2026-08-17T18:43:58-05:00 2025-09-30 850203431 REDW LLC 8801 HORIZON BLVD NE 401 ALBUQUERQUE NM 87113 990 2024-10-01 043651340 TUBA CITY REGIONAL HEALTH CARE CORPORATION TUBA 9282832501 167 NORTH MAIN STREET TUBA CITY AZ 86045 PEGGY GATLIFF ICFO 9282832501 2026-08-15 1 0 TAMARA BEALL CPA P01730868 5059983200 2026-08-15 2024 2025-03-06 01:10:19Z PEGGY GATLIFF 167 NORTH MAIN STREET TUBA CITY AZ 86045 320597895 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 1219 23 0 0 93849531 128542913 171251149 172279007 16435901 17989575 1821323 1786400 283357904 320597895 0 0 0 0 130200005 141740524 0 0 0 117632127 130731887 247832132 272472411 35525772 48125484 600916112 707193915 298012520 347951231 302903592 359242684 TO PROVIDE ACCESSIBLE, QUALITY, AND CULTURALLY SENSITIVE HEALTH CARE TO THE RESIDENTS OF THE WESTERN NAVAJO RESERVATION. 0 0 185707078 172279007 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 846,696 INPATIENT AND OUTPATIENT VISITS. 185707078 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 1 208 0 1219 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 FRANKLIN FOWLER TCRHCC BOARD PRESIDENT 1.00 1.00 X X 56400 0 0 DOLLY LANE TCRHCC BOARD VICE PRESIDENT 1.00 X X 46075 0 0 CARMELITA HOMER TCRHCC BOARD TREASURER 1.00 X X 48750 0 0 CHRISTOPHER CURLEY TCRHCC BOARD MEMBER 1.00 X 44375 0 0 THOMAS MCCABE TCRHCC BOARD MEMBER 1.00 1.00 X 38775 0 0 RONALD HONEYUMPTEWA TCRHCC BOARD MEMBER 1.00 X 37250 0 0 JUSTICE M BEARD TCRHCC BOARD MEMBER 1.00 1.00 X 37150 0 0 LEILA MCCABE TCRHCC BOARD MEMBER 1.00 1.00 X 36775 0 0 LYONEL TSO TCRHCC BOARD MEMBER 1.00 1.00 X 35950 0 0 TINCER NEZ SR TCRHCC BOARD MEMBER 1.00 X 34750 0 0 RIAD ABDELKARIM CHIEF MEDICAL OFFICER 80.00 X 449101 0 48676 JOETTE WALTERS CHIEF EXECUTIVE OFFICER 80.00 X 264177 0 25589 JULIUS YOUNG II CHIEF OPERATING OFFICER 80.00 X 221679 0 43015 REBECCA SPRINGER CHIEF NURSE OFFICER 80.00 X 221440 0 30019 SHAWN DAVIS CHIEF INFORMATION OFFICER 80.00 X 219269 0 16484 SHARR YAZZIE CHIEF HUMAN RESOURCES OFFICER 80.00 X 218131 0 39107 MELISSA GOAD CFO TO 3/25 80.00 X 210215 0 31198 DOLLIE LUNA SMALLCANYON CHIEF COMM HLTH SVCS OFFICER 80.00 X 207340 0 17719 JULIA BILLY CHIEF QUALITY OFFICER TO 4/25 80.00 X 163805 0 7247 NATALIA HATATHLI CHIEF ANCILLARY OFFICER 80.00 X 163618 0 19883 KYLE BLACK CHIEF SUPPORT SERVICES MENTEE 80.00 X 159803 0 23292 JOACHIM CHINO DEPUTY CHIEF OF SURGERY 80.00 X 473883 0 28294 SPENCER ANDERSON CHIEF OF EMERGENCY SERVICES 80.00 X 458753 0 41992 KIMBERLY BECKER DEPUTY CHIEF OF ER 80.00 X 456586 0 41974 KATHERINE GLASER CHIEF OF OB/GYN 80.00 X 424433 0 39961 PAULA MAYER CMIO TO 5/25 80.00 X 396954 0 22573 CHRISTINA ZEIGLER CHIEF DENTAL SERVICES 80.00 X 323326 0 41234 TRUNG PHAM CHIEF OF INTERNAL MEDICINE 80.00 X 310532 0 48625 BENJAMIN EVERETT CHIEF MENTAL HEALTH 80.00 X 279959 0 40951 JACOB HASLEM DEPUTY CHIEF DENTAL SVCS 80.00 X 237677 0 40484 ELIZABETH PARKER CHIEF OF ANESTHESIA 80.00 X 204902 0 25841 MARY LOWRY CHIEF NURSE MIDWIFE 80.00 X 188540 0 22302 RONDA OLSON DEPUTY CHIEF EYE SERVICES 80.00 X 186390 0 24767 NANCY RICHARDSON CHIEF OF EYE SERVICES 80.00 X 161879 0 23334 MICHAEL BAGLEY ORTHOPEDIC SURGEON 