2024-08-15T20:36:59-05:00 2023-09-30 850203431 REDW LLC 5353 N 16TH STREET SUITE 200 PHOENIX AZ 85016 990 2022-10-01 043651340 TUBA CITY REGIONAL HEALTH CARE CORPORATION TUBA 9282832501 167 NORTH MAIN STREET TUBA CITY AZ 86045 MELISSA GOAD CFO 9282832501 2024-08-13 1 0 JAMIE S FRIDLEY CPA P00380605 6027303600 2024-08-13 2022 2024-08-08 14:25:15Z MELISSA GOAD 167 NORTH MAIN STREET TUBA CITY AZ 86045 293027687 0 X WWW.TCRHCC.ORG X 2002 AZ PROVIDE INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES, ENVIRONMENTAL HEALTH, PUBLIC HEALTH NURSING, SCHOOL HEALTH, DENTAL HEALTH SERVICES, TELEMEDICINE SERVICES AND PUBLIC EDUCATION TO RESIDENTS IN AND AROUND TUBA CITY, ARIZONA. 10 10 1152 23 0 0 82787504 90403881 149691371 167740320 4984553 4463528 1699642 1753748 239163070 264361477 0 0 0 0 121044842 124436523 0 0 0 91429972 115870353 212474814 240306876 26688256 24054601 287931890 315395423 105872846 66971413 182059044 248424010 TO PROVIDE ACCESSIBLE, QUALITY, AND CULTURALLY SENSITIVE HEALTH CARE TO THE RESIDENTS OF THE WESTERN NAVAJO RESERVATION. 0 0 177491051 167740320 PROVIDE QUALITY COMPREHENSIVE HEALTHCARE THROUGH THE OPERATION OF A 73 BED LICENSED ACUTE CARE HOSPITAL AND RELATED CLINICS. THE HOSPITAL AND CLINICS PROVIDE INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES, PUBLIC HEALTH NURSING, SCHOOL HEALTH, DENTAL, RADIOLOGY, CARDIOPULMONARY, LABORATORY, PHARMACY, OPHTHALMOLOGY HEALTH SERVICES, OBSTETRICS/GYNECOLOGY, ORAL SURGERY, EYE SURGERY, UROLOGICAL PROCEDURES, ENVIRONMENTAL HEALTH, TELEMEDICINE SERVICES AND PUBLIC EDUCATION TO RESIDENTS IN AND AROUND TUBA CITY, ARIZONA. THE HOSPITAL HAD A TOTAL COMBINED 798,833 INPATIENT AND OUTPATIENT VISITS. 177491051 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 166 0 1 1152 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 AZ X TCRHCC FINANCE DEPARTMENT 9282832501 167 NORTH MAIN STREET TUBA CITY AZ 86045 CAMERLITA HOMER TREASURER 1.00 X 35850 0 0 CHRISTOPHER CURLEY PRESIDENT 1.00 X 52050 0 0 DOLLY LANE BOARD OF DIRECTORS MEMBER 1.00 X 30450 0 0 FRANKLIN FOWLER BOARD OF DIRECTORS MEMBER 1.00 X 44000 0 0 JUSTICE M BEARD BOARD OF DIRECTORS MEMBER 1.00 X 37000 0 0 LEILA MCCABE BOARD OF DIRECTORS MEMBER 1.00 X 28050 0 0 LYONEL TSO BOARD OF DIRECTORS MEMBER 1.00 X 34150 0 0 RONALD HONEYUMPTEWA BOARD OF DIRECTORS MEMBER 1.00 X 30800 0 0 THOMAS MCCABE BOARD OF DIRECTORS MEMBER 1.00 X 28750 0 0 TINCER NEZ SR VICE PRESIDENT 1.00 X 27550 0 0 DOLLIE LUNA SMALLCANYON CHIEF COMM HLTH SVCS OFFICER 40.00 X 188649 0 7758 