TY 2020 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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) LINDA HUNT...................................................................... TRUSTEE (STARTED 11/1/20)	5.00 ................. 50.00	X				0	1,639,570	472,754
(2) MANSOUR H ASSAR...................................................................... CARDIOLOGIST-INTERVENTIONAL	50.00 ................. 0.00				X	1,453,853	0	29,700
(3) JOHN AMOS...................................................................... CHIEF EXECUTIVE OFFICER	50.00 ................. 1.00	X	X			1,136,479	0	58,633
(4) NISHA TUNG-TAKHER...................................................................... ELECTROPHYSIOLOGIST	50.00 ................. 0.00				X	1,200,322	0	61,936
(5) SHAYAN ALAM...................................................................... GASTROENTEROLOGIST	50.00 ................. 0.00				X	1,003,497	0	61,535
(6) GEORGE T RIZK...................................................................... CARDIOLOGIST-INVASIVE	50.00 ................. 0.00				X	786,772	0	45,614
(7) ROBERT CANDIPAN...................................................................... CARDIOLOGIST-INTERVENTIONAL	50.00 ................. 0.00				X	739,074	0	48,035
(8) KEITH FREY MD...................................................................... TRUSTEE (STARTED 11/1/20)	5.00 ................. 50.00	X				0	653,571	56,883
(9) LEE LIVIN...................................................................... CHIEF FINANCIAL OFFICER	50.00 ................. 1.00		X			549,943	0	151,896
(10) ANTHONY TORRES...................................................................... CHIEF MEDICAL OFFICER	50.00 ................. 0.00		X			512,249	0	141,916
(11) FRANK ALMENDAREZ...................................................................... CHIEF ADMIN OFFICER	50.00 ................. 0.00		X			324,406	0	102,977
(12) MARK TIMM...................................................................... CHIEF HUMAN RESOURCE OFFICER	50.00 ................. 0.00		X			319,503	0	96,509
(13) TIMOTHY ROBERTS...................................................................... CHIEF INFORMATION OFFICER	50.00 ................. 0.00		X			309,886	0	100,701
(14) ROBERTA NICOL...................................................................... EXECUTIVE DIRECTOR OF PHILANTHROPY	50.00 ................. 1.00			X		335,348	0	34,279
(15) KEITH A NICHOLS...................................................................... CHIEF OPERATING OFF (STARTED 1/14/20)	50.00 ................. 0.00		X			308,504	0	28,404
(16) DIANE DREXLER...................................................................... CHIEF NURSING OFF (THRU 4/3/20)	50.00 ................. 0.00		X			240,987	0	26,304
(17) IRENE E CONNOR...................................................................... CHIEF NURSING OFF (STARTED 6/28/20)	50.00 ................. 0.00		X			200,637	0	28,965

(A) Name and business address	(B) Description of services	(C) Compensation
MCCARTHY HOLDINGS INC 1341 N ROCK HILL RD ST LOUIS,MO63124	CONTRACTOR	43,734,889
CERNER CORP PO BOX 959156 ST LOUIS,MO631959156	IT SERVICES	16,789,205
FOCUSONE SOLUTIONS 13609 CALIFORNIA ST STE 420 OMAHA,NE68154	STAFFING SERVICE	7,356,789
YAVAPAI CARDIAC SURGERY PC 3131 E CLARENDN AVE SUITE 102 PHOENIX,AZ85016	MEDICAL SERVICES	3,682,793
PRESCOTT RADIOLOGISTS PO BOX 11510 PRESCOTT,AZ86304	MEDICAL SERVICES	3,432,595
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 170

- 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 instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
DBA YAVAPAI REGIONAL MEDICAL CENTER

Employer identification number

86-0098923

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) 2020

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. 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—2019. 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—2020. 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—2019. 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) 2020

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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. 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—2019. 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) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) 2020

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 lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2020

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 0.015 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 0.035	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) 2020

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, 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 2020. 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 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

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) 2020

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

2020

Name of the organization

YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
DBA YAVAPAI REGIONAL MEDICAL CENTER

Employer identification number

86-0098923

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization YAVAPAI COMMUNITY HOSPITAL ASSOCIATION DBA YAVAPAI REGIONAL MEDICAL CENTER

Part I Contributors	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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 3

Name of organization YAVAPAI COMMUNITY HOSPITAL ASSOCIATION DBA YAVAPAI REGIONAL MEDICAL CENTER		Employer identification number 86-0098923

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 4


Name of organization YAVAPAI COMMUNITY HOSPITAL ASSOCIATION DBA YAVAPAI REGIONAL MEDICAL CENTER			Employer identification number 86-0098923
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) (2020)

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

2020

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

YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
DBA YAVAPAI REGIONAL MEDICAL CENTER

Employer identification number

86-0098923

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) 2020

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) 2017	(b) 2018	(c) 2019	(d) 2020	(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) 2020

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|No

(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

28,650

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

28,650

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:	YAVAPAI COMMUNITY HOSPITAL ASSOCIATION RECEIVED CORRESPONDENCE FROM THE ARIZONA HOSPITAL ASSOCIATION REGARDING THEIR MEMBERSHIP DUES. A PORTION OF THEIR DUES WERE ATTRIBUTABLE TO LOBBYING.

Schedule C (Form 990 or 990EZ) 2020

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 instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
DBA YAVAPAI REGIONAL MEDICAL CENTER

Employer identification number

86-0098923

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 FASB 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 FASB 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 FASB 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) 2020

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 ....	24,291	22,414	22,225	22,296	50,315
b	Contributions ...	3,561	1,854	163	107	7,367
c	Net investment earnings, gains, and losses		830	446	1,014	2,718
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	4,841	807	420	1,192	38,104
g	End of year balance ......	23,011	24,291	22,414	22,225	22,296

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

0 %

Term endowment SchDMd Bullet

100.000 %

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)

Yes

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

Yes

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 .....	17,884,376		17,884,376
b	Buildings ....	173,467,809	64,159,201	109,308,608
c	Leasehold improvements	12,662,511	9,859,029	2,803,482
d	Equipment ....	145,548,837	110,598,178	34,950,659
e	Other .....	119,680,783	45,334,734	74,346,049
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				239,293,174

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other 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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program 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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	4,335,501
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) 2020

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
PART V, LINE 4:	TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE ORGANIZATION HAS BEEN LIMITED BY DONORS TO SPECIFIED TIME PERIOD OR PURPOSE. PERMANENTLY RESTRICTED NET ASSETS ARE RESTRICTED FOR THE HENDRICKS ENDOWMENT FUND, WHICH WAS CREATED TO HELP SUPPORT EDUCATION FOR INDIVIDUALS WHO ARE INTERESTED IN WORKING IN A HEALTHCARE ENVIRONMENT.
PART X, LINE 2:	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

Schedule D (Form 990) 2020

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

2020

Open to Public Inspection

Name of the organization

YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
DBA YAVAPAI REGIONAL MEDICAL CENTER

Employer identification number

86-0098923

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) . . .			2,075,377		2,075,377	0.540 %
b	Medicaid (from Worksheet 3, column a) . . . . .			45,307,473	28,542,393	16,765,080	4.400 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			47,382,850	28,542,393	18,840,457	4.940 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	23	118,306	844,107	92,278	751,829	0.200 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .			49,428,570	21,994,600	27,433,970	7.200 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			626,594		626,594	0.160 %
j	Total. Other Benefits . .	23	118,306	50,899,271	22,086,878	28,812,393	7.560 %
k	Total. Add lines 7d and 7j .	23	118,306	98,282,121	50,629,271	47,652,850	12.500 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

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)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	1	23,199	23,199	0.010 %
3	Community support	1	155	155	0 %
4	Environmental improvements
5	Leadership development and training for community members	1	5,750	5,750	0 %
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	1	619	619	0 %
9	Other
10	Total	4	29,723	29,723	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 Healthcare 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. ......

18,330,663

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).....

86,724,004

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

121,589,315

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

-34,865,311

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) 2020

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?2Name, 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)					Facility reporting group
1	YAVAPAI REGIONAL MEDICAL CENTER WEST 1003 WILLOW CREEK ROAD PRESCOTT,AZ86301 WWW.YRMC.ORG H0115	X	X	X	A
2	YAVAPAI REGIONAL MEDICAL CENTER EAST 7700 E FLORENTINE ROAD PRESCOTT,AZ86301 WWW.YRMC.ORG H3964	X	X	X	A

Schedule H (Form 990) 2020

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)

	FACILITY REPORTING GROUP A
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 19

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..................................

Yes

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): WWW.YRMC.ORG/SUPPORT-AND-COMMUNITY/COMMUNITY-HEALTH

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 19

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

Yes

If "Yes" (list url): WWW.YRMC.ORG/SUPPORT-AND-COMMUNITY/COMMUNITY-HEALTH

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) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP A
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 150.000000000000%
and FPG family income limit for eligibility for discounted care of 350.000000000000%

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):

WWW.YRMC.ORG/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE

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

WWW.YRMC.ORG/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.YRMC.ORG/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE

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) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP A
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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

Page 7

Part VFacility Information (continued)

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

	FACILITY REPORTING GROUP A
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) 2020

