TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) BROWN ROBERT...................................................................... BOARD MEMBER	5.00 .................	X		0
(2) DANA LORA...................................................................... BOARD MEMBER	5.00 .................	X		0
(3) DIMA CLAUDIA MD...................................................................... BOARD MEMBER	5.00 .................	X		32,500
(4) EARLE FRED...................................................................... BOARD MEMBER	5.00 .................	X		0
(5) ENGEL JULIE...................................................................... BOARD MEMBER	5.00 .................	X		0
(6) GRADIAS LOUIE...................................................................... BOARD MEMBER	5.00 .................	X		0
(7) IMES KEVIN...................................................................... BOARD MEMBER	5.00 .................	X		0
(8) JAUREGUI MARIO...................................................................... BOARD MEMBER (THRU 12/18)	5.00 .................	X		0
(9) MISENHIMER PAGE...................................................................... BOARD MEMBER (THRU 12/18)	5.00 .................	X		0
(10) RAJAMANI SRIDHAR MD...................................................................... BOARD MEMBER	5.00 .................	X		0
(11) RICHEMONT PHILLIP MD...................................................................... BOARD MEMBER	5.00 .................	X		100,464
(12) WILLIAMS JOHN...................................................................... BOARD MEMBER	5.00 .................	X		0
(13) MARTIN WOODY...................................................................... BOARD CHAIR	8.00 .................	X	X	0
(14) DEASON LARRY...................................................................... IMMEDIATE PAST CHAIR	6.00 .................	X	X	0
(15) GUERRERO ISMAEL MD...................................................................... SECRETARY/TREASURER (THRU 3/19)	6.00 .................	X	X	28,304
(16) SHAH ASHVIN MD...................................................................... SECRETARY/TREASURER	5.00 .................	X	X	27,500
(17) STERNITZKE JOHN...................................................................... VICE CHAIR	5.00 .................	X	X	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) TRENSCHEL ROBERT........................................................................ PRESIDENT/CEO	40.00 .......................	X	X				1,176,120	188,460
(19) GRAHAM TIMOTHY MD........................................................................ CHIEF OF STAFF	10.00 .......................	X	X				54,000	0
(20) CLARK RON MD........................................................................ VICE CHIEF OF STAFF	10.00 .......................		X				0	0
(21) FESEHA HABTEAB MD........................................................................ OFFICER OF PHYSICIAN RELATIONS	5.00 .......................		X				27,300	0
(22) WILLIE DAVID........................................................................ VP/CHIEF FINANCIAL OFFICER	40.00 .......................		X				543,105	80,228
(23) ADERS DEBORAH........................................................................ VP/CHIEF NURSING OFFICER	40.00 .......................			X			356,436	48,112
(24) FARREN JUSTIN........................................................................ VP/AMBULATORY OPERATIONS	40.00 .......................			X			338,435	61,250
(25) HEADINGTON MACHELE........................................................................ VP/MARKETING AND COMMUNICATIONS	40.00 .......................			X			300,873	39,953
(26) MAGU BHARAT........................................................................ VP/CHIEF MEDICAL OFFICER	40.00 .......................			X			651,948	69,747
(27) MILNER TRUDIE........................................................................ VP/OPERATIONS	40.00 .......................			X			233,407	15,915
(28) PEET FRED........................................................................ VP/CHIEF INFORMATION OFFICER	40.00 .......................			X			349,334	63,435
(29) SEIBEL ROBERT........................................................................ VP/GENERAL COUNSEL	40.00 .......................			X			407,460	62,708
(30) TSAI PETER........................................................................ CARDIOTHORACIC SURGEON	40.00 .......................				X		1,592,266	20,177
(31) TAKESUYE ROBERT........................................................................ RADIATION ONCOLOGY MEDICAL DIRECTOR	40.00 .......................				X		1,044,623	18,455
(32) CHANDRA ABHINAV........................................................................ ONCOLOGY PROGRAM MEDICAL DIRECTOR	40.00 .......................				X		809,232	39,465
(33) AL RABADI ODAY........................................................................ CARDIOLOGIST	40.00 .......................				X		771,894	38,164
(34) RAVIKUMAR RAMASWAMY........................................................................ CARDIOTHORACIC SURGEON	40.00 .......................				X		702,115	11,000
(35) JONES MARSHALL........................................................................ FORMER VP HR (THRU 08/18)	0.00 .......................					X	182,039	51,480

(A) Name and business address	(B) Description of services	(C) Compensation
YUMA HEART AND VASCULAR LLC 2400 S AVENUE A YUMA,AZ85364	CATH LAB SERVICES	17,698,582
SOUTHWESTERN CRIT CARE MED PO BOX 6935 YUMA,AZ85366	CRITICAL CARE SERVICES	3,815,614
HEALTHCARE SELECT LLC 2680 SOUTH VAL VISTA DR SUITE 161 GILBERT,AZ85295	AGENCY STAFFING SERVICES	3,339,493
SW REHABILITATION ASSOC LTD 2281 W 24TH ST STE 10 YUMA,AZ85364	PHYSICAL THERAPY SERVICES	2,623,355
AEM HOSPITAL SERVICE LLC 1390 W 16TH STREET YUMA,AZ85364	MIDLEVEL PROVIDER SERVICES	2,600,118
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 179

- TIN:

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

YUMA REGIONAL MEDICAL CENTER

Employer identification number

86-6007596

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization YUMA REGIONAL MEDICAL CENTER

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization YUMA REGIONAL MEDICAL CENTER		Employer identification number 86-6007596

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization YUMA REGIONAL MEDICAL CENTER			Employer identification number 86-6007596
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ...................................................................................................................	Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

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)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

77,950

Total. Add lines 1c through 1i ....................................................................................................

