2022-05-10T20:06:38-05:00 2021-06-30 ERNST & YOUNG US LLP 101 E WASHINGTON ST STE 910 PHOENIX AZ 85004 990 2020-07-01 742410946 Northern Arizona Healthcare Corporation % WILLIE FELTS NORT 9287793366 Post Office Box 1268 Flagstaff AZ 860021268 CLIFFORD LOADER CFO 9282143545 2022-05-10 true CLIFFORD LOADER 999009999 PATRICK SHIELDS P01508556 6023223000 3 2020 2022-09-23 18:48:47Z Florence L Spyrow 1200 N Beaver Street Flagstaff AZ 86001 146765175 false X www.nahealth.com X 1985 AZ Improving health, healing people. 12 10 4573 0 0 0 1028515 1399459 120957055 143431645 673214 37275 1873683 1831400 124532467 146699779 0 0 0 0 112348788 135806366 0 0 0 60073967 70129926 172422755 205936292 -47890288 -59236513 132735377 131822684 86665022 87758881 46070355 44063803 X IMPROVING HEALTH, HEALING PEOPLE. false false 133951953 0 144145113 SEE SCHEDULE O. 133951953 true false false false false false false false false false true false false true true true false true false false true false false false false false false false false true true false false false false false false false false false false false false false false true true true true false false true X 15 0 true 4573 true false false false false false false false false false false false false X 12 10 false false false false false false false true true false false true true true true true true true true true true X X WILLIE FELTS 9282143545 1120 W University Avenue 2nd Floor Flagstaff AZ 86001 X Scott Gibson Physician 40.0 0.0 X 936424 0 33114 Steven Ritland Physician 40.0 0.0 X 877137 0 23109 Christopher Diefenbach Physician 40.0 0.0 X 792158 0 23504 Stephen Faulkner Physician 40.0 0.0 X 770006 0 28543 Florence Spyrow NAH PRESIDENT/CEO 24.0 16.0 X X 784589 0 11792 Brian Duggan Physician 40.0 0.0 X 748612 0 35128 DEREK FEUQUAY CHIEF MEDICAL OFFICER 20.0 20.0 X 477763 0 33411 Ronald Haase Chief Systems Officer 34.0 6.0 X 483582 0 12145 Clifford Loader Chief Financial Officer 16.0 24.0 X 458518 0 17890 Joshua Tinkle Chief 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X 0 0 0 8545708 0 343646 711 true true false INSIGHT DIRECT USA PO BOX 731069 DALLAS TX 75373 it services 2767629 IMPACT ADVISORS LLC PO BOX 379 NAPERVILLE IL 60566 it services 1354033 LASER OPTIONS 2845 N OMAHA ST MESA AZ 85215 it services 507835 TALON OF NC LLC 201 N BROAD STREET SUITE 301 WINSTONSALEM NC 27101 it services 489048 LOCKTON COMPANIES PO BOX 173850 DENVER CO 80217 consulting 487500 16 1280414 119045 1399459 CORP EXP REIMBURSEMENT 900099 79042220 79042220 0 0 PATIENT SERVICE 621610 62188872 62188872 0 0 HEALTH SEMINARS 611430 425024 425024 0 0 MANAGEMENT FEE-LCMC 561000 14381 14381 0 0 All other program service revenue 1761148 1761148 0 0 143431645 17829 17829 0 0 1117932 1117932 0 1117932 1117932 84842 65396 19446 19446 19446 0 0 0 0 0 0 0 0 0 CREDIT CARD REBATES 900099 265309 265309 0 0 ALL OTHER REVENUE 900099 448159 448159 0 0 713468 146699779 144145113 0 1155207 0 0 0 0 0 0 0 0 3922704 724400 3198304 0 0 112614477 82178438 30436039 0 3965157 2893504 1071653 0 9187844 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NON-CURRENT 23991799 MINIMUM PENSION LIABILITY 7388055 FINANCIAL LEASE LIAB. NON-CURRENT 4193616 OPERATING LEASE LIABILITY CURRENT 3458241 FINANCIAL LEASE LIAB. NON-CURRENT 1364532 CURRENT NOTES