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, 20a, 20b, 20c, 20d, 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: YAVAPAI REGIONAL MEDICAL CENTER WEST, - FACILITY 2: YAVAPAI REGIONAL MEDICAL CENTER EAST
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5:	IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR ITS SERVICE AREA, YAVAPAI REGIONAL MEDICAL CENTER (YRMC) CONDUCTED A COMMUNITY HEALTH NEEDS SURVEY. PRIMARY DATA COLLECTION INCLUDED A WEB BASED SURVEY PROCESS AND PERSONAL INTERVIEWS WITH LOCAL ORGANIZATIONS. SURVEY RECIPIENTS WERE CHOSEN BASED ON THE CRITERIA OF BEING PROFESSIONALS SERVING THE HEALTH NEEDS OF THE COMMUNITY AND THE SURVEYS WERE DISTRIBUTED ELECTRONICALLY DURING THE YEAR. PERSONAL INTERVIEWS WERE CONDUCTED BY STAFF AT YAVAPAI REGIONAL MEDICAL CENTER. YRMC CONDUCTED LIVE, ONE ON ONE MEETINGS WITH KEY LOCAL ORGANIZATIONS, THE COUNTY HEALTH DEPARTMENT AND THE YAVAPAI PRESCOTT TRIBE.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A:	YAVAPAI REGIONAL MEDICAL CENTER OPERATES TWO HOSPITAL FACILITIES, THE WEST CAMPUS AND THE EAST CAMPUS. BOTH HOSPITALS WERE INCLUDED IN THE CHNA.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11:	THE IMPLEMENTATION STRATEGY OUTLINES THE TOP COMMUNITY HEALTH NEEDS DESCRIBED IN THE 2019 CHNA THAT YRMC PLANS TO ADDRESS IN WHOLE OR IN PART IN FULFILLMENT OF ITS MISSION. YRMC HAS SELECTED THE TOP FIVE PRIORITIES OF THE TWELVE HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA. THE SELECTION WAS BASED ON PRIORITY RANKING AS WELL AS RESOURCE AVAILABILITY AND APPROPRIATENESS TO YRMC'S AREAS OF EXPERTISE. THIS IMPLEMENTATION STRATEGY MAY BE MODIFIED AS CONDITIONS CHANGE AND AS APPROPRIATE OVER THE COURSE OF THE NEXT THREE YEARS.FOR EACH HEALTH NEED THAT YRMC PLANS TO ADDRESS, THE STRATEGY DESCRIBES:- ACTIONS YRMC INTENDS TO TAKE, INCLUDING PROGRAMS AND RESOURCES IT PLANS TO COMMIT- ANTICIPATED IMPACT OF THESE ACTIONS- PLANNED COLLABORATION BETWEEN YRMC AND OTHER ORGANIZATIONS1. HEALTHY BEHAVIORS/LIFESTYLE CHANGESYRMC HAS SUCCESSFULLY PROVIDED WELLNESS AND HEALTH PROMOTION PROGRAMS FOR DECADES. THESE POPULAR PROGRAMS WILL PROVIDE THE FOUNDATION FOR COMMUNITY OUTREACH IN THE AREA OF HEALTHY BEHAVIORS AND LIFESTYLES. WE ANTICIPATE AN INCREASE IN THE NUMBER OF COMMUNITY MEMBERS WHO ACTIVELY MAKE HEALTHIER CHOICES.- SOCIAL MEDIA WILL CONTINUE TO EXPAND TO HELP MEET INFORMATION NEEDS SURROUNDING GOOD HEALTH CHOICES.- EDUCATIONAL RESOURCES FOR HEALTHY LIVING CHOICES (E.G. EXERCISE PROGRAMS, NUTRITIOUS RECIPES, MENTAL HEALTH SELF-CARE)- ACCESS TO LATEST HEALTH INFORMATION (E.G. SURGERY PREPARATION, COVID-19 RESOURCES, BREAST HEALTH) TO RESULT IN HIGHER POSITIVE HEALTH OUTCOMES- LIBRARY OF SEARCHABLE HEALTH INFORMATION ARCHIVES TO INCREASE AND ENABLE HEALTH LITERACY SKILLS- TRACKING REPORTS ARE RUN MONTHLY TO GAUGE TRAFFIC TO VARIOUS SOCIAL MEDIA PAGES- CONTINUE PENDLETON CENTERS' PROGRAMS ON THE WEST CAMPUS AND THE EAST CAMPUS THAT ADAPT EXERCISE SUITABLE FOR THE AGE AND PHYSICAL CONDITION OF INDIVIDUAL PARTICIPANTS, E.G., CHAIR EXERCISES FOR THOSE WITH LIMITED PHYSICAL CAPACITY. THROUGHOUT 2020 THE COVID-19 PANDEMIC GREATLY REDUCED PARTICIPATION FOR ALL IN-PERSON PROGRAMS BUT THESE PROGRAMS STILL EXIST DEPENDING ON COVID AND DIGNITY-COMMONSPIRIT GUIDELINES.- PHYSICAL EXERCISE PROGRAMS TAILORED TO SPECIFIC PATIENT HEALTH NEEDS- CUSTOMIZATION OF TECHNIQUES AND ACCOMMODATIONS FOR PATIENTS WITH LIMITED MOBILITY TO FACILITATE GREATER COMPLIANCE AND PROFICIENCY IN PHYSICAL EXERCISE- EXPLORE COLLABORATION WITH YAVAPAI COUNTY COMMUNITY HEALTH SERVICES AND LOCAL SCHOOLS FOR IN-SCHOOL PROGRAMS TO PROMOTE HEALTHY BEHAVIORS AND EDUCATE CHILDREN ON THE IMPORTANCE OF MAINTAINING THEIR HEALTH. IN-SCHOOL PROGRAMS HAVE BEEN LIMITED DUE TO COVID RESTRICTIONS BUT WE CONTINUED TO PROVIDE PARTNERS FOR HEALTHY STUDENTS FREE PRIMARY HEALTHCARE FOR UNDERSERVED CHILDREN.- HEALTH EDUCATION TOOLS FOR TEACHERS AND STUDENTS TO BUILD HEALTHY HABITS AND CULTIVATE SUPPORTIVE PEER AND TEACHER/STUDENT RELATIONSHIPS (E.G., GO NOODLE WEB-BASED EXERCISE PROGRAM THAT INCREASES PHYSICAL ACTIVITY AND TEACHES RELAXATION/STRESS MANAGEMENT TECHNIQUES AND SKILLS, SMOKING PREVENTION, OTHER FITNESS RESOURCES)- IN COLLABORATION WITH SUBJECT MATTER EXPERTS (SME), CONTINUE THE UTILIZATION OF THE WIDELY POPULAR YRMC SPEAKERS BUREAU TO INCLUDE THE TOPIC OF HEALTHY BEHAVIORS. DUE TO COVID RESTRICTIONS THESE WERE ONLY OFFERED VIA WEB PORTALS.- SEEK OUT CONNECTIONS WITH LOCAL CHAMBERS, PEO GROUPS, CIVIC GROUPS, ETC., FOR OPPORTUNITIES TO PRESENT HEALTH INFORMATION IN THEIR NEWSLETTERS OR CONNECT THEM TO WEB-BASED RESOURCES.- EXPLORE COLLABORATION WITH LOCAL RETIREMENT CENTERS AND ASSISTED LIVING FACILITIES TO PROVIDE HEALTH INFORMATION AND SOCIAL MEDIA CONTACT.- COVID-19 PANDEMIC HAS RAISED SIGNIFICANT CHALLENGES FOR SUCH FACILITIES TO ENABLE CONTACT AMONG RESIDENTS, INHIBITING THE SOCIAL CONNECTION THAT IS ESPECIALLY IMPORTANT DURING CHALLENGING TIMES TO MINIMIZE ISOLATION, MAINTAIN HEALTH AND CULTIVATE WELL-BEING OF RESIDENTS.- WORKING WITH LOCAL FACILITIES TO PROVIDE EDUCATION ON ALTERNATIVE FORMS OF CONTACT THROUGH TECHNOLOGY (E.G. WEB-BASED MEETINGS, CELL PHONE VIDEO CHAT SESSIONS, ONLINE FORUMS) TO SHARE INFORMATION ABOUT BENEFICIAL FOODS, EXERCISE AND OTHER HEALTHY HABITS. THIS EDUCATION ENHANCES RESIDENTS' PROFICIENCY IN HEALTH BEHAVIORS.2. LACK OF PRIMARY CARE PHYSICIANSTHE 2013, 2016 AND 2019 CHNA PLANS IDENTIFIED A NEED FOR SPECIALISTS AS WELL AS PRIMARY CARE. WE STILL SEE A NEED FOR PRIMARY CARE AND PLAN TO ADDRESS THIS NEED ACCORDINGLY. IT IS ANTICIPATED THAT MORE PRIMARY CARE PROVIDERS WILL BE AVAILABLE FOR OUR COMMUNITY. WE ARE HOPEFUL THAT ADDITIONAL RESOURCES FROM DIGNITY-COMMONSPIRIT WILL HELP AUGMENT THE PHYSICIAN SHORTAGES IN OUR COMMUNITY.- YRMC WILL USE ADVANCED PRACTICE PROVIDERS (NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS) TO AUGMENT THE NEED FOR PRIMARY CARE.- NEEDS FOR SUITABLE OFFICE SPACE TO ACCOMMODATE ADDITIONAL PHYSICIANS WILL BE MET BASED PRIMARILY ON DIGNITY HEALTH'S MASTER FACILITIES PLAN FOR OUR COMMUNITY AND TAKING ADVANTAGE OF SPACE IN OUR COMMUNITIES THAT MAY BECOME AVAILABLE.- EXPLORE FEASIBILITY OF OPTIONS SUCH AS WALK-IN CLINICS, SATELLITE OFFICES, AND EXTENDED HOURS FOR YRMG CLINICS, ETC. - COVID-19 HAS DRAMATICALLY INCREASED USE OF TELEMEDICINE OPTIONS, RESULTING IN GREATER FAMILIARITY AND EASE OF USE AMONG PROVIDERS. THESE TECHNIQUES WILL BE USED TO EXPAND ACCESS TO PATIENTS WITH MOBILITY ISSUES OR LIMITED AVAILABILITY.- IN COLLABORATION WITH LOCAL SCHOOLS, YRMC WILL CONTINUE TO PROVIDE FREE PRIMARY CARE TO UNINSURED AND UNDERINSURED SCHOOL CHILDREN AND THEIR YOUNGER SIBLINGS THROUGH THE PARTNERS FOR HEALTHY STUDENTS PROGRAM, STAFFED BY NURSE PRACTITIONERS AND LED BY A MEDICAL DIRECTOR.- THE ECONOMIC IMPACT OF COVID-19 HAS BEEN PARTICULARLY DEVASTATING DUE TO TEMPORARY LAYOFFS RESULTING IN MORE CHILDREN WITHOUT INSURANCE COVERAGE AND IN NEED OF CARE. AS OF MAY 2020, AN ESTIMATED 17% (ONE IN SIX) WORKING ADULTS ARE RECEIVING UNEMPLOYMENT BENEFITS. TO ADDRESS THIS ISSUE, YRMC APPROVED THE EXTENSION OF PHS SERVICES BEYOND THE TRADITIONAL SCHOOL YEAR AND THROUGH THE SUMMER OF 2020.- YRMC WILL CONTINUE TO COLLABORATE WITH THE ARIZONA SONSHINE ORGANIZATION THAT PROVIDES FREE HEALTHCARE IN OUR REGION FOR SEVERAL DAYS ANNUALLY TO HELP MEET THE NEEDS OF THE UNDERSERVED.- DUE TO THE COVID-19 PANDEMIC, THE ARIZONA SONSHINE 2020 EVENT HAS BEEN CANCELED. THE ARIZONA SONSHINE ORGANIZATION IS CURRENTLY INVESTIGATING THE FEASIBILITY OF SETTING UP MOBILE MEDICAL UNITS IN SELECT AREAS IF THE CRISIS CONTINUES LONG-TERM, TO BE STAFFED BY VOLUNTEERS.3. LACK OF HEALTH KNOWLEDGEHEALTH LITERACY IS DEFINED AS A PERSON'S ABILITY TO READ, UNDERSTAND, EVALUATE AND ACT UPON HEALTH INFORMATION. LOW HEALTH LITERACY IS LINKED TO POORER HEALTH STATUS AND MORE EMERGENCY ROOM VISITS AND HOSPITALIZATIONS. AN ESTIMATED 75 MILLION ENGLISH-SPEAKING ADULTS IN THE UNITED STATES HAVE LIMITED HEALTH LITERACY, MAKING IT DIFFICULT FOR THEM TO UNDERSTAND AND USE BASIC HEALTH INFORMATION. (SOURCE: AGENCY FOR HEALTHCARE RESEARCH AND QUALITY). YRMC'S EFFORTS ARE EXPECTED TO IMPROVE HEALTH LITERACY IN OUR COMMUNITY.- YRMC WILL CONTINUE TO USE SOCIAL MEDIA AND OTHER ELECTRONIC METHODS OF REACHING OUT TO THE COMMUNITY AND EDUCATING PEOPLE ABOUT HEALTH AND HEALTHCARE.- YRMC HEALTHCONNECT LIBRARY OF SEARCHABLE HEALTH INFORMATION ARCHIVES TO INCREASE AND ENABLE HEALTH LITERACY SKILLS.- INFORMATIVE ARTICLES ON HEALTHCONNECT TO EDUCATE READERS ON VARIOUS BODY MECHANISMS, PROCEDURES, AND MEDICAL DEVELOPMENTS.- EXPLORE UTILIZING THE YRMC SPEAKERS BUREAU FOR PROVIDING HEALTH INFORMATION FOR THE COMMUNITY.- PARTICIPANTS ATTEND VIRTUAL SESSIONS AND CAN REVIEW RESOURCE MATERIALS AT THEIR OWN PACE.- EXPLORE OTHER HEALTH LITERACY PROGRAMS AVAILABLE WITHIN THE DIGNITY-COMMONSPIRIT SYSTEM AND, IF FEASIBLE, ADAPT ONE OR MORE OF THESE PROGRAMS TO THE YRMC MARKET. THESE PROGRAMS HELP INCREASE UNDERSTANDING AND COMPLIANCE WITH HEALTH ADVICE AND RECOMMENDATIONS.
SCHEDULE H, PART V, SECTION B, LINE 11- CONTINUATION	4. PHYSICAL INACTIVITYCARDIOVASCULAR DISEASE IS THE LEADING CAUSE OF DEATH IN THE U.S. (SOURCE: AMERICAN FAMILY PHYSICIAN, 2016). THIRTY-FIVE PERCENT OF CARDIOVASCULAR DISEASE IS DUE TO PHYSICAL INACTIVITY. APPROXIMATELY 60% OF AMERICANS 18 YEARS AND OLDER REPORT PHYSICAL INACTIVITY. THE AMERICAN HEART ASSOCIATION RECOMMENDS 30-60 MINUTES OF AEROBIC EXERCISE THREE TO FOUR TIMES A WEEK. OUR LOCAL DEMOGRAPHICS AND ECONOMIC REALITIES POSE CHALLENGES IN HELPING OUR COMMUNITY RECOGNIZE THE ISSUE AND, MOST IMPORTANTLY, MAKE EFFORTS TO IMPROVE THEIR ACTIVITY LEVELS. - COLLABORATE WITH YAVAPAI COUNTY COMMUNITY HEALTH SERVICES AND YRMC'S OWN EMPLOYEE HEALTH PROGRAM, IF APPROPRIATE, TO CREATE MORE EDUCATION ABOUT THE IMPORTANCE OF PHYSICAL ACTIVITY.- COLLABORATE WITH LOCAL SCHOOLS (MANY OF WHOM NO LONGER OFFER FREE PHYSICAL EDUCATION CLASSES OR SPORTS OPPORTUNITIES) TO INCLUDE PROGRAM IDEAS FOR BRIEF PHYSICAL ACTIVITY WITHIN THE CLASSROOM THROUGHOUT THE DAY AS BREAKS FOR CHILDREN.- EXPLORE YRMC SPONSORED HIKES/WALKS FOR THE COMMUNITY AND PROMOTE THEM ACCORDINGLY.- PROMOTE THROUGH YRMC HEALTH CONNECT PROGRAM THE MANY OPPORTUNITIES TO ENGAGE IN LOCAL HIKING PROGRAMS (E.G. HIGHLANDS CENTER FOR NATURAL HISTORY, PRESCOTT HIKING CLUB). - EDUCATE THE COMMUNITY ABOUT THE HEALTH BENEFITS OF DOMESTIC ACTIVITIES SUCH AS GARDENING, ETC.- PROMOTE THROUGH YRMC HEALTH CONNECT PROGRAM THE MANY LOW-COST OPPORTUNITIES TO ENGAGE IN HOME-BASED PHYSICAL ACTIVITY (YAVAPAI COLLEGE MASTER GARDENING PROGRAM, PRESCOTT COMMUNITY GARDENS) TO ENABLE MORE PEOPLE TO ENGAGE IN PHYSICAL ACTIVITY IN NEW AND CREATIVE WAYS NOT PREVIOUSLY CONSIDERED.- EXPLORE FURTHER COLLABORATION WITH GROUPS SUCH AS SILVER SNEAKERS FOR THE PENDLETON CENTERS FOR HEALTH AND WELLNESS AND PROMOTE SUCH PROGRAMS AND THEIR BENEFITS.- EXPLORE THE VALUE OF PARTICIPANTS FROM THE PENDLETON PROGRAMS TO PROVIDE TESTIMONIALS ON SOCIAL MEDIA AND OTHER OUTLETS REGARDING HOW STAYING PHYSICALLY ACTIVE HAS IMPROVED THEIR LIVES.5. LACK OF MENTAL HEALTH PROVIDERSYRMC WORKS CLOSELY WITH LOCAL MENTAL HEALTH PROVIDERS. SEVERAL LOCAL MENTAL HEALTH PROVIDERS REGULARLY COME TO ASSESS PATIENTS IN YRMC'S EMERGENCY DEPARTMENTS TO DETERMINE MENTAL HEALTH STATUS. BECAUSE OF THE PROLIFERATION OF MENTAL HEALTH AND SUBSTANCE ABUSE PROBLEMS IN OUR COMMUNITY, YRMC ALSO COLLABORATES CLOSELY WITH LOCAL LAW ENFORCEMENT AGENCIES. MANY PATIENTS ARE BROUGHT INTO THE EMERGENCY DEPARTMENTS BY LAW ENFORCEMENT, ESPECIALLY THOSE EXHIBITING COMBATIVE, VIOLENT BEHAVIOR AND/OR THOSE WHO ARE HOMELESS OR OTHERWISE WITHOUT FAMILY SUPPORT. ACCORDING TO HEALTH DEPARTMENTS IN THE STATE OF ARIZONA, THE COVID-19 PANDEMIC HAS RESULTED IN AN INCREASED INCIDENCE OF SUICIDES AND DOMESTIC VIOLENCE INCIDENTS.- CONTINUE COLLABORATING WITH LOCAL BEHAVIORAL HEALTH PROVIDERS IN COMMUNITY PRESENTATIONS TO HELP EDUCATE THE PUBLIC ABOUT MENTAL HEALTH AND THE FACT THAT IT DOES NOT DESERVE TO BE STIGMATIZED.- COVID-19 HAS DRAMATICALLY INCREASED THE USE OF TELEMEDICINE OPTIONS, RESULTING IN GREATER FAMILIARITY AND EASE OF USE AMONG PROVIDERS. THESE TECHNIQUES CAN BE USED TO EXPAND ACCESS TO PATIENTS WITH ANXIETY ISSUES OR LIMITED AVAILABILITY DUE TO FAMILY DEMANDS.- TRACKING TO BE CONDUCTED PERIODICALLY TO GAUGE USAGE AND TOPICS IN HIGHEST DEMAND.- CONTINUE THE COLLABORATION WITH POLARA HEALTH (FORMERLY KNOWN AS WEST YAVAPAI GUIDANCE CLINIC) AND OTHER MENTAL HEALTH PROVIDERS IN CREATION OF NEW PROGRAMS FOR MENTAL HEALTH TOPICS. INCREASED SUPPORT PROVIDED FOR THE POLARA HEALTH CRISIS STABILIZATION UNIT (CSU). HOWEVER, COVID HAS CAUSED A CLOSURE OF THE CSU FOR THE TIME BEING.- EVALUATE ADDITIONAL PARTNERSHIP OPPORTUNITIES WITH MENTAL HEALTH PROVIDERS AS THEY BECOME AVAILABLE.- A LOCAL GROUP OF PSYCHOLOGISTS HAS OFFERED FREE MENTAL HEALTH SERVICES FOR YRMC STAFF TO ASSIST WITH ISSUES RESULTING FROM THE COVID-19 AND ECONOMIC CRISES.- EXPLORE WITH LOCAL LAW ENFORCEMENT AND MENTAL HEALTH PROVIDERS POSSIBLE ALTERNATIVES TO YRMC'S EDS AS A "HOLDING" RESOURCE WHEN NO MEDCIAL NEED IS APPARENT. SUCH ALTERNATIVES SUPPORT LAW ENFORCEMENT'S EFFORTS FOR BEHAVIORAL HEALTH HOUSING WITHIN DETENTION CENTERS IN THE COMMUNITY.- FURTHER PROMOTE PHILANTHROPICALLY SUPPORTED PROGRAMS TO ENHANCE BEHAVIORAL HEALTH SERVICES. FOR EXAMPLE, YRMC'S PARTNERS FOR HEALTHY STUDENTS (PHS) PROGRAM LAUNCHED ADOLESCENT BEHAVIORAL HEALTH SERVICES IN 2019 MADE POSSIBLE BY COMMUNITY SUPPORT AND GENEROSITY. PHS COLLABORATES WITH SOUTHWEST BEHAVIORAL HEALTH, SPECTRUM HEALTH, POLARA HEALTH AND OTHER PROVIDERS.- EXPLORE OPPORTUNITIES TO COLLABORATE WITH YRMC'S PALLIATIVE MEDICINE DEPARTMENT AND MEMORY CARE SERVICES IN THE AREA, ESPECIALLY GIVEN OUR COMMUNITY NEED FOR SUCH CARE AND INFORMATION ABOUT THESE SERVICES.- EXPLORE A HEALTHY AGING SERVICE LINE WITH A GERIATRIC ASSESSMENT CLINIC FOR OUR LOCAL COMMUNITY IN COLLABORATION WITH YRMC PALLIATIVE MEDICINE PROGRAM TO INCREASE AVAILABILITY OF MENTAL HEALTH SERVICES FOR THE SENIOR POPULATION IN WESTERN YAVAPAI COUNTY. MORE THAN ONE-THIRD OF THE POPULATION OF YRMC'S SERVICE AREA IS OVER THE AGE OF 65.THE FOLLOWING NEEDS WERE NOT SELECTED TO BE ADDRESSED IN THE CHNA:LIMITED ACCESS TO HEALTHY FOODS: THIS WILL NOT BE ADDRESSED BY YRMC BECAUSE THERE ARE A NUMBER OF COMMUNITY ORGANIZATIONS THAT WORK ON THIS ISSUE THAT ARE BETTER SUITED TO MEET THIS NEED. HOWEVER, WE DO FINANCIALLY SUPPORT LOCAL FOOD BANKS.TRANSPORTATION: PEOPLE WHO CARE IS ONE OF THE LOCAL ORGANIZATIONS THAT PROVIDE TRANSPORTATION FOR THOSE IN NEED.AGING POPULATION: THE GREATER PRESCOTT AREA HAS MORE THAN 35% OF PEOPLE OVER 65 WHICH IS NEARLY DOUBLE THAT OF THE REST OF ARIZONA AND THE NATION. YRMC CARES FOR ALL PEOPLE IN ALL AGE GROUPS IN OUR SERVICE AREA BUT THIS WAS NOT A SELECTED NEED FOR THE CHNA IMPLEMENTATION PLAN.HIGH COST OF HEALTHCARE: THIS ISSUE IS BEYOND THE SCOPE OF YRMC TO ADDRESS AND IS MORE APPROPRIATE AS AN ISSUE THAT INCLUDES ALL ASPECTS OF HEALTHCARE, NOT JUST HOSPITALS.POVERTY/CHILDREN IN POVERTY/LACK OF FINANCIAL RESOURCES: IN YRMC'S SERVICE AREA 38% OF THE LOCAL WORKFORCE IS CONSIDERED WORKING POOR AND 25% OF CHILDREN LIVE AT OR BELOW THE POVERTY LEVEL. YRMC CARES FOR ALL PEOPLE REGARDLESS OF ABILITY TO PAY. UNINSURED AND UNDERINSURED: YRMC PROVIDES CARE TO THE UNINSURED AND UNDERINSURED PEOPLE IN OUR SERVICE AREA.

Schedule H (Form 990) 2020

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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?19
Name and address		Type of Facility (describe)
1	1 - YRMC - DEL E WEBB OUTPATIENT CENTER 3262 WINDSONG ROAD PRESCOTT VALLEY,AZ86314	OUTPATIENT DIAGNOSTICS, REHABILITATION & LABORATORY
2	2 - PENDLETON WELLNESS CENTER 930 DIVISION STREET PRESCOTT,AZ86301	CARDIAC REHABILITATION, PHYSICAL THERAPY, & WELLNESS OUTPATIENT CENTER
3	3 - PRESCOTT OUTPATIENT SURGICAL CENTER 815 AINSWORTH DR PRESCOTT,AZ86301	OUTPATIENT SURGICAL CENTER
4	4 - YRMC PC INTERNAL MEDICINE I 3120 CLEARWATER DR PRESCOTT,AZ86305	PHYSICIAN PRACTICE - INTERNAL MEDICINE
5	5 - YRMC PC FAMILY MEDICINE I 7712 E FLORENTINE PRESCOTT VALLEY,AZ86314	PHYSICIAN PRACTICE - FAMILY MEDICINE
6	6 - YRMC PC BREAST CARE 7700 E FLORENTINE ROAD BLD B STE 203 PRESCOTT VALLEY,AZ86314	PHYSICIAN PRACTICE-SURGERY
7	7 - YRMC PC FAMILY MEDICINE III 1050 GAIL GARDNER WAY SUITE B PRESCOTT,AZ86301	PHYSICIAN PRACTICE - FAMILY MEDICINE
8	8 - YRMC PC FAMILY MEDICINE IV-BAGDAD 12 HOPE DRIVE BAGDAD,AZ86321	PHYSICIAN PRACTICE - FAMILY MEDICINE
9	9 - YRMC PC CARDIOLOGY I 802 E AINSWORTH DR SUITE A PRESCOTT,AZ86301	PHYSICIAN PRACTICE - CARDIOLOGY
10	10 - YRMC PC CARDIOLOGY II 7700 E FLORENTINE RD BLD B STE 206 PRESCOTT VALLEY,AZ86314	PHYSICIAN PRACTICE - CARDIOLOGY
11	11 - YRMC PC CARDIOLOGY III 726 GAIL GARDNER WAY SUITE A PRESCOTT,AZ86305	PHYSICIAN PRACTICE - CARDIOLOGY
12	12 - YRMC PC CARDIOLOGY IV 980 WILLOW CREEK ROAD PRESCOTT,AZ86301	PHYSICIAN PRACTICE - CARDIOLOGY
13	13 - YRMC PC NEUROSURGERY 1001 DIVISION STREET PRESCOTT,AZ86301	PHYSICIAN PRACTICE - NEUROSURGERY
14	14 - YRMC PC GASTROENTROLOGY 811 AINSWORTH STREET PRESCOTT,AZ86301	PHYSICIAN PRACTICE - GASTROENTROLOGY
15	15 - YRMC PC PEDIATRICS 2120 CENTERPOINTE WEST PRESCOTT,AZ86301	PHYSICIAN PRACTICE - PEDIATRICS
16	16 - YRMC PC PALLIATIVE CARE 1003 WILLOW CREEK ROAD PRESCOTT,AZ86301	PHYSICIAN PRACTICE - PALLIATIVE CARE
17	17 - YRMC PC SURGERY III 810 AINSWORTH DRIVE PRESCOTT,AZ86301	PHYSICIAN PRACTICE-SURGERY
18	18 - YRMC PC SURGERY IV 810 AINSWORTH DRIVE PRESCOTT,AZ86301	PHYSICIAN PRACTICE-SURGERY
19	19 - YRMC PC PRIMARY CARE 7700 E FLORENTINE RD BLDG B STE 101 PRESCOTT VALLEY,AZ86314	PHYSICIAN PRACTICE - FAMILY MEDICINE

