2026-08-11T18:11:34-05:00 2025-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 6565 AMERICAS PARKWAY NE STE 600 ALBUQUERQUE NM 87110 990 2024-10-01 237314364 NAVAJO HEALTH FOUNDATION - SAGE MEMORIAL HOSPITAL INC NAVA 9287554500 PO BOX 457 GANADO AZ 86505 BROCHELLE BEGAY CFO 9287554500 2026-08-11 1 1 STEVEN TALBOT P01695427 5058787200 2026-08-11 2024 2025-03-06 01:10:19Z MELINDA WHITE PO BOX 457 GANADO AZ 86505 103424338 0 X WWW.SAGEMEMORIAL.COM X 1974 AZ TO PROVIDE QUALITY HEALTHCARE SERVICES IN A FISCALLY RESPONSIBLE MANNER. 4 4 398 20 0 0 1565497 829008 74207004 98233340 3170906 3044694 191816 27931 79135223 102134973 0 0 0 0 29339682 36155260 0 0 0 34755976 59177696 64095658 95332956 15039565 6802017 270513927 280947290 100240783 103900102 170273144 177047188 OUR MISSION IS TO PROVIDE QUALITY PATIENT CARE IN A FISCALLY RESPONSIBLE MANNER FOCUSING ON THE PATIENTS' PHYSICAL, SOCIAL AND SPIRITUAL WELL-BEING. 0 0 63935432 98233340 NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL CONTRACTED WITH INDIAN HEALTH SERVICES UNDER A SELF-DETERMINATION CONTRACT THAT PROVIDED CARE TO INPATIENTS, OUTPATIENTS, AND EMERGENCY ROOM PATIENTS, AS WELL AS DENTAL, PHYSIOTHERAPY, BEHAVIORAL HEALTH, OPTOMETRY AND RADIOLOGY SERVICES. SAGE MEMORIAL HOSPITAL SERVES PRIMARILY MEMBERS OF THE NAVAJO NATION. SAGE MEMORIAL HOSPITAL ALSO ADMINISTERED SPECIAL DIABETES PREVENTION AND TREATMENT FOR NAVAJOS. THE ORGANIZATION HAS DEVELOPED A PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY RESPONSE PLAN. 63935432 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 239 0 1 398 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X BROCHELLE BEGAY 9287554500 PO BOX 457 GANADO AZ 86505 DELORES J NOBLE BOARD CHAIR 2.00 X X 46500 0 0 LINDA YOUVELLA BOARD VICE CHAIR 2.00 X X 19250 0 0 VERONICA CLARK TREASURER/SECRETARY 2.00 X X 39750 0 0 MAYBELLE KELEWOOD BOARD MEMBER 2.00 X 42000 0 0 ANDREW SIMPSON BOARD MEMBER (THROUGH 12/31/24) 2.00 X 21500 0 0 MELINDA WHITE CHIEF EXECUTIVE OFFICER 40.00 X 311451 0 11964 TINA JAMES-TAFOYA CHIEF OPERATING OFFICER 40.00 X 219908 0 4239 BROCHELLE BEGAY CHIEF FINANCIAL OFFICER 40.00 X 154761 0 3532 KENNETH ANAEME CHIEF MEDICAL OFFICER 40.00 X 498266 0 19625 VALERIE JENSEN CHIEF NURSING OFFICER 40.00 X 163584 0 1600 LORI LIVINGSTON CHIEF OF QUALITY 40.00 X 150192 0 0 BARBARA MCLAURIN EMERGENCY ROOM PHYSICIAN 40.00 X 521494 0 744 JEREMY WRAY EMERGENCY ROOM PHYSICIAN 40.00 X 472990 0 16894 KATHLEEN POOLE DENTIST IN CHARGE 40.00 X 344632 0 9721 ERNASHA MCINTOSH ASSISTANT CHIEF MEDICAL OFFICER 40.00 X 305991 0 2808 JOHN ACQUAH PHYSICIAN 40.00 X 305733 0 1721 3618002 0 72848 48 0 1 0 PRIME TIME HEALTHCARE LLC 15380 WEIR STREET OMAHA NE 68139 PROVIDER AND NURSING SERVICES 3608555 FEDERAL HEALTHCARE SERVICES LLC 5195 HAMPSTED VILLAGE SUITE 156 NEW ALBANY OH 43054 PROVIDER SERVICES 2694379 DICKINSON WRIGHT PLLC 2600 WEST BIG BEAVER SUITE 300 TROY MI 48084 LEGAL SERVICES 1271766 AB STAFFING SOLUTIONS LLC 3451 S MERCY ROAD STE 102 GILBERT AZ 85297 PROVIDER AND