77,950

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	YUMA REGIONAL MEDICAL CENTER (YRMC) IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND ARIZONA HOSPITAL ASSOCIATION (AZHHA). YRMC PAID A TOTAL OF $212,979 TO AHA FOR MEMBERSHIP DURING FY 9/30/19. OF THE AMOUNT REPORTED, 36.6% OR $77,950 OF DUES WERE EXPENDED BY AHA FOR SPECIFIC LOBBYING PURPOSES

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax 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 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

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 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII 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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on 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	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	17,201,385		17,201,385
b	Buildings ....	415,398,108	159,583,249	255,814,859
c	Leasehold improvements	19,055,758	13,046,950	6,008,808
d	Equipment ....	266,971,892	214,066,083	52,905,809
e	Other .....	21,699,235		21,699,235
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				353,630,096

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
INTEREST RATE SWAPS AND CAP	7,740,132
OTHER LIABILITIES	10,538,805
MINIMUM PENSION LIABILITY	55,733,746
THIRD PARTY SETTLEMENTS	5,348,084
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	79,360,767
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	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 XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

YUMA REGIONAL MEDICAL CENTER

Employer identification number

86-6007596

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance 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	Financial Assistance at cost (from Worksheet 1) . . .			16,182,511	3,985,387	12,197,124	2.540 %
b	Medicaid (from Worksheet 3, column a) . . . . .			129,291,954	82,789,984	46,501,970	9.670 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			145,474,465	86,775,371	58,699,094	12.210 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	21	12,949	284,695	500	284,195	0.060 %
f	Health professions education (from Worksheet 5) . . .	2		154,466		154,466	0.030 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	18	6,000	81,383		81,383	0.020 %
j	Total. Other Benefits . .	41	18,949	520,544	500	520,044	0.110 %
k	Total. Add lines 7d and 7j .	41	18,949	145,995,009	86,775,871	59,219,138	12.320 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(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	3	350	24,888	0	24,888	0.010 %
3	Community support	1	0	1,250	0	1,250	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	2	0	2,179	0	2,179	0 %
7	Community health improvement advocacy	2	400	10,959	0	10,959	0 %
8	Workforce development	1	0	127	0	127	0 %
9	Other
10	Total	9	750	39,403		39,403	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

34,898,751

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

132,817,720

Enter Medicare allowable costs of care relating to payments on line 5.....

141,241,426

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-8,423,706

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?5Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Other (describe)	Facility reporting group
1	YUMA REGIONAL MEDICAL CENTER 2400 S AVENUE A YUMA,AZ85364 WWW.YUMAREGIONAL.ORG H0097	X	X	X		A
2	YUMA REGIONAL MEDICAL CENTER - FOOTHILLS 11142 S SCOTTSDALE DRIVE YUMA,AZ85367 WWW.YUMAREGIONAL.ORG H0097		X			A
3	YUMA REGIONAL MEDICAL PLAZA 2460 PARKVIEW LOOP YUMA,AZ85364 WWW.YUMAREGIONAL.ORG H0097		X		OP SURGERY; IMAGING; CARDIAC REHAB; WOUND CARE; BARIATRIC	A
4	YUMA REGIONAL CANCER CENTER 1320 W 24TH STREET YUMA,AZ85364 WWW.YUMAREGIONAL.ORG H0097		X			A
5	YUMA REHABILITATION HOSPITAL 901 W 24TH STREET YUMA,AZ85364 WWW.ENCOMPASSHEALTH.COM SH3378	X				B

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	YUMA REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.YUMAREGIONAL.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://WWW.YUMAREGIONAL.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	YUMA REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.YUMAREGIONAL.ORG

The FAP application form was widely available on a website (list url):

HTTP://WWW.YUMAREGIONAL.ORG

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.YUMAREGIONAL.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	YUMA REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	YUMA REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	YUMA REHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	YUMA REHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.ENCOMPASSHEALTH.COM

The FAP application form was widely available on a website (list url):

WWW.ENCOMPASSHEALTH.COM

A plain language summary of the FAP was widely available on a website (list url):
WWW.ENCOMPASSHEALTH.COM

