2021-05-17T15:55:09-05:00 2020-06-30 ERNST & YOUNG US LLP 101 E WASHINGTON ST STE 910 PHOENIX AZ 85004 990 2019-07-01 742410946 NORTHERN ARIZONA HEALTHCARE CORPORATION % WILLIE FELTS NORT 9287793366 POST OFFICE BOX 1268 FLAGSTAFF AZ 860021268 CLIFFORD LOADER CFO 9282143545 2021-05-17 true PATRICK SHIELDS P01508556 6023223000 2019 2022-09-23 18:48:47Z FLORENCE L SPYROW 1200 N BEAVER ST FLAGSTAFF AZ 86001 125138398 false X WWW.NAHEALTH.COM X 1985 AZ IMPROVING HEALTH, HEALING PEOPLE. 12 10 4604 0 0 0 0 1028515 125427573 120957055 -11400 673214 1949806 1873683 127365979 124532467 0 0 0 0 104616146 112348788 0 0 0 68614566 60073967 173230712 172422755 -45864733 -47890288 88031790 132735377 51704348 86665022 36327442 46070355 X IMPROVING HEALTH, HEALING PEOPLE. false false 99876185 0 121730956 SEE SCHEDULE O. 99876185 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 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NON-CURRENT 26616714 MINIMUM PENSION LIABILITY 11024285 OPERATING LEASE LIABILITY CURRENT 4064138 FINANCIAL LEASE LIAB. NON-CURRENT 3254993 FINANCIAL LEASE LIABILITY CURRENT 673447 2015A UNAMORTIZED BOND ISSUE C -178035 45455542 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 49695747 49695747 49695747 true false true false false false X true true X X X X true true false false false false false true false CLIFFORD LOADER NAH CFO (AS OF 8/19) 260587 0 70000 0 984 0 3012 0 2617 0 337200 0 0 0 JEFFREY TREASURE FORMER OFFICER 142083 0 0 0 621 0 5795 0 6672 0 155171 0 0 0 RONALD HAASE CHIEF SYSTEMS OFFICER 398211 0 74017 0 39025 0 16700 0 1208 0 529161 0 30622 0 JOHN MOUGIN CHIEF QUALITY OFFICER 368167 0 56101 0 929 0 16700 0 25559 0 467456 0 0 0 RYAN O'HARA CHIEF REVENUE OFFICER 253726 0 63543 0 15483 0 5143 0 24844 0 362739 0 0 0 LEON PONTIKES VP OF NAHPG/CMO OF VVMC 546996 0 67727 0 2543 0 16700 0 26680 0 660646 0 0 0 MATTHEW SENA VP OF OPERATIONS 257608 0 31200 0 14201 0 14993 0 22724 0 340726 0 0 0 RICHARD SHARP CHIEF HR OFFICER 255219 0 22772 0 1055 0 14070 0 8065 0 301181 0 0 0 BRIAN DUGGAN PHYSICIAN 719847 0 143166 0 780 0 16526 0 25253 0 905572 0 0 0 SAMUEL BUTMAN PHYSICIAN 722852 0 47629 0 7620 0 12320 0 9401 0 799822 0 0 0 STEVEN HEILBRUNN PHYSICIAN 552306 0 197839 0 6746 0 16700 0 16965 0 790556 0 0 0 STEPHEN FAULKNER PHYSICIAN 459862 0 343237 0 4633 0 16700 0 17545 0 841977 0 0 0 JOHN SCHOR PHYSICIAN 630608 0 18000 0 2420 0 15560 0 26637 0 693225 0 0 0 JANNIENNE JONES VERSE CHIEF STRATEGY BUSINESS DEV 65445 0 75000 0 11558 0 5654 0 3823 0 161480 0 0 0 COLLEEN MARING CHIEF LEGAL COUNSEL 310394 0 22848 0 281 0 11200 0 392 0 345115 0 0 0 ROBERT THAMES FORMER NAH PRESIDENT/CEO 23077 0 0 0 447690 0 0 0 0 0 470767 0 0 0 ROBERT THOMPSON FORMER CHIEF CLINICAL OFFICER 0 0 0 0 186372 0 0 0 0 0 186372 0 0 0 FLORENCE SPYROW NAH PRESIDENT/CEO 663461 0 131929 0 29594 0 16700 0 392 0 842076 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): ROBERT THAMES SEVERANCE $ 447,690 ROBERT THOMPSON SEVERANCE $ 