Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 10-01-2010 and ending 09-30-2011
BCheck if applicable:
CName of organization
YUMA REGIONAL MEDICAL CENTER
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2400 S AVENUE A
 
Room/suite
City or town, state or country, and ZIP + 4
YUMA, AZ85364
D Employer identification number

86-6007596
E Telephone number

G Gross receipts $ 405,142,353
F Name and address of principal officer:
PATRICK T WALZ
2400 S AVENUE A
YUMA,AZ85364
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.YUMAREGIONAL.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1967
M State of legal domicile: AZ
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O THE MISSION OF YUMA REGIONAL MEDICAL CENTER IS TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND THE COMMUNITY WE SERVE THROUGH EXCELLENCE, INNOVATION AND PRUDENT USE OF RESOURCES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 9
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 2,387
6 Total number of volunteers (estimate if necessary) .... 6 515
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 12,158
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 11,158
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 462,906 92,884
9 Program service revenue (Part VIII, line 2g) ......... 311,221,593 328,129,882
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 5,024,867 8,560,825
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,323,098 299,222
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 319,032,464 337,082,813
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 115,452 417,874
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 141,259,225 145,358,374
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet1,472,561    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 148,539,666 156,792,917
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 289,914,343 302,569,165
19 Revenue less expenses. Subtract line 18 from line 12...... 29,118,121 34,513,648
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 491,350,670 522,802,930
21 Total liabilities (Part X, line 26)............ 216,364,460 243,723,587
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 274,986,210 279,079,343
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: THE MISSION OF YUMA REGIONAL MEDICAL CENTER IS TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND THE COMMUNITY WE SERVE THROUGH EXCELLENCE, INNOVATION AND PRUDENT USE OF RESOURCES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 272,122,389 including grants of $ 417,874 ) (Revenue $ 327,618,353 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 272,122,389
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
257
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
2,387
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
14
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
AZ
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
TONY STRUCK
2400 S AVENUE A
YUMA,AZ85364
(928) 336-7000
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) JOANN LINVILLE
CHAIRPERSON (RESIGNED 6/30/11)
 3.00 X   X       829 0 0
(2) VICTOR SMITH
VICE CHAIR (MOVED TO CHAIR 7/1/2011)
 3.00 X   X       0 0 0
(3) WOODROW MARTIN
SECRETARY/TREASURER
 3.00 X   X       404 0 0
(4) ISMAEL GUERRERO MD
TRUSTEE
 3.00 X           378 0 0
(5) RUSS CLARK
TRUSTEE
 3.00 X           1,010 0 0
(6) JEFF ANDREWS
TRUSTEE
 3.00 X           991 0 0
(7) SRIDHAR RAJAMANI MD
TRUSTEE
 3.00 X           481 0 0
(8) TOM TYREE
TRUSTEE (TERM ENDED 12/31/10)
 3.00 X           2,310 0 0
(9) LARRY DEASON
TRUSTEE
 3.00 X           0 0 0
(10) LOUIE HIRTH
TRUSTEE
 3.00 X           0 0 0
(11) IAN WATKINSON PHD
TRUSTEE (TERM ENDED 12/31/10)
 3.00 X           0 0 0
(12) PHILLIP RICHEMONT MD
TRUSTEE
 3.00 X           0 0 0
(13) MARIO JAUREGUI
TRUSTEE
 3.00 X           0 0 0
(14) CAROL COLEMAN
TRUSTEE
 3.00 X           0 0 0
(15) JULIE ENGEL
TRUSTEE
 3.00 X           0 0 0
(16) JOHN STERNITZKE
TRUSTEE
 3.00 X           0 0 0
(17) ALBERTO MEJIA MD
CHIEF OF MEDICAL STAFF (EFF 1/1/11)
 10.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) RAUL CASTILLO MD
VC OF MED STAFF (EFF 1/1/11)
 5.00 X           0 0 0
(19) KIRK MINKUS MD
OFF OF PHYSICAN REL (EFF 1/1/11)
 5.00 X           0 0 0
(20) KAMAL AHMED MD
CHIEF OF STAFF (THRU 12/31/10)
 10.00 X           18,000 0 0
(21) MARGARET KUNES MD
VC CHIEF OF STAFF (THRU 12/31/10)
 5.00 X           12,000 0 0
(22) RAUL CASTILLO MD
OFF OF PHYSICIAN REL (THRU 12/31/10)
 5.00 X           0 0 0
(23) PATRICK T WALZ
CEO
 40.00     X       761,934 0 114,961
(24) TONY STRUCK
VP-FINANCE, CFO
 40.00     X       225,445 0 47,921
(25) JAMES F HALL SR
VP CLINICAL SVCE LINES (1/4/11)
 40.00       X     294,490 0 61,002
(26) SHARON R GARDNER
VP - HUMAN RESOURCES
 40.00       X     251,875 0 181,085
(27) KAREN D JENSEN
VP OF PATIENT CARE SERVICES, CNO
 40.00       X     282,548 0 100,914
(28) STEWART M HAMILTON MD
VP OF MEDICAL AFFAIRS, CMO
 40.00       X     807,972 0 134,858
(29) EUGENE M SHAW
VP INFORMATION TECHNOLOGY, CIO
 40.00       X     257,340 0 30,558
(30) MARK E PARSTON
VP PLAN & BUS. DVPMT -ROLE ELIM 4/11
 40.00       X     365,982 0 94,656
(31) MACHELE HEADINGTON
VP COMMUNICATION & MARKETING
 40.00       X     185,048 0 91,374
(32) JOHN MAKOWSKY
CLINCIAL PHARMACIST
 40.00         X   170,549 0 38,872
(33) RUSSELL E MCCAMY
CLINICAL PHARMACIST
 40.00         X   164,237 0 38,613
(34) JANET MCLELLAN
DIRECTOR OF CLINICAL INFO
 40.00         X   171,855 0 17,100
(35) JOSEPH PAULI
CLINCIAL PHARMACIST (RETIRED 1/2/11)
 40.00         X   166,246 0 24,130
(36) EDWARD PAUL
DIRECTOR OF MEDICAL ED
 40.00         X   287,193 0 23,245
(37) GREGORY BECKMAN
PRESIDENT/CEO (TERMED 4/20/10)
 40.00           X 1,288,786 0 103,697
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 5,717,903 0 1,102,986
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet122
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
SOUTHWEST AZ HEART & VASCULAR CENTER LL
2400 SOUTH AVENUE A
YUMA,AZ85364 		CATH LAB SERVICES 14,381,604
HOSPITALIST OF YUMA PLLC
2400 SOUTH AVENUE A
YUMA,AZ85364 		HOSPITALIST COVERAGE 2,551,604
SOUTHWESTERN CRITICAL CARE MEDICINE PLL
PO BOX 6935
YUMA,AZ85364 		INTENSIVIST COVERAGE 2,174,303
YUMA CARDIAC SURGERY PLC
1501 W 24TH STREET 20
YUMA,AZ85366 		HEART SURGEON SERVICES 1,733,333
SW REHABILITATION ASSOC LTD
2281 W 24TH STREET 10
YUMA,AZ85364 		REHABILIATION SERVICES 1,701,885
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet46
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 21,972
e Government grants (contributions)1e 22,700
f All other contributions, gifts, grants, and
similar amounts not included above1f 		48,212
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 92,884
Program Service Revenue Business Code
2a PATIENT SERVICES 621,110 321,551,492 321,551,492    
b INC FROM AFFILIATES 900,099 3,033,012 3,033,012    
c GIFT SHOP/SNACK BAR 453,220 754,926 243,397   511,529
d CONTRACT REVENUE 624,100 713,494 713,494    
e HEALTH EDUCATION 611,710 43,433 43,433    
f All other program service revenue . 2,033,525 2,033,525    
g Total. Add lines 2a–2f........MediumBullet 328,129,882
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 4,704,205     4,704,205
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 888,607  
b Less: rental expenses 589,385  
c Rental income or (loss) 299,222  
d Net rental income or (loss).......MediumBullet 299,222   12,158 287,064
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 71,256,022 70,753
b Less: cost or other basis and sales expenses 67,293,322 176,833
c Gain or (loss) 3,962,700 -106,080
d Net gain or (loss)..........MediumBullet 3,856,620     3,856,620
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet  
12 Total revenue. See Instructions....MediumBullet 337,082,813 327,618,353 12,158 9,359,418
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 417,874 417,874
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 4,179,109   4,179,109  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 362,485 100,685 261,800  
7 Other salaries and wages 106,838,809 98,466,746 7,867,950 504,113
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 12,259,429 10,858,083 1,343,789 57,557
9 Other employee benefits ....... 14,246,142 14,175,037 35,967 35,138
10 Payroll taxes ........... 7,472,400 6,673,617 764,039 34,744
11 Fees for services (non-employees):        
a Management ...... 1,424,710 1,424,710    
b Legal ......... 429,943 214,946 214,997  
c Accounting ........... 312,314 40,981 261,458 9,875
d Lobbying ........... 33,170 33,170    
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ...... 1,093,328   1,093,328  
g Other .......... 17,235,733 14,465,995 2,769,738  
12 Advertising and promotion .... 547,289 307,312 239,977  
13 Office expenses ....... 5,027,666 4,002,534 283,514 741,618
14 Information technology ...... 3,264,153 3,264,153    
15 Royalties ..        
16 Occupancy ........... 2,224,405 1,665,175 559,230  
17 Travel ............ 526,375 490,648 35,727  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 711,201 238,379 464,943 7,879
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 14,019,599 14,019,599    
23 Insurance .............. 4,868,213 4,868,213    
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a MEDICAL SUPPLIES 43,783,995 43,782,743 1,252  
b BAD DEBT 26,956,931 26,956,931    
c PURCHASE SERVICES 23,988,309 20,425,710 3,501,076 61,523
d EQUIPMENT RENTAL 5,825,615 4,747,632 1,062,359 15,624
e DUES 397,957 199,142 194,325 4,490
f All other expenses 4,122,011 282,374 3,839,637  
25 Total functional expenses. Add lines 1 through 24f 302,569,165 272,122,389 28,974,215 1,472,561
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 54,629,913 1 63,819,604
2 Savings and temporary cash investments ....... 84,061,480 2 84,144,581
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 40,636,800 4 38,163,731
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 6,980,966 7 5,254,024
8 Inventories for sale or use .............. 4,402,205 8 4,431,550
9 Prepaid expenses and deferred charges ............ 3,364,958 9 4,624,103
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 338,612,080
b Less: accumulated depreciation. ..... 10b 169,580,417 149,960,484 10c 169,031,663
11 Investments—publicly traded securities .......... 129,620,096 11 130,382,231
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 .. 10,590,885 13 14,200,810
14 Intangible assets ......... 5,095,958 14 5,095,958
15 Other assets. See Part IV, line 11 ........... 2,006,925 15 3,654,675
16 Total assets. Add lines 1 through 15 (must equal line 34)... 491,350,670 16 522,802,930
Liabilities 17 Accounts payable and accrued expenses . 21,230,437 17 21,447,142
18 Grants payable ..........   18  
19 Deferred revenue .......... 470,000 19 470,000
20 Tax-exempt bond liabilities .......... 109,357,153 20 108,112,485
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties .... 47,868 24 308,005
25 Other liabilities. Complete Part X of Schedule D..... 85,259,002 25 113,385,955
26 Total liabilities. Add lines 17 through 25..... 216,364,460 26 243,723,587
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 274,918,650 27 277,153,231
28 Temporarily restricted net assets ..... 12,637 28 1,380,847
29 Permanently restricted net assets ..... 54,923 29 545,265
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 274,986,210 33 279,079,343
34 Total liabilities and net assets/fund balances ..... 491,350,670 34 522,802,930
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
337,082,813
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
302,569,165
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
34,513,648
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
274,986,210
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-30,420,515
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
279,079,343
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
YUMA REGIONAL MEDICAL CENTER
 