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	YUMA REHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	YUMA REHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: YUMA REGIONAL MEDICAL CENTER, - FACILITY 2: YUMA REGIONAL MEDICAL CENTER - FOOTHILLS, - FACILITY 3: YUMA REGIONAL MEDICAL PLAZA, - FACILITY 4: YUMA REGIONAL CANCER CENTER
YUMA REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5:	SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY:"AREAS OF OPPORTUNITY" WERE IDENTIFIED THAT REPRESENT THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY BASED ON THE INFORMATION GATHERED THROUGH THIS COMMUNITY HEALTH NEEDS ASSESSMENT. FROM THESE DATA, IT WAS NOTED THAT OPPORTUNITIES FOR HEALTH IMPROVEMENT EXIST IN THE AREA WITH REGARD TO A VARIETY OF HEALTH ISSUES. THE AREAS OF OPPORTUNITY WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); IDENTIFIED TRENDS; THE PREPONDERANCE OF -SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THESE ALSO TAKE INTO ACCOUNT THOSE ISSUES OF GREATEST CONCERN TO THE COMMUNITY STAKEHOLDERS (KEY INFORMANTS) GIVING INPUT TO THIS PROCESS.COMMUNITY FEEDBACK ON PRIORITIZATION OF HEALTH NEEDS:ON SEPTEMBER 26, 2019, YUMA REGIONAL MEDICAL CENTER CONVENED 70 COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) AND INTERNAL TEAM MEMBERS TO EVALUATE, DISCUSS, AND PRIORITIZE HEALTH ISSUES FOR COMMUNITY, BASED ON FINDINGS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) BEGAN THE MEETING WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH. FOLLOWING THE DATA REVIEW, PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA:SCOPE & SEVERITY -THE FIRST RATING WAS TO GAUGE THE MAGNITUDE OF THE PROBLEM IN CONSIDERATION OF THE FOLLOWING: HOW MANY PEOPLE ARE AFFECTED? HOW DOES THE LOCAL COMMUNITY DATA COMPARE TO STATE OR NATIONAL LEVELS, OR HEALTHY PEOPLE 2020 TARGETS TO WHAT DEGREE DOES EACH HEALTH ISSUE LEAD TO DEATH OR DISABILITY, IMPAIR QUALITY OF LIFE, OR IMPACT OTHER HEALTH ISSUES?RATINGS WERE ENTERED ON A SCALE OF 1 (NOT VERY PREVALENT AT ALL, WITH ONLY MINIMAL HEALTH CONSEQUENCES) TO 10 (EXTREMELY PREVALENT, WITH VERY SERIOUS HEALTH CONSEQUENCES). ABILITY TO IMPACT - A SECOND RATING WAS DESIGNED TO MEASURE THE PERCEIVED LIKELIHOOD OF THE HOSPITAL HAVING A POSITIVE IMPACT ON EACH HEALTH ISSUE, GIVEN AVAILABLE RESOURCES, COMPETENCIES, SPHERES OF INFLUENCE, ETC. RATINGS WERE ENTERED ON A SCALE OF 1 (NO ABILITY TO IMPACT) TO 10 (GREAT ABILITY TO IMPACT).INDIVIDUALS' RATINGS FOR EACH CRITERIA WERE AVERAGED TO PRODUCE AN OVERALL SCORE. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS:1. MENTAL HEALTH2. ACCESS TO HEALTHCARE SERVICES3. DIABETES4. SUBSTANCE ABUSE5. HEART DISEASE & STROKE6. NUTRITION, PHYSICAL ACTIVITY & WEIGHT7. CANCER8. INFANT HEALTH9. RESPIRATORY DISEASES10. KIDNEY DISEASE11. POTENTIALLY DISABLING CONDITIONS12. ORAL HEALTH13. INJURY & VIOLENCE
YUMA REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11:	HOSPITAL IMPLEMENTATION STRATEGY:YUMA REGIONAL MEDICAL CENTER WILL USE THE INFORMATION FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY. WHILE THE HOSPITAL WILL LIKELY NOT IMPLEMENT STRATEGIES FOR ALL OF THE HEALTH ISSUES LISTED ABOVE, THE RESULTS OF THIS PRIORITIZATION EXERCISE WILL BE USED TO INFORM THE DEVELOPMENT OF THE HOSPITAL'S ACTION PLAN TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS IN THE COMING YEARS. ALSO, AN EVALUATION OF THE HOSPITAL'S PAST ACTIVITIES TO ADDRESS THE NEEDS IDENTIFIED IN PRIOR CHNAS IS INCLUDED AS THE APPENDIX TO THE CURRENT CHNA REPORT.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 5: YUMA REHABILITATION HOSPITAL