NURSING SERVICES 1265777 MANAGEMENT HEALTH SYSTEMS INC PO BOX 86 MINNEAPOLIS MN 55486 PROVIDER AND NURSING SERVICES 1236042 47 696880 132128 829008 NET PATIENT REVENUE 621110 46083539 46083539 ISDEAA REVENUE 900099 38215648 38215648 105L REVENUE 621110 13264138 13264138 OTHER PROGRAM REVENUE 621110 670015 670015 98233340 3033165 3033165 621699 593768 27931 27931 27931 707126 695597 11529 11529 11529 102134973 98233340 0 3072625 X 2011488 161128 1850360 24638337 17647726 6990611 827184 561786 265398 6595648 4419084 2176564 2082603 1395344 687259 1425051 1154291 270760 350037 350037 9651 9651 22416745 18157564 4259181 177172 62010 115162 508210 411650 96560 2565037 897763 1667274 1097116 383991 713125 1296705 453847 842858 9720 3402 6318 6822539 6822539 11806324 10625692 1180632 1049533 367337 682196 MEDICAL SUPPLIES 5240316 5240316 NON-MEDICAL SUPPLIES 1579559 552846 1026713 MEALS 684402 684402 REPAIRS 501304 175456 325848 1638275 579797 1058478 95332956 63935432 31397524 0 567927 20006786 79726531 71631006 211107 100250 3417161 5365291 789551 462945 185631 213682 216114063 36765478 178976490 179348585 1986244 1449337 4653285 2369408 270513927 280947290 22357243 14688343 3977778 2964903 80000000 72005091 4979443 1900671 1267413 100240783 103900102 X 169053161 175769692 1219983 1277496 170273144 177047188 270513927 280947290 6802017 -27973 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 953399 57513 1010912 908180 45219 953399 891977 16203 908180 983661 -91684 891977 899533 84128 983661 0.66200 0.33800 0 0 28500 28500 174792885 18026963 156765922 40486517 18738515 21748002 806161 806161 179348585 LEASE LIABILITY 1267413 1267413 X 102551876 -27973 583921 555948 101995928 9651 129394 139045 102134973 95835345 583921 583921 95251424 9651 71881 81532 95332956 PART V, LINE 4: THE ENDOWMENT CONSISTS OF SCANDLING MEMORIAL SCHOLARSHIP FUNDS ESTABLISHED TO PROVIDE FINANCIAL SCHOLARSHIP OPPORTUNITIES FOR FULL-TIME NAVAJO COLLEGE STUDENTS IN THE FIELD OF NURSING. PART X, LINE 2: THE HOSPITAL HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF THE STATE LAW. HOWEVER, THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HOSPITAL UNDERGOES AN ANNUAL ANALYSIS OF ITS VARIOUS TAX POSITIONS, ASSESSING THE LIKELIHOOD OF THOSE POSITIONS BEING UPHELD UPON EXAMINATION WITH RELEVANT TAX AUTHORITIES, AS DEFINED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA (U.S. GAAP). THE HOSPITAL BELIEVES THAT THEY ARE IN SUBSTANTIAL COMPLIANCE WITH ALL INTERNAL REVENUE SERVICE TAX REGULATIONS FOR THE YEARS ENDED SEPTEMBER 30, 2025 AND 2024, AND, THEREFORE, HAVE NOT RECORDED ANY UNRECOGNIZED TAX BENEFIT OR LIABILITIES FOR INCOME TAXES. THE HOSPITAL'S TAX RETURNS ARE TYPICALLY SUBJECT TO EXAMINATIONS BY TAX AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE DATE THEY ARE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 593,768. BAD DEBT EXPENSE -9,847. PART XI, LINE 4B - OTHER ADJUSTMENTS: REALIZED GAIN REPORTED IN NET ASSETS 57,513. BANK FEES 71,881. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 593,768. BAD DEBT EXPENSE -9,847. PART XII, LINE 4B - OTHER ADJUSTMENTS: BANK FEES 71,881. 1 1 0 1 X 0 0 0 29991664 51479786 0 0.00000 41044232 6132175 34912057 0.36620 36352063 6966580 29385483 0.30820 107387959 64578541 64297540 0.67440 463508 463508 0.00490 463508 463508 0.00490 107851467 64578541 64761048 0.67930 1 9847 19628997 9306088 10322909 X 0 1 1 NAVAJO HEALTH FOUNDATION SAGE MEMORIAL HOSPITAL PO BOX 457 GANADO AZ 86505 WWW.SAGEMEMORIAL.COM X X X X DENTAL AND OPHTHALMOLOGY SAGE MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X HTTPS://SAGEMEMORIAL.COM/ X X 1 22 1 HTTPS://SAGEMEMORIAL.COM/ 0 1 X 250.000000000000 X 1 1 X 1 X HTTPS://SAGEMEMORIAL.COM/ X 0 0 1 0 0 SAGE MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: SAGE MEMORIAL HOSPITAL ("SMH") ASSEMBLED AN ASSESSMENT TEAM CONSISTING OF HOSPITAL ADMINISTRATION AND EXECUTIVE LEADERSHIP, PUBLIC HEALTH PROFESSIONALS, AND CLINICAL STAFF. THE TEAM CONDUCTED SURVEYS WITH COMMUNITY MEMBERS AND FOCUS GROUPS AND RESEARCHED SECONDARY DATA SOURCES TO OBTAIN RELEVANT COMMUNITY HEALTH INFORMATION. THIS INFORMATION WAS THEN ANALYZED AND CROSS-REFERENCED TO PUBLIC DATABASES TO IDENTIFY THE TOP HEALTH CARE NEEDS OF THE COMMUNITY. THE TEAM TOOK A COMPREHENSIVE APPROACH TO ASSESSING THE NEEDS. FIRST THEY ENGAGED WITH THE COMMUNITY TO CAPTURE INPUT ABOUT HEALTH NEEDS AND FACTORS AFFECTING THE ACCESS AND DELIVERY OF HEALTH CARE SERVICES IN THE REGION. THE ASSESSMENT TEAM IDENTIFIED 2 GROUPS TO REPRESENT THE COMMUNITY'S HEALTH INTEREST. (1) INDIVIDUAL MEMBERS OF THE COMMUNITY AND (2) SAGE'S BOARD OF DIRECTORS WHO ALSO RESIDE WITHIN THE COMMUNITIES OF THE NAVAJO NATION. THESE GROUPS PARTICIPATED IN SURVEYS AND FOCUS GROUPS COORDINATED BY ASSESSMENT TEAM MEMBERS WITH PUBLIC HEALTH EXPERTISE. THE TEAM ALSO RESEARCHED SECONDARY DATA SOURCES TO BETTER UNDERSTAND THE DEMOGRAPHICS OF THE COMMUNITY AND ASSOCIATED HEALTH ISSUES. THE RESULTS WERE ANALYZED AND REVIEWED WITH THE SMH EXECUTIVE TEAM, MEDICAL STAFF AND PUBLIC HEALTH EXPERTS IN ORDER TO IDENTIFY AND PRIORITIZE THE COMMUNITY'S HEALTH NEEDS. SAGE MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: PAMPHLETS DISTRIBUTED IN THE LOCAL COMMUNITY. SAGE MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE HOSPITAL HAS IDENTIFIED AND PRIORITIZED THE TOP 5 SIGNIFICANT NEEDS OF THE COMMUNITY AND IS ADDRESSING THOSE NEEDS AS FOLLOWS: (1) BEHAVIORAL HEALTH - THE HOSPITAL IS EXPANDING BEHAVIORAL HEALTH SERVICES AND SUBSTANCE ABUSE REHABILITATION PROGRAMS, INCLUDING IMPLEMENTING AN OUTREACH PROGRAM AND COLLABORATING WITH SCHOOLS AND IMPLEMENTING TELEMEDICINE; (2) PEDIATRIC CARE - THE HOSPITAL IS EXPANDING PUBLIC IMMUNIZATION PROGRAMS, NUTRITIONAL EDUCATION OUTREACH PROGRAMS, RECRUITMENT AND RETENTION OF BOARD-CERTIFIED PEDIATRICIANS AND EXPANDING CAPACITY FOR PEDIATRIC SERVICES; (3) OBESITY PREVENTION - THE HOSPITAL PLANS TO FACILITATE ADDITIONAL COMMUNITY OUTREACH ACTIVITIES SUCH AS EXERCISE AND PHYSICAL FITNESS GROUP ACTIVITIES, EDUCATION