Employer identification number

86-6007596
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
YUMA REGIONAL MEDICAL CENTER
 
Employer identification number

86-6007596
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
YUMA REGIONAL MEDICAL CENTER
  		Employer identification number

86-6007596
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
YUMA REGIONAL MEDICAL CENTER
  		Employer identification number

86-6007596
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
YUMA REGIONAL MEDICAL CENTER
  		Employer identification number

86-6007596
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
YUMA REGIONAL MEDICAL CENTER
 
Employer identification number

86-6007596
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
33,170
j
Total. lines 1c through 1i ...................................
33,170
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: YUMA REGIONAL MEDICAL CENTER (YRMC) IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND ARIZONA HOSPITAL ASSOCIATION (AZHHA). YRMC PAID A TOTAL OF $134,839 TO AHA FOR MEMBERSHIP DURING FY 9/30/11. OF THE AMOUNT REPORTED, 24.6% OR $33,170 OF DUES WERE EXPENDED BY AHA FOR SPECIFIC LOBBYING PURPOSES.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
YUMA REGIONAL MEDICAL CENTER
 
Employer identification number

86-6007596
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   10,281,910 10,281,910
b Buildings ................   198,467,155 72,364,945 126,102,210
c Leasehold improvements ............   11,699,180 7,901,222 3,797,958
d Equipment ................   118,163,835 89,314,250 28,849,585
e Other .................        
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 169,031,663
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
THIRD PARTY SETTLEMENTS 1,536,656
INTEREST RATE SWAPS AND CAP 19,760,561
OTHER LIABILITIES 15,748,451
MINIMUM PENSION LIABILITY 76,340,287





Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 113,385,955
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE MEDICAL CENTER HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2011 AND 2010, AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT HAVE NOT BEEN REFLECTED IN THE COMBINED FINANCIAL STATEMENTS.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
YUMA REGIONAL MEDICAL CENTER
 
