TY 2021 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) LINDA HUNT...................................................................... BOARD MEMBER (THRU 4/1/22)	5.00 ................. 45.00	X					0	2,233,083	521,964
(2) JOHN R AMOS...................................................................... PRESIDENT	50.00 ................. 1.00	X	X				1,536,809	0	57,440
(3) MANSOUR H ASSAR...................................................................... CARDIOLOGIST-INTERVENTIONAL	50.00 ................. 0.00				X		1,401,614	0	25,637
(4) SHAYAN ALAM...................................................................... GASTROENTEROLOGIST	50.00 ................. 0.00				X		1,112,715	0	61,976
(5) NISHA TUNG-TAKHER...................................................................... ELECTROPHYSIOLOGIST	50.00 ................. 0.00				X		1,099,910	0	62,195
(6) LEE LIVIN...................................................................... FORMER OFFICER (CFO)	0.00 ................. 0.00					X	986,696	0	95,161
(7) KEITH A NICHOLS...................................................................... COO (THRU 10/15/21)	50.00 ................. 0.00		X				924,329	0	93,223
(8) FRANCISCO JAUME...................................................................... SURGEON	50.00 ................. 0.00				X		921,995	0	52,084
(9) KEITH FREY MD...................................................................... BOARD MEMBER (THRU 1/21/22)	5.00 ................. 45.00	X					0	814,947	59,296
(10) PHUNG N LE...................................................................... SURGEON	50.00 ................. 0.00				X		822,029	0	44,455
(11) ANTHONY TORRES...................................................................... CMO	50.00 ................. 0.00		X				696,620	0	151,275
(12) MARK TIMM...................................................................... CHIEF HUMAN RESOURCE OFFICER (THRU 6/2022)	50.00 ................. 0.00		X				459,859	0	118,398
(13) TIMOTHY ROBERTS...................................................................... CIO (THRU 7/20/21)	50.00 ................. 0.00		X				487,641	0	32,266
(14) BRIAN TIFFANY MD...................................................................... BOARD MEMBER (AS OF 5/1/22)	5.00 ................. 45.00	X					0	465,715	51,164
(15) FRANK ALMENDAREZ...................................................................... CHIEF ADMIN OFFICER	50.00 ................. 0.00		X				360,669	0	101,971
(16) ROBERTA NICOL...................................................................... EXECUTIVE DIRECTOR OF PHILANTHROPY (THRU 12/31/21)	50.00 ................. 0.00			X			397,527	0	30,939
(17) MATTHEW RICE...................................................................... CFO	50.00 ................. 1.00		X				223,060	0	76,353

(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/1099-NEC)
(18) IRENE E CONNOR........................................................................ CNO (THRU 7/2/21)	50.00 .......................0.00		X	203,263	0	20,972
(19) TRACEY J MCCOLLUM........................................................................ CNO	50.00 .......................0.00		X	172,638	0	42,754
(20) MIKE BEATTY........................................................................ CHAIR	5.00 .......................0.00	X	X	0	0	0
(21) CHARLIE BOMBERGER........................................................................ BOARD MEMBER	5.00 .......................0.00	X		0	0	0
(22) JANE BRISTOL........................................................................ BOARD MEMBER	5.00 .......................0.00	X		0	0	0
(23) TONY FERRULLI........................................................................ VICE-CHAIR	5.00 .......................0.00	X	X	0	0	0
(24) JIM HOWARD........................................................................ BOARD MEMBER	5.00 .......................0.00	X		0	0	0
(25) ARABINDA PANI MD........................................................................ BOARD MEMBER	5.00 .......................0.00	X		0	0	0
(26) M KEITH PIATT MD........................................................................ TREASURER	5.00 .......................0.00	X	X	0	0	0
(27) STEVE SISCHKA........................................................................ BOARD MEMBER	5.00 .......................0.00	X		0	0	0
(28) DAN STORVICK........................................................................ SECRETARY	5.00 .......................0.00	X	X	0	0	0
(29) MARNIE UHL........................................................................ BOARD MEMBER	5.00 .......................0.00	X		0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
MCCARTHY HOLDINGS INC 1341 N ROCK HILL RD ST LOUIS,MO63124	CAPITAL CONSTRUCTION - GENERAL CONTRACTO	32,793,432
CERNER CORP PO BOX 959156 ST LOUIS,MO631959156	SOFTWARE & IT PERSONNEL SUPPORT SERVICES	19,276,911
FOCUSONE SOLUTIONS 13609 CALIFORNIA ST STE 420 OMAHA,NE68154	CONTRACT LABOR STAFFING - PRIMARILY NURS	14,469,875
NAZ HOSPITALIST PO BOX 11720 PRESCOTT,AZ86304	HOSPITALIST SERVICES	5,049,426
YAVAPAI CARDIAC SURGERY PC 3131 E CLARENDN AVE SUITE 102 PHOENIX,AZ85016	CONTRACED PHYSICIANS	3,538,389
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 202

- TIN:

SCHEDULE A
(Form 990)

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

2021

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. 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—2020. 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—2021. 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—2020. 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 on 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 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. 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—2020. 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) 2021

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) .

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

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 on 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 on 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) 2021

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

11a

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

11b

A 35% controlled entity of a person described on 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 on 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) 2021

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) 2021

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 2021 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-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2021

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) (2021)

Schedule B (Form 990) (2021) 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) (2021)

Schedule B (Form 990) (2021)

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) (2021)

Schedule B (Form 990) (2021)

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) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

2021

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.

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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

26,968

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

26,968

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:	LOBBYING EXPENDITURES PAID BY THE HOSPITAL FOR ANNUAL MEMBERSHIP DUES: ARIZONA HOSPITAL ASSOCIATION; $18,824 LOBBYING EXPENDITURES PAID BY THE PARENT ORGANIZATION FOR ANNUAL MEMBERSHIP DUES WHERE EXPENSES ARE ALLOCATED TO THE HOSPITAL: AMERICAN HOSPITAL ASSOCIATION; $7,458 HEALTH SYSTEM ALLIANCE OF ARIZONA; $686 TOTAL EXPENDITURES PAID TO ORGANIZATIONS; $26,968

Schedule C (Form 990) 2021

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

2021

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) 2021

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 ....	2,729	23,011	24,291	22,414	22,225
b	Contributions ...	20,215	23,432	3,561	1,854	163
c	Net investment earnings, gains, and losses	8	3		830	446
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	22,410
f	Administrative expenses ....		43,717	4,841	807	420
g	End of year balance ......	542	2,729	23,011	24,291	22,414

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 .....	33,100,000		33,100,000
b	Buildings ....	128,418,607	8,504,765	119,913,842
c	Leasehold improvements	18,912	10,667	8,245
d	Equipment ....	58,840,108	25,957,687	32,882,421
e	Other .....	125,446,883	570	125,446,313
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				311,350,821

Schedule D (Form 990) 2021

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 (A) POOLED INVESTMENTS	81,803,715	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	81,803,715

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

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

Part IX

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

(a) Description				(b) Book value

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

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	10,495,179
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) 2021

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:	THE ORGANIZATION REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.

Schedule D (Form 990) 2021

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

2021

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) . . .	0	2,568	3,778,650	0	3,778,650	0.830 %
b	Medicaid (from Worksheet 3, column a) . . . . .	0	13,203	65,081,091	46,811,853	18,269,238	4.010 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0	0	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		15,771	68,859,741	46,811,853	22,047,888	4.840 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	25	3,720	1,024,524	43,048	981,476	0.220 %
f	Health professions education (from Worksheet 5) . . .	0	0	0	0
g	Subsidized health services (from Worksheet 6) . . . .	1	0	61,083,974	34,736,355	26,347,619	5.790 %
h	Research (from Worksheet 7) .	0	0	0	0
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	3	360	119,520	130	119,390	0.030 %
j	Total. Other Benefits . .	29	4,080	62,228,018	34,779,533	27,448,485	6.040 %
k	Total. Add lines 7d and 7j .	29	19,851	131,087,759	81,591,386	49,496,373	10.880 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

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.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	701	701	0 %
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	701	701	0 %

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. ......

4,228,284

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).....

95,057,491

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

111,708,940

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

-16,651,449

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) 2021

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) 2021

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

Yes

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) 2021

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 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

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) 2021

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) 2021

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) 2021

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 MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN TY19, YAVAPAI REGIONAL MEDICAL CENTER (YRMC) CONDUCTED A COMMUNITY HEALTH NEEDS SURVEY COMPLETED BY 61 STAKEHOLDERS, AND ANALYZED QUANTITATIVE DATA ON COMMUNITY DEMOGRAPHICS, MORBIDITY AND MORTALITY, AND HEALTH OUTCOMES AND FACTORS. PRIMARY DATA COLLECTION INCLUDED A WEB BASED SURVEY PROCESS AND PERSONAL INTERVIEWS WITH LOCAL ORGANIZATIONS, INCLUDING INDIVIDUALS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. 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 MEETINGS WITH KEY LOCAL ORGANIZATIONS, THE COUNTY HEALTH DEPARTMENT AND THE YAVAPAI PRESCOTT TRIBE. LOCAL ORGANIZATIONS INCLUDED SOCIAL SERVICE AGENCIES, SCHOOL SYSTEMS AND UNIVERSITIES, ELECTED OFFICIALS AND GOVERNMENT AGENCIES, BUSINESSES, AND OTHER MEDICAL PROVIDERS.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A:	YRMC OPERATES TWO HOSPITAL FACILITIES, THE WEST CAMPUS AND THE EAST CAMPUS. BOTH HOSPITALS WERE INCLUDED IN THE CHNA.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11:	THE 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.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 2019 CHNA PLAN 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. 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.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 13H:	THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. IF APPLICABLE, PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION.PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.
SCHEDULE H, PART V, SECTION B, LINE 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 MEDICAL 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, PART V, SECTION B, LINE 16I:	TRANSLATION OF FAP INTO PRIMARY LANGUAGE SPOKEN BY LEP POPULATIONS:YRMC HAS TRANSLATED THE FAP INTO SPANISH AND WOULD CONSIDER TRANSLATING INTO ANOTHER LANGUAGE WHEN IT IS KNOWN THAT PATIENTS WILL NEED THE TRANSLATION AND ARE NOT SERVED BY THE CURRENT FORMS AND STATEMENTS. YRMC USES DEMOGRAPHIC DATA FROM THEIR SYSTEM AND THE COUNTIES TO DETERMINE IF A PATIENT POPULATION EXISTS THAT IS OVER 1,000 INDIVIDUALS THAT DO NOT SPEAK ENGLISH OR SPANISH.