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care 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) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
PART I, LINE 7:	UTILIZING THE WORKSHEETS INCLUDED IN THE INSTRUCTIONS FOR SCHEDULE H, COST-TO-CHARGE RATIOS WERE CALCULATED AND USED TO DETERMINE AMOUNTS REPORTED IN THE TABLE.
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 $ 34,898,751.
PART I LINE 7:	IT SHOULD BE NOTED THAT THE INCREASE IN ELIGIBILITY FOR MEDICAID COVERAGE IN THE STATE OF ARIZONA AS A RESULT OF THE AFFORDABLE CARE ACT HAS DECREASED THE UNINSURED POPULATION AND THEREFORE DECREASED THE FINANCIAL ASSISTANCE AND MEANS - TESTED GOVERNMENT PROGRAMS IN FY 19 (YRMC'S 2018 990) COMPARED TO FY 18 (YRMC'S 2017 990).
PART II, COMMUNITY BUILDING ACTIVITIES:	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 100,000 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 3-4 HOURS PER MONTH IN PROFESSIONAL LEADERSHIP. TOURISM IS A MAJOR INDUSTRY FOR BOTH ARIZONA AND YUMA COUNTY. 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.COMMUNITY SUPPORT:YUMA REGIONAL MEDICAL CENTER IN 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 COMMUNITY WE SERVE.COALITION BUILDING:HOSPITAL REPRESENTATION TO COMMUNITY COALITIONS RELATED TO COMMUNITY HEALTH SUCH AS:- YUMA COMMUNITY FOOD BANK- FOOD FOR LIFE- SALVATION ARMY CHRISTMAS ANGELS PROGRAMCOMMUNITY HEALTH IMPROVEMENT ADVOCACY:LOCAL, STATE, AND NOTIONAL ADVOCACY IN AREAS SUCH AS ACCESS TO HEALTHCARE, PUBLIC HEALTH, TRANSPORTATION AND HOUSING:- CROSSROADS MISSION-HELP THE HOMELESS SHELTER BY PROVIDING BEDDING & FINANCIAL SUPPORT FOR DRUG/DETOX PROGRAM- REGIONAL CENTER FOR BORDER HEALTH- AMBERLY'S PLACE - SUPPORT AND ASSISTANCE FOR VICTIMS OF SEXUAL ABUSE
PART III, LINE 2:	NOTE 4 NET PATIENT SERVICE REVENUE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE MEDICAL CENTER'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, UNDER TOPIC 605, THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 79% OF SELF-PAY PATIENT ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2019. THE MEDICAL CENTER DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS FOR 2019.
PART III, LINE 4:	YRMC PERIODICALLY REVIEWS ITS COLLECTION RATES FOR ALL SELF PAY ACCOUNTS AND ESTIMATES THE ANTICIPATED COLLECTIONS ON ALL OUTSTANDING SELF PAY BALANCES. A RESERVE IS ESTABLISHED TO ESTIMATE THOSE ACCOUNT BALANCES THAT ARE NOT EXPECTED TO BE COLLECTED BASED ON THOSE HISTORICAL COLLECTION RATES.SEE NOTE 2 ON PAGE 9 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE "PATIENT ACCOUNTS RECEIVABLE,NET"
PART III, LINE 8:	THE ORGANIZATION PROVIDES ACUTE MEDICAL CARE TO ALL IN NEED WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY AND WITHOUT REGARD TO THEIR PAYOR SOURCE. THE COMMUNITY BENEFITS FROM THE PROMPT PROVISION OF ACUTE CARE SERVICES AND, TO THE EXTENT YRMC INCURS A SHORTFALL PROVIDING SUCH SERVICES, THIS IS CLEARLY A BENEFIT TO THE COMMUNITY. THE ORGANIZATION UTILIZES THE STEP-DOWN METHOD OF COST ALLOCATION, AS PRESCRIBED BY CMS IN THE MEDICARE COST REPORT.
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 COLLECTIVELY CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT, FUNDED BY YUMA REGIONAL MEDICAL CENTER. THE FINDINGS OF THAT SURVEY WERE SHARED DURING A YUMA COUNTY LEADERSHIP PLENARY SESSION DESIGNED FOR COMMUNITY FEEDBACK AND COMMUNITY HEALTH NEEDS. MORE RECENTLY, YRMC HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS IN 2016 AND 2019, AS OUTLINED IN PART V OF THIS SCHEDULE. EACH YEAR THE YRMC BOARD OF DIRECTORS CONDUCTS A COMPREHENSIVE PHYSICIAN MANPOWER REVIEW, THEN PREPARES A MEDICAL STAFF DEVELOPMENT PLAN (MSDP). YUMA REGIONAL MEDICAL CENTER THEN IMPLEMENTS THE PLAN TO RECRUIT THOSE PROVIDERS NEEDED INTO THE COMMUNITY.
PART VI, LINE 3:	AS EACH PATIENT IS REGISTERED FOR SERVICES, REQUEST FOR INSURANCE INFORMATION 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 WILL INTERVIEW THE PATIENT AND COMPLETE YRMC FINANCIAL ASSISTANCE FORMS. 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 ONLINE WEB BASED APPLICATION CALLED HEALTH-E-AZ. THIS ONLINE PROCESS PROVIDES A TENTATIVE APPROVAL PENDING VERIFICATION OF INFORMATION IF THE PATIENT 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 WISHES TO APPLY, WILL RETRIEVE 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 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.THE FINANCIAL ASSISTANCE PROCESS INVOLVES THE 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 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 60 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 63 PERCENT OF THE POPULATION IS UNDER 45 YEARS OLD. YUMA COUNTY'S POPULATION IS ABOUT 220,000 AND IS EXPECTED TO GROW BY 8 PERCENT IN THE NEXT FIVE YEARS.OVER 72 PERCENT OF THE POPULATION IN YUMA COUNTY HAS A GED OR HIGH SCHOOL DIPLOMA; 15 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER. APPROXIMATELY 4 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).APPROXIMATELY 20% OF THE POPULATION IS BELOW THE POVERTY LINE.
PART VI, LINE 5:	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.SEE DESCRIPTIONS FOR SCHEDULE H, PART II.
PART VI, LINE 6:	N/A
PART VI, LINE 7, REPORTS FILED WITH STATES	AZ

Schedule H (Form 990) 2018

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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

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? ........................

Yes No

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC 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 noncash assistance	(h) Purpose of grant or assistance
(1) YUMA REGIONAL MEDICAL CENTER FOUNDATION 2400 S AVENUE A YUMA,AZ85364	51-0179146	501(C)(3)	20,165				PROGRAM SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

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. 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) 2018

Additional Data

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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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

YUMA REGIONAL MEDICAL CENTER

Employer identification number

86-6007596

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Yes

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Yes

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1TRENSCHEL ROBERT PRESIDENT/CEO	(i) (ii)	888,627 ------------- 0	265,362 ------------- 0	22,131 ------------- 0	166,595 ------------- 0	21,865 ------------- 0	1,364,580 ------------- 0	0 ------------- 0
2WILLIE DAVID VP/CHIEF FINANCIAL OFFICER	(i) (ii)	415,457 ------------- 0	124,350 ------------- 0	3,298 ------------- 0	62,079 ------------- 0	18,149 ------------- 0	623,333 ------------- 0	0 ------------- 0
3ADERS DEBORAH VP/CHIEF NURSING OFFICER	(i) (ii)	273,491 ------------- 0	81,146 ------------- 0	1,799 ------------- 0	41,198 ------------- 0	6,914 ------------- 0	404,548 ------------- 0	0 ------------- 0
4FARREN JUSTIN VP/AMBULATORY OPERATIONS	(i) (ii)	254,170 ------------- 0	83,842 ------------- 0	423 ------------- 0	39,568 ------------- 0	21,682 ------------- 0	399,685 ------------- 0	0 ------------- 0
5HEADINGTON MACHELE VP/MARKETING AND COMMUNICATIONS	(i) (ii)	236,134 ------------- 0	63,609 ------------- 0	1,130 ------------- 0	23,032 ------------- 0	16,921 ------------- 0	340,826 ------------- 0	0 ------------- 0
6MAGU BHARAT VP/CHIEF MEDICAL OFFICER	(i) (ii)	411,764 ------------- 0	238,186 ------------- 0	1,998 ------------- 0	62,751 ------------- 0	6,996 ------------- 0	721,695 ------------- 0	0 ------------- 0
7MILNER TRUDIE VP/OPERATIONS	(i) (ii)	212,708 ------------- 0	19,436 ------------- 0	1,263 ------------- 0	8,962 ------------- 0	6,953 ------------- 0	249,322 ------------- 0	0 ------------- 0
8PEET FRED VP/CHIEF INFORMATION OFFICER	(i) (ii)	267,534 ------------- 0	80,125 ------------- 0	1,675 ------------- 0	41,776 ------------- 0	21,659 ------------- 0	412,769 ------------- 0	0 ------------- 0
9SEIBEL ROBERT VP/GENERAL COUNSEL	(i) (ii)	312,169 ------------- 0	93,485 ------------- 0	1,806 ------------- 0	45,732 ------------- 0	16,976 ------------- 0	470,168 ------------- 0	0 ------------- 0
10TSAI PETER CARDIOTHORACIC SURGEON	(i) (ii)	533,608 ------------- 0	0 ------------- 0	1,058,658 ------------- 0	11,000 ------------- 0	9,177 ------------- 0	1,612,443 ------------- 0	0 ------------- 0
11TAKESUYE ROBERT RADIATION ONCOLOGY MEDICAL DIRECTOR	(i) (ii)	502,681 ------------- 0	492,067 ------------- 0	49,875 ------------- 0	17,026 ------------- 0	1,429 ------------- 0	1,063,078 ------------- 0	0 ------------- 0
12CHANDRA ABHINAV ONCOLOGY PROGRAM MEDICAL DIRECTOR	(i) (ii)	359,131 ------------- 0	413,790 ------------- 0	36,311 ------------- 0	17,507 ------------- 0	21,958 ------------- 0	848,697 ------------- 0	0 ------------- 0
13AL RABADI ODAY CARDIOLOGIST	(i) (ii)	700,000 ------------- 0	35,000 ------------- 0	36,894 ------------- 0	16,001 ------------- 0	22,163 ------------- 0	810,058 ------------- 0	0 ------------- 0
14RAVIKUMAR RAMASWAMY CARDIOTHORACIC SURGEON	(i) (ii)	0 ------------- 0	0 ------------- 0	702,115 ------------- 0	11,000 ------------- 0	0 ------------- 0	713,115 ------------- 0	0 ------------- 0
15JONES MARSHALL FORMER VP HR (THRU 08/18)	(i) (ii)	0 ------------- 0	0 ------------- 0	182,039 ------------- 0	40,882 ------------- 0	10,598 ------------- 0	233,519 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