ABOUT HEALTHY LIFESTYLES AND THE DEVELOPMENT OF A RECREATIONAL FACILITY; (4) ACCESSIBLE HEALTH CARE SERVICES - THE HOSPITAL PLANS TO EXPAND SERVICES WITHIN CHAPTER COMMUNITIES WITH THE PURCHASE OF A MOBILE HEALTH RV, REVIEW VIABILITY OF TELEMEDICINE PROGRAMS, COORDINATE PATIENT HOME VISITS AND COLLABORATE WITH THE COMMUNITY HEALTH REPRESENTATIVES; AND (5) DIABETES CARE AND PREVENTION - THE HOSPITAL WILL CONTINUE TO EDUCATE THE COMMUNITY ABOUT DIABETES AND INCREASE COMMUNITY ACTIVITIES THAT ENCOURAGE HEALTHY LIFESTYLE HABITS, RECRUIT AND RETAIN A NURSE CARE MANAGER FOR THE DIABETES PROGRAM, DEVELOP AND SUPPORT THE NATIVE DIABETES WELLNESS PROGRAM, CONTINUE TO EXPAND THE SAGE COMMUNITY GARDEN TO INCREASE AWARENESS AND SUPPLEMENT NUTRITIONAL RESOURCES AND EXPAND HEALTH SCREENINGS. LONG TERM PLANS INCLUDE AN OUTPATIENT MEDICAL CENTER AND NEW HOSPITAL. SAGE MEMORIAL HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL USES THE FEDERAL POVERTY LEVEL AS DETERMINED ANNUALLY BY THE FEDERAL GOVERNMENT ON A SLIDING SCALE WITH 0 TO 100% OF FEDERAL POVERTY LEVEL RECEIVING A 90% DISCOUNT, WITH A REDUCTION IN THE DISCOUNT AS THE INCOME LEVEL INCREASES IN RELATION TO THE POVERTY LEVEL.MEMBERS OF THE NAVAJO NATION ARE SERVED UNDER AGREEMENTS WITH THE INDIAN HEALTH SERVICE. IF TRIBAL MEMBERS DO NOT HAVE INSURANCE AND/OR ARE NOT ELIGIBLE FOR MEDICARE OR MEDICAID, THE HOSPITAL BEARS THE COST OF PROVIDING MEDICAL SERVICES. PRIOR TO COVERING THE COSTS, THE HOSPITAL VERIFIES ALL ALTERNATIVE INSURANCE OPTIONS HAVE BEEN APPLIED FOR AND OBTAINS PROOF OF INDIAN HERITAGE. 4 1 - OUTPATIENT CLINIC PO BOX 457 GANADO AZ 86505 OUTPATIENT SERVICES 2 - SPECIALITY CLINIC PO BOX 457 GANADO AZ 86505 CARDIOLOGY AND ECHO 3 - DENTAL CLINIC PO BOX 457 GANADO AZ 86505 DENTAL SERVICES 4 - GREASEWOOD CLINIC PO BOX 457 GANADO AZ 86505 DENTAL AND OUTPATIENT SERVICES PART I, LINE 3C: THE ORGANIZATION PRIMARILY SERVICES MEMBERS OF THE NAVAJO NATION UNDER AGREEMENTS WITH THE INDIAN HEALTH SERVICE. IF TRIBAL MEMBERS DO NOT HAVE INSURANCE AND/OR ARE NOT ELIGIBLE FOR MEDICARE OR MEDICAID, THE HOSPITAL BEARS THE COST OF PROVIDING MEDICAL SERVICES. PRIOR TO COVERING THE COSTS, THE HOSPITAL VERIFIES ALL ALTERNATIVE INSURANCE OPTIONS HAVE BEEN APPLIED FOR AND OBTAINS PROOF OF INDIAN HERITAGE. PART III, LINE 2: NATIVE AMERICANS AND OTHER ALASKA NATIVE TRIBES BENEFICIARIES DO NOT PAY ANY OUT-OF-POCKET AMOUNT FOR THEIR SERVICES AS THEY ARE COVERED THROUGH THE ANNUAL FUNDING FOR NATIVE AMERICANS AND OTHER ALASKA NATIVE TRIBES BENEFICIARIES. HOWEVER, NON-BENEFICIARY PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE GENERALLY RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE HOSPITAL ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. PART III, LINE 4: FROM NOTE 1, PAGE 16 OF THE AUDITED FINANCIAL STATEMENTS: NATIVE AMERICANS AND OTHER ALASKA NATIVE TRIBES BENEFICIARIES DO NOT PAY ANY OUT-OF-POCKET AMOUNT FOR THEIR SERVICES AS THEY ARE COVERED THROUGH THE ANNUAL FUNDING FOR NATIVE AMERICANS AND OTHER