Schedule H (Form 990) 2021

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?28
Name and address		Type of Facility (describe)
1	1 - YRMC PC CARDIOLOGY I 802 E AINSWORTH DR SUITE A PRESCOTT,AZ86301	PHYSICIAN PRACTICE - CARDIOLOGY
2	2 - FAMILY MEDICINE #2 - PC - PV 1000 WILLOW CREEK ROAD STE B PRESCOTT,AZ86301	PHYSICIAN PRACTICE - FAMILY MEDICINE
3	3 - YRMC PC FAMILY MEDICINE I 7712 E FLORENTINE PRESCOTT VALLEY,AZ86314	PHYSICIAN PRACTICE - FAMILY MEDICINE
4	4 - YRMC PC PEDIATRICS 2120 CENTERPOINTE WEST PRESCOTT,AZ86301	PHYSICIAN PRACTICE - PEDIATRICS
5	5 - YRMC PC GASTROENTROLOGY 811 AINSWORTH STREET PRESCOTT,AZ86301	PHYSICIAN PRACTICE - GASTROENTROLOGY
6	6 - YRMC PC NEUROSURGERY 1001 DIVISION STREET PRESCOTT,AZ86301	PHYSICIAN PRACTICE - NEUROSURGERY
7	7 - ORTHOPEDIC SURGERY - OS3 1001 WILLOW CREEK RD SUITE 1300 PRESCOTT,AZ86301	PHYSICIAN PRACTICE - ORTHOPEDIC SURGERY
8	8 - YRMC PC INTERNAL MEDICINE I 3120 CLEARWATER DR PRESCOTT,AZ86305	PHYSICIAN PRACTICE - INTERNAL MEDICINE
9	9 - NEUROLOGY - NM1 1001 WILLOW CREEK RD SUITE 3300 PRESCOTT,AZ86301	PHYSICIAN PRACTICE - NEUROLOGY
10	10 - CARDIAC SURGERY - CM5 1001 WILLOW CREEK RD SUITE 3200 PRESCOTT,AZ86301	PHYSICIAN PRACTICE - CARDIAC SURGERY
11	11 - YRMC PC FAMILY MEDICINE III 1050 GAIL GARDNER WAY SUITE B PRESCOTT,AZ86301	PHYSICIAN PRACTICE - FAMILY MEDICINE
12	12 - YRMC PC CARDIOLOGY II 7700 E FLORENTINE RD BLD B STE 206 PRESCOTT VALLEY,AZ86314	PHYSICIAN PRACTICE - CARDIOLOGY
13	14 - FAMILY MEDICINE #6 7700 EAST FLORENTINE ROAD BUILDING B SUIT PRESCOTT VALLEY,AZ86314	PHYSICIAN PRACTICE - FAMILY MEDICINE
14	15 - YRMC PC CARDIOLOGY IV 980 WILLOW CREEK ROAD PRESCOTT,AZ86301	PHYSICIAN PRACTICE - CARDIOLOGY
15	16 - YRMC PC CARDIOLOGY III 726 GAIL GARDNER WAY SUITE A PRESCOTT,AZ86305	PHYSICIAN PRACTICE - CARDIOLOGY
16	17 - OCCUPATIONAL MEDICINE 1050 GAIL GARDNER WAY SUITE 100 PRESCOTT,AZ86301	PHYSICIAN PRACTICE - OCCUPATIONAL MED
17	18 - YRMC PC PALLIATIVE CARE 1003 WILLOW CREEK ROAD PRESCOTT,AZ86301	PHYSICIAN PRACTICE - PALLIATIVE CARE
18	19 - VASCULAR CLINIC 1001 WILLOW CREEK RD SUITE 1200 PRESCOTT,AZ86301	PHYSICIAN PRACTICE - VASCULAR
19	20 - ORTHOPEDIC SURGERY - OS2 3262 NORTH WINDSONG DR SUITE B PRESCOTT VALLEY,AZ86314	PHYSICIAN PRACTICE - ORTHOPEDIC SURGERY
20	21 - YRMC PC SURGERY IV 810 AINSWORTH DRIVE PRESCOTT,AZ86301	PHYSICIAN PRACTICE-SURGERY
21	22 - INTERVENTIONAL PAIN MANAGEMENT - IM2 3262 NORTH WINDSONG DR SUITE A PRESCOTT VALLEY,AZ86314	PHYSICIAN PRACTICE - PAIN MGMT
22	23 - PENDLETON WELLNESS CENTER 930 DIVISION STREET PRESCOTT,AZ86301	CARDIAC REHABILITATION, PHYSICAL THERAPY, & WELLNESS OUTPATIENT CENTER
23	24 - YRMC PC BREAST CARE 7700 E FLORENTINE ROAD BLD B STE 203 PRESCOTT VALLEY,AZ86314	PHYSICIAN PRACTICE-SURGERY
24	25 - INFECTIOUS DISEASE CLINIC 811 AINSWORTH DR SUITE 106 PRESCOTT,AZ86301	PHYSICIAN PRACTICE - INFECTIOUS DISEASE
25	26 - ORTHOPEDIC SURGERY - OS1 3195 STILLWATER DRIVE STE D PRESCOTT,AZ86301	PHYSICIAN PRACTICE - ORTHOPEDIC SURGERY
26	27 - WOUND CARE CLINIC - PC 3262 NORTH WINDSONG DR BUILDING 2 PRESCOTT VALLEY,AZ86314	PHYSICIAN PRACTICE - WOUND CARE
27	28 - PRESCOTT OUTPATIENT SURGICAL CENTER 815 AINSWORTH DR PRESCOTT,AZ86301	OUTPATIENT SURGICAL CENTER
28	29 - YRMC - DEL E WEBB OUTPATIENT CENTER 3262 WINDSONG ROAD PRESCOTT VALLEY,AZ86314	OUTPATIENT DIAGNOSTICS, REHABILITATION & LABORATORY

Schedule H (Form 990) 2021

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE: - THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.- THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 13H, 3RD PARAGRAPH.- THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:- RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS;- HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC;- PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);- FOOD STAMP ELIGIBILITY;- ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID);- LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR- PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE.
PART I, LINE 7:	FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, YRMC USES 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 7B, COLUMN (F):THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
PART 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 NEUROSURGERY CLINIC IS THE ONLY CENTER AVAILABLE IN THE CITY OF PRESCOTT.
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 PROVIDE A BENEFIT FOR OUR COMMUNITY.
PART III, LINE 2:	THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE PART 1, LINE 7 DISCLOSURE) TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THE FOLLOWING CATEGORIES, UP TO 200% OR 201%-400% OF THE FEDERAL POVERTY LEVEL. YRMC ALSO PROVIDES PATIENTS OPTIONS FOR UNINSURED PATIENT DISCOUNT AND SELF-PAY DISCOUNTS. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE.
PART III, LINE 3:	THE DIGNITY HEALTH FINANCIAL ASSISTANCE POLICY WAS UPDATED AND RENAMED AS COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. DIGNITY COMMUNITY CARE HOSPITALS FOLLOW THIS POLICY.THE FILING ORGANIZATION MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS,HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. COMMONSPIRIT HEALTH ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF AN UNINSURED PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL UNINSURED PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, DIGNITY COMMUNITY CARE DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE.
PART III, LINE 4:	THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2022, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 12-13.PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES.
PART III, LINE 8:	COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1, 2150FF AND PRM 15-2, 1000FF. AS SUCH, THE FOLLOWING LANGUAGE PER THE PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR TO BE CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS.COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. YRMC'S SHORTFALL INCLUDES $16.7 MILLION REPORTED ON PART III, SECTION B, LINE 7.
PART III, LINE 9B:	YRMC ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. YRMC ALSO FOLLOWS COMMONSPIRIT HEALTH'S COLLECTION POLICY. YRMC'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHOM THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF YRMC OR THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED FINANCIAL ASSISTANCE OR FOR ASSISTANCE UNDER YRMC 'S PATIENT FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, YRMC WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT.ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, YRMC REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 2:	YRMC USES SEVERAL MEASURES BY WHICH TO ASSESS COMMUNITY HEALTH NEEDS. ONE MEASURE IS OUR MIGRATION BY SERVICE. AS AN EXAMPLE, PRIOR TO OPENING OUR CARDIOVASCULAR SURGERY PROGRAM IN 2007, WE SAW 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 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:	PATIENT EDUCATION OF ELIGIBILITY FOR COMMUNICATION OF THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS AND THE PUBLIC:INFORMATION ABOUT PATIENT FINANCIAL ASSISTANCE AVAILABLE FROM YRMC, INCLUDING A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS THE HOSPITAL FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES YRMC SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES.IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRES THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.
PART VI, LINE 4:	YRMC SERVES THE RURAL COMMUNITIES IN THE WESTERN PORTION OF YAVAPAI COUNTY IN NORTHERN ARIZONA. YRMC SERVES APPROXIMATELY 150,000 MEN, WOMEN AND CHILDREN LIVING IN AN AREA LARGER THAN THE STATE OF NEW JERSEY. THE COMMUNITIES IN WHICH THE TOP 75 PERCENT OF YRMC'S PATIENTS RESIDE HAS THE FOLLOWING CHARACTERISTICS: TOTAL POPULATION: 155,304WHITE - NON-HISPANIC: 77.2%BLACK/AFRICAN AMERICAN: 0.7%HISPANIC OR LATINO: 14.6%ASIAN/PACIFIC ISLANDER: 1.6%ALL OTHERS: 5.9%% BELOW POVERTY: 6.4%UNEMPLOYMENT: 4.7%NO HIGH SCHOOL DIPLOMA: 8.2%MEDICAID (HOUSEHOLD): 22.9%UNINSURED (HOUSEHOLD): 9.5%
PART VI, LINE 5:	YAVAPAI REGIONAL MEDICAL CENTER PROUDLY SERVES A 5,500 SQUARE MILE AREA OF WESTERN YAVAPAI COUNTY. YRMC IS DEEPLY COMMITTED TO SUPPORTING THE LOCAL COMMUNITY IN MULTIPLE WAYS, MANY OF WHICH ARE PROVIDED AT NO COST OR AT A FINANCIAL LOSS TO BENEFIT OUR COMMUNITY. WE PROVIDE RESOURCES FOR PEOPLE WHO ARE IN SEARCH OF MORE INFORMATION ABOUT THEIR HEALTH AND HOW TO IMPROVE THEIR QUALITY OF LIFE, AND WE ALSO OFFER ASSISTANCE TO THOSE WHO ARE VULNERABLE.FINANCIAL ASSISTANCE: IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY. THIS HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY THAT DESCRIBES THE ASSISTANCE PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A FINANCIAL HARDSHIP TO FULLY PAY THE EXPECTED OUT-OF-POCKET EXPENSES FOR SUCH CARE, AND WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE.USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, THE HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR THE HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE. OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS. ROLE OF THE BOARD: THE COMMONSPIRIT HEALTH BOARD AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REGULAR REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL COMMUNITY BOARDS (OR THEIR DESIGNATED COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS.
PART VI, LINE 6:	AFFILIATES OF YRMC ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN CALIFORNIA, ARIZONA, AND NEVADA AND IN 18 ADDITIONAL STATES THROUGH THE ALLIANCE WITHIN COMMONSPIRIT HEALTH SYSTEM. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTING REVENUE FOR COMMONSPIRIT HEALTH AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES YRMC, FOR THE YEAR ENDED JUNE 30, 2022, IS $3.2 BILLION. A SUMMARY OF COMMONSPIRIT'S COMMUNITY BENEFITS CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGE 44.
SCHEDULE H, PART VI, LINE 7:	YRMC DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH THE STATE.

