2016-05-13T17:53:39-05:00 2015-06-30 ERNST & YOUNG US LLP TWO NORTH CENTRAL AVENUE STE 2300 PHOENIX AZ 85004 990 2014-07-01 860100882 VERDE VALLEY MEDICAL CENTER % JOHN CORTESE CPA VERD 9286396442 269 SOUTH CANDY LANE COTTONWOOD AZ 86326 JEFFREY TREASURE NAH CFO 9286396442 2016-05-13 true BRENDA GRIESEMER P00264669 6023223000 2014 2016-08-17 19:52:53Z ROBERT P THAMES 269 SOUTH CANDY LANE COTTONWOOD AZ 86326 134503739 false X WWW.NAHEALTH.COM X 1939 AZ TO PROVIDE PATIENTS WITH EXCEPTIONAL CARE WHILE TRANSFORMING THE HEALTH OF THE COMMUNITIES WE SERVE. 11 7 0 384 327008 0 535050 889167 125038068 126628973 6681913 3194364 1974150 3596602 134229181 134309106 407141 488186 0 0 64727549 62139510 0 0 967675 63875714 65025996 129010404 127653692 5218777 6655414 242857215 267939944 92740195 79482941 150117020 188457003 TO PROVIDE PATIENTS WITH EXCEPTIONAL CARE WHILE TRANSFORMING THE HEALTH OF THE COMMUNITIES WE SERVE. false false 99246018 488186 119128194 TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY THROUGH INPATIENT, OUTPATIENT AND EMERGENCY HOSPITAL CARE AND RELATED MEDICAL SERVICES, CHARITY CARE AND COMMUNITY SERVICE. TOTAL INPATIENT DISCHARGES WERE 5,022 AND 20,707 PATIENT DAYS. OUTPATIENT VISITS APPROXIMATED 42,609 AND 24,375 EMERGENCY VISITS. 5484323 0 9256464 TO PROVIDE EMERGENCY SERVICES, CANCER TREATMENT AND OTHER ANCILLARY SERVICES TO THE COMMUNITY THROUGH THE OPERATION OF THE VERDE VALLEY MEDICAL CENTER SEDONA CAMPUS. EMERGENCY VISITS WERE 7,087. RADIATION ONCOLOGY PROCEDURES WERE 12,666. MEDICAL IMAGING PROCEDURES WERE 9,780. 1559928 0 1435746 TO PROVIDE GERIATRIC PSYCHIATRIC SERVICES TO THE COMMUNITY THROUGH THE OPERATION OF THE SENIOR BEHAVIORAL HEALTH UNIT. DISCHARGES WERE 146 AND PATIENT DAYS 2,022. 0 0 0 106290269 true true false true false false false false false true true false false true true true false true false false false false false false true false true true true true true true false false false false false false false false true true false true false false true true true true false false true X 224 0 true 0 true true false false false false true true false false false false X 11 7 false false false false true true true true true false false true true true true true true true true true true AZ X JOHN CORTESE CPA 9282143545 914 N SAN FRANCISCO ST SUITE M FLAGSTAFF AZ 86001 X RON BARBER DIRECTOR (THRU 9/14) 2.7 0.0 X 0 468 0 SAMUEL BUTMAN MD DIRECTOR/PAST CHIEF OF STAFF 40.0 0.0 X 0 642753 30540 RICHARD CRANMER DIRECTOR/PAST CHAIR 2.7 3.3 X X 0 749 0 Barbara Dember DIRECTOR/VVMC PRESIDENT/CEO 40.0 0.0 X X 0 564873 27788 PAUL HANSON MD DIRECTOR (THRU 9/14) 4.4 0.0 X 0 0 0 RICHARD KRUSE DIRECTOR/TREASURER 1.4 0.0 X 0 0 0 JAMES LEDBETTER DIRECTOR/TREASURER 2.4 0.8 X X 0 0 0 CHARLES MARR DIRECTOR/VICE CHAIR 6.4 1.7 X X 0 0 0 ELIZABETH MCFARLAND DIRECTOR 1.6 0.0 X 0 0 0 SHAWN ORME DIRECTOR/CHAIR 8.7 5.1 X X 0 336 0 JAMES PARKEL DIRECTOR 2.3 0.0 X 0 0 0 MATIAS SANDOVAL DIRECTOR 2.1 0.3 X 0 604 0 RAY SELNA DIRECTOR/SECRETARY 3.2 3.5 X X 0 1216 0 Harry Alberti VVMC VP/CMO (THRU 12/14) 40.0 0.0 X 0 409842 33395 JOHN DEMPSEY VP NAH(thru 12/14)/PRES LCMC 0.0 40.0 X 0 469221 87567 Susanne Maiden CNO/VP/INTERIM CAO 40.0 0.0 X 0 228909 25663 Rick Peterson VP SUPPORT SERVICES 40.0 0.0 X 0 286215 42345 SUZANNE BALLARD DIRECTOR/QUALITY SYSTEMS 40.0 0.0 X 0 160412 4234 DEBORAH ASHBY CLINICAL