Employer identification number

86-6007596
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		1 3,804 7,491,527   7,491,527 2.720 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    58,656,226 45,316,431 13,339,795 4.840 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		1 3,804 66,147,753 45,316,431 20,831,322 7.560 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		23 131,591 1,710,785 119,793 1,590,992 0.580 %
f Health professions education
(from Worksheet 5) .. 		    410,841   410,841 0.150 %
g Subsidized health services
(from Worksheet 6) .. 		           
h Research (from Worksheet 7)            
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		           
jTotal Other Benefits ... 23 131,591 2,121,626 119,793 2,001,833 0.730 %
kTotal. Add lines 7d and 7j. .. 24 135,395 68,269,379 45,436,224 22,833,155 8.290 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development 1   4,985   4,985 0 %
3 Community support 3 30 4,999   4,999 0 %
4 Environmental improvements 1   1,387   1,387 0 %
5 Leadership development and training for community members            
6 Coalition building 3 150 22,689   22,689 0.010 %
7 Community health improvement advocacy 5 250 6,017   6,017 0 %
8 Workforce development 3   4,735   4,735 0 %
9 Other            
10 Total 16 430 44,812   44,812 0.010 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
5,486,171
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
90,138
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
108,465,943
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
135,182,566
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-26,716,623
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?4
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 YUMA REGIONAL MEDICAL CENTER
2400 S AVENUE A
YUMA,AZ85364 		X X         X    
2 YUMA REGIONAL MEDICAL CENTER - FOOTHILLS
11142 S SCOTTSDALE DRIVE
YUMA,AZ85367 		  X              
3 YUMA REGIONAL OUTPATIENT SURG CENTER
2261 SOUTH AVENUE B
YUMA,AZ85364 		  X              
4 YUMA REGIONAL MEDICAL PLAZA
1501 WEST 24TH STREET
YUMA,AZ85364 		                OP SURGERY; IMAGING; CARDIAC REHAB; WOUND CARE; BARIATRIC
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:YUMA REGIONAL MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?  
Name and address Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 26956931.
  SCHEDULE H, PART 1, LINE 7 YRMC'S COST ACCOUNTING SYSTEM IS TRENDSTAR. COSTS ARE ASSIGNED TO EACH CHARGE ITEM ON AN RVU BASIS FOR ALL PATIENT TYPES AND PAYORS. PATIENT ACCOUNTS HAVE COST ALLOCATED BASED ON EACH LINE-ITEM CHARGE ON THE ACCOUNT. COST-TO-CHARGE RATIOS WERE NOT USED TO DETERMINE AMOUNTS REPORTED IN THE TABLE. THE "OTHER BENEFIT" SECTION IS ACTUAL EXPENSE NOT ALLOCATED BY THE COST ACCOUNTING SYSTEM.
    PART III, LINE 4: YRMC'S COST ACCOUNTING SYSTEM IS TRENDSTAR. COSTS ARE ASSIGNED TO EACH CHARGE ITEM ON AN RVU BASIS FOR ALL PATIENT TYPES AND PAYORS. PATIENT ACCOUNTS HAVE COST ALLOCATED BASED ON EACH LINE-ITEM CHARGE ON THE ACCOUNT. ALLOCATED COSTS FOR BAD DEBT ACCOUNTS TOTALED $5,486,171. ACCOUNTS ELIGIBLE FOR CHARITY CARE WERE IDENTIFIED BY CROSS REFERENCING TO PREVIOUS FINANCIAL ASSISTANCE WITH ALLOCATED COSTS TOTALING $90,138. THE MEDICAL CENTER HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE MEDICAL CENTER AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS BEFORE ESTIMATES FOR BAD DEBTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. ACCOUNTS RECEIVABLE CONSIST PRINCIPALLY OF AMOUNTS DUE FROM PATIENT SERVICES RENDERED. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS OF ACCOUNTS RECEIVABLE, CONSIDERING ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE BASED ON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MAKE MODIFICATIONS TO THE ALLOWANCE AS APPROPRIATE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND DEDUCTED FROM THE ALLOWANCE.
    PART III, LINE 8: YRMC'S COST ACCOUNTING SYSTEM IS TRENDSTAR. COSTS ARE ASSIGNED TO EACH CHARGE ITEM ON AN RVU BASIS FOR ALL PATIENT TYPES AND PAYORS. PATIENT ACCOUNTS HAVE COST ALLOCATED BASED ON EACH LINE-ITEM CHARGE ON THE ACCOUNT. ALLOCATED COSTS FOR MEDICARE ACCOUNTS TOTALED $135,182,566.
    PART III, LINE 9B: PATIENTS MAY BE ELIGIBLE FOR FULL FINANCIAL ASSISTANCE OR PARTIAL ASSISTANCE. IF PARTIAL, THE REMAINING BALANCE ON THE ACCOUNT WILL BE SUBJECT TO YRMC'S NORMAL COLLECTION PROCESS AND PAYMENT ARRANGEMENTS WILL BE MADE. THE BALANCE WILL BE TURNED OVER TO A COLLECTION AGENCY IF ANY OF THE FOLLOWING EVENTS OCCUR: 1. MAIL RETURNED - NOT ABLE TO LOCATE PATIENT. ACCOUNT GOES TO COLLECTIONS AFTER TWO CONSECUTIVE MAIL RETURNS.2. NO TELEPHONE LISTING OR DISCONNECTED. 3. REGULAR SEQUENCE OF STATEMENTS AND COLLECTION NOTICES SENT, INCLUDING A FINAL, WITH NO RESPONSE.
    PART VI, LINE 2: YUMA REGIONAL MEDICAL CENTER (YRMC) HAS PROACTIVELY DEVELOPED SEVERAL MECHANISMS FOR CONTINUOUS EVALUATION OF COMMUNITY HEALTH NEEDS. YRMC HAS LED THE COLLECTIVE EFFORTS AND FORMATION OF THE ALLIANCE FOR HEALTHY COMMUNITIES. THE ALLIANCE FOR HEALTHY COMMUNITIES (STARTED IN 1996) IS A REPRESENTATION OF PEOPLE WHO CARE ABOUT THE FUTURE HEALTH NEEDS OF OUR RESIDENTS. MEMBERSHIP IN THE ALLIANCE IS ABOUT PARTNERING TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY THROUGH COLLABORATION. MEMBERSHIP INCLUDES ORGANIZATIONS FROM THROUGHOUT YUMA COUNTY SUCH AS LOCAL SCHOOLS/COLLEGES, HEALTH PROVIDERS, PUBLIC HEALTH, LAW ENFORCEMENT, MEDIA, MILITARY, BUSINESS AND MORE. IN FY13 THE GROUP WILL COLLECTIVELY CONDUCT A COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT, FUNDED BY YUMA REGIONAL MEDICAL CENTER. THE FINDINGS OF THAT SURVEY WILL BE SHARED DURING A YUMA COUNTY LEADERSHIP TOWN HALL FORUM SCHEDULED FOR EARLY 2013. IN FISCAL YEAR 09/10, YRMC PARTNERED WITH THE YUMA COUNTY PUBLIC HEALTH DISTRICT AND PROVIDERS FROM THROUGHOUT OUR COMMUNITY IN A LOCAL PUBLIC HEALTH SYSTEM PERFORMANCE ASSESSMENT. RESULTS FROM THAT ASSESSMENT WERE SHARED WITH MEMBERS OF OUR COMMUNITY. THE ASSESSMENT INCLUDED 10 FOCUS GROUP SESSIONS DESIGNED TO ENGAGE PUBLIC LEADERS, FROM ALL AREAS IN OUR COMMUNITY, IN DISCUSSIONS RELATED TO PUBLIC HEALTH EFFECTIVENESS. FINDINGS FROM THAT STUDY DEMONSTRATED THE NEED FOR EXPANDING OUR COLLABORATIVE EFFORTS AS A COMMUNITY. OUR DECISION AS A COMMUNITY WAS TO ALIGN THE FINDINGS FROM THE PUBLIC HEALTH ASSESSMENT WITH THE EXISTING ALLIANCE FOR HEALTHY COMMUNITIES FORUM TO DRIVE THE DEVELOPMENT OF A COLLECTIVE PLAN. ADDITIONAL ASSESSMENTS INCLUDE THE DEVELOPMENT OF AN ANNUAL PHYSICIAN MANPOWER REVIEW. EACH YEAR THE YRMC BOARD OF DIRECTORS CONDUCTS A COMPREHENSIVE MEDICAL STAFF DEVELOPMENT PLAN (MSDP). THE PLAN, WHICH IS APPROVED ANNUALLY AND REVIEWED/MODIFIED AT THE SIX MONTH MARK, INCLUDES EXTENSIVE DATA COLLECTION AND RESEARCH RELATING TO THE PHYSICIAN ACCESS. THE STUDY INCLUDES SIX KEY INDICATORS/EVALUATION: (1) COMPARISON TO NATIONAL PHYSICIAN TO POPULATION RATIOS; (2) BLIND SECRET SHOPPER PHONE SURVEY MEASURING "WAIT TIME FOR AN APPOINTMENT - HOW QUICKLY A NEW PATIENT CAN GET INTO SEE A PHYSICIAN"; (3) INSURANCE - MAJOR INSURANCES ACCEPTED FOR EACH PROVIDER/BY SPECIALTY; (4) AGE/RETIREMENT PROJECTS; (5) OUT-MIGRATION (WHAT MEDICAL SERVICES COMMUNITY MEMBERS ARE TRAVELING TO RECEIVE); (6) PROJECTED HEALTH NEEDS.BASED ON A REVIEW OF THE ABOVE LISTED INDICATORS, THE BOARD REVIEWS AND APPROVES THE DEVELOPMENT OF A MSDP. YUMA REGIONAL MEDICAL CENTER THEN IMPLEMENTS THE PLAN TO RECRUIT THOSE PROVIDERS NEEDED INTO THE COMMUNITY. RECRUITMENT ASSISTANCE/SUPPORT IS ALSO PROVIDED TO DESIGNATED LOCAL HEALTH PROVIDERS.
    PART VI, LINE 3: AS EACH PATIENT IS REGISTERED FOR SERVICES, REQUEST FOR INSURANCE OR PAYMENT IS COMPLETED. IF A PATIENT STATES THAT THEY HAVE NO INSURANCE WE WILL REQUEST PAYMENT IN FULL OR A DEPOSIT. IF A BALANCE IS LEFT AT THIS TIME WE HAVE MEDASSIST WHICH IS A CONTRACTED PROVIDER TO INTERVIEW THE PATIENT AND COMPLETE YRMC FINANCIAL ASSISTANCE FORM. AT THIS TIME THE PATIENT IS GIVEN THE INFORMATION ABOUT THE AHCCCS APPLICATION PROCESS AND THE APPLICATION IS COMPLETED IF THE PATIENT IS ELIGIBLE (RESIDENCY AND INCOME FOR EXAMPLE). THE APPLICATION PROCESS IS AN ON LINE WEB BASED APPLICATION CALLED HEALTHY E AZ. THIS ONLINE PROCESS GIVES YOU A TENTATIVE APPROVED PENDING VERIFICATION OF INFORMATION IS THEY POTENTIALLY MIGHT QUALIFY FOR AHCCCS. ONCE IT IS DETERMINED THAT THE PATIENT WILL NOT QUALIFY FOR ANY GOVERNMENT PROGRAMS THEN THE FINANCIAL COUNSELOR WILL VISIT WITH THE PATIENT AND EXPLAINS THE FINANCIAL ASSISTANCE PROGRAM AND IF THE PATIENT'S WISHES TO APPLY, WILL COLLABORATES WITH MEDASSIT IN RETRIEVING ALL OF THE NECESSARY PROOF OF INCOME TO COMPLETE THE FINANCIAL ASSISTANCE PROCESS. THE COMPLETION OF THIS PROCESS MAY CONTINUE AFTER THE PATIENT LEAVES THE HOSPITAL AND THE FINANCIAL ASSISTANCE PROCESS IS COMPLETED BY THE STAFF IN THE PATIENT ACCOUNTING DEPARTMENT. IF THE PATIENT IS ONLY AN ER PATIENT AND DOES NOT QUALIFY FOR COMPLETING A AHCCCS APPLICATION, THE PATIENT IS GIVEN A SHEET OF INSTRUCTIONS EXPLAINING THE FINANCIAL ASSISTANCE PROCESS, DOCUMENTS THAT ARE NEEDED TO COMPLETE THE APPLICATION AND PHONE NUMBERS TO CALL TO MAKE AN APPOINTMENT SO THEY CAN COMPLETE THE FINANCIAL ASSISTANCE PROCESS.THIS PROCESS IS COMPLETED BETWEEN A COLLABORATION OF FRONT END REGISTRARS, FINANCIAL COUNSELORS, MEDASSIST EMPLOYEES, CASHIER AND THE PATIENT ACCOUNTING DEPARTMENT.
    PART VI, LINE 4: YUMA REGIONAL MEDICAL CENTER (YRMC) IS IN A RURAL SETTING. IT IS THE ONLY HOSPITAL IN YUMA COUNTY AND ALSO SERVES SURROUNDING AREAS (TOWNS ON THE CALIFORNIA/ARIZONA BORDER) AND RESIDENTS OF MEXICAN BORDER TOWNS. THE COUNTY HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVED AREA.IN THE CITY OF YUMA, OVER 50 PERCENT OF THE POPULATION IS HISPANIC OR LATINO, AND IN THE CITY OF SAN LUIS AND THE CITY OF SOMERTON (BOTH IN YUMA COUNTY), OVER 90 PERCENT OF THE POPULATION IS HISPANIC OR LATINO. NEARLY 62 PERCENT OF THE POPULATION IS UNDER 42 YEARS OLD. YUMA COUNTY'S POPULATION IS ABOUT 205,000 AND IS EXPECTED TO GROW BY 10 PERCENT IN THE NEXT FIVE YEARS.OVER 26 PERCENT OF THE POPULATION IN YUMA COUNTY HAS A GED OR HIGH SCHOOL DIPLOMA; SEVEN PERCENT HAVE AN ASSOCIATE DEGREE AND EIGHT PERCENT HAVE A BACHELOR'S DEGREE. APPROXIMATELY FOUR PERCENT HAVE A MASTER'S DEGREE.THE MAIN INDUSTRIES IN YUMA COUNTY ARE AGRICULTURE, TOURISM AND THE MILITARY. THERE ARE TWO MILITARY BASES HERE - MARINE CORPS AIR STATION YUMA AND YUMA PROVING GROUNDS (ARMY).THE MEDIAN HOUSEHOLD INCOME IN YUMA COUNTY IS APPROXIMATELY $41,200, WHILE THE PER CAPITA INCOME IS APPROXIMATELY $16,000. THE GEOGRAPHY OF YUMA COUNTY IS DESERT LAND ACCENTED WITH RUGGED MOUNTAINS. IT IS BORDERED BY BOTH CALIFORNIA AND MEXICO. THERE ARE VALLEY REGIONS THAT ARE IRRIGATED WITH WATER FROM THE COLORADO RIVER. THE AVERAGE TEMPERATURE IN JULY IS 107 DEGREES AND IN JANUARY IT'S 70 DEGREES.
    PART VI, LINE 6: YUMA REGIONAL MEDICAL CENTER IS INVOLVED IN SEVERAL COMMUNITY BUILDING ACTIVITIES THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS. THROUGH THESE ACTIVITIES, YRMC SUPPORTS COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF OUR HEALTHCARE ORGANIZATION.WE ENCOURAGE EMPLOYEES TO BE INVOLVED IN THE COMMUNITY THROUGH COMMUNITY BOARDS, HEALTH ADVOCACY PROGRAMS AND PHYSICAL IMPROVEMENT PROJECTS TO CONTINUOUSLY IMPROVE THE QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE.ECONOMIC DEVELOPMENT: LEADER/EXECUTIVE PARTICIPATION IN GREATER YUMA ECONOMIC DEVELOPMENT, CHAMBER OF COMMERCE AND YUMA VISITORS BUREAU. IN THOSE ROLES, YRMC LEADERSHIP PLAYS AN ACTIVE ROLE IN SUPPORTING THE BUSINESS AND ECONOMIC DRIVERS AND WORKFORCE NEEDS. YUMA REGIONAL MEDICAL CENTER ACTIVELY SUPPORTS TOURISM AS A MAJOR ECONOMIC DRIVE FOR THE COMMUNITY. WITH APPROXIMATELY 90,000 ANNUAL WINTER VISITORS, YRMC HAS ACTIVELY PARTNERED WITH THE LOCAL YUMA CONVENTION & VISITORS BUREAU (YCVB) TO ENSURE THE MEDICAL NEEDS OF A HIGH VOLUME OF VISITORS. WITH THAT, YRMC ADMINISTRATOR MACHELE HEADINGTON SERVES ON THE YCVB BOARD OF DIRECTORS, CONTRIBUTING AN ESTIMATED THREE - FOUR HOURS PER MONTH IN PROFESSIONAL LEADERSHIP. TOURISM IS A MAJOR INDUSTRY FOR BOTH ARIZONA AND YUMA COUNTY, GENERATING MORE THAN $450 MILLION FOR YUMA COUNTY'S ECONOMY. WITH PROXIMITY TO CALIFORNIA AND MEXICO, THE AREA ATTRACTS LARGE NUMBERS OF TRAVELERS AND INTERNATIONAL SHOPPERS. DURING THE WINTER, YUMA'S INFLUX OF SEASONAL VISITORS POSITIVELY IMPACTS THE ECONOMY.COALITION BUILDING: HOSPITAL REPRESENTATION TO COMMUNITY COALITIONS RELATED TO COMMUNITY HEALTH; COLLABORATIVE PARTNERSHIPS WITH COMMUNITY GROUPS TO IMPROVE COMMUNITY HEALTH; COSTS FOR TASK FORCE-SPECIFIC PROJECTS AND INITIATIVES. - ARIZONA SOCIETY FOR HUMAN RESOURCE MANAGEMENT STATE COUNCIL- ARIZONA WESTERN COLLEGE COMPUTER AND INFORMATION SYSTEMS ADVISORY BOARD- COMMUNITY INVOLVEMENT THROUGH CLUBS AND PARTNERSHIPS:- AMERICAN NURSES ASSOCIATION- SOROPTIMIST OF YUMA- SALVATION ARMY ANGEL - YUMA COMMUNITY FOOD BANK- SUNSET COMMUNITY HEALTH CENTER BOARD- INSURANCE BOARD FOR THE YUMA UNION HIGH SCHOOL DISTRICT- STEP OUT FOR DIABETES- YUMA COUNTY HEALTH INITIATIVE COALITION- YUMA COUNTY UNITED WAY BOARD- YUMA'S EDUCATION SCHOLARSHIP FUND FOR KIDSADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS: LOCAL, STATE AND NATIONAL ADVOCACY IN AREAS SUCH AS ACCESS TO HEALTHCARE, PUBLIC HEALTH, TRANSPORTATION AND HOUSING.- CROSSROADS MISSION - HELPING THE HOMELESS SHELTER BY PROVIDING MATTRESSES, PILLOWS, AND FINANCIAL SUPPORT OF ITS DRUG/DETOX PROGRAM- AMBERLY'S PLACE: PROVIDES SUPPORT TO THIS LOCAL RESOURCE THAT SUPPORTS AND ASSISTS VICTIMS OF SEXUAL ABUSE. YRMC DONATES TIME AND RESOURCES TO THE ORGANIZATION THROUGHOUT THE YEAR. - SOUTHWEST ARIZONA FUTURES FORUM- STEPS PARTICIPATION- YUMA COUNTY HEALTH DEPARTMENT - HEALTH ASSESSMENT FOCUS GROUPSWORKFORCE DEVELOPMENT: ADDRESS COMMUNITY-WIDE WORKFORCE ISSUES - ARIZONA HEALTHCARE HUMAN RESOURCES ASSOCIATION- ARIZONA WESTERN COLLEGE SCIENCE FAIR- DRIVE FOR SCHOOL SUPPLIES- SOUTHWEST ARIZONA HUMAN RESOURCES ASSOCIATION - PHYSICIAN RECRUITMENT IN AUGUST, 2010, YUMA REGIONAL MEDICAL CENTER CONTRACTED WITH HPSA ACCUMEN TO CONDUCT AN ASSESSMENT OF THE REGION SPECIFIC TO OUR APPLICATION/DESIGNATION AS A HEALTH PROVIDER SHORTAGE AREA (HPSA). THE STUDY, FUNDED BY YUMA REGIONAL MEDICAL CENTER, WAS COMPLETED ON BEHALF OF THE ENTIRE YUMA COUNTY COMMUNITY. FOLLOWING THE STUDY, YRMC THEN APPLIED FOR, AND WAS APPROVED FOR, A GEOGRAPHIC HPSA DESIGNATION.OPEN MEDICAL STAFF:YUMA REGIONAL MEDICAL CENTER'S FOLLOWS AN OPEN MEDICAL STAFF MODEL (MEDICAL STAFF MEMBERSHIP IS OPEN TO ALL PHYSICIANS IN THE COMMUNITY WHO MEET MEMBERSHIP AND CLINICAL PRIVILEGE REQUIREMENTS). OUR MEDICAL STAFF IS SELF GOVERNING AND ASSUMES A LEADERSHIP ROLE IN ENSURING EFFECTIVE, EFFICIENT AND SAFE DELIVERY OF CARE. BOARD OF DIRECTORS:YUMA REGIONAL MEDICAL CENTER IS GOVERNED BY A 12-MEMBER, VOLUNTEER BOARD OF DIRECTORS. THE BOARD IS MADE UP OF UNPAID COMMUNITY RESIDENTS WHO HAVE AN INTEREST IN HEALTHCARE AND A STRONG COMMITMENT TO IMPROVING THE HEALTH AND WELL-BEING OF THEIR FELLOW CITIZENS. THESE DIRECTORS SET POLICY FOR THE HOSPITAL, PROVIDE DIRECTION FOR LONG-RANGE STRATEGIC PLANNING AND MONITOR FINANCIAL VIABILITY. BASED ON A REVIEW OF THE ABOVE LISTED INDICATORS, THE BOARD REVIEWS AND APPROVES THE DEVELOPMENT OF A MSDP. YUMA REGIONAL MEDICAL CENTER THEN IMPLEMENTS THE PLAN TO RECRUIT THOSE NEEDED PROVIDERS INTO THE COMMUNITY. RECRUITMENT ASSISTANCE/SUPPORT IS ALSO PROVIDED TO DESIGNATED LOCAL HEALTH PROVIDERS.
    PART VI, LINE 7: N/A
REPORTS FILED WITH STATES PART VI, LINE 7 AZ
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
YUMA REGIONAL MEDICAL CENTER
 
