0 | 0 | |
| Industrial Development Authority of City of Yuma Arizona | ||||||||
| C | 860498547 | 2017-03-14 | $20,000,000 | See Part VI | 0 | 0 | 0 | |
| Industrial Development Authority of City of Yuma Arizona | ||||||||
| D | 860498547 | 2019-09-10 | $20,000,000 | See Part VI | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $22,470,000 | $179,901,930 | $1,127,545 | $75,002,093 | $103,375,000 | $397,292 | 2015 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $18,901,280 | $20,000,000 | $78,870 | $19,921,130 | 2016 | 0 | 0 | Yes (1) | Yes (1) | ||
| C | $12,552,740 | $20,097,323 | $84,500 | $20,012,823 | 2019 | 0 | 0 | Yes (1) | Yes (1) | ||
| D | $7,488,859 | $20,126,067 | $74,000 | $20,052,387 | 2023 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Date Rebate Computation Performed | Issuer Name: Industrial Development Authority of City of Yuma, Arizona Date the Rebate Computation was Performed: 03/14/2024 Issuer Name: Arizona Health Facilities Authority Date the Rebate Computation was Performed: 04/10/2023 Issuer Name: Industrial Development Authority of City of Yuma, Arizona Date the Rebate Computation was Performed: 04/10/2023 |
| Part I, Bond A: | Determined to be a single issue for tax purposes comprised of three series of tax-exempt bonds - Series 2014A, Series 2014B, and Series 2014C: (i) all three Series were sold fewer than 15 days apart (ii) all three Series were sold pursuant to a common plan of financing (iii) the source of repayment for all three Series is expected to be the same |
| Part I, Column (c), Bond A: | The CUSIP number reported is that assigned to the final maturity of the Series 2014A bonds; no CUSIP numbers were assigned to either Series 2014B or Series 2014C bonds. |
| Part I, Column (f), Bond A: | The complete purpose of these bonds is current refunding of tax-exempt bonds, facilities improvements, and equipment acquisitions. |
| Part I, Column (f), Bonds C and D: | The complete purpose of these bonds is to finance equipment and information systems acquisitions. |
| Part II, Line 3, Bonds A, C and D: | The amounts reported for the issue price (Part I, column (e)) and the figures on this Line 3 differ by accumulated earnings on undisbursed bond proceeds. |
| Part II, Line 11, Bond A: | The amount reported is the principal amount of tax-exempt bonds currently refunded. |
| Part II, Line 12, Bond A: | This amount was earmarked for issuance costs, but was unspent and transferred to the respective series' revenue funds in accordance with the respective series' bond indentures. |
| Part IV, Line 2c, Bond A: | The rebate calculation was performed on March 14, 2024 for the period March 14, 2024 through March 14, 2029. |
| Part IV, Line 2c, Bond B: | The rebate calculation was performed on April 10, 2023 for the period March 14, 2017 through March 14, 2022. |
| Part IV, Line 2c, Bond C: | The rebate calculation was performed on April 10, 2023 for the period September 15, 2015 through September 15, 2022. |
| Part IV, Line 6, Bond D: | Calculations demonstrate that the yield on the undisbursed Bond proceeds after the expiration of the available temporary period was less than the yield on the Bonds. This is expected to be confirmed when the rebate calculations are complete. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Michael Headington | |||
| Family member of Machele Headington, Key Employee | $90,540 | Salaries & wages | 0 |
| Gary Aders | |||
| Family member of Deborah Aders, Key Employee | $118,524 | Salaries & wages | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Line 6: Services provided by volunteers: | Volunteers are a vital part of Yuma Regional Medical Center (YRMC). YRMC offers opportunities for service that accommodate the schedules of working adults, students and retirees. Some of our volunteers work directly with patients, while others provide invaluable assistance in support areas or with special projects. In FY2023, 291 volunteers assisted in numerous service areas and contributed over 23,000 volunteer hours. Due to COVID-19 precautions, the number of volunteers was down compared to prior years; however, we are confident that the number of volunteers will return to previous levels with the easing of the pandemic. Volunteers are an essential part of YRMC performing a variety of services to help patients, visitors and staff. They offer support in clinical as well as non-clinical areas by performing such duties as information desk receptionist, transporting visitors as a cart driver, book and beverage cart services, patient visitor and wheelchair transporters, warehouse and office assistants, and soothing a crying baby in the NICU. In addition, volunteers support blood drives, hospital support groups, community outreach events, and the patient and family care center. |