RESOURCES COORDINATOR 40.0 0.0 X 0 159609 10619 LORI STEVENS DIRECTOR NURSING 40.0 0.0 X 0 158995 23718 REBECCA KHIN PHARMACIST 40.0 0.0 X 0 153081 20341 CHARLES SECHRIST PHARMACIST 40.0 0.0 X 0 137035 20134 GREGORY KUZMA FORMER VP FINANCE/NAH CFO 0.0 0.0 X 0 400712 48758 0 3775030 375102 65 true true false CONIFER HEALTH SOLUTIONS LLC 1500 S DOUGLASS RD ANAHEIM CA 92806 HEALTHCARE FIN SVCS 1985026 CLIMATE BUILDING TECH GROUP DEPT 730047 DALLAS TX 75266 HVAC SERVICES 1758918 MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 55480 LABRATORY SERVICES 556989 HEALTHWORKS FOUNDATION OF AZ PO BOX 3150 CAMP VERDE AZ 86322 HEALTH SERVICES 331000 TRIAGE STAFFING INC 13934 GOLD CIRCLE OMAHA NE 68144 STAFF SUPPORT 330071 21 83688 262483 542996 17811 889167 NET PATIENT SERVICES REVENUE 621110 86625268 86625268 LABORATORY SERVICES 621500 49732527 49406379 326148 LABRATORY PATHOLOGY FEES 621500 3534528 3533668 860 NAHPG LLC K-1 PASS THROUGH INCOME 621110 -13263350 -13263350 126628973 2595288 2595288 0 0 404368 404368 0 404368 404368 758962 5596 165482 758962 -159886 599076 599076 29954 83688 29151 803 803 0 0 MEANINGFUL USE INCENTIVE 900099 1540276 1540276 CAFETERIA SALES 722514 590118 590118 GIFT SHOP 900099 222399 222399 838638 838638 3191431 134309106 129493396 327008 3599535 X 473741 473741 14445 14445 0 0 1489837 1204523 285314 0 48475307 40905806 7360361 209140 4539522 3781219 737374 20929 4321486 3599605 701958 19923 3313358 2759879 538203 15276 0 240551 161521 79030 116292 116292 30005 30005 0 0 6585838 3135502 2875055 575281 235594 23686 150989 60919 7100285 4780887 2293676 25722 0 0 2032905 1909628 110273 13004 370818 145487 218564 6767 0 0 641060 516356 124704 0 8224908 7119793 1098998 6117 1141356 974830 166526 EXP REIMBURSEMENT TO NAH 17605176 16497064 1104585 3527 MEDICAL SUPPLIES 15130953 15130953 REGISTRATION SERVICES 2003276 2003276 AIR AMBULANCE PURCHASE SVCS 1155441 1155441 2411538 1999903 400565 11070 127653692 106290269 20395748 967675 2425 4895 7655439 22951814 0 0 24928044 19821011 0 0 0 0 0 0 2695702 2628715 1304007 1932581 172026185 104283444 66145829 67742741 132234031 134004559 0 0 0 0 1916526 1916526 5975212 16937102 242857215 267939944 20376836 15449630 0 0 0 0 50283164 48912721 0 0 0 0 0 0 0 0 22080195 15120590 92740195 79482941 X 150117020 188457003 0 0 0 0 150117020 188457003 242857215 267939944 X 6655414 -1142513 32827082 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 30005 30005 false SCHEDULE C, PART II-B, LINE 1F VERDE VALLEY MEDICAL CENTER PAID DUES TO THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION. A PERCENTAGE OF THIS AMOUNT, $30,005, WAS ESTIMATED TO BE ATTRIBUTABLE TO LOBBYING RELATED TO HEALTH CARE ADVOCACY AT THE FEDERAL, STATE, REGIONAL, AND LOCAL LEVELS. 3984487 1113890 64455 9445 929756 67283 4156348 3633768 528277 418492 6902 529321 59827 3984487 1.00000 false false 3746702 3746702 93247223 56443081 36804142 486836 150575 336261 54660529 43404092 11256437 19884895 4285696 15599199 67742741 VVMC INVESTMENT TO NAHPG 11173972 LAND HELD FOR FUTURE USE 4957655 UNAMORTIZED BOND ISSUE COST 420002 SPLIT DOLLAR PLAN 215232 SMC DONATED ART 133530 GAAP PRESENTATION OF INS 65778 CANCER CENTER DONATED ART 10256 SECURITY DEPOSITS 9000 SEVEN CANYONS CLUB MEMBERSHIP 5000 APS REFUNDABLE REBATES -53323 16937102 0 MINIMUM PENSION LIABILITY 13547377 MALPRACTICE RESERVE 1573213 15120590 X SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE INTENDED TO: (1) ADDRESS COMMUNITY HEALTH CARE NEEDS; (2) ADHERE TO THE CORE MISSION OF THE HOSPITAL; OR (3) REFLECT PROJECTS THAT ARE DEEMED IN THE BEST INTEREST OF THE HOSPITAL. 