ALASKA NATIVE TRIBES BENEFICIARIES. HOWEVER, NON-BENEFICIARY PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE GENERALLY RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE HOSPITAL ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. FOR THE YEARS ENDED SEPTEMBER 30, 2025 AND 2024, NO SIGNIFICANT ADDITIONAL REVENUE WAS RECOGNIZED DUE TO CHANGES IN THE HOSPITAL'S ESTIMATES OF IMPLICIT PRICE CONCESSIONS, DISCOUNTS, AND CONTRACTUAL ADJUSTMENTS FOR PERFORMANCE OBLIGATIONS SATISFIED IN PRIOR YEARS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. PART III, LINE 8: IT IS A COMMUNITY BENEFIT FOR THE HOSPITAL TO PROVIDE SERVICES REGARDLESS OF MEDICARE SURPLUS OR SHORTFALL. THE SOURCE USED IS MEDICARE'S COST REPORT COMPLETED BY THE HOSPITAL FOR FISCAL YEAR END 2025. PART VI, LINE 2: THE HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023 (TAX YEAR 2022). PART VI, LINE 3: UPON ADMITTANCE, PATIENTS ARE INFORMED OF THE POLICIES, EDUCATED ON THE VARIOUS ASSISTANCE PROGRAMS AVAILABLE, AND GIVEN FORMS TO ASSIST IN COMPLETING FINANCIAL ASSISTANCE PAPERWORK. THE EMPLOYEES IN ADMITTING HAVE A CHECKLIST OF INFORMATION AND FORMS THEY ARE TO PROVIDE TO THE PATIENTS. PART VI, LINE 4: THE ORGANIZATION PRIMARILY SERVICES THE NAVAJO NATION COMMUNITIES AND CHAPTERS OF CORNFIELDS, GANADO, KINLICHEE, KLAGETOH, GREASEWOOD SPRINGS, STEAMBOAT, WIDE RUINS, AND THE PORTION OF NAZLINI THAT INCLUDES COMMUNITIES SOUTH OF ROUTE 26. THE REGION IS PREDOMINANTLY PART OF APACHE COUNTY OF ARIZONA, WITH SOME OVERLAP INTO NAVAJO COUNTY. PART VI, LINE 5: BASED ON THE FINDINGS OF PAST AND CURRENT CHNAS, SAGE'S LEADERSHIP ADOPTED AND BEGAN EXECUTING AN IMPLEMENTATION STRATEGY TO MEET THE HIGH PRIORITY HEALTH CARE NEEDS OF THE COMMUNITY. SAGE CONTINUES TO EXPAND UPON ITS STRATEGY THROUGH THE FOLLOWING ACTIONS THAT ADDRESS THE COMMUNITY'S HEALTH CARE NEEDS. COMMUNITY HEALTH CARE NEEDS INCLUDE BEHAVIORAL HEALTH, PEDIATRIC CARE, OBESITY PREVENTION, ACCESSIBILITY TO HEALTH CARE SERVICES, AND DIABETES CARE AND PREVENTION. CAPACITY IN ALL CATEGORIES IS BEING EXPANDED AND COMMUNITY OUTREACH PROGRAMS IMPLEMENTED TO EDUCATE AND ASSIST INDIVIDUALS. X 1 1 X X 0 0 0 0 0 0 0 1 0 BARBARA MCLAURIN EMERGENCY ROOM PHYSICIAN 521494 0 0 0 0 0 0 0 744 0 522238 0 0 0 KENNETH ANAEME CHIEF MEDICAL OFFICER 497754 0 512 0 0 0 17308 0 2317 0 517891 0 0 0 JEREMY WRAY EMERGENCY ROOM PHYSICIAN 472990 0 0 0 0 0 15640 0 1254 0 489884 0 0 0 KATHLEEN POOLE DENTIST IN CHARGE 344632 0 0 0 0 0 9014 0 707 0 354353 0 0 0 MELINDA WHITE CHIEF EXECUTIVE OFFICER 310939 0 512 0 0 0 9731 0 2233 0 323415 0 0 0 ERNASHA MCINTOSH ASSISTANT CHIEF MEDICAL OFFICER 305991 0 0 0 0 0 389 0 2419 0 308799 0 0 0 JOHN ACQUAH PHYSICIAN 305733 0 0 0 0 0 1200 0 521 0 307454 0 0 0 TINA JAMES-TAFOYA CHIEF OPERATING OFFICER 219396 0 512 0 0 0 1922 0 2317 0 224147 0 0 0 VALERIE JENSEN CHIEF NURSING OFFICER 163043 0 541 0 0 0 1600 0 0 0 165184 0 0 0 BROCHELLE BEGAY CHIEF FINANCIAL OFFICER 154220 0 541 0 0 0 3160 0 372 0 158293 0 0 0 LORI LIVINGSTON