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	LINE 4A: MARSHALL JONES, PETER TSAI AND RAMASWAMY RAVIKUMAR RECEIVED SEVERANCE PAYMENTS DURING THE YEAR. THE AGREEMENTS ARE SUBJECT TO A CONFIDENTIALITY CLAUSE. DETAILS WILL BE PROVIDED TO THE IRS UPON REQUEST. LINE 4B: YUMA REGIONAL MEDICAL CENTER ESTABLISHED THE "CAPITAL ACCUMULATION AND RETENTION PLAN" AS A NON-QUALIFIED 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 INITIAL 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 AND HAD CONTRIBUTIONS TO THE PLAN IN 2018: DEBORAH ADERS - $30,198 JUSTIN FARREN - $28,568, MACHELE HEADINGTON - $40,968, BHARAT MAGU - $47,480, FRED PEET - $30,776, ROBERT SEIBEL - $34,732, ROBERT TRENSCHEL - $148,600 DAVID WILLIE - $47,940 MARSHALL JONES- $33,600
PART I, LINE 5	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.
PART I, LINE 6	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.
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) 2018

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA ARIZONA	86-0498547	988514CE3	02-05-2014	179,884,512	TO REFUND BONDS & TO FINANCE IMPROVEMENTS AND RENOVATIONS TO THE HOSPITAL.		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	4,085,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	179,884,512
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,127,545
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	75,381,967
11 Other spent proceeds .............	103,375,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2015
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X
15 Were the bonds issued as part of an advance refunding issue? .....		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2018

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 of bond-financed property? .............		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
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 ....	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 .........	0 %
6 Total of lines 4 and 5 .............	0 %
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X
b Exception to rebate? ........		X
c No rebate due? .........		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		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? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
PART II, LINE 11, COLUMN (A):	THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS THAT ARE NO LONGER IN ESCROW.

Schedule K (Form 990) 2018

Additional Data

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Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting 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 assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) SOUTHWESTERN CRITICAL CARE	ENTITY MORE THAN 35% OWNED BY DR. RAJAMANI, BOD TRUSTEE	3,394,787	MEDICAL SERVICES		No
(2) SOUTHWEST EMERGENCY PHYSICIANS	ENTITY MORE THAN 35% OWNED BY DR. RICHEMONT, BOD TRUSTEE	1,277,945	GROUP INCENTIVES/TRANSCRIPTION		No
(3) MICHAEL HEADINGTON	FAMILY MEMBER OF MACHELE HEADINGTON, KEY EMPLOYEE	105,185	SALARIES & WAGES		No
(4) GARY ADERS	FAMILY MEMBER OF DEB ADERS, KEY EMPLOYEE	97,608	SALARIES & WAGES		No
(5) LYDIA BROWN	FAMILY MEMER OF ISMAEL GUERRERO, BOD TRUSTEE	100,634	SALARIES & WAGES		No
(6) MIGUEL GUERRERO	FAMILY MEMER OF ISMAEL GUERRERO, BOD TRUSTEE	45,352	SALARIES & WAGES		No
(7) WANDA WILLIAMS	FAMILY MEMBER OF JOHN WILLIAMS, BOD TRUSTEE	62,577	SALARIES & WAGES		No
(8) DONNA GRADIAS	FAMILY MEMBER OF LOUIE GRADIAS, BOD TRUSTEE	41,847	SALARIES & WAGES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

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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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

