2022-05-10T19:43:18-05:00 2021-06-30 ERNST & YOUNG US LLP 101 E WASHINGTON ST STE 910 PHOENIX AZ 85004 990 2020-07-01 860110232 Flagstaff Medical Center % WILLIE FELTS FLAG 9287793366 Post Office Box 1268 Flagstaff AZ 860021268 CLIFFORD LOADER CFO 9287793366 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 510973003 false X www.nahealth.com X 1936 AZ IMPROVING HEALTH, HEALING PEOPLE. 12 10 0 0 857119 0 9449063 14911930 426904699 456276454 25757524 38672739 2063215 1111880 464174501 510973003 1015000 250000 0 0 176018307 175760876 0 0 0 223012754 243665237 400046061 419676113 64128440 91296890 850026662 939720721 303032526 267091571 546994136 672629150 X IMPROVING HEALTH, HEALING PEOPLE. false false 333801546 250000 412988007 FLAGSTAFF MEDICAL CENTER PROVIDES COMPREHENSIVE HEALTHCARE SERVICES, INCLUDING PRIMARY CARE AND SPECIALTY PHYSICIAN CLINICS, CANCER CENTERS OF NORTHERN ARIZONA HEALTHCARE, ENTIRECARE REHAB & SPORTS MEDICINE, AND FIT KIDS OF ARIZONA. 25767341 0 32231372 GUARDIAN AIR PROVIDES AIR TRANSPORTATION SERVICES TO PATIENTS THROUGHOUT THE NORTHERN ARIZONA COMMUNITY, ENABLING FLAGSTAFF MEDICAL CENTER TO EXPAND ITS SCOPE OF SERVICES BY SERVING PATIENTS FROM THE MOMENT TREATMENT BEGINS IN THE AIR TRANSPORT. 8708224 0 12168955 GUARDIAN MEDICAL TRANSPORT PROVIDES AMBULANCE SERVICES TO PATIENTS THROUGHOUT THE NORTHERN ARIZONA COMMUNITY, ENABLING FLAGSTAFF MEDICAL CENTER TO EXPAND ITS SCOPE OF SERVICES BY SERVING PATIENTS FROM THE MOMENT TREATMENT BEGINS IN THE GROUND AMBULANCE. 368277111 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true true true false false false false false false false false false false false false false false true true true false false true X 158 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 X Florence Spyrow Chief Executive Officer 10.0 30.0 X X 0 784589 11792 Derek Feuquay Chief Medical Officer 15.0 25.0 X 0 477763 33411 Clifford Loader Chief Financial Officer 16.0 24.0 X 0 458518 17890 Joshua Tinkle Chief Operating Officer 12.0 28.0 X 0 431356 35509 RICHARD NEFF FORMER CMO 0.0 0.0 X 0 344785 14522 Matthew Sena VP Operations 18.0 22.0 X 0 293067 33042 Tyffany Sweeney Chief Nursing Officer 28.0 12.0 X 0 278628 10572 Scott Waldrop Director Pharmacy Services 40.0 0.0 X 0 228273 25162 Diane Allie Director Surgical Svcs 40.0 0.0 X 0 224451 28403 Lori Smithson Director Clinical Care 40.0 0.0 X 0 201392 29195 Dustin Windle Dir Guardian Air Transport 40.0 0.0 X 0 192585 32283 Yari Valle Manager Outpatient Pharmacy 40.0 0.0 X 0 192369 29846 Janet Corrigan Director/Chair 1.0 2.0 X X 0 0 0 William Riley Director/Vice Chair 1.0 2.0 X X 0 0 0 Kenneth Salce DIRECTOR/SECRETARY 1.0 2.0 X X 0 0 0 Michael Martinell Director/Treasurer 1.0 2.0 X X 0 0 0 Eric Crowell Director 1.0 2.0 X 0 0 0 Alice Gagnaire RN Director 1.0 2.0 X 0 0 0 Randall Garrison Director 1.0 2.0 X 0 0 0 William Jeffers Director 1.0 2.0 X 0 0 0 Charles Marr Director 1.0 2.0 X 0 0 0 John Rivers Director 1.0 2.0 X 0 0 0 Jennifer Wesselhoff Director (Thru 09/20) 1.0 2.0 X 0 0 0 Guadalupe Woodson FNP Director 1.0 2.0 X 0 0 0 0 4107776 301627 0 true true false CALENCE LLC PO BOX 731069 DALLAS TX 75373 CONTRACT LABOR 2254418 AMERICAN ESCROW CLOSING COMPANY 15333 NORTH PIMA ROAD SUITE 240 SCOTTSDALE AZ 85260 ANESTHESIA SERVICES 1180460 AGGREKO LLC PO BOX 972562 DALLAS TX 75397 MEDICAL SERVICES 1002124 IMPACT ADVISORS LLC PO BOX 379 NAPERVILLE IL 60566 SURGERY SERVICES 790653 KEMBERTON HEALTHCARE LLC 501 CORPORATE CENTRE DR SUITE 600 FRANKLIN TN 37067 ER MEDICAL STAFFING 578486 41 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2955980 47611 2908369 0 0 0 0 0 17291337 17168222 123115 0 1675598 488779 1186819 0 EXP REIMBURSEMENT TO NAH 54065663 55559794 -1494131 0 CONTRACT MAINTENANCE 8734424 5257686 3476738 0 COLLECTION EXPENSE 1132106 16418 1115688 0 AHCCCS ASSESSMENTS 17086165 0 17086165 0 180785 36797 143988 419676113 368277111 51399002 0 0 1790879 41144285 87768514 16359803 0 0 73836684 74093366 0 0 0 0 4069232 8019096 8466315 9074862 2728281 2997228 487421792 307256987 164571108 180164805 494687596 595124253 0 0 0 0 0 0 12108053 12743023 850026662 939720721 37243702 40871592 0 0 0 0 124887421 119452680 0 0 0 0 1175368 939569 0 0 139726035 105827730 303032526 267091571 X 546994136 672629150 0 0 546994136 672629150 850026662 939720721 X 91296890 61493276 0 0 0 -27155152 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 12597 12597 false SCHEDULE C, PART II-B, Line 1i FLAGSTAFF 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, $12,597, WAS ESTIMATED TO BE ATTRIBUTABLE TO LOBBYING RELATED TO HEALTH CARE ADVOCACY AT THE FEDERAL, STATE, REGIONAL AND LOCAL LEVELS. FLAGSTAFF MEDICAL CENTER ALSO PARTICIPATES IN HEALTHCARE RELATED LOBBYING ACTIVITIES THROUGH THE SOLE COMMUNITY HOSPITAL COALITION. 