PAYABLE 1107391 2015A UNAMORTIZED BOND ISSUE C -161456 41342178 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. Central America and the Caribbean Investments 76011234 76011234 76011234 true false true false false false X true true X X X X true true false false false false false true false Florence Spyrow NAH PRESIDENT/CEO 727227 0 0 0 57362 0 11400 0 392 0 796381 0 0 0 Clifford Loader Chief Financial Officer 451633 0 0 0 6885 0 11400 0 6490 0 476408 0 0 0 Joshua Tinkle Chief Operating Officer 427747 0 0 0 3609 0 11258 0 24251 0 466865 0 0 0 Ronald Haase Chief Systems Officer 431269 0 0 0 52313 0 10950 0 1195 0 495727 0 42032 0 Jannienne Jones Verse Chief Strategy Business Dev. 355300 0 0 0 32724 0 11400 0 6205 0 405629 0 0 0 Jacob Lansburg VP Care Transformation & Qual. 167114 0 15000 0 10422 0 6577 0 6576 0 205689 0 0 0 DEREK FEUQUAY CHIEF MEDICAL OFFICER 426347 0 0 0 51416 0 11400 0 22011 0 511174 0 0 0 Colleen Maring Chief Legal Officer 342999 0 0 0 1103 0 11169 0 392 0 355663 0 0 0 Richard Sharp Chief Human Resources Officer 283259 0 0 0 1863 0 11400 0 15015 0 311537 0 0 0 Richard Neff Former Chief Access Officer 112800 0 265 0 231720 0 5736 0 8786 0 359307 0 0 0 Christopher Diefenbach Physician 650505 0 141034 0 619 0 11400 0 12104 0 815662 0 0 0 Brian Duggan Physician 747802 0 0 0 810 0 11200 0 23928 0 783740 0 0 0 Stephen Faulkner Physician 481777 0 283418 0 4811 0 11400 0 17143 0 798549 0 0 0 Scott Gibson Physician 935614 0 0 0 810 0 11400 0 21714 0 969538 0 0 0 Steven Ritland Physician 834465 0 32385 0 10287 0 11400 0 11709 0 900246 0 0 0 Ryan O'Hara FORMER CHIEF REV OFFICER 81175 0 0 0 149819 0 0 0 6245 0 237239 0 0 0 SCHEDULE J, PART I, LINES 1A & 1B ALL COMPENSATION, BENEFITS, AND REIMBURSEMENTS ARE PAID BY NORTHERN ARIZONA HEALTHCARE CORPORATION, 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 4A Severance payments were made as follows. These payments are included in Schedule J, Part II, column B(iii): RICHARD NEFF SEVERANCE $ 185,661 RYAN O'HARA SEVERANCE $ 134,181 SCHEDULE J, PART I, LINE 4B Certain employees received distributions from the supplemental executive retirement plan during the year 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. RONALD HAASE $ 42,032 SCHEDULE J, PART I, LINE 7 1) Northern Arizona Healthcare Corporation makes discretionary management incentive payments based on meeting various organizational goals and special merit bonus payments based on extra project work. These payments are included in Schedule J, Part II, column (B)(ii): None 2) Northern Arizona Healthcare Corporation makes discretionary payments to physicians based on quality and productivity goals. These payments are included in Schedule J, Part II, column (B)(ii): Christopher Diefenbach $141,034 Steven Faulkner $283,418 Steven Ritland $32,385 4) The following individuals received a one-time sign-on bonus. These amounts are included in Schedule J, Part II, column (B)(ii): Jacob Lansburg $15,000. 5) The following individuals received a one-time relocation payment. These amounts are included in Schedule J, Part II, column (B)(iii): Jannienne Jones Verse $30,981 Jacob Lansburg $9,913 Clifford Loader $5,303 Joshua Tinkle $2,333 THE FOLLOWING INDIVIDUALS CASHED OUT ACCUMULATED PTO DURING THE YEAR. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): John Mougin $36,000 Ryan O'Hara $15,557 Leon Pontikes $13,210 Florence Spyrow $33,654 Derek Feuquay $49,880 A INDUSTRIAL DEVELOPMENT AUTHORITY OF YAVAPAI COUNTY 860376099 000000000 2015-06-30 33906586 SEE PART VI false false false A 4639250 0 33906586 0 0 0 294907 0 0 33611679 0 0 2015 true false true true A false false true true false 0 false false false true A false false true false false false 0 false 0 false true A true SCHEDULE K, PART I THE NAME OF THE ISSUE IS HOSPITAL REVENUE REFUNDING BONDS (NORTHERN ARIZONA HEALTHCARE SYSTEM) SERIES 2015A. THIS ISSUE REFUNDS THE 2008A. TOTAL ISSUANCE PRICE OF SERIES 2015A WAS $80,395,000 WHICH WAS ALLOCATED $37,213,975 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. FORM 990, PART III, LINE 4 NORTHERN ARIZONA HEALTHCARE (NAH) IS THE PARENT CORPORATION OF FLAGSTAFF MEDICAL CENTER AND VERDE VALLEY MEDICAL CENTER. NAH IS DEDICATED TO IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE IN NORTHERN AND CENTRAL ARIZONA. NAH IS THE LARGEST HEALTHCARE ORGANIZATION IN NORTHERN ARIZONA SERVING ALMOST ONE HALF OF THE STATE. THE HEALTHCARE PROVIDER EMPLOYS MORE THAN 3,450 HEALTHCARE PROFESSIONALS AND, THROUGH ITS AFFILIATES, SERVICES A POPULATION OF MORE THAN 300,000 PEOPLE IN THE SERVICE AREA. NAH IS DEDICATED TO PROVIDING THE HIGHEST QUALITY, MOST COST EFFECTIVE HEALTH CARE DELIVERY SYSTEM TO THE VISITORS AND RESIDENTS OF NORTHERN AND CENTRAL ARIZONA. NAH ENCOURAGES PATIENTS TO BE PART OF THEIR OWN TREATMENT THROUGH EDUCATION AND WELLNESS PROGRAMS. PHYSICIANS, EMPLOYEES AND VOLUNTEERS ALL WORK FOR A COMMON GOAL, AND THE COMMUNITY BENEFITS FROM ORGANIZATIONAL OUTREACH THAT CONTRIBUTES TO RICHER AND HEALTHIER LIVING. NORTHERN ARIZONA HEALTHCARE'S MISSION, VISION, AND CORE GOALS -------------------------------------------------------------- VISION - ALWAYS BETTER CARE. EVERY PERSON, EVERY TIME...TOGETHER. CORE GOALS: - CARE TRANSFORMATION - DEVELOP NEW COORDINATED CARE MODELS THROUGH TECHNOLOGY, PROCESSES, AND PATIENT FRIENDLY ENVIRONMENTS. - ALIGNMENT - CLINICIANS AND NAH WILL WORK IN COLLABORATION TO IMPROVE CARE FOR PATIENTS AND PROVIDE ROBUST MEDICAL PRACTICES FOR FUTURE CLINICIANS. - RELATIONSHIPS - NAH WILL PROACTIVELY BUILD THE CONTINUUM OF CARE WITH ORGANIZATIONS THAT CAN BEST PROVIDE SERVICES TO MEET PATIENT AND COMMUNITY NEEDS. - ENGAGEMENT - EMPLOYEES, PHYSICIANS AND PATIENTS WILL ACTIVELY BE INVOLVED TO IMPROVE HEALTH, PATIENT CARE QUALITY AND CUSTOMER SERVICE WHILE LOWERING COSTS TO CONSUMERS. NORTHERN ARIZONA HEALTHCARE PARTNERSHIPS ---------------------------------------- LITTLE COLORADO MEDICAL CENTER (WINSLOW MEMORIAL HOSPITAL) - NORTHERN ARIZONA HEALTHCARE HAS AN AS NEEDED TASK ORDERS PURSUANT TO AN ONGOING AFFILIATION AGREEMENT IN PLACE WITH LITTLE COLORADO MEDICAL CENTER (LCMC), A 25-BED CRITICAL ACCESS TAX-EXEMPT HOSPITAL IN WINSLOW, ARIZONA. THE LCMC BOARD OF DIRECTORS RETAINS ULTIMATE RESPONSIBILITY FOR THE OPERATIONS AND ACTIVITIES OF THE HOSPITAL. NAH AND LCMC MAINTAIN A RELATIONSHIP TO ENHANCE LCMC'S SERVICE TO THE COMMUNITY. THE PEAKS - THE PEAKS IS A SENIOR LIVING, LEARNING AND WELLNESS COMMUNITY THAT IS PART OF AN INTER-GENERATIONAL CAMPUS IN FLAGSTAFF, ARIZONA. NORTHERN ARIZONA HOMECARE - NORTHERN ARIZONA HOMECARE, A DIVISION OF NAH, PROVIDES