JOETTE WALTERS CHIEF EXECUTIVE OFFICER 40.00 X 239768 0 4981 JULIA BILLY CHIEF QUALITY OFFICER 40.00 X 129189 0 5601 JULIUS YOUNG II CHIEF OPERATING OFFICER 40.00 X 167100 0 6606 MELISSA GOAD CHIEF FINANCIAL OFFICER 40.00 X 119062 0 2503 NATALIA HATATHLI CHIEF ANCILLARY OFFICER 40.00 X 144226 0 6226 PAULA MAYER CHIEF MEDICAL INFOR OFFICER 40.00 X 357244 0 13200 REBECCA SPRINGER CHIEF NURSE OFFICER 40.00 X 192118 0 5997 RIAD ABDELKARIM CHIEF MEDICAL OFFICER 40.00 X 390921 0 7686 SHARR YAZZIE CHIEF HUMAN RESOURCES OFFICER 40.00 X 181754 0 8430 SHAWN DAVIS CHIEF INFORMATION OFFICER 40.00 X 213001 0 8769 BENJAMIN EVERETT CHIEF MENTAL HEALTH 40.00 X 239655 0 9713 CHRISTINA ZEIGLER CHIEF DENTAL SERVICES 40.00 X 297294 0 12511 ELIZABETH LALLY CHIEF OF INTERNAL MEDICINE 40.00 X 278925 0 12122 JACOB HASLEM DEPUTY CHIEF DENTAL SVCS 40.00 X 174240 0 8371 JENNIFER LAROCHE CHIEF CERTIFIED RN ANESTHETIST 35.00 X 249354 0 9439 KATHERINE GLASER CHIEF OF OB/GYN 40.00 X 358170 0 13200 KIMBERLY BECKER DEPUTY CHIEF OF ER 40.00 X 412536 0 8192 MARY LOWRY CHIEF NURSE MIDWIFE 40.00 X 165935 0 7375 MATHIAS RUPP CHIEF CERTIFIED RN ANESTHETIST 30.00 X 195368 0 7798 RONDA OLSON DEPUTY CHIEF EYE SERVICES 40.00 X 152771 0 7264 SPENCER ANDERSON CHIEF OF EMERGENCY SERVICES 40.00 X 404579 0 13200 GEOFFREY COOK ORTHOPEDIC SURGEON 30.00 X 496067 0 13200 JEFFREY DANIEL PHYSICIAN 40.00 X 475603 0 2172 JOACHIM CHINO DEPUTY CHIEF OF SURGERY 40.00 X 541498 0 13200 KONSTANTINE ZINIS CHIEF OF ORTHOPEDICS 40.00 X 633267 0 13200 LUIS GARCIA CHIEF OF RADIOLOGY 40.00 X 556425 0 0 MATTHEW CUSICK GENERAL SURGEON 30.00 X 465220 0 13200 MICHAEL BAGLEY ORTHOPEDIC SURGEON 40.00 X 742803 0 13200 RALPH KELLEY CHIEF OF SURGERY 30.00 X 540433 0 13200 SEAN LARSEN PHYSICIAN 40.00 X 494577 0 13200 LYNETTE BONAR FORMER CEO 40.00 X 154864 0 0 10701266 0 281514 255 1 1 0 ANDREW MD SUSAN L DBA NA ALLERGY SO 3921 RAU DRIVE DICKINSON TX 77539 ENT AND ALLERGY 226005 CORDIVIN EDGAR MD 85 CONCHO CIRCLE SEDONA AZ 86351 RADIOLOGY 222331 DEMPSEY BRETT 5990 EAST JEREMY LANE FLAGSTAFF AZ 86004 PROFESSIONAL MEDICAL SERVICES 176000 BOXWALA MUSTAFA 34743 HUNTINGTON COURT FARMINGTON HILLS MI 48331 PROFESSIONAL MEDICAL SERVICES 126000 4 90403881 90403881 PATIENT REVENUE 900099 162740691 162740691 OTHER REVENUE 900099 4467942 4467942 CAFETERIA 722210 531687 531687 167740320 5942179 5942179 1753748 0 1753748 1753748 1753748 27187559 28309669 356541 -1122110 -356541 -1478651 -1478651 264361477 167740320 0 6217276 X 11969713 8618145 3351568 83339326 