YUMA REGIONAL MEDICAL CENTER

Employer identification number

86-6007596

Return Reference	Explanation
FORM 990, PART I, LINE 6: SERVICES PROVIDED BY VOLUNTEERS	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 2019, 513 VOLUNTEERS HELPED OUT IN NUMEROUS SERVICE AREAS AND CONTRIBUTED OVER 65,000 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 AS WELL AS NON-CLINICAL AREAS BY PERFORMING SUCH DUTIES AS INFORMATION DESK RECEPTIONIST, TRANSPORTING VISITORS AS A CART DRIVER, BOOK AND BEVERAGE CART SERVICES, PATIENT VISITOR AND WHEEL CHAIR TRANSPORTERS, PRINT SHOP, WAREHOUSE AND OFFICE ASSISTANTS AND SOOTHING A CRYING BABY IN THE NICU. IN ADDITION, VOLUNTEERS SUPPORT UBS BLOOD DRIVES, HOSPITAL SUPPORT GROUPS, COMMUNITY OUTREACH EVENTS, AND THE PATIENT AND FAMILY CARE CENTER.
FORM 990, PART III, LINE 4A: PROGRAMS SERVICE ACCOMPLISHMENTS:	YUMA REGIONAL MEDICAL CENTER WILL BE RECOGNIZED AS THE MODEL REGIONAL MEDICAL CENTER. WE WILL WORK COLLABORATIVELY TO EVOLVE THE BEST SYSTEM OF INTEGRATED HEALTHCARE IN OUR SERVICE AREA. OUR 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. OUR VALUES PATIENTS COME FIRST - COMPASSION - RESPECT - INTEGRITY - EXCELLENCE - INNOVATION - TEAMWORK - WELLNESS OVERVIEW YUMA REGIONAL MEDICAL CENTER IS A 406 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. 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 OVER 2,600 EMPLOYEES, SOME 300 PHYSICIANS AND 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 INTO NEW SERVICES AND PROGRAMS FOR THE COMMUNITY. OUR STRATEGIES MOVING FORWARD INCLUDE: A FIVE-PHASE IMPLEMENTATION OF AN ELECTRONIC HEALTH RECORD TO IMPROVE PATIENT SAFETY AND QUALITY; IMPROVING 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. FINANCIAL STABILITY: A SOLID FUTURE AS A NOT-FOR-PROFIT HOSPITAL, YUMA REGIONAL MEDICAL CENTER RELIES ALMOST ENTIRELY 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 - ALL FUNDS REMAINING AT THE END OF THE YEAR ARE REINVESTED FOR THE PEOPLE AND COMMUNITIES WE SERVE. 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 SERVICE'S 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. A COPY OF YRMC'S CHARITY CARE POLICY IS AVAILABLE ON THE WEBSITE WWW.YUMAREGIONAL.ORG. IN FISCAL 2019, 300 OF OUR TINIEST PATIENTS WERE ADMITTED TO AND CARED FOR BY THE SPECIALLY TRAINED STAFF IN THE NEONATAL INTENSIVE CARE UNIT (NICU). YRMC'S NICU IS LICENSED TO CARE FOR INFANTS 28 WEEKS AND OLDER. A FULL TERM INFANT IS 40 WEEKS. INFANTS THAT ARE BORN AT YRMC AT LESS THAN 28 WEEKS ARE CARED FOR IN THE NICU UNTIL THEY ARE STABLE ENOUGH TO TRANSPORT. OUR YOUNGEST INFANTS HAVE BEEN 22 WEEKS. BY HAVING A NICU, FAMILIES ARE RELIEVED OF THE EXPENSE OF GOING OUT OF TOWN FOR EXTENDED PERIODS OF TIME TO BE NEAR THEIR SICK INFANT AND HAVE A SUPPORT SYSTEM NEARBY. WE'RE NOT FOR PROFIT... WE'RE FOR EDUCATING THE COMMUNITY YUMA REGIONAL MEDICAL CENTER IS COMMITTED TO THE EDUCATION OF HEALTHCARE PROFESSIONALS BY PROVIDING LEARNING OPPORTUNITIES TO NURSES AT OUR EDUCATION CENTER AND TO PHARMACY STUDENTS WORKING ON PATIENT FLOORS. SUCH EDUCATIONAL PROGRAMS GIVE STUDENTS A CHANCE TO WORK ON THEIR SKILLS AT A PREMIER HEALTHCARE CENTER WHILE PROVIDING THE COMMUNITY WITH HIGHLY QUALIFIED CAREGIVERS. TRAINING TOMORROW'S NURSES: AT THE YUMA REGIONAL EDUCATION CENTER, NURSING STUDENTS FROM NORTHERN ARIZONA UNIVERSITY - YUMA APPLY CLASSROOM LESSONS IN A SETTING THAT MIRRORS A HOSPITAL ENVIRONMENT. STUDENTS WORK IN A SKILLS LAB THAT HAS ADULT, CHILD AND INFANT VITALSIMS - THESE ARE MANNEQUINS PREPROGRAMMED WITH HEART RHYTHMS, LUNG AND BOWEL SOUNDS AND EVEN VOICES. IN A WORKSHOP OUTFITTED WITH MORE ADVANCED MANNEQUINS, CALLED SIMSMAN AND SIMSBABY, AN OBSERVING INSTRUCTOR CONTROLS THE PHYSICAL TRAITS OF THE SIMULATED PATIENT IN RESPONSE TO THE NURSE'S CARE DURING FULL LIFELIKE SCENARIOS. "THE GOAL OF OUR EDUCATION CENTER IS TO PROVIDE AS MANY RESOURCES AS POSSIBLE TO HELP NURSING STUDENTS AND EMPLOYEES GROW IN KNOWLEDGE AND SKILL," SAYS A CLINICAL LAB SPECIALIST AT YUMA REGIONAL MEDICAL CENTER. "WE FEEL IT'S AN ESSENTIAL COMPONENT IN PROVIDING EXCELLENT PATIENT CARE." PALLIATIVE CARE: AT TIMES WHEN ACUTE MEDICAL CARE IS NO LONGER EFFECTIVE IN ADDRESSING A PATIENT'S ILLNESS, PATIENTS NEED A TEAM OF NURSES, SOCIAL WORKERS, CHAPLAINS AND PHYSICIANS TO HELP PATIENTS AND THEIR FAMILIES WITH PALLIATIVE CARE SERVICES WHICH HELP PEOPLE WORK THROUGH THE PHYSICAL, EMOTIONAL AND SPIRITUAL CONCERNS OF SERIOUS, PROGRESSIVE ILLNESSES. THE GOALS ARE TO HELP PEOPLE HAVE THE BEST POSSIBLE QUALITY OF LIFE AND TO BE ALLOWED TO DIE WITH DIGNITY. TREATMENTS AND TECHNIQUES FOCUS ON IMPROVING THE QUALITY OF LIFE OF PATIENTS WITH ILLNESSES SUCH AS CANCER, HEART FAILURE AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE. PAIN MANAGEMENT PLAYS A KEY ROLE IN PALLIATIVE CARE. PALLIATIVE CARE HELPS PATIENTS UNDERSTAND THE NATURE OF THEIR ILLNESS AND TO MAKE TIMELY, INFORMED DECISIONS ABOUT THEIR LIVES.