Schedule H (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

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

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2021

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	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION 1003 WILLOW CREEK ROAD PRESCOTT,AZ86301	86-1038463	501(C)(3)	513,032	NA	NA	FOUNDATION SUPPORT
(2) BARROW NEUROLOGICAL FOUNDATION 350 W THOMAS RD PHOENIX,AZ85013	86-0174371	501(C)(3)	5,648	NA	NA	FOUNDATION SUPPORT
(3) YAVAPAI COLLEGE FOUNDATION 1100 E SHELDON ST PRESCOTT,AZ86301	23-7232985	501(C)(3)	127,448	NA	NA	EDUCATION SUPPORT
(4) YAVAPAI FOOD BANK PO BOX 4151 PRESCOTT,AZ86302	86-0709163	501(C)(3)	28,500	NA	NA	COMMUNITY HEALTH
(5) POLARA HEALTH FOUNDATION 3343 WINDSONG DRIVE PRESCOTT VALLEY,AZ86314	86-0576008	501(C)(3)	25,000	NA	NA	COMMUNITY HEALTH
(6) HUMBOLDT EDUC FOUNDATION INC PO BOX 25606 PRESCOTT VALLEY,AZ86312	47-3592724	501(C)(3)	15,000	NA	NA	EDUCATION SUPPORT
(7) GRANITE MT HOTSHOTS MEM PTSP PO BOX 4299 PRESCOTT,AZ86302	47-2998311	501(C)(3)	10,000	NA	NA	FUND DISASTER RELIEF
(8) CASA SENIOR CENTER 9360 MANZANITA CIR PRESCOTT VALLEY,AZ86314	94-2866243	501(C)(3)	7,500	NA	NA	COMMUNITY HEALTH
(9) CHINO VALLEY SENIOR CENTER 1021 W BUTTERFIELD RD CHINO VALLEY,AZ86323	86-0256834	TOWN OF CHINO VALLEY	7,500	NA	NA	COMMUNITY HEALTH
(10) ARIZONA SONSHINE PO BOX 1620 CHINO VALLEY,AZ86323	86-0131620	501(C)(3)	6,000	NA	NA	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) 2021

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. - 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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

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

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2021

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

Yes

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

Yes

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

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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

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

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) 2021

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, 1099-MISC compensation, and/or 1099-NEC			(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 BOARD MEMBER (THRU 4/1/22)	(i) (ii)	0 ------------- 804,687	0 ------------- 1,134,451	0 ------------- 293,945	0 ------------- 440,039	0 ------------- 81,925	0 ------------- 2,755,047	0 ------------- 236,940
2JOHN R AMOS PRESIDENT	(i) (ii)	789,105 ------------- 0	392,540 ------------- 0	355,164 ------------- 0	33,000 ------------- 0	24,440 ------------- 0	1,594,249 ------------- 0	206,265 ------------- 0
3MANSOUR H ASSAR CARDIOLOGIST-INTERVENTIONAL	(i) (ii)	1,398,842 ------------- 0	0 ------------- 0	2,772 ------------- 0	14,500 ------------- 0	11,137 ------------- 0	1,427,251 ------------- 0	0 ------------- 0
4SHAYAN ALAM GASTROENTEROLOGIST	(i) (ii)	565,774 ------------- 0	546,503 ------------- 0	438 ------------- 0	34,000 ------------- 0	27,976 ------------- 0	1,174,691 ------------- 0	0 ------------- 0
5NISHA TUNG-TAKHER ELECTROPHYSIOLOGIST	(i) (ii)	950,067 ------------- 0	149,213 ------------- 0	630 ------------- 0	33,000 ------------- 0	29,195 ------------- 0	1,162,105 ------------- 0	0 ------------- 0
6LEE LIVIN FORMER OFFICER (CFO)	(i) (ii)	291,770 ------------- 0	346,045 ------------- 0	348,881 ------------- 0	76,238 ------------- 0	18,923 ------------- 0	1,081,857 ------------- 0	231,060 ------------- 0
7KEITH A NICHOLS COO (THRU 10/15/21)	(i) (ii)	207,083 ------------- 0	608,315 ------------- 0	108,931 ------------- 0	72,502 ------------- 0	20,721 ------------- 0	1,017,552 ------------- 0	74,945 ------------- 0
8FRANCISCO JAUME SURGEON	(i) (ii)	790,936 ------------- 0	125,725 ------------- 0	5,334 ------------- 0	21,343 ------------- 0	30,741 ------------- 0	974,079 ------------- 0	0 ------------- 0
9KEITH FREY MD BOARD MEMBER (THRU 1/21/22)	(i) (ii)	0 ------------- 538,681	0 ------------- 261,788	0 ------------- 14,478	0 ------------- 32,710	0 ------------- 26,586	0 ------------- 874,243	0 ------------- 0
10PHUNG N LE SURGEON	(i) (ii)	665,609 ------------- 0	156,000 ------------- 0	420 ------------- 0	14,500 ------------- 0	29,955 ------------- 0	866,484 ------------- 0	0 ------------- 0
11ANTHONY TORRES CMO	(i) (ii)	332,259 ------------- 0	176,949 ------------- 0	187,412 ------------- 0	126,637 ------------- 0	24,639 ------------- 0	847,896 ------------- 0	86,115 ------------- 0
12MARK TIMM CHIEF HUMAN RESOURCE OFFICER (THRU 6	(i) (ii)	210,794 ------------- 0	112,819 ------------- 0	136,246 ------------- 0	93,234 ------------- 0	25,164 ------------- 0	578,257 ------------- 0	54,852 ------------- 0
13TIMOTHY ROBERTS CIO (THRU 7/20/21)	(i) (ii)	156,361 ------------- 0	152,352 ------------- 0	178,928 ------------- 0	11,462 ------------- 0	20,804 ------------- 0	519,907 ------------- 0	139,904 ------------- 0
14BRIAN TIFFANY MD BOARD MEMBER (AS OF 5/1/22)	(i) (ii)	0 ------------- 362,422	0 ------------- 98,391	0 ------------- 4,902	0 ------------- 26,955	0 ------------- 24,209	0 ------------- 516,879	0 ------------- 0
15FRANK ALMENDAREZ CHIEF ADMIN OFFICER	(i) (ii)	204,478 ------------- 0	39,313 ------------- 0	116,878 ------------- 0	73,177 ------------- 0	28,794 ------------- 0	462,640 ------------- 0	56,230 ------------- 0
16ROBERTA NICOL EXECUTIVE DIRECTOR OF PHILANTHROPY (	(i) (ii)	306,963 ------------- 0	38,031 ------------- 0	52,533 ------------- 0	10,951 ------------- 0	19,988 ------------- 0	428,466 ------------- 0	0 ------------- 0
17MATTHEW RICE CFO	(i) (ii)	152,697 ------------- 0	22,125 ------------- 0	48,238 ------------- 0	51,905 ------------- 0	24,448 ------------- 0	299,413 ------------- 0	0 ------------- 0
18IRENE E CONNOR CNO (THRU 7/2/21)	(i) (ii)	131,584 ------------- 0	22,000 ------------- 0	49,679 ------------- 0	10,100 ------------- 0	10,872 ------------- 0	224,235 ------------- 0	0 ------------- 0
19TRACEY J MCCOLLUM CNO	(i) (ii)	141,214 ------------- 0	10,000 ------------- 0	21,424 ------------- 0	26,352 ------------- 0	16,402 ------------- 0	215,392 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

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, LINES 4A-B	PART I, LINE 4A: CERTAIN LISTED PERSONS PAID BY THE FILING ORGANIZATION ARE COVERED BY AN EXECUTIVE SEVERANCE YRMC PRE-AFFILIATION AGREEMENT THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS 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 POLICY. PAYMENTS WERE MADE PURSUANT TO THE PLAN ARRANGEMENT DURING 2021 INCLUDE L. LIVIN, $78,088; T. ROBERTS, $124,540 AND K. NICHOLS, $494,395. CERTAIN LISTED PERSONS PAID BY THE RELATED ORGANIZATION, DIGNITY HEALTH ARE COVERED BY A COMMONSPIRIT EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS 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 POLICY. NO PAYMENTS WERE MADE PURSUANT TO THE PLAN ARRANGEMENT DURING 2021. PART I, LINE 4B: NONQUALIFIED RETIREMENT PLAN: CERTAIN LISTED INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM A YRMC NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. PAYMENTS MADE PURSUANT TO THE PLAN ARRANGEMENT DURING 2021 INCLUDE R. AMOS, $206,265; L. LIVIN, $231,060; T. ROBERTS, $139,904; A. TORRES, $86,115; K. NICHOLS, $74,945; M. TIMM, $54,852 AND F. ALMENDAREZ, $56,230. CERTAIN LISTED PERSONS PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NON-QUALIFIED 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 2021. 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. PAYMENT WAS MADE DURING 2021 PURSUANT TO THIS PLAN INCLUDE L HUNT, $236,940. FOR CERTAIN LISTED PERSONS PAID BY THE RELATED ORGANIZATION, DIGNITY HEALTH, COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS OTHER 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 2021. 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 II - SUPPLEMENTAL DISCLOSURES	THE ORGANIZATION FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY COMMONSPIRIT'S HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND THE ORGANIZATION'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2021.

Schedule J (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

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

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

2021

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	08-13-2013	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		70,428,333
12 Other unspent proceeds .............
13 Year of substantial completion .............	2013		2016		2021
	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 2020, 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 2020, 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) 2021

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) 2021

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		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
SCHEDULE K, PART IV, ARBITRAGE, LINE 2C:	(A) ISSUER NAME: THE INDUST. DEV'T AUTH OF THE COUNTY OF YAVAPAI DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2018
SCHEDULE K, PART I, COLUMN (F)	BOND C DESCRIPTION OF PURPOSE: THE BOND WAS ISSUED TO REFUND THE '13 ISSUANCE AND $50 MILLION IN NEW MONEY FOR FACILITIES AND EQUIPMENT.
SCHEDULE K, PART I, BOND ISSUES:	(A) ISSUER NAME: THE INDUST. DEV'T AUTH OF THE COUNTY OF YAVAPAI (F) DESCRIPTION OF PURPOSE: REFUND '03 ISSUE (A) ISSUER NAME: THE INDUST. DEV'T AUTH OF THE COUNTY OF YAVAPAI (F) DESCRIPTION OF PURPOSE: REFUND '97,'02, & '08 ISSUES (A) ISSUER NAME: THE INDUST. DEV'T AUTH OF THE COUNTY OF YAVAPAI (F) DESCRIPTION OF PURPOSE: SEE PART VI

