2016-05-13T18:16:20-05:00 2015-06-30 ERNST & YOUNG US LLP TWO NORTH CENTRAL AVENUE STE 2300 PHOENIX AZ 85004 990 2014-07-01 742410946 NORTHERN ARIZONA HEALTHCARE CORPORATION % JOHN A CORTESE NORT 9287793366 POST OFFICE BOX 1268 FLAGSTAFF AZ 860021268 JEFFREY TREASURE NAH CFO 9287793366 2016-05-13 true BRENDA GRIESEMER P00264669 6023223000 2014 2016-08-17 19:52:53Z ROBERT P THAMES 1200 N BEAVER ST FLAGSTAFF AZ 86001 69402308 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 9 4002 23 0 0 238172 260124 60916295 68700778 -1933 -853673 251466 439771 61404000 68547000 25000 0 0 0 26840588 30572494 0 0 0 36017412 41769252 62883000 72341746 -1479000 -3794746 52052602 90338489 10725723 44255410 41326879 46083079 X TO PROVIDE PATIENTS WITH EXCEPTIONAL CARE WHILE TRANSFORMING THE HEALTH OF THE COMMUNITIES WE SERVE. true false 22179816 0 69140549 SEE SCHEDULE O. 22179816 true true 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 false false false false false false true false false false false false true true true true false false true X 0 0 4002 true false false false false false false false false false false X 13 9 false false false false false false false true true false false true true true true true true true true false AZ X JOHN A CORTESE 9282143545 914 N SAN FRANCISCO SUITE M FLAGSTAFF AZ 86001 X WILLIAM AUSTIN MD DIRECTOR 0.9 0.9 X 0 66517 0 CHRISTOPHER BAVASI CHAIR/INTERIM CEO (thru 10/15) 7.7 0.9 X X 57696 0 21672 WILLIAM T BRADEL NAH CEO EX-OFfICIO(THRU 10/14) 40.0 0.0 X X 753287 0 83381 GARY CHRISTENSEN MD DIRECTOR (THRU 9/14) 0.5 0.9 X 0 0 0 RICHARD CRANMER DIRECTOR 3.3 2.7 X 749 0 0 JAMES DORMAN DIRECTOR 3.6 0.6 X 0 0 0 WAYNE FOX DIRECTOR/TREASURER 1.1 0.6 X X 0 0 0 ALICE GAGNAIRE RN DIRECTOR 6.2 0.9 X 0 0 0 WILLIAM JEFFERS DIRECTOR 7.3 0.6 X 0 0 0 JAMES LEDBETTER DIRECTOR 0.8 2.4 X 0 0 0 CHARLES MARR DIRECTOR/VICE CHAIR 1.7 6.4 X X 0 0 0 SHAWN ORME DIRECTOR/SECRETARY 5.1 8.7 X X 336 0 0 MATIAS SANDOVAL DIRECTOR 0.3 2.1 X 604 0 0 RAY SELNA DIRECTOR 3.5 3.2 X 1216 0 0 ROBERT P THAMES PRESIDENT/CEO (AS OF 4/15) 40.0 0.0 X X 0 0 0 IRWIN BLOOM FMC PRESIDENT/CEO (THRU 7/14) 0.0 40.0 X 0 351145 6531 BARBARA DEMBER VVMC PRESIDENT/CEO (THRU 9/15) 0.0 40.0 X 0 564873 27788 RICHARD LANGOSCH INTERIM NAH CFO (THRU 6/2014) 0.0 0.0 X 0 0 0 CHRISTINE MARTIN VP FINANCE/NAH CFO 40.0 0.0 X 106532 0 1723 MICHAEL ROLPH INTERIM CFO (THRU 10/14) 0.0 0.0 X 0 0 0 JOHN CORTESE NAH CONTROLLER/TREASURER 40.0 0.0 X 207200 0 4820 MARILYNN BLACK NAH CHIEF INFORMATION OFFICER 40.0 0.0 X 305147 0 26084 ANN BOLLONE NAH VP HUMAN RESOURCES 40.0 0.0 X 330918 0 20947 CHRISTY CLARKE VP/CARDIOVASCULAR/HVCNA 40.0 0.0 X 249736 0 25751 JOHN DEMPSEY VP NAH (THRU 12/14)/PRES LCMC 40.0 0.0 X 469221 0 