61359192 21980134 2825946 1354622 1471324 19948168 7524992 12423176 6353370 5082696 1270674 586515 586515 36194906 29447468 6747438 880114 353922 526192 6485658 5188526 1297132 6970118 5203268 1766850 29174 23339 5835 8439929 6751943 1687986 1497589 1497589 MEDICAL/OTHER SUPPLIES 35678126 34027124 1651002 CONTRACT HEALTH SERVICE 9989478 9989380 98 GENERAL SERVICES 9118746 2566434 6552312 240306876 177491051 62815825 0 29005056 23061740 1418636 3057121 14951178 18324403 2996903 3087606 6122225 7287069 134623652 56480653 63700174 78142999 169737718 182434485 287931890 315395423 30011844 37669374 74861002 21989851 1000000 0 7312188 105872846 66971413 X 182059044 248424010 182059044 248424010 287931890 315395423 24054601 9095618 33214747 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 52769929 16785395 35984534 69171623 39695258 29476365 12682100 12682100 78142999 DEBT SECURITIES 130857146 F EQUITY SECURITIES 51577339 F 182434485 LEASE LIABILITY 7311716 OTHER LIABILITY 472 7312188 X 273813636 9095618 9095618 264718018 -356541 -356541 264361477 240663417 356541 356541 240306876 0 240306876 PART X, LINE 2: TCRHCC IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). TCRHCC IS CLASSIFIED AS OTHER THAN A PRIVATE FOUNDATION. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE TCRHCC TO EVALUATE AND DISCLOSE UNCERTAIN TAX POSITIONS. TCRHCC DOES NOT BELIEVE ANY SUCH POSITIONS EXIST AT SEPTEMBER 30, 2023 AND 2022, THAT WOULD REQUIRE ACCRUAL OR DISCLOSURE IN THE FINANCIAL STATEMENTS. TCRHCC'S POLICY, WHEN APPLICABLE, IS TO CLASSIFY INTEREST AND PENALTIES, IF ANY, AS MISCELLANEOUS EXPENSE. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON ASSET DISPOSAL 1 1 X 1 X 1 X 1 0 0 0 19941023 3615534 16325489 X 1 1 5 1 TUBA CITY REGIONAL HEALTH CARE CORP INC 167 NORTH MAIN STREET TUBA CITY AZ 86045 X X X X INPATIENT/OUTPATIENT/ER 2 SACRED PEAKS HEALTH CENTER 3480 E ROUTE 66 FLAGSTAFF AZ 86004 X OUTPATIENT CLINIC 3 LECHEE HEALTH FACILITY PO BOX 4810 PAGE AZ 86040 OUTPATIENT CLINIC 4 CAMERON DENTAL 466 N HIGHWAY 89 CAMERON AZ 86020 DENTAL 5 SACRED PEAKS WEST - OPTOMETRY 1338 WEST FOREST MEADOWS STE 14 FLAGSTAFF AZ 86001 OPTOMETRY TUBA CITY REGIONAL HOSPITAL 1 0 0 1 X X X X X X 15 0 0 0 1 X X 1 15 0 1 0 1 X 100.000000000000 200.000000000000 X 1 1 X 1 X 1 X 0 1 0 0 TUBA CITY REGIONAL HOSPITAL PART V, SECTION B, LINE 7D: COPIES PROVIDED TO LOCAL CHAPTER OFFICIALS AND OUR TRIBAL OVERSIGHT COMMITTEE FOR DISSEMINATION TO SURROUNDING COMMUNITIES. TUBA CITY REGIONAL HOSPITAL PART V, SECTION