| Form 990, Part III, Line 4a: Program service accomplishments: | Yuma Regional Medical Center (YRMC) will be recognized as the model regional medical center. We will work collaboratively to evolve the best system of integrated healthcare in our service area. Our Mission: To improve the health and wellbeing of individuals, families and the communities we serve through excellence, innovation and prudent use of resources. Our Vision: We strive to be recognized as the model regional medical center. We work collaboratively to evolve the best system of integrated healthcare in our service area. Overview: Yuma Regional Medical Center is a licensed 406-bed general acute care hospital that provides inpatient, outpatient, emergency room and other acute care and hospital related services to the people of Yuma, Arizona and the surrounding communities. Not-for-Profit Community Hospital: As a not-for-profit community hospital, Yuma Regional Medical Center is dedicated to meeting the healthcare needs of this community today, tomorrow and well into the future. Through this report, you will learn about many services and programs that we provide. The YRMC team consists of over 3,000 employees, some 600 physicians and over 250 volunteers. YRMC maintains the highest standards for our medical staff to help ensure you receive the quality care you expect. More than 90 percent of the physicians practicing at YRMC are board certified/eligible in one or more specialties. We pledge to serve as an active community partner while continuing our mission to improve the health and well-being of the communities we serve. YRMC Board of Directors: The Board of Yuma Regional Medical Center is composed of an array of professionals who bring their skills and talents together to work, without pay, so that you can receive the highest quality of medical care in your community. As we look to the future, the YRMC Board of Directors has again set the bar high. It is our vision to work collaboratively to evolve the best system of coordinated health care in our service area. As a non-profit community hospital, we reinvest funds remaining at the close of the year into new services and programs for the community. Our strategies moving forward include: the ongoing implementation of an electronic health record to improve patient safety and quality; improving patient access to services through recruitment of physicians in identified shortage areas; investment in new technologies; remaining financially sound; and providing the highest standard of care and patient safety. As a not-for-profit hospital, YRMC has no shareholders. Financial Stability, a Solid Future: As a not-for-profit hospital, Yuma Regional Medical Center relies almost entirely on patient revenues for funding. We do not receive local, state or federal funds through tax levies. There are no out-of-state corporations or private shareholders involved with YRMC - all funds remaining at the end of the year are reinvested for the people and communities we serve. Charity Care/Financial Assistance: At Yuma Regional Medical Center, we believe that all people have a right to medically necessary health care and equal access to diagnostic and therapeutic treatment regardless of financial status. Eligibility criteria for charity care or discounts are based on a percentage of the department of health and human service's annual "federal poverty guidelines." Eligibility criteria includes individual or family income, individual or family net worth, employment status, other financial obligations, amount and frequency of healthcare bills and other financial resources available to the patient. A copy of YRMC's charity care policy is available on the website www.yumaregional.org. Neonatal Care: In FY2023, 386 of our tiniest patients were admitted to and cared for by the specially trained staff in the Neonatal Intensive Care Unit (NICU). YRMC's NICU is licensed to care for infants who have achieved 28 weeks gestation and older. Gestation for a full-term infant is 40 weeks. Infants that are born at YRMC at less than 28 weeks are cared for in the NICU until they are stable enough to transport. Our youngest infants have been 22 weeks. By having a NICU, families are relieved of the expense of going out of town for extended periods of time to be near their sick infants and are able to have a support system nearby. Healthcare Education: Yuma Regional Medical Center is committed to the education of healthcare professionals by providing expanded learning opportunities. YRMC's support of health education and advancement includes a significant commitment to nursing education through partnerships with local community college Arizona Western College (AWC) as well as Northern Arizona University and others. From our education center and simulation lab to clinical rotations and learning in the inpatient and outpatient setting, YRMC provides ongoing support for the development of nurses. YRMC also serves as a primary partner with AWC for a successful radiology tech program. Clinical internships and teaching for radiology tech students provide both inpatient and outpatient internship opportunities for local students. AWC massage therapy students utilize space in our outpatient clinic (and cancer center) - a partnership that includes the ability to provide YRMC cancer patients with massage therapy services at no cost. YRMC also supports a growing family medicine residency program as well as rotations for other medical specialties including sports medicine. Our pharmacy serves as a clinical site for interns, a program that continues to support the expanded need for trained pharmacists, social workers and clinical pastoral education (hospital chaplain residents). Training Tomorrow's Nurses: At the Yuma regional education center, nursing students from Northern Arizona University - Yuma apply classroom lessons in a setting that mirrors a hospital environment. Students work in a skills lab that has adult, child and infant Vitalsims - these are mannequins pre-programmed with heart rhythms, lung and bowel sounds and even voices. In a workshop outfitted with more advanced mannequins, called Simsman and Simsbaby, an observing instructor controls the physical traits of the simulated patient in response to