Schedule H (Form 990) 2020

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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:	THE ORGANIZATION USED A COST-TO CHARGE RATIO FOR LINE 7A-7C & 7G. THE COST TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE ORGANIZATION USED A COST ACCOUNTING AMOUNT FOR THE OTHER MEANS TESTED PROGRAMS ON LINE 7C THAT RELATED TO THE JOINT VENTURES. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
PART I, LINE 7G:	THE SUBSIDIZED SERVICES ON LINE 7G INCLUDE PHYSICIAN CLINICS IN PRESCOTT AND PRESCOTT VALLEY. THE CLINICS IMPROVE COMMUNITY ACCESS TO HEALTHCARE SERVICES SUCH AS CARDIOLOGY AND NEUROSURGERY. WITHOUT THE CARDIOLOGY CLINICS, THE COMMUNITY WOULD BE UNDERSERVED, AS THIS WOULD CAUSE A SHORTAGE OF ACCESS FOR THIS TYPE OF CARE. THE DEMOGRAPHICS ARE MAINLY THAT OF THE MEDICARE POPULATION, AND ADDITIONAL TRAVEL TIME FOR RESIDENTS TO OBTAIN SIMILAR CARE IN OTHER AREAS WOULD BE DIFFICULT FOR RESIDENTS. THE NEUROSURGEY CLINIC IS THE ONLY CENTER AVAILABLE IN THE CITY OF PRESCOTT.
PART I, LN 7 COL(F):	THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART I, LINE 3	IN ADDITION TO THE FEDERAL POVERTY GUIDELINES YAVAPAI REGIONAL MEDICAL CENTER USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, RESIDENCY.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE HOSPITAL IS DEDICATED TO PROMOTING THE GENERAL HEALTH OF THE POPULATION. THE ACTIVITIES IN PART II CONTRIBUTE TO THE VITALITY OF THE COMMUNITY WHICH IS ONE OF MANY FACTORS THAT IMPACT THE HEALTH OF THE COMMUNITY AND PROVIDES A BENEFIT FOR OUR COMMUNITY.
PART III, LINE 2:	THE HOSPITAL RECOGNIZES ITS RESPONSIBILITY TO PROVIDE FOR THE NEEDS OF THE COMMUNITY, REGARDLESS OF PATIENTS' ABILITY TO PAY. IN MANY CASES, PATIENTS ARE UNWILLING OR UNABLE TO PAY AFTER SERVICES HAVE BEEN PROVIDED, EVENTUALLY RESULTING IN BAD DEBT. NEVERTHELESS, IF THESE SERVICES WERE NOT PROVIDED BY THE ORGANIZATION, THE HEALTHCARE NEEDS OF THESE PATIENTS MIGHT NOT OTHERWISE BE FULFILLED WITHIN THE COMMUNITY. THEREFORE, THE ORGANIZATION BELIEVES THAT THE SERVICES NOT PAID FOR SHOULD BE INCLUDED IN COMMUNITY BENEFIT.
PART III, LINE 4:	ACCOUNTING STANDARD CODIFICATION TOPIC 606, REVENUE FROM CONTRACTS WITH CUSTOMERS HAS CHANGED HOW YAVAPAI RECOGNIZES REVENUE. THE NEW STANDARD REMOVES THE BAD DEBT EXPENSE FROM BEING REPORTED ON THE AUDITED FINANCIAL STATEMENTS. DUE TO THE CHANGE IN REVENUE RECOGNITION YAVAPAI REGIONAL MEDICAL CENTER DOES NOT HAVE A BAD DEBT EXPENSE LISTED IN THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE SHORTFALL FROM MEDICARE SHOULD BE CONSIDERED COMMUNITY BENEFIT TO THE EXTENT THAT THE ORGANIZATION COULD NOT REASONABLY REDUCE ITS COSTS TO A LOWER LEVEL. WHILE HARD TO PROJECT THE POTENTIAL SAVINGS FROM VARIOUS POSSIBLE COST CUTTING MEASURES, IT IS REASONABLE TO ASSUME THAT AT LEAST 50% OF THE SHORTFALL MIGHT NOT OTHERWISE BE RECOVERED THROUGH SAVINGS MEASURES.BECAUSE THE ORGANIZATION IS COMMITTED TO MEETING THE NEEDS OF THE COMMUNITY, ANY PATIENT THAT PRESENTS FOR MEDICAL TREATMENT WHO IS COVERED UNDER MEDICARE WILL BE SERVED, DESPITE THE POTENTIAL DETRIMENTAL IMPACT ON THE ORGANIZATION'S FINANCIALS.WITH RESPECT TO THE SOURCE USED TO DETERMINE THE MEDICARE ALLOWABLE COST ON LINE 6, THE FOLLOWING LINES FROM THE MEDICARE COST REPORT WERE USED: LINE 53 (TOTAL PROGRAM INPATIENT OPERATING COST EXCLUDING CAPITAL RELATED, NON-PHYSICIAN ANESTHETIST, AND MEDICAL EDUCATION COSTS) AND LINE 104 (NET CHARGES FOR ANCILLARY SERVICE COST CENTERS.)
PART III, LINE 9B:	IF IT WAS NOT KNOWN AT THE POINT OF SERVICE THAT THE PATIENT HAD THE INABILITY TO PAY, THE PATIENT MAY BE SCREENED: 1) BY PHONE OR 2) IN PERSON BY THE CUSTOMER SERVICES REPRESENTATIVE. THE CUSTOMER SERVICE REPRESENTATIVE WILL UTILIZE THE FINANCIAL ASSISTANCE WORKSHEET TO DETERMINE THE PATIENT'S ABILITY/INABILITY TO PAY. IF THE DETERMINATION INDICATES THE PATIENT HAS THE ABILITY TO PAY, OTHER OPTIONS FOR PAYMENTS WILL BE EXPLAINED. IF THERE IS NO ABILITY TO PAY, THEN THE APPLICATION WILL BE SUBMITTED FOR CONSIDERATION.
PART VI, LINE 2:	YRMC USES SEVERAL MEASURES BY WHICH TO ASSESS COMMUNITY HEALTH NEEDS. ONE MEASURE IS OUR MIGRATION BY SERVICE. AS AN EXAMPLE, PRIOR TO OPENING OUR CARDIOVASCULAR SURGERY PROGRAM IN 2007, WE SAW MANY HUNDREDS OF PEOPLE LEAVING OUR COMMUNITY TO GO TO PHOENIX - 100 MILES AWAY - FOR OPEN HEART SURGERY. THIS WAS AN INDICATION OF A NEED IN OUR COMMUNITY THAT REQUIRED YRMC'S FOCUSED ATTENTION AND EFFORTS THAT CULMINATED IN THE HEART CENTER AT YRMC. YRMC CONSTANTLY MONITORS VOLUME AND UTILIZATION DATA IN ITS SERVICE LINES TO HELP DETERMINE LEVEL OF NEED IN THE COMMUNITY FOR EACH SERVICE LINE. ONE OF THE MOST PROMINENT REASONS FOR PEOPLE LEAVING THE AREA FOR HEALTHCARE IS THE SHORTAGE OF AVAILABLE PHYSICIANS AND SPECIALISTS. IT IS HOPED THAT ADDITIONAL RESOURCES FROM DIGNITY-COMMONSPIRIT WILL HELP ALLEVIATE THAT SHORTAGE FOR THIS COMMUNITY.YRMC ALSO SPENDS A GREAT DEAL OF TIME LISTENING TO THE COMMUNITY BY WAY OF COMMUNITY INVOLVEMENT BY SENIOR MANAGEMENT, PATIENT SURVEY FEEDBACK, AND COMMUNITY OUTREACH EFFORTS. COMMUNITY MEMBERS FEEL VERY COMFORTABLE IN SHARING THEIR PERCEPTIONS AND PERSPECTIVES. YRMC ALSO ENGAGED BKD AUDITING FIRM TO CONDUCT COMMUNITY NEEDS ASSESSMENT RESEARCH. THE STUDY OBJECTIVES INCLUDED THE FOLLOWING:A. MEASURE AND EVALUATE HEALTH STATUS AND HEALTHCARE UTILIZATION WITHIN THE COMMUNITY.B. IDENTIFY THE PREVALENCE OF CHRONIC CONDITIONS WITHIN VARIOUS DEMOGRAPHIC SEGMENTS WITHIN THE COMMUNITY.C. PROFILE HIGH-RISK POPULATIONS.D. IDENTIFY GAPS IN CARE AND PREVENTIVE HEALTH BEHAVIORS AMONG VARIOUS DEMOGRAPHIC SEGMENTS WITHIN THE COMMUNITY.
PART VI, LINE 3:	WHEN PATIENTS PRESENT FOR ADMISSION, THEY ARE ASKED TO REVIEW AND INITIAL A PATIENT CONSENT FORM. THE PATIENT CONSENT FORM CONTAINS A PARAGRAPH ENTITLED FINANCIAL ASSISTANCE PROGRAMS. THIS PARAGRAPH INDICATES THAT THE PATIENT MAY BE CONSIDERED FOR FINANCIAL ASSISTANCE IF ELIGIBILITY CRITERIA WERE MET. THE PATIENT IS REQUIRED TO INITIAL A BOX NEXT TO THE PARAGRAPH INDICATING THEY HAVE READ IT AND CONSENT. THIS SAME FORM ALSO CONTAINS LANGUAGE REGARDING THE ASSIGNMENT OF BENEFITS IF ELIGIBLE FOR MEDICARE. IN ADDITION TO THE ABOVE, PATIENTS MAY WORK DIRECTLY WITH PATIENT FINANCIAL SERVICES AT THE HOSPITAL TO MAKE PAYMENT ARRANGEMENTS OR APPLY FOR FINANCIAL ASSISTANCE. EDUCATION REGARDING ASSISTANCE GENERALLY OCCURS AS THE NEED ARISES.
PART VI, LINE 4:	COMMUNITY INFORMATION: YRMC SERVES THE RURAL COMMUNITIES IN THE WESTERN PORTION OF YAVAPAI COUNTY IN NORTHERN ARIZONA. YRMC'S SERVES APPROXIMATELY 175,000 MEN, WOMEN AND CHILDREN LIVING IN AN AREA LARGER THAN THE STATE OF NEW JERSEY.YAVAPAI REGIONAL MEDICAL CENTER PROUDLY SERVES A 5,500 SQUARE MILE AREA OF WESTERN YAVAPAI COUNTY. YRMC IS DEEPLY COMMITTED TO SUPPORTING THE LOCAL COMMUNITY IN MULTIPLE WAYS, MANY OF WHICH ARE PROVIDED AT NO COST OR AT A FINANCIAL LOSS TO BENEFIT OUR COMMUNITY. WE PROVIDE RESOURCES FOR PEOPLE WHO ARE IN SEARCH OF MORE INFORMATION ABOUT THEIR HEALTH AND HOW TO IMPROVE THEIR QUALITY OF LIFE, AND WE ALSO OFFER ASSISTANCE TO THOSE WHO ARE VULNERABLE.YRMC IS THE MAJOR EMPLOYER IN ALL OF YAVAPAI COUNTY WITH 2,048 EMPLOYEES. OUR ANNUAL SALARIES, WAGES AND BENEFITS OF $184,461,556 TURN OVER MULTIPLE TIMES THROUGHOUT THE COMMUNITY AND SUPPORT THE LOCAL ECONOMY. WE ARE HONORED TO HAVE MORE THAN 600 VOLUNTEERS FROM THE LOCAL COMMUNITY WHO DEDICATE THEIR TIME AND TALENT TO HELPING YRMC, OUR PROGRAMS, SERVICES AND PATIENTS. WITH A MEDICAL STAFF OF APPROXIMATELY 395 PROVIDERS REPRESENTING A WIDE RANGE OF SPECIALTIES AND TOUTING TRAINING FOR HIGHLY PRESTIGIOUS INSTITUTIONS SUCH AS HARVARD, UCLA, DUKE UNIVERSITY, MAYO CLINIC AND MORE, WE CLEARLY HAVE A HIGHLY QUALIFIED HEALTHCARE TEAM TO SERVE THE COMMUNITY.YRMC PRIDES ITSELF IN ITS INVOLVEMENT IN COMMUNITY OUTREACH ACTIVITIES SUCH AS ACTIVE PARTICIPATION IN ALL THE LOCAL CHAMBERS OF COMMERCE, BEING A NATIONAL LEADER IN PATIENT BLOOD MANAGEMENT AND MUCH MORE. YRMC GREATLY ENHANCED ITS PRESENCE IN ELECTRONIC AND SOCIAL MEDIA IN 2020. YRMC'S PREMIER WEBSITE IS A TRUSTED HEALTH INFORMATION SOURCE. IT INCLUDES INFORMATION ABOUT OUR SERVICES, OUR PHYSICIANS, OUR COMMUNITY BENEFIT PROGRAMS, OUR MANY COMMUNITY OUTREACH EFFORTS, AND LINKS WITH OTHER VALUABLE ONLINE SITES. YRMC'S ACTIVE PRESENCE ON FACEBOOK AND TWITTER ARE EXAMPLES OF THE MANY WAYS YRMC CONNECTS WITH THE COMMUNITY IN REAL TIME.OBSTETRICS AND NURSERY SERVICES:AS A SOLE COMMUNITY PROVIDER FOR THIS REGION, YRMC PROVIDES OBSTETRICS SERVICES FOR YOUNG FAMILIES. BECAUSE THIS AREA IS BASED ON TOURISM AND SERVICE INDUSTRIES, THERE IS VERY LITTLE OPPORTUNITY FOR WORKERS TO EARN A SUFFICIENT LIVING CONSEQUENLTY WE HAVE A PREVALENCE OF "WORKING POOR." AS A RESULT, OUR FAMILY BIRTHING CENTER PROVIDES CARE TO A MARKET THAT IS PREDOMINANTLY COVERED BY THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (AHCCCS), ARIZONA'S BRAND OF MEDICAID. AND BECAUSE WE ARE LOCATED MORE THAN 90 MILES FROM A HOSPITAL THAT PROVIDES SPECIALIZED NEONATE CARE, WE EARNED LICENSURE AS A LEVEL II NURSERY IN OUR FAMILY BIRTHING CENTER.THIS NURSERY CARES FOR PREMATURE BABIES AS WELL AS THOSE THAT ARE BORN ADDICTED TO CONTROLLED SUBSTANCES. OUR ENTIRE OBSTETRICS SERVICE LINE IS A COMMUNITY BENEFIT WHEN MANY HOSPITALS IN ARIZONA HAVE CLOSED THEIR OB SERVICES ENTIRELY. AS THE COMMUNITY'S HOSPITAL, THIS WAS NOT AN OPTION TO BE CONSIDERED AT YRMC. IN 2020, 938 BABIES ENTERED THE WORLD AT YRMC'S FAMILY BIRTHING CENTER. IN 2020, OPERATING EXPENSES FOR THE FAMILY BIRTHING CENTER WERE $6,249,249.FAMILY RESOURCE CENTERIN ADDITION TO COMPREHENSIVE OBSTETRICS SERVICES AND PROGRAMS, YRMC ALSO SUPPORTS YOUNG FAMILIES WHO ARE EXPERIENCING STRESS RELATED TO PARENTHOOD, FINANCIAL PRESSURES, LACK OF EXTENDED FAMILY SUPPORT LOCALLY AND LACK OF GOOD MODELING IN THEIR OWN CHILDHOOD OF PARENTING INFANTS AND YOUNG CHILDREN. THE FAMILY RESOURCE CENTER (FRC) IS A CERTIFIED PROGRAM THAT PROVIDES SUPPORT AND EDUCATION TO YOUNG FAMILIES IN AN EFFORT TO REDUCE AND ELIMINATE CHILD ABUSE AND NEGLECT. SINCE WE HAVE A PREDOMINANCE OF WORKING POOR FAMILIES IN OUR COMMUNITY, STRESS RELATED TO PARENTING IS EXACERBATED BY FINANCIAL ISSUES.EVERY NEW MOTHER WHO DELIVERS HER BABY AT YRMC IS VISITED BY AN FRC REPRESENTATIVE AND IS GIVEN A CHILD DEVELOPMENT CALENDAR SO THE MOTHER WILL KNOW THE GUIDELINES FOR DEVELOPMENTAL EXPECTATIONS DURING THE CHILD'S FIRST YEAR OF LIFE. THEY ARE INTRODUCED TO THE PROGRAM AND ARE INVITED TO REACH OUT TO FRC FOR MORE INFORMATION AND FOR SERVICES. SOME MOTHERS ARE REFERRED BY THE ARIZONA DEPARTMENT OF CHILD SAFETY AND THOSE WOMEN ARE REQUIRED TO PARTICIPATE IN FRC PROGRAMS.FRC PROVIDES EDUCATION, MOTIVATION, COUNSELING, SUPPORT AND TRAINING FOR THESE FAMILIES. THE FRC STAFF CONSISTS OF TRAINED FAMILY SUPPORT SPECIALISTS WHO MAKE HOME VISITS AND WORK WITH EACH FAMILY IN AN INDIVIDUALIZED CARE PLAN. FRC ALSO PROVIDES OPPORTUNITIES FOR SUPPORT WITH SOCIAL EVENTS TO HELP YOUNG CHILDREN LEARN APPROPRIATE SOCIAL SKILLS AND TO PROVIDE THEIR PARENTS WITH THE ABILITY TO NETWORK WITH OTHER YOUNG MEN AND WOMEN WHO ARE FACING SIMILAR CHALLENGES. FRC ALSO WILL REFER PARENTS TO MENTAL HEALTH CARE RESOURCES WHEN NEEDED. THE FAMILY CARE STAFF REMAINS IN CONSTANT CONTACT WITH EACH FAMILY THROUGHOUT THEIR CHILDREN'S EARLY YEARS. IN 2020, THE FAMILY RESOURCE CENTER PROVIDED 2,278 VISITS TO PARENTS ON HOW TO CARE FOR THEIR NEWBORNS. IN 2020, OPERATING EXPENSES FOR THE FAMILY RESOURCE CENTER WERE $438,658.COMMUNITY OUTREACHYRMC WAS TOUTED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT BY MANY RESPONDENTS FOR ITS EXCELLENT COMMUNITY OUTREACH AND HEALTH EDUCATION EFFORTS. OUTREACH PROVIDES HEALTH AND WELLNESS NEWS FROM YRMC AND ALSO DESCRIBES SPECIFIC SERVICE LINES AND INCLUDES PERSONAL STORIES OF PATIENTS WHOSE LIVES WERE CHANGED BY THOSE SERVICES.FOR EACH NEW PHYSICIAN OR PHYSICIAN EXTENDER WHO JOINS YRMG'S PHYSICIAN EMPLOYED NETWORK, COMMUNITY OUTREACH COORDINATES PHOTOS AND BIOS ON EACH PERSON. THESE ARE COMPILED INTO NOTEBOOKS FOR EACH PHYSICIAN'S RECEPTION AREA SO PATIENTS CAN READ ABOUT THE BACKGROUND, EXPERIENCE AND EXPERTISE OF EACH PHYSICIAN. NEW PHYSICIANS MAY ALSO BE INTRODUCED TO THE COMMUNITY VIA DISPLAY ADS IN LOCAL PUBLICATIONS, PRESS RELEASES, HEALTHCONNECT AND LOCAL JOURNALS SUCH AS PRESCOTT WOMAN MAGAZINE. COMMUNITY OUTREACH ALSO CREATED A COOKING SHOW CALLED "YOUR HEALTHY KITCHEN." IT IS HOSTED BY A REGISTERED DIETITIAN WHO WAS ALSO TRAINED AT CORDON BLEU CULINARY SCHOOL IN FRANCE. THE PROGRAM IS FILMED LIVE AT A LOCAL TV STUDIO AND THOSE PROGRAMS ARE AVAILABLE ON YRMC'S WEBSITE AND IN DVD FORMAT. EACH PROGRAM INCLUDES VALUABLE INFORMATION ABOUT NUTRITION, SHOPPING FOR HEALTHY FOOD, AND GREAT RECIPES. THERE ARE SPECIAL PROGRAMS FOR THOSE WHO HAVE SPECIFIC DIETARY NEEDS OR RESTRICTIONS. THE HOST OF THE PROGRAM HAS ALSO CONDUCTED A "TOUR" OF GROCERY STORE AISLES AND DISCUSSED FOOD LABELS TO HELP PEOPLE MAKE GOOD DECISIONS ABOUT FOOD PURCHASES. THERE ARE ALSO SEASONALLY-THEMED PROGRAMS FOR THANKSGIVING, THE SUMMER MONTHS, WINTER COOKING, AND MORE.THIS COMPRISES A BRIEF SUMMARY OF THE OUTSTANDING PROGRAMS THAT YRMC PROVIDES TO BENEFIT ALL PEOPLE IN OUR SERVICE AREA.
PART VI, LINE 5:	THE HOSPITAL IS DEDICATED TO MEETING COMMUNITY NEEDS AND PROMOTING THE GENERAL HEALTH OF THE POPULATION. WHEN YRMC BUILT AND OPENED THE FAMILY BIRTHING CENTER, IT WAS NOT BECAUSE IT BELIEVED THAT THIS WOULD BE A PROFITABLE SERVICE LINE (THE MAJORITY OF ADMITS TO OB ARE ON THE STATE'S MEDICAID PROGRAM) BUT BECAUSE IT UNDERSTOOD THERE WAS A COMMUNITY NEED FOR EXPANDED SERVICES.YRMC ALSO SUBSIDIZES THE FAMILY RESOURCE CENTER, A PROGRAM THAT HELPS YOUNG PARENTS LEARN HEALTHY PARENTING SKILLS AND MATCHES THEM TO LOCAL RESOURCES THEY NEED. THE STAFF WORKS CLOSELY WITH THE OB STAFF IN VISITING ALL NEW MOMS WHO DELIVER BABIES AT YRMC. THEY ARE PRESENTED WITH A GROWTH AND DEVELOPMENT CALENDAR TO HELP THEM UNDERSTAND WHAT CAN BE EXPECTED IN THEIR BABIES' FIRST YEAR. STAFF ALSO INVITES NEW PARENTS TO PARTICIPATE IN THE FAMILY RESOURCE CENTER PROGRAMS.IN ADDITION, THE HOSPITAL HAS IMPLEMENTED AN EMPLOYED PHYSICIAN MODEL IN ORDER TO FURTHER ASSIST THE COMMUNITY IN ADDRESSING A SEVERE SHORTAGE OF PHYSICIANS.THE HOSPITAL'S BOARD OF DIRECTORS IS COMMUNITY BASED AND REPRESENTS THE LOCAL COMMUNITY.THE HOSPITAL INVESTS AND UTILIZES ANY EXCESS FUNDS FROM OPERATIONS AS A SAFEGUARD FOR POTENTIAL FINANCIAL CHALLENGES AND TO FUND FUTURE CAPITAL NEEDS.
PART VI, LINE 6:	YAVAPAI REGIONAL MEDICAL CENTER BECAME PART OF THE COMMONSPIRIT HEALTH SYSTEM EFFECTIVE NOVEMBER 2020.AFFILIATES OF DIGNITY COMMUNITY CARE ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, AND GRASS VALLEY/NEVADA CITY, CALIFORNIA, PHOENIX, CHANDLER AND GILBERT, ARIZONA AND LAS VEGAS AND HENDERSON, NEVADA AND IN 18 ADDITIONAL STATES THROUGH THE ALLIANCE WITHIN COMMONSPIRIT HEALTH SYSTEM. THESE AFFILIATES FOLLOW PRACTICES IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES.
SCHEDULE H, PART VI, LINE 7	YAVAPAI REGIONAL MEDICAL CENTER DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH THE STATE.

