2026-05-14T15:11:02-05:00 2025-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2024-07-01 860098923 YAVAPAI COMMUNITY HOSPITAL ASSOCIATION DBA YAVAPAI REGIONAL MEDICAL CENTER YAVA 9287715691 3033 N 3RD AVE PHOENIX AZ 85013 MATTHEW RICE CFO 9287715691 2026-05-14 1 1 MARK STOCKI P00642127 3032989100 2024 2025-03-06 01:10:19Z X ANTHONY TORRES MD 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 656343562 0 X WWW.YRMC.ORG X 1942 AZ TO PROVIDE COMPREHENSIVE, HIGH-QUALITY HEALTHCARE CONSISTENT WITH OUR COMMUNITIES' NEEDS. 13 9 0 340 0 0 2359575 5521382 481628862 500843642 11095595 13324242 2108983 3287685 497193015 522976951 1371999 1060449 0 0 50250 63333 0 0 0 490313420 502010819 491735669 503134601 5457346 19842350 699579982 724922972 169331676 165943997 530248306 558978975 X YAVAPAI COMMUNITY HOSPITAL ASSOCIATION'S MISSION IS TO PROVIDE COMPREHENSIVE, HIGH QUALITY HEALTHCARE CONSISTENT WITH OUR COMMUNITIES' NEEDS. 0 0 417865806 1060449 500843642 YAVAPAI COMMUNITY HOSPITAL ASSOCIATION DBA YAVAPAI REGIONAL MEDICAL CENTER (YRMC) IS HONORED TO SERVE THE ENTIRE COMMUNITY OF WESTERN YAVAPAI COUNTY. WE CARE FOR PEOPLE LIVING IN OUR REGION THROUGH HIGH QUALITY INPATIENT AND OUTPATIENT SERVICES AS WELL AS A WIDE RANGE OF VALUABLE COMMUNITY OUTREACH AND HEALTH EDUCATION PROGRAMS. YRMC SERVES THE HEALTHCARE NEEDS OF PEOPLE OF ALL AGES AND FROM ALL WALKS OF LIFE. WE'RE PLEASED TO MEET THOSE NEEDS 24 HOURS A DAY, 365 DAYS A YEAR.YRMC HAS TWO HOSPITALS; ONE IN PRESCOTT, YRMC WEST, AND ONE IN PRESCOTT VALLEY, YRMC EAST. BETWEEN JULY 2024 AND JUNE 2025, YRMC EMBRACED ITS NOT-FOR-PROFIT MISSION BY INVESTING IN COMMUNITY BENEFIT FOR THE PEOPLE OF WESTERN YAVAPAI COUNTY. THIS INCLUDES DIRECT HEALTHCARE SERVICES AS WELL AS PROGRAMS THAT IMPROVE HEALTH AND PREVENT ILLNESS. DURING THIS TIME PERIOD, YRMC SERVED MANY RESIDENTS IN OUR SERVICE AREA THROUGH OUR COMMUNITY BENEFIT AND HEALTH EDUCATION EFFORTS. YRMC WAS ABLE TO PROVIDE 4 IN-PERSON COMMUNITY PRESENTATIONS ON HEALTH TOPICS AND WITH THE HELP OF VIDEO, PRODUCED 4 ADDITIONAL PRESENTATIONS FOR PEOPLE TO VIEW FROM THEIR HOMES.YRMC ALSO OFFERS A PATIENT ASSISTANCE PROGRAM TO HELP PEOPLE WHO HAVE NO INSURANCE OR WHO HAVE LIMITED INSURANCE COVERAGE.FISCAL YEAR 2025 WAS ANOTHER YEAR OF PROVIDING PERSONALIZED CARE TO MANY THOUSANDS OF PEOPLE. FOR EXAMPLE, 937 BABIES WERE BORN BETWEEN JULY 2024 AND JUNE 2025 AT YRMC'S OBSTETRICS DEPARTMENT. BIRTHING AND BREASTFEEDING CLASSES HOSTED 156 EXPECTANT PARENTS WITH MOST OF THEM PARTICIPATING ONLINE DURING THIS SAME TIME FRAME.YRMC PROVIDES FAMILY RESOURCE CENTER SERVICES THAT INCLUDE FREE PARENTING EDUCATION, COUNSELING SERVICES AND COORDINATION WITH OTHER COMMUNITY RESOURCES THAT CAN HELP SUPPORT YOUNG FAMILIES IN NEED. THESE PROGRAMS FOCUS ON ELIMINATING CHILD ABUSE AND NEGLECT AMONG PARTICIPATING FAMILIES. THESE PROGRAMS HAVE ALSO PROVIDED BASIC NECESSITIES FOR NEW FAMILIES SUCH AS BABY FORMULA AND DIAPERS. THE FAMILY RESOURCE CENTER PROVIDED PARENTS WITH 2,319 VISITS ON HOW TO CARE FOR THEIR CHILDREN BETWEEN JULY 2024 AND JUNE 2025. TELEHEALTH OPTIONS CONTINUE TO HELP EXPAND THE REACH OF THIS PROGRAM POST COVID19.YRMC ALSO OFFERS THE PARTNERS FOR HEALTHY STUDENTS PROGRAM, ANOTHER EFFORT TO FILL GAPS IN THE NATIONAL POLICY REGARDING THE PROVISION OF HEALTHCARE SERVICES FOR THE UNDERSERVED. THIS IS A SCHOOL-BASED HEALTH PROGRAM FOR CHILDREN WHO ARE UNINSURED OR UNDERINSURED. THE PROGRAM IS LED BY TWO PEDIATRIC NURSE PRACTITIONERS (PNPS) WHO WORK IN CONJUNCTION WITH A LOCAL PEDIATRICIAN. SCHOOL-AGE CHILDREN AND THEIR YOUNGER SIBLINGS ARE DIAGNOSED AND TREATED FOR A WIDE VARIETY OF HEALTH PROBLEMS. A SPECIALLY EQUIPPED MEDICAL VAN IS SENT TO LOCAL SCHOOLS. THE PNPS ALSO WORK COLLABORATIVELY WITH DENTISTS TO GET THESE CHILDREN THE HELP THEY NEED FOR DENTAL PROBLEMS.IN FISCAL YEAR 2025, 837 STUDENTS RECEIVED FREE HEALTHCARE SERVICES THROUGH PARTNERS FOR HEALTHY STUDENTS. YRMC IS PROUD TO PROVIDE THESE SERVICES AT NO CHARGE FOR THOSE IN NEED.IN ADDITION, YRMC PROVIDED MEALS FOR A LOCAL HOUSING SHELTER DURING FISCAL YEAR 2025. YRMC ALSO HELPED FINANCIALLY SUPPORT THE HUNGRY KIDS PROGRAM TO FEED CHILDREN FROM UNDERSERVED HOMES YEAR-ROUND.THE JAMES FAMILY HEART CENTER AT YRMC PERFORMS HUNDREDS OF CARDIAC AND THORACIC CASES AND HAS ALSO PERFECTED A BLOOD MANAGEMENT PROGRAM WHICH GREATLY BENEFITS PATIENTS. IN FISCAL YEAR 2025, YRMC PERFORMED 191 OPEN HEART AND THORACIC SURGERIES. IN ADDITION, 4,238 CARDIAC CATHETERIZATION, ELECTROPHYSIOLOGY, INTERVENTIONAL CARDIOLOGY AND INTERVENTIONAL RADIOLOGY PROCEDURES WERE PROVIDED. YRMC SURGEONS ALSO PROVIDED 86 TRANSCATHETER AORTIC VALVE REPLACEMENTS (TAVR) AND TRANSCATHETER MITRAL VALVE REPLACEMENTS (TMVR).YRMC'S COMMUNITY OUTREACH PROGRAM REACHED THOUSANDS OF PEOPLE IN OUR LOCAL COMMUNITY WITH COMPLIMENTARY, CURRENT HEALTH INFORMATION. THIS INCLUDES A SPEAKERS'-BUREAU SERVICE, PROVIDING 4 PRESENTATIONS FROM YRMC HEALTH PROFESSIONALS ABOUT HEALTH-RELATED TOPICS FOR THE COMMUNITY.YRMC IS HONORED TO SERVE THE ENTIRE COMMUNITY OF WESTERN YAVAPAI COUNTY. WE CARE FOR PEOPLE LIVING IN OUR REGION THROUGH HIGH QUALITY INPATIENT AND OUTPATIENT SERVICES AS WELL AS A WIDE RANGE OF VALUABLE COMMUNITY OUTREACH AND HEALTH EDUCATION PROGRAMS. YRMC SERVES THE HEALTHCARE NEEDS OF PEOPLE OF ALL AGES AND FROM ALL WALKS OF LIFE.WE'RE PLEASED TO MEET THOSE NEEDS 24 HOURS A DAY, 365 DAYS A YEAR.YRMC'S HEALTHCARE TEAM - NURSES, PHYSICIANS AND OTHER MEDICAL PROFESSIONALS CARED FOR 14,197 INPATIENTS IN FISCAL YEAR 2025. DURING THE SAME TIME PERIOD, 71,934 PEOPLE RECEIVED CARE IN YRMC'S EMERGENCY DEPARTMENTS. WE FREQUENTLY SEE MENTAL HEALTH PATIENTS BROUGHT TO THE ED WITH SUICIDAL IDEATION - NOT MEDICAL CONDITIONS. THOSE PATIENTS RANGE FROM VERY YOUNG CHILDREN TO PEOPLE WHO ARE MORE THAN 90 YEARS OLD. YRMC HAS COLLABORATED CLOSELY WITH SEVERAL BEHAVIORAL HEALTH ORGANIZATIONS IN AN EFFORT TO HELP THE COMMUNITY AS A TEAM. WE HAVE ALSO PROVIDED FINANCIAL SUPPORT FOR LOCAL NON-PROFIT PROVIDERS. MENTAL HEALTH HAS CONSISTENTLY BEEN A COMMUNITY NEED AND, UNFORTUNATELY, YAVAPAI COUNTY HAS ONE OF THE HIGHEST SUICIDE RATES IN THE STATE. WE CONTINUE TO WORK WITH OTHER COMMUNITY AGENCIES TO ADDRESS THIS CHALLENGE.YRMC'S SOCIAL MEDIA ENGAGEMENT WAS STRONG IN FISCAL YEAR 2025. PEOPLE ENGAGED IN YRMC'S BLOG, YRMC HEALTHCONNECT AND YRMC'S FACEBOOK COMMUNITY. WEBSITE TRAFFIC TO YRMC.ORG EXCEEDED 500,000 PAGE VIEWS WITH OVER 150,000 VISITORS. ALL THESE VENUES PROVIDE VALUABLE HEALTH INFORMATION. 