80.00 X 834408 0 51482 KONSTANTINE ZINIS CHIEF OF ORTHOPEDICS 80.00 X 714352 0 58983 RALPH KELLEY CHIEF OF SURGERY 80.00 X 629616 0 44993 LUIS GARCIA RADIOLOGIST 80.00 X 587024 0 28984 SEAN LARSEN PHYSICIAN 80.00 X 538088 0 39981 ROBERT RIETHER CHIEF OF RADIOLOGY 80.00 X 504115 0 47481 10826245 0 1016465 298 0 1 0 BOXWALA MUSTAFA 34743 HUNTINGTON COURT FARMINGTON HILLS MI 48331 PROFESSIONAL MEDICAL SERVICES 435750 ANDREW MD SUSAN L DBA NA ALLERGY SO 3921 RAU DRIVE DICKINSON TX 77539 ENT AND ALLERGY 223340 MERCER LAURA 1952 EAST LUKE AVENUE PHOENIX AZ 86004 PROFESSIONAL MEDICAL SERVICES 171200 SPENCER ANDERSEN 997 EAST ARAPAHO CIRCLE WASHINGTON UT 84780 PROFESSIONAL MEDICAL SERVICES 158440 DEMPSEY BRETT 5990 EAST JEREMY LANE FLAGSTAFF AZ 85016 PROFESSIONAL MEDICAL SERVICES 101296 5 128542913 128542913 PATIENT REVENUE 900099 169678225 169678225 OTHER REVENUE 900099 1940964 1940964 CAFETERIA 722514 659818 659818 172279007 17989575 17989575 1786400 0 1786400 1786400 1786400 320597895 172279007 0 19775975 X 8063379 5526798 2536581 97575725 66478208 31097517 3220839 2338095 882744 25575273 8410186 17165087 7305308 4208691 3096617 713518 713518 31804147 19551445 12252702 2234516 786572 1447944 6652601 5322080 1330521 5888489 4706361 1182128 588815 201607 387208 25739 8813 16926 9365276 7488634 1876642 1428065 1428065 MEDICAL/OTHER SUPPLIES 46051203 43367585 2683618 CONTRACT HEALTH SERVICE 13031528 13030922 606 GENERAL SERVICES 12696658 4281081 8415577 LOSS ON DISPOSAL OF ASS 251332 251332 272472411 185707078 86765333 0 245049625 190922933 883566 1057204 22657598 62175142 4066079 4294202 8370005 10647078 308616065 73577892 122552588 235038173 197336651 203059183 600916112 707193915 54901504 66249595 235896227 259727543 14489777 7214789 7484316 298012520 347951231 X 302903592 359242684 302903592 359242684 600916112 707193915 48125484 8213608 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 55438581 20339027 35099554 84617308 34873946 49743362 168560176 18364919 150195257 235038173 DEBT SECURITIES 132007986 F EQUITY SECURITIES 71051197 F 203059183 LEASE LIABILITY 7484316 7484316 X 328560172 8213608 -251331 7962277 320597895 0 320597895 272221080 0 272221080 251331 251331 272472411 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, 2025 AND 2024, 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 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS -251,331. PART XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS 251,331. 1 1 X 1 X 1 X 1 0 0 0 22661428 4335946 18325482 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 X 24 1 0 0 1 X HTTPS://TCHEALTH.ORG 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 5: ONCE THE SURVEY IS COMPLETED, WE PROVIDE THE FINDINGS TO OUR SERVICE AREA CHAPTERS AND PARTNERING AGENCIES. WE THEN WORK WITH THE CHAPTERS IN OUR SERVICE AREA TO DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS SPECIFIC TO EACH CHAPTER COMMUNITY. OUR HEALTH PROMOTION DISEASE PREVENTION AND PUBLIC HEALTH DEPARTMENT COORDINATE THIS WORK WITH THE CHAPTERS. 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: SLIDING FEE DISCOUNT POLICY WAS UPDATED NOVEMBER 2024. 