Schedule H (Form 990) 2020

Additional Data

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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

2020

Open to Public
Inspection

Name of the organization
YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
DBA YAVAPAI REGIONAL MEDICAL CENTER

Employer identification number
86-0098923

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	(h) Purpose of grant or assistance
(1) YAVAPAI COLLEGE FOUNDATION 1100 E SHELDON ST PRESCOTT,AZ86301	23-7232985	501(C)(3)	113,713	EDUCATION SUPPORT
(2) COMMUNITY HEALTH CENTER OF YAVAPAI 1090 COMMERCE DR PRESCOTT,AZ86305	86-0744955	501(C)(3)	66,000	COMMUNITY HEALTH
(3) YAVAPAI FOOD BANK PO BOX 4151 PRESCOTT,AZ86302	86-0709163	501(C)(3)	29,000	COMMUNITY HEALTH
(4) WEST YAVAPAI GUIDANCE CLINIC FOUNDATION 3343 N WINDSONG DR PRESCOTT VALLEY,AZ86314	86-0576008	501(C)(3)	25,000	COMMUNITY HEALTH
(5) PRESCOTT MEALS ON WHEELS 1280 E ROSSER ST PRESCOTT,AZ86301	86-0417621	501(C)(3)	20,000	COMMUNITY HEALTH
(6) HUMBOLDT EDUCATION FOUNDATION INC PO BOX 25606 PRESCOTT VALLEY,AZ86312	47-3592724	501(C)(3)	15,000	COMMUNITY HEALTH
(7) PRESCOTT MOUNTAIN BIKE ALLIANCE PO BOX 3027 PRESCOTT,AZ86302	27-2333931	501(C)(3)	10,000	COMMUNITY HEALTH
(8) CASA SENIOR CENTER 9360 MANZANITA CIR PRESCOTT VALLEY,AZ86314	94-2866243	501(C)(3)	7,500	COMMUNITY HEALTH

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) 2020

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:

YAVAPAI REGIONAL MEDICAL CENTER'S COMMUNITY OUTREACH DEPARTMENT IS RESPONSIBLE FOR REVIEWING AND APPROVING DONATION REQUESTS FROM ORGANIZATIONS THAT SHARE OUR VISION OF A TOTAL HEALING ENVIRONMENT. WE CHOOSE TO SUPPORT ORGANIZATIONS THAT BENEFIT THOSE IN OUR COMMUNITY WHO ARE VULNERABLE AND UNDERSERVED. WE PRIORITIZE ORGANIZATIONS THAT: - ADVANCE RESEARCH IN AREAS SPECIFICALLY IMPORTANT TO THE PEOPLE WE SERVE. EXAMPLES ARE THE AMERICAN CANCER SOCIETY AND THE ALZHEIMER'S ASSOCIATION. - ADDRESS FOOD INSECURITY IN OUR REGION. EXAMPLES INCLUDE LOCAL FOOD BANKS, MEALS ON WHEELS AND BACKPACK NUTRITION PROGRAMS FOR CHILDREN. - PROVIDE BEHAVIORAL HEALTH SERVICES TO THOSE IN NEED. THIS INCLUDES DONATIONS TO POLARA HEALTH AND OTHER ORGANIZATIONS THAT ADDRESS BEHAVIORAL HEALTH AND CHEMICAL DEPENDENCY ISSUES IN OUR COMMUNITY. THIS ALSO INCLUDES FINANCIAL SUPPORT TO PROVIDE NARCAN AT NO COST FOR LOCAL LAW ENFORCEMENT AGENCIES TO UTILIZE IN THE FIELD. - EXTEND CARE TO THOSE IN OUR COMMUNITY WHO ARE UNDERSERVED. WE MAKE AN ANNUAL DONATION TO ARIZONA SONSHINE, WHICH PROVIDES FREE MEDICAL, DENTAL AND VISION CARE TO THE UNDERSERVED. OUR DONATION OF APPROXIMATELY $60,000 ANNUALLY IN RADIOLOGY SERVICES TO THE YAVAPAI COMMUNITY HEALTH CENTER IS ANOTHER EXAMPLE OF OUR COMMITMENT TO EXTENDING CARE TO THE UNDERSERVED IN THE COMMUNITY. - SUPPORT OUR AGING POPULATION. THIS INCLUDES REGULAR ANNUAL DONATIONS TO THE VARIOUS COMMUNITY CENTERS IN THE REGION THAT PROVIDE SUPPORT AND FELLOWSHIP FOR OUR AREA'S SENIORS. - NURTURE CHILD DEVELOPMENT AND EDUCATION. EXAMPLES INCLUDE THE BOYS AND GIRLS CLUBS, PREVENT CHILD ABUSE ARIZONA, LOCAL SCHOOL DISTRICTS, AND OTHERS. - PROMOTE HEALTHY LIFESTYLES AND ADDRESS PHYSICAL INACTIVITY. EXAMPLES INCLUDE DONATIONS TO THE NORTH STAR CHARITABLE FOUNDATION TO BENEFIT LOCAL ADOLESCENT AND TEEN GROUPS, THE PRESCOTT MOUNTAIN BIKE ASSOCIATION'S SUMMER YOUTH PROGRAM, THE YMCA, AND MUCH MORE. THESE ARE A FEW EXAMPLES OF THE VARIOUS ORGANIZATIONS WE CHOOSE TO SUPPORT TO BENEFIT THOSE IN OUR COMMUNITY. EACH REQUEST IS REVIEWED AND APPROVED BY THE DIRECTOR OF MARKETING AND COMMUNICATIONS WHO MANAGES THE COMMUNITY BENEFIT PROGRAM FOR YRMC. DONATIONS ARE BUDGETED MONTHLY AND PRIORITIES MAY SHIFT BASED ON COMMUNITY NEED.

Schedule I (Form 990) 2020

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
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

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

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
DBA YAVAPAI REGIONAL MEDICAL CENTER

Employer identification number

86-0098923

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 on 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 .....

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 on Line 1a? ....

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

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

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

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 ..........................

Yes

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

Yes

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

Cat. No. 50053T

Schedule J (Form 990) 2020

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)
1LINDA HUNT TRUSTEE (STARTED 11/1/20)	(i) (ii)	0 ------------- 670,045	0 ------------- 584,837	0 ------------- 384,688	0 ------------- 397,118	0 ------------- 75,636	0 ------------- 2,112,324	0 ------------- 204,806
2MANSOUR H ASSAR CARDIOLOGIST-INTERVENTIONAL	(i) (ii)	1,450,965 ------------- 0	0 ------------- 0	2,888 ------------- 0	14,250 ------------- 0	15,450 ------------- 0	1,483,553 ------------- 0	0 ------------- 0
3JOHN AMOS CHIEF EXECUTIVE OFFICER	(i) (ii)	763,227 ------------- 0	161,621 ------------- 0	211,631 ------------- 0	33,462 ------------- 0	25,172 ------------- 0	1,195,113 ------------- 0	181,271 ------------- 0
4NISHA TUNG-TAKHER ELECTROPHYSIOLOGIST	(i) (ii)	947,566 ------------- 0	252,100 ------------- 0	656 ------------- 0	33,462 ------------- 0	28,475 ------------- 0	1,262,259 ------------- 0	0 ------------- 0
5SHAYAN ALAM GASTROENTEROLOGIST	(i) (ii)	533,147 ------------- 0	469,912 ------------- 0	438 ------------- 0	33,750 ------------- 0	27,785 ------------- 0	1,065,032 ------------- 0	0 ------------- 0
6GEORGE T RIZK CARDIOLOGIST-INVASIVE	(i) (ii)	605,078 ------------- 0	178,806 ------------- 0	2,888 ------------- 0	33,462 ------------- 0	12,153 ------------- 0	832,387 ------------- 0	0 ------------- 0
7ROBERT CANDIPAN CARDIOLOGIST-INTERVENTIONAL	(i) (ii)	736,186 ------------- 0	0 ------------- 0	2,888 ------------- 0	14,250 ------------- 0	33,785 ------------- 0	787,109 ------------- 0	0 ------------- 0
8KEITH FREY MD TRUSTEE (STARTED 11/1/20)	(i) (ii)	0 ------------- 502,547	0 ------------- 123,126	0 ------------- 27,898	0 ------------- 31,131	0 ------------- 25,752	0 ------------- 710,454	0 ------------- 0
9LEE LIVIN CHIEF FINANCIAL OFFICER	(i) (ii)	313,828 ------------- 0	84,200 ------------- 0	151,915 ------------- 0	133,935 ------------- 0	17,961 ------------- 0	701,839 ------------- 0	85,116 ------------- 0
10ANTHONY TORRES CHIEF MEDICAL OFFICER	(i) (ii)	300,076 ------------- 0	80,000 ------------- 0	132,173 ------------- 0	116,567 ------------- 0	25,348 ------------- 0	654,164 ------------- 0	0 ------------- 0
11FRANK ALMENDAREZ CHIEF ADMIN OFFICER	(i) (ii)	192,258 ------------- 0	43,044 ------------- 0	89,104 ------------- 0	73,490 ------------- 0	29,487 ------------- 0	427,383 ------------- 0	54,448 ------------- 0
12MARK TIMM CHIEF HUMAN RESOURCE OFFICER	(i) (ii)	184,348 ------------- 0	46,004 ------------- 0	89,151 ------------- 0	70,928 ------------- 0	25,581 ------------- 0	416,012 ------------- 0	52,138 ------------- 0
13TIMOTHY ROBERTS CHIEF INFORMATION OFFICER	(i) (ii)	206,142 ------------- 0	36,844 ------------- 0	66,900 ------------- 0	77,384 ------------- 0	23,317 ------------- 0	410,587 ------------- 0	22,546 ------------- 0
14ROBERTA NICOL EXECUTIVE DIRECTOR OF PHILANTHROPY	(i) (ii)	233,279 ------------- 0	33,901 ------------- 0	68,168 ------------- 0	11,113 ------------- 0	23,166 ------------- 0	369,627 ------------- 0	52,216 ------------- 0
15KEITH A NICHOLS CHIEF OPERATING OFF (STARTED 1/14/20	(i) (ii)	302,394 ------------- 0	0 ------------- 0	6,110 ------------- 0	5,169 ------------- 0	23,235 ------------- 0	336,908 ------------- 0	82,004 ------------- 0
16DIANE DREXLER CHIEF NURSING OFF (THRU 4/3/20)	(i) (ii)	70,739 ------------- 0	53,878 ------------- 0	116,370 ------------- 0	16,343 ------------- 0	9,961 ------------- 0	267,291 ------------- 0	59,936 ------------- 0
17IRENE E CONNOR CHIEF NURSING OFF (STARTED 6/28/20)	(i) (ii)	193,438 ------------- 0	0 ------------- 0	7,199 ------------- 0	10,553 ------------- 0	18,412 ------------- 0	229,602 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2020

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 4B	THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM A YRMC NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE AMOUNTS LISTED INCLUDE AMOUNTS IN W-2 BOX 5 WAGES AND AMOUNTS INCLUDED IN DEFERRED COMPENSATION. W-2, BOX 5; DEFERRED COMP 181,271; 0 - JOHN AMOS, CEO 85,116; 100,185 - LEE LIVIN, CFO 59,936; 1,185 - DIANE DREXLER, CNO 52,138; 59,385 - MARK TIMM, HR DIR 52,216; 0 - ROBERTA NICOL, DEV. DIR 54,448; 59,240 - FRANK ALMENDAREZ, CAO 22,546; 63,134 - TIMOTHY ROBERTS, CIO 82,004; 92,567 - ANTHONY TORRES, CMO 0; 5,169 - KEITH NICHOLS, COO CERTAIN LISTED PERSONS PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2020. CERTAIN LISTED PERSONS PAID BY THE RELATED ORGANIZATION, DIGNITY HEALTH, ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE; THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS OCCURRED DURING 2020 PURSUANT TO THIS PLAN INCLUDE L HUNT, $204,806. FOR CERTAIN LISTED PERSONS PAID BY THE RELATED ORGANIZATION, DIGNITY HEALTH, COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)).
PART I, LINE 7	THE HOSPITAL PROVIDED PERFORMANCE AWARDS TO ITS EXECUTIVE TEAM IN 2020. WHILE THE PERFORMANCE AWARDS REWARDED OUTSTANDING PERFORMANCE, THEY WERE NOT CONTINGENT ON ACHIEVING A STATED REVENUE OR NET EARNINGS AMOUNT AND WERE SOLEY AT THE DISCRETION OF THE HOSPITAL'S CEO.
PART I, LINE 8	JOHN AMOS' COMPENSATION IS COVERED BY HIS INITIAL CONTRACT DATED OCTOBER 1ST, 2013. PLEASE SEE SCHEDULE O, PART VI, LINE 15A NARRATIVE FOR MORE INFORMATION.
SCHEDULE J, PART I, LINE 4A	CERTAIN LISTED PERSONS PAID BY THE RELATED ORGANIZATION, DIGNITY HEALTH, PARTICIPATE IN A SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 1 TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE PLAN. NO PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2020.

Schedule J (Form 990) 2020

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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 instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
DBA YAVAPAI REGIONAL MEDICAL CENTER

Employer identification number
86-0098923

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	THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI	86-0376099	985900DJ5	08-13-2001	33,842,071	REFUND '03 ISSUE		X		X		X
B	THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI	86-0376099	985900EF2	11-03-2016	47,762,252	REFUND '97,'02, & '08 ISSUES		X		X		X
C	THE INDUST DEV'T AUTH OF THE COUNTY OF YAVAPAI	86-0376099	985900ES4	06-30-2019	71,434,271	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	11,250,000		1,960,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	33,842,071		47,762,252		71,434,271
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			477,623
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	660,341		319,511		1,005,938
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............	33,181,730		46,965,118		31,146,042
12 Other unspent proceeds .............
13 Year of substantial completion .............	2013		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........	X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, an advance refunding issue)? ........		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		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		X		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 ....
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 .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		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		X		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		X		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		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X	X
b Exception to rebate? ........		X		X		X
c No rebate due? .........	X		X			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	X			X

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X				X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		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		X		X

Part Ⅵ

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

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: THE INDUST. DEV'T AUTH OF THE COUNTY OF YAVAPAI DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2018
SCHEDULE K, PART I, COLUMN (F)	BOND C DESCRIPTION OF PURPOSE: THE BOND WAS ISSUED TO REFUND THE '13 ISSUANCE AND $50 MILLION IN NEW MONEY FOR FACILTIES AND EQUIPMENT.

Schedule K (Form 990) 2020

Additional Data

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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

2020

Open to Public
Inspection

Name of the organization

YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
DBA YAVAPAI REGIONAL MEDICAL CENTER

