2017-05-12T14:54:42-05:00 2016-06-30 ERNST & YOUNG US LLP 2 NORTH CENTRAL AVE STE 2300 PHOENIX AZ 85004 990 2015-07-01 742410946 Northern Arizona Healthcare Corporation % JOHN A CORTESE CPA NORT 9287793366 POST OFFICE BOX 1268 FLAGSTAFF AZ 860021268 JEFFREY TREASURE NAH CFO 9282143545 2017-05-12 true MICHAEL J PAYNE P01442310 6023223000 2015 2021-01-29 14:40:06Z Robert P Thames 1200 N BEAVER ST FLAGSTAFF AZ 86001 113761336 false X www.nahealth.com X 1985 AZ TO PROVIDE PATIENTS WITH EXCEPTIONAL CARE WHILE TRANSFORMING THE WHILE TRANSFORMING THE HEALTH OF THE COMMUNITIES WE SERVE. 13 12 4087 23 6245 0 260124 0 68700778 110169811 -853673 -8047776 439771 3591092 68547000 105713127 0 0 0 0 30572494 91730327 0 0 0 41769252 62591558 72341746 154321885 -3794746 -48608758 90338489 97889858 44255410 50397008 46083079 47492850 X TO PROVIDE PATIENTS WITH EXCEPTIONAL CARE WHILE TRANSFORMING THE HEALTH OF THE COMMUNITIES WE SERVE. true true 86067275 0 112582034 SEE SCHEDULE O. 86067275 true false false false false false false false false false true false false false true true false true false false true false false false false false false false false true true false false false true true false false false false false false false false false true true true true false false true X 76 0 true 4087 true false false false false false false false false false false X 13 12 false false true false false false false true true false false true true true true true true true true false AZ X JOHN A CORTESE CPA 9282143545 914 N SAN FRANCISCO SUITE M FLAGSTAFF AZ 86001 X ANDREW ALDRIDGE DIRECTOR (AS OF 10/15) 1.0 1.0 X 0 0 0 WILLIAM AUSTIN MD DIRECTOR (THRU 9/15) 1.0 1.0 X 0 0 0 CHRISTOPHER BAVASI CHAIR/INTERIM CEO (THRU 4/14) 40.0 1.0 X X 107623 0 3177 RICHARD CRANMER DIRECTOR 1.0 2.0 X 0 0 0 JAMES DORMAN DIRECTOR 1.0 1.0 X 0 0 0 WAYNE FOX CPA DIRECTOR/TREASURER 1.0 1.0 X X 0 0 0 ALICE GAGNAIRE RN DIR/VICE CHAIR 4.0 1.0 X X 0 0 0 WILLIAM JEFFERS DIRECTOR 4.0 1.0 X 0 0 0 RICHARD KRUSE DIRECTOR (AS OF 10/15) 3.0 1.0 X 0 0 0 JAMES LEDBETTER DIRECTOR (THRU 9/15) 1.0 2.0 X 0 0 0 CHARLES MARR DIRECTOR/CHAIR 1.0 6.0 X X 0 0 0 SHAWN ORME DIRECTOR/SECRETARY 1.0 6.0 X X 0 0 0 KENNETH SALCE DIRECTOR (AS OF 10/15) 1.0 1.0 X 0 0 0 RAY SELNA DIRECTOR 1.0 3.0 X 0 0 0 ROBERT THAMES PRESIDENT/CEO 40.0 0.0 X X 444857 0 29885 GUADALUPE WOODSON DIRECTOR (AS OF 10/15) 1.0 1.0 X 0 0 0 BARBARA DEMBER VVMC PRES/CEO (THRU 9/15) 0.0 40.0 X 553679 0 22734 RICHARD LANGOSCH INTERIM CFO (THRU 10/15) 0.0 40.0 X 0 0 0 CHRISTINE MARTIN VP FINANCE/NAH CFO (THRU 7/15) 40.0 0.0 X 274923 0 18872 JEFFREY TREASURE VP FINAN/NAH CFO (AS OF 12/15) 40.0 0.0 X 31923 0 0 HOPE WADE INTERIM CFO (THRU 12/15) 40.0 0.0 X 180007 0 6142 MARILYNN BLACK NAH CHIEF INFORMATION OFFICER 40.0 0.0 X 322054 0 38855 ANN BOLLONE NAH VP HUMAN RESOURCES 40.0 0.0 X 327380 0 24949 CHRISTY CLARKE VP/CARDIOVASCULAR/HVCNA 40.0 0.0 X 273653 0 33861 JOHN DEMPSEY VP NAH/PRES LCMC 40.0 0.0 X 444110 0 181355 CRAIG JENSEN VP STRATEGIC PLANNING/BUSINESS 40.0 0.0 X 282847 0 19470 STEVEN LEWIS NAH VP POPULATION HEALTH 40.0 0.0 X 476107 0 39612 