B, LINE 13B: UNCOMPENSATED CARETCRHCC RECEIVES PL 93-638 FUNDS TO PROVIDE HEALTH CARE SERVICES FOR ITS DEDICATED POPULATION. TCRHCC DOES NOT EXPECT, NOR DOES IT ACCEPT, PAYMENT FROM NATIVE AMERICANS FOR THE SERVICES PROVIDED. THEREFORE, TCRHCC DOES NOT PROVIDE UNCOMPENSATED CARE IN THE TRADITIONAL SENSE OF THE TERM; RATHER, SERVICES ARE PROVIDED FREE OF CHARGE TO ITS DEDICATED POPULATION REGARDLESS OF THEIR ABILITY OR INABILITY TO PAY. COSTS ARE REIMBURSED PRIMARILY THROUGH THE OFFICE OF MANAGEMENT AND BUDGET (OMB) PREDETERMINED MEDICAID AND MEDICARE BILLING RATES FOR A PATIENT VISIT. THIS PAYMENT IS TAKEN INTO EFFECT AFTER ANY OTHER THIRD-PARTY INSURANCE THAT THE PATIENT MAY ALREADY HAVE. FURTHERMORE, IF TCRHCC IS UNABLE TO PROVIDE SERVICES NECESSARY FOR ITS DEDICATED POPULATION, THERE ARE ALLOCATED PURCHASED/REFERRED CARE FUNDS TO PROVIDE THESE NECESSARY SERVICES. TUBA CITY REGIONAL HOSPITAL PART V, SECTION B, LINE 13H: TCRHCC IS GOVERNED BY THE THE HEALTH CARE SELF-GOVERNANCE TRIBAL ORGANIZATION. UNDER THEIR TITLE V COMPACT, TCRHCC SHALL NOT DIRECTLY CHARGE ANY TRIBAL MEMBER FOR HEALTH CARE SERVICES NOR CHARGE THE NAVAJO NATION EMPLOYEE BENEFIT PLAN OR WORKERS COMPENSATION PLAN FOR HEALTH CARE SERVICES PROVIDED TO A COVERED TRIBAL MEMBER UNLESS THE INDIAN HEALTH SERVICE WOULD BE ABLE TO CHARGE THE TRIBAL MEMBER FOR THE SAME SERVICE UNDER THE SAME CIRCUMSTANCES UNLESS OTHERWISE AUTHORIZED BY THE NAVAJO NATION COUNCIL. TUBA CITY REGIONAL HOSPITAL PART V, SECTION B, LINE 15E: UNCOMPENSATED CARETCRHCC RECEIVES PL 93-638 FUNDS TO PROVIDE HEALTH CARE SERVICES FOR ITS DEDICATED POPULATION. TCRHCC DOES NOT EXPECT, NOR DOES IT ACCEPT, PAYMENT FROM NATIVE AMERICANS FOR THE SERVICES PROVIDED. THEREFORE, TCRHCC DOES NOT PROVIDE UNCOMPENSATED CARE IN THE TRADITIONAL SENSE OF THE TERM; RATHER, SERVICES ARE PROVIDED FREE OF CHARGE TO ITS DEDICATED POPULATION REGARDLESS OF THEIR ABILITY OR INABILITY TO PAY. COSTS ARE REIMBURSED PRIMARILY THROUGH THE OFFICE OF MANAGEMENT AND BUDGET (OMB) PREDETERMINED MEDICAID AND MEDICARE BILLING RATES FOR A PATIENT VISIT. THIS PAYMENT IS TAKEN INTO EFFECT AFTER ANY OTHER THIRD-PARTY INSURANCE THAT THE PATIENT MAY ALREADY HAVE. FURTHERMORE, IF TCRHCC IS UNABLE TO PROVIDE SERVICES NECESSARY FOR ITS DEDICATED POPULATION, THERE ARE ALLOCATED PURCHASED/REFERRED CARE FUNDS TO PROVIDE THESE NECESSARY SERVICES. TUBA CITY REGIONAL HOSPITAL PART V, SECTION B, LINE 16J: UNCOMPENSATED CARETCRHCC RECEIVES PL 93-638 FUNDS TO PROVIDE HEALTH CARE SERVICES FOR ITS DEDICATED