417865806 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 X 338 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X MATTHEW RICE CFO 9287715691 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 X SHAYAN ALAM FORMER HCE (GASTROENTEROLOGIST) 50.00 0.00 X 0 1475989 66600 TRAVIS MESSINA BOARD MEMBER 5.00 45.00 X 0 1067400 137637 FRANCISCO JAUME FORMER HCE (SURGEON) 50.00 0.00 X 0 1129717 73466 ANTHONY V TORRES MD PRESIDENT & CEO 50.00 0.00 X X 0 932848 107252 BRIAN TIFFANY MD BOARD MEMBER 5.00 45.00 X 0 949640 68602 NISHA TUNG-TAKHER FORMER HCE (ELECTROPHYSIOLOGIST) 50.00 0.00 X 0 949708 61397 PHUNG N LE FORMER HCE (SURGEON) 50.00 0.00 X 0 810054 63934 FRANK ALMENDAREZ FORMER OFFICER (VP OPERATIONS) 50.00 0.00 X 0 356256 56214 TRACEY J MCCOLLUM FORMER OFFICER (CNO) 50.00 0.00 X 0 295444 54186 MATTHEW RICE CFO 50.00 1.00 X 0 271994 50179 PIERRE TIBI MD BOARD MEMBER (THRU 12/31/24) 15.00 5.00 X 50000 0 0 ERIK CONTRERAS MD BOARD MEMBER (EFF 1/1/25) 15.00 5.00 X 14667 0 0 MIKE BEATTY TREASURER 5.00 0.00 X X 0 0 0 MARYLOU MERCADO SECRETARY 5.00 0.00 X X 0 0 0 STEVE SISCHKA CHAIR 5.00 0.00 X X 0 0 0 MARNIE UHL VICE-CHAIR 5.00 0.00 X X 0 0 0 JEAN DEW BOARD MEMBER 5.00 0.00 X 0 0 0 TONY FERRULLI BOARD MEMBER 5.00 0.00 X 0 0 0 GILLIAN HALEY BOARD MEMBER 5.00 0.00 X 0 0 0 JIM HOWARD BOARD MEMBER (THRU 12/31/24) 5.00 0.00 X 0 0 0 LORI HUNT BOARD MEMBER 5.00 0.00 X 0 0 0 MARC MCDONALD BOARD MEMBER 5.00 0.00 X 0 0 0 64667 8239050 739467 0 1 1 0 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 554850737 CONTRACT LABOR STAFFING - NURSING 21484628 CERNER CORP PO BOX 959156 ST LOUIS MO 631959156 SOFTWARE & IT PERSONNEL SUPPORT SERVICES 19505297 NAZ HOSPITALIST PO BOX 11720 PRESCOTT AZ 86304 HOSPITALIST SERVICES 7151213 PRESCOTT ANESTHESIA LLC 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 CONTRACTED PHYSICIANS 4670418 YAVAPAI CARDIAC SURGERY PC 3131 E CLARENDN AVE SUITE 102 PHOENIX AZ 85016 CONTRACTED PHYSICIANS 4145436 190 1867284 1509457 2144641 2109487 5521382 PATIENT NET OF CHARITY 900099 302343355 302343355 MEDICARE / MEDICAID PA 900099 195949973 195949973 PROGRAM RELATED RENTAL 900099 970680 970680 QUALITY INCENTIVE BONU 900099 900081 900081 ACO MEDICARE SHARED SA 900099 563569 563569 115984 115984 500843642 7267620 7267620 139423233 133366611 6056622 6056622 6056622 CAFETERIA 722514 1320392 1320392 SETTLEMENTS 900099 1097639 1097639 MATERIALS MGMT/ AP REB 900099 854455 854455 15199 15199 3287685 522976951 500843642 0 16611927 X 1060449 1060449 63333 63333 33450 33450 11455 11455 346676 346676 346329226 270310796 76018430 1294450 18093 1276357 13564006 10382657 3181349 1121393 382227 739166 5136490 4935657 200833 410913 230707 180206 191436 124772 66664 3086087 1000980 2085107 17493907 17403829 90078 2236394 2200485 35909 MEDICAL SUPPLIES 74790680 74709408 81272 MEDI-CAL PROVIDER FEE 31672062 31672062 SPECIAL CHARGES 1536703 1536703 FOOD 1234752 1166949 67803 1520739 666699 854040 503134601 417865806 85268795 0 3892 4642 109427980 96055086 186826 201077 52163576 55552655 161153 181429 8275974 8627054 4814860 3564285 424653854 91813219 310184208 332840635 50808239 52671970 91917202 103201837 1581989 1962306 58000000 58000000 12054083 12059996 699579982 724922972 32779957 32577740 1049473 982902 97600000 94045000 5115663 4560846 32786583 33777509 169331676 165943997 X 529304578 558034010 943728 944965 530248306 558978975 699579982 724922972 X 19842350 5122139 150 3766030 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 2686 0 0 0 0 1 8769 11455 0 PART II-B, LINE 1: SCHEDULE C, PART II - B, LINE 1D: YAVAPAI COMMUNITY HOSPITAL ASSOCIATION DBA YAVAPAI REGIONAL MEDICAL CENTER (YRMC) ENGAGED IN LETTER-WRITING CAMPAIGNS, CO-SPONSORSHIP CAMPAIGNS, EDUCATION WITH MEMBERS OF CONGRESS, AND OTHER LOBBYING ACTIVITIES AIMED AT INFLUENCING PUBLIC POLICY. THIS IS DONE PRIMARILY THROUGH EMPLOYED DIVISION-LEVEL ADVOCACY LEADERS WITH LEADERSHIP AND GUIDANCE FROM NATIONAL EMPLOYEES. DRAFT LETTERS WERE PROVIDED ON THE HOSPITAL'S ADVOCACY PRIORITIES; DIVISION-EMPLOYED ADVOCACY LEADERS WERE ABLE TO CREATE THEIR OWN LETTERS AS WELL. CENTRAL TO THE ORGANIZATION'S MISSION AND VISION IS A COMMITMENT TO ADVOCATE FOR SYSTEMIC CHANGES TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS AND COMMUNITIES WITH A SPECIFIC CONCERN FOR PERSONS WHO ARE POOR AND MARGINALIZED. ADVOCACY EFFORTS ARE INEXTRICABLY LINKED TO ITS FUNDAMENTAL GOAL TO BUILD HEALTHIER COMMUNITIES. ONE DIMENSION OF THE PROGRAM FOCUSES ON PUBLIC POLICY ADVOCACY, WHICH INCLUDES ATTENTION TO FEDERAL LEGISLATIVE AND REGULATORY MEASURES, FORMATION OF POSITIONS ON PRIORITY ISSUES, AND POLITICAL ACTIVISM. THE COMMONSPIRIT HEALTH PUBLIC POLICY AGENDA INCLUDES BOTH TRADITIONAL HEALTH CARE POLICIES (E.G., PAYMENT ISSUES, QUALITY AND SAFETY, ETC.) AS WELL AS SOCIAL JUSTICE POLICIES. DURING 2025, ADVOCACY INITIATIVES IN ARIZONA CONCENTRATED ON PROTECTING VULNERABLE POPULATIONS BY PRESERVING MEDICAID AND HOSPITAL FUNDING THROUGH EXTENSIVE ENGAGEMENT WITH POLICYMAKERS. THEY EDUCATED OFFICIALS ON THE IMPACT OF FUNDING CUTS, ENSURING THE CONTINUED MISSION AND VIABILITY OF SAFETY-NET PROVIDERS. ADDITIONALLY, YRMC CHAMPIONED REFORMS TO IMPROVE PRIVATE AMBULANCE SERVICES, ENHANCE TRANSPARENCY IN INSURANCE DECISIONS, AND LED EFFORTS TO DEVELOP STATE POLICY PROPOSALS FOR RURAL HEALTH PROGRAMS TO SECURE SUSTAINABLE FUNDING AND MITIGATE FEDERAL CUTS, ULTIMATELY SAFEGUARDING ACCESS TO CARE IN REMOTE COMMUNITIES. SCHEDULE C, PART II - B, LINE 1I: LOBBYING EXPENDITURES PAID DIRECTLY BY THE HOSPITAL OR BY THE PARENT ORGANIZATION FOR ANNUAL MEMBERSHIP DUES WHERE EXPENSES ARE ALLOCATED TO THE HOSPITAL: AMERICAN HOSPITAL ASSOCIATION; $ 8,769 TOTAL EXPENDITURES PAID TO ORGANIZATION: $ 8,769 4761 4761 4761 4761 542 4219 4761 2729 20215 8 22410 542 23011 23432 3 43717 2729 0.00000 1.00000 0.00000 0 1 1 46440019 46440019 235233161 39108424 196124737 18912 18912 0 67475584 52684289 14791295 75486178 1594 75484584 332840635 POOLED INVESTMENTS 103201837 F 103201837 DUE TO RELATED PARTIES 22963024 RIGHT OF USE LEASE LIABILITY 5219381 PENSION PAYABLE 5595104 33777509 X PART V, LINE 4: TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE ORGANIZATION HAS BEEN LIMITED BY DONORS TO SPECIFIED TIME PERIOD OR PURPOSE. PERMANENTLY RESTRICTED NET ASSETS ARE RESTRICTED FOR THE HENDRICKS ENDOWMENT FUND, WHICH WAS CREATED TO HELP SUPPORT EDUCATION FOR INDIVIDUALS WHO ARE INTERESTED IN WORKING IN A HEALTHCARE ENVIRONMENT. PART X, LINE 2: THE ORGANIZATION REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 0 1 1 0 0 6565719 0 6565719 0.01300 0 0 75478908 62510840 12968068 0.02580 82044627 62510840 19533787 0.03880 12 3416 1499778 796907 702871 0.00140 2 480 782465 0 782465 0.00160 2 14 288940 0 288940 0.00060 16 3910 2571183 796907 1774276 0.00360 16 3910 84615810 63307747 21308063 0.04240 1 6259831 0 99468238 119882200 -20413962 X 1 1 2 1 YAVAPAI REGIONAL MEDICAL CENTER WEST 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 WWW.YRMC.ORG H0115 X X X X A 2 YAVAPAI REGIONAL MEDICAL CENTER EAST 7700 E FLORENTINE ROAD PRESCOTT AZ 86301 WWW.YRMC.ORG H3964 X X X X A FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X 22 1 1 0 1 X HTTPS://WWW.YRMC.ORG/SUPPORT-AND-COMMUNITY/COMMUNITY-HEALTH X 1 23 1 HTTPS://WWW.YRMC.ORG/SUPPORT-AND-COMMUNITY/COMMUNITY-HEALTH 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X WWW.YRMC.ORG/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE X WWW.YRMC.ORG/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE X WWW.YRMC.ORG/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: YAVAPAI REGIONAL MEDICAL CENTER WEST, - FACILITY 2: YAVAPAI REGIONAL MEDICAL CENTER EAST FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5: FOR THE 2023 (TY 2022) CHNA, INPUT FROM THOSE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL WAS OBTAINED VIA INTERVIEWS BASED ON A 15-QUESTION INTERVIEW GUIDE. INTERVIEWS ADDRESSED GENERAL HEALTH AND QUALITY OF LIFE FACTORS AND TRENDS, BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE, ACCESS TO HEALTH CARE AND RELATED SERVICES, AND VULNERABLE GROUPS WITH THE MOST SERIOUS UNMET HEALTH NEEDS. INTERVIEWEES REPRESENTED A CROSS-SECTION OF ORGANIZATIONS WITHIN THE COMMUNITY, WITH CERTAIN STAKEHOLDERS SELECTED DUE TO THEIR POSITION WORKING WITH LOW-INCOME, UNINSURED OR MINORITY POPULATIONS. PARTICIPATING INDIVIDUALS REPRESENTED CATHOLIC CHARITIES COMMUNITY SERVICES, CITY OF CHINO VALLEY, CITY OF PRESCOTT, CITY OF PRESCOTT VALLEY, JAMES FAMILY PRESCOTT YMCA, MATFORCE, PEOPLE WHO CARE ARIZONA, YAVAPAI COUNTY COMMUNITY HEALTH SERVICES, AND THE HOSPITAL AND ITS FOUNDATION.FOR THE HEALTH NEEDS PRIORITIZATION PROCESS, THE MEDICAL CENTER ENGAGED A LEADERSHIP TEAM TO REVIEW THE MOST SIGNIFICANT HEALTH NEEDS. THE CRITERIA INCLUDED A REVIEW OF THE PRIOR CHNA, THE CURRENT FOCUS ON THE MEDICAL CENTER, ESTABLISHED RELATIONSHIPS WITH COMMUNITY PARTNERS TO ADDRESS, ORGANIZATIONAL CAPACITY AND EXISTING INFRASTRUCTURE TO ADDRESS HEALTH NEEDS. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A: YRMC OPERATES TWO HOSPITAL FACILITIES, THE WEST CAMPUS, AND THE EAST CAMPUS. BOTH HOSPITALS WERE INCLUDED IN THE CHNA. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: THE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS WERE IDENTIFIED IN THE HOSPITAL'S 2023 (TY 2022) COMMUNITY HEALTH NEEDS ASSESSMENT. NEEDS BEING ADDRESSED BY STRATEGIES AND PROGRAMS ARE: ACCESS TO HEALTH CARE (INCLUDING SHORTAGE OF PRIMARY CARE PHYSICIANS AND THE HIGH COST OF HEALTH CARE) AND HEALTH KNOWLEDGE AND BEHAVIORS (INCLUDING A LACK OF HEALTH KNOWLEDGE AND EDUCATION, AND POOR HEALTH BEHAVIORS AND LIFESTYLES).ACCESS TO CARE:THE PARTNERS FOR HEALTHY STUDENTS PROGRAM PROVIDES FREE HEALTHCARE SERVICES TO UNINSURED AND UNDERINSURED SCHOOLCHILDREN AND THEIR SIBLINGS. PRIMARY, PREVENTIVE, VISION, BEHAVIORAL HEALTH, AND OTHER HEALTHCARE SERVICES ARE PROVIDED BY A TEAM CONSISTING OF A PROGRAM DIRECTOR, TWO CERTIFIED PEDIATRIC NURSE PRACTITIONERS, ONE PROGRAM COORDINATOR/MEDICAL ASSISTANT, ONE REGISTERED NURSE, A MOBILE CLINIC DRIVER, AND A PEDIATRICIAN WHO SERVES AS CONSULTING MEDICAL DIRECTOR. THE PROGRAM OPERATES IN COLLABORATION WITH THE CHINO VALLEY, HUMBOLDT, PRESCOTT, AND MAYER UNIFIED SCHOOL DISTRICTS, KIRKLAND SCHOOL, PAULDEN COMMUNITY SCHOOL, AS WELL AS LOCAL CHARTER AND PRIVATE SCHOOLS.AN ESTIMATED 500 CHILDREN BENEFITED FROM THE SERVICES OF PARTNERS FOR HEALTHY STUDENTS, ALLOWING THEM TO RECEIVE NEEDED HEALTHCARE SERVICES THAT THEY WERE NOT ABLE TO OBTAIN OR AFFORD ELSEWHERE.PARTNERS FOR HEALTHY STUDENTS PROVIDED:- 442 VACCINATIONS- 837 TOTAL PATIENT VISITS (19% WELL EXAMS/SPORTS PHYSICALS; 14% VACCINATION VISITS; 67% ILL CHILD VISITS); ESTIMATED 500 UNIQUE PATIENTS (SOME SEEN MORE THAN ONCE)- 140 CHILDREN WITH NO COST MEDICATION FOR ACUTE AND CHRONIC ILLNESSESACCESS TO CARE AND HEALTH KNOWLEDGE AND BEHAVIORS: THE FAMILY RESOURCE CENTER (FRC) PROMOTES HEALTHY PHYSICAL, MENTAL, AND EMOTIONAL CHILD DEVELOPMENT AND STRENGTHENS FAMILIES THROUGH EDUCATION AND SOCIAL SUPPORT. CONNECTS FAMILIES TO COMMUNITY PROGRAMS AND HEALTH CARE PROVIDERS AT NO COST TO FAMILIES. INCLUDES THE HEALTHY FAMILIES HOME VISITATION PROGRAM, FIRST STEPS, CHILD PASSENGER SAFETY, AND COUNSELING.THE HEALTHY FAMILIES PROGRAM IS A NATIONALLY ACCREDITED, EVIDENCE-BASED HOME VISITATION MODEL THAT AIMS TO SUPPORT FAMILIES AND PREVENT CHILD ABUSE AND NEGLECT. THIS PROGRAM IS DESIGNED TO HELP EXPECTANT AND NEW PARENTS GIVE THEIR CHILDREN A HEALTHY START IN LIFE. THE PROGRAM IS ROOTED IN THE BELIEF THAT EARLY, NURTURING RELATIONSHIPS FORM THE FOUNDATION FOR A HEALTHY AND PRODUCTIVE LIFE.- SERVED 124 FAMILIES (468 INDIVIDUALS) OVER A COURSE OF 2,319 HOME VISITS. - THE PROGRAM SERVED 124 FAMILIES, WHICH INCLUDED A TOTAL OF 468 INDIVIDUALS (PARENTS AND CHILDREN) IN A ONE-YEAR PERIOD.- FAMILIES PARTICIPATING IN HOME VISITATION PROGRAMS LIKE HEALTHY FAMILIES HAVE A 40% REDUCTION IN INJURIES, 35% LESS EMERGENCY ROOM VISITS, AND 97% OF ENROLLED FAMILIES HAVE NO CASES WITH THE DEPARTMENT OF CHILD SAFETY (DCS).CAR SEAT SAFETY OFFERS EDUCATION AND CAR SEAT INSTALLATION CHECKS, UTILIZING A GRANT FROM THE GOVERNOR'S OFFICE OF HIGHWAY SAFETY.- SERVED 175 FAMILIES; DISTRIBUTED 149 CAR SEATS AND COMPLETED 204 SAFETY CHECKS AND INSTALLATIONS. FRC COUNSELING PROGRAM PROVIDES FREE OUTPATIENT MENTAL HEALTH COUNSELING TO PARENTS, REDUCING BARRIERS TO CARE AND IMPROVING PARENTS' MENTAL HEALTH AND FUNCTIONING.- THE PILOT PROGRAM SERVED 40 PARENTS AND INDIRECTLY SUPPORTED 126 PEOPLE, INCLUDING CHILDREN AND OTHER FAMILY MEMBERS.- THE PROGRAM ACHIEVED A 94% ENGAGEMENT RATE, COMPARED TO A NATIONAL AVERAGE OF 21%, AND A 72% AVERAGE SHOW RATE, VERSUS THE NATIONAL AVERAGE OF 48%.FIRST STEPS DISTRIBUTES MATERIALS AND EDUCATIONAL RESOURCES TO NEW AND EXPECTANT PARENTS. - SERVED 1,152 FAMILIES ACCESS TO CARE AND HEALTH KNOWLEDGE AND BEHAVIORS: THE DIABETES CLINIC PROVIDES EDUCATION AND DIABETES SELF-MANAGEMENT CLASSES IN PRESCOTT AND PRESCOTT VALLEY. OFFERS CONSULTATIONS WITH CERTIFIED DIABETES CARE AND EDUCATION SPECIALISTS. THE PROGRAM AIMS TO INCREASE PARTICIPANTS' KNOWLEDGE OF DIABETES AND PROMOTE THE ADOPTION OF EVIDENCE-BASED SELF-MANAGEMENT STRATEGIES. THROUGH EDUCATION AND SUPPORT, PARTICIPANTS ARE EXPECTED TO IMPROVE CLINICAL OUTCOMES, INCLUDING BETTER BLOOD GLUCOSE CONTROL AND LOWER A1C LEVELS. ADDITIONALLY, THE PROGRAM SEEKS TO ENHANCE QUALITY OF LIFE BY EMPOWERING INDIVIDUALS TO EFFECTIVELY MANAGE THEIR DIABETES AND INCREASING AWARENESS OF AVAILABLE RESOURCES, MEDICATIONS, AND DIABETES-RELATED TECHNOLOGIES.THE DIABETES SELF-MANAGEMENT EDUCATION (DSME) AND MEDICAL NUTRITION THERAPY (MNT) PROGRAM SERVED 642 PARTICIPANTS. AMONG THESE, 40% OF PARTICIPANTS IN PRESCOTT AND 17% IN PRESCOTT VALLEY WERE ABLE TO REPORT AN A1C VALUE, REFLECTING ONGOING EFFORTS TO MONITOR AND IMPROVE CLINICAL OUTCOMES.COLLABORATING ORGANIZATIONS INCLUDE COMMUNITY HEALTH IMPROVEMENT GRANT RECIPIENTS.- COALITION FOR COMPASSION AND JUSTICE WAS FUNDED $50,000 TO PROVIDE RESOURCES TO THE UNHOUSED POPULATION. - HUSHABYE NURSERY WAS FUNDED WITH $25,000 TO SUPPORT HEALTHY MOMS AND BABIES. - INTERNATIONAL MOUNTAIN BICYCLING ASSOCIATION/PRESCOTT MOUNTAIN BIKE ALLIANCE WAS FUNDED $20,000 TO DEVELOP A NEW LOCAL BIKING TRAIL. - MANZANITA OUTREACH WAS FUNDED $50,000 TO ADDRESS FOOD INSECURITY. - PEOPLE WHO CARE WAS FUNDED $24,000 TO PROVIDE TRANSPORTATION TO VULNERABLE POPULATIONS. - PRESCOTT COMMUNITY CUPBOARD FOODBANK, INC. WAS FUNDED $20,000 TO ADDRESS FOOD INSECURITY.- PRESCOTT FREE CLINIC WAS FUNDED $50,000 TO INCREASE EDUCATION AND AWARENESS ON CANCER SCREENING SERVICES.TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, YRMC WILL NOT DIRECTLY ADDRESS LACK OF MENTAL HEALTH PROVIDERS AND RESOURCES, SUBSTANCE USE, AND POVERTY AND INADEQUATE FINANCIAL RESOURCES (EXCEPT AS IT RELATES TO ACCESSING CARE).KNOWING THAT THERE ARE NOT SUFFICIENT RESOURCES TO ADDRESS ALL THE COMMUNITY HEALTH NEEDS, YRMC CHOSE TO CONCENTRATE ON THE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. THE HOSPITAL HAS INSUFFICIENT RESOURCES TO EFFECTIVELY ADDRESS ALL THE IDENTIFIED NEEDS AND, IN SOME CASES, THE NEEDS ARE CURRENTLY ADDRESSED BY OTHERS IN THE COMMUNITY. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. IF APPLICABLE, BALANCES BELOW TEN DOLLARS ($10.00) WOULD BE ADJUSTED USING A SMALL BALANCE ADJUSTMENT AND NOT BILLED TO THE PATIENT/GUARANTOR.THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION.PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS. SCHEDULE H, PART V, SECTION B, LINE 16I: TRANSLATION OF FAP INTO PRIMARY LANGUAGE SPOKEN BY LIMITED ENGLISH PROFICIENCY POPULATIONS:YRMC HAS TRANSLATED THE FAP INTO SPANISH AND WOULD CONSIDER TRANSLATING INTO ANOTHER LANGUAGE WHEN IT IS KNOWN THAT PATIENTS WILL NEED THE TRANSLATION AND ARE NOT SERVED BY THE CURRENT FORMS AND STATEMENTS. YRMC USES DEMOGRAPHIC DATA FROM THEIR SYSTEM AND THE COUNTIES TO DETERMINE IF A PATIENT POPULATION EXISTS THAT IS OVER 1,000 INDIVIDUALS THAT DO NOT SPEAK ENGLISH OR SPANISH. 27 1 - YAVAPAIUSP PRESCOTT SURGERY CENTERS 815 AINSWORTH DRIVE PRESCOTT AZ 86301 OUTPATIENT SURGICAL CENTER 2 - YRMG INTERNAL MEDICINE I (707300) 3120 CLEARWATER DRIVE PRESCOTT AZ 86305 PHYSICIAN PRACTICE - INTERNAL MEDICINE 3 - YRMG FAMILY MEDICINE 1 (707200) 7700 E FLORENTINE RD BLDG B STE 101 PRESCOTT VALLEY AZ 86314 PHYSICIAN PRACTICE - FAMILY MEDICINE 4 - YRMG CARDIOLOGY (708500) 1001 WILLOW CREEK RD STE 2200 PRESCOTT AZ 86301 PHYSICIAN PRACTICE - CARDIOLOGY 5 - YRMG CARDIOLOGY 2 (708510) 7700 E FLORENTINE RD BLDG B STE 206 PRESCOTT VALLEY AZ 86314 PHYSICIAN PRACTICE - CARDIOLOGY 6 - YRMG CARDIOLOGY 5 (708540) 300 N LEE BLVD PRESCOTT AZ 86301 PHYSICIAN PRACTICE - CARDIOLOGY 7 - YRMG UROLOGY (713000) 1001 WILLOW CREEK RD SUITE 3300 PRESCOTT AZ 86301 PHYSICIAN PRACTICE - UROLOGY 8 - YRMG NEUROSURGERY (710910) 1001 DIVISION STREET PRESCOTT AZ 86301 PHYSICIAN PRACTICE - NEUROSURGERY 9 - YRMG GASTROENTROLOGY (709900) 811 AINSWORTH DR PRESCOTT AZ 86301 PHYSICIAN PRACTICE - GASTROENTROLOGY 10 - YRMG PEDIATRICS (707100) 2120 CENTERPOINTE WEST DRIVE PRESCOTT AZ 86301 PHYSICIAN PRACTICE - PEDIATRICS 11 - YRMG PALLIATIVE CARE (708320) 1001 DIVISION ST PRESCOTT AZ 86301 PHYSICIAN PRACTICE - PALLIATIVE CARE 12 - YRMG NEUROLOGY - NM1 (710800) 1001 WILLOW CREEK RD SUITE 3300 PRESCOTT AZ 86301 PHYSICIAN PRACTICE - NEUROLOGY 13 - YRMG FAMILY MEDICINE 3 (707220) 1050 GAIL GARDNER WAY SUITE 300 PRESCOTT AZ 86305 PHYSICIAN PRACTICE - FAMILY MEDICINE 14 - YRMG FAMILY MEDICINE 5 (707240) 474 N STATE ROUTE 89 CHINO VALLEY AZ 86323 PHYSICIAN PRACTICE - FAMILY MEDICINE 15 - YRMG ORTHOPEDIC SURGERY - OS3 (711730) 1001 WILLOW CREEK RD SUITE 1300 PRESCOTT AZ 86301 PHYSICIAN PRACTICE - ORTHOPEDIC SURGERY 16 - YRMG OCCUPATIONAL MEDICINE (711310) 1050 GAIL GARDNER WAY SUITE 100 PRESCOTT AZ 86301 PHYSICIAN PRACTICE - OCCUPATIONAL MED 17 - YRMG VASCULAR SURGERY (713120) 1001 WILLOW CREEK RD SUITE 1200 PRESCOTT AZ 86301 PHYSICIAN PRACTICE - VASCULAR 18 - YRMG INFECTIOUS DISEASE (710400) 300 N LEE BLVD PRESCOTT AZ 86301 PHYSICIAN PRACTICE - INFECTIOUS DISEASE 19 - YRMG GASTROENTROLOGY 2 (709910) 802 AINSWORTH DR STE A PRESCOTT AZ 86301 PHYSICIAN PRACTICE - GASTROENTROLOGY 20 - YRMG GENERAL SURGERY 2 (710010) 811 AINSWORTH DR STE 103 PRESCOTT AZ 86301 OUTPATIENT SURGICAL CENTER 21 - YRMG GENERAL SURGERY OSB WEST (710030) 1001 WILLOW CREEK RD STE 1200 PRESCOTT AZ 86301 OUTPATIENT SURGICAL CENTER 22 - YRMG INTERNAL MEDICINE 2 (707310) 1001 WILLOW CREEK RD STE 3300 PRESCOTT AZ 86301 PHYSICIAN PRACTICE - INTERNAL MEDICINE 23 - YRMG INTERNAL MEDICINE AINSWORTH (707320) 802 AINSWORTH DR STE A PRESCOTT AZ 86301 PHYSICIAN PRACTICE - INTERNAL MEDICINE 24 - YRMG NEUROSURGERY SP6 (710840) 1001 WILLOW CREEK RD STE 3100 PRESCOTT AZ 86301 PHYSICIAN PRACTICE - NEUROSURGERY 25 - YRMG PRIMARY CARE FM8 (718010) 6648 NORTH VIEWPOINT DRIVE STE 5 PRESCOTT VALLEY AZ 86315 PHYSICIAN PRACTICE - PRIMARY CARE 26 - YRMG SPORTS MEDICINE SM1 (707640) 7700 EAST FLORENTINE ROAD BLDG B STE 202 PRESCOTT VALLEY AZ 86314 PHYSICIAN PRACTICE - SPORTS MEDICINE 27 - YRMG FAMILY MEDICINE 7 (707250) 6648 NORTH VIEWPOINT DRIVE STE 5 PRESCOTT VALLEY AZ 86315 PHYSICIAN PRACTICE - FAMILY MEDICINE PART I, LINE 3C: UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE:- THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.- THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 13H, 3RD PARAGRAPH.- THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:- RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS;- HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC;- PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);- FOOD STAMP ELIGIBILITY;- ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID);- LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR- PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE. PART I, LINE 7: YRMC FOLLOWS THE METHOD USED BY COMMONSPIRIT HEALTH. FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, THE ORGANIZATION USES A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO (CCR) CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 OR THE EQUIVALENT IS USED IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY ("CBISA") SOFTWARE ARE USED TO CALCULATE EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS.SCHEDULE H, PART I, LINE 7B, COLUMN (F)THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL DID NOT REPORT EXPENSES ASSOCIATED WITH COMMUNITY BUILDING PROGRAM ACTIVITIES DURING FISCAL YEAR ENDED JUNE 30, 2025. PART III, LINE 2: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE PART I, LINE 7 DISCLOSURE) TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR ADDITIONAL DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER FINANCIAL ASSISTANCE AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THE FOLLOWING CATEGORIES: UP TO 200% OR 201%-400% OF THE FEDERAL POVERTY LEVEL. YRMC ALSO PROVIDES PATIENTS OPTIONS FOR UNINSURED PATIENT DISCOUNT AND SELF-PAY DISCOUNTS. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. PART III, LINE 3: THE HOSPITAL FOLLOWS THE COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY.THE FILING ORGANIZATION MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. COMMONSPIRIT HEALTH ALSO UTILIZES WAYSTAR (FORMERLY PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, YRMC DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE. PART III, LINE 4: THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2025, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12.PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES. PART III, LINE 8: COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1, AND PRM 15-2, CHAPTER 40 (TRANSMITTAL 18). AS SUCH, THE FOLLOWING LANGUAGE PER THE PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT:TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR TO BE CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS.COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. YRMC'S SHORTFALL INCLUDES $20.4 MILLION REPORTED ON PART III, SECTION B, LINE 7. PART III, LINE 9B: YRMC ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. YRMC ALSO FOLLOWS COMMONSPIRIT HEALTH'S COLLECTION POLICY. YRMC'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHOM THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF YRMC OR THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED FINANCIAL ASSISTANCE OR FOR ASSISTANCE UNDER YRMC'S PATIENT FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, YRMC WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT.ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, YRMC REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART VI, LINE 2: YRMC USES SEVERAL MEASURES BY WHICH TO ASSESS COMMUNITY HEALTH NEEDS. ONE MEASURE IS OUR MIGRATION BY SERVICE. AS AN EXAMPLE, PRIOR TO OPENING OUR CARDIOVASCULAR SURGERY PROGRAM IN 2007, WE SAW HUNDREDS OF PEOPLE LEAVING OUR COMMUNITY TO GO TO PHOENIX - 100 MILES AWAY - FOR OPEN HEART SURGERY. THIS WAS AN INDICATION OF A NEED IN OUR COMMUNITY THAT REQUIRED YRMC'S FOCUSED ATTENTION AND EFFORTS THAT CULMINATED IN THE HEART CENTER AT YRMC. YRMC CONSTANTLY MONITORS VOLUME AND UTILIZATION DATA IN ITS SERVICE LINES TO HELP DETERMINE LEVEL OF NEED IN THE COMMUNITY FOR EACH SERVICE LINE. ONE OF THE MOST PROMINENT REASONS FOR PEOPLE LEAVING THE AREA FOR HEALTHCARE IS THE SHORTAGE OF AVAILABLE PHYSICIANS AND SPECIALISTS. YRMC ALSO SPENDS A GREAT DEAL OF TIME LISTENING TO THE COMMUNITY BY WAY OF COMMUNITY INVOLVEMENT BY SENIOR MANAGEMENT, PATIENT SURVEY FEEDBACK, AND COMMUNITY OUTREACH EFFORTS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR COMMUNICATION OF THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS AND THE PUBLIC: INFORMATION ABOUT PATIENT FINANCIAL ASSISTANCE AVAILABLE FROM YRMC, INCLUDING A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS THE HOSPITAL FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES YRMC SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES.IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRES THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. PART VI, LINE 4: YRMC SERVICE AREA COMPRISES 5,500 SQUARE MILES IN WESTERN YAVAPAI COUNTY. THE LARGEST POPULATION AREAS ARE PRESCOTT, PRESCOTT VALLEY, CHINO VALLEY, AND DEWEY-HUMBOLDT. YAVAPAI COUNTY COVERS A VAST AREA OF 8,125 SQUARE MILES AND ACCORDING TO THE COUNTY'S WEBSITE, IS LARGER THAN CONNECTICUT, DELAWARE, RHODE ISLAND AND NEW JERSEY. BECAUSE OF LONG DISTANCES AND MOUNTAIN RANGES SEPARATING COMMUNITIES, TRANSPORTATION CONTINUES TO BE A SIGNIFICANT CHALLENGE FOR SOME RESIDENTS.THE MEDICAL CENTER'S SERVICE AREA DEMOGRAPHICS INCLUDE A PREDOMINANT RETIREMENT COMMUNITY. NEARLY ONE-THIRD (31%) OF THE COUNTY'S POPULATION IS COMPOSED OF PEOPLE OVER THE AGE OF 65. THE SURROUNDING AREAS ALSO INCLUDE MANY RETIREES, BUT WITH A GREATER MIX OF YOUNGER FAMILIES. THE MOST COMMON OCCUPATIONS ARE LOW-PAYING SERVICE AND SUPPORT JOBS SUCH AS FOOD, RETAIL, AND TOURISM. THIS OFTEN TRANSLATES INTO CHALLENGES FOR PROFESSIONALS TO FIND GOOD PAYING JOBS IN THEIR CHOICE OF CAREERS. THE LOCAL SERVICE-BASED ECONOMY ALSO MEANS THERE IS A PREDOMINANCE OF MINIMUM WAGE EARNERS IN NON-BENEFITED WORK WHICH CONTRIBUTES TO AN UNDERSERVED POPULATION DUE TO FINANCIAL LIMITATIONS.ACCORDING TO THE U.S. CENSUS BUREAU, THE TOTAL POPULATION IN YAVAPAI COUNTY IS 233,789. THE POPULATION BY RACE IN YAVAPAI COUNTY IS 86.75% WHITES (NONHISPANIC), 0.65% BLACK, 1.12% ASIAN, 1.26% NATIVE AMERICAN OR ALASKA NATIVE, 0.08% NATIVE HAWAIIAN OR PACIFIC ISLANDER, 4.10% OTHER RACES, AND 6.04% MULTIPLE RACES. ANOTHER SIGNIFICANT GROUP WITHIN YAVAPAI COUNTY IS THE NATIVE AMERICAN POPULATION. THERE ARE THREE PRIMARY GROUPS OF THE YAVAPAI NATIVE AMERICAN TRIBE, TWO OF WHICH ARE LOCATED WITHIN YAVAPAI COUNTY.YAVAPAI COUNTY RESIDENTS LIVE IN RURAL AND URBAN AREAS. YAVAPAI COUNTY'S PERCENTAGE OF RURAL RESIDENTS IS 33.20% (70,057 RESIDENTS), WHICH IS MUCH HIGHER THAN STATE AND NATIONAL PERCENTAGES. WHILE THE PERCENTAGE FOR URBAN RESIDENTS IS 66.80% (140,976 RESIDENTS), WHICH IS LOWER IN COMPARISON TO THE STATE AND NATIONAL PERCENTAGES. RURAL RESIDENTS OFTEN FACE TRANSPORTATION CHALLENGES WHICH CAN INFLUENCE ACCESS TO CARE. THEY ARE ALSO MORE SUSCEPTIBLE TO SOCIAL ISOLATION.THE AVERAGE FAMILY INCOME IN YAVAPAI COUNTY IS $88,611, 13.9% BELOW THE AVERAGE FOR THE STATE OF ARIZONA AND 22.3% BELOW THE UNITED STATES AVERAGE. THE PERCENTAGE OF THE TOTAL POPULATION THAT FALLS BELOW THE POVERTY LEVEL IS 12.46%.IN YAVAPAI COUNTY, 10.62% OF THE TOTAL CIVILIAN NONINSTITUTIONALIZED POPULATION IS WITHOUT HEALTH INSURANCE COVERAGE. THE RATE OF UNINSURED PERSONS IN THE REPORT AREA IS CLOSE TO THE STATE AVERAGE OF 10.65%, BUT HIGHER THAN THE NATIONAL AVERAGE OF 8.77%. WHILE YAVAPAI REGIONAL MEDICAL CENTER IS A PRIMARY PROVIDER IN THE REGION, IT'S IMPORTANT TO NOTE THAT THERE ARE ALSO OTHER HEALTHCARE OPTIONS AVAILABLE WITHIN THE COUNTY. FOR EXAMPLE, VERDE VALLEY MEDICAL CENTER IN COTTONWOOD, PART OF THE DIGNITY HEALTH NETWORK, ALSO SERVES THE AREA, THOUGH YRMC IS OFTEN REGARDED AS THE LARGEST AND MOST COMPREHENSIVE HOSPITAL NETWORK IN YAVAPAI COUNTY. YRMC PLAYS A CRITICAL ROLE IN PROVIDING ACCESS TO HEALTHCARE FOR RESIDENTS OF THE COUNTY, PARTICULARLY BECAUSE THE AREA IS QUITE LARGE AND RURAL, AND RESIDENTS MAY NEED TO TRAVEL SIGNIFICANT DISTANCES FOR MEDICAL CARE.YAVAPAI COUNTY, LIKE MANY RURAL AREAS IN THE UNITED STATES, DOES CONTAIN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS. THERE ARE SEVERAL FACTORS LEADING TO MEDICALLY UNDERSERVED DESIGNATIONS IN YAVAPAI COUNTY. MANY AREAS IN YAVAPAI COUNTY ARE GEOGRAPHICALLY ISOLATED, REQUIRING LONG TRAVEL TIMES TO REACH MEDICAL FACILITIES, ESPECIALLY FOR SPECIALTY CARE. ECONOMIC BARRIERS, INCLUDING A MIX OF LOW-INCOME POPULATIONS AND ELDERLY RESIDENTS, CAN ALSO LIMIT ACCESS TO CARE. YAVAPAI COUNTY HAS AREAS DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS, WHICH INDICATE A SHORTAGE OF PRIMARY CARE, DENTAL, OR MENTAL HEALTH PROFESSIONALS. THESE SHORTAGES ARE COMMON IN RURAL COUNTIES ACROSS THE U.S., WHICH STRUGGLE TO ATTRACT AND RETAIN HEALTHCARE PROFESSIONALS. A SIGNIFICANT PORTION OF YAVAPAI COUNTY'S POPULATION IS MADE UP OF OLDER ADULTS (RETIREES), PARTICULARLY IN CITIES LIKE PRESCOTT AND PRESCOTT VALLEY. SENIORS OFTEN FACE MULTIPLE HEALTH CHALLENGES, AND THE HIGH PERCENTAGE OF RETIREES CAN INCREASE DEMAND FOR HEALTHCARE SERVICES, CONTRIBUTING TO THE UNDERSERVED DESIGNATION. PART VI, LINE 5: YAVAPAI REGIONAL MEDICAL CENTER PROUDLY SERVES A 5,500 SQUARE MILE AREA OF WESTERN YAVAPAI COUNTY. YRMC IS DEEPLY COMMITTED TO SUPPORTING THE LOCAL COMMUNITY IN MULTIPLE WAYS, MANY OF WHICH ARE PROVIDED AT NO COST OR AT A FINANCIAL LOSS TO BENEFIT OUR COMMUNITY. WE PROVIDE RESOURCES FOR PEOPLE WHO ARE IN SEARCH OF MORE INFORMATION ABOUT THEIR HEALTH AND HOW TO IMPROVE THEIR QUALITY OF LIFE, AND WE ALSO OFFER ASSISTANCE TO THOSE WHO ARE VULNERABLE.FINANCIAL ASSISTANCE: IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY. THIS HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY THAT DESCRIBES THE ASSISTANCE PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A FINANCIAL HARDSHIP TO FULLY PAY THE EXPECTED OUT-OF-POCKET EXPENSES FOR SUCH CARE, AND WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE.USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, THE HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR THE HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE.OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.ROLE OF THE BOARD: THE COMMONSPIRIT HEALTH BOARD AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REGULAR REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL COMMUNITY BOARDS (OR THEIR DESIGNATED COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS. PART VI, LINE 6: AFFILIATES OF YRMC ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN CALIFORNIA, ARIZONA, AND NEVADA AND IN 21 ADDITIONAL STATES THROUGH THE ALLIANCE WITHIN COMMONSPIRIT HEALTH SYSTEM. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTING REVENUE FOR COMMONSPIRIT HEALTH AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES YRMC, FOR THE YEAR ENDED JUNE 30, 2025, IS $3.1 BILLION. A SUMMARY OF COMMONSPIRIT'S COMMUNITY BENEFITS CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGE 41. SCHEDULE H, PART VI, LINE 7: YRMC DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH THE STATE. 1 YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 861038463 501(C)(3) 847003 0 N/A N/A FOUNDATION SUPPORT ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOC INC 340 E PALM STE 230 PHOENIX AZ 85004 133039601 501(C)(3) 15000 0 N/A N/A COMMUNITY HEALTH PRESCOTT CHAMBER OF COMMERCE FOUNDATION 117 W GOODWIN ST PRESCOTT AZ 86303 204235039 501(C)(3) 15000 0 N/A N/A COMMUNITY HEALTH PRESCOTT YMCA OF YAVAPAI CO 750 WHIPPLE STREET PRESCOTT AZ 86301 860119151 501(C)(3) 14875 0 N/A N/A COMMUNITY HEALTH YAVAPAI BIG BROTHERS BIG SISTERS INC 3208 LAKESIDE VLG PRESCOTT AZ 86301 860278776 501(C)(3) 10000 0 N/A N/A COMMUNITY HEALTH PRESCOTT NOON LIONS CLUB FOUNDATION INC PO BOX 2215 PRESCOTT AZ 86302 866052993 501(C)(3) 10000 0 N/A N/A COMMUNITY HEALTH HUMBOLDT EDUCATION FOUNDATION INC PO BOX 25606 PRESCOTT VALLEY AZ 86312 473592724 501(C)(3) 10000 0 N/A N/A COMMUNITY HEALTH PRESCOTT UNIFIED SCHOOL DISTRICT EDUCATION FOUNDATION 300 E GURLEY ST PRESCOTT AZ 86301 473380485 501(C)(3) 10000 0 N/A N/A EDUCATION SUPPORT YAVAPAI COUNTY CONTRACTORS ASSOCIATION PO BOX 2392 PRESCOTT AZ 863022392 860323945 501(C)(6) 10000 0 N/A N/A COMMUNITY HEALTH CHINO VALLEY EDUCATION FUND 650 E CENTER ST CHINO VALLEY AZ 86323 901000527 501(C)(3) 10000 0 N/A N/A EDUCATION SUPPORT PRESCOTT FRONTIER DAYS INC 840 RODEO DR STE D PRESCOTT AZ 863052318 953382739 501(C)(4) 10000 0 N/A N/A COMMUNITY HEALTH PRESCOTT AREA SHELTER SERVICES INC 336 N RUSH ST PRESCOTT AZ 86301 264188028 501(C)(3) 7500 0 N/A N/A COMMUNITY HEALTH POLARA HEALTH FOUNDATION 3343 N WINDSONG DR PRESCOTT VALLEY AZ 86314 860576008 501(C)(3) 5500 0 N/A N/A COMMUNITY HEALTH 11 2 PART I, LINE 2: YAVAPAI REGIONAL MEDICAL CENTER'S COMMUNITY OUTREACH DEPARTMENT IS RESPONSIBLE FOR REVIEWING AND APPROVING DONATION REQUESTS FROM ORGANIZATIONS THAT SHARE OUR VISION OF A TOTAL HEALING ENVIRONMENT. WE CHOOSE TO SUPPORT ORGANIZATIONS THAT BENEFIT THOSE IN OUR COMMUNITY WHO ARE VULNERABLE AND UNDERSERVED. WE PRIORITIZE ORGANIZATIONS THAT: - ADVANCE RESEARCH IN AREAS SPECIFICALLY IMPORTANT TO THE PEOPLE WE SERVE. EXAMPLES ARE THE ALZHEIMER'S ASSOCIATION, PRESCOTT CHAMBER OF COMMERCE FOUNDATION AND PRESCOTT AREA SHELTER SERVICES, INC. - ADDRESS FOOD INSECURITY IN OUR REGION. EXAMPLES INCLUDE LOCAL FOOD BANKS, MEALS ON WHEELS AND BACKPACK NUTRITION PROGRAMS FOR CHILDREN. - PROVIDE BEHAVIORAL HEALTH SERVICES TO THOSE IN NEED. THIS INCLUDES DONATIONS TO POLARA HEALTH AND OTHER ORGANIZATIONS THAT ADDRESS BEHAVIORAL HEALTH AND CHEMICAL DEPENDENCY ISSUES IN OUR COMMUNITY. THIS ALSO INCLUDES FINANCIAL SUPPORT TO PROVIDE NARCAN AT NO COST FOR LOCAL LAW ENFORCEMENT AGENCIES TO UTILIZE IN THE FIELD. - SUPPORT OUR AGING POPULATION. THIS INCLUDES REGULAR ANNUAL DONATIONS TO THE VARIOUS COMMUNITY CENTERS IN THE REGION THAT PROVIDE SUPPORT AND FELLOWSHIP FOR OUR AREA'S SENIORS. - NURTURE CHILD DEVELOPMENT AND EDUCATION. EXAMPLES INCLUDE THE YAVAPAI BIG BROTHERS AND BIG SISTERS, INC., HUMBOLDT EDUCATION FOUNDATION, INC., LOCAL SCHOOL DISTRICTS, AND OTHERS. - PROMOTE HEALTHY LIFESTYLES AND ADDRESS PHYSICAL INACTIVITY. DONATIONS BENEFIT LOCAL ADOLESCENT AND TEEN GROUPS, THE YMCA, AND MUCH MORE. THESE ARE A FEW EXAMPLES OF THE VARIOUS ORGANIZATIONS WE CHOOSE TO SUPPORT TO BENEFIT THOSE IN OUR COMMUNITY. EACH REQUEST IS REVIEWED AND APPROVED BY THE DIRECTOR OF MARKETING AND COMMUNICATIONS WHO MANAGES THE COMMUNITY BENEFIT PROGRAM FOR YRMC. DONATIONS ARE BUDGETED MONTHLY AND PRIORITIES MAY SHIFT BASED ON COMMUNITY NEED. 0 0 0 0 0 0 0 0 0 SHAYAN ALAM FORMER HCE (GASTROENTEROLOGIST) 0 592464 0 882641 0 884 0 29066 0 37534 0 1542589 0 0 TRAVIS MESSINA BOARD MEMBER 0 482088 0 582032 0 3280 0 94235 0 43402 0 1205037 0 0 FRANCISCO JAUME FORMER HCE (SURGEON) 0 892071 0 235070 0 2576 0 33001 0 40465 0 1203183 0 0 ANTHONY V TORRES MD PRESIDENT & CEO 0 509000 0 405103 0 18745 0 76381 0 30871 0 1040100 0 0 BRIAN TIFFANY MD BOARD MEMBER 0 681993 0 259673 0 7974 0 34950 0 33652 0 1018242 0 0 NISHA TUNG-TAKHER FORMER HCE (ELECTROPHYSIOLOGIST) 0 945080 0 2006 0 2622 0 29226 0 32171 0 1011105 0 0 PHUNG N LE FORMER HCE (SURGEON) 0 808914 0 0 0 1140 0 25450 0 38484 0 873988 0 0 FRANK ALMENDAREZ FORMER OFFICER (VP OPERATIONS) 0 255863 0 59886 0 40507 0 32994 0 23220 0 412470 0 0 TRACEY J MCCOLLUM FORMER OFFICER (CNO) 0 248200 0 44177 0 3067 0 25761 0 28425 0 349630 0 0 MATTHEW RICE CFO 0 231132 0 40282 0 580 0 20556 0 29623 0 322173 0 0 PART I, LINE 3 YRMC RELIED ON A RELATED ORGANIZATION, COMMONSPIRIT, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S CEO'S COMPENSATION: (1) PEOPLE AND COMPENSATION COMMITTEE OF THE COMMONSPIRIT BOARD OF STEWARDSHIP TRUSTEES; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; AND (4) APPROVAL BY THE BOARD OR PEOPLE AND COMPENSATION COMMITTEE. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION. PART I, LINE 4A: CERTAIN LISTED PERSONS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 TO 24 MONTHS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. NO PAYMENTS WERE MADE DURING 2024 PURSUANT TO THE PLAN ARRANGEMENT. SCHEDULE J, PART II - SUPPLEMENTAL DISCLOSURES THE ORGANIZATION FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY COMMONSPIRIT'S PEOPLE AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND THE ORGANIZATION'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2024. A THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI 860376099 985900EF2 2016-11-03 47762252 REFUND '97,'02, & '08 ISSUES 0 0 0 B THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI 860376099 985900ES4 2019-06-30 71434271 SEE PART VI 0 0 0 A 1960000 47762252 477623 319511 46965118 2016 1 0 1 1 B 71434271 1005938 70428333 2021 1 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: (A) ISSUER NAME: THE INDUST. DEV'T AUTH OF THE COUNTY OF YAVAPAI DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2018 SCHEDULE K, PART I, COLUMN (F) BOND C DESCRIPTION OF PURPOSE: THE BOND WAS ISSUED TO REFUND THE '13 ISSUANCE AND $50 MILLION IN NEW MONEY FOR FACILITIES