FORM 990, PART III, LINE 4A: PROGRAMS SERVICE ACCOMPLISHMENTS CONTINUED:	YRMC OFFERS CHILDBIRTH PREPARATION CLASSES INCLUDING CAR SEAT SAFETY, NEWBORN CARE, SIBLING, BREASTFEEDING AND CPR/FIRST AID CLASSES AT A NOMINAL FEE. MORE THAN 1,000 PEOPLE PARTICIPATE IN THESE CLASSES IN A YEAR. CLINICAL PASTORAL EDUCATION PROGRAM: THE CLINICAL PASTORAL EDUCATION (CPE) PROGRAM AT YUMA REGIONAL MEDICAL CENTER TRAINS CLERGY OF ALL FAITHS TO PROVIDE HEALING, COMFORT AND SUPPORT TO PATIENTS AND THEIR FAMILIES DURING THEIR HOSPITAL EXPERIENCE. YRMC OFFERS LEVEL 1, LEVEL 2 AND SUPERVISORY CPE. THE CPE PROGRAM IS ACCREDITED BY THE ASSOCIATION FOR CLINICAL PASTORAL EDUCATION. RECOGNIZED FOR ITS EXCEPTIONALLY HIGH STANDARDS, THE YEAR-LONG RESIDENCY PROGRAM AT YRMC OFFERS A STIMULATING LEARNING ENVIRONMENT THAT ENCOURAGES BOTH PERSONAL AND PROFESSIONAL GROWTH. STUDENTS LEARN HOW TO PROVIDE EMOTIONAL AND SPIRITUAL SUPPORT TO INDIVIDUALS OF ALL FAITHS AND BELIEFS TO HELP EMPOWER THEM IN THEIR HEALTHCARE EXPERIENCE. STUDENTS MAY EXPERIENCE A WIDE RANGE OF UNIQUE OPPORTUNITIES TO PRACTICE CHAPLAINCY WITHIN A CLINICAL TEAM ENVIRONMENT, SUCH AS WORKING WITH TRAUMA SITUATIONS AND END-OF-LIFE ISSUES AND CELEBRATING BIRTHS. RESIDENTS BECOME EXPERT IN ACTIVE LISTENING SKILLS, ORGAN AND TISSUE DONATION AND ADVANCE DIRECTIVES. YRMC TYPICALLY OFFERS FIVE CHAPLAINCY RESIDENCIES PER YEAR.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO FILING FORM 990, THE FORM IS UPLOADED TO THE BOARD PORTAL AND BOARD MEMBERS ARE ENCOURAGED TO REVIEW IT PRIOR TO THE BOARD MEETING. MANAGEMENT ALSO REVIEWS FORM 990 PRIOR TO FILING. AT THE BOARD MEETING, THE BOARD APPROVES THE 990 FOR FILING.
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 INCLUDING 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 TO THE MEDICAL CENTER, OR RECEIVING REMUNERATION OR OTHER BENEFIT FROM A VENDOR. THE SAME DISCLOSURE REQUIREMENT APPLIES TO 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 - 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 AGAIN ANNUALLY. RECORDS ARE RETAINED IN THE PERSONNEL FILE IN THE VOLUNTEER DEPARTMENT OFFICE FOR VOLUNTEERS, OR THE HUMAN RESOURCES DEPARTMENT OFFICE FOR EMPLOYEES. 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 IS 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 A MODERATE SEVERANCE POLICY IS ALSO PROVIDED BASED ON POSITION LEVEL. PAY AT RISK INCENTIVE PROGRAM: YRMS'S ANNUAL INCENTIVE PLAN (PAY AT RISK) IS BASED ON YRMC'S STRATEGY AS OUTLINED BY THE BOARD OF DIRECTORS AND USES A COMBINATION OF ORGANIZATION AND INDIVIDUAL PERFORMANCE MEASURES CONTAINED IN THE BALANCE SCORECARD. -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. INSURANCE PRODUCTS: A NUMBER OF EXECUTIVE INSURANCE PRODUCTS ARE AVAILABLE AT THE EXECUTIVE'S CHOICE. 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.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, INCLUDING BYLAWS AND ARTICLES OF INCORPORATION, ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. YRMC'S FINANCIAL STATEMENTS ARE POSTED ON THE EMMA WEBSITE.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 27,933,343. MANAGEMENT AND GENERAL EXPENSES 11,027,813. FUNDRAISING EXPENSES 42,193. TOTAL EXPENSES 39,003,349. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 25,993,116. MANAGEMENT AND GENERAL EXPENSES 2,971,800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,964,916.
FORM 990, PART XI, LINE 9:	CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -2,385,159. DECREASE IN PENSION LIABILITY -31,252,609. DEFERRED GAIN RELATED TO YRHSI 2,509,293.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES, AND THE COMMUNITY WE SERVE. WE PROVIDE HIGH QUALITY, PATIENT CENTERED CARE AT OUR 406 BED INPATIENT HOSPITAL AND NUMEROUS OUTPATIENT CLINICS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	2,922
6	Total number of volunteers (estimate if necessary) .............	6	513
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	854,631	3,512,570
9	Program service revenue (Part VIII, line 2g) .........	506,815,329	528,253,459
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	17,354,250	12,078,765
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-518,300	114,183
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	524,505,910	543,958,977
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	35,285	29,169
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)	224,334,619	246,466,614
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 356,751
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	247,831,927	269,191,065
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	472,201,831	515,686,848
19	Revenue less expenses. Subtract line 18 from line 12.......	52,304,079	28,272,129
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	845,819,105	869,611,321
21	Total liabilities (Part X, line 26).............	314,916,017	342,864,061
22	Net assets or fund balances. Subtract line 21 from line 20.....	530,903,088	526,747,260