Employer identification number

86-0098923

Return Reference	Explanation
FORM 990, PART III, LINE 4A	YAVAPAI COMMUNITY HOSPITAL ASSOCIATION DBA YAVAPAI REGIONAL MEDICAL CENTER (YRMC) IS HONORED TO SERVE THE ENTIRE COMMUNITY OF WESTERN YAVAPAI COUNTY. WE CARE FOR EVERYONE LIVING IN OUR REGION THROUGH HIGH QUALITY INPATIENT AND OUTPATIENT SERVICES AS WELL AS A WIDE RANGE OF VALUABLE COMMUNITY OUTREACH AND HEALTH EDUCATION PROGRAMS. YRMC SERVES THE HEALTHCARE NEEDS OF PEOPLE OF ALL AGES AND FROM ALL WALKS OF LIFE. WE'RE PLEASED TO MEET THOSE NEEDS 24 HOURS A DAY, 365 DAYS A YEAR. YRMC HAS TWO HOSPITALS; ONE IN PRESCOTT, YRMC WEST, AND ONE IN PRESCOTT VALLEY, YRMC EAST. CONSIDER THAT IN 2020, YRMC EMBRACED ITS NOT-FOR-PROFIT MISSION BY INVESTING IN COMMUNITY BENEFIT FOR THE PEOPLE OF WESTERN YAVAPAI COUNTY. THIS INCLUDES DIRECT HEALTHCARE SERVICES AS WELL AS PROGRAMS THAT IMPROVE HEALTH AND PREVENT ILLNESS. IN 2020, YRMC TOUCHED MANY OF THE RESIDENTS IN OUR SERVICE AREA THROUGH OUR COMMUNITY BENEFIT AND HEALTH EDUCATION EFFORTS. IN SPITE OF THE CHALLENGES PRESENTED BY COVID-19 YRMC WAS STILL ABLE TO PROVIDE 38 COMMUNITY PRESENTATIONS ON HEALTH TOPICS WITH THE HELP OF VIDEO FOR REMOTE PROGRAMS PEOPLE COULD VIEW FROM THEIR HOMES. THERE WERE 806 YOUTUBE VIEWS OF OUR HEALTHY CONVERSATIONS PRESENTATIONS AND VIDEOS IN 2020. YRMC ALSO OFFERS A PATIENT ASSISTANCE PROGRAM TO HELP PEOPLE WHO HAVE NO INSURANCE OR WHO HAVE LIMITED INSURANCE COVERAGE. 2020 WAS ANOTHER YEAR OF PROVIDING PERSONALIZED CARE TO MANY THOUSANDS OF PEOPLE. FOR EXAMPLE, 938 BABIES WERE BORN IN YRMC'S OBSTETRICS DEPARTMENT. BIRTHING AND BREASTFEEDING CLASSES HOSTED 140 EXPECTANT PARENTS WITH MOST OF THEM PARTICIPATING ONLINE. YRMC PROVIDES FAMILY RESOURCE CENTER SERVICES THAT INCLUDE FREE PARENTING EDUCATION, COUNSELING SERVICES AND COORDINATION WITH OTHER COMMUNITY RESOURCES THAT CAN HELP SUPPORT YOUNG FAMILIES IN NEED. THESE PROGRAMS FOCUS ON ELIMINATING CHILD ABUSE AND NEGLECT AMONG PARTICIPATING FAMILIES. THIS PROGRAM HAS ALSO PROVIDED BASIC NECESSITIES FOR NEW FAMILIES SUCH AS BABY FORMULA AND DIAPERS. THE FAMILY RESOURCE CENTER PROVIDED PARENTS 2,278 VISITS ON HOW TO CARE FOR THEIR CHILDREN. WITH THE COVID-19 RESTRICTIONS NEW TELEHEALTH OPTIONS MADE IT POSSIBLE TO NEARLY DOUBLE THE NUMBER OF VISITS FROM THE PRIOR YEAR. THIS IS ANOTHER EXAMPLE OF HOW YRMC WAS ABLE TO NIMBLY ADAPT TO THE UNIQUE CHALLENGES OF COVID-19. YRMC ALSO OFFERS THE PARTNERS FOR HEALTHY STUDENTS PROGRAM, ANOTHER EFFORT TO FILL GAPS IN THE NATIONAL POLICY REGARDING THE PROVISION OF HEALTHCARE SERVICES FOR THE UNDERSERVED. THIS IS A SCHOOL-BASED HEALTH PROGRAM FOR CHILDREN WHO ARE UNINSURED OR UNDERINSURED. THE PROGRAM IS LED BY TWO PEDIATRIC NURSE PRACTITIONERS (PNPS) WHO WORK IN CONJUNCTION WITH A LOCAL PEDIATRICIAN. SCHOOL-AGE CHILDREN AND THEIR YOUNGER SIBLINGS ARE DIAGNOSED AND TREATED FOR A WIDE VARIETY OF HEALTH PROBLEMS. A SPECIALLY-EQUIPPED MEDICAL VAN IS SENT TO LOCAL SCHOOLS. THE PNPS ALSO WORK COLLABORATIVELY WITH DENTISTS TO GET THESE CHILDREN THE HELP THEY NEED FOR DENTAL PROBLEMS. AGAIN, COVID-19 PRESENTED UNIQUE CHALLENGES FOR THIS PROGRAM DUE TO SCHOOL CLOSURES AND REMOTE TEACHING. WITH PHILANTHROPIC SUPPORT, THE PROGRAM CONTINUED YEAR-LONG WITH THE MOBILE CLINIC LOCATED AT YRMC EAST IN PRESCOTT VALLEY. SPECIAL INFECTION CONTROL PRECAUTIONS WERE IMPLEMENTED TO KEEP STAFF, PARENTS AND CHILDREN SAFE. IN 2020, 843 STUDENTS RECEIVED FREE HEALTHCARE SERVICES THROUGH PARTNERS FOR HEALTHY STUDENTS. YRMC IS PROUD TO PROVIDE THESE SERVICES AT NO CHARGE FOR THOSE IN NEED. ANOTHER OPPORTUNITY PRESENTED ITSELF WITH COVID-19 AND SCHOOL CLOSURES. YRMC'S POPULAR GO NOODLE ONLINE FITNESS PROGRAM FOR AREA SCHOOLS AND FAMILIES CONTINUED THROUGH 2020. THIS FREE PROGRAM SERVED 2,356 FAMLIES WITH 76,538 MINUTES OF GO NOODLE FUN EXERCISES AT HOME. IN ADDITION 39 SCHOOLS AND 327 TEACHERS PROVIDED THE PROGRAM TO 7,585 STUDENTS IN OUR REGION. IN ADDITION, YRMC PROVIDED MORE THAN 290 MEALS FOR A LOCAL HOUSING SHELTER IN 2020. YRMC ALSO HELPED FINANCIALLY SUPPORT THE NO HUNGRY KIDS INITIATIVE TO FEED CHILDREN FROM UNDERSERVED HOMES YEAR-ROUND. THE JAMES FAMILY HEART CENTER AT YRMC PERFORMS HUNDREDS OF CARDIAC AND THORACIC CASES AND HAS ALSO PERFECTED A BLOOD MANAGEMENT PROGRAM WHICH GREATLY BENEFITS PATIENTS. IN 2020, YRMC PROVIDED 217 OPEN HEART AND THORACIC SURGERIES. IN ADDITION, 2,236 CARDIAC CATHETERIZATION, ELECTROPHYSIOLOGY, INTERVENTIONAL CARDIOLOGY AND INTERVENTIONAL RADIOLOGY PROCEDURES WERE PROVIDED. YRMC SURGEONS ALSO PROVIDED 66 TRANSCATHETER AORTIC VALVE REPLACEMENTS (TAVR) AND TRANSCATHETER MITRAL VALVE REPLACEMENTS (TMVR). A VIGOROUS COMMUNITY OUTREACH PROGRAM REACHED THOUSANDS OF PEOPLE IN OUR LOCAL COMMUNITY WITH COMPLIMENTARY, CURRENT HEALTH INFORMATION. THIS INCLUDES A SPEAKERS' - BUREAU SERVICE, PROVIDING 38 PRESENTATIONS FROM YRMC HEALTH PROFESSIONALS ABOUT HEALTH-RELATED TOPICS FOR THE COMMUNITY. DUE TO COVID RESTRICTIONS, MOST OF THOSE WERE PRESENTED ONLINE. YAVAPAI COMMUNITY HOSPITAL ASSOCIATION DBA YAVAPAI REGIONAL MEDICAL CENTER (YRMC) IS HONORED TO SERVE THE ENTIRE COMMUNITY OF WESTERN YAVAPAI COUNTY. WE CARE FOR EVERYONE LIVING IN OUR REGION THROUGH HIGH QUALITY INPATIENT AND OUTPATIENT SERVICES AS WELL AS A WIDE RANGE OF VALUABLE COMMUNITY OUTREACH AND HEALTH EDUCATION PROGRAMS. YRMC SERVES THE HEALTHCARE NEEDS OF PEOPLE OF ALL AGES AND FROM ALL WALKS OF LIFE. WE'RE PLEASED TO MEET THOSE NEEDS 24 HOURS A DAY, 365 DAYS A YEAR. YRMC'S HEALTHCARE TEAM - NURSES, PHYSICIANS AND OTHER MEDICAL PROFESSIONALS - CARED FOR 11,170 INPATIENTS IN 2020. THAT SAME YEAR, NEARLY 60,000 PEOPLE RECEIVED CARE IN YRMC'S EMERGENCY DEPARTMENTS. WE FREQUENTLY SEE MENTAL HEALTH PATIENTS BROUGHT TO THE ED WITH SUICIDAL IDEATION - NOT MEDICAL CONDITIONS. THOSE PATIENTS RANGE FROM VERY YOUNG CHILDREN TO PEOPLE WHO ARE MORE THAN 90 YEARS OLD. YRMC HAS COLLABORATED CLOSELY WITH SEVERAL BEHAVIORAL HEALTH ORGANIZATIONS IN AN EFFORT TO HELP THE COMMUNITY AS A TEAM. WE HAVE ALSO PROVIDED FINANCIAL SUPPORT FOR LOCAL NON-PROFIT PROVIDERS. MENTAL HEALTH HAS CONSISTENTLY BEEN A COMMUNITY NEED AND, UNFORTUNATELY, YAVAPAI COUNTY HAS THE HIGHEST SUICIDE RATE IN THE STATE. WE CONTINUE TO WORK WITH OTHER COMMUNITY AGENCIES TO ADDRESS THIS CHALLENGE. YRMC'S SOCIAL MEDIA ENGAGEMENT INCREASED AGAIN IN 2020. PEOPLE ENGAGED IN YRMC'S BLOG, HEALTHCONNECT WITH 106,625 CONNECTIONS AND YRMC' S FACEBOOK COMMUNITY INCLUDED 2,530,579 CONNECTIONS. YRMC'S YOUR HEALTHY KITCHEN COMMUNITY HAD 105,104 CONNECTIONS AND THERE WERE 172,100 CONNECTIONS VIA YRMC'S TWITTER COMMUNITY. WEBSITE TRAFFIC TO YRMC.ORG SAW MORE THAN ONE MILLION PAGE VIEWS WITH 293,080 VISITORS. ALL THESE VENUES PROVIDE VALUABLE HEALTH INFORMATION.
FORM 990, PART VI, SECTION A, LINE 4	IN NOVEMBER 2020, A CONSOLIDATED AFFILIATE OF COMMONSPIRIT, DIGNITY COMMUNITY CARE ("DCC"), AND YAVAPAI COMMUNITY HOSPITAL ASSOCIATION, DBA YAVAPAI REGIONAL MEDICAL CENTER ("YRMC"), AN ARIZONA NONPROFIT CORPORATION, EFFECTED A BUSINESS COMBINATION WHICH TRANSFERRED THE SOLE MEMBERSHIP OF YRMC AND ITS APPLICABLE SUBSIDIARIES TO DCC FOR NO CASH CONSIDERATION. YRMC OWNS AND OPERATES TWO ACUTE CARE HOSPITALS, A REGIONAL WELLNESS CENTER, AN IMAGING CENTER, A NETWORK OF PRIMARY AND SPECIALTY PHYSICIAN CLINICS, AND A FUNDRAISING FOUNDATION IN THE PRESCOTT, ARIZONA AREA. IN ADDITION TO THE CHANGE OF MEMBERSHIP OUTLINED ABOVE , OTHER SIGNIFICANT CHANGES WERE MADE TO THE ORGANIZATION DOCUMENTS WHICH INCLUDE THE FOLLOWING. - THE SOLE CORPORATE MEMBER, DCC, SHALL HAVE SUCH RIGHTS AND POWERS WITH RESPECT TO THE GOVERNANCE OF THE YRMC. - THE NUMBER OF PERSONS SERVING ON THE YRMC BOARD OF DIRECTORS SHALL CONSIST OF AT LEAST NINE AND NO MORE THAN 21 MEMBERS OF WHICH SHOULD INCLUDE TWO MEMBERS WHO WILL BE APPOINTED BY THE CORPORATE MEMBER. -THE PRESIDENT/CEO OF YRMC, AND YRMC'S CHIEF OF THE MEDICAL STAFF (OR ANOTHER DESIGNATED MEMBER OF YRMC'S EXECUTIVE MEDICAL COMMITTEE) WILL EACH SERVE AS EX OFFICIO VOTING MEMBERS OF THE YRMC BOARD. -UPON DISSOLUTION OR LIQUIDATION OF YRMC, THE BOARD OF DIRECTORS SHALL TRANSFER ALL PROPERTY AND ASSETS OF ANY NATURE OF YRMC TO THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 6	PRIOR TO AFFILIATION WITH COMMONSPIRIT, EACH RESIDENT OF THE CENTRAL YAVAPAI HOSPITAL DISTRICT WHO IS AT LEAST (18) YEARS OF AGE SHALL BE A MEMBER OF THE ASSOCIATION (HOSPITAL) AT HIS WILL AND SHALL BE ELIGIBLE TO CAST ONE VOTE IN PERSON UPON ANY ISSUE PRESENTED AT AN ANNUAL OR SPECIAL MEETING. THERE SHALL BE NO PROXY OR CUMULATIVE VOTING. EFFECTIVE NOVEMBER 1, 2020, THE SOLE MEMBER OF YRMC IS DIGNITY COMMUNITY CARE.
FORM 990, PART VI, SECTION A, LINE 7A	AND FORM 990, PART VI, SECTION A, LINE 7B: PRIOR TO AFFILIATION WITH COMMONSPIRIT HEALTH (CSH) AS OF 11/1/2020, THE COUNCIL OF ELECTORS (THE COUNCIL) IS CHARGED WITH THE RESPONSIBILITY OF SELECTING INDIVIDUALS FROM THE COMMUNITY TO SERVE ON THE ORGANIZATION'S BOARD OF TRUSTEES. THE COUNCIL IS COMPOSED OF PUBLICLY ELECTED OFFICIALS AND REPRESENTATIVES FROM SELECTED GOVERNMENT AND NON-PROFIT ORGANIZATIONS FROM THROUGHOUT THE COMMUNITY. MEMBERS MUST APPROVE AMENDMENTS TO THE BYLAWS OR ARTICLES OF INCORPORATION. AS PART OF THE AFFILIATION, WITH THE EFFECTIVE DATE AS OF NOVEMBER 1, 2020, DIGNITY COMMUNITY CARE, AS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, WAS GRANTED SPECIFIC RESERVED RIGHTS SET FORTH IN THE SYSTEM GOVERNANCE MATRIX. THE RIGHTS OF THE CORPORATE MEMBER SHALL BE FURTHER SUBJECT TO THE POWERS RESERVED TO CSH UNDER THE GOVERNANCE MATRIX. THE COUNCIL OF ELECTORS (THE COUNCIL) IS CHARGED WITH THE AUTHORITY TO NOMINATE AND SUBMIT TO THE BOARD OF DIRECTORS INDIVIDUALS FROM THE COMMUNITY TO SERVE ON THE ORGANIZATION'S BOARD OF DIRECTORS. THE COUNCIL IS COMPOSED OF PUBLICLY ELECTED OFFICIALS AND REPRESENTATIVES FROM SELECTED GOVERNMENT AND NON-PROFIT ORGANIZATIONS THROUGHOUT THE COMMUNITY. THE SOLE CORPORATE MEMBER RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY COMMUNITY CARE BOARD APPOINTS AND APPROVES NEW BOARD MEMBERS OF THE ORGANIZATION. THE ORGANIZATION IS SUBJECT TO THE GOVERNANCE REQUIREMENTS OF THE COMMONSPIRIT HEALTH GOVERNANCE MATRIX. THUS, MANY KEY DECISIONS ADDRESSED IN THE BYLAWS REQUIRE THE ORGANIZATION TO ACT BY MAKING A "RECOMMENDATION," WHICH IS THEN FORMALLY ACTED ON BY THE DIGNITY COMMUNITY CARE BOARD. EXAMPLES INCLUDE AMENDING CORPORATE DOCUMENTS, APPROVING MEMBERS OF GOVERNING BOARD, APPROVING REMOVAL OF MEMBERS OF GOVERNING BOARD, APPROVAL OF DISSOLUTION AND SELLING, TRANSFERRING OR DISPOSING OF ASSETS.
FORM 990, PART VI, SECTION A, LINE 7B	SEE FORM 990, PART VI, SECTION A, LINE 7A AND 7B ABOVE.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION'S CFO REVIEWED THE FORM 990. IN ADDITION, COMMONSPIRIT HEALTH'S TAX DEPARTMENT WORKED CLOSELY WITH THE CFO TO REVIEW THE RETURN. THE FORM 990, IN ITS ENTIRETY, WAS ELECTRONICALLY PROVIDED TO THE ORGANIZATION'S BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	IN JANUARY OF EACH YEAR, A CONFLICT OF INTEREST FORM AND THE RELATED POLICY ARE SENT TO EACH MEMBER OF THE BOARD OF TRUSTEES, OFFICERS AND DIRECTORS OF THE ASSOCIATION, MANAGERS AND KEY EMPLOYEES, ALL OTHER EXEMPT EMPLOYEES, MEMBERS OF PROFESSIONAL ADVISORY COMMITTEES, AND THE MEDICAL EXECUTIVE COMMITTEE. RECIPIENTS ARE ASKED TO REVIEW THE POLICY AND SIGN THE FORM EACH YEAR AT THIS TIME. IN ADDITION, ALL EXEMPT NEW HIRES ARE ASKED TO REVIEW THE POLICY AND SIGN THE CONFLICT OF INTEREST STATEMENT. THE RETURNED FORMS ARE REVIEWED AND KEPT ON FILE IF NO CONFLICT HAS BEEN IDENTIFIED. IF CONFLICTS ARE IDENTIFIED, THE FORMS ARE SENT TO THE CEO FOR REVIEW. DURING DISCUSSIONS AT BOARD MEETINGS, THOSE WITH CONFLICTS IDENTIFIED THROUGH THIS PROCESS ARE EXCUSED FROM DISCUSSION AND VOTING ON THE RELATED MATTER. AS PART OF THE AFFILIATION, EFFECTIVE NOVEMBER 1, 2020, THE ORGANIZATION HAS ADOPTED THE RELATED ORGANIZATION, COMMONSPIRIT'S CONFLICTS OF INTEREST POLICY. THE CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") WAS PUT IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A COVERED PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. THIS POLICY APPLIES TO MEMBERS OF COMMONSPIRIT SYSTEM ENTITIES, CORPORATE BOARDS AND COMMITTEES OF THOSE CORPORATE BOARDS, MEMBERS OF CERTAIN COMMUNITY BOARDS OF COMMONSPIRIT SYSTEM ENTITIES AND MEMBERS OF COMMITTEES OF THOSE COMMUNITY BOARDS, CORPORATE OFFICERS OF COMMONSPIRIT SYSTEM ENTITIES, EMPLOYEES OF COMMONSPIRIT SYSTEM ENTITIES AT THE LEVEL OF VICE PRESIDENT OR ABOVE, AND ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY. PURSUANT TO THE AFORESAID POLICY, DISCLOSURE, REVIEW AND MANAGEMENT OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS AS DESCRIBED BELOW. A. DISCLOSURE OBLIGATIONS: EACH COVERED PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF A COVERED INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. B. CONFLICTS REVIEW: REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY COMMONSPIRIT LEGAL OR COMPLIANCE TEAM MEMBERS. IF IT IS DETERMINED THAT A POTENTIAL OR ACTUAL CONFLICT OF INTEREST MAY EXIST, SUCH ISSUES ARE ELEVATED TO AN APPROPRIATE REVIEW BODY OR INDIVIDUAL, DEPENDING ON THE DISCLOSER'S ORGANIZATIONAL ROLE, FOR DETERMINATION AS TO THE EXISTENCE OF A CONFLICT AND, IF/AS NEEDED, FOR CONFLICT MANAGEMENT: -THE COMMONSPIRIT BOARD CHAIR OR DESIGNEE (E.G., BOARD AUDIT & COMPLIANCE COMMITTEE) - FOR COMMONSPIRIT BOARD, COMMITTEE, AND OFFICER CONFLICTS. -OTHER COMMONSPIRIT CONFLICT OF INTEREST MULTI-DISCIPLINARY REVIEW BODIES OR INDIVIDUALS - IN THE CASE OF OTHER CONFLICTS. C. CONFLICTS DETERMINATION AND MANAGEMENT: SHOULD A CONFLICT OF INTEREST BE DETERMINED TO EXIST, THE APPLICABLE REVIEW BODY OR INDIVIDUAL WILL DETERMINE WHETHER THE CONFLICT CAN BE MANAGED AND, IF SO, WILL IMPLEMENT A CONFLICT MANAGEMENT AND MONITORING PLAN TO PROTECT COMMONSPIRIT'S INTERESTS. IF THE CONFLICT CANNOT BE MANAGED, COMMONSPIRIT MAY REQUIRE THE COVERED PERSON TO ALTER OR END THE RELATIONSHIP THAT CREATES THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	FORM 990, PART VI, SECTION B, LINE 15A UNDER THE DIRECTION OF THE HOSPITAL BOARD OF DIRECTORS, WITH SUPPORT FROM AN INDEPENDENT CONSULTANT RESPONSIBLE FOR ENSURING MARKET EQUITY FOR THE CEO COMPENSATION AND BENEFITS A MARKET EQUITY ANALYSIS WAS PERFORMED. IN 2020, GALLAGHER INTEGRATED WAS RETAINED TO CONDUCT A TOTAL COMPENSATION REVIEW, INCLUDING AN ANALYSIS OF ALL ELEMENTS OF CEO TOTAL COMPENSATION, INCLUDING SALARY, INCENTIVES, BENEFITS AND PERQUISITES COMPARED TO MARKET PRACTICES. THEY PROVIDED THE HOSPITAL HUMAN RESOURCES COMMITTEE (A SUBCOMMITTEE OF THE HOSPITAL BOARD) WITH A COMPREHENSIVE DESCRIPTION AND VALUATION OF ALL CASH COMPENSATION AND BENEFIT PRACTICES AND ASSESSED COMPENSATION FOR COMPETITIVENESS AND COMPLIANCE WITH REGULATORY REQUIREMENTS. IN ADDITION, GALLAGHER PROVIDED APPROPRIATE RECOMMENDATIONS FOR MODIFYING THE TOTAL COMPENSATION PROGRAM. ANY CHANGES TO THE CEO TOTAL COMPENSATION WERE APPROVED BY THE HOSPITAL BOARD OF DIRECTORS. COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE MINUTES OF THE HUMAN RESOURCES COMMITTEE AND BY SIGNED COMPENSATION AGREEMENTS IN PERSONNEL FILES MAINTAINED BY HR. FORM 990, PART VI, SECTION B, LINE 15B YRMC UTILIZES A THIRD-PARTY INDUSTRY EXPERT CONSULTANT TO DETERMINE MARKET COMPETITIVE EXECUTIVE COMPENSATION. THE ESSENTIAL ELEMENTS IN DETERMINING MARKET COMPETITIVENESS INCLUDE; 1.) DETERMINING PEER ORGANIZATIONS THAT ARE SIMILAR TO YRMC - NOT-FOR-PROFIT, REVENUE SIZE, NON-TEACHING HOSPITAL. 2.) EVALUATION OF EACH POSITIONS RESPONSIBILITIES AND SCOPE TO FIND SUITABLE INDUSTRY PAY BENCHMARKS. OUR COMPENSATION CONSULTANT THEN SETS APPROPRIATE PAY RANGES BASED ON THIS DATA. EVERY THREE YEARS A FULL MARKET PAY STUDY IS PERFORMED AND PAY RANGES ARE UPDATED ACCORDINGLY. IN THE OTHER YEARS, THE PAY RANGES ARE UPDATED BASED ON INDUSTRY PAY TREND DATA PROVIDED BY OUR COMPENSATION CONSULTANT. ANY CHANGES TO THE EXECUTIVES TOTAL COMPENSATION WERE APPROVED BY THE HOSPITAL BOARD OF DIRECTORS. COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE MINUTES OF THE HUMAN RESOURCES COMMITTEE AND BY SIGNED COMPENSATION AGREEMENTS IN PERSONNEL FILES MAINTAINED BY HR.
FORM 990, PART VI, SECTION C, LINE 19	THE FINANCIAL STATEMENTS ARE SUMMARIZED IN THE ANNUAL REPORT PUBLISHED ON THE ORGANIZATION'S WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A	CURRENT BOARD MEMBERS L HUNT'S AND K FREY'S COMPENSATION REPORTED REPRESENT COMPENSATION AS EMPLOYEES OF THE RELATED ORGANIZATION.
FORM 990, PART IX, LINE 11G	PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 15,997,115. MANAGEMENT AND GENERAL EXPENSES 3,199,423. FUNDRAISING EXPENSES 77,095. TOTAL EXPENSES 19,273,633. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 6,536,909. MANAGEMENT AND GENERAL EXPENSES 1,307,382. FUNDRAISING EXPENSES 31,503. TOTAL EXPENSES 7,875,794. CONSULTING & OTHER PROF FEES: PROGRAM SERVICE EXPENSES 1,888,794. MANAGEMENT AND GENERAL EXPENSES 377,759. FUNDRAISING EXPENSES 9,103. TOTAL EXPENSES 2,275,656. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,223,512. MANAGEMENT AND GENERAL EXPENSES 1,244,702. FUNDRAISING EXPENSES 29,993. TOTAL EXPENSES 7,498,207.
FORM 990, PART XI, LINE 9:	CHANGE IN SPLIT INTEREST AGREEMENT -117,547.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
DBA YAVAPAI REGIONAL MEDICAL CENTER

Employer identification number

86-0098923

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(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) YAVAPAI REG MED CTR PHYSICIAN CARE LLC 1003 WILLOW CREEK ROAD PRESCOTT,AZ86301 26-3257358	MEDICAL SERVICES	AZ	410,888,968	46,796,349	YRMC
(2) NORTH CENTRAL ARIZONA ACCOUNTABLE CARE 1003 WILLOW CREEK ROAD PRESCOTT,AZ86301 46-5648068	MEDICAL SERVICES	AZ	68,799	2,857	YRMC
(3) PRESCOTT MEDICAL IMAGING 801 WHIPPLE STREET PRESCOTT,AZ86301 77-0603441	MEDICAL SERVICES	AZ	24,755,609	0	YRMC