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. 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X X X X X true true X X X X true 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 NOVEMBER 2015. AMONG 17 KEY INFORMANTS IN THE COMMUNITY, INCLUDING: REPRESENTATIVES FROM PUBLIC HEALTH; PHYSICIANS; OTHER HEALTH PROFESSIONALS; SOCIAL SERVICE PROVIDERS; AND OTHER COMMUNITY LEADERS. A LIST OF RECOMMENDED PARTICIPANTS FOR THE FOCUS GROUP WAS PROVIDED BY VERDE VALLEY MEDICAL CENTER. POTENTIAL 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. FOCUS GROUP CANDIDATES WERE FIRST CONTACTED BY LETTER TO REQUEST THEIR PARTICIPATION. FOLLOW-UP PHONE CALLS WERE THEN MADE TO ASCERTAIN WHETHER THEY WOULD BE ABLE TO ATTEND. CONFIRMATION CALLS WERE PLACED THE DAY BEFORE THE GROUPS WERE SCHEDULED TO INSURE A REASONABLE TURNOUT. AUDIO FROM THE FOCUS GROUP SESSION WAS RECORDED, FROM WHICH VERBATIM COMMENTS IN THIS REPORT ARE TAKEN. THERE ARE NO NAMES CONNECTED WITH THE COMMENTS, AS PARTICIPANTS WERE ASKED TO SPEAK CANDIDLY AND ASSURED OF CONFIDENTIALITY. SCHEDULE H, PART V, SECTION B, LINE 6a THE COMMUNITY HEALTH NEEDS ASSESSMENT COMPLETED IN CONJUNCTION WITH ITS RELATED HOSPITAL FACILITY, FLAGSTAFF MEDICAL CENTER. SCHEDULE H, PART V, SECTION B, LINE 7A THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://NAHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 10A THE 2016 IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://NAHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 11 VERDE VALLEY MEDICAL CENTER FOCUSES ON DEVELOPING AND/OR SUPPORTING STRATEGIES AND INTIATIVES TO IMPROVE ACCESS TO HEALTH SERVICES, HEART DISEASE, RESPIRATORY DISEASE, AND IMMUNIZATIONS. HEALTH PRIORITIES NOT CHOSEN AND REASON: SUBSTANCE ABUSE - VVMC HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS ALCOHOL, TOBACCO AND OTHER DRUG ISSUES. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. LIMITED RESOURCES EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. FAMILY PLANNING - VVMC BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. ARTHRITIS, OSTEOPOROSIS & CHRONIC BACK CONDITIONS - VVMC OFFERS PHYSICAL THERAPY AND JOINT REPLACEMENT CLASSES. HOWEVER THE PREVENTION OF THESE CONDITIONS IS ADDRESSED BY THE STATE AND COUNTY HEALTH DEPARTMENTS, SO WE HAVE EXCLUDED THIS AREA AS CHOSEN FOR ACTION. ORAL HEALTH - VVMC BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. INJURY & VIOLENCE PREVENTION - VVMC BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. 8 VVMC SEDONA CAMPUS 3700 WEST HIGHWAY 89A SEDONA AZ 86366 PHYSICIAN OFFICES, LAB, X-RAY, AND EMERGENCY SERVICES VVMC AMBULATORY CENTER 300 WEST HIGHWAY 89A COTTONWOOD AZ 86336 SURGERY ENDOSCOPY VV MEDICAL IMAGING CENTER 450 S WILLARD ST SUITE 109 111 1 COTTONWOOD AZ 86336 X-RAY LAB VVMC MOB 294 WEST HIGHWAY 89A COTTONWOOD AZ 86336 PHYSICIAN OFFICES SLEEP LAB CAMP VERDE HEALTH CENTER 460 FINNEY FLATS ROAD CAMP VERDE AZ 86322 OFFICE X-RAY LAB PHYSICAL THERAPY VOC MOB 61 BELL ROCK PLAZA SEDONA AZ 86351 PHYSICIAN OFFICES NAHPG - EMPLOYED PHYSICIAN OFFICE 450 WILLARD ST STE 101 107 COTTONWOOD AZ 86336 