AND EQUIPMENT. X 12775 RESALE VALUE X 1 2082856 APPRAISAL X GIFT CERTIFICATES/TICKETS (ENTERTAINMENT) 2 7090 COMPARABLE SALE X TOYS 7 3822 COMPARABLE SALE X DENTAL HYGIENE KITS 3 1817 COMPARABLE SALE X GIFT BASKETS 1 875 COMPARABLE SALE X ELECTRONICS 1 199 COMPARABLE SALE X MEDICAL EQUIPMENT 1 54 COMPARABLE SALE 0 0 1 0 PART I, COLUMN (B): REAL ESTATE COMMERCIAL - THE HOSPITAL IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. GIFT CERTIFICATES/TICKETS (ENTERTAINMENT) - THE HOSPITAL IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. TOYS - THE HOSPITAL IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. DENTAL HYGIENE KITS - THE HOSPITAL IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. GIFT BASKETS - THE HOSPITAL IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. ELECTRONICS - THE HOSPITAL IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. MEDICAL EQUIPMENT- THE HOSPITAL IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART V, LINE 2A BEGINNING 2022, THE ORGANIZATION'S EMPLOYEES WERE TRANSFERRED TO THE SOLE MEMBER, DIGNITY COMMUNITY CARE. THE ORGANIZATION UTILIZES THE EMPLOYEES OF DIGNITY COMMUNITY CARE. THE SALARIES OF THESE EMPLOYEES ARE INCLUDED ON DIGNITY COMMUNITY CARE'S FORM W-3 AND FEDERAL EMPLOYMENT TAX RETURNS. FORM 990, PART V, LINE 15 ALL COMPENSATION IS PAID BY THE RELATED ORGANIZATION WHICH EMPLOYS THE INDIVIDUALS RECEIVING EXCESS RENUMERATION. THE EMPLOYING ENTITY REPORTS ANY EXCESS RENUMERATION ON ITS FORM 4720 FOR ALL COVERED PERSONS, IF APPLICABLE. FORM 990, PART VI, SECTION A, LINE 6 EFFECTIVE NOVEMBER 1, 2020, THE SOLE MEMBER OF YRMC IS DIGNITY COMMUNITY CARE. FORM 990, PART VI, SECTION A, LINE 7A AS PART OF THE AFFILIATION, WITH THE EFFECTIVE DATE AS OF NOVEMBER 1, 2020, DIGNITY COMMUNITY CARE, AS THE SOLE CORPORATE MEMBER OF THE FILING, WAS GRANTED SPECIFIC RESERVED RIGHTS SET FORTH IN THE SYSTEM GOVERNANCE MATRIX. THE RIGHTS OF THE CORPORATE MEMBER SHALL BE FURTHER SUBJECT TO THE POWERS RESERVED TO COMMONSPIRIT HEALTH ("COMMONSPIRIT") UNDER THE GOVERNANCE MATRIX. THE COUNCIL OF ELECTORS (THE COUNCIL) IS CHARGED WITH THE AUTHORITY TO NOMINATE AND SUBMIT TO THE BOARD OF DIRECTORS INDIVIDUALS FROM THE COMMUNITY TO SERVE ON THE ORGANIZATION'S BOARD OF DIRECTORS. THE COUNCIL IS COMPOSED OF PUBLICLY ELECTED OFFICIALS AND REPRESENTATIVES FROM SELECTED GOVERNMENT AND NON-PROFIT ORGANIZATIONS THROUGHOUT THE COMMUNITY. THE SOLE CORPORATE MEMBER RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY COMMUNITY CARE BOARD APPOINTS AND APPROVES NEW BOARD MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION IS SUBJECT TO THE GOVERNANCE REQUIREMENTS OF THE COMMONSPIRIT GOVERNANCE MATRIX. THUS, MANY KEY DECISIONS ADDRESSED IN THE BYLAWS REQUIRE THE ORGANIZATION TO ACT BY MAKING A "RECOMMENDATION," WHICH IS THEN FORMALLY ACTED ON BY THE DIGNITY COMMUNITY CARE BOARD. EXAMPLES INCLUDE AMENDING CORPORATE DOCUMENTS, APPROVING MEMBERS OF GOVERNING BOARD, APPROVING REMOVAL OF MEMBERS OF GOVERNING BOARD, APPROVAL OF DISSOLUTION AND SELLING, TRANSFERRING OR DISPOSING OF ASSETS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S CFO REVIEWED THE FORM 990. IN ADDITION, COMMONSPIRIT'S TAX DEPARTMENT WORKED CLOSELY WITH THE CFO TO REVIEW THE RETURN. THE FORM 990, IN ITS ENTIRETY, WAS ELECTRONICALLY PROVIDED TO THE ORGANIZATION'S BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS ADOPTED THE RELATED ORGANIZATION, COMMONSPIRIT'S CONFLICTS OF INTEREST POLICY. THE CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") WAS PUT IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AS SOON AS THEY BECOME AWARE OF IT AND AT LEAST ANNUALLY THEREAFTER (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY. - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS AS FURTHER DESCRIBED BELOW. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. STANDARD MANAGEMENT APPROACHES PER COI POLICY ARE APPLIED TO DISCLOSED CONFLICTS. DISCLOSURES THAT IDENTIFY PERCEIVED, POTENTIAL, OR ACTUAL COIS THAT REQUIRE IMMEDIATE MATERIAL ACTION TO RESOLVE, WILL BE IDENTIFIED, AND A CONFLICT OF INTEREST MANAGEMENT PLAN DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B, LINES 15A AND15B: BEGINNING 2022, THE ORGANIZATION'S PERSONNEL IS COMPENSATED BY DIGNITY COMMUNITY CARE. FOR 2024 COMPENSATION, THE ORGANIZATION FOLLOWS COMMONSPIRIT'S METHODS. COMPENSATION LEVELS FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS WERE ESTABLISHED BY THE RELATED ORGANIZATION, COMMONSPIRIT. COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A PEOPLE AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR ADOPTING A REASONABLE COMPENSATION PHILOSOPHY AND SETTING REASONABLE COMPENSATION PRACTICES FOR THE ORGANIZATION. COMMONSPIRIT'S COMPENSATION DEPARTMENT ENSURES THAT ITS PRACTICES ARE CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY, PRACTICES, AND PRINCIPLES, AS DETERMINED BY THE PEOPLE AND COMPENSATION COMMITTEE. WHEN NECESSARY, THE COMPENSATION DEPARTMENT ALSO ENGAGES AN INDEPENDENT CONSULTANT, AS WELL AS QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO VALIDATE THE ORGANIZATION'S BENCHMARKING APPROACH FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES FOR CERTAIN EXECUTIVES. APPROPRIATE COMPARABILITY DATA IS ALSO OBTAINED BY THE COMMONSPIRIT HEALTH COMPENSATION DEPARTMENT FROM INDEPENDENT THIRD-PARTY SALARY SURVEYS, AS PART OF THE ORGANIZATION'S COMPENSATION PRACTICES (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). THE DOCUMENTATION OF COMPENSATION DECISIONS INCLUDES THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMPENSATION DEPARTMENT AND THE SOURCES FROM WHICH THE DATA WAS OBTAINED. FORM 990, PART VI, SECTION C, LINE 19 FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION IS INCLUDED IN COMMONSPIRIT'S CONSOLIDATED FINANCIAL STATEMENTS WHICH ARE AVAILABLE ON COMMONSPIRIT'S WEBSITE AND UPON REQUEST. FORM 990, PART VII, SECTION A THE CURRENT AND FORMER BOARD MEMBERS', OFFICERS', KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES' COMPENSATION REPORTED REPRESENT COMPENSATION AS EMPLOYEES OF THE RELATED ORGANIZATIONS, COMMONSPIRIT HEALTH, DIGNITY HEALTH AND DIGNITY COMMUNITY CARE. THEY ARE LISTED BELOW. T. MESSINA B. TIFFANY, MD A. V. TORRES, MD M. RICE F. ALMENDAREZ T. J. MCCOLLUM S. ALAM F. JAUME P. N. LE N. TUNG-TAKHER THE ORGANIZATION DOES NOT COMPENSATE DR. CONTRERAS AND DR. TIBI FOR THEIR SERVICES AS BOARD MEMBERS. THEIR COMPENSATION REPRESENT THEIR ROLE AS THE CHIEF OF MEDICAL STAFF FOR THE FILING ORGANIZATION DURING CALENDAR 2024. FORM 990, PART IX, LINE 11G ADMIN SERVICES: PROGRAM SERVICE EXPENSES 225,046,414. MANAGEMENT AND GENERAL EXPENSES 43,591,859. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 268,638,273. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 12,788,415. MANAGEMENT AND GENERAL EXPENSES 26,135,923. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,924,338. MANAGEMENT FEE: PROGRAM SERVICE EXPENSES 15,201,130. MANAGEMENT AND GENERAL EXPENSES 2,944,484. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,145,614. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 10,523,629. MANAGEMENT AND GENERAL EXPENSES 2,038,444. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,562,073. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,726,265. MANAGEMENT AND GENERAL EXPENSES 334,380. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,060,645. LAUNDRY/LINEN: PROGRAM SERVICE EXPENSES 1,177,424. MANAGEMENT AND GENERAL EXPENSES 228,069. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,405,493. IT SERVICES: PROGRAM SERVICE EXPENSES 801,740. MANAGEMENT AND GENERAL EXPENSES 155,298. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 957,038. JANITORIAL & CLEANING SERVICES: PROGRAM SERVICE EXPENSES 599,674. MANAGEMENT AND GENERAL EXPENSES 116,158. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 715,832. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,446,105. MANAGEMENT AND GENERAL EXPENSES 473,815. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,919,920. FORM 990, PART XI, LINE 9: RELEASE OF RESTRICTED IRA DONATIONS 800. GAIN ON ADOPTION OF ASU 2017-07 3,765,230. FORM 990, PART XII, LINE 2C THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. YAVAPAI REG MED CTR PHYSICIAN CARE LLC 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 263257358 MEDICAL SERVICES AZ 32530533 0 YCHA DBA YRMC NORTH CENTRAL ARIZONA ACCOUNTABLE CARE 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 465648068 MEDICAL SERVICES AZ 563569 5085408 YCHA DBA YRMC PRESCOTT MEDICAL IMAGING 810 WHIPPLE STREET PRESCOTT AZ 86301 770603441 MEDICAL SERVICES AZ 0 0 YCHA DBA YRMC ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(C)(3) LINE 3 ACH 0 ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(C)(3) LINE 10 SFH 0 ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION 345 S HALCYON RD ARROYO GRANDE CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH 0 BAKERSFIELD MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD CA 93301 951802779 HOSPITAL CA 501(C)(3) LINE 3 DIGNITY COMMUNITY CARE 0 BARROW FOUNDATION UK 13 CHURCH STREET NUNNEY ENGLAND UK BA11 4LW 311724184 FUNDRAISING FOUNDATION UK 501(C)(3) PF N/A 0 BARROW NEUROLOGICAL FOUNDATION 350 WEST THOMAS ROAD PHOENIX AZ 85013 860174371 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 7 N/A 0 BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(C)(3) LINE 12A, I SLHS 0 BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(C)(3) LINE 3 BSLHV 0 BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 9TH AVE SEATTLE WA 98101 910653422 RESEARCH WA 501(C)(3) LINE 4 VMFH 0 BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 INACTIVE PA 501(C)(3) LINE 12A, I CSH 0 BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 REHABILITATION TX 501(C)(3) LINE 10 SJSC 0 CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION 1401 SOUTH GRAND AVENUE LOS ANGELES CA 90015 954000909 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY COMMUNITY CARE 0 CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES - COLORADO 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 840405257 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 EAST MINERAL AVE CENTENNIAL CO 80112 840902211 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CHIC 0 CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 12A, I CSH 0 CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 TELEHEALTH CO 501(C)(3) LINE 12A, I CSH 0 CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTER OR 501(C)(3) LINE 10 CS OR 0 CENTRAL CALIFORNIA HEALTH CENTERS 300 OLD RIVER ROAD STE 200 BAKERSFIELD CA 93311 844171789 CLINIC CA 501(C)(3) LINE 3 DIGNITY COMMUNITY CARE 0 CENTRAL KANSAS MEDICAL CENTER 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 480543724 INACTIVE KS 501(C)(3) LINE 3 CSH 0 CHI HEALTH CONNECT AT 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HOSPITAL AR 501(C)(3) LINE 3 CHI-SVHS 0 CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(C)(3) LINE 12A, I SVIMC 0 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(C)(3) LINE 3 CHI-SVHS 0 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) LINE 12A, I N/A 0 COMMONSPIRIT HEALTH DIVERSIFIED HOLDINGS 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 421178204 REHABILITATION IA 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 853374038 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CSH 0 COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC 3033 N 3RD AVENUE PHOENIX AZ 85013 850919176 OPERATING INVESTMENTS DE 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 RESEARCH CO 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT KANSAS INC 401 EAST SPRUCE ST GARDEN CITY KS 67846 480543721 HOSPITAL KS 501(C)(3) LINE 3 CSH 0 COMMONSPIRIT MOUNTAIN REGION 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 841335382 MANAGEMENT COMPANY CO 501(C)(3) LINE 12A, I CHIC 0 COMMONSPIRIT OREGON 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HOSPITAL OR 501(C)(3) LINE 3 CSH 0 COMMUNITY HOSPITAL OF SAN BERNARDINO 1805 MEDICAL CENTER DRIVE SAN BERNARDINO CA 92411 951643373 HOSPITAL CA 501(C)(3) LINE 3 DIGNITY COMMUNITY CARE 0 COMMUNITY LIMITED CARE DIALYSIS CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 237419853 HOLDING CO OH 501(C)(2) GSH 0 COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AH-CMHMV 0 CONTINUING CARE HOSPITAL ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611400619 HOSPITAL KY 501(C)(3) LINE 3 SJHS 0 DIGNITY COMMUNITY CARE 3033 N 3RD AVENUE PHOENIX AZ 85013 815009488 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 DIGNITY HEALTH 3033 N 3RD AVENUE PHOENIX 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SOQUEL DRIVE SANTA CRUZ CA 95065 942450442 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH 0 DOMINICAN OAKS CORPORATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770127719 OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS CA 501(C)(3) LINE 10 DHS 0 ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HOSPITAL WA 501(C)(3) LINE 3 FHS 0 FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I FH 0 FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(C)(3) LINE 10 CHILC 0 FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING FOUNDATION WA 501(C)(3) LINE 10 FHS 0 FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HOSPITAL WA 501(C)(3) LINE 3 CSH 0 FRANCISCAN 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CONDOMINIUM ASSOCIATION 1950 MOUNTAIN VIEW AVE LONGMONT CO 80501 841526130 REAL ESTATE CO N/A C 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION B 847003 SEE PART VII YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION C 1851985 SEE PART VII SCHEDULE R, PART V, LINE 2 COLUMN (C) SCHEDULE R, PART V, TRANSACTION TYPE B AND C YRMC IS SUPPORTED BY A FUNDRAISING FOUNDATION. AS A SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES FOR THE BENEFIT OF, TO RAISE FUNDS FOR, OR TO CARRY OUT THE PURPOSES OF YRMC. AS A RESULT, PAYMENTS ARE MADE DIRECTLY TO YRMC FROM THE FOUNDATION OR DIRECTLY TO THE FOUNDATION FROM YRMC. AMOUNTS REPORTED UNDER TRANSACTION TYPE "B" INCLUDE FUNDS EXPENDED BY YRMC ON BEHALF OF THE FOUNDATION FOR OPERATIONAL EXPENSES. AMOUNTS REPORTED AS TRANSACTION TYPE "C" REPRESENT FUNDS RECEIVED AS GRANTS BY YRMC FROM THE FOUNDATION.