CHIEF OF QUALITY 145651 0 4541 0 0 0 0 0 0 0 150192 0 0 0 PART I, LINE 1A HOUSING IS PROVIDED TO MEDICAL PROFESSIONALS, INCLUDING DOCTORS, REGISTERED NURSES, PHARMACISTS, DENTISTS, ALLIED MEDICAL STAFF, AND SOME OFFICER/EMPLOYEES. THE RENT ON SMH CAMPUS IS LOWER THAN THE CURRENT FAIR RENT MARKET VALUE. THIS HOUSING IS PROVIDED TO MAKE SURE THAT THE DEPARTMENT OPERATIONS ARE CONTINUOUSLY PROVIDING PATIENT CARE. HOUSING PROVIDED TO EMPLOYEES IS MADE TO ENSURE THAT EMPLOYEES ARE READY TO RESPOND TO EMERGENCIES. PART I, LINE 7 BONUSES ARE AWARDED BASED ON PERFORMANCE AND ARE APPROVED BY THE BOARD OF DIRECTORS. A ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY 813526584 04052EBV9 2024-12-18 77801720 CONSTRUCTION OF NEW HOSPITAL FACILITY, EMPLOYEE HOUSING, MEDICAL OFFICES 0 0 0 A 77801720 7022531 1556034 69223155 2024 0 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 0 A 1 FORM 990, PART VI, SECTION A, LINE 8B THE BOARD DID NOT HAVE FORMAL COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A SUBSTANTIALLY REVISED DRAFT VERSION OF FORM 990 IS PROVIDED TO THE ENTIRE BOARD PRIOR TO THE FILING OF FORM 990. SUBSEQUENT ADDITIONAL DUE DILIGENCE WITH HOSPITAL LEGAL AND TAX ADVISORS IS UNDERTAKEN BY THE CFO AND HOSPITAL MANAGEMENT IN ORDER TO COMPLETE AND SUBMIT THE FINAL 990. FORM 990, PART VI, SECTION B, LINE 12C SAGE MONITORS THE CONFLICT OF INTEREST POLICY TO ENSURE THERE ARE NO RELATED PARTY TRANSACTIONS LEADING TO CONFLICT OF INTEREST. EACH PERSON HAS SIGNED A CONFLICT OF INTEREST DECLARATION AT THE BEGINNING OF EMPLOYMENT, TO REPORT ANY CONFLICT OF INTEREST OR RELATED PARTY TRANSACTIONS. THE SIGNED CONFLICT OF INTEREST DECLARATION IS ANNUALLY REVIEWED THROUGH TRAINING OF STAFF BY HUMAN RESOURCES. THE BOARD OF DIRECTORS ALSO ACKNOWLEDGES RECEIPT OF THE CONFLICT OF INTEREST POLICY, AND THE BOARD AND EXECUTIVES HAVE UNDERGONE TRAINING ON THE POLICY. SAGE ALSO REPORTS ALL RELATED PARTY TRANSACTIONS DURING THE ANNUAL FINANCIAL AUDITS WHEN SUCH TRANSACTIONS ARISE. FORM 990, PART VI, SECTION B, LINE 15 REMUNERATION OF KEY EXECUTIVES AND OFFICERS WAS COMMENSURATE WITH THE MARKET, ROLE, APPLICANT'S EDUCATION-EXPERIENCE-SKILLS AND WAS SUBJECT TO APPROVAL AND ACCEPTANCE BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,047,059. MANAGEMENT AND GENERAL EXPENSES 245,606. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,292,665. CONSULTANTS: PROGRAM SERVICE EXPENSES 3,137,580. MANAGEMENT AND GENERAL EXPENSES 735,976. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,873,556. AGENCY PERSONNEL: PROGRAM SERVICE EXPENSES 11,946,946. MANAGEMENT AND GENERAL EXPENSES 2,802,370. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,749,316. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 903,144. MANAGEMENT AND GENERAL EXPENSES 211,848. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,114,992. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,122,835. MANAGEMENT AND GENERAL EXPENSES 263,381. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,386,216.