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled 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
(1)ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA,NE68154 47-0765154	HOSPITAL	NE	501(C)(3)	LINE 3	ACH		No
(2)ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA,NE68154 47-0757164	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(3)ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA,NE68124 47-0484764	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(4)ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA,NE68122 47-0376615	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(5)ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER,NE68661 47-0399853	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(6)ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING,IA50841 42-0782518	HOSPITAL	IA	501(C)(3)	LINE 3	CHI NEBRASKA		No
(7)ALEGENT HEALTH-COMMUNITY MEMORIAL HOSP OF MISSOURI VALLEY IA 631 N 8TH ST MISSOURI VALLEY,IA51555 42-0776568	HOSPITAL	IA	501(C)(3)	LINE 3	CHI NEBRASKA		No
(8)ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS,MN56345 41-1351177	LONG-TERM CARE	MN	501(C)(3)	LINE 10	CSH		No
(9)APPLETREE COURT 601 OAK ST BRECKENRIDGE,MN56520 41-1850500	SENIOR LIVING	MN	501(C)(3)	LINE 10	SFH		No
(10)ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION 345 S HALCYON RD ARROYO GRANDE,CA93420 20-3256066	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(11)BAKERSFIELD MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD,CA93301 95-1802779	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE		No
(12)BARROW FOUNDATION UK 13 CHURCH STREET NUNNEY,ENGLANDBA11 4LW UK 31-1724184	FUNDRAISING FOUNDATION	UK	501(C)(3)	LINE 12D, III-O	N/A		No
(13)BARROW NEUROLOGICAL FOUNDATION 350 WEST THOMAS ROAD PHOENIX,AZ85013 86-0174371	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 7	DIGNITY HEALTH		No
(14)BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS,TX77384 27-4499340	PHYSICIANS	TX	501(C)(3)	LINE 12A, I	SLCHS		No
(15)BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON,TX77030 76-0458535	PHYSICIANS	TX	501(C)(3)	LINE 3	SLHS		No
(16)BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2187242	HEALTHCARE	PA	501(C)(3)	LINE 12A, I	CSH		No
(17)BRAZOSPORT HEALTH FOUNDATION INC 1 WEST WAY CT LAKE JACKSON,TX77566 76-0080110	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 12A, I	BRHS		No
(18)BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON,TX77566 80-0240261	PHYSICIANS	TX	501(C)(3)	LINE 3	BRHS		No
(19)BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2759890	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC		No
(20)BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2913931	HEALTHCARE	TX	501(C)(3)	LINE 10	SJSC		No
(21)CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION 1401 SOUTH GRAND AVENUE LOS ANGELES,CA90015 95-4000909	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY COMMUNITY CARE		No
(22)CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON,ND58421 45-0227311	HOSPITAL	ND	501(C)(3)	LINE 3	CSH		No
(23)CATHOLIC HEALTH INITIATIVES - COLORADO 9100 EAST MINERAL CIRCLE CENTENNIAL,CO80112 84-0405257	HOSPITAL	CO	501(C)(3)	LINE 3	CSH		No
(24)CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES,IA50314 42-0680448	HOSPITAL	IA	501(C)(3)	LINE 3	CSH		No
(25)CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS,CO80920 84-0902211	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 7	CHIC		No
(26)CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS,CO80920 27-0930004	HEALTHCARE	CO	501(C)(3)	LINE 12A, I	CSH		No
(27)CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-0992796	PHYSICIANS	CO	501(C)(3)	LINE 12A, I	CHINS		No
(28)CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG,OR97471 26-3946191	SURGERY CENTER	OR	501(C)(3)	LINE 10	MMC		No
(29)CENTRAL CALIFORNIA HEALTH CENTERS 300 OLD RIVER ROAD STE 200 BAKERSFIELD,CA93311 84-4171789	CLINIC	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE		No
(30)CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND,KS67530 48-0543724	HOSPITAL	KS	501(C)(3)	LINE 3	CSH		No
(31)CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO,ND58104 27-1966847	HOME HEALTH	MN	501(C)(3)	LINE 10	CSH		No
(32)CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA,NE68154 47-0648586	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	ACH		No
(33)CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER,KY41018 20-2741651	INVESTMENTS	KY	501(C)(3)	LINE 12A, I	CSH		No
(34)CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO,OH43623 34-1892096	SENIOR LIVING	OH	501(C)(3)	LINE 12A, I	SFH		No
(35)CHI MEMORIAL HOSPITAL - GEORGIA 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE,GA30742 82-2748395	HOSPITAL	GA	501(C)(3)	LINE 3	MHCS		No
(36)CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-1261716	HEALTHCARE	CO	501(C)(3)	LINE 10	CHI NS		No
(37)CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-2532084	HEALTHCARE	CO	501(C)(3)	LINE 12A, I	CSH		No
(38)CHI NEBRASKA 12809 WEST DODGE ROAD OMAHA,NE68510 36-3233121	HEALTHCARE	NE	501(C)(3)	LINE 12A, I	CSH		No
(39)CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER,PA17602 23-2342997	HEALTHCARE	PA	501(C)(3)	LINE 12A, I	CSH		No
(40)CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE,NM87102 71-0897107	COMMUNITY	NM	501(C)(3)	LINE 12A, I	CSH		No
(41)CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 71-0236913	HOSPITAL	AR	501(C)(3)	LINE 3	CHISVHS		No
(42)CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 26-1125064	HOLDING CO	AR	501(C)(3)	LINE 12B, II	SVIMC		No
(43)CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 26-1125131	PHYSICIANS	AR	501(C)(3)	LINE 3	CHISVHS		No
(44)COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 47-0617373	HEALTHCARE	CO	501(C)(3)	LINE 12A, I	N/A		No
(45)COMMONSPIRIT HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 85-3374038	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 7	CSH		No
(46)COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC 185 BERRY STREET STE 200 SAN FRANCISCO,CA94107 85-0919176	INVESTMENTS	CA	501(C)(3)	LINE 12A, I	CSH		No
(47)COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-1050565	HEALTHCARE	CO	501(C)(3)	LINE 12A, I	CSH		No
(48)COMMUNITY HOSPITAL OF SAN BERNARDINO 1805 MEDICAL CENTER DRIVE SAN BERNARDINO,CA92411 95-1643373	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE		No
(49)COMMUNITY LIMITED CARE DIALYSIS CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 23-7419853	HOLDING CO	OH	501(C)(4)	N/A	GSH		No
(50)COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY,IA51555 42-1294399	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AH-CMHMV		No
(51)CONTINUING CARE HOSPITAL ONE SAINT JOSEPH DRIVE LEXINGTON,KY40504 61-1400619	HOSPITAL	KY	501(C)(3)	LINE 3	SJHS		No
(52)DIGNITY COMMUNITY CARE 185 BERRY STREET STE 200 SAN FRANCISCO,CA94107 81-5009488	HOSPITAL	CO	501(C)(3)	LINE 3	CSH		No
(53)DIGNITY HEALTH 185 BERRY STREET STE 200 SAN FRANCISCO,CA94107 94-1196203	HOSPITAL	CA	501(C)(3)	LINE 3	CSH		No
(54)DIGNITY HEALTH CONNECTED LIVING 200 MERCY OAKS DRIVE REDDING,CA96003 23-7115371	SENIOR CENTER SERVICES	CA	501(C)(3)	LINE 7	DIGNITY HEALTH		No
(55)DIGNITY HEALTH FOUNDATION 185 BERRY STREET STE 200 SAN FRANCISCO,CA94107 46-2037641	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(56)DIGNITY HEALTH FOUNDATION - INLAND EMPIRE 2101 N WATERMAN AVENUE SAN BERNARDINO,CA92404 23-7440086	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(57)DIGNITY HEALTH FOUNDATION EAST VALLEY 475 SOUTH DOBSON ROAD CHANDLER,AZ85224 74-2418514	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(58)DIGNITY HEALTH HPL SELF-INSURANCE TRUST 185 BERRY STREET STE 200 SAN FRANCISCO,CA94107 94-3006034	SELF INSURANCE	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(59)DIGNITY HEALTH INSURANCE NEVADA LTD 185 BERRY STREET STE 200 SAN FRANCISCO,NV94107 81-3800752	SELF INSURANCE	NV	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(60)DIGNITY HEALTH MEDICAL FOUNDATION 3400 DATA DRIVE RANCHO CORDOVA,CA95670 68-0220314	MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC	CA	501(C)(3)	LINE 12A, I	DIGNITY COMMUNITY CARE		No
(61)DIGNITY HEALTH WORKERS COMP SELF-INSURANCE TRUST 185 BERRY STREET STE 200 SAN FRANCISCO,CA94107 94-6612446	SELF INSURANCE	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(62)DOMINICAN HEALTH SERVICES 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 77-0056778	COMMUNITY HEALTH SYSTEM	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(63)DOMINICAN HOSPITAL FOUNDATION 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 94-2450442	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(64)DOMINICAN OAKS CORPORATION 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 77-0127719	OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS	CA	501(C)(3)	LINE 10	DHS		No
(65)EAST TEXAS CLINICAL SERVICES 2801 VIA FORTUNA SUITE 500 AUSTIN,TX78746 45-4736213	HEALTHCARE	TX	501(C)(3)	LINE 12A, I	SLHS		No
(66)ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW,WA98022 91-0715805	HOSPITAL	WA	501(C)(3)	LINE 3	FHS		No
(67)FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN,KY40004 61-1345363	HOSPITAL	KY	501(C)(3)	LINE 3	KOH		No
(68)FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN,KY40004 56-2351341	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	FH		No
(69)FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO,OH43623 34-1931806	HEALTHCARE	OH	501(C)(3)	LINE 10	CHILC		No
(70)FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA,WA98405 91-1145592	FUNDRAISING FOUNDATION	WA	501(C)(3)	LINE 10	FHS		No
(71)FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA,WA98405 91-0564491	HOSPITAL	WA	501(C)(3)	LINE 3	CSH		No
(72)FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA,WA98402 43-1882377	PHYSICIANS	MO	501(C)(3)	LINE 10	CSH		No
(73)FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA,WA98402 91-1939739	HEALTHCARE	WA	501(C)(3)	LINE 10	FHS		No
(74)FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE,WI53172 39-1093829	HEALTHCARE	WI	501(C)(3)	LINE 10	CSH		No
(75)FRENCH HOSPITAL MEDICAL CENTER FOUNDATION 1911 JOHNSON AVENUE SAN LUIS OBISPO,CA93401 20-3256125	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY COMMUNITY CARE		No
(76)GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON,ND58540 45-0227752	HOSPITAL	ND	501(C)(3)	LINE 3	SAMC		No
(77)GLENDALE MEMORIAL HEALTH FOUNDATION 1420 SOUTH CENTRAL AVENUE GLENDALE,CA91204 95-3625651	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY COMMUNITY CARE		No
(78)GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 20-1536108	MINISTRIES	CO	501(C)(3)	LINE 12A, I	CSH		No
(79)GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 31-1778403	EDUCATION	OH	501(C)(3)	LINE 2	GSH		No
(80)GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 31-1206047	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	GSH		No
(81)GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY,NE68848 47-0379755	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(82)GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY,NE68847 47-0659443	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	GSH		No
(83)HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON,WA98310 91-0565546	HOSPITAL	WA	501(C)(3)	LINE 3	FHS		No
(84)HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON,WA98310 91-1197626	FUNDRAISING FOUNDATION	WA	501(C)(3)	LINE 7	HMC		No
(85)HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 76-0761782	FUNDRAISING FOUNDATION	MN	501(C)(3)	LINE 12A, I	SFMC		No
(86)HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN,WA98166 91-0712166	HOSPITAL	WA	501(C)(3)	LINE 3	FHS		No
(87)HOUSE OF MERCY 1111 6TH AVE DES MOINES,IA50314 42-1323808	SHELTER	IA	501(C)(3)	LINE 7	CHI-IA CORP		No
(88)JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 250 E LIBERTY ST STE 500 LOUISVILLE,KY40202 61-1029768	HOSPITAL	KY	501(C)(3)	LINE 3	KOH		No
(89)KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE,KY40202 61-1029769	HEALTHCARE	KY	501(C)(3)	LINE 12B, II	CSH		No
(90)KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E LIBERTY ST STE 800 LOUISVILLE,KY40202 61-1352729	HEALTHCARE	KY	501(C)(3)	LINE 10	JHSMH		No
(91)LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE,MN56623 41-0758434	HOSPITAL	MN	501(C)(3)	LINE 3	CSH		No
(92)LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE,MN56623 41-1893795	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 7	LHC		No
(93)LEAGACY FOUNDATION OF KENTUCKIANA INC 1451 HARRODSBURG RD STE D-308 LEXINGTON,KY40504 83-2170324	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12B, II	KOH		No
(94)LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON,ND58054 82-0558836	HOSPITAL	ND	501(C)(3)	LINE 3	CSH		No
(95)LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN,TX75901 82-0563768	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	MHSET		No
(96)MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2761145	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC		No
(97)MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS,KY51017 61-0654635	LIVING ASSIST	KY	501(C)(3)	LINE 10	CHILC		No
(98)MARIAN REGIONAL MEDICAL CENTER FOUNDATION 1400 E CHURCH STREET SANTA MARIA,CA93454 95-3818027	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(99)MARK TWAIN MEDICAL CENTER 768 MOUNTAIN RANCH ROAD SAN ANDREAS,CA95249 68-0127677	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE		No
(100)MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA,TN37404 62-1839548	FUNDRAISING FOUNDATION	TN	501(C)(3)	LINE 7	MHCS		No
(101)MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA,TN37404 62-0532345	HOSPITAL	TN	501(C)(3)	LINE 3	CSH		No
(102)MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA,TN37411 03-0417049	HEALTHCARE	TN	501(C)(3)	LINE 10	MHCS		No
(103)MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN,TX75902 75-0755367	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS		No
(104)MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN,TX75902 76-0436439	HOSPITAL	TX	501(C)(3)	LINE 3	MHSET		No
(105)MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN,TX75902 75-2663904	HOSPITAL	TX	501(C)(3)	LINE 3	MHSET		No
(106)MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN,TX95904 75-2721155	PHYSICIANS	TX	501(C)(3)	LINE 12A, I	MHSET		No
(107)MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN,TX95902 75-2492741	HOSPITAL	TX	501(C)(3)	LINE 3	MHSET		No
(108)MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES,IA50314 42-6076069	AUXILIARY	IA	501(C)(3)	LINE 12A, I	MF-DM IA		No
(109)MERCY CLINICS INC 1111 6TH AVE DES MOINES,IA50314 42-1193699	PHYSICIANS	IA	501(C)(3)	LINE 10	CHI-IA CORP		No
(110)MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES,IA50314 42-1511682	EDUCATION	IA	501(C)(3)	LINE 2	CHI-IA CORP		No
(111)MERCY FOUNDATION BAKERSFIELD PO BOX 119 BAKERSFIELD,CA93302 77-0201321	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(112)MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG,OR97471 93-6088946	FUNDRAISING FOUNDATION	OR	501(C)(3)	LINE 7	MMC		No
(113)MERCY FOUNDATION NORTH 2625 EDITH AVENUE SUITE E REDDING,CA96001 94-3136799	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	N/A		No
(114)MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES,IA50314 23-7358794	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 7	CHI-IA CORP		No
(115)MERCY FOUNDATION SACRAMENTO 3400 DATA DRIVE 3RD FLR RANCHO CORDOVA,CA95670 23-7072762	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	N/A		No
(116)MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING,IA50841 42-1461064	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AHMH-CORNING		No
(117)MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY,ND58072 45-0435338	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MHVC		No
(118)MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS,IA51503 42-1178204	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AHBMHS		No
(119)MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE,ND58301 45-0227012	HOSPITAL	ND	501(C)(3)	LINE 3	CSH		No
(120)MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE,ND58301 35-2367360	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 7	MHDL		No
(121)MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY,ND58072 45-0226553	HOSPITAL	ND	501(C)(3)	LINE 3	CSH		No
(122)MERCY MCMAHON TERRACE 3865 J STREET SACRAMENTO,CA95816 68-0117340	SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES	CA	501(C)(3)	LINE 10	DIGNITY HEALTH		No
(123)MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON,ND58801 45-0231183	HOSPITAL	ND	501(C)(3)	LINE 3	CSH		No
(124)MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE,IA52544 42-0680308	HOSPITAL	IA	501(C)(3)	LINE 3	CHI-IA CORP		No
(125)MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER 204 N 4TH AVE E NEWTON,IA50314 42-1470935	HOSPITAL	IA	501(C)(3)	LINE 3	CHI-IA CORP		No
(126)MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG,OR97471 93-0386868	HOSPITAL	OR	501(C)(3)	LINE 3	CSH		No
(127)MERCY MEDICAL CENTER MERCED FOUNDATION 301 E 13TH STREET MERCED,CA95340 77-0035928	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(128)MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON,ND58801 45-0381803	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MMC		No
(129)NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN,NE68526 39-2031968	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(130)NORTHLAND HEALTHCARE ALLIANCE 2223 EAST ROSSER AVENUE BISMARCK,ND58501 91-1845296	MANAGEMENT	ND	501(C)(3)	LINE 7	NCHA		No
(131)NORTHRIDGE HOSPITAL FOUNDATION 18300 ROSCOE BLVD NORTHRIDGE,CA91328 23-7444901	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY COMMUNITY CARE		No
(132)OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES,ND58474 45-0231675	HOSPITAL	ND	501(C)(3)	LINE 3	CSH		No
(133)OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES,ND58474 71-0966606	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	OCH		No
(134)PACIFIC CENTRAL COAST HEALTH CENTERS 1400 E CHURCH STREET SANTA MARIA,CA93454 77-0447575	CLINIC	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE		No
(135)PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN,TX75902 75-2493116	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	MHSET		No
(136)PORT CITY OPERATING COMPANY LLC 3400 DATA DRIVE RANCHO CORDOVA,CA95670 46-5322209	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY HEALTH		No
(137)PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY,OH44870 34-1658625	HEALTHCARE	OH	501(C)(3)	LINE 10	CHILC		No
(138)PROVIDENCE CARE CENTERS 2025 HAYES AVENUE SANDUSKY,OH44870 34-1826099	HOLDING CO	OH	501(C)(3)	LINE 12B, II	CHILC		No
(139)PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY,OH44870 34-1896807	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC		No
(140)PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO,CO81004 84-1234295	COMMUNITY	CO	501(C)(3)	LINE 7	CHIC		No
(141)REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE 16251 SYLVESTER ROAD SW BURIEN,WA98166 91-1170040	HOSPITAL	WA	501(C)(3)	LINE 3	FHS		No
(142)SAINT CLARE'S COMMUNITY CARE INC 25 POCONO RD DENVILLE,NJ07834 22-2876836	HEALTHCARE	NJ	501(C)(3)	LINE 10	SCHS		No
(143)SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE,NJ07834 22-3639733	MANAGEMENT	NJ	501(C)(3)	LINE 10	CSH		No
(144)SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE,NJ07834 22-3319886	HEALTHCARE	NJ	501(C)(3)	LINE 3	SCHS		No
(145)SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN,NE68510 47-0625523	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SERMC		No
(146)SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN,NE68510 36-3233120	HOSPITAL	NE	501(C)(3)	LINE 3	SERMC		No
(147)SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN,NE68510 47-0379836	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(148)SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND,NE68803 47-0376601	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(149)SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND,NE68802 47-0630267	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SFMC		No
(150)SAINT FRANCIS MEMORIAL HOSPITAL 900 HYDE STREET SAN FRANCISCO,CA94109 94-1156295	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE		No
(151)SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA,KY40403 26-0152877	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS		No
(152)SAINT JOSEPH HEALTH SYSTEM INC 200 ABRAHAM FLEXNER WAY LOUISVILLE,KY40202 61-1334601	HOSPITAL	KY	501(C)(3)	LINE 3	KOH		No
(153)SAINT JOSEPH HOSPITAL FOUNDATION INC 701 BOB OLINK DR 200 LEXINGTON,KY40504 61-1159649	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	SJHS		No
(154)SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON,KY40741 26-0438748	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS		No
(155)SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING,KY40353 27-2884584	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS		No
(156)SAINT JOSEPH'S HOSPITAL FOUNDATION 2500 FAIRWAY STREET DICKINSON,ND58601 36-3418207	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	SJHHC		No
(157)SAN GABRIEL VALLEY MEDICAL CENTER FOUNDATION 438 WEST LAS TUNAS DRIVE SAN GABRIEL,CA91776 95-3430341	INACTIVE	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(158)SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER,NE68661 36-3630014	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 12A, I	AHMHS		No
(159)SEQUOIA HOSPITAL FOUNDATION 170 ALAMEDA DE LAS PULGAS REDWOOD CITY,CA94062 94-2909990	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12D, III-O	N/A		No
(160)SET OF COLORADO SPRINGS INC 9100 E MINERAL CIRCLE CENTENNIAL,CO80112 84-1183335	SENIOR CENTER SERVICES	CO	501(C)(3)	LINE 7	CHIC		No
(161)SIERRA NEVADA MEMORIAL-MINERS HOSPITAL 155 GLASSON WAY GRASS VALLEY,CA95945 94-1439787	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE		No
(162)SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 44-0545809	HOSPITAL	MO	501(C)(3)	LINE 3	CSH		No
(163)ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK,ND58501 45-0226711	HOSPITAL	ND	501(C)(3)	LINE 3	CSH		No
(164)ST ANTHONY HOSPITAL 2801 ST ANTHONY WAY PENDLETON,OR97801 93-0391614	HOSPITAL	OR	501(C)(3)	LINE 3	CSH		No
(165)ST ANTHONY HOSPITAL FOUNDATION 2801 ST ANTHONY WAY PENDLETON,OR97801 93-0992727	FUNDRAISING FOUNDATION	OR	501(C)(3)	LINE 12A, I	SAH		No
(166)ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON,AR72110 71-0245507	HOSPITAL	AR	501(C)(3)	LINE 3	SVIMC		No
(167)ST CATHERINE HOSPITAL 401 EAST SPRUCE ST GARDEN CITY,KS67846 48-0543721	HOSPITAL	KS	501(C)(3)	LINE 3	CSH		No
(168)ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE ST GARDEN CITY,KS67846 20-0598702	FUNDRAISING FOUNDATION	KS	501(C)(3)	LINE 12A, I	SCH		No
(169)ST CLARE COMMONS 12469 FIVE POINT ROAD TOLEDO,OH43551 27-0163752	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC		No
(170)ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 93-0433692	HEALTHCARE	OR	501(C)(4)	N/A	CSH		No
(171)ST FRANCIS FOUNDATION OF SANTA BARBARA 2323 DE LA VINA ST SUITE 104 SANTA BARBARA,CA93105 23-7137119	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(172)ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 41-0729978	LONG-TERM CARE	MN	501(C)(3)	LINE 10	CSH		No
(173)ST FRANCIS HOSPITAL SUPPORT CORPORATION 601 E MICHELTORENA STREET SANTA BARBARA,CA93103 77-0022302	INACTIVE	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(174)ST FRANCIS LIFE CARE CORPORATION 19 POCONO RD DENVILLE,NJ07834 22-2536017	ELDERLY CARE	NJ	501(C)(3)	LINE 8	SCHS		No
(175)ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 41-0695598	HOSPITAL	MN	501(C)(3)	LINE 3	CSH		No
(176)ST JOHNS HEALTHCARE FOUNDATION 1600 NORTH ROSE AVENUE OXNARD,CA93030 20-2865781	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(177)ST JOSEPH FOUNDATION OF BRYAN TEXAS 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2351158	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 12B, II	SJSC		No
(178)ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2847594	HEALTHCARE	TX	501(C)(3)	LINE 10	SJSC		No
(179)ST JOSEPH MEDICAL CENTER INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY,MD21030 52-0591461	HOSPITAL	MD	501(C)(3)	LINE 3	CSH		No
(180)ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN,TX77802 20-3159302	PHYSICIANS	TX	501(C)(3)	LINE 3	SJSC		No
(181)ST JOSEPH PHYSICIAN ENTERPRISE INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY,MD21030 52-1311775	PHYSICIANS	MD	501(C)(3)	LINE 12A, I	SJMC		No
(182)ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-1282696	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC		No
(183)ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN,TX77802 45-4088170	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC		No
(184)ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN,TX77802 46-3265423	HEALTHCARE	TX	501(C)(3)	LINE 10	SJSC		No
(185)ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2455161	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	SLHS		No
(186)ST JOSEPHS FOUNDATION 350 WEST THOMAS ROAD PHOENIX,AZ85013 94-2941245	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(187)ST JOSEPHS FOUNDATION OF SAN JOAQUIN 1800 N CALIFORNIA STREET STOCKTON,CA95204 51-0432777	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(188)ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS,MN56470 41-0695603	HOSPITAL	MN	501(C)(3)	LINE 3	CSH		No
(189)ST JOSEPH'S HOSPITAL AND HEALTH CENTER 2500 FAIRWAY ST DICKINSON,ND58601 45-0226429	HOSPITAL	ND	501(C)(3)	LINE 3	CSH		No
(190)ST LEONARD 8100 CLYO ROAD CENTERVILLE,OH45458 34-1940863	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC		No
(191)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC 6624 FANNIN ST STE 2505 HOUSTON,TX77030 27-3733278	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS		No
(192)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-1947374	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS		No
(193)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-0335902	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS		No
(194)ST LUKE'S COMMUNITY HEALTH SERVICES 6624 FANNIN ST STE 1100 HOUSTON,TX77030 76-0536234	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS		No
(195)ST LUKE'S FOUNDATION 1213 HERMANN DRIVE STE 855 HOUSTON,TX77004 45-3811485	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 7	SLHS		No
(196)ST LUKE'S HEALTH SYSTEM CORPORATION PO BOX 20269 HOUSTON,TX77225 76-0536232	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	CSH		No
(197)ST LUKE'S HOSPITAL AT THE VINTAGE 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-3734606	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS		No
(198)ST LUKE'S PROPERTIES CORPORATION 1213 HERMANN DRIVE STE 855 HOUSTON,TX77004 76-0531716	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	SLHS		No
(199)ST LUKE'S SUGAR LAND PROPERTIES CORPORATION 6624 FANNIN ST STE 2505 HOUSTON,TX77030 45-4120549	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	SLCDC-SL		No
(200)ST MARY MEDICAL CENTER FOUNDATION 1050 LINDEN AVENUE LONG BEACH,CA90813 23-7153876	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(201)ST MARY PROFESSIONAL BUILDING INC 1050 LINDEN AVENUE LONG BEACH,CA90813 23-7373088	INACTIVE	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(202)ST MARYS MEDICAL CENTER FOUNDATION 450 STANYAN STREET SAN FRANCISCO,CA94117 94-3336143	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(203)ST MARY'S COMMUNITY HOSPITAL 1301 GRUNDMAN BOULEVARD NEBRASKA CITY,NE68410 47-0443636	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(204)ST MARY'S HOSPITAL FOUNDATION 1314 3RD AVE NEBRASKA CITY,NE68410 47-0707604	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SMCH		No
(205)ST ROSE DOMINICAN HEALTH FOUNDATION 3001 ST ROSE PARKWAY HENDERSON,NV89052 88-0349432	FUNDRAISING FOUNDATION	NV	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(206)ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 51-0169537	FUNDRAISING FOUNDATION	AR	501(C)(3)	LINE 12A, I	SVIMC		No
(207)ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0236917	HOSPITAL	AR	501(C)(3)	LINE 3	CSH		No
(208)ST VINCENT MEDICAL GROUP TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0830696	HEALTHCARE	AR	501(C)(3)	LINE 10	SVIMC		No
(209)SYLVANIA FRANCISCAN HEALTH 1715 INDIAN WOOD CIR 200 MAUMEE,OH43537 34-1412964	HEALTHCARE	OH	501(C)(3)	LINE 12A, I	CSH		No
(210)SYLVANIA FRANCISCAN HEALTH FOUNDATION 1715 INDIAN WOOD CIR 200 MAUMEE,OH43537 45-5357161	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	SFH		No
(211)THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DRIVE SANDUSKY,OH44870 34-1826097	ASSIST LIVING	OH	501(C)(3)	LINE 10	CHILC		No
(212)THE COMMUNITY HOSPITAL OF BRAZOSPORT 100 MEDICAL DRIVE LAKE JACKSON,TX77566 74-1385192	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS		No
(213)THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 31-0537486	HOSPITAL	OH	501(C)(3)	LINE 3	CSH		No
(214)THE PHYSICIAN NETWORK 2000 Q ST STE 500 LINCOLN,NE68503 47-0780857	PHYSICIANS	NE	501(C)(3)	LINE 12A, I	CHI NEBRASKA		No
(215)TOTAL HEALTHCARE 9100 E MINERAL CIRCLE CENTENNIAL,CO80112 84-0927232	HOSPITAL	CO	501(C)(3)	LINE 3	CHIC		No
(216)TRINITY HEALTH FOUNDATION 380 SUMMIT AVENUE STEUBENVILLE,OH43952 31-1329423	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	THS		No
(217)TRINITY HEALTH SYSTEM 380 SUMMIT AVENUE STEUBENVILLE,OH43952 34-1818681	HEALTHCARE	OH	501(C)(3)	LINE 12A, I	N/A		No
(218)TRINITY HOSPITAL TWIN CITY 819 NORTH FIRST STREET DENNISON,OH44621 27-5401105	HOSPITAL	OH	501(C)(3)	LINE 3	THS		No
(219)TRI-STATE HEALTH SERVICES INC ONE ROSS PARK BLVD STEUBENVILLE,OH43952 34-1522484	ASSIST LIVING	OH	501(C)(3)	LINE 7	THS		No
(220)UNITY FAMILY HEALTHCARE 815 SE 2ND ST LITTLE FALLS,MN56345 41-0721642	HOSPITAL	MN	501(C)(3)	LINE 3	CSH		No
(221)VILLA NAZARETH INC 801 PAGE DR FARGO,ND58103 45-0226714	LONG-TERM CARE	ND	501(C)(3)	LINE 10	CSH		No
(222)VISITING NURSE ASSOCIATION OF ST CLARE'S INC 191 WOODPORT RD SPARTA,NJ07871 22-1768334	HOME HEALTH	NJ	501(C)(3)	LINE 10	SCHS		No
(223)WOODLAND MEMORIAL HOSPITAL FOUNDATION 1321 COTTONWOOD STREET 305 WOODLAND,CA95695 94-6167964	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 7	N/A		No
(224)YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION 1003 WILLOW CREEK ROAD PRESCOTT,AZ86301 86-1038463	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	YRMC		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2020