PHYSICIAN OFFICE NAHPG - FAMILY PRACTICE PHYSICIAN OFFICE 199 S CANDY LANE STE 1A COTTONWOOD AZ 86326 PHYSICIAN OFFICE SCHEDULE H, PART I, LINE 3A EXPLANATION FOR VARIOUS PERCENTAGES USED: 100% OF THE FEDERAL POVERTY LEVEL = 100% CHARITY WRITE OFF. SCHEDULE H, PART I, LINE 3B EXPLANATION FOR VARIOUS PERCENTAGES USED: 125% OF THE FEDERAL POVERTY LEVEL = 100% CHARITY WRITE-OFF. 150% OF FPL = 75% WRITE-OFF. 175% OF FPG = 50% WRITE-OFF. 200% OF FPG = 25% WRITE-OFF. 300% OF FPG = 15% WRITE-OFF. SCHEDULE H, PART I, LINE 3C FINANCIAL ASSISTANCE 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. OTHER CONSIDERATIONS SUCH AS DISPOSABLE ASSETS ARE CONSIDERED IN THE EVALUATION OF ELIGIBILITY. A DISPOSABLE ASSET MAY BE EXPENSIVE JEWELRY, PLEASURE HORSES, RECREATIONAL VEHICLES, ETC. SCHEDULE H, PART I, LINE 6A THE INFORMATION FOR THE COMMUNITY BENEFITS REPORT IS GATHERED BY THE COMMUNITY RELATIONS 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 HTTP:VERDEVALLEY.HEALTHFORECAST.NET. SCHEDULE H, PART I, LINE 7 VERDE VALLEY 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 A FOCUS AT VERDE VALLEY MEDICAL CENTER. COMMUNITY BUILDING IS ADVANCED BY VERDE VALLEY MEDICAL CENTER THROUGH ITS SUPPORT OF PHYSICIAN RECRUITMENT AND WORK WITH VARIOUS COMMUNITY ORGANIZATIONS INCLUDING LOCAL SCHOOLS, THE COTTONWOOD AND SEDONA CHAMBER OF COMMERCE, AND THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION. SCHEDULE H, PART III, LINE 2 BAD DEBT AMOUNTS ARE FROM THE BILLING SOFTWARE AND A MONTHLY CALCULATED AMOUNT BASED ON THE ACCOUNTS RECEIVABLE BALANCES BY FINANCIAL CLASS - PRIMARILY SELF-PAY. ACCOUNTS REFERRED TO BAD DEBT AS DEFINED IN NORTHERN ARIZONA HEALTHCARE POLICY ARE AUTOMATICALLY ADJUSTED BY A FILE UPLOAD PROCESS USING A DEDICATED TRANSACTION CODE. SCHEDULE H, PART III, LINE 3 THE ACTUAL CHARITY CARE AMOUNTS ARE FROM THE BILLING SOFTWARE WHICH IDENTIFIES THE AMOUNTS THAT ARE DIRECTLY RELATED TO PATIENTS WHO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY (FAP). THE FINANCIAL ASSISTANCE ADJUSTMENT PERCENTAGE IS DETERMINED BASED UPON THE FEDERAL POVERTY LINE GRID AS DEFINED IN NORTHERN ARIZONA HEALTHCARE'S FAP. THE ADJUSTMENT IS MANUALLY ENTERED INTO THE BILLING SOFTWARE WITH A DEDICATED TRANSACTION CODE. REMAINING BALANCES ARE THE RESPONSIBILITY OF THE PATIENT. 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 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 ENTIRE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE OUR MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, WHETHER OR NOT THIS SERVICE IS PROVIDED AT A LOSS TO THE HOSPITAL. MEDICARE IS A LARGE PORTION OF THE HOSPITAL'S GROSS PAYOR MIX (62%) AND IS A SIGNIFICANT LOSS FOR A 99-BED SOLE COMMUNITY HOSPITAL. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SIGNIFICANT LOSS AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST OF THE MEDICARE BENEFICIARIES. MANY OF THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY WERE NOT IN THE MEDICARE PROGRAM. THE MEDICARE AMOUNTS WERE OBTAINED FROM THE PD&R AND COST REPORT. 