2023-05-12T01:03:21+00:00 2022-06-30 346565596 ERNST YOUNG US LLP 2323 VICTORY AVENUE SUITE 2000 DALLAS TX 75219 990 2021-07-01 860100882 Verde Valley Medical Center VERD 9286396442 269 SOUTH CANDY LANE COTTONWOOD AZ 86326 FLORENCE L SPYROW NAH PRESIDENT/CEO 2023-05-12 true CLIFFORD LOADER 999009999 Patrick Shields P01508556 2149698000 2023-05-11 2021 2023-04-26 12:10:37Z JOSHUA TINKLE 1200 N BEAVER STREET FLAGSTAFF AZ 86001 209945790 false X WWW.NAHEALTH.COM X 1939 AZ IMPROVING HEALTH, HEALING PEOPLE. 12 10 0 7 370979 0 5955282 5032057 175713011 193870140 14412145 7881737 3551746 3161856 199632184 209945790 0 0 0 0 64749592 75648064 0 0 95889651 91436737 160639243 167084801 38992941 42860989 444389010 370915260 91770893 66441425 352618117 304473835 IMPROVING HEALTH, HEALING PEOPLE. false false 140967408 0 181786073 TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY THROUGH INPATIENT, OUTPATIENT AND EMERGENCY HOSPITAL CARE AND RELATED MEDICAL SERVICES, CHARITY CARE AND COMMUNITY SERVICE. TOTAL INPATIENT DISCHARGES WERE 5,386 AND 21,138 PATIENT DAYS. OUTPATIENT VISITS APPROXIMATED 602,381 AND 22,077 EMERGENCY VISITS. 7009311 0 15202847 TO PROVIDE EMERGENCY SERVICES, CANCER TREATMENT, AND OTHER ANCILLARY SERVICES TO THE COMMUNITY THROUGH THE OPERATION OF THE VERDE VALLEY MEDICAL CENTER SEDONA CAMPUS. EMERGENCY VISITS WERE 7,962. RADIATION ONCOLOGY PROCEDURES WERE 11,575. MEDICAL IMAGING PROCEDURES WERE 13,977. LABORATORY PROCEDURES WERE 35,107. PHYSCIAL THERAPY VISITS WERE 34,373. 147976719 true false false true false false false false false true false false false true true false true false false false false false false false false true true false false true true false true false false false false false false false false false false false false false true true true false false true X 32 0 true 0 true true false false false false false false false false false false false X 12 10 false false false false true true true true true false false true true true true true true true true false X WILLIE FELTS 9282143545 1120 W UNIVERSITY AVENUE 2ND FLOOR FLAGSTAFF AZ 86001 FLORENCE SPYROW NAH PRESIDENT/CEO 6.0 34.0 X X 0 1284451 32656 Janet Corrigan DIRECTOR/CHAIR (CHAIR THRU 09/21) 1.0 2.0 X X 0 0 0 KENNETH SALCE MD DIRECTOR/SECRETARY (THRU 11/21) 1.0 2.0 X X 0 0 0 MICHAEL MARTINELL DIRECTOR/VICE CHAIR (AS OF 10/21) 1.0 2.0 X X 0 0 0 WILLIAM RILEY DIRECTOR/CHAIR (AS OF 10/21) 1.0 2.0 X X 0 0 0 Alice Gagnaire RN DIRECTOR 1.0 2.0 X 0 0 0 CHARLES MARR DIRECTOR 1.0 2.0 X 0 0 0 Charlie Agee DIRECTOR (AS OF 9/21) 1.0 2.0 X 0 0 0 ERIC CROWELL DIRECTOR 1.0 2.0 X 0 0 0 GUADALUPE WOODSON FNP DIRECTOR (THRU 7/21) 1.0 2.0 X 0 0 0 JOHN RIVERS DIRECTOR/SECRETARY (AS OF 10/21) 1.0 2.0 X 0 0 0 Randall Garrison DIRECTOR 1.0 2.0 X 0 0 0 Troy Lorents Director (AS OF 7/21) 1.0 2.0 X 0 0 0 WILLIAM JEFFERS DIRECTOR/TREASURER (AS OF 10/21) 1.0 2.0 X 0 0 0 CLIFFORD LOADER Chief Financial Officer 8.0 32.0 X 0 581017 18705 JOSHUA TINKLE CHIEF OPERATING OFFICER 10.0 30.0 X 0 572835 35385 Derek Feuquay Chief Medical Officer 10.0 30.0 X 0 529875 31875 Leon Pontikes Chief Medical Officer (Thru 8/21) 10.0 30.0 X 0 543790 25627 Brett Brawley Clinical Manager 40.0 0.0 X 0 178997 30407 Cheryl Chase Manager Pharmacy Operations 40.0 0.0 X 0 202708 28554 Frank Rafie Chief Medical Radiation Physicist Clinicist 40.0 0.0 X 0 312266 31158 LORI SMITHSON Clinical Manager (As of 10/21) 40.0 0.0 X 0 213649 29792 Stewart Wilson Pharmacist 40.0 0.0 X 0 182969 15612 0 4602556 279771 0 false true false AYA HEALTHCARE INC PO BOX 123519 DALLAS TX 75312 CONTRACT LABOR 9066752 MAYO CLINIC MAYO MEDICAL LABOR PO BOX 9146 MINNEAPOLIS MN 55480 MEDICAL SERVICES 930920 CRITICAL CARE CONSULTANTS OF AZ PO BOX 967 FLAGSTAFF AZ 86002 MEDICAL SERVICES 618104 GE MED SYSTEMS ULTRASOUND PRIMARY CARE PO BOX 74008831 CHICAGO IL 60674 CONTRACT LABOR 482148 INSTRUMENTATION LABORATORY COMPANY PO BOX 347934 PITTSBURGH PA 15251 LABORATORY SERVICES 258061 14 5032057 5032057 NET PATIENT SERVICES REVENUE 622110 170777451 170777451 LABORATORY SERVICES 621500 18283324 18277815 5509 LABORATORY PATHOLOGY SERVICES 621500 4443895 4443895 PHARMACY RETAIL 446110 365470 365470 0 0 0 0 193870140 6736977 6736977 43076 43076 0 43076 43076 631401 513359 631401 513359 1144760 1144760 CAFETERIA SALES 722514 988050 988050 340B REVENUE 446110 74916 74916 GIFT SHOP SALES 900099 80026 80026 1975788 1975788 0 0 3118780 209945790 196617941 370979 7924813 0 0 65186029 56953628 8232401 585586 476439 109147 6511565 5297882 1213683 3364884 2737707 627177 90021 90021 4933 4933 7287945 5096899 2191046 0 1613 1212 401 8971560 6825396 2146164 149953 149953 119604 47700 71904 1030578 765148 