87567 CRAIG JENSEN VP/STRATEGIC PLANNING/BUSINESS 40.0 0.0 X 299840 0 25172 STEVEN LEWIS NAH VP POPULATION HEALTH 40.0 0.0 X 466682 0 33274 RICHARD HENN DIRECTOR OF EDUCATION 40.0 0.0 X 192118 0 88133 SHERRY ADDAIR DIRECTOR ORTHOPEDICS SYSTEMS 40.0 0.0 X 181351 0 25188 LORETTA F WELLBORN DIRECTOR OF NURSING 40.0 0.0 X 174724 0 129822 JANET MCNEESE HIPAA SECURITY OFFICER 40.0 0.0 X 165305 0 19527 GREGORY KUZMA FORMER VP FINANCE/NAH CFO 0.0 0.0 X 400712 0 48586 JENNIFER BREWER FORMER NAH CNIO 0.0 0.0 X 178631 0 23126 STEVEN R SPRAVZOFF FORMER VP PROCUREMENT 0.0 0.0 X 293354 0 -15790 4835359 982535 683302 83 true true false CONIFER HEALTH SOLUTIONS LLC 1500 S DOUGLASS ROAD ANAHEIM CA 92806 BILLING SERVICES 6115336 SHR PERCEPTUAL BRANDING LLC 2929 E CAMELBACK ROAD SUITE 115 PHOENIX AZ 85016 CONSULTING FEES 4430140 INSIGHT DIRECT USA PO BOX 731069 DALLAS TX 75373 INFORMATION TECH 1360023 DORWAY WEST VILLAGE PROPERTIES 1120 W UNIVERSITY AVENUE SUITE 200 FLAGSTAFF AZ 86001 RENTAL PROPERTY SVCS 618753 JEFFREY SLOCUM ASSOC INC 43 MAIN STREET SE SUITE 300 MINNEAPOLIS MN 55414 INVEST CONSULTING 562407 17 260124 260124 CORP EXP REIMBURSEMENT ALLOCATION 900099 61856796 61856796 PATIENT SERVICES 621610 6005978 6005978 HEALTH SEMINARS 611430 388543 388543 INTERCOMPANY RENTAL INCOME 531120 283242 283242 MANAGEMENT FEE - LCMC 561000 166219 166219 68700778 1635 1635 0 0 0 0 0 855308 -855308 -855308 -855308 0 0 0 CREDIT CARD REBATES 900099 330480 330480 ALL OTHER REVENUE 900099 109291 109291 439771 68547000 69140549 0 -853673 X 0 0 0 0 4720794 1264611 3456183 39541 39541 20809954 7769701 13040253 1455998 59514 1396484 1842333 680033 1162300 1703874 247118 1456756 6277206 6277206 1244773 653044 591729 207613 207613 0 0 562407 87993 474414 9695202 5206150 4489052 356068 342043 14025 4488293 2763888 1724405 9322158 1344291 7977867 0 1971134 679786 1291348 932886 427231 505655 0 0 0 0 6074284 574612 5499672 184158 40260 143898 ALL OTHER EXPENSES 453070 453070 72341746 22179816 50161930 0 0 0 8656691 4681634 0 0 620360 3066776 0 0 0 0 1080 453456 21824 345346 3103872 1477036 99176133 43364754 39620260 55811379 0 0 0 0 0 0 0 24179440 28515 323422 52052602 90338489 5176737 7471386 0 0 0 0 0 33020911 0 0 0 0 0 0 0 0 5548986 3763113 10725723 44255410 X 41326879 46083079 0 0 0 0 41326879 46083079 52052602 90338489 X -3794746 8550946 X false true X true false X 22353 372786 566892 238172 260124 1460327 6438135 5861961 5362483 4885120 6843982 29391681 0 0 0 6460488 6234747 5929375 5123292 7104106 30852008 0 787860 553547 431203 349465 90764 2212839 787860 553547 431203 349465 90764 2212839 28639169 143396 1720 3237 75 1635 150063 0 143396 1720 3237 75 1635 150063 0 1276519 117812 80572 251466 439771 