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. THE PATIENT DOESN'T QUALIFY FOR CHARITY CARE ASSISTANCE, INCOME LEVELS ARE ASSESSED TO DETERMINE IF THEY QUALIFY FOR 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 VERDE VALLEY MEDICAL CENTER ASSESSES COMMUNITY HEALTHCARE NEEDS THROUGH A SURVEY DESIGNED AND ADMINISTERED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. THIS SURVEY WAS LAST CONDUCTED IN 2015 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 THE VERDE VALLEY MEDICAL CENTER (VVMC) WEBSITE HAS A BILLING CONTACT NUMBER. BEFORE PRE-ADMISSION, PATIENTS ARE CONTACTED BY VVMC'S CASHIER. WHEN PATIENTS ARE CONTACTED, THEY ARE EDUCATED OF THE FINANCIAL ASSISTANCE POLICY. VVMC FINANCIAL COUNSELORS ASSIGNED TO EACH NURSING UNIT ARE ABLE TO ANSWER OR ASSIST WITH BILLING QUESTIONS. AT EACH PATIENT REGISTRATION DESK ARE DISPLAYS AND BROCHURES OF THE BILLING INFORMATION, INCLUDING THE FINANCIAL ASSISTANCE POLICY. ACCORDING TO THE POLICY, THE FINANCIAL COUNSELORS ASSESS THE PATIENTS' 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 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 4 VERDE VALLEY MEDICAL CENTER IS A 99-BED ADULT AND PEDIATRIC SOLE COMMUNITY HOSPITAL AND 11-BED GERIATRIC PSYCHIATRY. THE HOSPITAL IS LOCATED IN COTTONWOOD, ARIZONA BUT THE PRIMARY SERVICE AREA INCLUDES COTTONWOOD, CLARKDALE, JEROME, SEDONA, VILLAGE OF OAK CREEK, RIMROCK, CAMP VERDE, LAKE MONTEZUMA, AND CORNVILLE WHICH COVERS APPROXIMATELY A 50-SQUARE MILE SPAN. THE CLOSEST HOSPITAL TO THE NORTH IS FLAGSTAFF MEDICAL CENTER (VVMC AFFILIATE) WHICH IS 70 MILES. THE CLOSEST HOSPITAL TO THE SOUTH IS 40 MILES. THE POPULATION IN THE PRIMARY SERVICE AREA IS APPROXIMATELY 73,000. THE HOSPITAL GROSS PAYOR MIX IS AS FOLLOWS: MEDICARE 62%, AHCCCS/MEDICAID 18%, COMMERCIAL/OTHER 16%, AND SELF PAY 4%. VERDE VALLEY MEDICAL CENTER IS THE LARGEST EMPLOYER IN THE COMMUNITY. THE PRIMARY SERVICE AREA DOES NOT HAVE MUCH INDUSTRY AND THE COMMUNITY HAS MANY SMALL BUSINESS ORGANIZATIONS. SCHEDULE H, PART VI, LINE 5 COMMUNITY HEALTH AND COMMUNITY BUILDING ARE A FOCUS AT VERDE VALLEY MEDICAL CENTER AS EVIDENCED BY THE NUMEROUS ACTIVITIES SPONSORED EACH YEAR. THE CANCER CENTER AT SEDONA CAMPUS HOSTS A SERIES OF FREE OR LOW-COST SCREENINGS DESIGNED TO HELP RESIDENTS IN THE COMMUNITY DETECT ISSUES AS SOON AS POSSIBLE. 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 VERDE VALLEY MEDICAL CENTERS'S PREMIER COMMUNITY HEALTH INITIATIVES. COMMUNITY BUILDING IS ADVANCED BY VERDE VALLEY MEDICAL CENTER THROUGH ITS SUPPORT OF PHYSICIAN RECRUITMENT AND WORK WITH VARIOUS COMMUNITY ORGANIZATIONS INCLUDING THE COTTONWOOD AND SEDONA CHAMBER OF COMMERCE AND THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION. SCHEDULE H, PART VI, LINE 6 VERDE VALLEY MEDICAL CENTER IS AFFILIATED WITH FLAGSTAFF MEDICAL CENTER. THE BOARD MEMBER MEETINGS ARE COMBINED. THE COMMUNITY BENEFIT REPORT IS SUMMARIZED TOGETHER AND POSTED ON THE HOSPITAL'S WEBSITE. true Camp Verde School District 410 Camp Lincoln Rd Camp Verde AZ 86322 866003046 school 28969 FIT KIDS AT SCHOOL City of Cottonwood 827 N Main St Cottonwood AZ 86326 866007877 government 13500 LOOKIN' GOOD COTTONWOOD & MEMORIAL RUN Connections Equine Therapy 11585 E Purple Sage Rd Cornville AZ 86325 860987445 501(C)(3) 9500 SERVICE & PROGRAM EXPANSION Cottonwood-Oak Creek School District 1 N Willard St Cottonwood AZ 86326 866000563 school 66742 HEALTH AIDS, SCREENING, DISTRICT NURSE, COHORT CLASS, FIT KIDS AT SCHOOL PROGRAM Mingus Union High School 1801 E Fir St Cottonwood AZ 86326 866006215 school 48545 Verde Valley School Nurse Program Sedona Chamber of Commerce PO BOX 72 SEDONA AZ 86339 860134659 