POPULATION. TCRHCC DOES NOT EXPECT, NOR DOES IT ACCEPT, PAYMENT FROM NATIVE AMERICANS FOR THE SERVICES PROVIDED. THEREFORE, TCRHCC DOES NOT PROVIDE UNCOMPENSATED CARE IN THE TRADITIONAL SENSE OF THE TERM; RATHER, SERVICES ARE PROVIDED FREE OF CHARGE TO ITS DEDICATED POPULATION REGARDLESS OF THEIR ABILITY OR INABILITY TO PAY. COSTS ARE REIMBURSED PRIMARILY THROUGH THE OFFICE OF MANAGEMENT AND BUDGET (OMB) PREDETERMINED MEDICAID AND MEDICARE BILLING RATES FOR A PATIENT VISIT. THIS PAYMENT IS TAKEN INTO EFFECT AFTER ANY OTHER THIRD-PARTY INSURANCE THAT THE PATIENT MAY ALREADY HAVE. FURTHERMORE, IF TCRHCC IS UNABLE TO PROVIDE SERVICES NECESSARY FOR ITS DEDICATED POPULATION, THERE ARE ALLOCATED PURCHASED/REFERRED CARE FUNDS TO PROVIDE THESE NECESSARY SERVICES. 3 1 - SACRED PEAKS HEALTH CENTER 3480 E ROUTE 66 FLAGSTAFF AZ 86004 OUTPATIENT FACILITY 2 - CAMERON DENTAL 25 MILES S OF TUBA CITY AZ HWY 89 CAMERON AZ 86020 DENTAL SERVCIES 3 - LECHEE HEALTH FACILITY COPPERMINE RD 3 MILES S OF PAGE AZ LECHEE AZ 86040 PHARMACY REFILL PART I, LINE 3C: POLICY ADOPTED DECEMBER 2015. THERE HAVE BEEN NO REPORTED NON-IHS BENEFICIARIES ELIGIBLE FOR FREE OR DISCOUNTED CARE. PART II, COMMUNITY BUILDING ACTIVITIES: VARIOUS EVENTS WERE HELD THROUGHOUT THE SERVICE AREA TO PROMOTE WELLNESS AND HEALTHY LIVING. WITHIN THE SERVICE AREA, THERE IS A HIGH RATE OF DIABETES, ALCOHOLISM AND DRUG USE. EVENTS TARGET YOUTHS AND THEIR FAMILY THROUGH SEMINARS CONDUCTED BY ROLE MODELS, HIGH PROFILE INDIVIDUALS AND EXPERTS. IN ADDITION, OUR FACILITY HOLDS A VARIETY OF EXERCISE PROGRAMS TO ENCOURAGE COMMUNITY MEMBERS TO MAINTAIN A HEALTHY LIFESTYLE. PART III, LINE 2: THE SAME METHODOLOGY FROM PY WAS USED TO ESTIMATE BAD DEBT EXPENSE. PART III, LINE 4: THE DISCLOSURES RELATED TO BAD DEBT ARE ON PAGES 8, 12 AND 13. PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED WAS THE COST REPORT. PART VI, LINE 2: SINCE 2002, TUBA CITY REGIONAL HEALTH CARE CORPORATION HAS PROVIDED PREMIER QUALITY HEALTHCARE TO THE RESIDENTS ACROSS THE NAVAJO NATION AND ADJACENT COMMUNITIES. THE ORGANIZATION KEEPS ITS COMMUNITY HEALTHY WITH A BROAD SCOPE OF SERVICES, PROVIDED BY WELL-TRAINED AND HIGHLY-SKILLED PROFESSIONALS. IT PROVIDES A FULL RANGE OF PRIMARY AND SPECIALTY CARE PREVENTIVE HEALTH AND WELLNESS SERVICES. ALL AREAS OF SERVICE INCORPORATE CULTURAL SENSITIVITY AND THE NAVAJO PHILOSOPHY OF THE FOUR SACRED DIRECTIONS. PATIENT CARE SERVICES PROVIDED BY TCRHCC ARE BASED ON ITS MISSION, VISION, AND VALUES AS WELL AS ON THE NEEDS OF