2166140 7880403 6354279 6013184 5374833 7545512 33168211 0.86345 0.83572 0.00452 0.01027 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7217714 7217714 22824821 1082289 21742532 621668 364760 256908 54457738 41917705 12540033 14054192 14054192 55811379 0 MINIMUM PENSION LIABILITY 3420157 CENTRAL BUSINESS OFFICE RESERVE 318750 PROFESSIONAL AND GENERAL LIABILITY 24206 3763113 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 Corporations 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 106769177 106769177 106769177 true false true false false false X true true X X X X true false false false false false false true false MARILYNN BLACK NAH CHIEF INFORMATION OFFICER 265476 0 37924 0 1747 0 3128 0 22956 0 331231 0 0 0 IRWIN BLOOM FMC PRESIDENT/CEO (THRU 7/14) 0 344935 0 0 0 6210 0 6531 0 0 0 357676 0 0 ANN BOLLONE NAH VP HUMAN RESOURCES 272661 0 56039 0 2218 0 740 0 20207 0 351865 0 0 0 JENNIFER BREWER FORMER NAH CNIO 178347 0 0 0 284 0 22872 0 254 0 201757 0 0 0 WILLIAM T BRADEL NAH CEO EX-OFfICIO(THRU 10/14) 630039 0 119601 0 3647 0 68481 0 0 0 821768 0 0 0 CHRISTY CLARKE VP/CARDIOVASCULAR/HVCNA 222383 0 26532 0 821 0 4924 0 20827 0 275487 0 0 0 BARBARA DEMBER VVMC PRESIDENT/CEO (THRU 9/15) 0 369029 0 123679 0 72165 0 10400 0 17388 0 592661 0 0 JOHN DEMPSEY VP NAH (THRU 12/14)/PRES LCMC 368579 0 53608 0 47034 0 59970 0 27597 0 556788 0 0 0 CRAIG JENSEN VP/STRATEGIC PLANNING/BUSINESS 221688 0 51499 0 26653 0 5200 0 19972 0 325012 0 0 0 GREGORY KUZMA FORMER VP FINANCE/NAH CFO 127368 0 0 0 273344 0 46242 0 2344 0 449298 0 0 0 STEVEN LEWIS NAH VP POPULATION HEALTH 390421 0 64998 0 11263 0 5200 0 28074 0 499956 0 0 0 STEVEN R SPRAVZOFF FORMER VP PROCUREMENT 69093 0 0 0 224261 0 -20088 0 4298 0 277564 0 102831 0 JOHN CORTESE NAH CONTROLLER/TREASURER 191236 0 14965 0 999 0 3910 0 910 0 212020 0 0 0 RICHARD HENN DIRECTOR OF EDUCATION 164558 0 13586 0 13974 0 69741 0 18392 0 280251 0 0 0 SHERRY ADDAIR DIRECTOR ORTHOPEDICS SYSTEMS 150965 0 18785 0 11601 0 3492 0 21696 0 206539 0 0 0 LORETTA F WELLBORN DIRECTOR OF NURSING 158293 0 13883 0 2548 0 116196 0 13626 0 304546 0 24011 0 JANET MCNEESE HIPAA SECURITY OFFICER 151615 0 13123 0 567 0 449 0 19078 0 184832 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. AMOUNTS PAID BY NAH FOR "COMPANION TRAVEL" FOR SPOUSES OF THE DIRECTORS WERE AS FOLLOWS: RAY SELNA $1,216 RICHARD CRANMER $ 749 MATIAS SANDOVAL $ 604 SHAWN ORME $ 336 SCHEDULE J, PART I, LINE 4A Severance payments were made as follows: GREGORY KUZMA - $273,115 STEVEN SPRAVZOFF - $222,634 Schedule J, PART I, Line 4B NORTHERN ARIZONA HEALTHCARE CORPORATION OFFERS CERTAIN EXECUTIVES A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IT IS INTENDED THAT THIS PLAN