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 400,410,093 including grants of $ 29,169 ) (Revenue $ 527,950,700 )
	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 expenses400,410,093

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,729,355	0	808,549

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	3,512,570

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		3,512,570

		Business Code
2a	PATIENT SERVICES	621110	519,147,942	519,147,942
b	INC FROM AFFILIATES	900099	3,908,357	3,908,357
c	GIFT SHOP/SNACK BAR	453220	474,776	172,017	302,759
d	CONTRACT REVENUE	624100	398,570	398,570
e	HEALTH EDUCATION	611710	12,155	12,155
f	All other program service revenue.		4,311,659	4,311,659
g	Total. Add lines 2a–2f ....		528,253,459

3 Investment income (including dividends, interest, and othersimilar amounts) ......			7,856,871			7,856,871
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		1,155,137
b	Less: rental expenses		1,040,954
c	Rental income or (loss)		114,183
d	Net rental income or (loss)......			114,183			114,183
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		198,536,974
b	Less: cost or other basis and sales expenses	11,957	194,303,123
c	Gain or (loss)	-11,957	4,233,851
d	Net gain or (loss).....			4,221,894			4,221,894
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..
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..
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..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			543,958,977	527,950,700	0	12,495,707

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	29,169	29,169
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	6,779,806	282,136	6,469,449	28,221
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	705,556	705,556
7	Other salaries and wages	185,284,397	145,378,755	39,708,457	197,185
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,772,204	3,429,718	1,336,068	6,418
9	Other employee benefits .......	36,356,229	27,565,238	8,749,139	41,852
10	Payroll taxes ...........	12,568,422	9,492,528	3,061,188	14,706
11	Fees for services (non-employees):
a	Management ......	1,972,059		1,972,059
b	Legal .........	1,478,085		1,478,085
c	Accounting ...........	537,344		537,344
d	Lobbying ...........	77,950		77,950
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,567,010		1,567,010
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	67,968,265	53,926,459	13,999,613	42,193
12	Advertising and promotion ....	792,822		792,822
13	Office expenses .......	6,296,698	2,545,524	3,742,553	8,621
14	Information technology ......	10,456,897	7,898,094	2,558,803
15	Royalties ..
16	Occupancy ...........	6,355,267	4,095,334	2,259,933
17	Travel ............	1,027,940		1,027,940
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	638,186		638,186
20	Interest ...........	8,283,404	5,337,579	2,945,825
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	38,443,307	24,589,212	13,846,404	7,691
23	Insurance ...	4,695,101		4,695,101
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	76,887,477	76,887,477
b	BAD DEBT	34,898,751	34,898,751
c
d
e	All other expenses	6,814,502	3,348,563	3,456,075	9,864
25	Total functional expenses. Add lines 1 through 24e	515,686,848	400,410,093	114,920,004	356,751
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			28,721,099	1	40,506,725
2	Savings and temporary cash investments .........			99,236,050	2	70,543,322
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			53,180,609	4	53,206,447
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....			1,885,574	7	1,751,314
8	Inventories for sale or use ........			7,717,711	8	9,046,038
9	Prepaid expenses and deferred charges ......			10,169,588	9	10,496,883
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	740,326,378
b	Less: accumulated depreciation	10b	386,696,282	361,779,169	10c	353,630,096
11	Investments—publicly traded securities .			252,938,912	11	285,017,807
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			18,549,774	13	20,730,977
14	Intangible assets ...............			9,754,155	14	22,795,248
15	Other assets. See Part IV, line 11 ...........			1,886,464	15	1,886,464
16	Total assets. Add lines 1 through 15 (must equal line 34)...			845,819,105	16	869,611,321

17	Accounts payable and accrued expenses .....	36,636,004	17	41,931,911
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	178,964,860	20	174,659,412
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other 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 ..	30,698,028	23	46,220,375
24	Unsecured notes and loans payable to unrelated third parties ..	986,627	24	691,596
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	67,630,498	25	79,360,767
26	Total liabilities. Add lines 17 through 25..	314,916,017	26	342,864,061

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	523,555,659	27	519,193,196
28	Temporarily restricted net assets ...........	7,256,673	28	7,449,998
29	Permanently restricted net assets	90,756	29	104,066
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	530,903,088	33	526,747,260
34	Total liabilities and net assets/fund balances ........	845,819,105	34	869,611,321

(a) Name, address, and EIN (if applicable) 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) SOUTHWEST HEALTH COLLABORATIVE LLC 2400 S AVENUE A YUMA,AZ85364 82-2352860	HEALTHCARE	AZ	-494,851	0	YUMA REGIONAL MEDICAL CENTER
(2) YUMA REGIONAL HEALTH SYSTEM INSURANCE LLC 2400 S AVENUE A YUMA,AZ85364 82-3158109	HEALTHCARE	AZ	1,695,507	11,173,002	YUMA REGIONAL MEDICAL CENTER

(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 entity?
(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	Yes	No

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No