186,372 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 $ 30,622 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): FLORENCE SPYROW $ 131,929 RONALD HAASE $ 74,017 RYAN O'HARA $ 63,543 RICHARD SHARP $ 22,772 MATTHEW SENA $ 31,200 LEON PONTIKES $ 61,727 JOHN MOUGIN $ 41,183 COLLEEN MARING $ 22,848 2) Northern Arizona Healthcare Corporation makes discretionary payments to physicians based on quality goals. These payments are included in Schedule J, Part II, column (B)(ii): LEON PONTIKES $ 6,000 JOHN MOUGIN $ 14,844 BRIAN DUGGAN $ 116,318 SAMUEL BUTMAN $ 6,250 STEVEN HEILBRUNN $ 6,250 STEPHEN FAULKNER $ 35,300 JOHN SCHOR $ 18,000 3) Northern Arizona Healthcare Corporation makes discretionary payments to physicians based on productivity goals. These payments are included in Schedule J, Part II, column (B)(ii): JOHN MOUGIN $ 74 BRIAN DUGGAN $ 26,847 SAMUEL BUTMAN $ 41,379 STEVEN HEILBRUNN $ 191,589 STEPHEN FAULKNER $ 307,938 4) The following individuals received a one-time sign-on bonus. These amounts are included in Schedule J, Part II, column (B)(ii): CLIFFORD LOADER $ 70,000 JANNIENNE JONES VERSE $ 75,000 5) The following individuals received a one-time relocation payment. These amounts are included in Schedule J, Part II, column (B)(iii): CLIFFORD LOADER $ 781 JANNIENNE JONES VERSE $ 11,492 THE FOLLOWING INDIVIDUALS CASHED OUT ACCUMULATED PTO DURING THE YEAR. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): MATTHEW SENA $ 13,388 RYAN O'HARA $ 15,230 NAH paid Loader Group $128,533 for interim CFO services RENDERED BY CLIFFORD Loader during calendar year 2019. A INDUSTRIAL DEVELOPMENT AUTHORITY OF YAVAPAI COUNTY 860376099 000000000 2015-06-30 33906586 SEE PART IV false false false A 0 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 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 3,300 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 DEVELOPMENT COMMITTEE AND DOCUMENTED IN BOARD MINUTES. THE MOST RECENT REVIEW WAS PERFORMED IN FEBRUARY 2018. 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 $ 60,550,057 - NET ASSET TRANSFERS FROM AFFILIATE ($ 2,916,856) - INCREASE IN UNFUNDED PENSION LIABILITY _____________ $ 57,633,201 - TOTAL PATHFINDERHEALTH LLC 1200 N BEAVER ST FLAGSTAFF AZ 86001 742410946 HEALTHCARE AZ 0 2830823 NAHC NAH ORTHOPEDIC SURGERY CENTER LLC 1200 N BEAVER ST FLAGSTAFF AZ 86001 472572645 OP ORTHO SVCS AZ 8456669 32965349 NAHC NAHPG LLC PO BOX 1268 FLAGSTAFF AZ 86002 454464070 ADMIN/BILLING AZ 39990950 18926035 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 1200 N BEAVER ST FLAGSTAFF AZ 86001 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 186183560 COST FLAGSTAFF MEDICAL CENTER k 41556 COST FLAGSTAFF MEDICAL CENTER k 242781 COST FLAGSTAFF MEDICAL CENTER p 250000 COST FLAGSTAFF MEDICAL CENTER o 25296433 COST VERDE VALLEY MEDICAL CENTER o 8038053 COST SCHEDULE R, PART III PINON HEALTH COLLABORATIVE, LLC EIN: 74-2410946 ADDRESS: 1200 N. BEAVER st., FLAGSTAFF, AZ 86001