Employer identification number
86-6007596
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) THE CANCER PROJECT5100 WISCONSIN AVE NW
WASHINGTON DC,DC20016 		20-1678231 501(C)(3) 8,800       PROGRAM SUPPORT
(2) MARCH OF DIMES FOUNDATIONPO BOX 1657
WILKES BARRE,PA18703 		13-1846366 501(C)(3) 6,000       PROGRAM SUPPORT
(3) FOUNDATION OF YUMA REGIONAL MEDICAL CENTER2400 S AVENUE A
YUMA,AZ85364 		51-0179146 501(C)(3) 356,425       PROGRAM SUPPORT


















2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
3
3
Enter total number of other organizations ................................ . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: CASH GRANTS AND DONATIONS: ALL REQUESTS MUST BE PRESENTED IN WRITING ALLOWING THE OPTION OF A FORMAL PRESENTATION ON THE REQUEST OF THE FOUNDATION BOARD OF TRUSTEES OR ITS RESPECTIVE REVIEW COMMITTEE. ALL REQUESTS WILL BE INITIALLY REVIEWED BY THE FOUNDATION EXECUTIVE COMMITTEE. THE PROPOSALS THAT FALL WITHIN THE IDENTIFIED GUIDELINES WILL BE PRESENTED TO THE BOARD OF TRUSTEES OR THEIR DESIGNATED COMMITTEE FOR A DECISION OF FUNDING. ALL REQUESTS WILL BE REVIEWED AND ACTION TAKEN BY THE FOUNDATION ADMINISTRATIVE COMMITTEE AND THE RESULTS WILL BE REPORTED TO THE BOARD OF TRUSTEES. FUNDING WILL BE BASED ON THE FOLLOWING GUIDELINES: 1) THE PROJECT OR ACTIVITY MUST DIRECTLY SUPPORT HEALTH CARE. 2) THE REQUEST MUST BE SUPPORTED BY FACTS ON HOW THE FUNDS WILL BE USED. 3) THE REQUEST FITS WITH THE MISSION OF THE HOSPITAL AND THE FOUNDATION. 4) THE REQUEST MUST DIRECTLY BENEFIT THE YUMA COMMUNITY. ADDITIONAL CONSIDERATIONS: 1) INDIVIDUAL REQUESTS WILL BE CONSIDERED IF THEY ARE HEALTH CARE RELATED. 2) GOLF TOURNAMENT SPONSORSHIPS WILL NOT BE CONSIDERED.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
YUMA REGIONAL MEDICAL CENTER
 
Employer identification number

86-6007596
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) PATRICK T WALZ (i)
(ii)		 446,127
0 		97,800
0 		218,007
0 		96,783
0 		18,178
0 		876,895
0 		200,920
0
(2) TONY STRUCK (i)
(ii)		 194,392
0 		28,417
0 		2,636
0 		23,334
0 		24,587
0 		273,366
0 		0
0
(3) JAMES F HALL SR (i)
(ii)		 266,056
0 		28,434
0 		0
0 		41,792
0 		19,210
0 		355,492
0 		0
0
(4) SHARON R GARDNER (i)
(ii)		 221,554
0 		30,321
0 		0
0 		162,907
0 		18,178
0 		432,960
0 		0
0
(5) KAREN D JENSEN (i)
(ii)		 240,527
0 		35,457
0 		6,564
0 		90,310
0 		10,604
0 		383,462
0 		0
0
(6) STEWART M HAMILTON MD (i)
(ii)		 333,802
0 		45,525
0 		428,645
0 		116,748
0 		18,110
0 		942,830
0 		416,404
0
(7) EUGENE M SHAW (i)
(ii)		 216,999
0 		40,341
0 		0
0 		18,922
0 		11,636
0 		287,898
0 		0
0
(8) MARK E PARSTON (i)
(ii)		 195,469
0 		26,375
0 		144,138
0 		69,762
0 		24,894
0 		460,638
0 		144,138
0
(9) MACHELE HEADINGTON (i)
(ii)		 159,361
0 		25,687
0 		0
0 		72,179
0 		19,195
0 		276,422
0 		0
0
(10) JOHN MAKOWSKY (i)
(ii)		 170,549
0 		0
0 		0
0 		14,606
0 		24,266
0 		209,421
0 		0
0
(11) RUSSELL E MCCAMY (i)
(ii)		 163,564
0 		0
0 		673
0 		14,343
0 		24,270
0 		202,850
0 		0
0
(12) JANET MCLELLAN (i)
(ii)		 151,771
0 		11,481
0 		8,603
0 		6,882
0 		10,218
0 		188,955
0 		0
0
(13) JOSEPH PAULI (i)
(ii)		 166,246
0 		0
0 		0
0 		14,153
0 		9,977
0 		190,376
0 		0
0
(14) EDWARD PAUL (i)
(ii)		 258,901
0 		23,792
0 		4,500
0 		0
0 		23,245
0 		310,438
0 		0
0
(15) GREGORY BECKMAN (i)
(ii)		 167,123
0 		77,647
0 		1,044,016
0 		95,153
0 		8,544
0 		1,392,483
0 		0
0

Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 1A TRAVEL FOR COMPANIONS IS AVAILABLE TO BOARD MEMBERS AND IS TREATED AS TAXABLE COMPENSATION. THE CEO IS PROVIDED A MONTHLY PERQ ALLOWANCE WHICH IS TREATED AS TAXABLE COMPENSATION.
  PART I, LINES 4A-B GREGORY BECKMAN RECEIVED SEVERANCE PAYMENTS DURING THE YEAR. THE AGREEMENT IS SUBJECT TO A CONFIDENTIALITY CLAUSE. DETAIL WILL BE PROVIDED TO THE IRS UPON REQUEST. YUMA REGIONAL MEDICAL CENTER ESTABLISHED THE "CAPITAL ACCUMULATION AND RETENTION PLAN" AS AN INELIGIBLE DEFERRED COMPENSATION PLAN AS DESCRIBED IN SECTION 457(F) OF THE CODE (INTERNAL REVENUE CODE OF 1986) AS APPROVED BY THE BOARD OF DIRECTORS. THE PURPOSE OF THIS PLAN IS TO PROVIDE CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO ELIGIBLE EXECUTIVES. THE BOARD MAY ONLY DESIGNATE PARTICIPANTS FROM AMONG THOSE EMPLOYEES WHO ARE PART OF A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. YRMC WILL ESTABLISH AN INTIAL VESTING DATE FOR EACH PARTICIPANT AND WITHIN THE BOARD'S DISCRETION MAY OFFER TO EXTEND A PARTICIPANT'S VESTING DATE MEETING SPECIFIC CRITERIA AS SET FORTH WITHIN THE PLAN DOCUMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN DOCUMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN AND HAD CONTRIBUTIONS TO THE PLAN IN 2010: SHARON GARDNER $139,750 GREGORY BECKMAN - $79,543 STEWART HAMILTON - $62,909 KAREN JENSEN - $46,488 MARK PARSTON - $29,085 EUGENE SHAW - $31,606 PATRICK WALZ - $47,798 MACHELLE HEADINGTON - $38,516 TONY STRUCK - $6,553
  PART I, LINE 7 YUMA REGIONAL MEDICAL CENTER HAS A PAY AT RISK INCENTIVE PROGRAM FOR CERTAIN EXECUTIVES. SEE SECTION II OF THE SCHEDULE O DISCLOSURE FOR 990, PART VI, LINES 15A AND 15B FOR A DESCRIPTION OF THIS PROGRAM.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
YUMA REGIONAL MEDICAL CENTER
 
Employer identification number
86-6007596
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA
  		86-0498547 988514BQ7 12-11-2008 109,025,000 HOSPITAL REVENUE REFUNDING OF 2004 BONDS - ISSUED 06/24/2004 AND 07/08/2004   X   X   X
B INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA
  		86-0498547 98851RAA2 10-25-2007 1,430,000 EXPANSION AND IMPROVEMENT OF HEALTHCARE FACILITIES   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . .        
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 109,025,000 1,430,000    
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . . 106,781,055      
7 Issuance costs from proceeds . . . 969,028      
8 Credit enhancement from proceeds. 1,274,917      
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 1,430,000 1,430,000    
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2008 2007
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X     X        
15 Were the bonds issued as part of an advance refunding issue?   X   X        
16 Has the final allocation of proceeds been made? . . X   X          
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X          
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X        
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X        
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X   X        
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X        
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 % 0 %    
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0 %    
6 Total of lines 4 and 5 . . .. . . . . . 0 % 0 %    
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X          
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . . X   X          
2 Is the bond issue a variable rate issue? X     X        
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X        
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X        
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X        
6 Did the bond issue qualify for an exception to rebate? . . . X   X          
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
YUMA REGIONAL MEDICAL CENTER
 
Employer identification number

86-6007596
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) SOUTHWESTERN CRITICAL CARE
  		ENTITY MORE THAN 5% OWNED BY DR. RAJAMANI, TRUSTEE 2,174,303 MEDICAL SERVICES   No
(2) SOUTHWEST EMERGENCY PHYSICIANS
  		ENTITY MORE THAN 5% OWNED BY DR. RICHEMONT, TRUSTEE 818,014 GROUP INCENTIVES/TRANSCRIPTION   No
(3) MIGUEL GUERRERO FAMILY MEMBER OF ISMAEL GUERRERO, TRUSTEE 33,344 SALARIES & WAGES   No
(4) ELLEN HAMILTON FAMILY MEMBER OF STEWART HAMILTON, KEY EMPLOYEE 68,379 SALARIES & WAGES   No
(5) SCOTT HALL FAMILY MEMBER OF JAMES HALL, KEY EMPLOYEE 60,311 SALARIES & WAGES   No
(6) MICHAEL HEADINGTON FAMILY MEMBER OF MACHELE HEADINGTON, KEY EMPLOYEE 92,921 SALARIES & WAGES   No
(7) LYDIA BROWN FAMILY MEMBER OF ISMAEL GUERRERO, BOARD MEMBER 48,221 SALARIES & WAGES   No
(8) MERRIL WALKER BUILDERS
  		ENTITY >5% OWNED BY A FAMILY MEMBER OF MACHELE HEADINGTON, KEY EMPLOYEE 1,164,487 BUILDING CONTRACTOR SERVICES   No
(9) YUMA ANESTHESIA MEDICAL SERVICES
  		ENTITY MORE THAN 5% OWNED BY RAUL CASTILLO, BOARD MEMBER 1,378,873 MEDICAL SERVICES   No
(10) MICHELLE STRUCK FAMILY MEMBER OF TONY STRUCK, OFFICER 19,120 SALARIES & WAGES   No
(11) SOUTHWEST AZ HEART & VASCULAR CENTER LLC
  		ENTITY MORE THAN 5% OWNED BY ALBERTO MEJIA, BOARD MEMBER 14,381,604 MEDICAL SERVICES   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
YUMA REGIONAL MEDICAL CENTER
 