5474708 5474708 239774463 147093452 92681011 1577887 1370292 207595 193434357 156451602 36982755 47160377 2341641 44818736 180164805 0 DEFERRED LIABILITIES 64514348 ACCRUE PENSION LIABILITY 22265344 MALPRACTICE INSURANCE RESERVE LT 4506519 OPERATING LEASE LIABILITY 2880073 UNEMPLOYMENT PAYABLE 2669225 OTHER-GAAP PRESENTATION 1925506 THIRD-PARTY PAYOR SETTLEMENTS 1746075 MALPRACTICE INSURANCE RESERVE 1541385 PROFESSIONAL AND AUDIT FEES 58907 OTHER 3720348 105827730 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 false true true 2385391 2385391 0.00570 148654304 37179300 111475004 0.26560 151039695 37179300 113860395 0.27130 285404 285404 0.00070 285404 285404 0.00070 151325099 37179300 114145799 0.27200 true 52519956 7826085 102387395 95707818 6679577 X true true 1 1 FLAGSTAFF MEDICAL CENTER 1200 N BEAVER STREET FLAGSTAFF AZ 86001 HTTPS://NAHEALTH.COM HO169 X X X FLAGSTAFF MEDICAL CENTER 1 false false true X X X X X X X X X 19 true true false true X SEE SCH H, PART V, SECTION C X true 19 true SEE SCH H, PART V, SECTION C false true X 200. 400. X X X X X true true X X X true X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C 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 As part of the Community Health Needs Assessment, a focus group was held in 2019 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 Counsel 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 THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN CONJUNCTION WITH ITS RELATED HOSPITAL FACILITY, VERDE VALLEY MEDICAL CENTER. SCHEDULE H, PART V, SECTION B, LINES 7A AND 10 THE 2019 NAH COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND THE 2019 NAH COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IMPLEMENTATION PLAN ARE AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://NAHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 11 NAH RANKED IDENTIFIED HEALTH ISSUES AGAINST THE FOLLOWING ESTABLISHED, UNIFORM CRITERIA: - MAGNITUDE. THE NUMBER OF PERSONS AFFECTED, ALSO TAKING INTO ACCOUNT VARIANCE FROM BENCHMARK DATA AND HEALTHY PEOPLE TARGETS. - IMPACT/SERIOUSNESS. THE DEGREE TO WHICH THE ISSUE AFFECTS OR EXACERBATES OTHER QUALITY OF LIFE AND HEALTH-RELATED ISSUES. - FEASIBILITY. THE ABILITY TO REASONABLY IMPACT THE ISSUE, GIVEN AVAILABLE RESOURCES. - CONSEQUENCES OF INACTION. THE RISK OF NOT ADDRESSING THE PROBLEM AT THE EARLIEST OPPORTUNITY. - PRIORITIZATION RESULTS AREAS OF OPPORTUNITY IDENTIFIED THROUGH THIS ASSESSMENT: ACCESS TO HEALTH SERVICES NAH HAS WORKED CONSISTENTLY SINCE 2016 TO IMPROVE ACCESS TO CARE, AS HAVE OTHER HEALTHCARE PROVIDERS. COMMUNITY MEMBERS CONTINUE TO CONSISTENTLY EXPRESS CONCERN ABOUT ACCESS. THEREFORE, THIS IS STILL A PRIORITY FOR THE 2019 CHNA. - ADULT OVERALL HEALTH STATUS - COST AS A BARRIER TO PHYSICIAN VISITS - COST AS A BARRIER TO PHYSICIAN VISITS - DIFFICULTY ACCESSING HEALTHCARE - DIFFICULTY ACCESSING HEALTHCARE - INSURANCE INSTABILITY FOR ADULTS AND CHILDREN - LACK OF ACCESS TO AFFORDABLE HEALTH INSURANCE - LACK OF LOCAL SPECIALISTS (ENDOCRINOLOGIST, NEUROLOGIST, PEDIATRIC) - PROVIDERS (PHYSICIAN/ STAFF) SEEN AS UNCARING, LONG WAIT FOR APPOINTMENTS - ROUTINE CHECKUPS (ADULTS) - TRANSPORTATION RESOURCES AVAILABLE FOR ACCESS TO HEALTH SERVICES (INCLUDING TRANSPORTATION AS A BARRIER) - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (AHCCCS) - CAMP VERDE UNIFIED SCHOOL DISTRICT - COCONINO COUNTY HEALTH & HUMAN SERVICES - COMMUNITY HEALTH CENTER OF YAVAPAI (FQHC) - COTTONWOOD - OAK CREEK SCHOOL DISTRICT - FLAGSTAFF MEDICAL CENTER - FLAGSTAFF SHELTER SERVICES - FLAGSTAFF UNIFIED SCHOOL DISTRICT - GUARDIAN MEDICAL