501(C)(6) 20000 SCF - Title sponsor for Sedona Marathon Sedona Community Center 2615 MELODY LN Sedona AZ 86336 860491174 501(C)(3) 7253 SCF - The Breakfast Club Sedona Community Food Bank PO BOX 3962 Sedona AZ 86340 860922917 501(C)(3) 9500 SCF - sponsorship Sedona International Film Festival 2030 ARIZONA 89A Sedona AZ 86336 200351857 501(C)(3) 7000 Sponsor Verde Valley Little League 457 MINERDS GULCH DR CLARKDALE AZ 86324 860508848 501(c)(3) 10000 Safety fence Verde Valley Senior Center PO BOX 681 COTTONWOOD AZ 86326 860328194 501(C)(3) 12000 "LUCKY 7" GOLF TOURNAMENT; CHRISTMAS LUNCHEON; MARCH-A-MILE FOR MEALS SPONSOR; A "MAGICAL JUBILEE" Verde Valley Caregivers 299 VAN DEREN RD SUITE 2 SEDONA AZ 86336 860725787 501(C)(3) 140000 SUPPORT IN-HOME ASSISTANCE PROGRAM (135,000), SPONSORSHIP (5,000) Yavapai County Wellness Clinic 1090 COMMERCE DR PRESCOTT AZ 86305 866000561 GOVERNMENT 0 70731 FMV LAB SERVICES PROVIDE LAB & MEDICAL IMAGING SERVICES TO LOW INCOME PATIENTS Yavapai College 1100 E SHELDON PRESCOTT AZ 86301 237232985 SCHOOL 27500 Faculty support & scholarship funding 13 1 Nursing Scholarships 6 9445 SCHEDULE I, PART I, LINE 2 -YAVAPAI COLLEGE: MONITOR SCHOOL PROGRAM AND MAKE SURE THEY HAVE THE APPROPRIATE INSTRUCTORS AND OTHER EMPLOYEES PER THE AGREEMENT. -YAVAPAI COMMUNITY WELLNESS CENTER: PATIENTS' INCOMES ARE SCREENED BY THE COUNTY FOR THOSE QUALIFIED TO RECEIVE FREE SERVICES, PATIENTS ARE IDENTIFIED ON PRESCRIPTIONS FOR LAB AND RADIOLOGY SERVICES, THEY ARE REGISTERED UNDER THE COUNTY AND TOTAL DOLLARS USED IS ACCUMULATED IN THE SYSTEM. DONATIONS TO OTHER TAX-EXEMPT ENTITIES ARE MADE IN SUPPORT OF THEIR MISSIONS AND VVMC RELIES UPON THE GOVERNANCE PRACTICES OF RECIPIENT ORGANIZATIONS. true false false false false false false true false Harry Alberti VVMC VP/CMO (THRU 12/14) 0 308072 0 99726 0 2044 0 5200 0 28195 0 443237 0 0 SAMUEL BUTMAN MD DIRECTOR/PAST CHIEF OF STAFF 0 638910 0 0 0 3843 0 10400 0 20140 0 673293 0 0 Barbara Dember DIRECTOR/VVMC PRESIDENT/CEO 0 369029 0 123679 0 72165 0 10400 0 17388 0 592661 0 37209 JOHN DEMPSEY VP NAH(thru 12/14)/PRES LCMC 0 368579 0 53608 0 47034 0 59970 0 27597 0 556788 0 0 GREGORY KUZMA FORMER VP FINANCE/NAH CFO 0 127368 0 0 0 273344 0 46414 0 2344 0 449470 0 0 Susanne Maiden CNO/VP/INTERIM CAO 0 187469 0 30283 0 11157 0 9035 0 16628 0 254572 0 0 Rick Peterson VP SUPPORT SERVICES 0 195880 0 77739 0 12596 0 10400 0 31945 0 328560 0 0 SUZANNE BALLARD DIRECTOR/QUALITY SYSTEMS 0 147124 0 12490 0 798 0 3213 0 1021 0 164646 0 0 DEBORAH ASHBY CLINICAL RESOURCES COORDINATOR 0 127339 0 9865 0 22405 0 0 0 10619 0 170228 0 0 LORI STEVENS DIRECTOR NURSING 0 129566 0 12673 0 16756 0 6506 0 17212 0 182713 0 0 REBECCA KHIN PHARMACIST 0 138787 0 3501 0 10793 0 0 0 20341 0 173422 0 0 CHARLES SECHRIST PHARMACIST 0 114701 0 4824 0 17510 0 0 0 20134 0 157169 0 0 SCHEDULE J, PART I, LINE 1 A/B ALL COMPENSATION, BENEFITS AND REIMBURSEMENTS ARE PAID BY NORTHERN ARIZONA HEALTHCARE CORPORATION, THE PARENT ORGANIZATION. BOARD MEMBER AND OFFICER BUSINESS TRAVEL EXPENSES, SUCH AS AIRLINE AND MEALS, FOR SPOUSES WERE PAID AND INFORMATION GATHERED FOR W-2 AND 1099 REPORTING. GROSS UP OF TAXES IS DONE ON ALL EMPLOYEE GIFT CERTIFICATES. THE BOARD MEMBER AND OFFICER BUSINESS TRAVEL EXPENSES ARE APPROVED BY NEXT HIGHEST LEVEL. AMOUNTS PAID BY THE PARENT (NAH) FOR "COMPANION TRAVEL" FOR SPOUSES OF THE DIRECTORS WERE AS FOLLOWS: RAY SELNA $1,216 RICHARD CRANMER $ 749 MATIAS SANDOVAL $ 604 RON BARBER $ 468 SHAWN ORME $ 336 SAMUEL BUTMAN, md $ 286 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, recommendation of compensation committee to Board for approval. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS WERE MADE AS FOLLOWS: GREGORY KUZMA $273,115 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 ORGANIZATIONAL GOALS. SCHEDULE J, PART II THE FOLLOWING INDIVIDUALS PARTICIPATED 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: GREGORY KUZMA $ 46,242 A INDUSTRIAL DEVELOPMENT AUTHORITY YAVAPAI COUNTY 860376099 985900CX5 2011-10-12 13829141 SEE PART VI false false false B INDUSTRIAL DEVELOPMENT AUTHORITY YAVAPAI COUNTY 860376099 2015-06-30 37340563 SEE PART VI false false false A 0 0 13829141 0 0 0 133606 0 0 0 13695535 0 2011 true false true true B 0 0 37340563 0 0 37002552 338010 0 0 0 0 0 2015 true false true true A false false true true false 0 false false false true B 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 A true B true SCHEDULE K, PART I, COLUMN(F) LINE A - THE NAME OF THE ISSUE IS HOSPITAL REVENUE REFUNDING BONDS (NORTHERN ARIZONA HEALTHCARE SYSTEM) SERIES 2011. THIS ISSUE REFUNDS THE 1996A AND 1998 SERIES BONDS. 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. LINE 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. TOTAL ISSUANCE PRICE OF SERIES 2015A WAS $80,395,000 WHICH WAS ALLOCATED $37,213,075 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. TOTAL ISSUANCE PRICE OF SERIES 2015B WAS $45,615,000 WHICH WAS ALLOCATED $17,569,850 TO FLAGSTAFF MEDICAL CENTER (FMC) AND $28,066,125 TO VERDE VALLEY MEDICAL CENTER. LEDBETTER LAW FIRM JAMES LEDBETTER/DIRECTOR 154451 LEGAL SERVICES false CELESTE CORREA HARRY ALBERTI/SPOUSE 139839 EMPLOYEE COMPENSATION false X 9 4640 FMV X 2736 FMV X 1671 FMV X 3 45 FMV X FLOWER DISPLAY CASE 1 4350 FMV X Gift Certificates 44 3668 FMV X MISCELLANEOUS ITEMS 24 701 FMV false true false SCHEDULE M, PART I, COLUMN (B) THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN COLUMN (B). FORM 990, PART I, LINE 6 VOLUNTEERS WORK IN ALMOST EVERY DEPARTMENT IN THE HOSPITAL AND AT OUR OFFSITE LOCATIONS, SUCH AS VERDE VALLEY MEDICAL CENTER (VVMC) SEDONA CAMPUS, CAMP VERDE, AND VILLAGE OF OAK CREEK. THEY PERFORM CLERICAL AND RECEPTION DUTIES IN MANY DEPARTMENTS, SERVE AS PATIENT AND VISITOR GREETERS, SUPPLY DISTRIBUTION, LANDSCAPING, NUTRITIONAL SERVICES - PASS TRAYS, PARTICIPATE IN VARIOUS ACTIVITIES WITH THE SENIOR BEHAVIORAL HEALTH PATIENTS, LIBRARY, TRANSPORT, AND MAKE PILLOWS AND TEDDY BEARS (CRAFTS). FORM 990, PART V, LINE 2A; PART VII, SECTION A, AND PART IX VERDE VALLEY 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. 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, THE IMMEDIATE PAST CHIEF OF STAFF OF THE MEDICAL STAFF 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 DOES NOT POSSESS THE AUTHORITY TO REMOVE ANY DIRECTOR, FIX DIRECTOR COMPENSATION, EXERCISE ANY RESERVED POWER WHICH REQUIRES SUBSIDIARY BAORD APPROVAL, OR ANY EXERCISE ANY AUTHORITY PROHIBITED BY LAW. FORM 990, PART VI, LINE 6 NORTHERN ARIZONA HEALTHCARE CORPORATION IS THE SOLE CORPORATE MEMBER OF VERDE VALLEY MEDICAL CENTER. FORM 990, PART VI, LINE 7A THE VERDE VALLEY MEDICAL CENTER (VVMC) GOVERNANCE COMMITTEE NOMINATES FOR POSITIONS