BRIAN DUGGAN PHYSICIAN 40.0 0.0 X 899501 0 35442 BRUCE PEEK PHYSICIAN 40.0 0.0 X 858248 0 30958 SAMUEL BUTMAN PHYSICIAN 40.0 1.0 X 851059 0 38956 BRADLEY WILLIAMS PHYSICIAN 40.0 0.0 X 842196 0 36164 JOHN SCHOR PHYSICIAN 40.0 0.0 X 795525 0 42564 WILLIAM BRADEL NAH CEO EX-OFFICIO(THRU 10/14) 0.0 0.0 X 580217 0 0 8545909 0 602996 85 true true false CONIFER HEALTH SOLUTIONS LLC 1500 S DOUGLASS RD ANAHEIM CA 92806 billing services 5810645 comphealth po box 972651 Dallas TX 75397 professional fee svc 1997631 SHR perceptual branding LLC 2929 e camelback rd ste 115 phoenix AZ 85016 consulting fees 1500000 jeffrey slocum associates INC 43 se main st ste 300 minneapolis MN 55414 INVESTMENT CONSULTNG 650149 dorway west village properties 1030 N San Francisco St flagstaff AZ 86001 rental property svcs 633873 29 0 Corp exp reimb alloc 900099 66735302 66735302 Patient services 621610 42338364 42338364 Health seminars 611430 427612 427612 MANAGEMENT FEE - LCMC 446130 413315 413315 OPTICAL SHOP 561000 88978 82733 6245 166240 166240 110169811 433 433 0 0 970227 970227 0 970227 970227 8048209 -8048209 -8048209 -8048209 0 0 0 Meaningful use incentive 900099 750945 750945 CREDIT CARD REBATES 900099 249041 249041 ALL OTHER REVENUE 900099 1620879 1620879 2620865 105713127 112784431 6245 -7077549 X 0 0 0 0 0 0 0 0 7880146 5831308 2048838 0 0 0 0 0 66348563 48778032 17570531 0 2798975 186654 2612321 0 12674304 9474936 3199368 0 2028339 343940 1684399 0 5118973 2068129 3050844 0 1139605 90610 1048995 0 141201 0 141201 0 0 0 0 0 0 0 650149 0 650149 0 13026265 6346578 6679687 623009 404612 218397 0 9291126 2570357 6720769 0 11186570 1512685 9673885 0 0 0 0 0 2986840 1497937 1488903 0 903106 398954 504152 0 0 0 0 0 0 0 0 0 1273416 0 1273416 0 0 0 0 0 9718694 1691554 8027140 0 415572 224396 191176 0 MEDICAL SUPPLIES 4464528 4464528 0 0 RECRUITING 325183 182065 143118 0 ALL OTHER EXPENSES 1327321 0 1327321 0 154321885 86067275 68254610 0 0 0 0 4681634 13546493 0 0 3066776 8215955 0 0 0 0 453456 521840 345346 749887 1477036 2150294 111343360 55896435 55811379 55446925 0 0 0 0 0 0 24179440 16291440 323422 967024 90338489 97889858 7471386 11353732 0 0 0 0 33020911 32303161 0 0 0 0 0 0 0 0 3763113 6740115 44255410 50397008 X 46083079 47492850 0 0 0 0 46083079 47492850 90338489 97889858 X -48608758 0 0 0 0 50018529 X false true X true false X 372786 566892 238172 260124 0 1437974 5861961 5362483 4885120 6843982 43428264 66381810 0 0 0 6234747 5929375 5123292 7104106 43428264 67819784 0 553547 431203 349465 90764 0 1424979 553547 431203 349465 90764 0 1424979 66394805 1720 3237 75 1635 970660 977327 6245 6245 1720 3237 75 1635 976905 983572 0 117812 80572 251466 439771 2620865 3510486 6354279 6013184 5374833 7545512 47026034 72313842 0.91815 0.86350 0.01360 0.01030 X 7217714 7217714 25135668 2722422 22413246 1300168 1005759 294409 71798292 52168254 19630038 5891518 0 5891518 55446925 0 Minimum Pension Liability 6740115 6740115 X SCHEDULE D, PART X, LINE 2 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 108406471 108406471 108406471 true false true false false false X true