TRANSPORT - HIGHLANDS FIRE DISTRICT - HOSPICE COMASSUS - INDEPENDENT PROVIDERS - LHC GROUP - LYFT - MINGUS HIGH SCHOOL DISTRICT - MOUNTAIN LINE BUS SYSTEM - NATIVE AMERICANS FOR COMMUNITY ACTION - NORTHCOUNTRY HEALTH CARE (FQHC) - NORTHERN ARIZONA HEALTHCARE MEDICAL GROUP - NORTHERN ARIZONA UNIVERSITY HEALTH SERVICES - NORTHLAND HOSPICE - POORE MEDICAL CLINIC - SACRED PEAKS HEALTH CENTER - SEDONA - OAK CREEK UNIFIED SCHOOL DISTRICT - SEDONA FIRE DEPARTMENT - SPECTRUM HEALTHCARE - UBER - VERDE VALLEY AMBULANCE - VERDE VALLEY CAREGIVERS - VERDE VALLEY CATLINE - VERDE VALLEY MEDICAL CENTER - YAVAPAI COUNTY DEPARTMENT OF HEALTH SERVICES ACTIONS/CHANGES FOR ACCESS TO HEALTHCARE SINCE 2016 CHNA - IDENTIFIED PATIENT POPULATIONS ARE ENROLLED IN COMMUNITY CARE MANAGEMENT AT FMC AND VVMC - NORTHERN ARIZONA HEALTHCARE MEDICAL GROUP PRIMARY CARE CLINICS HAVE INCREASED THE NUMBER OF PROVIDERS TO PROVIDE PRIMARY AND PREVENTIVE HEALTHCARE SERVICES. 1. SAME DAY APPOINTMENTS ARE OFFERED BY FMC AND VVMC PRIMARY CARE OFFICES 2. FMC AND VVMC PRIMARY CARE OFFICES OFFER EXTENDED HOURS TO IMPROVE ACCESS 3. NAH IS IN PARTNERSHIP WITH PATHFINDERHEALTH ACO TO SUPPORT INDEPENDENT PROVIDERS TO INCREASE ACCESS TO THEIR PRACTICES IN THE FMC AND VVMC MARKETS - INSURANCE/PAYOR REGISTRATION SUPPORT FOR FMC AND VVMC PATIENTS - FMC AND VVMC PROVIDE MEDICAL DIRECTION AND SUPPORT FOR COMMUNITY INTEGRATED PARAMEDICINE - FMC AND VVMC PROVIDE REMOTE PATIENT MONITORING FOR PATIENTS MENTAL HEALTH & MENTAL DISORDERS MANY MENTAL HEALTH ISSUES TAKE LONGER THAN 3 YEARS TO CHANGE ON A POPULATION BASIS. THEREFORE, THIS IS STILL A PRIORITY FOR THE 2019 CHNA. - SUICIDES - VIOLENT DEATHS (INCLUDING FIREARM-RELATED DEATHS, HOMICIDE & SUICIDE) - LACK OF ACCESS TO BEHAVIORAL HEALTH CARE RESOURCES AVAILABLE FOR MENTAL HEALTH & MENTAL DISORDERS - Alcoholics Anonymous - Back2Basics - Catholic Social Services - Child Family Services - Community Mental Health First Aid - Cottonwood County Drug Task Force - Flagstaff Medical Center - Behavior Health Services - Health Choice Integrated Care - Independent Providers - MATFORCE - National Alliance on Mental Illness - Native Americans for Community Action - NORTH COUNTRY HEALTHCARE BEHAVIORAL HEALTH - NORTHERN ARIZONA REGIONAL BEHAVIORAL HEALTH AUTHORITY - NORTHERN ARIZONA UNIVERSITY COUNSELING SERVICES - NORTHERN ARIZONA UNIVERSITY HEALTH AND PSYCHOLOGY CENTER - SOUTHWEST BEHAVIORAL HEALTH - SOUTHWEST BEHAVIORAL HEALTH SERVICES - SPECTRUM HEALTHCARE - THE GUIDANCE CENTER - VERDE VALLEY GUIDANCE CLINIC - VERDE VALLEY MEDICAL CENTER ACTIONS/CHANGES FOR MENTAL HEALTH SINCE 2016 CHNA - VVMC PARTNERS WITH SPECTRUM HEALTH FOR A COMMUNITY FOCUSED APPROACH TO PATIENTS ARRIVING IN THE ED WITH MENTAL HEALTH NEEDS - FMC AND VVMC ARE INTEGRATING BEHAVIORAL HEALTH INTO PRIMARY CARE - MENTAL HEALTH MATTERS COLLABORATION IN FLAGSTAFF (FMC) - COCONINO JUSTICE COALITION (CJCC): LEGAL ISSUES WITH MENTALLY ILL (FMC) - AA GROUP MEETINGS ON BHU (FMC) - CRISIS CALLS FROM COMMUNITY: INTAKE / REFERRALS (FMC/VVMC) - FOR FLAGSTAFF POLICE DEPARTMENT (FMC) 1. DE-ESCALATION SKILL TRAINING 2. CIT: CRISIS INTERVENTION TRAINING - NACA: SUICIDE PREVENTION GRANT COLLABORATION (FMC) - HEALTH FAIRS (FMC AND VVMC) - SCREENINGS (FMC AND VVMC PRIMARY CARE CLINICS) 1. DEPRESSION 2. SUBSTANCE ABUSE - INTERNAL / EXTERNAL TO NAH DEBRIEFING CRISIS INTERVENTION (FMC/VVMC) - DUI/DRUG COURT TREATMENT PROGRAMS (FMC) - MENTAL HEALTH / VETERAN COURT HEARINGS (FMC) - TITLE 36 (ED INTAKE) - SHORT TERM CRISIS (FMC/VVMC) - TRAUMA START: SCREENINGS AND BRIEF INTERVENTION / ASSESSMENT (FMC) 1. REFERRALS AT DISCHARGE FOR PATIENTS WITH ALCOHOL AND DRUG USE ISSUES - TALKS AND PRESENTATIONS FOR COMMUNITY GROUPS (FMC) - RN AND SW STUDENTS ROTATE THROUGH DEPARTMENT (FMC) - CPI TRAINING (DE-ESCALATION) FOR SITTERS AND ED STAFF (FMC/VVMC) - MENTAL HEALTH AND SUBSTANCE ABUSE INFORMATION FOR NEW GRADS (FMC/VVMC) - PROVIDE MEETING SITE FOR MONTHLY NATIONAL ASSOCIATION OF SUBSTANCE ABUSE COUNSELORS (NASAC) MEETINGS (FMC) - FMC/VVMC OFFER MENTAL HEALTH FIRST AID TRAINING TO EMPLOYEES AND COMMUNITY MEMBERS - FMC IS A SUPPORTING MEMBER OF "STRONGER AS ONE" COLLABORATION - WHICH IS AN OUTCOME OF THE 