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

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 V, LINE 15	THE 2021 FORM 4720. FOR FISCAL YEAR END 6/30/22, WAS FILED WITH THE INTERNAL REVENUE SERVICES ON NOVEMBER 1, 2022.
FORM 990, PART VI, SECTION A, LINE 6	EFFECTIVE NOVEMBER 1, 2020, THE SOLE MEMBER OF YRMC IS DIGNITY COMMUNITY CARE.
FORM 990, PART VI, SECTION A, LINE 7A	AS PART OF THE AFFILIATION, WITH THE EFFECTIVE DATE AS OF NOVEMBER 1, 2020, DIGNITY COMMUNITY CARE, AS THE SOLE CORPORATE MEMBER OF THE FILING, WAS GRANTED SPECIFIC RESERVED RIGHTS SET FORTH IN THE SYSTEM GOVERNANCE MATRIX. THE RIGHTS OF THE CORPORATE MEMBER SHALL BE FURTHER SUBJECT TO THE POWERS RESERVED TO COMMONSPIRIT HEALTH ("COMMONSPIRIT") UNDER THE GOVERNANCE MATRIX. THE COUNCIL OF ELECTORS (THE COUNCIL) IS CHARGED WITH THE AUTHORITY TO NOMINATE AND SUBMIT TO THE BOARD OF DIRECTORS INDIVIDUALS FROM THE COMMUNITY TO SERVE ON THE ORGANIZATION'S BOARD OF DIRECTORS. THE COUNCIL IS COMPOSED OF PUBLICLY ELECTED OFFICIALS AND REPRESENTATIVES FROM SELECTED GOVERNMENT AND NON-PROFIT ORGANIZATIONS THROUGHOUT THE COMMUNITY. THE SOLE CORPORATE MEMBER RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY COMMUNITY CARE BOARD APPOINTS AND APPROVES NEW BOARD MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION IS SUBJECT TO THE GOVERNANCE REQUIREMENTS OF THE COMMONSPIRIT GOVERNANCE MATRIX. THUS, MANY KEY DECISIONS ADDRESSED IN THE BYLAWS REQUIRE THE ORGANIZATION TO ACT BY MAKING A "RECOMMENDATION," WHICH IS THEN FORMALLY ACTED ON BY THE DIGNITY COMMUNITY CARE BOARD. EXAMPLES INCLUDE AMENDING CORPORATE DOCUMENTS, APPROVING MEMBERS OF GOVERNING BOARD, APPROVING REMOVAL OF MEMBERS OF GOVERNING BOARD, APPROVAL OF DISSOLUTION AND SELLING, TRANSFERRING OR DISPOSING OF ASSETS.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION'S CFO REVIEWED THE FORM 990. IN ADDITION, COMMONSPIRIT'S TAX DEPARTMENT WORKED CLOSELY WITH THE CFO TO REVIEW THE RETURN. THE FORM 990, IN ITS ENTIRETY, WAS ELECTRONICALLY PROVIDED TO THE ORGANIZATION'S BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS ADOPTED THE RELATED ORGANIZATION, COMMONSPIRIT'S CONFLICTS OF INTEREST POLICY. THE CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") WAS PUT IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH 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 AN 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. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO.
FORM 990, PART VI, SECTION B, LINE 15	FORM 990, PART VI, SECTION B, LINE 15A AND 15B: FOR 2021, 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. GALLAGHER INTEGRATED'S TOTAL COMPENSATION REVIEW IN 2020 WAS USED, 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. FOR 2021 COMPENSATION, THE ORGANIZATION FOLLOWS COMMONSPIRIT'S METHODS. COMPENSATION LEVELS FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS WERE ESTABLISHED BY THE RELATED ORGANIZATION, COMMONSPIRIT. COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES, APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR THE TOP MANAGEMENT OFFICIALS. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF DIRECTORS. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED.
FORM 990, PART VI, SECTION C, LINE 19	FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION IS INCLUDED IN COMMONSPIRIT'S CONSOLIDATED FINANCIAL STATEMENTS WHICH ARE AVAILABLE ON COMMONSPIRIT'S WEBSITE AND UPON REQUEST.
FORM 990, PART VII, SECTION A	CURRENT BOARD MEMBERS L HUNT'S, K FREY'S AND B. TIFFANY'S COMPENSATION REPORTED REPRESENT COMPENSATION AS EMPLOYEES OF THE RELATED ORGANIZATION. PRESENTATION OF ADDITIONAL INFORMATION OF A CERTAIN INDIVIDUAL LISTED IN PART VII, SECTION A: (12) MARK TIMM CHIEF HUMAN RESOURCE OFFICER (THRU 6/2022) (16) ROBERTA NICOL EXECUTIVE DIRECTOR OF PHILANTHROPY (THRU 12/31/21)
FORM 990, PART IX, LINE 11G	MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 14,860,509. MANAGEMENT AND GENERAL EXPENSES 13,728,068. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,588,577. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 5,271,822. MANAGEMENT AND GENERAL EXPENSES 9,158,016. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,429,838. MANAGEMENT FEE: PROGRAM SERVICE EXPENSES 5,907,691. MANAGEMENT AND GENERAL EXPENSES 10,262,624. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,170,315. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,023,064. MANAGEMENT AND GENERAL EXPENSES 1,777,230. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,800,294. ADMIN SERVICES: PROGRAM SERVICE EXPENSES 878,269. MANAGEMENT AND GENERAL EXPENSES 1,525,697. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,403,966. LAUNDRY/LINEN: PROGRAM SERVICE EXPENSES 452,345. MANAGEMENT AND GENERAL EXPENSES 785,798. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,238,143. COLLECTION AGENCIES: PROGRAM SERVICE EXPENSES 201,782. MANAGEMENT AND GENERAL EXPENSES 350,529. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 552,311. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 792,661. MANAGEMENT AND GENERAL EXPENSES 1,376,982. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,169,643.
FORM 990, PART XI, LINE 9:	ADJUSTMENT OF FUND BALANCE DUE TO BUSINESS AFFILIATION -394,828.
FORM 990, PART XII, LINE 2C	THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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