true X X X X true true false false false false false true false ROBERT THAMES PRESIDENT/CEO 302952 0 127500 0 14405 0 9696 0 20189 0 474742 0 0 0 BARBARA DEMBER VVMC PRES/CEO (THRU 9/15) 320408 0 99682 0 133589 0 10600 0 12134 0 576413 0 0 0 CHRISTINE MARTIN VP FINANCE/NAH CFO (THRU 7/15) 222313 0 52004 0 606 0 8166 0 10706 0 293795 0 0 0 MARILYNN BLACK NAH CHIEF INFORMATION OFFICER 271737 0 48485 0 1832 0 15900 0 22955 0 360909 0 0 0 ANN BOLLONE NAH VP HUMAN RESOURCES 276021 0 49198 0 2161 0 7711 0 17238 0 352329 0 0 0 CHRISTY CLARKE VP/CARDIOVASCULAR/HVCNA 231422 0 41275 0 956 0 13769 0 20092 0 307514 0 0 0 JOHN DEMPSEY FORMER VP NAH/PRES LCMC 331407 0 72204 0 40499 0 155917 0 25438 0 625465 0 32101 0 CRAIG JENSEN VP STRATEGIC PLANNING/BUSINESS 133164 0 40237 0 109446 0 8980 0 10490 0 302317 0 0 0 STEVEN LEWIS NAH VP POPULATION HEALTH 389534 0 69332 0 17241 0 14389 0 25223 0 515719 0 0 0 BRIAN DUGGAN PHYSICIAN 898993 0 0 0 508 0 15900 0 19542 0 934943 0 0 0 BRUCE PEEK PHYSICIAN 854223 0 0 0 4025 0 15900 0 15058 0 889206 0 0 0 SAMUEL BUTMAN PHYSICIAN 847131 0 0 0 3928 0 15900 0 23056 0 890015 0 0 0 BRADLEY WILLIAMS PHYSICIAN 840860 0 0 0 1336 0 15900 0 20264 0 878360 0 0 0 JOHN SCHOR PHYSICIAN 794274 0 0 0 1251 0 15900 0 26664 0 838089 0 0 0 WILLIAM BRADEL NAH CEO EX-OFFICIO(THRU 10/14) 0 0 0 0 580217 0 0 0 0 0 580217 0 0 0 HOPE WADE INTERIM CFO (THRU 12/15) 167550 0 12261 0 196 0 5142 0 1000 0 186149 0 0 0 SCHEDULE J, PART I, Lines 1A AND 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: WILLIAM BRADEL - $580,217 BARBARA DEMBER - $129,094 CRAIG JENSEN - $107,135 SCHEDULE J, PART I, LINE 4B CERTAIN EMPLOYEES RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DURING 2015 AS FOLLOWS: JOHN DEMPSEY: $32,101 THIS AMOUNT WAS INCLUDED IN TAXABLE WAGES AND IS REPORTED IN SCHEDULE J, PART II, COLUMN B(III) AND ALSO IN COLUMN F SINCE THIS AMOUNT HAS PREVIOUSLY BEEN REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. SCHEDULE J, PART I, LINE 7 NORTHERN ARIZONA HEALTHCARE CORPORATION MAKES DISCRETIONARY PAYMENTS AS PART OF A SHORT-TERM INCENTIVE PLAN (STIP). PAYMENTS ARE BASED ON MEETING VARIOUS ORGANIZATION GOALS. Schedule J Part II THE FOLLOWING INDIVIDUALS PARTICIPATE IN A DEFINED BENEFIT RETIREMENT PLAN. AS SUCH, ACTUARIAL INCREASES IN THEIR ACCOUNTS ARE REPORTED ON PART II, COLUMN (C) AS DEFERRED COMPENSATION. INCREASE DUE TO ACTUARIAL BENEFIT: JOHN DEMPSEY $111,008 THE FOLLOWING INDIVIDUALS RECEIVED ONE-TIME SIGN-ON BONUSES. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II): ROBERT P. THAMES $52,500 JEFFREY TREASURE $25,000 THE FOLLOWING INDIVIDUALS RECEIVED A ONE-TIME PAYMENT FOR RELOCATION. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III): ROBERT P. THAMES $13,074 A INDUSTRIAL DEVELOPMENT AUTHORITY OF YAVAPAI COUNTY 860376099 2015-06-30 33906586 SEE PART VI false false false A 0 33906586 0 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 BOND. TOTAL ISSUANCE PRICE 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 ACQUISTION OF SUMMIT SURGERY CENTER. Dr Butman Officer/director/cardiolgst inadvertant bonus miscalc true Dr Heilbrunn VVMC cardiologist inadvertant bonus miscalc true Dr Peek VVMC cardiologist inadvertant bonus miscalc true ESTHER SPRAVZOFF SPOUSE/ STEVE SPRAVZOFF COMPENSATION C SELNA FATHER/RAY SELNA COMPENSATION SCHEDULE L, PART I Filer discovered in late August 2016 that several employed cardiologists serving at NAHs Verde Valley Medical Center (VVMC) may have had their "Discretionary Performance Bonus" amounts miscalculated. A full investigation determined that errors had occurred in the office in which these calculations occurred either through misapplication of the terms of these employees contracts and/or inputted incorrect base data. At the conclusion of the investigation, multiple corrective actions were undertaken. In January 2017, shortly after corrected amounts were finalized, the physicians were informed of both the error and the need for repayment of the entirety of overpayments two relating to the prior tax years performance results and remitted in August and December of the tax year now reported upon, and one relating to the tax years results and remitted in the current year, were analyzed under IRC Code section 4958. Repayments in full of both the underlying overpayments and interest sufficient to constitute full "correction" as set out in IRC section 4958 and the Regulations thereunder was effected by the physicians in January 2017 (Heilbrunn and Peek) and February 2017 (Butman). Repair of the underlying defects that allowed the situation to arise has been fully effected. In March, NAH/VVMC also self-disclosed the matter to the Centers for Medicare and Medicaid Services under the Stark Laws (42 U.S.C. 1395nn) Self-Referral Disclosure Protocol. FORM 990, PART III, LINE 2 Beginning July 2015, Northern Arizona Healthcare became the member of Northern Arizona Healthcare Provider Group (NAHPG). NAHPG was formerly A LIMITED LIABILITY COMPANY (TAXED AS A PARTNERSHIP) owned by both Flagstaff Medical Center and Verde Valley Medical Center. NAHPG provides patient care in both Flagstaff and Verde Valley. FORM 990, PART III, LINE 3 Beginning April 2016, Northern Arizona Homecare/Hospice sold seventy-five percent of the service line to LHC Group for 1.3 million dollars. NAH and LHC formed a partnership for homecare and hospice services in the Flagstaff and Verde Valley area. This partnership is managed by LHC group, and is accounted for as an investment for NAH. FORM 990, PART III, LINE 4 NORTHERN ARIZONA HEALTHCARE 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 3,700 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 VALUES -------------------------------------------------------- Mission - Northern Arizona Healthcare will provide patients with exceptional care while transforming the health of the communities we serve. Vision - Northern Arizona Healthcare will be a model healthcare system distinguished by our people, quality, service and our dedication to community health solutions. Values - Patients: We are committed to meeting the needs and exceeding the expectations of our patients. - Colleagues: We will create an