BE AN INELIGIBLE DEFERRED COMPENSATION PLAN UNDER THE PROVISIONS OF CODE SECTION 457(F) AND BE OPERATED IN COMPLIANCE WITH CODE SECTION 409A. THE DESIGN OF THE SERP IS SUCH THAT IT PROVIDES A MECHANISM FOR RESTORATION OF DEFERRED RETIREMENT THAT OTHERWISE WOULD BE LOST TO THE EXECUTIVES DUE TO MANDATORY CAP ON DEFERRALS WITHIN THE QUALIFIED RETIREMENT PLAN OFFERED TO OTHER EMPLOYEES OF FMC. THE SERP IS ALSO DESIGNED TO DISCOURAGE EXECUTIVE TURNOVER, WHICH COULD HAMPER ORGANIZATIONAL STABILITY AND SUSTAINABILITY, THROUGH THE AGE AND SERVICE REQUIREMENTS THAT AN EXECUTIVE MUST MEET IN ORDER TO RECEIVE BENEFITS FROM THIS PLAN. THE ANNUAL VALUE OF EACH EXECUTIVE'S PARTICIPATION IN THE PLAN IS TAKEN INTO CONSIDERATION AS PART OF THE CALCULATION OF TOTAL COMPENSATION WHEN TESTED AGAINST THE MARKET FOR REASONABLENESS. DEFERRED COMPENSATION, REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDES THE INCREASE IN VALUE OF THE SERP ACCOUNT FOR THE FOLLOWING INDIVIDUALS: WILLIAM BRADEL $63,281 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: LORETTA WELLBORN $ 116,196 RICHARD HENN $ 69,741 JOHN DEMPSEY $ 59,970 GREGORY KUZMA $ 46,242 JENNIFER BREWER $ 22,872 STEVEN SPRAVZOFF $ (20,088) THE FOLLOWING INDIVIDUALS RECEIVED ONE-TIME SIGN-ON BONUSES: CRAIG JENSEN $ 30,000 CHRISTINE MARTIN $ 25,000 ANN BOLLONE $ 17,000 SHERRY ADDAIR $ 5,000 THE FOLLOWING INDIVIDUALS RECEIVED A ONE-TIME PAYMENT FOR RELOCATION: CHRISTINE MARTIN $ 37,180 CRAIG JENSEN $ 22,500 CECILIA SELNA FATHER/RAY SELNA 39541 COMPENSATION false FORM 990, PART III, LINE 2 IN DECEMBER 2014, NORTHERN ARIZONA HEALTHCARE (NAH) FORMED NORTHERN ARIZONA HEALTHCARE ORTHOPEDIC SURGERY CENTER, LLC (NAHOSC), A WHOLLY-OWNED ARIZONA LIMITED LIABILITY COMPANY. IN DECEMBER 2014, AN ASSET PURCHASE AGREEMENT WAS ENTERED INTO BY NAHOSC FOR THE PURCHASE OF CERTAIN ASSETS OF SUMMIT SURGERY AND RECOVERY CARE CENTER, INC. NORTHERN ARIZONA HEALTHCARE HAS EXPANDED ITS SCOPE OF SERVICES TO BE ABLE TO PROVIDE MORE PATIENTS WITH EXCEPTIONAL CARE BY FORMING NAHOSC. NAHOSC IS AN AMBULATORY SURGERY CENTER AND RECOVERY CARE CENTER THAT PROVIDES OUTPATIENT AND SOME INPATIENT SURGERY SERVICES. 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 VISION AND VALUES ----------------------------------------------- VISION - NAH, IN PARTNERSHIP WITH OUR COLLEAGUES AND PHYSICIANS, WILL BE THE HIGHEST QUALITY, COST-EFFECTIVE, PREFERRED HEALTHCARE DELIVERY SYSTEM IN NORTHERN AND CENTRAL ARIZONA. WE WILL EXCEED THE EXPECTATIONS OF THOSE WE SERVE BY: - DEVELOPING QUALITY HEALTHCARE SERVICES USING ADVANCED TECHNOLOGY TO IMPROVE THE HEALTH STATUS AND TO MEET THE GROWING NEEDS OF THE COMMUNITIES WE SERVE. - FOSTERING AN ORGANIZATIONAL CULTURE THAT ACTS AS A MAGNET FOR RECRUITING AND RETAINING HIGHLY QUALIFIED COLLEAGUES AND PHYSICIANS. - ENSURING EXCEPTIONAL VALUE FOR OUR PATIENTS AND FINANCIAL STRENGTH FOR OUR INSTITUTIONS. - DEVELOPING STRATEGIC ALLIANCES AND PARTNERSHIPS WITH PROVIDERS AND ORGANIZATIONS TO ENSURE COMPREHENSIVE SERVICES FOR OUR PATIENTS. - VALUES - WE ARE COMMITTED TO MEETING THE NEEDS AND EXCEEDING THE EXPECTATIONS OF OUR PATIENTS. 