2021

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	28,662,857	0	YCHA DBA YRMC
(2) NORTH CENTRAL ARIZONA ACCOUNTABLE CARE 1003 WILLOW CREEK ROAD PRESCOTT,AZ86301 46-5648068	MEDICAL SERVICES	AZ	2,687,254	4,089,166	YCHA DBA YRMC
(3) PRESCOTT MEDICAL IMAGING 1003 WILLOW CREEK ROAD PRESCOTT,AZ86301 77-0603441	MEDICAL SERVICES	AZ	0	0	YCHA DBA 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-COMM MEM HOSPITAL OF MO VALLEY IA 631 N 8TH ST MISSOURI VALLEY,IA51555 42-0776568	HOSPITAL	IA	501(C)(3)	LINE 3	CHI NEBRASKA		No
(5)ALEGENT HEALTH-IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA,NE68122 47-0376615	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(6)ALEGENT HEALTH-MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER,NE68661 47-0399853	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(7)ALEGENT HEALTH-MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING,IA50841 42-0782518	HOSPITAL	IA	501(C)(3)	LINE 3	CHI NEBRASKA		No
(8)ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS,MN56345 41-1351177	LTERM 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	SLHS		No
(15)BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON,TX77030 76-0458535	PHYSICIANS	TX	501(C)(3)	LINE 3	BSLHV		No
(16)BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2187242	INACTIVE	PA	501(C)(3)	LINE 12A, I	CSH		No
(17)BRAZOSPORT HEALTH FOUNDATION INC 100 MEDICAL DRIVE LAKE JACKSON,TX77566 76-0080110	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 12A, I	TCHB		No
(18)BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON,TX77566 80-0240261	PHYSICIANS	TX	501(C)(3)	LINE 3	TCHB		No
(19)BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2759890	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO		No
(20)BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2913931	REHABILITATION	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 9100 EAST MINERAL AVE CENTENNIAL,CO80112 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	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 12A, I	CSH		No
(27)CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-0992796	TELEHEALTH	CO	501(C)(3)	LINE 12A, I	CHI NS		No
(28)CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG,OR97471 26-3946191	SURGERY CENTER	OR	501(C)(3)	LINE 10	MMC - ROSEBURG		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	INACTIVE	KS	501(C)(3)	LINE 3	CSH		No
(31)CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO,ND58104 27-1966847	SENIOR LIVING	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 930 S WYNN ROAD OREGON,OH43616 34-1892096	SENIOR LIVING	OH	501(C)(3)	LINE 12A, I	SFH-OH		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	HOME HEALTH	CO	501(C)(3)	LINE 10	CHI NS		No
(37)CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-2532084	HOLDING CO	CO	501(C)(3)	LINE 12A, I	CSH		No
(38)CHI NEBRASKA 12809 WEST DODGE ROAD OMAHA,NE68510 36-3233121	HOLDING CO	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	CHI-SVHS		No
(42)CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 26-1125064	HOLDING CO	AR	501(C)(3)	LINE 12A, I	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	CHI-SVHS		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	OPERATING INVESTMENTS	DE	501(C)(3)	LINE 12A, I	CSH		No
(47)COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-1050565	RESEARCH	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)(2)		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 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
(59)DOMINICAN HEALTH SERVICES 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 77-0056778	COMMUNITY HEALTH SYSTEM	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(60)DOMINICAN HOSPITAL FOUNDATION 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 94-2450442	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(61)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	DOMINICAN HEALTH SERVICES		No
(62)EAST TEXAS CLINICAL SERVICES 101 VISION PARK SUITE 100 SHENANDOAH,TX77384 45-4736213	HEALTHCARE	TX	501(C)(3)	LINE 12A, I	SLHS		No
(63)ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW,WA98022 91-0715805	HOSPITAL	WA	501(C)(3)	LINE 3	FHS		No
(64)FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN,KY40004 61-1345363	HOSPITAL	KY	501(C)(3)	LINE 3	KOH		No
(65)FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN,KY40004 56-2351341	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	FH		No
(66)FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO,OH43623 34-1931806	HEALTHCARE	OH	501(C)(3)	LINE 10	CHILC		No
(67)FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA,WA98405 91-1145592	FUNDRAISING FOUNDATION	WA	501(C)(3)	LINE 10	FHS		No
(68)FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA,WA98405 91-0564491	HOSPITAL	WA	501(C)(3)	LINE 3	CSH		No
(69)FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA,WA98402 91-1939739	PHYSICIANS	WA	501(C)(3)	LINE 10	FHS		No
(70)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
(71)GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON,ND58540 45-0227752	HOSPITAL	ND	501(C)(3)	LINE 3	SAMC		No
(72)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
(73)GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 20-1536108	INACTIVE	CO	501(C)(3)	LINE 12A, I	CSH		No
(74)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
(75)GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY,NE68848 47-0379755	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(76)GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY,NE68847 47-0659443	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	GSH-KN		No
(77)GOOD SAMARITAN HOSPITAL 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
(78)HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON,WA98310 91-0565546	HOSPITAL	WA	501(C)(3)	LINE 3	FHS		No
(79)HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 76-0761782	FUNDRAISING FOUNDATION	MN	501(C)(3)	LINE 12A, I	SFMC-MN		No
(80)HOUSE OF MERCY 1111 6TH AVE DES MOINES,IA50314 42-1323808	ASSISTED LIVING	IA	501(C)(3)	LINE 7	CHI-IA CORP		No
(81)JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC ONE SAINT JOSEPH DRIVE LEXINGTON,KY40504 61-1029768	HOSPITAL	KY	501(C)(3)	LINE 3	KOH		No
(82)KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E LIBERTY ST STE 800 LOUISVILLE,KY40202 61-1352729	PHYSICIANS	KY	501(C)(3)	LINE 10	JHSMH		No
(83)KENTUCKYONE HEALTH INC ONE SAINT JOSEPH DRIVE LEXINGTON,KY40504 61-1029769	HEALTHCARE	KY	501(C)(3)	LINE 12A, I	CSH		No
(84)LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE,MN56623 41-0758434	HOSPITAL	MN	501(C)(3)	LINE 3	CSH		No
(85)LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE,MN56623 41-1893795	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 7	LHC		No
(86)LEGACY FOUNDATION OF KENTUCKIANA INC 1451 HARRODSBURG RD STE D-308 LEXINGTON,KY40504 83-2170324	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	KOH		No
(87)LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON,ND58054 82-0558836	HOSPITAL	ND	501(C)(3)	LINE 3	CSH		No
(88)LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN,TX75901 82-0563768	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	MHSET		No
(89)MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2761145	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO		No
(90)MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS,KY51017 61-0654635	ASSISTED LIVING	KY	501(C)(3)	LINE 10	CHILC		No
(91)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
(92)MARK TWAIN MEDICAL CENTER 768 MOUNTAIN RANCH ROAD SAN ANDREAS,CA95249 68-0127677	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE		No
(93)MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA,TN37404 62-1839548	FUNDRAISING FOUNDATION	TN	501(C)(3)	LINE 7	MHCS		No
(94)MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA,TN37404 62-0532345	HOSPITAL	TN	501(C)(3)	LINE 3	CSH		No
(95)MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA,TN37411 03-0417049	HEALTHCARE	TN	501(C)(3)	LINE 10	MHCS		No
(96)MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN,TX75902 75-0755367	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO		No
(97)MEMORIAL MEDICAL CENTER-LIVINGSTON PO BOX 1447 LUFKIN,TX75902 76-0436439	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO		No
(98)MEMORIAL MEDICAL CENTER-SAN AUGUSTINE PO BOX 1447 LUFKIN,TX75902 75-2663904	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO		No
(99)MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN,TX75904 75-2721155	PHYSICIANS	TX	501(C)(3)	LINE 12A, I	MHSET		No
(100)MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN,TX75902 75-2492741	INACTIVE	TX	501(C)(3)	LINE 3	MHSET		No
(101)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
(102)MERCY CLINICS INC 1111 6TH AVE DES MOINES,IA50314 42-1193699	PHYSICIANS	IA	501(C)(3)	LINE 10	CHI-IA CORP		No
(103)MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES,IA50314 42-1511682	EDUCATION	IA	501(C)(3)	LINE 2	CHI-IA CORP		No
(104)MERCY FOUNDATION BAKERSFIELD PO BOX 119 BAKERSFIELD,CA93302 77-0201321	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(105)MERCY FOUNDATION NORTH 2625 EDITH AVENUE SUITE E REDDING,CA96001 94-3136799	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	N/A		No
(106)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
(107)MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG,OR97471 93-6088946	FUNDRAISING FOUNDATION	OR	501(C)(3)	LINE 7	MMC - ROSEBURG		No
(108)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
(109)MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING,IA50841 42-1461064	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AHMH-CORNING		No
(110)MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY,ND58072 45-0435338	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MHVC		No
(111)MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS,IA51503 42-1178204	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AHBMHS		No
(112)MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE,ND58301 45-0227012	HOSPITAL	ND	501(C)(3)	LINE 3	CSH		No
(113)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
(114)MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY,ND58072 45-0226553	HOSPITAL	ND	501(C)(3)	LINE 3	CSH		No
(115)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
(116)MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON,ND58801 45-0231183	HOSPITAL	ND	501(C)(3)	LINE 3	CSH		No
(117)MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE,IA52544 42-0680308	HOSPITAL	IA	501(C)(3)	LINE 3	CHI-IA CORP		No
(118)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
(119)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
(120)MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG,OR97471 93-0386868	HOSPITAL	OR	501(C)(3)	LINE 3	CSH		No
(121)MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON,ND58801 45-0381803	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MMC WILLISTON		No
(122)NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN,NE68526 39-2031968	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(123)NORTHLAND HEALTHCARE ALLIANCE 2223 EAST ROSSER AVENUE BISMARCK,ND58501 91-1845296	MANAGEMENT	ND	501(C)(3)	LINE 7	SAMC		No
(124)NORTHRIDGE HOSPITAL FOUNDATION 18300 ROSCOE BLVD NORTHRIDGE,CA91328 23-7444901	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY COMMUNITY CARE		No
(125)OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES,ND58474 45-0231675	HOSPITAL	ND	501(C)(3)	LINE 3	CSH		No
(126)OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES,ND58474 71-0966606	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	OCH		No
(127)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
(128)PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN,TX75902 75-2493116	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	MHSET		No
(129)PORT CITY OPERATING COMPANY LLC 3400 DATA DRIVE RANCHO CORDOVA,CA95670 46-5322209	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY HEALTH		No
(130)PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY,OH44870 34-1658625	LTERM CARE	OH	501(C)(3)	LINE 10	CHILC		No
(131)PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY,OH44870 34-1896807	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC		No
(132)SAINT CLARE'S COMMUNITY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-2876836	INACTIVE	NJ	501(C)(3)	LINE 12B, II	SCHS		No
(133)SAINT CLARE'S HEALTH SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-3639733	INACTIVE	NJ	501(C)(3)	LINE 10	CSH		No
(134)SAINT CLARE'S HOSPITAL INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-3319886	INACTIVE	NJ	501(C)(3)	LINE 3	SCHS		No
(135)SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN,NE68510 47-0625523	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SERMC		No
(136)SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN,NE68510 36-3233120	INACTIVE	NE	501(C)(3)	LINE 3	SERMC		No
(137)SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN,NE68510 47-0379836	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(138)SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND,NE68803 47-0376601	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(139)SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND,NE68802 47-0630267	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SFMC-NE		No
(140)SAINT FRANCIS MEMORIAL HOSPITAL 900 HYDE STREET SAN FRANCISCO,CA94109 94-1156295	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE		No
(141)SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA,KY40403 26-0152877	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS		No
(142)SAINT JOSEPH HEALTH SYSTEM INC ONE ST JOSEPHS DRIVE LEXINGTON,KY40504 61-1334601	HOSPITAL	KY	501(C)(3)	LINE 3	KOH		No
(143)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
(144)SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON,KY40741 26-0438748	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS		No
(145)SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING,KY40353 27-2884584	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS		No
(146)SAINT JOSEPH'S HOSPITAL FOUNDATION 2500 FAIRWAY STREET DICKINSON,ND58601 36-3418207	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	SJHHC		No
(147)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
(148)SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER,NE68661 36-3630014	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 12A, I	AHMHS		No
(149)SEQUOIA HOSPITAL FOUNDATION 170 ALAMEDA DE LAS PULGAS REDWOOD CITY,CA94062 94-2909990	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 7	N/A		No
(150)SIERRA NEVADA MEMORIAL-MINERS HOSPITAL 155 GLASSON WAY GRASS VALLEY,CA95945 94-1439787	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE		No
(151)SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 44-0545809	INACTIVE	MO	501(C)(3)	LINE 3	CSH		No
(152)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
(153)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
(154)ST JOHNS HEALTHCARE FOUNDATION 1600 NORTH ROSE AVENUE OXNARD,CA93030 20-2865781	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(155)ST JOSEPHS FOUNDATION 350 WEST THOMAS ROAD PHOENIX,AZ85013 94-2941245	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(156)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
(157)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
(158)ST MARY PROFESSIONAL BUILDING INC 1050 LINDEN AVENUE LONG BEACH,CA90813 23-7373088	INACTIVE	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH		No
(159)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
(160)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
(161)ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK,ND58501 45-0226711	HOSPITAL	ND	501(C)(3)	LINE 3	CSH		No
(162)ST ANNE OC 1145 BROADWAY PLAZA STE 1200 TACOMA,WA98402 86-3590968	INACTIVE	WA	501(C)(3)	LINE 10	FHS		No
(163)ST ANTHONY HOSPITAL 2801 ST ANTHONY WAY PENDLETON,OR97801 93-0391614	HOSPITAL	OR	501(C)(3)	LINE 3	CSH		No
(164)ST ANTHONY HOSPITAL FOUNDATION 2801 ST ANTHONY WAY PENDLETON,OR97801 93-0992727	FUNDRAISING FOUNDATION	OR	501(C)(3)	LINE 12A, I	SAH		No
(165)ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON,AR72110 71-0245507	HOSPITAL	AR	501(C)(3)	LINE 3	SVIMC		No
(166)ST CATHERINE HOSPITAL 401 EAST SPRUCE ST GARDEN CITY,KS67846 48-0543721	HOSPITAL	KS	501(C)(3)	LINE 3	CSH		No
(167)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
(168)ST CLARE COMMONS 12469 FIVE POINT ROAD TOLEDO,OH43551 27-0163752	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC		No
(169)ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 93-0433692	INVESTMENTS	OR	501(C)(4)		CSH		No
(170)ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 41-0729978	LTERM CARE	MN	501(C)(3)	LINE 10	CSH		No
(171)ST FRANCIS LIFE CARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-2536017	INACTIVE	NJ	501(C)(3)	LINE 8	SCHS		No
(172)ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 41-0695598	HOSPITAL	MN	501(C)(3)	LINE 3	CSH		No
(173)ST JOSEPH FOUNDATION OF BRYAN TEXAS 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2351158	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 12A, I	SJSC		No
(174)ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2847594	LTERM CARE	TX	501(C)(3)	LINE 10	SJSC		No
(175)ST JOSEPH MEDICAL CENTER INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 52-0591461	INACTIVE	MD	501(C)(3)	LINE 3	CSH		No
(176)ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN,TX77802 20-3159302	PHYSICIANS	TX	501(C)(3)	LINE 3	SJSC		No
(177)ST JOSEPH PHYSICIAN ENTERPRISE INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 52-1311775	INACTIVE	MD	501(C)(3)	LINE 12A, I	SJMC		No
(178)ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-1282696	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO		No
(179)ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN,TX77802 45-4088170	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC		No
(180)ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN,TX77802 46-3265423	HEALTHCARE	TX	501(C)(3)	LINE 10	SJSC		No
(181)ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2455161	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	SLHS		No
(182)ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS,MN56470 41-0695603	HOSPITAL	MN	501(C)(3)	LINE 3	CSH		No
(183)ST JOSEPH'S HOSPITAL AND HEALTH CENTER 2500 FAIRWAY ST DICKINSON,ND58601 45-0226429	HOSPITAL	ND	501(C)(3)	LINE 3	CSH		No
(184)ST LEONARD 8100 CLYO ROAD CENTERVILLE,OH45458 34-1940863	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC		No
(185)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-1947374	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO		No
(186)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
(187)ST LUKE'S COMMUNITY HEALTH SERVICES 6624 FANNIN ST STE 1100 HOUSTON,TX77030 76-0536234	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO		No
(188)ST LUKE'S FOUNDATION 1213 HERMANN DRIVE STE 855 HOUSTON,TX77004 45-3811485	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 7	SLHS		No
(189)ST LUKE'S HEALTH CLINICAL OPERATIONS 6624 FANNIN ST STE 2505 HOUSTON,TX77030 27-3733278	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS		No
(190)ST LUKE'S HEALTH SYSTEM CORP PO BOX 20269 HOUSTON,TX77225 76-0536232	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	CSH		No
(191)ST LUKE'S HOSPITAL AT THE VINTAGE 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-3734606	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO		No
(192)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
(193)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
(194)ST MARY'S COMMUNITY HOSPITAL 1301 GRUNDMAN BOULEVARD NEBRASKA CITY,NE68410 47-0443636	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA		No
(195)ST MARY'S HOSPITAL FOUNDATION 1301 GRUNDMAN BLVD NEBRASKA CITY,NE68410 47-0707604	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SMCH		No
(196)ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 51-0169537	FUNDRAISING FOUNDATION	AR	501(C)(3)	LINE 12A, I	SVIMC		No
(197)ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0236917	HOSPITAL	AR	501(C)(3)	LINE 3	CSH		No
(198)ST VINCENT MEDICAL GROUP TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0830696	PHYSICIANS	AR	501(C)(3)	LINE 10	SVIMC		No
(199)SYLVANIA FRANCISCAN HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 34-1412964	HOLDING CO	OH	501(C)(3)	LINE 12A, I	CSH		No
(200)SYLVANIA FRANCISCAN HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-5357161	INACTIVE	OH	501(C)(3)	LINE 12A, I	SFH-OH		No
(201)THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DRIVE SANDUSKY,OH44870 34-1826097	ASSISTED LIVING	OH	501(C)(3)	LINE 10	CHILC		No
(202)THE COMMUNITY HOSPITAL OF BRAZOSPORT 100 MEDICAL DRIVE LAKE JACKSON,TX77566 74-1385192	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO		No
(203)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
(204)THE PHYSICIAN NETWORK 2000 Q ST STE 500 LINCOLN,NE68503 47-0780857	PHYSICIANS	NE	501(C)(3)	LINE 12A, I	CHI NEBRASKA		No
(205)TOTAL HEALTHCARE 9100 E MINERAL CIRCLE CENTENNIAL,CO80112 84-0927232	INACTIVE	CO	501(C)(3)	LINE 3	CHIC		No
(206)TRINITY HEALTH FOUNDATION 380 SUMMIT AVENUE STEUBENVILLE,OH43952 31-1329423	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	THS		No
(207)TRINITY HEALTH SYSTEM 380 SUMMIT AVENUE STEUBENVILLE,OH43952 34-1818681	HEALTHCARE	OH	501(C)(3)	LINE 12A, I	N/A		No
(208)TRINITY HOSPITAL TWIN CITY 819 NORTH FIRST STREET DENNISON,OH44621 27-5401105	HOSPITAL	OH	501(C)(3)	LINE 3	THS		No
(209)TRI-STATE HEALTH SERVICES INC ONE ROSS PARK BLVD STEUBENVILLE,OH43952 34-1522484	ASSISTED LIVING	OH	501(C)(3)	LINE 7	THS		No
(210)UNITY FAMILY HEALTHCARE 815 SE 2ND ST LITTLE FALLS,MN56345 41-0721642	HOSPITAL	MN	501(C)(3)	LINE 3	CSH		No
(211)VILLA NAZARETH INC 801 PAGE DR FARGO,ND58103 45-0226714	LTERM CARE	ND	501(C)(3)	LINE 10	CSH		No
(212)VISITING NURSE ASSOCIATION OF ST CLARE'S INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-1768334	INACTIVE	NJ	501(C)(3)	LINE 10	SCHS		No
(213)WOODLAND MEMORIAL HOSPITAL FOUNDATION 1321 COTTONWOOD STREET 305 WOODLAND,CA95695 94-6167964	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 7	N/A		No
(214)YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION 1003 WILLOW CREEK ROAD PRESCOTT,AZ86301 86-1038463	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	YCHA DBA YRMC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