organizational culture where colleagues feel valued and take a sense of pride in their work. - Quality: We continuously strive to achieve excellence at all levels in the organization. - Safety: We are committed to maintaining a safe environment for our patients, visitors and colleagues. - Leadership: We promote leadership as an attitude, not a position, putting value on both people and the work they do. - Teamwork: We are colleagues working together, sharing knowledge, talents and skills to achieve common goals. - Integrity: We will be forthright, honest and respectful. -Diversity: We embrace the diversity of our people, patients and the communities we serve. NORTHERN ARIZONA HEALTHCARE PARTNERSHIPS ---------------------------------------- LITTLE COLORADO MEDICAL CENTER (WINSLOW MEMORIAL HOSPITAL) - NORTHERN ARIZONA HEALTHCARE HAS A MANAGEMENT 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 INTERGENERATIONAL CAMPUS IN FLAGSTAFF, ARIZONA. THROUGH THE INTERGENERATIONAL LEARNING, MENTORING AND VOLUNTEER OPPORTUNITIES, THE PEAKS OFFERS AN UNPARALLELED SENIOR RETIREMENT LIFESTYLE. 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 IN AN EMERGENCY SITUATION. 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 EXECUTIVE COMMITTEE DOES NOT POSSESS THE AUTHORITY TO REMOVE ANY DIRECTOR, FIX DIRECTOR COMPENSATION, EXERCISE ANY RESERVED POWER WHICH REQUIRES SUBSIDIARY BOARD APPROVAL, OR 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 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 AND 15B THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO AND OTHER OFFICERS INCLUDES THE PREPARATION OF COMPARABLE DATA BY TOWERS WATSON, AN INDEPENDENT CONSULTING FIRM. IN ADDITION, THIS INFORMATION IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND DOCUMENTED IN THE BOARD MINUTES. THE MOST RECENT REVIEW WAS PERFORMED IN SEPTEMBER 2016. 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 VII NORTHERN ARIZONA HEALTHCARE CORPORATION (NAH) PAID $446,634 TO THE COKER GROUP HOLDINGS, LLC ("COKER") FOR THE SERVICES OF THE INTERIM CFO RICHARD LANGOSCH, WHO IS AN EMPLOYEE OF COKER GROUP. FORM 990, PART XI, LINE 9 NET ASSET TRANSFERS FROM AFFILIATE $ 54,678,497 DECREASE IN UNFUNDED PENSION LIABILITY $ (4,659,971) ROUNDING $ 3 ------------- TOTAL $ 50,018,529 PATHFINDERHEALTH LLC 1200 N BEAVER FLAGSTAFF AZ 86001 742410946 HEALTHCARE AZ 0 0 NAHC NAH ORTHOPEDIC SURGERY CENTER LLC 1200 N BEAVER ST FLAGSTAFF AZ 86001 472572645 OP ORTHO SVCS AZ 8669000 42170000 NAHC NAHPG LLC PO BOX 1268 FLAGSTAFF AZ 86002 454464070 ADMIN/BILLING AZ 32690000 12242000 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 STREET FLAGSTAFF AZ 86001 COMMUNITY HEALTH AZ NAHC RELATED 0 0 false 0 true 0.50000 false false false false false false false false false true true false false false true true false true true FLAGSTAFF MEDICAL CENTER j 104952 COST FLAGSTAFF MEDICAL CENTER k 406372 COST FLAGSTAFF MEDICAL CENTER o 8969795 COST FLAGSTAFF MEDICAL CENTER p 4307828 COST FLAGSTAFF MEDICAL CENTER r 164944192 COST NAHPG o 42304566 COST VERDE VALLEY MEDICAL CENTER o 3224053 COST