Employer identification number

86-6007596
Identifier Return Reference Explanation
SERVICES PROVIDED BY VOLUNTEERS: FORM 990, PART I, LINE 6: VOLUNTEERS ARE A VITAL PART OF YUMA REGIONAL MEDICAL CENTER. THAT'S WHY YRMC OFFERS OPPORTUNITIES FOR SERVICE THAT ACCOMMODATE THE SCHEDULES OF WORKING ADULTS, STUDENTS AND RETIREES. SOME OF OUR VOLUNTEERS WORK DIRECTLY WITH PATIENTS, WHILE OTHERS PROVIDE INVALUABLE ASSISTANCE IN SUPPORT AREAS OR WITH SPECIAL PROJECTS. IN 2011, 515 VOLUNTEERS HELPED OUT IN OVER 58 SERVICE AREAS AND CONTRIBUTED ALMOST 66,000 VOLUNTEER HOURS. VOLUNTEERS ARE AN ESSENTIAL PART OF YRMC PERFORMING A VARIETY OF SERVICES TO HELP PATIENTS, VISITORS AND STAFF. THEY OFFER SUPPORT IN CLINICAL AND NON-CLINICAL DEPARTMENTS PERFORMING SUCH DUTIES AS INFORMATION DESK RECEPTIONIST, TRANSPORTING VISITORS AS A CART DRIVER, BOOK AND BEVERAGES CART SERVICE, PATIENT VISITORS AND WHEEL CHAIR TRANSPORTERS, SOOTHING A CRYING BABY IN THE NICU, PRINT SHOP, WAREHOUSE AND OFFICE ASSISTANTS. THEY ALSO WORK IN THE CORNER STORK CAFE, GIFT SHOP AND THE DAILY GRIND RETAIL AREAS. IN ADDITION, VOLUNTEERS SUPPORT UBS BLOOD DRIVES, HOSPITAL SUPPORT GROUPS, COMMUNITY OUTREACH EVENTS, SHADOWING PROGRAM AND PATIENT AND FAMILY CENTER CARE. VOLUNTEERS RAISED $214,000 TO HELP SUPPORT YRMC PATIENT SERVICES AND PROGRAMS. THEY ALSO HAVE A COMMITMENT TO THE COMMUNITY BY DONATING ANNUAL SCHOLARSHIPS TO COLLEGE STUDENTS; FIVE SCHOLARSHIPS WERE AWARDED AT $2,000 EACH. THERE ARE MANY BENEFITS IN BECOMING A VOLUNTEER, ASIDE FROM THE PERSONAL FULFILLMENT MANY RECEIVE IN HELPING THOSE IN NEED, THEY ALSO FEEL A SENSE OF ACCOMPLISHMENT, MEET NEW PEOPLE, LEARN NEW SKILLS AND THE OPPORTUNITY TO EXPLORE CAREERS IN HEALTH CARE.
PROGRAM SERVICE ACCOMPLISHMENTS: FORM 990, PART III, LINE 4A: YUMA REGIONAL MEDICAL CENTER IS A 333 LICENSED BED GENERAL ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT, EMERGENCY ROOM AND OTHER ACUTE CARE AND HOSPITAL RELATED SERVICES TO THE PEOPLE OF YUMA, ARIZONA AND THE SURROUNDING COMMUNITIES. VISION: THE VISION OF YUMA REGIONAL MEDICAL CENTER WILL BE RECOGNIZED AS THE FOCUS FOR HEALTHCARE. WE WILL WORK COLLABORATIVELY TO EVOLVE THE BEST SYSTEM OF COORDINATED HEALTHCARE IN OUR SERVICE AREA. VALUES: COMMITMENT - RESPECT - SAFETY / QUALITY - CREATIVITY - TEAMWORK PRESIDENT/CEO: AS A NOT-FOR-PROFIT COMMUNITY HOSPITAL, YUMA REGIONAL MEDICAL CENTER IS DEDICATED TO MEETING THE HEALTHCARE NEEDS OF THIS COMMUNITY TODAY, TOMORROW AND WELL INTO THE FUTURE. THROUGH THIS REPORT, YOU WILL LEARN ABOUT MANY SERVICES AND PROGRAMS THAT WE PROVIDE. THE YRMC TEAM CONSISTS OF ABOUT 2,000 EMPLOYEES, SOME 300 PHYSICIANS AND OVER 500 VOLUNTEERS. YRMC MAINTAINS THE HIGHEST STANDARDS FOR OUR MEDICAL STAFF TO HELP ENSURE YOU RECEIVE THE QUALITY CARE YOU EXPECT. MORE THAN 95 PERCENT OF THE PHYSICIANS PRACTICING AT YRMC ARE BOARD CERTIFIED/ELIGIBLE IN ONE OR MORE SPECIALTIES. WE PLEDGE TO SERVE AS AN ACTIVE COMMUNITY PARTNER WHILE CONTINUING OUR MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. CHAIRMAN, YRMC BOARD OF DIRECTORS: THE BOARD OF YUMA REGIONAL MEDICAL CENTER IS COMPOSED OF AN ARRAY OF PROFESSIONALS WHO BRING THEIR SKILLS AND TALENTS TOGETHER TO WORK WITHOUT PAY SO THAT YOU CAN RECEIVE THE HIGHEST QUALITY OF MEDICAL CARE IN YOUR COMMUNITY. AS WE LOOK TO THE FUTURE, THE YRMC BOARD OF DIRECTORS HAS AGAIN SET THE BAR HIGH. IT IS OUR VISION TO WORK COLLABORATIVELY TO EVOLVE THE BEST SYSTEM OF COORDINATED HEALTH CARE IN OUR SERVICE AREA. AS A NON-PROFIT COMMUNITY HOSPITAL, WE REINVEST FUNDS REMAINING AT THE CLOSE OF THE YEAR TO NEW SERVICES AND PROGRAMS FOR THE COMMUNITY. OUR STRATEGIES MOVING FORWARD INCLUDE THE CONTINUED IMPLEMENTATION OF AN ELECTRONIC HEALTH RECORD TO IMPROVE PATIENT SAFETY AND QUALITY; INVESTMENT IN FACILITIES WHICH INCLUDES A NEW EMERGENCY DEPARTMENT AND A COMMUNITY CANCER CENTER; IMPROVE PATIENT ACCESS TO SERVICES THROUGH RECRUITMENT OF PHYSICIANS IN IDENTIFIED SHORTAGE AREAS, INVESTMENT IN NEW TECHNOLOGIES; REMAINING FINANCIALLY SOUND; AND PROVIDING THE HIGHEST STANDARD OF CARE AND PATIENT SAFETY. AS A NOT-FOR-PROFIT HOSPITAL, YRMC HAS NO SHAREHOLDERS. WE ANSWER TO AND ARE OWNED BY THE COMMUNITY WE SERVE. FINANCIAL: A SOLID FUTURE: AS A NON-PROFIT HOSPITAL, YUMA REGIONAL MEDICAL CENTER RELIES SOLELY ON PATIENT REVENUES FOR FUNDING. WE DO NOT RECEIVE LOCAL, STATE OR FEDERAL TAX MONEY. THERE ARE NO OUT-OF-STATE CORPORATIONS OR PRIVATE SHAREHOLDERS INVOLVED WITH YRMC - THE ONLY SHAREHOLDERS ARE THE PEOPLE AND COMMUNITIES WE SERVE. THE MEDICAL CENTER INCURRED EXPENSES OF APPROXIMATELY $1,137,000 IN 2011 SUPPORTING COMMUNITY BENEFIT PROGRAMS. CHARITY CARE/FINANCIAL ASSISTANCE: AT YUMA REGIONAL MEDICAL CENTER, WE BELIEVE THAT ALL PEOPLE HAVE A RIGHT TO MEDICALLY NECESSARY HEALTH CARE AND EQUAL ACCESS TO DIAGNOSTIC AND THERAPEUTIC TREATMENT, REGARDLESS OF FINANCIAL STATUS. ELIGIBILITY CRITERIA FOR CHARITY CARE OR DISCOUNTS ARE BASED ON A PERCENTAGE OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUAL "POVERTY GUIDELINES." ELIGIBILITY CRITERIA INCLUDES INDIVIDUAL OR FAMILY INCOME, INDIVIDUAL OR FAMILY NET WORTH, EMPLOYMENT STATUS, OTHER FINANCIAL OBLIGATIONS, AMOUNT AND FREQUENCY OF HEALTHCARE BILLS AND OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT. BECAUSE YRMC DOES NOT PURSUE COLLECTIONS, CHARITY CARE IS NOT INCLUDED IN NET PATIENT SERVICE REVENUE. A COPY OF THE YRMC'S CHARITY CARE POLICY IS AVAILABLE ON THE WEBSITE WWW.YUMAREGIONAL.ORG. THE COSTS OF THESE SERVICES ARE ESTIMATED TO BE $7,492,000 IN 2011. UNPAID COST OF PUBLIC PROGRAMS: PUBLIC PROGRAMS SUCH AS ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ARE PROVIDED FOR THE POOR AND INDIGENT. PUBLIC PROGRAMS SUCH AS MEDICARE ARE PROVIDED FOR THE ELDERLY. PUBLIC PROGRAMS DO NOT ALWAYS COVER THE COSTS OF PROVIDING THOSE SERVICES. THE UNREIMBURSED COSTS OF THE AHCCCS PROGRAM WERE APPROXIMATELY $13,340,000 IN 2011. CARE OF UNDOCUMENTED PATIENTS: YUMA REGIONAL MEDICAL CENTER PROVIDES CARE FOR PATIENTS WHO HAVE ENTERED THE COMMUNITY ILLEGALLY. THE CHARGES FOR THESE PATIENTS ARE PARTIALLY REIMBURSED UNDER SECTION 1011 OF THE MEDICARE PRESCRIPTION DRUG, IMPROVEMENT AND MODERNIZATION ACT OF 2003. THE UNREIMBURSED COSTS FOR SERVING THESE PATIENTS WERE APPROXIMATELY $367,000 IN 2011. CHILDREN'S REHAB SERVICES: ARIZONA DEPARTMENT OF HEALTH SERVICES PROVIDES FUNDING FOR SERVICES TO CHILDREN WITH SEVERE DISABILITIES. THE FUNDING PAYS FOR A PORTION OF THE COSTS OF SERVICES PROVIDED. CHILDREN'S SCHOOL HEALTHCARE PROGRAM: YUMA REGIONAL MEDICAL CENTER SPONSORED CLINICS IN SIX SCHOOL DISTRICTS IN YUMA COUNTY - FROM SAN LUIS TO DATELAND THROUGH MARCH 2011 WHEN IT WAS TRANSITIONED TO SUNSET COMMUNITY HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER. SUNSET'S STRATEGIC MISSION ALLOWS THEM TO EXPAND THE PROGRAM TO EVEN MORE UNDERSERVED KIDS IN THE COMMUNITY. SINCE 1996, THE CLINICS HAVE PROVIDED FREE, PRIMARY CARE FOR KIDS THAT MAY OTHERWISE END UP AT THE EMERGENCY DEPARTMENT. THE COSTS FOR THIS PROGRAM WERE $232,000 IN 2011. WE'RE NOT FOR PROFIT...WE'RE FOR HEALTHY BEGINNINGS. THE BIRTH OF A BABY IS A PRECIOUS GIFT AND AN EXCITING TIME IN THE LIVES OF EXPECTANT COUPLES. YET, NO MATTER HOW HARD THEY MAY BE WORKING TO SUPPORT THEIR FAMILIES, SOME OF THEM STILL FACE FINANCIAL PRESSURES BECAUSE THEY DON'T HAVE MEDICAL INSURANCE THAT COVERS THE PRENATAL CARE AND DELIVERY OF THEIR BABY.
PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED: FORM 990, PART III, LINE 4A: WE'RE FOR EDUCATION...FUTURE HEALTHCARE PROFESSIONALS TO PROVIDE THE BEST POSSIBLE PATIENT CARE, NURSES NEED TO BE HIGHLY SKILLED IN MANY AREAS. BUT HAVE YOU EVER WONDERED HOW THEY DEVELOP THESE SKILLS? HOW, FOR EXAMPLE, DO THEY LEARN TO INSERT AN IV...CHANGE THE DRESSINGS ON A WOUND...OR RESPOND TO A PATIENT WHO IS GOING INTO CARDIAC ARREST? FOR NURSING STUDENTS ATTENDING NORTHERN ARIZONA UNIVERSITY-YUMA OR UNIVERSITY OF ARIZONA, THE ANSWER IS YRMC'S CLINICAL SKILLS LAB. FUNDED ENTIRELY BY YRMC, THE CLINICAL SKILLS LAB IS EQUIPPED WITH SPECIALLY DESIGNED SIMULATION MANNEQUINS THAT NURSING STUDENTS CAN PRACTICE ON TO PREPARE THEM FOR THEIR WORK WITH REAL PATIENTS. "THEY CAN PLACE NG (NASOGASTRIC) TUBES, THEY CAN START IVS, THEY CAN PLACE CATHETERS, DO DRESSING CHANGES AND ASSESSMENTS," EXPLAINS KRISTIE VAN DYN HOVEN, MSN, RNC, AND YRMC'S ACADEMIC LIAISON NURSE AND EXTERN COORDINATOR. "THEY CAN ALSO PRACTICE BED MAKING, DAILY PATIENT CARE, MOVING PATIENTS, LIFTING, AND MEDICATION ADMINISTRATION." INSTRUCTORS CAN SET THE MANNEQUIN'S HEART RATE, BLOOD PRESSURE, LUNG SOUNDS, BOWEL SOUNDS AND OTHER VITAL SIGNS TO SIMULATE A VARIETY OF CLINICAL SCENARIOS. YRMC'S CLINICAL SKILLS LAB ALSO INCLUDES A SIMULATION ROOM EQUIPPED WITH A TECHNOLOGICALLY ADVANCED MANNEQUIN KNOWN AS "SIMMAN." "IT'S A FULLY AUTOMATED MANNEQUIN," KRISTIE EXPLAINS. "WE CAN PROGRAM HIM TO DO ANYTHING WE WANT. WE CAN PROGRAM HIM TO HAVE SHORTNESS OF BREATH, BE DISORIENTED, GO INTO CARDIAC ARREST OR HAVE A STROKE." SIMMAN CAN EVEN BE PROGRAMMED TO TALK TO GIVE NURSING STUDENTS IMPORTANT VERBAL CUES ON ANY PAIN OR DISCOMFORT HE MAY BE "FEELING" AND HOW HE IS RESPONDING TO TREATMENT. WE'RE FOR NURSING EDUCATION...THROUGH LAUNCHING NEW CAREERS. EDUCATIONAL SUPPORT IN FY 2011: IN FY 2011, YRMC PROVIDED $376,823 IN FINANCIAL SUPPORT TO THE NURSING PROGRAM AT ARIZONA WESTERN COLLEGE (AWC). IN ADDITION, YRMC PROVIDED $164,397 IN OPERATING COSTS FOR THE CLINICAL SKILLS LAB WHICH BENEFITS NURSING STUDENTS AT NORTHERN ARIZONA UNIVERSITY-YUMA (NAU) AND UNIVERSITY OF ARIZONA (U OF A). WE'RE FOR HELPING CHILDREN WITH ASTHMA. GOING AWAY TO CAMP IS A FUN CHILDHOOD EXPERIENCE MANY OF US TAKE FOR GRANTED. HOWEVER CHILDREN WHO HAVE ASTHMA ARE OFTEN DENIED THIS OPPORTUNITY DUE TO PARENTAL CONCERNS ABOUT CONTROLLING THEIR SYMPTOMS WHILE THEY'RE AWAY. THANKS TO THE RESPIRATORY TEAM AND PARTNERS IN OUR COMMUNITY, CHILDREN WITH ASTHMA CAN ENJOY THE FUN OF CAMP IN A SAFE ENVIRONMENT. EACH YEAR, YRMC SPONSORS CAMP NOT-A-CHOO, A SAFE AND ENJOYABLE OVERNIGHT CAMP EXPERIENCE DESIGNED FOR CHILDREN 8-11 WHO HAVE MODERATE TO SEVERE ASTHMA. NOW ENTERING ITS EIGHTH YEAR, CAMP NOT-A-CHOO WAS THE BRAINCHILD OF TWO YRMC REGISTERED RESPIRATORY THERAPISTS, TINA AND JUANITA. "IT WAS OUR VISION TO HAVE AN OVERNIGHT CAMP WHERE KIDS COULD HAVE FUN WHILE LEARNING TO CONTROL THEIR ASTHMA," TINA EXPLAINS. TODAY THE CAMP IS OPERATED BY THE REGIONAL CENTER FOR BORDER HEALTH. CAMP NOT-A-CHOO IS DESIGNED TO PROMOTE A POSITIVE SELF-IMAGE AND INDEPENDENCE FOR CHILDREN WITH ASTHMA. EACH CAMPER IS ASSESSED BY A VOLUNTEER PULMONOLOGIST TWO WEEKS BEFORE CAMP TO ENSURE THAT THEY'RE ON THE CORRECT MEDICATION. THEN, ON THE FIRST NIGHT OF CAMP, THE CHILDREN PARTICIPATE IN A HANDS-ON DEMONSTRATION OF THE EQUIPMENT THEY NEED TO MANAGE THEIR ASTHMA. THE CAMPERS ENJOY TRADITIONAL CAMP ACTIVITIES SUCH AS ARTS AND CRAFTS, GAMES, AND SPORTS. THEY ALSO VISIT A SERIES OF STATIONS TO LEARN ABOUT ASTHMA "TRIGGERS." TINA GIVES AN EXAMPLE. "THEY'LL LEARN ABOUT TRIGGERS SUCH AS HORSES OR DOGS SO THEY CAN LEARN WHAT DO IF SOMETHING HAPPENS TO THEM. THEN THEY'LL GO WORK WITH THE HORSES OR THERAPY DOGS." THERE IS EVEN A CAMPFIRE FOR THE CHILDREN TO ENJOY. "THEY JUST HAVE TO TAKE THEIR MEDICINE BEFORE THEY GO TO THE CAMPFIRE BECAUSE THAT CAN BE ONE OF THEIR TRIGGERS," TINA ADDS. CAMP NOT-A-CHOO OFFERS THESE CHILDREN A FUN WAY TO LEARN HOW TO MANAGE THEIR ASTHMA SYMPTOMS SO THEY CAN ENJOY THEIR LIVES MORE FULLY. THE CAMP CAN ACCOMMODATE UP TO 25 CHILDREN, AND SCHOLARSHIPS ARE AVAILABLE FOR THOSE WHO CANNOT AFFORD TO ATTEND. THE CAMP IS STAFFED AROUND-THE-CLOCK BY A DOCTOR, NURSES, AND RESPIRATORY THERAPISTS, SO PARENTS CAN HAVE THE PEACE OF MIND OF KNOWING THAT THEIR CHILD WILL BE WELL SUPPORTED PHYSICALLY, MEDICALLY AND EMOTIONALLY. THE CAMP CONCLUDES WITH A CELEBRATION ATTENDED BY THE CAMPERS AND THEIR PARENTS. WE'RE IMPROVING...ACCESS TO PHYSICIANS. YRMC RECRUITS PHYSICIANS TO YUMA FOR THE BENEFIT OF THE COMMUNITY. IN FISCAL YEAR 2011, YRMC SUCCESSFULLY RECRUITED 22 PHYSICIANS TO THE COMMUNITY. THESE EFFORTS ARE BASED ON A MEDICAL STAFF DEVELOPMENT PLAN WHICH IDENTIFIES PHYSICIAN SPECIALTIES THAT ARE EITHER NOT CURRENTLY AVAILABLE IN THE COMMUNITY, OR THOSE SPECIALTIES IN WHICH OUR CURRENT SUPPLY OF PHYSICIANS IS NOT SUFFICIENT TO MEET THE GROWING DEMAND FOR THESE SERVICES. WE'RE FOR HELPING PEOPLE...AT A CROSSROADS IN THEIR LIFE. YUMA REGIONAL MEDICAL CENTER IS A PROUD SUPPORTER OF CROSSROADS MISSION, A NONPROFIT ORGANIZATION THAT HAS BEEN DEDICATED TO SERVING THOSE IN NEED IN YUMA COUNTY FOR THE PAST 50 YEARS. WHETHER THESE INDIVIDUALS ARE FACING HOMELESSNESS, UNEMPLOYMENT, ADDICTIONS, OR OTHER LIFE-ALTERING CHALLENGES, THEY CAN TURN TO CROSSROADS MISSION FOR HELP. YRMC SUPPORTS CROSSROADS MISSION IN SEVERAL WAYS. IT TRULY IS A COMMUNITY PARTNERSHIP," EXPLAINS MYRA GARLIT, CROSSROADS' EXECUTIVE DIRECTOR. "MOST RECENTLY, THE HOSPITAL HELPED US PURCHASE 25 MATTRESSES FOR OUR SHELTER. ON A LARGE SCALE, WE RECEIVE FUNDING FROM YRMC EVERY YEAR TO HELP OFFSET THE COSTS OF OUR FIRST STEPS CENTER. THESE FUNDS HELP SUPPORT THE MEDICAL UNIT FOR OUR DRUG AND ALCOHOL RECOVERY PROGRAM WHERE PATIENTS GO THROUGH DETOXIFICATION AND GET STABILIZED." CROSSROADS MISSION SERVES APPROXIMATELY 3,000 PEOPLE EACH YEAR. "OUR OVERALL MISSION IS TO HELP PEOPLE AT THE CROSSROADS OF THEIR LIFE," MYRA SAYS. "WE WANT TO MAKE YUMA COUNTY BETTER ONE PERSON AT A TIME."
PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED: FORM 990, PART III, LINE 4A: WE'RE FOR LENDING A HELPING HAND. YRMC EMPLOYEES ARE PASSIONATE ABOUT VOLUNTEERING. IN FY 2011 THEY SELFLESSLY DONATED MORE THAN 1,794 HOURS OF THEIR FREE TIME TO WORK AT A VARIETY OF COMMUNITY OUTREACH EVENTS.
FORM 990, PART VI, SECTION A, LINE 4   BYLAWS WERE CLARIFIED DUE TO A CONFLICT IN TWO PROVISIONS. THE CEO, CHIEF OF MEDICAL STAFF AND THE PHYSICIAN REPRESENTATIVE TOGETHER HAVE ONE VOTE UNDER THE REVISED BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11   THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY THE FINANCE DEPARTMENT. THE 990 IS THEN REVIEWED BY MANAGEMENT IN THE FINANCE DEPARTMENT AND PRESENTED TO THE BOARD AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE 990 IS THEN PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING WITH THE IRS.
  FORM 990, PART VI, SECTION B, LINE 12C YRMC RECOGNIZES THAT THE POTENTIAL FOR CONFLICTS OF INTEREST EXISTS FOR DECISION-MAKERS AT ALL LEVELS WITHIN THE ORGANIZATION. LEVELS WITHIN THE ORGANIZATION INCLUDE YRMC EMPLOYEES, VOLUNTEERS, AND BOARD MEMBERS. YRMC REQUIRES THE DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST SO THAT APPROPRIATE ACTION MAY BE TAKEN TO ENSURE THAT SUCH CONFLICTS WILL NOT INAPPROPRIATELY INFLUENCE IMPORTANT DECISIONS. EMPLOYEES ARE REQUIRED TO DISCLOSE ANY AND ALL POTENTIAL CONFLICTS OF INTEREST THAT COULD INAPPROPRIATELY INFLUENCE DECISIONS. THIS WOULD INCLUDE BECOMING INVOLVED AS A VENDOR, OR RECEIVING REMUNERATION OR OTHER BENEFIT FROM A VENDOR. THIS INCLUDES IMMEDIATE FAMILY MEMBERS. IF A TRANSACTION IS PLANNED, THE EMPLOYEE MUST DISCLOSE THE FOLLOWING INFORMATION TO HIS OR HER DEPARTMENT DIRECTOR AND THE V.P. OF HUMAN RESOURCES: THE EMPLOYEE'S OR FAMILY MEMBER'S PERSONAL INTEREST, AND A DESCRIPTION OF THE PROPOSED TRANSACTION INCLUDING ALL RELEVANT INFORMATION. YRMC'S WORKFORCE MEMBER ACKNOWLEDGEMENT, CONFIDENTIALITY AGREEMENT, CONFLICT OF INTEREST AND DISCLOSURE STATEMENT AND CERTIFICATION FORM IS SIGNED UPON ENTRY AND THEN ANNUALLY. RECORDS ARE RETAINED IN THE PERSONNEL FILE IN THE VOLUNTEER DEPARTMENT OFFICE OR THE HUMAN RESOURCES DEPARTMENT OFFICE. DOCUMENTS SIGNED BY MEMBERS OF THE YRMC BOARD OF DIRECTORS ARE KEPT WITH THE BOARD COORDINATOR.
  FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF YUMA REGIONAL MEDICAL CENTER HAS ADOPTED A COMPETITIVE PAY STRATEGY IN ORDER TO ATTRACT AND RETAIN QUALIFIED EXECUTIVES TO LEAD OUR ORGANIZATION AND TO FAIRLY COMPENSATE EXECUTIVES FOR ADVANCING THE MISSION OF YUMA REGIONAL MEDICAL CENTER. THE POLICY IS ALSO INTENDED TO ESTABLISH A FORMAL, CONSISTENT PROCESS FOR GOVERNING EXECUTIVE COMPENSATION DECISIONS. THIS PROCESS IS MEANT TO ESTABLISH A "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER IRC SECTION 4958. TO SECURE A LEGAL "REBUTTABLE PRESUMPTION OF REASONABLENESS" IN DETERMINING COMPENSATION OF THE CEO AND OTHER EXECUTIVES CONSIDERED DISQUALIFIED INDIVIDUALS, AN OUTSIDE CONSULTANT IS ENGAGED PERIODICALLY TO PROVIDE COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION IN SETTING UP TOTAL COMPENSATION PACKAGES INCLUDING AN INCENTIVE PAY PROGRAM KNOWN AS "PAY AT RISK" AND EXECUTIVE RETIREMENT PROGRAMS. OUR TOTAL COMPENSATION PHILOSOPHY IS COMPRISED OF THE FOLLOWING ELEMENTS: ROLE OF THE EXECUTIVE COMMITTEE: THE BOARD'S EXECUTIVE COMMITTEE, AFTER REVIEWING THE MATERIAL PROVIDED BY THE CONSULTANT, SETS THE COMPENSATION FOR THE PRESIDENT/CEO AS WELL AS THE COMPENSATION POLICY AND STRATEGY FOR OTHER EXECUTIVES. THE EXECUTIVE COMMITTEE WILL REVIEW AND APPROVE, OR MODIFY AS APPROPRIATE, THE CEO'S RECOMMENDATIONS FOR OTHER EXECUTIVES. THE EXECUTIVE COMMITTEE PRESENTS ITS RECOMMENDATIONS TO THE FULL BOARD FOR ENDORSEMENT. PEER GROUP: A NATIONAL PEER GROUP OF HEALTH CARE ORGANIZATIONS COMPARABLE TO YRMC IN REVENUE, STRUCTURE, MISSION AND SCOPE OF OPERATIONS WILL BE USED IN COLLECTING COMPARABILITY DATA. COMPETITIVE POSITIONING: -SALARY RANGE MIDPOINTS ARE SET AT THE 60TH PERCENTILE OF THE PEER GROUP. INDIVIDUAL SALARIES ARE POSITIONED WITHIN THE SALARY RANGES BASED ON FACTORS SUCH AS QUALIFICATIONS, EXPERIENCE AND PERFORMANCE AS WELL AS RECRUITMENT AND RETENTION NEEDS. -ANNUAL INCENTIVE OPPORTUNITY FOR THE PRESIDENT/CEO, VICE PRESIDENTS AND DIRECTORS ARE POSITIONED ON PAR WITH THE AVERAGE LEVELS PROVIDED TO INDIVIDUALS OCCUPYING COMPARABLE POSITIONS IN THE PEER GROUP. -BENEFIT EXPENDITURES ARE POSITIONED ABOVE THE 75TH PERCENTILE AND DESIGNED TO ENCOURAGE RETENTION AND STABILITY OF THE EXECUTIVE TEAM. -OUR TOTAL COMPENSATION INCLUDING CASH COMPENSATION AND BENEFITS WILL BE POSITIONED AT APPROXIMATELY THE 75TH PERCENTILE FOR EXPECTED PERFORMANCE. TOTAL COMPENSATION ABOVE THE 75TH PERCENTILE MAY BE ACHIEVED FOR EXCEPTIONAL OR SUPERIOR PERFORMANCE. APPROPRIATE PERQUISITES WILL BE PROVIDED BASED ON POSITION LEVEL AND TYPICALLY WILL BE FUNDED BY A PERQ ALLOWANCE. A MODERATE SEVERANCE POLICY IS ALSO PROVIDED BASED ON POSITION LEVEL. SEE THE SEVERANCE POLICY FOR FURTHER DETAIL. PAY AT RISK INCENTIVE PROGRAM: YRMC'S ANNUAL INCENTIVE PLAN (OUR "PAY AT RISK" PROGRAM) USES A COMBINATION OF ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE MEASURES. ORGANIZATIONAL MEASURES ALIGNED WITH THE ORGANIZATION'S PILLARS OF PERFORMANCE INCLUDING QUALITY/SAFETY; SERVICE SATISFACTION; PEOPLE, SYSTEMS, PROCESSES; FINANCE AND GROWTH ARE ESTABLISHED ANNUALLY AND APPROVED BY THE BOARD EXECUTIVE COMMITTEE. THE WEIGHTING FOR EACH MEASURE IS ESTABLISHED ANNUALLY AND SLIGHTLY MORE WEIGHT MAY APPLY TO ANY OF THESE FIVE CATEGORIES. -TRIGGERS ARE ESTABLISHED TO DEFINE CERTAIN MINIMUM PERFORMANCE LEVELS THAT MUST BE MET BEFORE INCENTIVE AWARDS MAY BE PAID. -NET OPERATING MARGIN MUST BE ACHIEVED AT A MINIMUM OF 80% OF BUDGET. -ACCREDITATION MUST BE MAINTAINED. -PERFORMANCE MEASURES ARE TYPICALLY EXPRESSED IN TERMS OF DEFINED OUTCOMES: EACH PERFORMANCE MEASURE INCLUDES THREE LEVELS OF PERFORMANCE THAT CORRESPOND TO THREE LEVELS OF AWARD OPPORTUNITY: -A THRESHOLD LEVEL OF PERFORMANCE REPRESENTING "SIGNIFICANT PROGRESS" TOWARD ACHIEVING THE PLANNED PERFORMANCE OBJECTIVE. (TARGET) -A STRETCH LEVEL OF PERFORMANCE INDICATING THAT THE PLANNED PERFORMANCE OBJECTIVE HAS BEEN FULLY ACHIEVED. (WINNING) -AN OUTSTANDING LEVEL OF PERFORMANCE REPRESENTING RESULTS THAT "CLEARLY EXCEED" THE PLANNED PERFORMANCE OBJECTIVE. (MAXIMUM OR CHAMPION) TARGETS ARE SET AT THE 60TH PERCENTILE OF NATIONAL DATA WHEN AVAILABLE. -WINNING LEVEL IS SET AT THE 75TH PERCENTILE AND CHAMPION LEVEL IS THE 90TH PERCENTILE. FOR FINANCIAL MEASURES, WINNING IS SET AT THE BUDGET LEVEL WITH 95% EQUALING TARGET AND 105% EQUALING CHAMPION LEVEL. EACH YEAR, THE CEO RECOMMENDS TO THE COMMITTEE THE OUTCOMES REQUIRED TO ACHIEVE EACH GOAL LEVEL AND PROVIDES SUPPORTING RATIONALE AND DATA FOR THE RECOMMENDATIONS. THE COMMITTEE REVIEWS THE RECOMMENDATIONS, MODIFIES AS APPROPRIATE, AND APPROVES THE FINAL GOALS AND REQUIRED OUTCOMES. PERFORMANCE LEVEL PERCENTAGES ARE SET BASED ON POSITION. -CEO'S WINNING LEVEL EQUALS 40% OF INCUMBENT'S SALARY WITH A MINIMUM OF 30% AND A MAXIMUM OF 50% WITH 100% WEIGHTING ON ORGANIZATIONAL GOALS. -VICE PRESIDENT'S WINNING LEVEL EQUALS 20% OF INCUMBENT'S SALARY WITH A MINIMUM OF 10% AND A MAXIMUM OF 30% WITH 70% WEIGHTING ON ORGANIZATIONAL GOALS, 30% WEIGHTING FOR DIVISION GOALS. -DIRECTOR'S WINNING LEVEL EQUALS 10% OF MIDPOINT OF SALARY RANGE WITH A MINIMUM OF 5% AND A MAXIMUM OF 15% WITH 60% WEIGHTING ON ORGANIZATIONAL GOALS, 40% WEIGHTING FOR DIVISION GOALS. -THE AMOUNT, IF ANY, DUE WILL BE PAID PRIOR TO THE DECEMBER 31 FOLLOWING THE CLOSE OF THE FISCAL YEAR. INSURANCE PRODUCTS: A NUMBER OF EXECUTIVE INSURANCE PRODUCTS ARE AVAILABLE AT THE EXECUTIVE'S CHOICE. THESE BENEFITS ARE OPTIONAL AND EXECUTIVES WILL HAVE AN OPPORTUNITY TO ELECT THESE BENEFITS AT ANY TIME. WITH THE EXCEPTION OF SURVIVOR LIFE INSURANCE, EXECUTIVES MAY BE BILLED DIRECTLY FOR THESE PRODUCTS AND PREMIUMS ARE PAID ON AN AFTER TAX BASIS. THE CURRENTLY AVAILABLE PROGRAMS ARE: -LONG-TERM CARE INSURANCE FOR THE EXECUTIVE AND SPOUSE -EXECUTIVE DISABILITY COVERAGE (THIS WOULD SUPPLEMENT THE BASIC HOSPITAL PLAN) -SURVIVOR LIFE INSURANCE - FOR EXECUTIVES ENROLLING IN THIS BENEFIT, THE HOSPITAL WILL PAY THE EXECUTIVE'S PREMIUM. UNDER APPLICABLE TAX RULES, THE PREMIUM PAYMENTS MADE BY THE HOSPITAL WILL BE TREATED AS A LOAN. THE EXECUTIVE MUST PAY INTEREST ON HOSPITAL PAID PREMIUMS. THE HOSPITAL WILL BE REPAID FROM THE CASH SURRENDER VALUE OF THE POLICY OR THE FACE AMOUNT OF THE POLICY IN THE EVENT OF DEATH. THIS ARRANGEMENT IS DOCUMENTED BY AN AGREEMENT ACCEPTABLE TO THE HOSPITAL. PAID LEAVE TIME CASH OUT: REFER TO THE EXECUTIVE PAID LEAVE TIME CASH OUT POLICY FOR DETAILS. THE PURPOSE OF THIS POLICY IS TO ALLOW EXECUTIVES TO CASH OUT A LIMITED AMOUNT OF PLT TO FUND PREMIUMS OR OTHER COSTS FOR INSURANCE OR TO USE THE PROCEEDS IN WHATEVER MANNER THEY WISH. THE EXECUTIVE HAS TO MEET CERTAIN CRITERIA TO QUALIFY.
  FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -8,239,496. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -3,286,897. INCREASE IN PENSION LIABILITY -18,894,122. TOTAL TO FORM 990, PART XI, LINE 5: -30,420,515.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
YUMA REGIONAL MEDICAL CENTER
 
Employer identification number

86-6007596
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) YUMA REGIONAL OUTPATIENT SURGICAL CENTER
2261 S AVENUE B
YUMA,AZ85364
26-0708281 		HEALTHCARE AZ 3,870,670 9,495,392 N/A
(2) YUMA REGIONAL MED CTR PROF SVCS GROUP
2400 S AVENUE A
YUMA,AZ85364
35-2381086 		HEALTHCARE AZ 478,620 154,523 N/A








Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No












For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) YUMA HEALTHCARE SERVICES INC
2400 S AVENUE A
YUMA,AZ85364
86-0775929 		HEALTHCARE AZ N/A
 C 3,214,031 3,556,429 100.000 %












Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) YUMA HEALTHCARE SERVICES INC

 A 99,387 FMV
(2) YUMA HEALTHCARE SERVICES INC

 N 135,332 FMV
(3) YUMA HEALTHCARE SERVICES INC

 P 384,960 FMV
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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