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 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45150 83-0486150	HOME HEALTH	OH	N/A	N/A				No			No
(2) ARIZONA CARE NETWORK - NEXT LLC 4222 E THOMAS RD STE 400 PHOENIX,AZ85018 47-4696671	CARE NETWORK	AZ	N/A	N/A				No			No
(3) ARIZONA CARE NETWORK LLC (ACN LLC) 4222 E THOMAS RD STE 400 PHOENIX,AZ85013 45-4494682	CARE NETWORK	AZ	N/A	N/A				No			No
(4) ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC 1510 COTNER AVENUE LOS ANGELES,CA90025 85-1067265	DIAGNOSTIC SERVICES	CA	N/A	N/A				No			No
(5) AUDUBON LAND COMPANY LLC 630 SOUTHPOINTE COURT 200 COLORADO SPRINGS,CO80906 84-1513085	REAL ESTATE	CO	N/A	N/A				No			No
(6) BAYLOR CHI ST LUKES HEALTH SERVICES LLC 3100 MAIN STE 566 HOUSTON,TX77002 47-2079184	HEALTHCARE SRVC	TX	N/A	N/A				No			No
(7) BERGAN MERCY SURGERY CENTER LLC 7500 MERCY RD STE 4300 OMAHA,NE68124 20-8671994	AMBUL SURG CTR	NE	N/A	N/A				No			No
(8) BERYWOOD OFFICE PROPERTIES LLC 2501 CITICO AVENUE CHATTANOGA,TN37404 62-1875199	PHYS OFFICE	TN	N/A	N/A				No			No
(9) BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD 709 WING ON PLAZA 62 MODY ROAD TS HONG KONG CH	HEALTH SERVICES	CH	N/A	N/A				No			No
(10) BLUEGRASS REGIONAL IMAGING CENTER 1218 SOUTH BROADWAY STE 310 LEXINGTON,KY40504 61-1386736	DIAGNOSTIC IMAGING	KY	N/A	N/A				No			No
(11) CBCC OUTSMARTING CANCER LLC 6501 TRUXTUN AVENUE BAKERSFIELD,CA93309 46-1602286	RADIATION / ONCOLOGY	CA	N/A	N/A				No			No
(12) CENTRAL NEBRASKA REHABILITATION SVCS LLC 3004 W FAIDLEY AVE GRAND ISLAND,NE68803 81-0653461	PHYSICAL THERAPY	NE	N/A	N/A				No			No
(13) CENTURA SUMMIT ORTHOPEDICS LLC 68 SCHOOL RD FRISCO,CO80443 87-1308304	HEALTHCARE SRVC	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 OF SPRINGFLD LLC 6281 TRI RIDGE BLVD 300 LOVELAND,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	DE	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 6281 TRI RIDGE BLVD STE 300 LOVELAND,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 14201 DALLAS PARKWAY DALLAS,TX75254 20-2999237	SURGERY	TX	N/A	N/A				No			No
(25) DIGNITYUSP NORCAL SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS,TX75254 20-2468509	SURGERY	TX	N/A	N/A				No			No
(26) DIGNITYUSP PHOENIX SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS,TX75254 13-4248908	SURGERY	TX	N/A	N/A				No			No
(27) DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC 14201 DALLAS PARKWAY DALLAS,TX75254 35-2584991	SURGERY	TX	N/A	N/A				No			No
(28) DIGNITY-ABRAZO HEALTH NETWORK LLC 4222 E THOMAS RD STE 400 PHOENIX,AZ85018 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) ENDOSCOPY CENTER OF ARKANSAS 1024 NORTH UNIVERSITY AVE LITTLE ROCK,AR72207 20-1337002	DIAGNOSTIC SERVICES	AR	N/A	N/A				No			No
(32) FOLSOM SIERRA ENDOSCOPY CENTER LP 1671 CREEKSIDE DRIVE SUITE 100 FOLSOM,CA95630 68-0482416	ENDOSCOPY	CA	N/A	N/A				No			No
(33) FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC 6622 WOLLOCHET DR NW GIG HARBOR,WA98335 46-3494108	REAL ESTATE	WA	N/A	N/A				No			No
(34) FRANCISCAN SPECIALTY CARE LLC 330 SEVEN SPRINGS WAY BRENTWOOD,TN37027 81-3725123	HEALTHCARE SRVC	WA	N/A	N/A				No			No
(35) GOLDEN RIDGE SURGERY CENTER LLC 660 GOLDEN RIDGE RD 100 GOLDEN,CO80401 84-1498087	HEALTHCARE SRVC	CO	N/A	N/A				No			No
(36) GOOD SAMARITAN HOME CARE SVCS OF VINCENNE LLC 6281 TRI RIDGE BLVD 300 LOVELAND,OH45150 20-1792869	HOME HEALTH	OH	N/A	N/A				No			No
(37) HC SL VINTAGE I LLC 1400 N WATER ST STE 500 MILWAUKEE,WI53202 27-0453767	PROPERTY HOLDING	WI	N/A	N/A				No			No
(38) HEALTHCARE SUPPORT SERVICES LLC PO BOX 9804 GRAND ISLAND,NE68802 72-1546196	LAUNDRY	NE	N/A	N/A				No			No
(39) HEARTLAND ONCOLOGY LLC 2337 E CRAWFORD ST SALINA,KS67402 46-4265403	ONCOLOGY	KS	N/A	N/A				No			No
(40) LAKESIDE AMBULATORY SURGICAL CENTER LLC 17030 LAKESIDE HILLS PLAZA STE 110 OMAHA,NE68130 20-4267902	AMBUL SURG CTR	NE	N/A	N/A				No			No
(41) LAKESIDE ENDOSCOPY CENTER LLC 17001 LAKESIDE HILLS PLZ STE 201 OMAHA,NE68130 20-5544496	ENDOSCOPY SRVC	NE	N/A	N/A				No			No
(42) LEXINGTON MBO PARTNERS LTD 5050 SOUTH SYRACUSE ST STE 800 DENVER,CO80237 65-1132855	REAL ESTATE	CO	N/A	N/A				No			No
(43) LINCOLN CK LEASING LLC 555 SOUTH 70TH STREET LINCOLN,NE68510 26-2496856	REAL ESTATE	NE	N/A	N/A				No			No
(44) MEMORIAL MEDICAL PLAZA 3838 SAN DIMAS SUITE B 201 BAKERSFIELD,CA93301 36-4510880	REAL ESTATE	CA	N/A	N/A				No			No
(45) 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
(46) MERCY REHABILITATION HOSPITAL LLC 330 SEVEN SPRINGS WAY BRENTWOOD,TN37027 81-4437201	HEALTHCARE SRVC	TX	N/A	N/A				No			No
(47) MILITARY ROAD PROPERTIES LLC 18229 TERRACE COURT SW NORMANDY PARK,WA98166 91-2067879	REAL ESTATE	WA	N/A	N/A				No			No
(48) NEBRASKA SPINE HOSPITAL LLC 6901 N 72ND ST STE 20300 OMAHA,NE68122 27-0263191	SPINE HOSPITAL	NE	N/A	N/A				No			No
(49) NICU OPERATING CO OF SANTA CRUZ LLC 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 46-0502935	NEONATAL HEALTHCARE	CA	N/A	N/A				No			No
(50) NORTH RIVER SURGERY CENTER LLC 2209 WILDWOOD AVE SHERWOOD,AR72120 71-0799771	AMBUL SURG CTR	AR	N/A	N/A				No			No
(51) NORTHERN PLAINS LABORATORY LLC 401 N 9 STREET BISMARK,ND58501 84-1641341	DIAGNOSTIC SERVICES	ND	N/A	N/A				No			No
(52) NSC CHANNEL ISLANDS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 77-0409291	AMBULATORY SURGICAL CENTER	CA	N/A	N/A				No			No
(53) ORTHOCOLORADO LLC 11650 WEST 2ND PLACE LAKEWOOD,CO80228 37-1577105	ORTHO HOSPITAL	CO	N/A	N/A				No			No
(54) PARK RAPIDS AREA HEALTH CARE 600 PLEASANT AVENUE S PARK RAPIDS,MN56470 20-4926259	HEALTHCARE SRVC	MN	N/A	N/A				No			No
(55) PENINSULA RADIATION ONCOLOGY CENTER LLC 4230 BRIDGEPORT WAY W STE B UNIVERSITY PLACE,WA98466 87-0808610	HEALTHCARE SRVC	WA	N/A	N/A				No			No
(56) PENRAD IMAGING LLC 1390 KELLY JOHNSON BLVD COLORADO SPRINGS,CO80920 84-1072619	MEDICAL IMAGING	CO	N/A	N/A				No			No
(57) PERFORMANCE MED EQUIP & RESPIR SVSC LLC 19625 62ND AVE SOUTH 101 KENT,WA98032 45-2901632	HOLDING COMPANY	WA	N/A	N/A				No			No
(58) PLAZA SURGERY CENTER LP 525 E PLAZA DRIVE SUITE 100 SANTA MARIA,CA93454 77-0573567	SURGERY	CA	N/A	N/A				No			No
(59) PMC HOSPITAL LLC 3100 MAIN ST STE 500 HOUSTON,TX77002 27-3280598	HOSPITAL	TX	N/A	N/A				No			No
(60) PRECISION MEDICINE ALLIANCE LLC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 35-2569159	DIAGNOSTIC SERVICES	CO	N/A	N/A				No			No
(61) RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY 1700 N ROSE AVENUE SUITE 120 OXNARD,CA93030 77-0191706	IMAGING	CA	N/A	N/A				No			No
(62) RBR MANAGEMENT LLC 91 CORPORATE PARK DRIVE SUITE 120 HENDERSON,NV89074 27-1466450	AMBULANCE	NV	N/A	N/A				No			No
(63) REID-ANC HOME CARE SERVICES LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45150 37-1454747	HOME HEALTH	IN	N/A	N/A				No			No
(64) SAINT JOSEPH - SCA HOLDINGS LLC 1451 HARRODSBURG RD LEXINGTON,KY40503 45-3801157	INACTIVE	DE	N/A	N/A				No			No
(65) SAINT JOSEPH HEALTH ASC LLC ONE SAINT JOSEPH DRIVE LEXINGTON,KY40504 85-2155230	SURGERY	KY	N/A	N/A				No			No
(66) SAINT JOSEPH-ANC HOME CARE SERVICES 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45150 26-3330545	HOME HEALTH	KY	N/A	N/A				No			No
(67) SANTA CRUZ COMPREHENSIVE IMAGING LLC 1661 SOQUEL DRIVE SUITE G SANTA CRUZ,CA95065 01-0550623	IMAGING	CA	N/A	N/A				No			No
(68) SANTA CRUZ LAND & BUILDING LP 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 77-0285236	REAL ESTATE	CA	N/A	N/A				No			No
(69) SANTA CRUZ SURGERY CENTER LLC 3003 PAUL SWEET ROAD SANTA CRUZ,CA95065 77-0194916	SURGERY	CA	N/A	N/A				No			No
(70) SEVEN OAKS SURGERY CENTER LLC 1801 ORANGE TREE LANE SUITE 200 REDLANDS,CA92374 85-1559544	SURGERY	CA	N/A	N/A				No			No
(71) SOUTHEASTERN HOME CARE LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45150 27-1219638	HOME HEALTH	OH	N/A	N/A				No			No
(72) ST JOSEPH'S SURGERY CENTER LP 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON,TX75001 20-1019390	SURGERY	TX	N/A	N/A				No			No
(73) ST ELIZABETH HOME CARE SERVICES LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45150 26-1236191	HOME HEALTH	KY	N/A	N/A				No			No