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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	(k) Percentage ownership
(1) AMERICAN MERCY HOME CARE LLC 1700 EDISON DR MILFORD,OH45150 83-0486150	HOME HEALTH	OH	N/A	N/A				No			No
(2) ARIZONA CARE NETWORK - NEXT LLC 350 W THOMAS RD PHOENIX,AZ85018 47-4696671	CARE NETWORK	AZ	N/A	N/A				No			No
(3) ARIZONA CARE NETWORK LLC 350 W THOMAS RD PHOENIX,AZ85013 45-4494682	CARE NETWORK	AZ	N/A	N/A				No			No
(4) AUDUBON LAND COMPANY LLC 630 SOUTHPOINTE COURT 200 COLORADO SPRINGS,CO80906 84-1513085	REAL ESTATE	CO	N/A	N/A				No			No
(5) BAYLOR CHI ST LUKES HEALTH SERVICES LLC 6624 FANNIN ST STE 1100 HOUSTON,TX77030 47-2079184	HEALTHCARE SRVC	TX	N/A	N/A				No			No
(6) BERGAN MERCY SURGERY CENTER LLC 7710 MERCY RD STE 200 OMAHA,NE68124 20-8671994	AMBUL SURG CTR	NE	N/A	N/A				No			No
(7) BERYWOOD OFFICE PROPERTIES LLC 2501 CITICO AVENUE CHATTANOGA,TN37404 62-1875199	PHYS OFFICE	TN	N/A	N/A				No			No
(8) BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD 709 WING ON PLAZA 62 MODY ROAD TST HONG KONG CH	HEALTH SERVICES	CH	N/A	N/A				No			No
(9) BLUEGRASS REGIONAL IMAGING CENTER 1218 SOUTH BROADWAY STE 310 LEXINGTON,KY40504 61-1386736	DIAGNOSTIC IMAGING	KY	N/A	N/A				No			No
(10) CBCC OUTSMARTING CANCER LLC 6501 TRUXTUN AVENUE BAKERSFIELD,CA93309 46-1602286	RADIATION / ONCOLOGY	CA	N/A	N/A				No			No
(11) CENTRAL NEBRASKA REHABILITATION SERVICES LLC 3004 W FAIDLEY AVENUE GRAND ISLAND,NE68803 81-0653461	PHYSICAL THERAPY	NE	N/A	N/A				No			No
(12) CENTURA-SCA HOLDINGS LLC 569 BROOK VILLAGE STE 901 BIRMINGHAM,AL35209 47-4823023	OP SURGERY CENTER	AL	N/A	N/A				No			No
(13) CHI OPERATING INVESTMENT PROGRAM LP 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 47-0727942	INVESTMENTS	CO	N/A	N/A				No			No
(14) CHICAMSURG SURGERY CENTERS LLC 1A BURTON HILLS BLVD NASHVILLE,TN37215 46-5683027	SURGERY CENTER	CO	N/A	N/A				No			No
(15) COLORADO SPRINGS CK LEASING LLC 630 SOUTHPOINTE COURT 200 COLORADO SPRINGS,CO80906 26-2982714	REAL ESTATE	CO	N/A	N/A				No			No
(16) COMMUNITY MERCY HOME CARE SERVICES OF SPRINGFIELD LLC 1700 EDISON DR MILFORD,OH45150 31-1746556	HOME HEALTH	OH	N/A	N/A				No			No
(17) DE JV LLC 8686 NEW TRAILS DRIVE THE WOODLANDS,TX77381 32-0496548	EMERGENCY CARE	NV	N/A	N/A				No			No
(18) DHHP SURGERY CENTERS LLC 1513 S GRAND AVENUE STE 350 LOS ANGELES,CA90015 83-1847466	SURGERY	CA	N/A	N/A				No			No
(19) DHRT HOLDINGS LLC 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 35-2484591	HOLDING COMPANY	DE	N/A	N/A				No			No
(20) DIGNITY- GOHEALTH URGENT CARE MANAGEMENT LLC 5555 GLENRIDGE CONNECTOR SUITE 700 ATLANTA,GA30342 35-2548698	MANAGEMENT SERVICES	DE	N/A	N/A				No			No
(21) DIGNITY HEALTH AT HOME LLC 1700 EDISON DR MILFORD,OH45150 82-4674115	HEALTHCARE SRVC	DE	N/A	N/A				No			No
(22) DIGNITY HEALTH SPECIALTY PHARMACY LLC 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 32-0589462	SPECIALTY PHARMACY SERVICES	DE	N/A	N/A				No			No
(23) DIGNITY HOME RECOVERY CARE LLC 49 MUSIC SQUARE WEST SUITE 401 NASHVILLE,TN37203 83-2832522	HOME RECOVERY PROGRAM	DE	N/A	N/A				No			No
(24) DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON,TX75001 20-2999237	SURGERY	TX	N/A	N/A				No			No
(25) DIGNITYUSP NORCAL SURGERY CENTERS LLC 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON,TX75001 20-2468509	SURGERY	TX	N/A	N/A				No			No
(26) DIGNITYUSP PHOENIX SURGERY CENTERS LLC 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON,TX75001 13-4248908	SURGERY	TX	N/A	N/A				No			No
(27) DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON,TX75001 35-2584991	SURGERY	TX	N/A	N/A				No			No
(28) DIGNITY-ABRAZO HEALTH NETWORK LLC 3030 N CENTRAL AVENUE SUITE 1402 PHOENIX,AZ85012 46-5477985	MANAGEMENT SERVICES	AZ	N/A	N/A				No			No
(29) DOMINICAN MAGNETIC RESONANCE IMAGING CENTER 1545 SOQUEL DRIVE SANTA CRUZ,CA94065 77-0095477	IMAGING CENTER	CA	N/A	N/A				No			No
(30) ECCS ACQUISITION COMPANY LLC 2940 NORTH CIRCLE DRIVE COLORADO SPRINGS,CO80909 35-2656413	AMBUL SURG CTR	CO	N/A	N/A				No			No
(31) FOLSOM SIERRA ENDOSCOPY CENTER LP 1650 CREEKSIDE DRIVE 1600 FOLSOM,CA95630 68-0482416	ENDOSCOPY	CA	N/A	N/A				No			No
(32) FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC 6622 WOLLOCHET DR NW GIG HARBOR,WA98335 46-3494108	REAL ESTATE	WA	N/A	N/A				No			No
(33) FRANCISCAN SPECIALTY CARE LLC 680 SOUTH FOURTH STREET LOUISVILLE,KY40202 81-3725123	HEALTHCARE SRVC	WA	N/A	N/A				No			No
(34) GOOD SAMARITAN HOME CARE SERVICES OF VINCENNE IN LLC 1700 EDISON DR MILFORD,OH45150 20-1792869	HOME HEALTH	OH	N/A	N/A				No			No
(35) HC SL VINTAGE I LLC 18000 W SARAH LANE STE 250 BROOKFIELD,WI53045 27-0453767	PROPERTY HOLDING	WI	N/A	N/A				No			No
(36) HEALTHCARE SUPPORT SERVICES LLC PO BOX 9804 GRAND ISLAND,NE68802 72-1546196	LAUNDRY	NE	N/A	N/A				No			No
(37) HEARTLAND ONCOLOGY LLC 2337 E CRAWFORD ST SALINA,KS67401 46-4265403	ONCOLOGY	KS	N/A	N/A				No			No
(38) LAKESIDE AMBULATORY SURGICAL CENTER LLC 17031 LAKESIDE HILLS DR OMAHA,NE68130 20-4267902	AMBUL SURG CTR	NE	N/A	N/A				No			No
(39) LAKESIDE ENDOSCOPY CENTER LLC 17001 LAKESIDE HILLS PLZ STE 201 OMAHA,NE68130 20-5544496	ENDOSCOPY SRVC	NE	N/A	N/A				No			No
(40) LINCOLN CK LEASING LLC 555 SOUTH 70TH STREET LINCOLN,NE68510 26-2496856	REAL ESTATE	NE	N/A	N/A				No			No
(41) MEMORIAL MEDICAL PLAZA 3838 SAN DIMAS SUITE B 201 BAKERSFIELD,CA93301 36-4510880	REAL ESTATE	CA	N/A	N/A				No			No
(42) MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC 2740 M STREET MERCED,CA95340 94-3358445	MANAGEMENT OF CANCER CENTER	CA	N/A	N/A				No			No
(43) MERCY REHABILITATION HOSPITAL LLC 680 SOUTH FOURTH STREET LOUISVILLE,KY40202 81-4437201	HEALTHCARE SRVC	TX	N/A	N/A				No			No
(44) MILITARY ROAD PROPERTIES LLC 181 S 333RD STREET STE 250 FEDERAL WAY,WA98003 91-2067879	REAL ESTATE	WA	N/A	N/A				No			No
(45) NEBRASKA SPINE HOSPITAL LLC 6901 N 72ND ST STE 20300 OMAHA,NE68122 27-0263191	SPINE HOSPITAL	NE	N/A	N/A				No			No
(46) NICU OPERATING CO OF SANTA CRUZ LLC 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 46-0502935	NEONATAL HEALTHCARE	CA	N/A	N/A				No			No
(47) NORTH RIVER SURGERY CENTER LLC 2209 WILDWOOD AVE SHERWOOD,AR72120 71-0799771	AMBUL SURG CTR	AR	N/A	N/A				No			No
(48) NORTHERN PLAINS LABORATORY LLC 401 N 9 STREET BISMARK,ND58501 84-1641341	DIAGNOSTIC SERVICES	ND	N/A	N/A				No			No
(49) NSC CHANNEL ISLANDS LLC 3000 RIVERCHASE GALLERIA SUITE 500 BIRMINGHAM,AL35244 77-0418197	AMBULATORY SURGICAL CENTER	CA	N/A	N/A				No			No
(50) OMG ARIZONA LLC 130 SUTTER STREET 2ND FLR SAN FRANCISCO,CA94104 47-1708588	MEDICAL OFFICE	AZ	N/A	N/A				No			No
(51) ORTHOCOLORADO LLC 11650 WEST 2ND PLACE LAKEWOOD,CO80228 37-1577105	ORTHO HOSPITAL	CO	N/A	N/A				No			No
(52) PARK RAPIDS AREA HEALTH CARE 600 PLEASANT AVENUE S PARK RAPIDS,MN56470 20-4926259	HEALTHCARE SRVC	MN	N/A	N/A				No			No
(53) PATIENT TRANSPORT SERVICES OF COLUMBUS INC 1700 EDISON DR MILFORD,OH45150 26-4601285	AMBULANCE	OH	N/A	N/A				No			No
(54) PENINSULA RADIATION ONCOLOGY LLC 314 MLK JR WAY STE 11 TACOMA,WA98405 87-0808610	HEALTHCARE SRVC	WA	N/A	N/A				No			No
(55) PENRAD IMAGING LLC 1390 KELLY JOHNSON BLVD COLORADO SPRINGS,CO80920 84-1072619	MEDICAL IMAGING	CO	N/A	N/A				No			No
(56) PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SVSC LLC 19625 62ND AVENUE SOUTH STE 101 KENT,WA98032 45-2901632	HOLDING COMPANY	WA	N/A	N/A				No			No
(57) PLAZA SURGERY CENTER LP 525 E PLAZA DRIVE SUITE 100 SANTA MARIA,CA93454 77-0573567	SURGERY	CA	N/A	N/A				No			No
(58) PMC HOSPITAL LLC 3100 MAIN ST STE 500 HOUSTON,TX77002 27-3280598	HOSPITAL	TX	N/A	N/A				No			No
(59) PRECISION MEDICINE ALLIANCE LLC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 35-2569159	DIAGNOSTIC SERVICES	CO	N/A	N/A				No			No
(60) RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY 1700 N ROSE AVENUE SUITE 120 OXNARD,CA93030 77-0191706	IMAGING	CA	N/A	N/A				No			No
(61) RBR MANAGEMENT LLC 91 CORPORATE PARK DRIVE SUITE 120 HENDERSON,NV89074 27-1466450	AMBULANCE	NV	N/A	N/A				No			No
(62) REID-ANC HOME CARE SERVICES LLC 1700 EDISON DR MILFORD,OH45150 37-1454747	HOME HEALTH	IN	N/A	N/A				No			No
(63) SAINT JOSEPH HEALTH ASC LLC 1 SAINT JOSEPH DRIVE LEXINGTON,KY40504 85-2155230	SURGERY	KY	N/A	N/A				No			No
(64) SAINT JOSEPH - SCA HOLDINGS LLC 1451 HARRODSBURG RD LEXINGTON,KY40503 45-3801157	OP SURGERY	DE	N/A	N/A				No			No
(65) SAINT JOSEPH-ANC HOME CARE SERVICES 1700 EDISON DR MILFORD,OH45150 26-3330545	HOME HEALTH	KY	N/A	N/A				No			No
(66) SANTA CRUZ COMPREHENSIVE IMAGING LLC 1661 SOQUEL DRIVE SUITE G SANTA CRUZ,CA95065 01-0550623	IMAGING	CA	N/A	N/A				No			No
(67) SANTA CRUZ LAND & BUILDING LP 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 77-0285236	REAL ESTATE	CA	N/A	N/A				No			No
(68) SANTA CRUZ SURGERY CENTER LLC 3003 PAUL SWEET ROAD SANTA CRUZ,CA95065 77-0194916	SURGERY	CA	N/A	N/A				No			No
(69) SEVEN OAKS SURGERY CENTER LLC 1801 ORANGE TREE LANE SUITE 200 REDLANDS,CA923744587 85-1559544	SURGERY	CA	N/A	N/A				No			No
(70) SOUTHEASTERN HOME CARE LLC 1700 EDISON DR MILFORD,OH45150 27-1219638	HOME HEALTH	OH	N/A	N/A				No			No
(71) ST ELIZABETH HOME CARE SERVICES LLC 1700 EDISON DR MILFORD,OH45150 26-1236191	HOME HEALTH	KY	N/A	N/A				No			No
(72) ST FRANCIS LAND COMPANY 5390 N ACADEMY BLVD STE 300 COLORADO SPRINGS,CO80918 26-3134100	REAL ESTATE	CO	N/A	N/A				No			No
(73) ST JOSEPH'S SURGERY CENTER LP 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON,TX75001 20-1019390	SURGERY	TX	N/A	N/A				No			No
(74) ST LUKE'S DIAGNOSTIC CATH LAB LLP 6624 FANNIN ST STE 800 HOUSTON,TX77030 71-0959365	DIAGNOSTICS	TX	N/A	N/A				No			No
(75) ST LUKE'S LAKESIDE HOSPITAL LLC 6624 FANNIN STE 2505 HOUSTON,TX77030 30-0427437	HOSPITAL	TX	N/A	N/A				No			No
(76) ST LUKE'S THE WOODLANDS SLEEP CENTER LLC 6624 FANNIN STE 800 HOUSTON,TX77030 46-2795726	DIAGNOSTICS	TX	N/A	N/A				No			No
(77) TEMPLETON SURGERY CENTER LLC 1310 LAS TABLAS ROAD SUITE 104 TEMPLETON,CA94365 20-2246616	SURGERY	CA	N/A	N/A				No			No
(78) THE MEDICAL PAVILION AT ST JOHN'S 1700 ROSE AVENUE OXNARD,CA93030 77-0332349	REAL ESTATE	CA	N/A	N/A				No			No
(79) THREE SPRING IMAGING LLC 1 MERCADO ST STE 200A DURANGO,CO81301 81-3571570	HEALTHCARE SRVC	CO	N/A	N/A				No			No
(80) VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC 18330 ROSCOE BLVD NORTHRIDGE,CA91328 80-0864336	SURGERY	CA	N/A	N/A				No			No