265430 9219641 8013617 1206024 1495379 1301563 193816 MEDICAL SUPPLIES 30100479 30100479 EXPENSE REIMBURSEMENT TO NAH 23000124 20361309 2638815 AHCCCS ASSESSMENTS 7860599 7860599 MEDICAL PURCHASE SERVICES 1685355 1685355 418953 301833 117120 0 167084801 147976719 19108082 0 5993 5745 104111058 59061811 0 0 22124558 25413856 0 0 0 0 0 0 4457509 4738727 2280932 1577777 238433540 155011583 88796583 83421957 218086768 192192495 0 0 0 0 4525609 4502892 444389010 370915260 15049013 9743501 0 0 19903350 4820632 42097297 40887904 0 0 0 0 0 0 0 0 14721233 10989388 91770893 66441425 X 352618117 304473835 0 0 0 0 0 0 0 0 352618117 304473835 444389010 370915260 X 42860989 -33229792 -57775479 X false true X true false X false false false false false false false false true 4933 4933 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY VERDE VALLEY MEDICAL CENTER PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION, THE AMERICA'S ESSENTIAL HOSPITALS AND THE HEALTH SYSTEM ALLIANCE OF ARIZONA. A PERCENTAGE OF THIS AMOUNT, TOTALING $4,933, WAS ESTIMATED TO BE ATTRIBUTABLE TO LOBBYING RELATED TO HEALTHCARE ADVOCACY AT THE FEDERAL, STATE, REGIONAL, AND LOCAL LEVELS. 4238797 4238797 134924422 81800568 53123854 1014335 948329 66006 85197280 65769548 19427732 13058706 6493138 6565568 83421957 INSURANCE DEDUCTIBLES RES-LT 10179613 MINIMUM PENSION LIABILITY 7780641 GAAP PRESENTATION OF INS CLAIMS 772763 OPERATING LEASE LIABILITIES-CURRENT 29737 CLAIMS MALPRACTICE -7773366 10989388 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE CORPORATION IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION'S MANAGEMENT IS NOT AWARE OF ANY EVENTS THAT WOULD CAUSE THE CORPORATION TO LOSE ITS TAX-EXEMPT STATUS. MANAGEMENT HAS REVIEWED ALL OPEN TAX YEARS AND HAS DETERMINED THAT THE CORPORATION HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS. true true X true X true X false true true false true true 10444624 0 10444624 0.0625 33096478 15699321 17397157 0.1041 0 0 0 0.0 0 0 43541102 15699321 27841781 0.1666 1144120 187312 956808 0.0057 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 1144120 187312 956808 0.0057 0 0 44685222 15886633 28798589 0.1724 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 8289944 11530677 49479203 41834062 7645141 X true true 1 1 VERDE VALLEY MEDICAL CENTER 269 S CANDY LANE COTTONWOOD AZ 86326 HTTPS://NAHEALTH.COM H0122 X X X VERDE VALLEY MEDICAL CENTER 1 false false true X X X X X X X X X 22 true true false true X HTTPS://NAHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X true 22 true HTTPS://NAHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT false true X 200.0 400.0 X X X X X X true true X X X true X WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/ X WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/ X WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - VERDE VALLEY MEDICAL CENTER. AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, A FOCUS GROUP WAS HELD IN 2022 COLLABORATION WITH COCONINO COUNTY HEALTH AND HUMAN SERVICES AND YAVAPAI COUNTY COMMUNITY HEALTH SERVICES AS PART OF THEIR COMMUNITY HEALTH IMPROVEMENT PLANS. THE FOCUS GROUP INCLUDED KEY INFORMANTS IN THE COMMUNITY, SUCH AS: REPRESENTATIVES FROM PUBLIC HEALTH; PHYSICIANS; OTHER HEALTH PROFESSIONALS; SOCIAL SERVICE PROVIDERS; AND OTHER COMMUNITY LEADERS. AGENCIES REPRESENTED WERE: COCONINO COUNTY CHIP ACCESS TO CARE GROUP: NORTH COUNTRY HEALTHCARE, FLAGSTAFF UNIFIED SCHOOL DISTRICT, NORTHERN ARIZONA UNIVERSITY, NATIVE AMERICANS FOR COMMUNITY ACTION, NORTHERN ARIZONA REGIONAL BEHAVIORAL HEALTH AUTHORITY, HIGHLANDS FIRE DISTRICT, SALVATION ARMY, UNITED WAY OF NORTHERN ARIZONA, NORTHERN ARIZONA COUNCIL ON AGING, FIRST THINGS FIRST, FLAGSTAFF FAMILY FOOD BANK, AND NORTHERN ARIZONA INTERGOVERNMENTAL PUBLIC TRANSPORTATION AUTHORITY. YAVAPAI COUNTY CHIP GROUP: YAVAPAI JUSTICE MENTAL HEALTH COALITION, SPECTRUM HEALTHCARE, COTTONWOOD-OAK CREEK UNIFIED SCHOOL DISTRICT, NAMI SEDONA, NAMI YAVAPAI, CARE 1ST, FAMILY INVOLVEMENT CENTER, EXPECT MORE AZ, NACOG-AAA, VERDE VALLEY CAREGIVERS, ALZHEIMER'S ASSOCIATION, AND FIRST THINGS FIRST. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. PARTICIPANTS INCLUDED A REPRESENTATIVE OF PUBLIC HEALTH, AS WELL AS SEVERAL INDIVIDUALS WHO WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS, AND THOSE WHO WORK WITH PERSONS WITH CHRONIC DISEASE CONDITIONS. WRITTEN COMMENTS WERE SOLICITED BY THE GROUPS AND INDIVIDUALS LISTED ABOVE, AS WELL AS THE COMMUNITIES SERVED AT LARGE THROUGH A SURVEY MONKEY INSTRUMENT. COMMUNITY MEMBERS ARE ENCOURAGED TO PROVIDE FEEDBACK AND INPUT FOR OUR PRIOR AND CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN. COMMENTS MAY BE EMAILED TO: PUBLICRELATIONS@NAHEALTH.COM. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - VERDE VALLEY MEDICAL CENTER. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN CONJUNCTION WITH ITS RELATED HOSPITAL FACILITY, FLAGSTAFF MEDICAL CENTER. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - VERDE VALLEY MEDICAL CENTER. THE FOLLOWING "AREAS OF OPPORTUNITY" REPRESENT THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, BASED ON THE INFORMATION GATHERED THROUGH THIS COMMUNITY HEALTH NEEDS ASSESSMENT. FROM THESE DATA, OPPORTUNITIES FOR HEALTH IMPROVEMENT EXIST IN THE AREA WITH REGARD TO THE FOLLOWING HEALTH ISSUES. THE AREAS OF OPPORTUNITY WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THESE ALSO TAKE INTO ACCOUNT THOSE ISSUES OF GREATEST CONCERN TO THE COMMUNITY STAKEHOLDERS (KEY INFORMANTS) GIVING INPUT TO THIS PROCESS. AREAS OF OPPORTUNITY IDENTIFIED THROUGH THIS ASSESSMENT: ACCESS TO HEALTH SERVICES - COST OF PHYSICIAN VISITS (FLAGSTAFF REGION) - ACCESS TO PRIMARY CARE PHYSICIANS (VERDE VALLEY REGION) - ADULT ROUTINE MEDICAL CARE - RATINGS OF LOCAL HEALTH CARE RESOURCES AVAILABLE FOR ACCESS TO HEALTH SERVICES (INCLUDING TRANSPORTATION AS A BARRIER) APRICUS CANYON LANDS HEALTH CARE CATHOLIC SOCIAL SERVICES CITY OF FLAGSTAFF COCONINO COUNTY COMMUNITY HEALTH CENTER OF YAVAPAI COMMUNITY HEALTH LEADERS CONCIERGE PRACTICES DENTIST'S OFFICES DOCTOR'S OFFICES FLAGSTAFF MEDICAL CENTER FLAGSTAFF SHELTER SERVICES THE GUIDANCE CENTER, INC. HAVEN HEALTH HOSPITALS NATIVE AMERICANS FOR COMMUNITY ACTION (NACA) NORTH COUNTRY HEALTHCARE NORTHERN ARIZONA HEALTHCARE BEHAVIORAL HEALTH NORTHERN ARIZONA HEALTHCARE MEDICAL GROUP OPIOID OVERDOSE PREVENTION PROGRAM PATHFINDER HEALTH POORE MEDICAL CLINIC RED ROCK PEDIATRICS SPECTRUM HEALTHCARE TERROS HEALTH UNIVERSITY URGENT CARE VERA WHOLE HEALTH VERDE VALLEY MEDICAL CENTER VETERAN'S ADMINISTRATION YAVAPAI COUNTY HEALTH DEPARTMENT ACTIONS/CHANGES FOR ACCESS TO HEALTHCARE SINCE 2019 CHNA NORTHERN ARIZONA HEALTHCARE CONDUCTED ITS LAST CHNA IN 2019 AND REVIEWED THE HEALTH PRIORITIES IDENTIFIED THROUGH THAT ASSESSMENT. TAKING INTO ACCOUNT THE TOP-IDENTIFIED NEEDS - AS WELL AS HOSPITAL RESOURCES AND OVERALL ALIGNMENT WITH THE HOSPITAL'S MISSION, GOALS AND STRATEGIC PRIORITIES - IT WAS DETERMINED AT THAT TIME THAT NORTHERN ARIZONA HEALTHCARE, WHICH OPERATES FLAGSTAFF MEDICAL CENTER AND VERDE VALLEY MEDICAL CENTER, WOULD FOCUS ON DEVELOPING AND/OR SUPPORTING STRATEGIES AND INITIATIVES TO IMPROVE: - ACCESS TO HEALTH SERVICES - MENTAL HEALTH MENTAL DISORDERS - CHRONIC DISEASE STRATEGIES FOR ADDRESSING THESE NEEDS WERE OUTLINED IN NORTHERN ARIZONA HEALTHCARE'S IMPLEMENTATION STRATEGY. PURSUANT TO IRS REQUIREMENTS, THE FOLLOWING SECTIONS PROVIDE AN EVALUATION OF THE IMPACT OF THE ACTIONS TAKEN BY FLAGSTAFF MEDICAL CENTER AND VERDE VALLEY MEDICAL CENTER TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS IN OUR COMMUNITY. PRIORITY AREA: ACCESS TO HEALTH SERVICES STRATEGY #1: BUILD THE CAPACITY OF EMPLOYED PRIMARY CARE CLINICS RESULTS: - IMMEDIATE CARE CREATED AT VVMC - VIRTUAL CARE SERVICES EXPANDED TO PRIMARY CARE AT FMC AND VVMC. - FMC AND VVMC EXPANDED OFFICE HOURS TO INCLUDE SAME DAY AND SATURDAY APPOINTMENTS - NON-EMERGENT ED APPOINTMENTS DECREASED FOR THE NAH EMPLOYEES AND DEPENDENTS 3.5% FROM 2020 TO 2021. - AMOUNT PAID PER ED VISITS DECREASED 29.3% FROM 2020 TO 2021. - WELL VISITS AND PREVENTATIVE SCREENINGS VISITS INCREASED FOR THE NAH EMPLOYEE AND DEPENDENT POPULATION FROM 39% IN 2019 TO 40% IN 2021. - NAH PRIMARY CARE HAS INCREASED BY 2699 PATIENTS BETWEEN 2019 AND 2021. STRATEGY #2: PROVIDE REMOTE PATIENT MONITORING RESULTS: - TELEHEALTH VISITS INCREASED 76.8% BETWEEN 2020 AND 2021 FOR NAH EMPLOYEES AND DEPENDENTS - 86 PATIENTS WERE ENROLLED IN REMOTE PATIENT MONITORING BETWEEN 2019 AND 2021 STRATEGY #3: IDENTIFY APPROPRIATE PATIENTS TO ENROLL IN COMMUNITY CARE NETWORK PROGRAM RESULTS: - NAH SAVED AN ADDITIONAL $76,858 FROM 2020 AND 2021 IN COMPLEX CARE MANAGEMENT OF EMPLOYEES AND DEPENDENTS - 773 PATIENTS WERE ENROLLED IN COMMUNITY CARE MANAGEMENT IN 2021 PRIORITY AREA: CHRONIC DISEASE STRATEGY #1: SETTING UP AND RUNNING A COVID-19 VACCINATION CLINIC RESULTS: - OVER 32,000 COVID VACCINATIONS GIVEN STRATEGY #2: DEVELOP A COMPREHENSIVE CARDIOVASCULAR SERVICE LINE RESULTS: - INCREASED ACCESS TO CARDIOVASCULAR CARE BY O ADDED 2 NEW PROVIDERS SINCE 2019 - ADDED ELECTROPHYSIOLOGY SINCE 2019 - ADDED TO AND UPGRADED PHONE SYSTEM - ADDED SUPPORT STAFF TO MEET COMMUNITY NEED - NAH EMPLOYEES AND DEPENDENTS INCREASED CHOLESTEROL SCREENINGS BY 3% FROM 2019 TO 2021 STRATEGY #3: CONDUCT CARDIOVASCULAR / DIABETES AND