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 9, 11, 12 AND 17. 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 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 834408 0 0 0 0 0 23000 0 28482 0 885890 0 0 0 KONSTANTINE ZINIS CHIEF OF ORTHOPEDICS 714352 0 0 0 0 0 30500 0 28483 0 773335 0 0 0 RALPH KELLEY CHIEF OF SURGERY 629616 0 0 0 0 0 23000 0 21993 0 674609 0 0 0 LUIS GARCIA RADIOLOGIST 587024 0 0 0 0 0 0 0 28984 0 616008 0 0 0 SEAN LARSEN PHYSICIAN 538088 0 0 0 0 0 23000 0 16981 0 578069 0 0 0 ROBERT RIETHER CHIEF OF RADIOLOGY 504115 0 0 0 0 0 30500 0 16981 0 551596 0 0 0 JOACHIM CHINO DEPUTY CHIEF OF SURGERY 473883 0 0 0 0 0 19004 0 9290 0 502177 0 0 0 SPENCER ANDERSON CHIEF OF EMERGENCY SERVICES 458753 0 0 0 0 0 23000 0 18992 0 500745 0 0 0 KIMBERLY BECKER DEPUTY CHIEF OF ER 456586 0 0 0 0 0 23000 0 18974 0 498560 0 0 0 RIAD ABDELKARIM CHIEF MEDICAL OFFICER 449101 0 0 0 0 0 30500 0 18176 0 497777 0 0 0 KATHERINE GLASER CHIEF OF OB/GYN 424433 0 0 0 0 0 30500 0 9461 0 464394 0 0 0 PAULA MAYER CMIO TO 5/25 396954 0 0 0 0 0 15974 0 6599 0 419527 0 0 0 CHRISTINA ZEIGLER CHIEF DENTAL SERVICES 323326 0 0 0 0 0 23000 0 18234 0 364560 0 0 0 TRUNG PHAM CHIEF OF INTERNAL MEDICINE 310532 0 0 0 0 0 30500 0 18125 0 359157 0 0 0 BENJAMIN EVERETT CHIEF MENTAL HEALTH 279959 0 0 0 0 0 23000 0 17951 0 320910 0 0 0 JOETTE WALTERS CHIEF EXECUTIVE OFFICER 264177 0 0 0 0 0 7934 0 17655 0 289766 0 0 0 JACOB HASLEM DEPUTY CHIEF DENTAL SVCS 237677 0 0 0 0 0 23000 0 17484 0 278161 0 0 0 JULIUS YOUNG II CHIEF OPERATING OFFICER 221679 0 0 0 0 0 29603 0 13412 0 264694 0 0 0 SHARR YAZZIE CHIEF HUMAN RESOURCES OFFICER 218131 0 0 0 0 0 21830 0 17277 0 257238 0 0 0 REBECCA SPRINGER CHIEF NURSE OFFICER 221440 0 0 0 0 0 22267 0 7752 0 251459 0 0 0 MELISSA GOAD CFO TO 3/25 210215 0 0 0 0 0 23958 0 7240 0 241413 0 0 0 SHAWN DAVIS CHIEF INFORMATION OFFICER 219269 0 0 0 0 0 8664 0 7820 0 235753 0 0 0 ELIZABETH PARKER CHIEF OF ANESTHESIA 204902 0 0 0 0 0 8435 0 17406 0 230743 0 0 0 DOLLIE LUNA SMALLCANYON CHIEF COMM HLTH SVCS OFFICER 207340 0 0 0 0 0 10136 0 7583 0 225059 0 0 0 RONDA OLSON DEPUTY CHIEF EYE SERVICES 186390 0 0 0 0 0 23000 0 1767 0 211157 0 0 0 MARY LOWRY CHIEF NURSE MIDWIFE 188540 0 0 0 0 0 9125 0 13177 0 210842 0 0 0 NANCY RICHARDSON CHIEF OF EYE SERVICES 161879 0 0 0 0 0 6775 0 16559 0 185213 0 0 0 NATALIA HATATHLI CHIEF ANCILLARY OFFICER 163618 0 0 0 0 0 6964 0 12919 0 183501 0 0 0 KYLE BLACK CHIEF SUPPORT SERVICES MENTEE 159803 0 0 0 0 0 6510 0 16782 0 183095 0 0 0 JULIA BILLY CHIEF QUALITY OFFICER TO 4/25 163805 0 0 0 0 0 5710 0 1537 0 171052 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 CONSULTANTS: PROGRAM SERVICE EXPENSES 6,178,432. MANAGEMENT AND GENERAL EXPENSES 3,871,964. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,050,396. MEDICAL PROFESSIONALS: PROGRAM SERVICE EXPENSES 13,373,013. MANAGEMENT AND GENERAL EXPENSES 8,380,738. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,753,751. 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 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 NAVAJO HOPI HEALTH FOUNDATION K 576514 CASH NAVAJO HOPI HEALTH FOUNDATION B 20632 CASH