THE COMMUNITY IT SERVES. THE PATIENT CARE SERVICES ARE ORGANIZED IN RESPONSE TO PATIENT NEEDS AS IDENTIFIED THROUGH TCRHCC'S PLANNING PROCESS.A.PATIENT/CUSTOMER NEEDS EXPECTATIONS AND SATISFACTION.B.PATIENT REQUIREMENTS AND THEIR IMPLICATIONS FOR STAFFING.C.THE ORGANIZATION'S DETERMINATION OF THE ESSENTIAL SERVICES NECESSARY TO MEET THE NEEDS OF ITS PATIENT POPULATION.D.THE PLANNING FOR THE PROVISION OF THOSE ESSENTIALS SERVICES, EITHER DIRECTLY OR THROUGH REFERRAL OR CONTRACT.E.THE ORGANIZATION'S ABILITY TO RECRUIT AND/OR DEVELOP APPROPRIATE STAFF.F.RELEVANT INFORMATION FROM STAFFING VARIANCE REPORTS.G.THE PROVISION OF A UNIFORM LEVEL OF CARE THROUGHOUT THE ORGANIZATION.H.OPPORTUNITIES TO IMPROVE PROCESSES IN THE DESIGN AND DELIVERY OF PATIENT CARE.THE PLAN FOR PROVIDING PATIENT CARE COVERS THE FOLLOWING AREAS:A.THE AREAS OF THE ORGANIZATION IN WHICH CARE IS PROVIDED.B.THE MECHANISM(S) USED IN EACH AREA TO IDENTIFY PATIENT'S CARE NEEDS.C.THE NUMBER AND MIX OF STAFF MEMBERS IN EACH AREA TO PROVIDE FOR PATIENT'S NEEDS.D.THE PROCESS USED FOR ASSESSING AND ACTING ON STAFF VARIANCES.E.THE PLAN FOR IMPROVING THE QUALITY OF CARE IN EACH AREA OF SERVICE.F.TRADITIONAL MEDICINE AND CULTURAL BELIEFS OF THE COMMUNITY.THIS PLAN HAS BEEN DEVELOPED BY USING A COMPILATION OF ORGANIZATIONAL AND DEPARTMENT SPECIFIC DOCUMENTS. AT LEAST ANNUALLY, DURING THE ORGANIZATION PLANNING PROCESS, THE ORGANIZATIONAL PLAN FOR PROVIDING PATIENT CARE WILL BE REVIEWED AND REVISED AS NEEDED. CHANGES IN PATIENT CARE NEEDS, FINDINGS FROM PERFORMANCE IMPROVEMENT ACTIVITIES, AND RISK MANAGEMENT ISSUES MAY ALSO TRIGGER A REVIEW AND REVISION. PART VI, LINE 3: THE MAJORITY OF THE PATIENTS ARE NATIVE AMERICAN AND QUALIFY FOR THE INDIAN HEALTH SERVICE PROGRAM. THESE PATIENTS QUALIFY FOR THE FEDERAL PROGRAM AND DO NOT CARRY SEPARATE HEALTH INSURANCE. THERE ARE VERY FEW PATIENTS THAT WOULD FALL OUTSIDE THE IHS PROGRAM. TCRHCC RECEIVES PL 93-638 FUNDS TO PROVIDE HEALTH CARE SERVICES FOR ITS DEDICATED POPULATION, IT IS MANAGEMENT'S ASSERTION THAT CHARITY CARE IS NOT APPLICABLE TO TCRHCC. HEALTHCARE FOR NATIVE AMERICANS IS PROVIDED AT NO COST TO THE NATIVE POPULATION. THEREFORE, TCRHCC DOES NOT EXPECT, NOR DOES IT ACCEPT PAYMENT FROM NATIVE AMERICANS FOR THE SERVICES PROVIDED. COSTS ARE REIMBURSED PRIMARLY THROUGH THE OFFICE OF MANAGEMENT AND BUDGET PREDETERMINED MEDICAID AND MEDICARE BILLING RATES FOR A PATIENT VISIT. THIS PAYMENT IS TAKEN INTO EFFECT AFTER ANY OTHER THIRD-PARTY INSURANCE THAT THE PATIENT MAY ALREADY