2017 CHNA. Chronic Disease Chronic disease are, by nature, health issues that take longer than 3 years to change on a population basis. Therefore, this is still a priority for the 2019 CHNA. - Cancer - Cardiovascular Disease - Cirrhosis/Liver Disease - Diabetes - Obesity - Osteoporosis/Arthritis - Respiratory Health - Resources available for Chronic Disease - Arizona Health Care Cost Containment System (AHCCCS) - Bountiful Baskets - Camp Verde Unified School District - Coconino County Health & Human Services - Community Health Center of Yavapai (FQHC) - Cornucopia Food Pantry - Cottonwood - Oak Creek School District - Fit Kids of Arizona - Flagstaff Community Supported Agriculture Project - Flagstaff Medical Center - Flagstaff Shelter Services - Flagstaff Unified School District - Guardian Medical Transport - HIGHLANDS FIRE DISTRICT - HOSPICE COMASSUS - INDEPENDENT PROVIDERS - LOCAL FARMER'S MARKETS - NATIVE AMERICANS FOR COMMUNITY ACTION - NORTHCOUNTRY HEALTH CARE (FQHC) - NORTHERN ARIZONA HEALTHCARE MEDICAL GROUP - NORTHERN ARIZONA UNIVERSITY HEALTH SERVICES - NORTHLAND HOSPICE - POORE MEDICAL CLINIC - SACRED PEAKS HEALTH CENTER - SEDONA - OAK CREEK UNIFIED SCHOOL DISTRICT - SEDONA FIRE DEPARTMENT - SPECTRUM HEALTHCARE - ST. MARY'S FOOD BANK - VERDE VALLEY AMBULANCE - VERDE VALLEY CAREGIVERS - VERDE VALLEY MEDICAL CENTER - YAVAPAI COUNTY DEPARTMENT OF HEALTH SERVICES - YMCA ACTIONS/CHANGES FOR CHRONIC DISEASE SINCE 2016 CHNA - FOOD IS MEDICINE FOR DIABETES COMMUNITY EDUCATION CLASSES AT FMC AND VVMC - HEALTHY BASICS EATING CLASS AT FMC AND VVMC - CHEF COOKING DEMO'S AT FMC - FMC REFERS PATIENTS TO THE CANCER SUPPORT COMMUNITY PROGRAMS - FREEDOM FROM SMOKING PROGRAM- OFFERED AT VVMC- OPEN TO THE COMMUNITY - SUPPORT GROUPS FOR CHRONIC DISEASE AT VVMC AND FMC - COMPREHENSIVE CARE MANAGEMENT AT VVMC AND FMC - PATHFINDERHEALTH ACO CARE PROCESS MODELS AT VVMC AND FMC - COMMUNITY SCREENINGS FOR CVD AND DIABETES IN THE VVMC AND FMC COMMUNITIES - FMC AND VVMC OFFER DIABETES EDUCATION AND SUPPORT - VVMC OFFERS CARDIAC REHAB AND PULMONARY WELLNESS - FMC AND VVMC ARE DEVELOPING PLANS FOR SUSTAINABLE GROWTH TO EXPAND CHRONIC CARE SERVICE LINES TO THE COMMUNITY - PARTNERING WITH INDIAN HEALTH TO SUPPORT CANCER CARE ON RESERVATIONS SCHEDULE H, PART V, SECTION B, LINE 13B Eligibility for financial assistance is based on the income and family size of the patient/guarantor. Income levels are based on the FEDERAL POVERTY LEVELS ("FPL")published by the Federal Register annually. Household members are defined as all dependents and adults residing with the patient. Applicants with household income of 400% of FPL or lower may receive financial assistance based upon a tiered discount. SCHEDULE H, PART V, SECTION B, LINES 16A-C THE FINANCIAL ASSISTANCE POLICY ("FAP"), PLAIN LANGUAGE SUMMARY AND APPLICATION ARE AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://NAHEALTH.COM/PATIENT-RIGHTS-POLICIES/FINANCIAL-ASSISTANCE SCHEDULE H, PART I, LINES 3A AND 3B 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 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 THE INFORMATION FOR THE COMMUNITY BENEFITS REPORT IS GATHERED BY THE COMMUNICATIONS DEPARTMENT, WHICH IS A DEPARTMENT 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 FLAGSTAFF 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 IS ADVANCED BY FLAGSTAFF MEDICAL CENTER THROUGH ITS SUPPORT OF PHYSICIAN RECRUITMENT AND WORK WITH VARIOUS COMMUNITY ORGANIZATIONS INCLUDING THE AMERICAN CANCER SOCIETY, BIG BROTHERS AND BIG SISTERS, FLAGSTAFF LEADERSHIP PROGRAM, FLAGSTAFF CHAMBER OF COMMERCE AND THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION. SCHEDULE H, PART III, LINE 2 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 FLAGSTAFF 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 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 THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS THE FY2021 MEDICARE COST REPORT FOR THE ORGANIZATION. A CONTRACTED COST REPORT PROFESSIONAL PREPARED AN ANALYSIS OF THE AMOUNT BASED ON THE SUBMITTED COST REPORT FOR FLAGSTAFF MEDICAL CENTER. SCHEDULE H, PART III, LINE 9B 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 AHCCCS