(74) ST FRANCIS LAND COMPANY 5390 N ACADEMY BLVD STE 300 COLORADO SPRINGS,CO80918 26-3134100	REAL ESTATE	CO	N/A	N/A				No			No
(75) ST LUKE'S DIAGNOSTIC CATH LAB LLP 6624 FANNIN ST STE 800 HOUSTON,TX77030 71-0959365	DIAGNOSTIC SERVICES	TX	N/A	N/A				No			No
(76) ST LUKE'S LAKESIDE HOSPITAL LLC 6624 FANNIN STE 2505 HOUSTON,TX77030 30-0427437	HOSPITAL	TX	N/A	N/A				No			No
(77) ST LUKE'S THE WOODLANDS SLEEP CENTER LLC 6624 FANNIN STE 800 HOUSTON,TX77030 46-2795726	DIAGNOSTIC SERVICES	TX	N/A	N/A				No			No
(78) TEMPLETON SURGERY CENTER LLC 1310 LAS TABLAS ROAD SUITE 104 TEMPLETON,CA94365 20-2246616	SURGERY	CA	N/A	N/A				No			No
(79) THE MEDICAL PAVILION AT ST JOHN'S 1600 ROSE AVENUE OXNARD,CA93030 77-0332349	REAL ESTATE	CA	N/A	N/A				No			No
(80) THREE SPRING IMAGING LLC 1 MERCADO ST STE 200A DURANGO,CO81301 81-3571570	HEALTHCARE SRVC	CO	N/A	N/A				No			No
(81) TIA ARIZONA LLC 3030 N CENTRAL AVENUE SUITE 1402 PHOENIX,AZ85012 86-3158670	CLINIC	AZ	N/A	N/A				No			No
(82) VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC 18330 ROSCOE BLVD NORTHRIDGE,CA91328 80-0864336	SURGERY	CA	N/A	N/A				No			No
(83) WEST LAKES SURGERY CENTER LLC 12499 UNIVERSITY AVE STE 100 CLIVE,IA50325 20-5345295	HEALTHCARE SRVC	IA	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 SVCS INC 12809 WEST DODGE RD OMAHA,NE68154 47-0802396	MANAGED CARE	NE	N/A	C					No
(2) ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY INC 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2466914	HEALTHCARE	TX	N/A	C					No
(3) ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 84-1112049	MANAGEMENT SERVICES	CO	N/A	C					No
(4) AMERICAN NURSING CARE INC 1700 EDISON DR MILFORD,OH45150 31-1085414	HOME HEALTH	OH	N/A	C					No
(5) AMERIMED INC 1700 EDISON DR MILFORD,OH45150 31-1158699	HOME HEALTH	OH	N/A	C					No
(6) BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE,KY40215 31-1542851	INACTIVE	KY	N/A	C					No
(7) BRAZOSPORT HEALTH ALLIANCE 1 WEST WAY COURT LAKE JACKSON,TX77566 76-0518376	HEALTHCARE	TX	N/A	C					No
(8) CADUCEUS MEDICAL ASSOCIATES INC 5600 BRAINERD ROAD STE 500 CHATTANOOGA,TN37411 62-1570736	HEALTHCARE	TN	N/A	C					No
(9) CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-2269511	INACTIVE	CO	N/A	C					No
(10) CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC 1201 W FRANK AVE LUFKIN,TX75904 83-4184717	CONDO ASSOC	TX	N/A	C					No
(11) COASTAL SURGICAL SPECIALISTS INC 921 OAK PARK BLVD SUITE 101 PISMO BEACH,CA93449 74-3000596	AMBULATORY SURGERY CENTER	CA	N/A	S					No
(12) COMCARE SERVICES INC 9100 E MINERAL CIRCLE CENTENNIAL,CO80112 84-0904813	INACTIVE	CO	N/A	C					No
(13) CONSOLIDATED HEALTH SERVICES 1700 EDISON DR MILFORD,OH45150 31-1378212	HOME HEALTH	OH	N/A	C					No
(14) DES MOINES MEDICAL CENTER INC 1111 6TH AVE DES MOINES,IA50314 42-0837382	REAL ESTATE	IA	N/A	C					No
(15) DIGNITY HEALTH HOLDING CORPORATION 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 46-0675371	HOLDING CO	NV	N/A	C					No
(16) DIGNITY HEALTH INSURANCE LTD PO BOX 1051 GRAND CAYMAN ISL GRAND CAYMAN ISL CJ 98-1065338	CAPTIVE INSURANCE	CJ	N/A	C					No
(17) DIGNITY HEALTH PROVIDER RESOURCES INC 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 47-3366764	HEALTH PLAN	CA	N/A	C					No
(18) DIVERSIFIED HEALTH RESOURCES INC 100 MEDICAL DRIVE LAKE JACKSON,TX77566 76-0222679	HEALTHCARE	TX	N/A	C					No
(19) FRANCISCAN CITY URGENT CARE SERVICES PS C/O CPGUSA 1345 AVE OF THE AMERICAS NEW YORK,NY10105 81-2174959	INACTIVE	NY	N/A	C					No
(20) FRANCISCAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2487967	HOLDING CO	CO	N/A	C					No
(21) GALLERIA PAVILION OWNERS' ASSOCIATION 800 N GIBSON RD HENDERSON,NV89011 82-4275367	REAL ESTATE	NV	N/A	C					No
(22) GOOD SAMARITAN OUTREACH SERVICES PO BOX 1990 KEARNEY,NE68848 47-0659440	MEDICAL CLINIC	NE	N/A	C					No
(23) HARVESTPLAINS HEALTH OF IOWA 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY,WA98001 47-3451750	INSURANCE	WA	N/A	C					No
(24) HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC 1400 E CHURCH STREET SANTA MARIA,CA93454 77-0074057	HEALTH SERVICES	CA	N/A	C					No
(25) HEALTH SYSTEMS ENTERPRISES INC PO BOX 1990 KEARNEY,NE68848 47-0664558	MGMT	NE	N/A	C					No
(26) HEALTHCARE MGMT SERVICES ORGANIZATION INC 1149 MARKET ST TACOMA,WA98402 91-1865474	INACTIVE	WA	N/A	C					No
(27) HEARTLANDPLAINS HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-4368223	INSURANCE	NE	N/A	C					No
(28) HIGHLINE MEDICAL GROUP 1717 S J STREET TACOMA,WA98405 91-1407026	MEDICAL SERVICES	WA	N/A	C					No
(29) INTEGRATED MEDICAL SERVICES 9250 N 3RD STREET SUITE 4010 PHOENIX,AZ85020 86-0783428	MULTI-SPECIALTY PHYSICIANS GROUP	AZ	N/A	C					No
(30) MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC 300 WERNER ST HOT SPRINGS,AR71913 71-0720429	REAL ESTATE	AR	N/A	C					No
(31) MEDQUEST 1301 15TH AVENUE WEST WILLISTON,ND58801 45-0392137	SALE OF DME	ND	N/A	C					No
(32) MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC 1201 W FRANK AVE LUFKIN,TX75904 46-3622849	INACTIVE	TX	N/A	C					No
(33) MERCY PARK APARTMENTS LTD 1111 6TH AVE DES MOINES,IA50314 42-1202422	INACTIVE	IA	N/A	C					No
(34) MERCY SERVICES CORP 2700 STEWART PARKWAY ROSEBURG,OR97471 93-0824308	RETAIL SALES	OR	N/A	C					No
(35) MHI CLINICAL SERVICES 1201 W FRANK AVE LUFKIN,TX75904 46-1967952	HEALTHCARE	TX	N/A	C					No
(36) MILLENNIUM SURGERY CENTER INC 9300 STOCKDALE HWY 200 BAKERSFIELD,CA93311 77-0513445	OUTPAITENT SURGERY SERVICES	CA	N/A	S					No
(37) MOUNTAIN MANAGEMENT SERVICES INC 6028 SHALLOWFORD RD CHATTANOOGA,TN37421 62-1570739	MGMT SVC ORG	TN	N/A	C					No
(38) NORTH CENTRAL HEALTH CARE ALLIANCE PO BOX 5538 BISMARK,ND58506 45-0439894	HEALTHCARE	ND	N/A	C					No
(39) QUALCHOICE ADVANTAGE 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY,WA98001 47-3433912	INSURANCE	WA	N/A	C					No
(40) QUALCHOICE HEALTH PLAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-1224037	ADMIN SERVICES	CO	N/A	C					No
(41) QUALCHOICE HEALTH INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-1222808	HOLDING CO	CO	N/A	C					No
(42) QUALCHOICE HOLDINGS INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-4075520	HOLDING CO	AR	N/A	C					No
(43) QUALCHOICE OF NEBRASKA 2401 S 73RD ST OMAHA,NE68124 81-0738827	INACTIVE	NE	N/A	C					No
(44) RIVERLINK HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-4380824	INSURANCE	OH	N/A	C					No
(45) RIVERLINK HEALTH OF KENTUCKY INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-4828332	INSURANCE	KY	N/A	C					No
(46) ROSS PARK PHARMACY INC 380 SUMMIT AVE STEUBENVILLE,OH43952 34-1832654	PHARMACY	OH	N/A	C					No
(47) SAINT CLARE'S PRIMARY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-2441202	INACTIVE	NJ	N/A	C					No
(48) SJH SERVICES CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2307408	INACTIVE	CO	N/A	C					No
(49) SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR STE 160 LEXINGTON,KY40503 27-0164198	INACTIVE	KY	N/A	C					No
(50) SOUNDPATH HEALTH INC 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY,WA98001 42-1720801	INSURANCE	WA	N/A	C					No
(51) ST MARY HEALTH VENTURES INC 1050 LINDEN AVENUE LONG BEACH,CA90813 95-1912528	RETAIL PHARMACY	CA	N/A	C					No
(52) ST ANTHONY DEVELOPMENT COMPANY 1415 SOUTHGATE PENDLETON,OR97801 93-1216943	ATHLETIC CLUB	OR	N/A	C					No
(53) ST JOSEPH DEVELOPMENT COMPANY INC 1717 SOUTH J ST TACOMA,WA98405 91-1480569	RENTAL	WA	N/A	C					No
(54) ST LUKE'S HEALTH SYSTEM HOLDINGS INC 6624 FANNIN STE 800 HOUSTON,TX77030 76-0637138	HOLDING CO	TX	N/A	C					No
(55) ST VINCENT COMMUNITY HEALTH SERVICES INC TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0710785	HEALTHCARE	AR	N/A	C					No
(56) STE HOLDINGS 12809 WEST DODGE RD OMAHA,NE68154 82-2383629	HOLDING CO	NE	N/A	C					No
(57) SUGAR LAND DOCTOR GROUP 1317 LAKE POINT PARKWAY SUGAR LAND,TX77478 45-4270163	INACTIVE	TX	N/A	C					No
(58) TOWSON MANAGEMENT INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 52-1710750	INACTIVE	MD	N/A	C					No
(59) TRINITY MANAGEMENT SERVICES ORGANIZATION 380 SUMMIT AVE STEUBENVILLE,OH43952 34-1471026	MGMT SERVICES	OH	N/A	C					No