HAVE. FURTHERMORE, IF TCRHCC IS UNABLE TO PROVIDE SERVICES NECESSRY FOR ITS DEDICATED POPULATION, THERE ARE ALLOCATED FUNDS TO PROVIDE THESE NECESSARY CONTRACT HEALTH SERVICES. PART VI, LINE 4: TUBA CITY IS THE LARGEST COMMUNITY BY ZIP CODE ON THE NAVAJO NATION. TUBA CITY HOSPITAL IS THE PRIMARY CAMPUS FOR TCRHCC'S INTEGRATED HEALTH SYSTEM. THE HOSPITAL AND OUTLYING CLINICS (A LIMITED CLINIC IN DINNEBETO, A DENTAL CLINIC IN CAMERON AND A COMMUNITY-BASED CLINIC AT FLAGSTAFF) PROVIDE PRIMARY CARE SERVICES TO 27,500 NAVAJO, HOPI AND SAN JUAN SOUTHERN PAIUTES. TCRHCC ALSO SERVES AS A REGIONAL REFERRAL MEDICAL CENTER FOR 75,000 RESIDENTS ACROSS THE NAVAJO NATION AND ADJACENT COMMUNITIES. PART VI, LINE 5: ADDITIONAL HEALTH CARE IS PROMOTED IN THE COMMUNITY THROUGH HEALTH EVENTS. TCRHCC'S HEALTH PROMOTION AND DISEASE PREVENTION PROGRAM REACHES OUT TO COMMUNITIES ACROSS THE SERVICE AREA WITH PRIMARY PREVENTION PROGRAMS FOR ASTHMA, DIABETES, OBESITY AND TOBACCO CESSATION, AS WELL AS NUTRITION EDUCATION AND EXERCISE PROGRAM. ALSO TCRHCC IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS, REPRESENTING THE EIGHT NAVAJO CHAPTERS, THE MOENKOPI VILLAGE AND THE SAN JUAN SOUTHERN PAIUTES. EACH MEMBER OF THE BOARD OF DIRECTORS IS ACCESSIBLE AND AVAILABLE TO ANSWER QUESTIONS. X X 0 0 0 0 0 0 0 0 0 MICHAEL BAGLEY ORTHOPEDIC SURGEON 723497 0 0 0 19306 0 13200 0 0 0 756003 0 0 0 KONSTANTINE ZINIS CHIEF OF ORTHOPEDICS 613945 0 0 0 19322 0 13200 0 0 0 646467 0 0 0 LUIS GARCIA CHIEF OF RADIOLOGY 537098 0 0 0 19327 0 0 0 0 0 556425 0 0 0 JOACHIM CHINO DEPUTY CHIEF OF SURGERY 531070 0 0 0 10428 0 13200 0 0 0 554698 0 0 0 RALPH KELLEY CHIEF OF SURGERY 524912 0 0 0 15521 0 13200 0 0 0 553633 0 0 0 GEOFFREY COOK ORTHOPEDIC SURGEON 486554 0 0 0 9513 0 13200 0 0 0 509267 0 0 0 SEAN LARSEN PHYSICIAN 476048 0 0 0 18529 0 13200 0 0 0 507777 0 0 0 MATTHEW CUSICK GENERAL SURGEON 446222 0 0 0 18998 0 13200 0 0 0 478420 0 0 0 JEFFREY DANIEL PHYSICIAN 465186 0 0 0 10417 0 2172 0 0 0 477775 0 0 0 KIMBERLY BECKER DEPUTY CHIEF OF ER 393449 0 0 0 19087 0 8192 0 0 0 420728 0 0 0 SPENCER ANDERSON CHIEF OF EMERGENCY SERVICES 385483 0 0 0 19096 0 13200 0 0 0 417779 0 0 0 RIAD ABDELKARIM CHIEF MEDICAL OFFICER 371818 0 0 0 19103 0 7686 0 0 0 398607 0 0 0 KATHERINE GLASER CHIEF OF OB/GYN 348082 0 0 0 10088 0 13200 0 0 0 371370 0 0 0 PAULA MAYER CHIEF MEDICAL INFOR OFFICER 342686 0 0 0 14558 0 13200 0 0 0 370444 0 0 0 CHRISTINA ZEIGLER CHIEF DENTAL SERVICES 279210 0 0 0 18084 0 12511 0 0 0 309805 0 0 0 ELIZABETH LALLY