OR OTHER MEDICAID PROGRAMS. IF NO OUTSIDE ASSISTANCE IS AVAILABLE, AN 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 VI, LINE 2 FLAGSTAFF MEDICAL CENTER ASSESSES COMMUNITY HEALTHCARE NEEDS THROUGH A SURVEY DESIGNED AND ADMINISTERED INTERNALLY. THIS SURVEY WAS LAST CONDUCTED IN NOVEMBER 2019 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 ACCORDING TO OUR FINANCIAL ASSISTANCE POLICY, 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 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. FLAGSTAFF MEDICAL CENTER WEBSITE HAS A BILLING CONTACT NUMBER. BEFORE PRE-ADMISSION, PATIENTS ARE CONTACTED BY FMC'S CASHIER. WHEN PATIENTS ARE CONTACTED, THEY ARE EDUCATED ABOUT THE FINANCIAL ASSISTANCE POLICY. FMC FINANCIAL COUNSELORS ASSIGNED TO EACH NURSING UNIT ARE ABLE TO ANSWER OR ASSIST WITH BILLING QUESTIONS. AT EACH PATIENT REGISTRATION DESK THERE ARE DISPLAYS AND BROCHURES OF THE BILLING INFORMATION, INCLUDING THE FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART VI, LINE 4 THE STUDY AREA FOR THE SURVEY EFFORT (REFERRED TO AS THE "NAH SERVICE AREA"FLAGSTAFF OR VERDE VALLEY REGION" IN THIS REPORT) INCLUDES THE FOLLOWING COUNTIES REPRESENTED IN NORTHERN AZ: APACHE, GILA, MOJAVE, NAVAJO, COCONINO AND YAVAPAI. COCONINO COUNTY (CC)- AS OF JULY 1, 2018 ESTIMATES, THE TOTAL POPULATION IN COCONINO COUNTY WAS 142,854. THE POPULATION IS 50.6% FEMALE AND 49.4% MALE. THE POPULATION WAS FOUND TO BE 54.0% WHITE (NOT HISPANIC OR LATINO), 27.6% AMERICAN INDIAN OR ALASKAN NATIVE, 14.3% HISPANIC OR LATINO, 1.5% BLACK OR AFRICAN AMERICAN, AND 2.1% ASIAN. MOHAVE COUNTY (MC)- THE TOTAL POPULATION IN MOHAVE COUNTY WAS 209,550 IN 2018. THE COUNTY IS 49.4% FEMALE AND 50.6% MALE. THE MAJORITY OF THE COUNTY IS WHITE (NOT HISPANIC OR LATINO) AT 76.9% WHILE THE LARGEST MINORITY GROUP IS HISPANIC OR LATINO AT 16.8% OF THE POPULATION. THE POPULATION IS 3.0% AMERICAN INDIAN OR ALASKAN NATIVE, 1.3% BLACK OR AFRICAN AMERICAN, AND 1.2% ASIAN. GILA COUNTY (GC)- GILA COUNTY'S POPULATION WAS 53,889 IN 2018. THE POPULATION WAS FOUND TO BE 50.6% FEMALE AND 49.4% MALE. THE MAJORITY OF THE COUNTY IS WHITE (NOT HISPANIC OR LATINO) AT 62.0%. THE COUNTY IS 18.7% HISPANIC OR LATINO, 17.8% AMERICAN INDIAN OR ALASKAN NATIVE, .8% BLACK OR AFRICAN AMERICAN, AND .9% ASIAN. APACHE COUNTY (AC)- AS OF 2018, THE TOTAL POPULATION IN APACHE COUNTY WAS 71,818. APACHE COUNTY HAS SLIGHTLY MORE FEMALES WITH 50.8% OF THE POPULATION FEMALE AND 49.2% MALE. THE MAJORITY OF THE POPULATION IS AMERICAN INDIAN OR ALASKAN NATIVE AT 74.9%. THE POPULATION IS 18.1% WHITE (NOT HISPANIC OR LATINO) AND 6.4% HISPANIC OR LATINO. NAVAJO COUNTY (NC)- THE POPULATION OF NAVAJO COUNTY WAS 110,445 IN 2018. THIS COUNTY IS 49.9% FEMALE AND 50.1% MALE. THE COUNTY'S POPULATION IS 41.7% WHITE (NOT HISPANIC OR LATINO), 45.6% NATIVE AMERICAN OR ALASKAN NATIVE, 11.5% HISPANIC, 1.0% BLACK AND .7% ASIAN YAVAPAI COUNTY (YC)- IN 2018 THERE WERE 231,993 INDIVIDUALS LIVING IN YAVAPAI COUNTY. THE POPULATION IS 51.2% FEMALE AND 48.8% MALE. THE MAJORITY OF THE POPULATION IS WHITE (NOT HISPANIC OR LATINO) AT 80.4%. THE POPULATION IS 14.7% HISPANIC OR LATINO, 2.1% AMERICAN INDIAN OR ALASKAN NATIVE, 1.2% ASIAN, AND .9% BLACK OR AFRICAN AMERICAN. AGE DISTRIBUTION* CC-IN 2018, PERSONS UNDER THE AGE OF 18 IS 20.6%, NEARING THE STATE AVERAGE OF 22.9%. AN ESTIMATED 12.5% OF THE POPULATION IS 65 YEARS OR OLDER. MC- IT WAS FOUND THAT 17.1% OF MOHAVE COUNTY'S RESIDENTS WERE UNDER THE AGE OF 18 WHILE 30.3% WERE OVER THE AGE OF 65. GC- THE POPULATION OF GILA COUNTY HAD 20.1% OF ITS RESIDENTS AGED 18 OR UNDER AND 28.8% AGED 65 OR OLDER IN 2018. AC-IN APACHE COUNTY, PERSONS UNDER THE AGE OF 18 IS 27.2% AND PERSONS OLDER THAT 65 WAS AT 15.3% IN 2018. NC-IT WAS FOUND THAT 26.7% OF NAVAJO COUNTY'S POPULATION IS UNDER THE AGE OF 18 AND 18.1% IS OVER THE AGE OF 65. YC- AN ESTIMATED 31.6% OF THE POPULATION IS 65 YEARS OR OLDER AND 16.2% IS UNDER THE AGE OF 18. EDUCATION* CC- A PERCENTAGE OF 35.4% 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. MC- IN MOHAVE COUNTY, ONLY 12.3% OF ADULTS OVER THE AGE OF 25 HAVE EARNED THEIR BACHELOR'S DEGREE. THIS IS LESS THAN HALF OF THE STATE AVERAGE WHO HAVE EARNED A BACHELOR'S DEGREE