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) 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) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC 12809 WEST DODGE RD OMAHA,NE68154 47-0802396	MANAGED CARE	NE	N/A	C					No
(2) ALL SAINTS INSURANCE COMPANY SPC LTD PO BOX 10073 APO GEORGETOWN,GRAND CAYMAN CJ 98-0556913	INSURANCE	CJ	N/A	C					No
(3) ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY INC 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2466914	HEALTHCARE	TX	N/A	C					No
(4) ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC 3900 OLYMPIC BLVD STE 400 ERLANGER,KY41018 84-1112049	MANAGEMENT SERVICES	CO	N/A	C					No
(5) AMERICAN NURSING CARE INC 1700 EDISON DR MILFORD,OH45150 31-1085414	HOME HEALTH	OH	N/A	C					No
(6) AMERIMED INC 1700 EDISON DR MILFORD,OH45150 31-1158699	HOME HEALTH	OH	N/A	C					No
(7) BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE,KY40215 31-1542851	FITNESS CLUB	KY	N/A	C					No
(8) BRAZOSPORT HEALTH ALLIANCE 1 WEST WAY COURT LAKE JACKSON,TX77566 76-0518376	HEALTH CARE	TX	N/A	C					No
(9) CADUCEUS MEDICAL ASSOCIATES INC 5600 BRAINERD ROAD STE 500 CHATTANOOGA,TN37411 62-1570736	HEALTHCARE	TN	N/A	C					No
(10) CAPTIVE MANAGEMENT INITIATIVES LTD PO BOX 10073 APO GEORGETOWN,GRAND CAYMAN CJ 98-0663022	CAPTIVE MANAGEMENT	CJ	N/A	C					No
(11) CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-2269511	RESEARCH	CO	N/A	C					No
(12) CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC 1201 W FRANK AVE LUFKIN,TX75904 83-4184717	CONDO ASSOC	TX	N/A	C					No
(13) CLEARRIVER HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-4495960	INSURANCE	TN	N/A	C					No
(14) COASTAL SURGICAL SPECIALISTS INC 921 OAK PARK BLVD SUITE 101 PISMO BEACH,CA93449 74-3000596	HEALTHCARE	CA	N/A	S					No
(15) COMCARE SERVICES INC 5570 DTC PARKWAY ENGLEWOOD,CO80111 84-0904813	INACTIVE	CO	N/A	C					No
(16) CONSOLIDATED HEALTH SERVICES 1700 EDISON DR MILFORD,OH45150 31-1378212	HOME HEALTH	OH	N/A	C					No
(17) DES MOINES MEDICAL CENTER INC 1111 6TH AVE DES MOINES,IA50314 42-0837382	REAL ESTATE	IA	N/A	C					No
(18) DIGNITY HEALTH HOLDING CORPORATION 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 46-0675371	HOLDING CO	NV	N/A	C					No
(19) DIGNITY HEALTH INSURANCE LTD PO BOX 1051 KY1-1102 GRAND CAYMAN ISLANDS,GRAND CAYMAN CJ 98-1065338	INSURANCE	CJ	N/A	C					No
(20) DIGNITY HEALTH PROVIDER RESOURCES INC 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 47-3366764	HEALTH PLAN	CA	N/A	C					No
(21) DIVERSIFIED HEALTH RESOURCES INC 100 MEDICAL DRIVE LAKE JACKSON,TX77566 76-0222679	HEALTH CARE	TX	N/A	C					No
(22) FIRST INITIATIVES INSURANCE LTD PO BOX 10073 APO GEORGETOWN,GRAND CAYMAN CJ 98-0203038	INSURANCE	CJ	N/A	C					No
(23) FRANCISCAN CITY URGENT CARE SVCS PS DBA CITY MD-FRANCISCAN UC 1345 AVE OF THE AMERICAS NEW YORK,NY10105 81-2174959	HEALTHCARE	NY	N/A	C					No
(24) FRANCISCAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2487967	HEALTHCARE	CO	N/A	C					No
(25) GOOD SAMARITAN OUTREACH SERVICES PO BOX 1990 KEARNEY,NE68848 47-0659440	MEDICAL CLINIC	NE	N/A	C					No
(26) HARVESTPLAINS HEALTH OF IOWA 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY,WA98001 47-3451750	INSURANCE	WA	N/A	C					No
(27) HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC 1400 E CHURCH STREET SANTA MARIA,CA93454 77-0074057	HEALTHCARE	CA	N/A	C					No
(28) HEALTH SYSTEMS ENTERPRISES INC PO BOX 1990 KEARNEY,NE68848 47-0664558	MGMT	NE	N/A	C					No
(29) HEALTHCARE MGMT SERVICES ORGANIZATION INC 1149 MARKET ST TACOMA,WA98402 91-1865474	HEALTH ORG.	WA	N/A	C					No
(30) HEARTLANDPLAINS HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-4368223	INSURANCE	NE	N/A	C					No
(31) HIGHLINE MEDICAL GROUP 1717 S J STREET TACOMA,WA98405 91-1407026	MEDICAL SERVICES	WA	N/A	C					No
(32) INTEGRATED MEDICAL SERVICES 9250 N 3RD STREET SUITE 4010 PHOENIX,AZ85020 86-0783428	MULTI-SPECIALTY PHYSICIANS GROUP	AZ	N/A	C					No
(33) KOMG-LOUISVILLE REGION INC 201 ABRAHAM FLEXNER WAY LOUISVILLE,KY40202 83-2481198	HEALTHCARE	KY	N/A	C					No
(34) MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC 300 WERNER ST HOT SPRINGS,AR71913 71-0720429	REAL ESTATE	AR	N/A	C					No
(35) MEDQUEST 1301 15TH AVENUE WEST WILLISTON,ND58801 45-0392137	SALE OF DME	ND	N/A	C					No
(36) MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC 1201 W FRANK AVE LUFKIN,TX75904 46-3622849	HEATH CARE	TX	N/A	C					No
(37) MERCY PARK APARTMENTS LTD 1111 6TH AVE DES MOINES,IA50314 42-1202422	HOUSING	IA	N/A	C					No
(38) MERCY SERVICES CORP 2700 STEWART PARKWAY ROSEBURG,OR97471 93-0824308	RETAIL SALES	OR	N/A	C					No
(39) MHI CLINICAL SERVICES 1201 W FRANK AVE LUFKIN,TX75904 46-1967952	HEALTHCARE	TX	N/A	C					No
(40) MILLENNIUM SURGERY CENTER INC 9300 STOCKDALE HWY 200 BAKERSFIELD,CA93311 77-0513445	HEALTHCARE	CA	N/A	S					No
(41) MOUNTAIN MANAGEMENT SERVICES INC 6028 SHALLOWFORD RD CHATTANOOGA,TN37421 62-1570739	MGMT SVC ORG	TN	N/A	C					No
(42) NORTH CENTRAL HEALTH CARE ALLIANCE PO BOX 5538 BISMARK,ND58506 45-0439894	HEALTHCARE	ND	N/A	C					No
(43) PATIENT TRANSPORT SERVICES INC 1700 EDISON DR MILFORD,OH45150 31-1100798	HOME HEALTH	OH	N/A	C					No
(44) QUALCHOICE ADVANTAGE 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY,WA98001 47-3433912	INSURANCE	WA	N/A	C					No
(45) QUALCHOICE HEALTH PLAN SVS INC (FKA COLLABHEALTH PLAN SVS INC) 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-1224037	ADMIN SERVICES	CO	N/A	C					No
(46) QUALCHOICE HEALTH INC (FKA COLLABHEALTH MANAGED SOLUTIONS INC) 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-1222808	HOLDING CO	CO	N/A	C					No
(47) QUALCHOICE HOLDINGS INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-4075520	HOLDING CO	AR	N/A	C					No
(48) QUALCHOICE OF NEBRASKA 2401 S 73RD ST OMAHA,NE68124 81-0738827	INACTIVE	NE	N/A	C					No
(49) RIVERLINK HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-4380824	INSURANCE	OH	N/A	C					No
(50) RIVERLINK HEALTH OF KENTUCKY INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-4828332	INSURANCE	KY	N/A	C					No
(51) ROSS PARK PHARMACY INC 380 SUMMIT AVE STEUBENVILLE,OH43952 34-1832654	PHARMACY	OH	N/A	C					No
(52) SAINT CLARE'S PRIMARY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-2441202	BILLING SERVICES	NJ	N/A	C					No
(53) SJH SERVICES CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2307408	HEALTHCARE	CO	N/A	C					No
(54) SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR STE 160 LEXINGTON,KY40503 27-0164198	MGMT	KY	N/A	C					No
(55) SOUNDPATH HEALTH INC 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY,WA98001 42-1720801	INSURANCE	WA	N/A	C					No
(56) ST MARY HEALTH VENTURES INC 1050 LINDEN AVENUE LONG BEACH,CA90813 95-1912528	RETAIL PHARMACY	CA	N/A	C					No
(57) ST ANTHONY DEVELOPMENT COMPANY 1415 SOUTHGATE PENDLETON,OR97801 93-1216943	ATHLETIC CLUB	OR	N/A	C					No
(58) ST JOSEPH DEVELOPMENT COMPANY INC 1717 SOUTH J ST TACOMA,WA98405 91-1480569	RENTAL	WA	N/A	C					No
(59) ST LUKE'S HEALTH SYSTEM HOLDINGS INC 6624 FANNIN STE 800 HOUSTON,TX77030 76-0637138	HOLDING CO	TX	N/A	C					No
(60) ST VINCENT COMMUNITY HEALTH SERVICES INC TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0710785	HEALTHCARE	AR	N/A	C					No
(61) STE HOLDINGS 12809 WEST DODGE RD OMAHA,NE68154 82-2383629	HOLDING CO	NE	N/A	C					No
(62) SUGAR LAND DOCTOR GROUP 1317 LAKE POINT PARKWAY SUGAR LAND,TX77478 45-4270163	MEDICAL CLINIC	TX	N/A	C					No
(63) TOWSON MANAGEMENT INC 7601 OSLER DR TOWSON,MD21204 52-1710750	MGMT SERVICES	MD	N/A	C					No
(64) TRINITY MANAGEMENT SERVICES ORGANIZATION 380 SUMMIT AVE STEUBENVILLE,OH43952 34-1471026	MGMT SERVICES	OH	N/A	C					No

Schedule R (Form 990) 2020

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION	C	425,629	AMOUNT TRANSFERRED

Schedule R (Form 990) 2020

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2020

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2020

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE COMPREHENSIVE, HIGH-QUALITY HEALTHCARE CONSISTENT WITH OUR COMMUNITIES' NEEDS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	2,570
6	Total number of volunteers (estimate if necessary) .............	6	618
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	135,539
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	95,923

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,033,170	13,490,168
9	Program service revenue (Part VIII, line 2g) .........	397,260,750	377,040,692
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	9,609,194	5,503,522
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,098,779	2,050,397
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	410,001,893	398,084,779
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	675,099	372,656
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)	174,448,065	184,462,278
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 1,807,282
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	187,412,506	196,196,020
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	362,535,670	381,030,954
19	Revenue less expenses. Subtract line 18 from line 12.......	47,466,223	17,053,825
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	574,266,540	582,751,353
21	Total liabilities (Part X, line 26).............	180,775,829	172,896,324
22	Net assets or fund balances. Subtract line 21 from line 20.....	393,490,711	409,855,029

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 310,737,418 including grants of $ 372,656 ) (Revenue $ 376,905,153 )
	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 expenses310,737,418

(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)		(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) CHARLIE BOMBERGER........................................................................ TRUSTEE	5.00 .......................0.00	X		0	0	0
(19) JIM HOWARD........................................................................ TRUSTEE	5.00 .......................0.00	X		0	0	0
(20) PAULA KNEISL........................................................................ TRUSTEE (THRU 8/31/20)	5.00 .......................0.00	X		0	0	0
(21) ARABINDA PANI MD........................................................................ TRUSTEE	5.00 .......................5.00	X		0	0	0
(22) STEVE SISCHKA........................................................................ TRUSTEE	5.00 .......................0.00	X		0	0	0
(23) MARNIE UHL........................................................................ TRUSTEE (STARTED 9/1/20)	5.00 .......................0.00	X		0	0	0
(24) MIKE BEATTY........................................................................ CHAIR	5.00 .......................0.00	X	X	0	0	0
(25) JANE BRISTOL........................................................................ TRUSTEE/ CHAIR - THRU 4/30/20	5.00 .......................0.00	X	X	0	0	0
(26) TONY FERRULLI........................................................................ VICE-CHAIR /TREASURER - THRU 4/30/20	5.00 .......................0.00	X	X	0	0	0
(27) M KEITH PIATT MD........................................................................ TREASURER (STARTED 5/1/20)	5.00 .......................0.00	X	X	0	0	0
(28) DAN STORVICK........................................................................ SECRETARY	5.00 .......................0.00	X	X	0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,421,460	2,293,141	1,547,041

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	425,629
e	Government grants (contributions)		1e	13,064,539

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

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		13,490,168

		Business Code
2a	PATIENT SERVICE REVENU	900099	368,256,967	368,256,967
b	STATE MEDICAID SUPPLEM	900099	3,863,256	3,863,256
c	MEDICARE SHARED SAVING	900099	1,533,099	1,533,099
d	RURAL HOSPITAL/EMERGEN	900099	1,292,918	1,292,918
e	QUALITY PERFORMANCE IN	900099	797,736	797,736
f	All other program service revenue.		1,296,716	1,161,177	135,539
g	Total. Add lines 2a–2f .....		377,040,692

3 Investment income (including dividends, interest, and othersimilar amounts) ......			3,805,192			3,805,192
4 Income from investment of tax-exempt bond proceeds			229,667			229,667
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	21,176	242,010,790	7a
b	Less: cost or other basis and sales expenses	0	240,563,303	7b
c	Gain or (loss)	21,176	1,447,487	7c
d	Net gain or (loss).........			1,468,663			1,468,663
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	245,661
b	Less: cost of goods sold ..		10b	149,420
c	Net income or (loss) from sales of inventory..			96,241			96,241
Business Code			Miscellaneous Revenue
11a	CAFETERIA		722514	1,292,877			1,292,877
b	VENDOR REBATES		900099	649,338			649,338
c	VENDING/COPY MACHINE		900099	11,941			11,941
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,954,156
12	Total revenue. See instructions.....			398,084,779	376,905,153	135,539	7,553,919

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	372,656	372,656
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, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	4,959,540	546,644	4,098,713	314,183
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	139,073,936	115,431,367	23,086,273	556,296
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,001,042	2,490,865	498,173	12,004
9	Other employee benefits .......	27,794,072	23,069,080	4,613,816	111,176
10	Payroll taxes ...........	9,633,688	7,995,961	1,599,192	38,535
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,159,247		2,159,247
c	Accounting ...........	143,489		143,489
d	Lobbying ...........	28,650		28,650
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	41,079		41,079
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	36,923,290	30,646,330	6,129,266	147,694
12	Advertising and promotion ....	483,487	401,294	80,259	1,934
13	Office expenses .......	8,728,677	7,244,802	1,448,960	34,915
14	Information technology ......	21,685,243	17,998,752	3,599,750	86,741
15	Royalties ..
16	Occupancy ...........	3,976,426	3,300,433	660,087	15,906
17	Travel ............	237,444	197,078	39,416	950
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	148,867	123,560	24,712	595
20	Interest ...........	3,500,104	2,905,087	581,017	14,000
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	16,696,411	13,858,021	2,771,604	66,786
23	Insurance ...	1,991,947	1,653,316	330,663	7,968
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	68,212,826	68,212,826
b	REPAIRS & MAINTENANCE	11,417,239	5,476,308	5,895,262	45,669
c	LOSS EARLY EXTINGUISHME	4,069,939	3,378,049	675,610	16,280
d	UNRELATED BUSINESS TAX	51,453		51,453
e	All other expenses	15,700,202	5,434,989	9,929,563	335,650
25	Total functional expenses. Add lines 1 through 24e	381,030,954	310,737,418	68,486,254	1,807,282
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 ........			19,511,229	1	21,375,471
2	Savings and temporary cash investments .........			33,130,991	2	146,025,866
3	Pledges and grants receivable, net ......			0	3
4	Accounts receivable, net .............			42,147,887	4	39,795,489
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6
7	Notes and loans receivable, net ...........			280,005	7	248,611
8	Inventories for sale or use ............			6,913,172	8	7,890,788
9	Prepaid expenses and deferred charges ......			1,995,715	9	2,762,918
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	469,244,316
b	Less: accumulated depreciation	10b	229,951,142	196,029,423	10c	239,293,174
11	Investments—publicly traded securities .			265,427,611	11	120,472,872
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			3,552,998	13	-609,162
14	Intangible assets ...............			0	14
15	Other assets. See Part IV, line 11 ...........			5,277,509	15	5,495,326
16	Total assets. Add lines 1 through 15 (must equal line 33)...			574,266,540	16	582,751,353

17	Accounts payable and accrued expenses .....	39,462,470	17	33,037,335
18	Grants payable ...	0	18
19	Deferred revenue .........	1,304,701	19	1,778,560
20	Tax-exempt bond liabilities .........	129,535,000	20	126,335,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22
23	Secured mortgages and notes payable to unrelated third parties ..	4,620,051	23	7,409,928
24	Unsecured notes and loans payable to unrelated third parties ..	0	24
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	5,853,607	25	4,335,501
26	Total liabilities. Add lines 17 through 25..	180,775,829	26	172,896,324

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	393,471,260	27	409,832,012
28	Net assets with donor restrictions ...........	19,451	28	23,017
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	393,490,711	32	409,855,029
33	Total liabilities and net assets/fund balances ........	574,266,540	33	582,751,353