CHIEF OF INTERNAL MEDICINE 264322 0 0 0 14603 0 12122 0 0 0 291047 0 0 0 JENNIFER LAROCHE CHIEF CERTIFIED RN ANESTHETIST 235401 0 0 0 13953 0 9439 0 0 0 258793 0 0 0 BENJAMIN EVERETT CHIEF MENTAL HEALTH 221958 0 0 0 17697 0 9713 0 0 0 249368 0 0 0 JOETTE WALTERS CHIEF EXECUTIVE OFFICER 222633 0 0 0 17135 0 4981 0 0 0 244749 0 0 0 SHAWN DAVIS CHIEF INFORMATION OFFICER 204715 0 0 0 8286 0 8769 0 0 0 221770 0 0 0 MATHIAS RUPP CHIEF CERTIFIED RN ANESTHETIST 178604 0 0 0 16764 0 7798 0 0 0 203166 0 0 0 REBECCA SPRINGER CHIEF NURSE OFFICER 184126 0 0 0 7992 0 5997 0 0 0 198115 0 0 0 DOLLIE LUNA SMALLCANYON CHIEF COMM HLTH SVCS OFFICER 175635 0 0 0 13014 0 7758 0 0 0 196407 0 0 0 SHARR YAZZIE CHIEF HUMAN RESOURCES OFFICER 164961 0 0 0 16793 0 8430 0 0 0 190184 0 0 0 JACOB HASLEM DEPUTY CHIEF DENTAL SVCS 157417 0 0 0 16823 0 8371 0 0 0 182611 0 0 0 JULIUS YOUNG II CHIEF OPERATING OFFICER 153942 0 0 0 13158 0 6606 0 0 0 173706 0 0 0 MARY LOWRY CHIEF NURSE MIDWIFE 153025 0 0 0 12910 0 7375 0 0 0 173310 0 0 0 RONDA OLSON DEPUTY CHIEF EYE SERVICES 150404 0 0 0 2367 0 7264 0 0 0 160035 0 0 0 LYNETTE BONAR FORMER CEO 154864 0 0 0 0 0 0 0 0 0 154864 0 0 0 NATALIA HATATHLI CHIEF ANCILLARY OFFICER 131661 0 0 0 12565 0 6226 0 0 0 150452 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND DISCUSSION PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C TCRHCC HAS A COMPLIANCE POLICY AND A CONFLICT OF INTEREST COMPLIANCE OFFICER REPORTING TO THE BOARD OF DIRECTORS THROUGH THE CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 TCRHCC HAS A COMPENSATION POLICY. IT OUTLINES THE PROCESS BY WHICH ALL EMPLOYEES'S COMPENSATION IS REVIEWED AND ADJUSTED TO REFLECT PARITY FOR THE POSITION THEY HOLD. ADDITIONALLY, THE CHIEF EXECUTIVE OFFICER SALARY IS DETERMINED BY THE BOARD MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION OFFICE. THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND ARE REPORTED TO THE PUBLIC VIA NEWSLETTERS AND A QUARTERLY UPDATE. FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 29,447,468. MANAGEMENT AND GENERAL EXPENSES 6,747,438. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,194,906. FORM 990, PART XI, LINE 2C: THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDITED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTING FIRM. NAVAJO HOPI HEALTH FOUNDATION 167 N MAIN ST TUBA CITY AZ 86045 453548948 CHARITABLE ORGANIZATION AZ 501(C)(3) LINE 12C, III-FI N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 NAVAJO HOPI HEALTH FOUNDATION R CASH