AT 28.4%. PERSONS AGED 25 AND OLDER WHO ARE HIGH SCHOOL GRADUATES WAS FOUND TO BE 84.7%. GC- THE PERCENTAGE OF PERSONS AGED 25 OR OLDER THAT ACHIEVED A BACHELOR'S DEGREE IN GILA COUNTY WAS 19.0%. THOSE WITH A HIGH SCHOOL DIPLOMA THAT ARE 25 OR OLDER MAKE UP 85.0% OF THE POPULATION. AC- THE EDUCATIONAL ATTAINMENT IN APACHE COUNTY IS WELL BELOW THE STATE AVERAGE. IN THE COUNTY ONLY 11.5% OF THE POPULATION AGED 25 OR OLDER HAS ATTAINED A BACHELOR'S DEGREE AND 78.6% OF THE POPULATION AGED 25 OR OLDER IS A HIGH SCHOOL GRADUATE. NC- A PERCENTAGE (82.6%) OF THE NAVAJO COUNTY POPULATION (AGE 25+) HAS GRADUATED FROM HIGH SCHOOL, LOWER THAN THE STATE AVERAGE OF 86.5%. THOSE WITH A BACHELOR'S DEGREE WAS ALSO BELOW THE STATE AVERAGE AT 15.5% OF THE POPULATION (AGE 25+). YC- 25.0% OF THE POPULATION (25+) HAS EARNED A BACHELOR'S DEGREE. YAVAPAI HAD A HIGH SCHOOL GRADUATION RATE OF 90.2% FOR THOSE AGED 25 OR OLDER. INCOME AND POVERTY* CC-THE MEDIAN HOUSEHOLD INCOME IN THE COCONINO COUNTY IS $53,523, AND 15.9% OF THE POPULATION ARE BELOW THE POVERTY LEVEL. COCONINO COUNTY HAS 47,588 HOUSEHOLDS WITH AN AVERAGE HOUSEHOLD SIZE OF 2.65. MC- THE MEDIAN HOUSEHOLD INCOME IS $41,567 IN MOHAVE COUNTY. THE COUNTY HAS 16.8% OF ITS POPULATION BELOW THE POVERTY LEVEL. THERE ARE 83,902 HOUSEHOLDS IN THE COUNTY WITH AN AVERAGE OF 2.39 PERSONS PER HOUSEHOLD. GC- IN GILA COUNTY THE MEDIAN HOUSEHOLD INCOME IS $41,179 AND 20.4% OF THE POPULATION FALLS UNDER THE POVERTY LINE. THERE ARE 21,585 HOUSEHOLDS IN THE COUNTY WITH AN AVERAGE OF 2.42 PERSONS PER HOUSEHOLD. AC- THE MEDIAN INCOME IN APACHE COUNTY WAS FOUND TO BE $32,360 AND 37.3% OF THE COUNTY FALLS BELOW THE POVERTY LEVEL. THE COUNTY HAS 19,530 HOUSEHOLDS WITH AN AVERAGE OF 3.59 PERSONS PER HOUSEHOLD. NC-THE ESTIMATED 2017 MEDIAN HOUSEHOLD INCOME IN THE COUNTY IS $38,798. THE MEDIAN HOUSEHOLD INCOME IN THE STATE OF ARIZONA IS $53,510 AND THE UNITED STATES $57,652. 28.5% OF THE NAVAJO COUNTY POPULATION IS BELOW THE POVERTY LEVEL AS COMPARED TO 14.0% IN THE STATE OF ARIZONA AND 11.8 % IN THE UNITED STATES. NAVAJO COUNTY HAS 34,251 HOUSEHOLDS WITH AN AVERAGE OF 3.07 PERSONS PER HOUSEHOLD. YC- THE MEDIAN HOUSEHOLD INCOME IN YAVAPAI COUNTY IS $48,259, AND 13.2% OF THE YAVAPAI COUNTY POPULATION IS BELOW THE POVERTY LEVEL. THERE ARE 94,343 HOUSEHOLDS IN YAVAPAI COUNTY WITH AN AVERAGE OF 2.29 PERSONS PER HOUSEHOLD. SCHEDULE H, PART VI, LINE 5 COMMUNITY HEALTH AND COMMUNITY BUILDING ARE A FOCUS AT FLAGSTAFF MEDICAL CENTER AS EVIDENCED BY THE NUMEROUS ACTIVITIES SPONSORED EACH YEAR. THE CANCER CENTER AT FMC HOSTS A SERIES OF FREE OR LOW-COST SCREENINGS DESIGNED TO HELP RESIDENTS IN THE COMMUNITY DETECT ISSUES AS SOON AS POSSIBLE. THE SAFE CHILD CENTER IS A CHILD ADVOCACY CENTER THAT SERVES CHILDREN FROM BIRTH THROUGH 18 YEARS OLD AND IS DEDICATED TO REDUCING THE STRESS CHILDREN EXPERIENCE AS VICTIMS OF CRIME. FMC'S PALLIATIVE CARE PROGRAM PROVIDES HIGH QUALITY CARE TO PATIENTS WHO HAVE A CHRONIC DISEASE OR LIFE-THREATENING ILLNESS. FIT KIDS OF ARIZONA, WHICH WORKS TO REDUCE THE HEALTH CONSEQUENCES OF CHILDHOOD OBESITY BY PROMOTING HEALTHY LIFESTYLES, AND THE DIABETES TOGETHER COMMUNITY COLLABORATION ARE FMC'S PREMIER COMMUNITY HEALTH INITIATIVES. THE CARE BEYOND WALLS AND WIRES PROGRAM USES TELEMEDICINE TO MONITOR AND SUPPORT PATIENTS WHO LIVE REMOTELY AND HAVE RECENTLY BEEN DIAGNOSED WITH CONGESTIVE HEART FAILURE. COMMUNITY BUILDING IS ADVANCED BY FMC THROUGH ITS SUPPORT OF PHYSICIAN RECRUITMENT AND WORK WITH VARIOUS COMMUNITY ORGANIZATIONS INCLUDING THE AMERICAN CANCER SOCIETY, BIG BROTHERS AND BIG SISTERS, FLAGSTAFF LEADERSHIP PROGRAM, FLAGSTAFF CHAMBER OF COMMERCE AND THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION. SCHEDULE H, PART VI, LINE 6 FLAGSTAFF MEDICAL CENTER IS AFFILIATED WITH VERDE VALLEY MEDICAL CENTER. THE BOARD MEMBER MEETINGS ARE COMBINED. THE COMMUNITY BENEFIT REPORT IS SUMMARIZED TOGETHER AND POSTED ON THE HOSPITAL'S WEBSITE. true NORTHERN ARIZONA HEALTHCARE FOUNDATION 1030 SAN FRANCISCO ST FLAGSTAFF AZ 86001 813137336 501(c)(3) 250000 0 ENDOWMENT & COMM. BENEFITS 1 SCHEDULE I, PART I, LINE 2 1) INDIVIDUALS ON THE USER LEVEL ARE RESPONSIBLE FOR SCREENING AND IDENTIFYING THE NEEDS FOR DISTRIBUTION OF GRANT FUNDS. 