the nurse's care during full lifelike scenarios. "The goal of our education center is to provide as many resources as possible to help nursing students and employees grow in knowledge and skill," says a clinical lab specialist at Yuma Regional Medical Center. "We feel it's an essential component in providing excellent patient care." Palliative Care: At times when acute medical care is no longer effective in addressing a patient's illness, patients need a team of nurses, social workers, chaplains and physicians to help patients and their families with palliative care services which help people work through the physical, emotional and spiritual concerns of serious, progressive illnesses. The goals are to help people have the best possible quality of life and to be allowed to die with dignity. Treatments and techniques focus on improving the quality of life of patients with illnesses such as cancer, heart failure and chronic obstructive pulmonary disease. Pain management plays a key role in palliative care. Palliative care helps patients understand the nature of their illness and make timely, informed decisions about their lives. Clinical Pastoral Education Program: The Clinical Pastoral Education (CPE) program at Yuma Regional Medical Center trains clergy of all faiths to provide healing, comfort and support to patients and their families during their hospital experience. YRMC offers level 1, level 2 and supervisory CPE. The CPE program is accredited by the Association for Clinical Pastoral Education. Recognized for its exceptionally high standards, the year-long residency program at YRMC offers a stimulating learning environment that encourages both personal and professional growth. Students learn how to provide emotional and spiritual support to individuals of all faiths and beliefs to help empower them in their healthcare experience. Students may experience a wide range of unique opportunities to practice chaplaincy within a clinical team environment, such as working with trauma situations and end-of-life issues and celebrating births. Residents become expert in active-listening skills, organ and tissue donation processes and advance directives. YRMC typically offers five chaplaincy residencies per year. Ensuring the Health Needs of Tomorrow: YRMC leaders and residents providing mentoring and support to high school students through the uniquely designed "Mentor Me MD." Residents and leaders teach and mentor young students who have interest in pursuing medicine. The program offers a variety of hands-on learning, mentoring and support. |
| Form 990, Part VI, Section B, line 11b | Prior to filing the Form 990, the return is uploaded to the Board Portal and Board members are encouraged to review it prior to the board meeting. Management also reviews the Form 990 prior to filing. At the board meeting, the Board approves the Form 990 for filing. |
| Form 990, Part VI, Section B, line 12c | The Conflict of Interest Policy covers members of the Yuma Regional Medical Center (YRMC) Board, including any ex-officio member, who by virtue of their position, may influence decisions affecting YRMC. YRMC requires the disclosure of potential conflicts of interest so that appropriate action may be taken to ensure that such conflicts will not inappropriately influence important decisions. The disclosures are reviewed by general counsel. In the event of a potential conflict, the board member must disclose to the Board the existence of any such interest and be given the opportunity to disclose all material facts. The Board may request additional information from all reasonable sources and shall involve the general counsel in its deliberations. Once all necessary information has been obtained, the Board shall make a finding as to whether a conflict of interest indeed exists. The Board determines by a majority vote in executive session without the subject member as to whether the disclosed interest may result in a conflict of interest. If the Board determines that subject board member has a conflict of interest, subject board member will be disqualified from voting on the decision under consideration. |
| Form 990, Part VI, Section B, line 15 | The Board of Yuma Regional Medical Center (YRMC) has adopted a competitive pay strategy in order to attract and retain qualified executives to lead our organization and to fairly compensate executives for advancing the mission of YRMC. The policy is also intended to establish a formal, consistent process for governing executive compensation decisions. This process is meant to establish a rebuttable presumption of reasonableness under IRC Section 4958. In determining compensation of the President/CEO and other executives considered disqualified individuals, an outside consultant is engaged periodically to provide market comparability data, and contemporaneous substantiation of the deliberation and decision making, for setting up total compensation packages, including an incentive pay program known as "pay-at-risk and executive retirement programs. Our total compensation philosophy is comprised of the following elements: Role of the Compensation Committee: The Board's Compensation Committee, after reviewing the material provided by the consultant, sets the compensation for the President/CEO as well as the compensation policy and strategy for other executives to be implemented by the President/CEO. The Compensation Committee presents its recommendations to the full Board for endorsement. Peer Group: A national peer group of health care