TOBACCO COMMUNITY SCREENINGS RESULTS: - 1900 NORTHERN AZ RURAL AND UN/UNDER INSURED COMMUNITY MEMBERS WERE SCREENED FOR CHOLESTEROL, DIABETES, AND TOBACCO USE - THE COVID WORLDWIDE PANDEMIC PAUSED THE COMMUNITY SCREENINGS FOR 2020 AND 2021 PRIORITY AREA: MENTAL HEALTH AND MENTAL DISORDERS STRATEGY #1: PARTNER WITH COMMUNITY AGENCIES TO PROVIDE COLLABORATIVE CARE RESULTS: - VVMC PARTNERED WITH SPECTRUM HEALTHCARE TO CREATE A COMMUNITY FOCUSED APPROACH TO ED PATIENTS WITH MENTAL HEALTH NEEDS - CPI TRAINING FOR SITTERS AND ED STAFF AT FMC AND VVMC - NAHMG INTEGRATED BEHAVIORAL HEALTH WITH PRIMARY CARE - NAH FOUNDATION PROVIDED GRANTS TO NACA FOR SUICIDE PREVENTION - FMC PARTNERED WITH NAU TO SURVEY EMPLOYEES WITH THEIR UNDERSTANDING OF BEHAVIORAL AND MENTAL HEALTH - THE 2020 FLAGSTAFF LEADERSHIP PROGRAM CHOSE MENTAL HEALTH AS THEIR COMMUNITY LEADERSHIP PROJECT - DEPRESSION SUBSTANCE ABUSE SCREENING AT NAHMG PRIMARY CARE CLINICS - CREATION OF THE PEDIATRIC BEHAVIORAL HEALTH COLLABORATIVE IN 2019 - FMC SUPPORTS DUI/DRUG COURT TREATMENT PROGRAM - FMC ED STARTED TRAUMA START SCREENINGS AND BRIEF INTERVENTION / ASSESSMENT STRATEGY #2: SUPPORT MENTAL HEALTH FIRST AID TRAINING RESULTS: - FMC AND VVMC OFFER MENTAL HEALTH FIRST AID TRAINING FOR EMPLOYEES AND COMMUNITY MEMBERS - NAH FOUNDATION RAISED FUNDS FOR MENTAL HEALTH FIRST AID TRAINING - FMC IS A SUPPORTING MEMBER OF THE STRONGER AS ONE COLLABORATIVE STRATEGY #3: BEHAVIORAL HEALTH SERVICES OFFERED VIA TELEHEALTH RESULTS: - 393 NAH EMPLOYEES AND DEPENDENTS HAD TELEHEALTH BH VISITS IN 2021 - 19 NAH EMPLOYEES AND DEPENDENTS WERE ENROLLED IN COMPLEX CARE PROGRAM, VIA TELEHEALTH, FOR BH AND SA IN 2021 Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - VERDE VALLEY MEDICAL CENTER. TO BE ELIGIBLE FOR NAH'S FINANCIAL ASSISTANCE PROGRAM, YOU MUST BE: - INELIGIBLE FOR MEDICAID; APPROVED FOR MEDICAID AFTER THE DATE OF MEDICAL SERVICE; OR MEDICAID-ELIGIBLE BUT RECEIVING SERVICES NOT COVERED BY MEDICAID - RECEIVING MEDICALLY NECESSARY CARE - ABLE TO DEMONSTRATE FINANCIAL NEED ACCORDING TO THE FEDERAL POVERTY LEVEL, OR FPL, WHICH MEANS YOUR GROSS INCOME IS LESS THAN 400 PERCENT OF THE MINIMUM AMOUNT REQUIRED TO SUSTAIN A FAMILY AS DETERMINED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 7 VVMC SEDONA CAMPUS 3700 WEST HIGHWAY 89A SEDONA AZ 86366 EMERGENCY SERVICE, LAB, RADIOLOGY, PHYSICIAN OFFICE VVMC MEDICAL OFFICE BUILDING 294 WEST HIGHWAY 89A COTTONWOOD AZ 86326 PHYSICIAN OFFICES, VVMIC RADIOLOGY VVMC CAMP VERDE CAMPUS 1298 WEST FINNIE FLAT RD CAMP VERDE AZ 86322 PHYSICIAN OFFICES, LAB, RADIOLOGY, PHYSICAL THERAPY ENTIRECARE REHAB SPORT MED - SEDONA 35 DRY CREEK ROAD SEDONA AZ 86366 PHYSICAL THERAPY ENTIRECARE REHAB SPORT MEDICINE - VOC 6560 HIGHWAY 179 SUITES 118 120 VILLAGE OF OAK CREEK AZ 86351 PHYSICAL THERAPY VVMC MEDICAL OFFICE BLDG - VOC 61 BELL ROCK PLAZA SUITE A B C VILLAGE OF OAK CREEK AZ 86351 PHYSICIAN OFFICES, LAB NAHMG-MANZANITA BLDG 450 S WILLARD ST STE 101 COTTONWOOD AZ 86326 PHYSICIAN OFFICE Schedule H, Part I, Line 3 FEDERAL POVERTY LEVEL WRITE-OFF PERCENTAGES EXPLANATION FOR VARIOUS PERCENTAGES USED: 200% OF THE FEDERAL POVERTY LEVEL ("FPL") = 100% CHARITY WRITE-OFF. 201-250% OF FPL = 75% CHARITY WRITE-OFF. 251-300% OF FPL = 50% WRITE-OFF. 301-350% OF FPL = 25% WRITE-OFF. 351-400% OF FPL = 15% WRITE-OFF. Schedule H, Part I, Line 3c DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE CHARITY CARE INCOME LEVELS ARE BASED ON THE FEDERAL POVERTY GUIDE PUBLISHED IN THE FEBRUARY FEDERAL REGISTER ON AN ANNUAL BASIS. A TIERED METHOD IS UTILIZED FOR DETERMINING WHETHER A PATIENT IS ELIGIBLE FOR 100%, 75%, 50%, 25%, OR 15% WRITE-OFF OF THE SELF-PAY BALANCE. Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT THE INFORMATION FOR THE COMMUNITY BENEFITS REPORT IS GATHERED BY THE COMMUNITY RELATIONS DEPARTMENT WHICH IS A DEPARTMENTS OF NORTHERN ARIZONA HEALTHCARE. FLAGSTAFF MEDICAL CENTER AND VERDE VALLEY MEDICAL CENTER ARE IDENTIFIED SEPARATELY ON THESE REPORTS. THE COMMUNITY BENEFIT REPORT IS AVAILABLE AT: HTTPS://NAHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE VERDE VALLEY MEDICAL CENTER USED A COST-TO-CHARGE RATIO, WHERE APPLICABLE, TO CALCULATE THE MOST ACCURATE COST OF CHARITY CARE AND OTHER COMMUNITY BENEFITS REPORTED IN LINE 7. Schedule H, Part II Community Building Activities COMMUNITY BUILDING IS A FOCUS AT VERDE VALLEY MEDICAL CENTER. COMMUNITY BUILDING IS ADVANCED BY VERDE VALLEY MEDICAL CENTER THROUGH ITS SUPPORT OF PHYSICIAN RECRUITMENT AND WORK WITH VARIOUS COMMUNITY ORGANIZATIONS, INCLUDING LOCAL SCHOOLS, THE COTTONWOOD AND SEDONA CHAMBER OF COMMERCE, AND THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE COSTING METHODOLOGY USED TO DETERMINE THE BAD DEBT COST COMES FROM THE PERCENTAGE CALCULATED IN SCHEDULE H, PART I, WORKSHEET 2. Schedule H, Part III, Line 3 Bad Debt Expense Methodology VERDE VALLEY MEDICAL CENTER'S CALCULATION OF FINANCIAL ASSISTANCE COST IS BASED ON ACTUAL FINANCIAL ASSISTANCE WRITE-OFFS BY THE BUSINESS OFFICE MULTIPLIED BY THE COST-TO-CHARGE RATIO. ALL OF THE FINANCIAL ASSISTANCE WRITE-OFFS ARE ATTRIBUTABLE TO PATIENTS WHO QUALIFIED UNDER THE FINANCIAL ASSISTANCE POLICY. AS A NOT-FOR-PROFIT ENTITY, SERVICES ARE PROVIDED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND MAKING THIS AVAILABLE TO THE COMMUNITY QUALIFIES BAD DEBT AS A COMMUNITY BENEFIT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote FOOTNOTE 2 TO THE FINANCIAL STATEMENTS INDICATES NET PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE HAVE BEEN ADJUSTED TO THE ESTIMATED AMOUNTS EXPECTED TO BE RECEIVED. THESE ESTIMATED AMOUNTS ARE SUBJECT TO FURTHER ADJUSTMENTS UPON REVIEW BY THIRD-PARTY PAYORS. MANAGEMENT ESTIMATES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON THE HISTORICAL COLLECTION EXPERIENCE. Schedule H, Part III, Line 8 Community benefit methodology for determining medicare costs THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS THE FY2022 MEDICARE COST REPORT FOR THE ORGANIZATION. A CONTRACTED COST REPORT PROFESSIONAL PREPARED AN ANALYSIS OF THE AMOUNT BASED ON THE SUBMITTED COST REPORT FOR VERDE VALLEY MEDICAL CENTER. FOR FY2022 MEDICARE IS A SURPLUS PRIMARILY DUE TO A RATE INCREASE AFFECTING THE COST TO CHARGE RATIO RESULTING IN AN IMPROVEMENT TO COST OR A DECREASE IN COST, PLUS AN INCREASE IN MEDICARE REIMBURSEMENT, INDICATING AN INCREASE IN VOLUME AND/OR COMPLEX CASES FOR MEDICARE TYPE PATIENTS. ORGANIZATION'S MANAGEMENT HAS BEEN WORKING ON CONTROLLING AND MAINTAINING COST TO REDUCE THE COST TO PATIENTS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ACCORDING TO OUR CHARITY CARE POLICY, THE FINANCIAL COUNSELORS ASSESS THE PATIENT'S ABILITY TO PAY AT TIME OF ADMISSION/REGISTRATION. IF THE PATIENT STATES THAT THEY ARE UNABLE TO PAY OUT OF-POCKET EXPENSES, A DETERMINATION IS MADE WHETHER COVERAGE IS AVAILABLE THROUGH AHCCS OR OTHER MEDICAID PROGRAMS. IF NO OUTSIDE ASSISTANCE IS AVAILABLE, APPLICATION IS GIVEN TO THE PATIENT TO BE SUBMITTED FOR CHARITY CARE CONSIDERATION. IF THE PATIENT DOESN'T QUALIFY FOR CHARITY CARE ASSISTANCE, INCOME LEVELS ARE ASSESSED TO DETERMINE IF THEY QUALIFY FOR A LONG-TERM PAYMENT PROGRAM. IF THE CHARITY APPLICATION IS NOT TURNED IN AND PAYMENT HAS NOT BEEN MADE AFTER NUMEROUS FOLLOW-UP PHONE CALLS, THE PATIENT ACCOUNT GOES TO BAD DEBT. Schedule H, Part V, Section B, Line 16a FAP website - VERDE VALLEY MEDICAL CENTER: Line 16a URL: WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/; Schedule H, Part V, Section B, Line 16b FAP Application website - VERDE VALLEY MEDICAL CENTER: Line 16b URL: WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - VERDE VALLEY MEDICAL CENTER: Line 16c URL: WWW.NAHEALTH.COM/BILLING-INSURANCE/NORTHERN-ARIZONA-HEALTHCARES-FINANCIAL-ASSISTANCE-PROGRAM/; Schedule H, Part VI, Line 2 Needs assessment VERDE VALLEY MEDICAL CENTER ASSESSED COMMUNITY HEALTHCARE NEEDS THROUGH A SURVEY DESIGNED AND ADMINISTERED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. THIS SURVEY WAS LAST CONDUCTED IN 2022 AND WAS A FOLLOW-UP TO OTHER SURVEYS THE HOSPITAL HAS CONDUCTED. THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS, AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ACCORDING TO OUR FINANCIAL ASSISTANCE POLICY, FINANCIAL COUNSELORS ASSESS THE PATIENT'S ABILITY TO PAY AT TIME ADMISSION/REGISTRATION. IF THE PATIENT STATES THAT THEY ARE UNABLE TO PAY OUT OF-POCKET EXPENSES, A DETERMINATION IS MADE WHETHER COVERAGE IS AVAILABLE THROUGH AHCCCS OR OTHER MEDICAID PROGRAMS. IF NO OUTSIDE ASSISTANCE IS AVAILABLE, AN APPLICATION IS GIVEN TO THE PATIENT TO BE SUBMITTED FOR FINANCIAL ASSISTANCE CONSIDERATION. IF THE PATIENT DOESN'T QUALIFY FOR FINANCIAL ASSISTANCE, INCOME LEVELS ARE ASSESSED TO DETERMINE IF THEY QUALIFY FOR A LONG-TERM PAYMENT PROGRAM. IF THE CHARITY APPLICATION IS NOT TURNED IN AND PAYMENT HAS NOT BEEN MADE AFTER NUMEROUS FOLLOW UP PHONE CALLS, THE PATIENT ACCOUNT GOES TO BAD DEBT. THE VERDE VALLEY MEDICAL CENTER (VVMC) WEBSITE HAS A BILLING CONTACT NUMBER. BEFORE PRE-ADMISSION, PATIENTS ARE CONTACTED BY VVMC'S CASHIER. WHEN PATIENTS ARE CONTACTED, THEY ARE EDUCATED OF THE FINANCIAL ASSISTANCE POLICY. VVMC FINANCIAL COUNSELORS ASSIGNED TO EACH NURSING UNIT ARE ABLE TO ANSWER OR ASSIST WITH BILLING QUESTIONS. AT EACH PATIENT REGISTRATION DESK ARE DISPLAYS AND BROCHURES OF