2) DEPARTMENT HEADS AND/OR PROGRAM COORDINATORS MUST VALIDATE AND SIGN ALL REQUESTS FOR PAYMENT OR DISBURSEMENT OF THESE FUNDS. 3) WRITTEN REQUESTS ARE REVIEWED BY THE FOUNDATION SPECIALIST FOR OPERATIONS TO VERIFY AVAILABLE FUND BALANCES AND PROPER ACCOUNT NUMBERS. 4) THE FOUNDATION SPECIALIST FOR GRANTS THEN INITIALS THE DOCUMENTS AFTER VERIFYING THE CRITERIA FOR DISBURSEMENT. 5) THE VICE PRESIDENT OF DEVELOPMENT AUTHORIZES THE DISBURSEMENT OF FUNDS BY SIGNATURE. 6) THE FOUNDATION SCANS ALL DOCUMENTS AND SAVES THEM DIGITALLY ON A SECURE SERVER. 7) ALL ORIGINAL DOCUMENTS ARE SUBMITTED TO ACCOUNTS PAYABLE FOR FINAL RECORDING AND PAYMENT. ORIGINAL DOCUMENTS ARE FILED AND ARCHIVED IN A SECURE LOCATION FOR THE REQUIRED LENGTH OF TIME. FMC RELIES ON THE GOVERNANCE PRACTICES OF THE RECIPIENT ORGANIZATION TO USE THE FUNDS FOR THE INTENDED PURPOSE. false false false false false false false true false Derek Feuquay Chief Medical Officer 0 426347 0 0 0 51416 0 11400 0 22011 0 511174 0 0 Matthew Sena VP Operations 0 270555 0 0 0 22512 0 10608 0 22434 0 326109 0 0 Tyffany Sweeney Chief Nursing Officer 0 254226 0 327 0 24075 0 3949 0 6623 0 289200 0 0 Joshua Tinkle Chief Operating Officer 0 427747 0 0 0 3609 0 11258 0 24251 0 466865 0 0 Diane Allie Director Surgical Svcs 0 223139 0 825 0 487 0 8551 0 19852 0 252854 0 0 Aaron Shaw Physician Assistant Surgical 0 165216 0 0 0 23229 0 4438 0 24251 0 217134 0 0 Yari Valle Manager Outpatient Pharmacy 0 191271 0 825 0 273 0 5575 0 24271 0 222215 0 0 Scott Waldrop Director Pharmacy Services 0 226987 0 825 0 461 0 9305 0 15857 0 253435 0 0 Dustin Windle Dir Guardian Air Transport 0 176206 0 825 0 15554 0 8053 0 24230 0 224868 0 0 Florence Spyrow Chief Executive Officer 0 727227 0 0 0 57362 0 11400 0 392 0 796381 0 0 Clifford Loader Chief Financial Officer 0 451633 0 0 0 6885 0 11400 0 6490 0 476408 0 0 RICHARD NEFF FORMER CMO 0 112800 0 265 0 231720 0 5736 0 8786 0 359307 0 0 Lori Smithson Director Clinical Care 0 192242 0 825 0 8325 0 8343 0 20852 0 230587 0 0 SCHEDULE J, PART I, LINES 1A & 1B 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, THE BOARD MEMBER AND OFFICER BUSINESS TRAVEL EXPENSES ARE APPROVED BY THE NEXT HIGHEST LEVEL. SCHEDULE J, PART I, LINE 3 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 7 The following individuals received a one-time relocation payment. These amounts are included in Schedule J, Part II, column (B)(iii): CLIFFORD LOADER $5,303 JOSHUA TINKLE $2,333 SCHEDULE J, PART II 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): DEREK FEUQUAY $49,880 MATTHEW SENA $21,221 TYFFANY SWEENEY $23,365 AARON SHAW $23,115 DUSTIN WINDLE $15,392 FLORENCE SPYROW $33,654 LORI SMITHSON $ 7,423 A INDUSTRIAL DEVELOPMENT AUTHORITY OF YAVAPAI COUNTY 860376099 985900CXS 2011-10-12 65094379 SEE PART VI false false false B INDUSTRIAL DEVELOPMENT AUTHORITY OF YAVAPAI COUNTY 860376099 000000000 2015-06-30 54783825 SEE PART VI false false false C INDUSTRIAL DEVELOPMENT AUTHORITY OF YAVAPAI COUNTY 860376099 000000000 2017-05-29 40000000 SEE PART VI false false false A 30652872 0 65094379 0 0 0 629060 0 0 0 64465319 0 2011 true false true true B 5091781 0 54783825 0 0 0 1111308 0 0 0 53672517 0 2015 true false true true C 0 0 41447300 0 0 0 333014 0 0 23616887 17497399 0 2017 false false false true A false false true true false 0 false false false true B false false true true false 0 false false false true C false false true true false 0 false false false true A false false true false false false 0 false 0 false true B false false true false false false 0 false 0 false true C false true false false true false 0 false 0 false true A true B true C true SCHEDULE K, PART I, COLUMN (F) BOND A - THE NAME OF THIS ISSUE IS HOSPITAL REVENUE REFUNDING BONDS (NORTHERN ARIZONA HEALTHCARE SYSTEM) SERIES 2011. THIS ISSUE REFUNDS THE 1996A AND 1998 SERIES BONDS. THE TOTAL ISSUANCE PRICE WAS $78,923,520 WHICH WAS ALLOCATED $65,094,379 TO FLAGSTAFF MEDICAL CENTER (FMC) AND $13,829,141 TO VERDE VALLEY MEDICAL CENTER. BOND B - 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 C - THE NAME OF THE ISSUE IS HOSPITAL REVENUE BOND (NORTHERN ARIZONA HEALTHCARE