organizations comparable to YRMC in revenue, structure, mission, and scope of operations is used in collecting comparability data. Competitive Positioning: -Salary range midpoints are set at the 60th percentile of the peer group and individual salaries are positioned within the salary ranges based on factors such as qualifications, experience, and performance as well as recruitment and retention need. -Annual incentive: the "pay-at-risk" opportunity for the President/CEO, Senior Vice Presidents, Vice Presidents, and Directors is positioned on par with the average levels provided to individuals occupying comparable positions in the peer groups. -Benefit expenditures are positioned above the 75th percentile and designed to encourage retention and stability of the executive team. -Our total compensation, including cash compensation and benefits, will be positioned at approximately the 75th percentile for expected performance. Total compensation above the 75th percentile may be achieved for exceptional or superior performance. Appropriate perquisites will be provided based on position level and a moderate severance policy is also provided based on position level. "Pay-at-Risk" Incentive Program: YRMC's annual incentive plan is based on YRMC's strategy as outlined by the Board of Directors and uses a combination of organizational and individual performance measures contained in the Organizational Balanced Scorecard and Leadership Scorecards flowing from it. Triggers are established to define certain minimum performance levels that must be met before incentive awards may be paid, including a net operating margin threshold of 80% of budget and maintenance of accreditation. Insurance Products: A number of executive insurance products are available at the executive's choice. The currently available programs are: -Long-term care insurance for the executive and spouse -Executive disability coverage (This would supplement the basic hospital plan.) -Survivor life insurance (For executives enrolling in this benefit, the hospital will pay the executive's premium). Under applicable tax rules, the premium payments made by the hospital will be treated as a loan, and the executive must pay interest on hospital-paid premiums. The hospital will be repaid from the cash surrender value of the policy or the face amount of the policy in the event of death. This arrangement is documented by an agreement acceptable to YRMC. |
| Form 990, Part VI, Section C, line 19 | YRMC's governing documents, including Bylaws and Articles of Incorporation, and Conflict of Interest Policy are available to the general public upon request. YRMC's financial statements are posted on the EMMA website. |
| Form 990, Part IX, line 11g | Physicians fees: Program service expenses 59,081,792. Management and general expenses 0. Fundraising expenses 0. Total expenses 59,081,792. Purchased services: Program service expenses 27,670,202. Management and general expenses 6,984,321. Fundraising expenses 0. Total expenses 34,654,523. Consulting fees: Program service expenses 0. Management and general expenses 5,397,799. Fundraising expenses 0. Total expenses 5,397,799. Medical director fees: Program service expenses 906,725. Management and general expenses 0. Fundraising expenses 0. Total expenses 906,725. Therapist fees: Program service expenses 4,031,973. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,031,973. Medical services: Program service expenses 1,076,037. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,076,037. |
| Form 990, Part XI, line 9: | Change in fair value of interest rate swaps 1,105,859. Decrease in pension liability 14,182,885. Other changes in net assets 2,979. Accounting change in pension plan expense - non-service cost -596,769. Change in interest in Foundation 972,536. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Southwest Health Collaborative LLC | |||||||||
| 2400 S Avenue A | Yuma | AZ | 85364 | 822352860 | Healthcare | AZ | $115,824 | $415,119 | YUMA REGIONAL MEDICAL CENTER |
| Yuma Regional Health System Insurance LLC | |||||||||
| 2400 S Avenue A | Yuma | AZ | 85364 | 823158109 | Healthcare | AZ | $6,451,009 | $22,388,714 | YUMA REGIONAL MEDICAL CENTER |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation of Yuma Regional Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 S Avenue A | AddressLine1Txt |
| City | Yuma | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85364 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510179146 | EIN |
| Primary Activities | Supporting | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 12a, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Yuma Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Yuma Rehabilitation Hospital LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9001 Liberty Parkway | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35242 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 943427408 | EIN |
| Primary Activities | Rehabilitation hospital | PrimaryActivitiesTxt |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Share Of Total Income | $2,592,074 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $7,868,606 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.49000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Foundation of Yuma Regional Medical Center | ||
| B | $242,927 | Cash Transferred |
| Foundation of Yuma Regional Medical Center | ||
| C | $428,067 | Cash Transferred |
| Yuma Rehabilitation Hospital LLC | ||
| S | $2,079,184 | Cash transferred |
Comments