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. 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. 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 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. IN ADDITION, INDIVIDUAL DISCLOSURE BY BOARD MEMBERS OCCURS AT BOARD MEETINGS WHEN NECESSARY (I.E. A BOARD MEMBER WILL EXCLUDE HIMSELF FROM VOTING ON AN ISSUE IN WHICH HE MAY HAVE A CONFLICT OF INTEREST). 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 GOVERNANCE COMMITTEE OF THE BOARD AND DOCUMENTED IN BOARD MINUTES. THE MOST RECENT REVIEW WAS PERFORMED IN SEPTEMBER 2015. 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. FORM 990, PART VII NORTHERN ARIZONA HEALTHCARE CORPORATION (NAH) PAID $264,913 TO THE COKER GROUP HOLDINGS, LLC ("COKER") FOR THE SERVICES OF THE INTERIM CFO'S, RICHARD LANGOSCH AND MICHAEL ROLPH, WHO ARE EMPLOYEES OF COKER GROUP. FORM 990, PART XI, LINE 9 DECREASE IN UNFUNDED PENSION LIABILITY $ 1,360,891 NET ASSET TRANSFERS FROM (TO) AFFILIATE $ 7,190,155 ALL OTHER CHANGES TO NET ASSETS $ 100 ------------- TOTAL: $ 8,550,946 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:5328690 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:3337359 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:790372 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:141731 FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING SERVICES TOTAL FEES:93124 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:2716 FORM 990 PART IX LINE 11G DESCRIPTION:EXTERNAL LAB SERVICES TOTAL FEES:1210 NAH ORTHOPEDIC SURGERY CENTER LLC 1200 N BEAVER ST FLAGSTAFF AZ 86001 472572645 OP ORTHO SVCS AZ -398414 45762419 NAH PATHFINDERHEALTH LLC 1200 N BEAVER ST FLAGSTAFF AZ 86001 742410946 HEALTHCARE AZ 0 0 NAH 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 NAHPG LLC 1200 N BEAVER ST FLAGSTAFF AZ 86001 454464070 ADMIN AND BILL AZ NA N/A false false false false false false false false false true true false false false true true false true true FLAGSTAFF MEDICAL CENTER R 160197446 COST FLAGSTAFF MEDICAL CENTER O 8833940 COST FLAGSTAFF MEDICAL CENTER P 3167621 COST FLAGSTAFF MEDICAL CENTER K 64159 COST FLAGSTAFF MEDICAL CENTER J 19200 COST VERDE VALLEY MEDICAL CENTER O 3406520 COST NAH ORTHOPEDIC SURGERY CENTER O 505689 COST NAHPG LLC O 41153176 COST