THE BILLING INFORMATION, INCLUDING THE FINANCIAL ASSISTANCE POLICY. Schedule H, Part VI, Line 4 Community information THE STUDY AREA FOR THE SURVEY EFFORT (REFERRED TO AS THE "NAH SERVICE AREA OR "FLAGSTAFF OR VERDE VALLEY REGION" IN THIS REPORT) INCLUDES THE FOLLOWING COUNTIES REPRESENTED IN NORTHERN AZ: COCONINO AND YAVAPAI. COCONINO COUNTY (CC)- AS OF JULY 1, 2021 ESTIMATES, THE TOTAL POPULATION IN COCONINO COUNTY WAS 141,274. THE POPULATION IS 50.6% FEMALE AND 49.4% MALE. THE POPULATION WAS FOUND TO BE 63.9% WHITE (NOT HISPANIC OR LATINO), 26.6% AMERICAN INDIAN OR ALASKAN NATIVE, 14.1% HISPANIC OR LATINO, 1.5% BLACK OR AFRICAN AMERICAN, AND 2.1% ASIAN. YAVAPAI COUNTY (YC)- IN 2018 THERE WERE 228,067 INDIVIDUALS LIVING IN YAVAPAI COUNTY. THE POPULATION IS 50.8% FEMALE AND 49.2% MALE. THE MAJORITY OF THE POPULATION IS WHITE (NOT HISPANIC OR LATINO) AT 91.3%. THE POPULATION IS 14.5% HISPANIC OR LATINO, 2.2% AMERICAN INDIAN OR ALASKAN NATIVE, 1.3% ASIAN, AND 1% BLACK OR AFRICAN AMERICAN. AGE DISTRIBUTION: CC-IN 2021, PERSONS UNDER THE AGE OF 18 IS 20.7%, NEARING THE STATE AVERAGE OF 23.2%. AN ESTIMATED 12.0% OF THE POPULATION IS 65 YEARS OR OLDER. YC- AN ESTIMATED 30.6% OF THE POPULATION IS 65 YEARS OR OLDER AND 16.5% IS UNDER THE AGE OF 18. EDUCATION: CC- A PERCENTAGE OF 38.7% OF PERSONS 25 YEARS OR OLDER, HAS EARNED A BACHELOR'S DEGREE. THESE RATES ARE HIGHER THAN THE STATE AVERAGE OF 28.4%. EDUCATIONAL ATTAINMENT IN THE COUNTY IS HIGHER THAN THE STATE'S AVERAGE WITH RESPECT TO ADULTS THAT HAVE GRADUATED FROM HIGH SCHOOL. YC- 28.0% OF THE POPULATION (25+) HAS EARNED A BACHELOR'S DEGREE. YAVAPAI HAD A HIGH SCHOOL GRADUATION RATE OF 92% FOR THOSE AGED 25 OR OLDER. INCOME AND POVERTY: CC-THE MEDIAN HOUSEHOLD INCOME IN THE COCONINO COUNTY IS $61,888, AND 17.6% OF THE POPULATION ARE BELOW THE POVERTY LEVEL. COCONINO COUNTY HAS 51,037 HOUSEHOLDS WITH AN AVERAGE HOUSEHOLD SIZE OF 2.56. YC- THE MEDIAN HOUSEHOLD INCOME IN YAVAPAI COUNTY IS $56,170, AND 13.0% OF THE YAVAPAI COUNTY POPULATION IS BELOW THE POVERTY LEVEL. THERE ARE 103,934 HOUSEHOLDS IN YAVAPAI COUNTY WITH AN AVERAGE OF 2.20 PERSONS PER HOUSEHOLD. Schedule H, Part VI, Line 5 Promotion of community health COMMUNITY HEALTH AND COMMUNITY BUILDING ARE A FOCUS AT VERDE VALLEY MEDICAL CENTER AS EVIDENCED BY THE NUMEROUS ACTIVITIES SPONSORED EACH YEAR. THE CANCER CENTER AT SEDONA CAMPUS HOSTS A SERIES OF FREE OR LOW-COST SCREENINGS DESIGNED TO HELP RESIDENTS IN THE COMMUNITY DETECT ISSUES AS SOON AS POSSIBLE. COMMUNITY BUILDING IS ADVANCED BY VERDE VALLEY MEDICAL CENTER THROUGH ITS SUPPORT OF PHYSICIAN RECRUITMENT AND WORK WITH VARIOUS COMMUNITY ORGANIZATIONS INCLUDING THE COTTONWOOD AND SEDONA CHAMBER OF COMMERCE AND THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION. Schedule H, Part VI, Line 6 Affiliated health care system VERDE VALLEY MEDICAL CENTER IS AFFILIATED WITH FLAGSTAFF MEDICAL CENTER. THE BOARD MEMBER MEETINGS ARE COMBINED. THE COMMUNITY BENEFIT REPORT IS SUMMARIZED TOGETHER AND POSTED ON THE HOSPITAL'S WEBSITE. false true false false false false false true false FLORENCE SPYROW NAH PRESIDENT/CEO 0 716323 0 215319 0 352809 0 11902 0 20754 0 1317107 0 0 CLIFFORD LOADER Chief Financial Officer 0 449869 0 130047 0 1101 0 11871 0 6834 0 599722 0 0 JOSHUA TINKLE CHIEF OPERATING OFFICER 0 450020 0 121877 0 938 0 11253 0 24132 0 608220 0 0 Derek Feuquay Chief Medical Officer 0 422287 0 85753 0 21835 0 11841 0 20034 0 561750 0 0 Leon Pontikes Chief Medical Officer (Thru 8/21) 0 343222 0 100625 0 99943 0 11797 0 13830 0 569417 0 0 Brett Brawley Clinical Manager 0 154613 0 15474 0 8910 0 6952 0 23455 0 209404 0 0 Cheryl Chase Manager Pharmacy Operations 0 181790 0 20753 0 165 0 8124 0 20430 0 231262 0 0 Frank Rafie Chief Medical Radiation Physicist Clinicist 0 260931 0 39044 0 12291 0 10640 0 20518 0 343424 0 0 LORI SMITHSON Clinical Manager (As of 10/21) 0 183825 0 19795 0 10029 0 8836 0 20956 0 243441 0 0 Stewart Wilson Pharmacist 0 178211 0 189 0 4569 0 7340 0 8272 0 198581 0 0 Schedule J, Part I, Line 7 Non-fixed payments THE FOLLOWING INDIVIDUALS RECEIVED A ONE-TIME RELOCATION PAYMENT. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): JOSHUA TINKLE $500 Schedule J, Part I, Line 1a SUPPLEMENTAL COMPENSATION INFORMATION ALL COMPENSATION, BENEFITS AND REIMBURSEMENTS ARE PAID BY NORTHERN ARIZONA HEALTHCARE, THE PARENT ORGANIZATION. GROSS-UP OF TAXES IS DONE ON ALL EMPLOYEE GIFT CERTIFICATES OF $25 OR MORE. IN PRACTICE, BOARD MEMBER AND OFFICER BUSINESS TRAVEL EXPENSES ARE APPROVED BY THE NEXT HIGHEST LEVEL. Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION CEO COMPENSATION IS DERIVED BY THE PARENT ORGANIZATION, NORTHERN ARIZONA HEALTHCARE, BY THE FOLLOWING METHODS: COMPENSATION COMMITTEE, WRITTEN CONTRACT, INDEPENDENT CONSULTANT, COMPENSATION SURVEY, AND RECOMMENDATION OF COMPENSATION COMMITTEE TO BOARD FOR APPROVAL. Schedule J, Part I, Line 4b OTHER INFORMATION DISCLOSURES - RETIREMENT CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DURING THE YEARS ARE AS FOLLOWS. THESE AMOUNTS WERE INCLUDED IN TAXABLE WAGES (SCHEDULE J, PART II, COLUMN (B)(III)) AND ALSO IN COLUMN (F) SINCE THESE AMOUNTS HAVE PREVIOUSLY BEEN REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990: FLORENCE SPYROW $315,250 Schedule J, Part I, Line 7 OTHER INFORMATIONAL DISCLOSURES NORTHERN ARIZONA HEALTHCARE CORPORATION MAKES DISCRETIONARY MANAGEMENT INCENTIVE PAYMENTS BASED ON METINGS VARIOUS ORGANIZATION GOALS. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II): FLORENCE SPYROW $215,319 CLIFFORD LOADER $130,047 JOSHUA TINKLE $121,877 FRANK RAFIE $39,044 LORI SMITHSON $18,920 CHERYL CHASE $20,753 BRETT BRAWLEY $14,838 Schedule J, Part I, Line 7 OTHER INFORMATIONAL DISCLOSURES THE FOLLOWING INDIVIDUALS CASHED OUT ACCUMULATED PTO DURING THE YEAR. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): FRANK RAFIE $11,693 LORI SMITHSON $9,279 BRETT BRAWLEY $8,801 STEWART WILSON $4,471 A INDUSTRIAL DEVELOPMENT AUTHORITY YAVAPAI COUNTY 860376099 000000000 2015-06-30 37340563 SEE PART VI false false false B INDUSTRIAL DEVELOPMENT AUTHORITY YAVAPAI COUNTY 860376099 000000000 2021-07-06 5350198 SEE PART VI false false false A 1429897 0 37340563 0 0 0 338010 0 0 0 37002553 0 2015 true false true true B 0 0 5350198 0 0 0 55872 0 0 0 5294326 0 2021 true false true true A true true true true false 0.0 0.0 0.0 false false true B false false true true false 0.0 0.0 0.0 false false true A false false true false false false false false true B false false true false false false false false true A true B true Schedule K, Part I, Column (f) SCHEDULE K, PART I, COLUMN F BOND A - THE NAME OF THE ISSUE IS HOSPITAL REVENUE REFUNDING BONDS (NORTHERN ARIZONA HEALTHCARE SYSTEM) SERIES 2015A AND 2015B. THIS ISSUE REFUNDS THE 2008A AND 2008B BONDS. THE TOTAL ISSUANCE PRICE OF SERIES 2015A WAS $80,395,000 WHICH WAS ALLOCATED $37,213,977 TO FLAGSTAFF MEDICAL CENTER (FMC), $9,274,438 TO VERDE VALLEY MEDICAL CENTER, AND $33,906,585 TO NORTHERN ARIZONA HEALTHCARE OUTPATIENT SURGERY CENTER. THE 2015A BONDS WERE ALSO USED, IN PART, TO FINANCE "NEW MONEY" PROJECTS. $33,611,679 WAS USED FOR ACQUISITION OF SUMMIT SURGERY CENTER. TOTAL ISSUANCE PRICE OF SERIES 2015B WAS $45,635,975 WHICH WAS ALLOCATED $17,569,850 TO FLAGSTAFF MEDICAL CENTER (FMC) AND $28,066,125 TO VERDE VALLEY MEDICAL CENTER. BOND B - THE NAME OF THE ISSUE IS HOSPITAL REVENUE REFUNDING BONDS (NORTHERN ARIZONA HEALTHCARE SYSTEM) SERIES 2021. THIS ISSUE REFUNDS THE 2011 SERIES BONDS. THE TOTAL ISSUANCE PRICE WAS $30,572,562 WHICH WAS ALLOCATED $25,222,364 TO FLAGSTAFF MEDICAL CENTER (FMC) AND $5,350,198 TO VERDE VALLEY MEDICAL CENTER. Form 990, Part I, Line 6 VOLUNTEERS VOLUNTEERS WORK IN ALMOST EVERY DEPARTMENT IN THE HOSPITAL AND AT OUR OFFSITE LOCATIONS, SUCH AS VERDE VALLEY MEDICAL CENTER (VVMC) SEDONA CAMPUS, CAMP VERDE, AND VILLAGE OF OAK CREEK. THEY PERFORM CLERICAL AND RECEPTION DUTIES IN MANY DEPARTMENTS, SERVE AS PATIENT AND VISITOR GREETERS, SUPPLY DISTRIBUTION, LANDSCAPING, NUTRITIONAL SERVICES - PASS TRAYS, PARTICIPATE IN VARIOUS ACTIVITIES WITH LIBRARY, TRANSPORT, AND MAKE PILLOWS AND TEDDY BEARS (CRAFTS). Form 990, Part III, Line 1 ORGANIZATION MISSION VERDE VALLEY MEDICAL CENTER'S MISSION AND VISION -------------------------------------------------------------- MISSION - IMPROVING HEALTH, HEALING PEOPLE. VISION - ALWAYS BETTER CARE. EVERY PERSON, EVERY TIME...TOGETHER. Form 990, Part V, Line 2a NUMBER OF EMPLOYEES REPORTED ON FORM W-3 VERDE VALLEY MEDICAL CENTER DOES NOT HAVE EMPLOYEES, BUT SHARES THE COST OF PERSONNEL, SERVICES, AND EXPENSES WITH NORTHERN ARIZONA HEALTHCARE CORPORATION, A RELATED TAX-EXEMPT ORGANIZATION AND VVMC'S SOLE MEMBER. Form 990, Part VI, Line 1a NUMBER OF VOTING MEMBERS OF THE GOVERNING BODY THE BOARD OF DIRECTORS DELEGATES AUTHORITY TO AN EXECUTIVE COMMITTEE IN AN EMERGENCY SITUATION ONLY. THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE INDIVIDUALS THEN SERVING AS THE EXECUTIVE COMMITTEE OF NAH, AUTOMATICALLY AND WITHOUT SEPARATE ELECTION. THE EXECUTIVE COMMITTEE SHALL ONLY MEET IF A QUORUM OF THE BOARD IS IMPOSSIBLE AND AN URGENT BOARD VOTE IS REQUIRED. IN SUCH CASES IT SHALL EXERCISE THE POWER AND AUTHORITY OF THE BOARD, AND SHALL REPORT ANY ACTIONS TAKEN AT THE FOLLOWING BOARD MEETING. Form 990, Part VI, Line 6 Classes of members or stockholders NORTHERN ARIZONA HEALTHCARE CORPORATION IS THE SOLE CORPORATE MEMBER OF VERDE VALLEY MEDICAL CENTER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE BOARD OF DIRECTORS IS DETERMINED BY THE ORGANIZATION'S MEMBER, NORTHERN ARIZONA HEALTHCARE (NAH). THE DIRECTORS AT ALL TIMES SHALL BE, AUTOMATICALLY AND WITHOUT THE NEED OF A SEPARATE ELECTION, THE INDIVIDUALS SERVING AS DIRECTORS OF NAH. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders NORTHERN ARIZONA HEALTHCARE CORPORATION IS THE SOLE VOTING MEMBER. THE FOLLOWING ACTIONS MAY BE INITIATED BY THE MEMBER IN ITS SOLE AND ABSOLUTE DISCRETION: A) ADOPTION OF THE CONSOLIDATED ANNUAL BUDGET FOR THE SYSTEM AND ANY AMENDMENTS B) THE SELECTION AND RETENTION OF THE PRESIDENT AND CHIEF ADMINISTRATIVE OFFICER OF THIS CORPORATION C) THE SELECTION OF BANKING AFFILIATIONS, ACCOUNTING FIRMS, LEGAL COUNSEL AS WELL AS APPROVAL OF THE ENGAGEMENT OF ANY CONSULTANTS NOT SPECIFICALLY PROVIDED FOR IN AN APPROVED BUDGET D) THE SELECTION OF THE MANNER AND LOCATION OF INVESTMENT OF ANY RETAINED EARNINGS E) AUTHORIZATION OF STANDING OR ADHOC COMMITTEES FOR CONTROLLED SUBSIDIARIES WITHIN THE SYSTEM. THE MEMBER MAY NOT TRANSFER ITS MEMBERSHIP OR ANY RIGHTS ARISING THEREFROM. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM BASED ON DATA GATHERED BY THE CORPORATE TREASURER/INTERNAL AUDIT DIRECTOR AND THE ORGANIZATION'S FINANCIAL OPERATIONS GROUP. THE CEO AND/OR CFO REVIEWS THE DRAFT FORM 990 AND PROVIDES ADDITIONAL COMMENTS. THE FINAL DRAFT VERSION OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. ANY ADDITIONAL COMMENTS SUGGESTED BY THE GOVERNING BODY ARE THEN INCORPORATED INTO THE FINAL VERSION OF THE FORM 990 TO BE FILED WITH THE IRS BY THE FINAL DUE DATE. IF ANY SUGGESTED CHANGES ARE MATERIAL OR SIGNIFICANT, AN ADDITIONAL DRAFT IS DISTRIBUTED TO THE GOVERNING BODY PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY (BOARD POLICY 6.1). THIS IS ACCOMPLISHED BY A NUMBER OF MECHANISMS. FIRST, THE CONFLICT OF INTEREST QUESTIONNAIRE IS REVIEWED BY THE BOARD DEVELOPMENT COMMITTEE. AS PART OF THE QUESTIONNAIRE, SELF-DISCLOSURE IS REQUIRED BY BOARD MEMBERS, OFFICERS, AND VPS. IN ADDITION, INDIVIDUAL DISCLOSURE BY BOARD MEMBERS OCCURS AT BOARD MEETINGS WHEN NECESSARY. A BOARD MEMBER MUST EXCLUDE HIMSELF OR HERSELF FROM VOTING ON AN ISSUE IN WHICH HE OR SHE MAY HAVE A CONFLICT OF INTEREST. THE CONTROLLER REVIEWS POTENTIAL CONFLICTS AND FOLLOWS UP WITH ANY ADDITIONAL QUESTIONS, IF NECESSARY. THEN THE SUMMARY OF RESPONSES AND CONFLICTS ARE BROUGHT BEFORE THE BOARD DEVELOPMENT COMMITTEE, WHICH MAKES A DETERMINATION AS TO WHETHER A CONFLICT EXISTS. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO AND OTHER OFFICERS INCLUDES THE PREPARATION OF COMPARABLE DATA BY WILLIS TOWERS WATSON, AN INDEPENDENT CONSULTING FIRM. IN ADDITION, THIS INFORMATION IS REVIEWED BY THE BOARD EXECUTIVE COMMITTEE AND DOCUMENTED IN BOARD MINUTES. THE MOST RECENT COMPREHENSIVE REVIEW WAS PERFORMED IN MARCH 2021, AND MOST OFFICER ROLES HAVE BEEN REVIEWED ON AN INDIVIDUAL BASIS SINCE THEN WITHIN THE LAST THREE YEARS. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO AND OTHER OFFICERS INCLUDES THE PREPARATION OF COMPARABLE DATA BY WILLIS TOWERS WATSON, AN INDEPENDENT CONSULTING FIRM. IN ADDITION, THIS INFORMATION IS REVIEWED BY THE BOARD EXECUTIVE COMMITTEE AND DOCUMENTED IN BOARD MINUTES. THE MOST RECENT COMPREHENSIVE REVIEW WAS PERFORMED IN MARCH 2021, AND MOST OFFICER ROLES HAVE BEEN REVIEWED ON AN INDIVIDUAL BASIS SINCE THEN WITHIN THE LAST THREE YEARS. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ARIZONA DEPARTMENT OF HEALTH SERVICES. IN ADDITION, THEY ARE AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) AS PART OF THE ORGANIZATION'S CONTINUING DISCLOSURE DOCUMENTS THAT ARE REQUIRED BY ITS PUBLIC DEBT REQUIREMENTS. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC, AS THIS IS NOT REQUIRED. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All Other Revenue - Total Revenue: 1975788, Related or Exempt Function Revenue: 1975788, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances INCREASE PENSION PLAN VALUATION - 1426772; LOSS ON EXTINGUISHMENT OF BONDS - 101254; VVMC Rounding Adjustment - 1208; TRANSFER TO AFFILIATES - -59304713; FLAGSTAFF MEDICAL CENTER POST OFFICE BOX 1268 FLAGSTAFF AZ 86002 860110232 HEALTHCARE AZ 501(c)(3) 3 NAH true NORTHERN ARIZONA HEALTHCARE CORPORATION POST OFFICE BOX 1268 FLAGSTAFF AZ 86002 742410946 HEALTHCARE AZ 501(c)(3) 10 NA false false false false false false false false true true false false false true false true true true true true FLAGSTAFF MEDICAL CENTER P 83244981 COST