SYSTEM) SERIES 2017A. TOTAL ISSUANCE PRICE WAS $40,000,000 WHICH WAS ALLOCATED TO FLAGSTAFF MEDICAL CENTER (FMC). FMC FUNDED VVMC CAPITAL PROJECTS FROM THESE FUNDS. THE ISSUANCE PRICE DIFFERS FROM TOTAL PROCEEDS DUE TO INVESTMENT EARNINGS. FORM 990, PART I, LINE 6 FMC VOLUNTEERS PROVIDE CLERICAL ASSISTANCE IN MULTIPLE DEPARTMENTS AND SUPPORT SERVICES SUCH AS WHEELCHAIR ASSISTANCE AND ESCORTING PATIENTS AND FAMILIES WHO ENTER AT THE MAIN ENTRY. THEY VOLUNTEER AT THE INFORMATION DESK AND GIFT SHOP AND MAKE DELIVERIES OF GIFTS, READING MATERIALS AND MAIL TO PATIENT ROOMS. THEY PROVIDE LOBBY MUSIC, NAVAJO AND SPANISH INTERPRETATION, SPIRITUAL CARE, AND CARING CANINE AND CARING CLOWN VISITS TO PATIENTS. THEY ROCK BABIES IN THE SPECIAL CARE NURSERY, PROVIDE MENDED HEARTS PATIENT AND FAMILY SUPPORT, AND ASSIST AT THE FOUNDATION AND AT SPECIAL EVENTS. VOLUNTEERS ASSIST IN OTHER DEPARTMENTS SUCH AS THE CANCER CENTER, BIOMEDICAL ENGINEERING, MAIL ROOM, NUTRITION SERVICES, PHARMACY, WOMEN AND INFANTS' CENTER, PHYSICAL THERAPY, FIT KIDS, BARIATRIC CLINIC, EMERGENCY AND SURGICAL SERVICES, AND THE TAYLOR HOUSE. FORM 990, PART III, LINE 4A IMPROVING HEALTH, HEALING PEOPLE. ONE OF THE NICEST THINGS ABOUT LIVING IN NORTHERN ARIZONA IS YOU DON'T HAVE TO TRAVEL TO GET EXCELLENT HEALTHCARE. SINCE 1936, FLAGSTAFF MEDICAL CENTER (FMC), A MEMBER OF NORTHERN ARIZONA HEALTHCARE, HAS PROVIDED HIGH QUALITY HEALTHCARE SERVICES TO RESIDENTS AND VISITORS OF NORTHERN ARIZONA. WE ARE DEDICATED TO PATIENT-CENTERED CARE WITH A PERSONAL TOUCH. FMC IS LICENSED BY MEDICARE AND THE STATE OF ARIZONA. FOUNDED BY DR. CHARLES SECHRIST AS FLAGSTAFF HOSPITAL, THE 25-BED HOSPITAL WAS DONATED TO THE COMMUNITY OF FLAGSTAFF IN 1955. TODAY, FLAGSTAFF MEDICAL CENTER REMAINS A NOT-FOR-PROFIT HOSPITAL, GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS. WE TREAT EVERY PATIENT, REGARDLESS OF THEIR ABILITY TO PAY. EVERY YEAR, FLAGSTAFF MEDICAL CENTER INVESTS IN ITS COMMUNITY HOSPITAL TO ENSURE WE ARE PROVIDING THE BEST, SAFEST CARE, CLOSE TO HOME. WE PROVIDE KEY SERVICES TO NORTHERN ARIZONA RESIDENTS AND VISITORS, INCLUDING A REGIONAL TRAUMA CENTER; OPEN-HEART SURGERY; HIGH-TECH IMAGING; A CANCER CENTER; SURGICAL SERVICES; ORTHOPEDIC SERVICES; WOMEN, INFANTSCHILDREN'S SERVICES; AND MORE. FMC CURRENTLY HAS: - 267 INPATIENT BEDS - 244 PHYSICIANS ON OUR ACTIVE MEDICAL STAFF - 13,896 ANNUAL INPATIENT HOSPITAL ADMISSIONS - 62,271 INPATIENT DAYS - 96,625 ANNUAL OUTPATIENT HOSPITAL VISITS - 47,772 ANNUAL EMERGENCY DEPARTMENT VISITS - 1,048 BABIES BORN THIS YEAR AT FMC FLAGSTAFF 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; PART VII, SECTION A, AND PART IX FLAGSTAFF 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 FMC'S SOLE MEMBER. FORM 990, PART VI, LINE 1 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 NORTHERN ARIZONA HEALTHCARE CORPORATION IS THE SOLE CORPORATE MEMBER OF FLAGSTAFF MEDICAL CENTER. FORM 990, PART VI, LINE 7A 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 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 ad hoc 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 THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM BASED ON DATA GATHERED BY THE CONTROLLER AND THE ORGANIZATION'S FINANCIAL OPERATIONS GROUP. THE 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 MAY 15 DUE 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 GOVERNANCE COMMITTEE OF THE BOARD. 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 GOVERNANCE COMMITTEE, WHICH MAKES A DETERMINATION AS TO WHETHER A CONFLICT EXISTS. FORM 990, PART VI, LINES 15A & 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 OTHER CHANGES IN NET ASSETS $18,308,340 CHANGE IN PENSION LIABILITY ($45,463,492) support to related companies (VVMC, NAH, NAHPG) _____________ ($27,155,152) TOTAL NORTHERN ARIZONA HEALTHCARE CORPORATION POST OFFICE BOX 1268 FLAGSTAFF AZ 86002 742410946 HEALTHCARE AZ 501(c)(3) 10 NA false VERDE VALLEY MEDICAL CENTER 269 SOUTH CANDY LANE COTTONWOOD AZ 86326 860100882 HEALTHCARE AZ 501(c)(3) 3 NAH true false false false false false false false false false true true false false false true false true true true VERDE VALLEY MEDICAL CENTER q 76518053 COST