ON THE VVMC BOARD OF DIRECTORS. DIRECTORS ARE ELECTED BY THE BOARD OF DIRECTORS OF THE SOLE CORPORATE MEMBER, NORTHERN ARIZONA HEALTHCARE CORPORATION (NAHC) FROM THE NOMINATIONS THAT HAVE BEEN PROVIDED. NAHC ELECTS THOSE PERSONS NOMINATED UNLESS THE BOARD OF DIRECTORS OF THE NAHC BY A SUPER MAJORITY VOTE DETERMINES THAT A NOMINEE'S ELECTION WOULD BE DETRIMENTAL TO THE BEST INTERESTS OF VVMC OR NAHC. FORM 990, PART VI, LINE 7B AS SOLE CORPORATE MEMBER, NORTHERN ARIZONA HEALTHCARE CORPORATION (NAHC) APPROVES THE BOARD OF DIRECTORS THAT ARE ELECTED BY THIS ENTITY. ALSO AS SOLE CORPORATE MEMBER, NAHC HAS RESERVED THE RIGHT AND AUTHORITY TO APPROVE OR DISAPPROVE THOSE ACTS OR POWERS AS SET FORTH IN THE "RESERVED POWERS CHART" THAT IS PART OF THE BYLAWS. FORM 990, PART VI, LINE 11 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 AND KEY OFFICERS AT A BOARD MEETING HELD PRIOR TO THE MAY 15 DUE DATE FOR THE FORM 990. A REPRESENTATIVE FROM THE ACCOUNTING FIRM ATTENDS THE MEETING AND EXPLAINS SOME OF THE SIGNIFICANT DISCLOSURES IN THE FORM 990. 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 CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AND REQUIRES DISCLOSURE OF CHANGES IN CIRCUMSTANCES - NEW JOB/POSITION OR BUSINESS, SIGNIFICANT PURCHASE/SALE OF PROPERTY, SIGNIFICANT INVESTMENT CHANGE. THE BOARD OF DIRECTORS AND CEO FILL OUT THE BOARD CONFLICT OF INTEREST QUESTIONNAIRE WHICH IS REVIEWED BY THE LEGAL DEPARTMENT. THE RESTRICTIONS IMPOSED WOULD DEPEND WHAT THE CONFLICT IS; HOWEVER, IF A DISCUSSION PURSUES AND A BOARD MEMBER HAS A CONFLICT IDENTIFIED BY HIM AND OTHERS, THE DIRECTOR WILL LEAVE THE ROOM. THE DIRECTORS AND VPS ALSO HAVE A POLICY AND QUESTIONNAIRE THAT IS FILLED OUT ANNUALLY. ANY YES RESPONSE IS SIGNALED BY SYSTEM TO SEND TO LEGAL FOR REVIEW. FORM 990, PART VI, LINES 15A & 15B DETERMINATION OF CEO SALARY IS GUIDED BY INDEPENDENT PERSONS, INVOLVING A BOARD-DESIGNATED COMPENSATION COMMITTEE THAT MAKES A RECOMMENDATION TO THE BOARD; BASED UPON BOARD DEVELOPED AND APPROVED COMPENSATION PHILOSOPHY; DERIVED FROM NATIONWIDE COMPARABLE DATA THAT IS COLLECTED BY THE INDEPENDENT PERSONS; APPROVED BY ENTIRE BOARD OF DIRECTORS AFTER DELIBERATION. VICE PRESIDENT COMPENSATION IS GUIDED BY INDEPENDENT PERSONS; BASED UPON BOARD DEVELOPED AND APPROVED COMPENSATION PHILOSOPHY; DERIVED FROM NATIONWIDE COMPARABLE DATA THAT IS COLLECTED BY THE INDEPENDENT PERSONS; DETERMINED BY THE VP'S SUPERVISOR. THE LAST TIME THE BOARD REVIEWED AND DOCUMENTED THE COMPENSATION WAS IN AUGUST 2014. 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 XI, LINE 9 Transfer from Affiliates 31,587,000 Decrease Pension Plan Valuation 5,541,756 Other Changes in Net Assets (109,059) Partnership Book to Tax Difference (4,196,869) Rounding 4,264 ------------ Total $32,827,082 FLAGSTAFF MEDICAL CENTER PO BOX 1268 FLAGSTAFF AZ 86002 860110232 HEALTHCARE AZ 501(C)(3) 3 NAH true NORTHERN ARIZONA HEALTHCARE CORPORATION PO BOX 1268 FLAGSTAFF AZ 86002 742410946 HEALTHCARE AZ 501(C)(3) 9 NA false NAHPG LLC 1200 N BEAVER ST FLAGSTAFF AZ 86002 454464070 ADMIN AND BILLING AZ VVMC AND FMC RELATED -13263350 15467547 false 0 true 0.50000 false false false false false false false true false false false false true false false true true true true FLAGSTAFF MEDICAL CENTER P 63149049 COST NORTHERN ARIZONA HEALTHCARE PROVIDER GROUP R 36973816 COST