QUALITY, PROFESSIONAL HEALTHCARE IN THE COMFORT OF THE PATIENT'S HOME. NORTHERN ARIZONA HOSPICE - HOSPICE, A DIVISION OF NAH, IS FOR PATIENTS WHO HAVE A TERMINAL ILLNESS AND HAVE DECIDED TO SHIFT THE FOCUS OF CARE FROM CURE TO COMFORT. HOSPICE CARE EMPHASIZES THE QUALITY OF REMAINING LIFE AND ALLOWS THE PATIENT TO REMAIN AT HOME IN FAMILIAR SURROUNDINGS WHILE RECEIVING EXPERT HEALTHCARE. FORM 990, PART V, LINE 2A; PART VII, SECTION A, AND PART IX FLAGSTAFF MEDICAL CENTER (FMC) AND VERDE VALLEY MEDICAL CENTER (VVMC) ARE RELATED ORGANIZATIONS OF NORTHERN ARIZONA HEALTHCARE CORPORATION (NAH). NEITHER FMC NOR VVMC HAVE EMPLOYEES; RATHER, EACH SHARES THE COST OF PERSONNEL, SERVICES, AND EXPENSES WITH NAH. FORM 990, PART VI, LINE 1 THE BOARD OF DIRECTORS DELEGATES AUTHORITY TO AN EXECUTIVE COMMITTEE. THE MEMBERS OF THE EXECUTIVE COMMITTEE INCLUDE THE BOARD OFFICERS, THE PRESIDENT, AND ANY OTHER PARTY THE BOARD OF DIRECTOR APPOINTS. THE EXECUTIVE COMMITTEE POSSESSES AND MAY EXERCISE THE POWERS OF THE BOARD OF DIRECTORS IN BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE REVIEWS THE PERFORMANCE AND COMPENSATION OF THE CEO EACH YEAR. THE BOARD DOES NOT POSSESS THE AUTHORITY TO REMOVE ANY DIRECTOR, FIX DIRECTOR COMPENSATION, EXERCISE ANY RESERVED POWER WHICH REQUIRES SUBSIDIARY BOARD APPROVAL, OR ANY EXERCISE ANY AUTHORITY PROHIBITED BY LAW. FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM BASED ON DATA GATHERED BY THE CONTROLLER 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 THE FILING DATE. 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 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. IN ADDITION, INDIVIDUAL DISCLOSURE BY BOARD MEMBERS OCCURS AT BOARD MEETINGS WHEN NECESSARY. (I.E. 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 THE RESPONSES AND CONFLICTS ARE BROUGHT BEFORE THE BOARD DEVELOPMENT COMMITTEE, WHICH MAKES A DETERMINATION AS TO WHETHER A CONFLICT EXISTS. FORM 990, PART VI, LINES 15A AND 15B 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 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 XI, LINE 9 $52,829,640 - NET ASSET TRANSFERS FROM AFFILIATE $4,400,321 - ADJUSTMENT TO PENSION LIABILITY _____________ $57,229,961 - TOTAL PATHFINDERHEALTH LLC 1200 N BEAVER ST FLAGSTAFF AZ 86001 742410946 HEALTHCARE AZ 0 622838 NAHC NAH ORTHOPEDIC SURGERY CENTER LLC 1200 N BEAVER ST FLAGSTAFF AZ 86001 472572645 OP ORTHO SVCS AZ 7645717 25086308 NAHC NAHPG LLC PO BOX 1268 FLAGSTAFF AZ 86002 454464070 ADMIN/BILLING AZ 58777937 22037731 NAHC FLAGSTAFF MEDICAL CENTER POST OFFICE BOX 1268 FLAGSTAFF AZ 86002 860110232 HEALTHCARE AZ 501(c)(3) 3 NAH true VERDE VALLEY MEDICAL CENTER 269 SOUTH CANDY LANE COTTONWOOD AZ 86326 860100882 HEALTHCARE AZ 501(c)(3) 3 NAH true PINON HEALTH COLLABORATIVE LLC 742410946 COMMUNITY HEALTH AZ NAHC Related 0 0 false 0 false 0.50000 false false false false false false false false false true true false false false true true false true true FLAGSTAFF MEDICAL CENTER r 189621206 COST FLAGSTAFF MEDICAL CENTER k 41556 COST FLAGSTAFF MEDICAL CENTER k 213632 COST FLAGSTAFF MEDICAL CENTER p 326193 COST FLAGSTAFF MEDICAL CENTER o 26217209 COST VERDE VALLEY MEDICAL CENTER o 8673939 COST SCHEDULE R, PART III PINON HEALTH COLLABORATIVE, LLC EIN: 74-2410946 ADDRESS: 1200 N. BEAVER st., FLAGSTAFF, AZ 86001