Schedule R (Form 990) 2021

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) ............................

Yes

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

Yes

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

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	B	513,032	AMOUNT TRANSFERRED
(2) YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION	C	1,363,425	AMOUNT TRANSFERRED

Schedule R (Form 990) 2021

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) 2021

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) 2021

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	12
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 2021 (Part V, line 2a) ......	5	2,630
6	Total number of volunteers (estimate if necessary) .............	6	284
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	38,307
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	31,887

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,638,184	1,855,922
9	Program service revenue (Part VIII, line 2g) .........	211,255,833	460,676,796
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,176,127	7,560,279
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,282,887	3,565,967
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	217,353,031	473,658,964
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	475,813	847,810
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)	105,689,510	240,513,262
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	100,890,047	213,753,824
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	207,055,370	455,114,896
19	Revenue less expenses. Subtract line 18 from line 12.......	10,297,661	18,544,068
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	699,729,755	709,397,822
21	Total liabilities (Part X, line 26).............	179,662,479	183,346,021
22	Net assets or fund balances. Subtract line 21 from line 20.....	520,067,276	526,051,801

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 367,673,196 including grants of $ 847,810 ) (Revenue $ 460,638,489 )
	YAVAPAI COMMUNITY HOSPITAL ASSOCIATION DBA YAVAPAI REGIONAL MEDICAL CENTER (YRMC) IS HONORED TO SERVE THE ENTIRE COMMUNITY OF WESTERN YAVAPAI COUNTY. WE CARE FOR PEOPLE LIVING IN OUR REGION THROUGH HIGH QUALITY INPATIENT AND OUTPATIENT SERVICES AS WELL AS A WIDE RANGE OF VALUABLE COMMUNITY OUTREACH AND HEALTH EDUCATION PROGRAMS. YRMC SERVES THE HEALTHCARE NEEDS OF PEOPLE OF ALL AGES AND FROM ALL WALKS OF LIFE. WE'RE PLEASED TO MEET THOSE NEEDS 24 HOURS A DAY, 365 DAYS A YEAR.YRMC HAS TWO HOSPITALS; ONE IN PRESCOTT, YRMC WEST, AND ONE IN PRESCOTT VALLEY, YRMC EAST. BETWEEN JUNE 2021 AND JULY 2022, YRMC EMBRACED ITS NOT-FOR-PROFIT MISSION BY INVESTING IN COMMUNITY BENEFIT FOR THE PEOPLE OF WESTERN YAVAPAI COUNTY. THIS INCLUDES DIRECT HEALTHCARE SERVICES AS WELL AS PROGRAMS THAT IMPROVE HEALTH AND PREVENT ILLNESS. DURING THIS TIME PERIOD, YRMC SERVED MANY RESIDENTS IN OUR SERVICE AREA THROUGH OUR COMMUNITY BENEFIT AND HEALTH EDUCATION EFFORTS. IN SPITE OF THE CHALLENGES PRESENTED BY COVID-19 YRMC WAS STILL ABLE TO PROVIDE 8 COMMUNITY PRESENTATIONS ON HEALTH TOPICS WITH THE HELP OF VIDEO FOR REMOTE PROGRAMS PEOPLE COULD VIEW FROM THEIR HOMES. THERE WERE 1,076 VERIFIED VIEWS OF OUR HEALTHY CONVERSATIONS PRESENTATIONS AND VIDEOS IN FISCAL YEAR 2022.YRMC ALSO OFFERS A PATIENT ASSISTANCE PROGRAM TO HELP PEOPLE WHO HAVE NO INSURANCE OR WHO HAVE LIMITED INSURANCE COVERAGE.FISCAL YEAR 2022 WAS ANOTHER YEAR OF PROVIDING PERSONALIZED CARE TO MANY THOUSANDS OF PEOPLE. FOR EXAMPLE, 959 BABIES WERE BORN BETWEEN JUNE 2021 AND JULY 2022 AT YRMC'S OBSTETRICS DEPARTMENT. BIRTHING AND BREASTFEEDING CLASSES HOSTED 140 EXPECTANT PARENTS WITH MOST OF THEM PARTICIPATING ONLINE DURING THIS SAME TIME FRAME.YRMC PROVIDES FAMILY RESOURCE CENTER SERVICES THAT INCLUDE FREE PARENTING EDUCATION, COUNSELING SERVICES AND COORDINATION WITH OTHER COMMUNITY RESOURCES THAT CAN HELP SUPPORT YOUNG FAMILIES IN NEED. THESE PROGRAMS FOCUS ON ELIMINATING CHILD ABUSE AND NEGLECT AMONG PARTICIPATING FAMILIES. THESE PROGRAMS HAVE ALSO PROVIDED BASIC NECESSITIES FOR NEW FAMILIES SUCH AS BABY FORMULA AND DIAPERS. THE FAMILY RESOURCE CENTER PROVIDED PARENTS WITH 1,653 VISITS ON HOW TO CARE FOR THEIR CHILDREN BETWEEN JUNE 2021 AND JULY 2022. 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 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.IN FISCAL YEAR 2022, 736 STUDENTS RECEIVED FREE HEALTHCARE SERVICES THROUGH PARTNERS FOR HEALTHY STUDENTS. YRMC IS PROUD TO PROVIDE THESE SERVICES AT NO CHARGE FOR THOSE IN NEED.YRMC'S POPULAR GO NOODLE ONLINE FITNESS PROGRAM FOR AREA SCHOOLS AND FAMILIES CONTINUED THROUGH FISCAL YEAR 2022. THIS FREE PROGRAM SERVED 800 FAMLIES WITH 26,000 MINUTES OF GO NOODLE FUN EXERCISES AT HOME. IN ADDITION, YRMC PROVIDED MORE THAN 312 MEALS FOR A LOCAL HOUSING SHELTER DURING FISCAL YEAR 2022. YRMC ALSO HELPED FINANCIALLY SUPPORT THE HUNGRY KIDS PROGRAM TO FEED CHILDREN FROM UNDERSERVED HOMES YEAR-ROUND.THE JAMES FAMILY HEART CENTER AT YRMC PERFORMS HUNDREDS OF CARDIAC AND THORACIC CASES AND HAS ALSO PERFECTED A BLOOD MANAGEMENT PROGRAM WHICH GREATLY BENEFITS PATIENTS. IN FISCAL YEAR 2022, YRMC PROVIDED 141 OPEN HEART AND THORACIC SURGERIES. IN ADDITION, 3,775 CARDIAC CATHETERIZATION, ELECTROPHYSIOLOGY, INTERVENTIONAL CARDIOLOGY AND INTERVENTIONAL RADIOLOGY PROCEDURES WERE PROVIDED. YRMC SURGEONS ALSO PROVIDED 117 TRANSCATHETER AORTIC VALVE REPLACEMENTS (TAVR) AND TRANSCATHETER MITRAL VALVE REPLACEMENTS (TMVR).YRMC'S COMMUNITY OUTREACH PROGRAM REACHED THOUSANDS OF PEOPLE IN OUR LOCAL COMMUNITY WITH COMPLIMENTARY, CURRENT HEALTH INFORMATION. THIS INCLUDES A SPEAKERS' - BUREAU SERVICE, PROVIDING 8 PRESENTATIONS FROM YRMC HEALTH PROFESSIONALS ABOUT HEALTH-RELATED TOPICS FOR THE COMMUNITY. DUE TO COVID RESTRICTIONS, MOST OF THOSE WERE PRESENTED ONLINE.YRMC IS HONORED TO SERVE THE ENTIRE COMMUNITY OF WESTERN YAVAPAI COUNTY. WE CARE FOR PEOPLE LIVING IN OUR REGION THROUGH HIGH QUALITY INPATIENT AND OUTPATIENT SERVICES AS WELL AS A WIDE RANGE OF VALUABLE COMMUNITY OUTREACH AND HEALTH EDUCATION PROGRAMS. YRMC SERVES THE HEALTHCARE NEEDS OF PEOPLE OF ALL AGES AND FROM ALL WALKS OF LIFE. WE'RE PLEASED TO MEET THOSE NEEDS 24 HOURS A DAY, 365 DAYS A YEAR.YRMC'S HEALTHCARE TEAM - NURSES, PHYSICIANS AND OTHER MEDICAL PROFESSIONALS CARED FOR 12,306 INPATIENTS IN FISCAL YEAR 2022. DURING THE SAME TIME PERIOD, NEARLY 70,089 PEOPLE RECEIVED CARE IN YRMC'S EMERGENCY DEPARTMENTS. WE FREQUENTLY SEE MENTAL HEALTH PATIENTS BROUGHT TO THE ED WITH SUICIDAL IDEATION - NOT MEDICAL CONDITIONS. THOSE PATIENTS RANGE FROM VERY YOUNG CHILDREN TO PEOPLE WHO ARE MORE THAN 90 YEARS OLD. YRMC HAS COLLABORATED CLOSELY WITH SEVERAL BEHAVIORAL HEALTH ORGANIZATIONS IN AN EFFORT TO HELP THE COMMUNITY AS A TEAM. WE HAVE ALSO PROVIDED FINANCIAL SUPPORT FOR LOCAL NON-PROFIT PROVIDERS. MENTAL HEALTH HAS CONSISTENTLY BEEN A COMMUNITY NEED AND, UNFORTUNATELY, YAVAPAI COUNTY HAS ONE OF THE HIGHEST SUICIDE RATES IN THE STATE. WE CONTINUE TO WORK WITH OTHER COMMUNITY AGENCIES TO ADDRESS THIS CHALLENGE.YRMC'S SOCIAL MEDIA ENGAGEMENT WAS STRONG IN FISCAL YEAR 2022. PEOPLE ENGAGED IN YRMC'S BLOG, YRMC HEALTHCONNECT AND YRMC'S FACEBOOK COMMUNITY. BOTH YRMC'S YOUR HEALTHY KITCHEN COMMUNITY AND TWITTER COMMUNITY HAD ENGAGEMENTS IN 2022. WEBSITE TRAFFIC TO YRMC.ORG EXCEEDED 500,000 PAGE VIEWS WITH OVER 150,000 VISITORS. ALL THESE VENUES PROVIDE VALUABLE HEALTH INFORMATION.

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 expenses367,673,196

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	11,807,374	3,513,745	1,699,523

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,363,425
e	Government grants (contributions)		1e	492,497

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

g	Noncash contributions included in lines 1a - 1f:$		1g	24,340

h Total. Add lines 1a-1f.......		1,855,922

		Business Code
2a	PATIENT NET OF CHARITY	900099	272,496,759	272,496,759
b	MEDICARE / MEDICAID PA	900099	185,062,771	185,062,771
c	AHCCCS RURAL HOSPITAL	900099	1,329,577	1,329,577
d	QUALITY INCENTIVE BONU	900099	946,268	946,268
e	PROGRAM RELATED RENTAL	900099	570,693	570,693
f	All other program service revenue.		270,728	232,421	38,307
g	Total. Add lines 2a–2f .....		460,676,796

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,511,422			1,511,422
4 Income from investment of tax-exempt bond proceeds
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	72	79,490,706	7a
b	Less: cost or other basis and sales expenses	0	73,441,921	7b
c	Gain or (loss)	72	6,048,785	7c
d	Net gain or (loss).........			6,048,857			6,048,857
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	184,282
b	Less: cost of goods sold ..		10b	125,561
c	Net income or (loss) from sales of inventory..			58,721			58,721
Business Code			Miscellaneous Revenue
11a	UHS SETTLEMENT PAYMENT		900099	1,400,000			1,400,000
b	MATERIAL MANAGEMENT RE		900099	1,001,520			1,001,520
c	CAFETERIA		722514	880,253			880,253
d	All other revenue ....			225,473			225,473
e	Total. Add lines 11a–11d ......			3,507,246
12	Total revenue. See instructions.....			473,658,964	460,638,489	38,307	11,126,246

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	847,810	847,810
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 ...........	5,304,264	1,181,422	4,122,842
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........	193,019,405	178,665,339	14,354,066
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	7,096,699	5,318,088	1,778,611
9	Other employee benefits .......	24,776,376	10,257,509	14,518,867
10	Payroll taxes ...........	10,316,518	5,596,275	4,720,243
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	943,520		943,520
c	Accounting ...........	32,000		32,000
d	Lobbying ...........	26,968		26,968
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	318,929		318,929
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	68,353,087	29,388,143	38,964,944
12	Advertising and promotion ....	1,370,222	78,551	1,291,671
13	Office expenses .......	6,269,900	3,846,670	2,423,230
14	Information technology ......	1,079,407	286,962	792,445
15	Royalties ..
16	Occupancy ...........	4,780,887	4,386,920	393,967
17	Travel ............	324,217	78,519	245,698
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	137,747	90,775	46,972
20	Interest ...........	-257,548		-257,548
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	20,816,241	20,688,801	127,440
23	Insurance ...	1,245,171	270,757	974,414
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	85,821,787	85,634,526	187,261
b	MEDI-CAL PROVIDER FEE	20,041,857	20,041,857
c	FOOD	848,044	779,335	68,709
d	RECRUITING	618,733		618,733
e	All other expenses	982,655	234,937	747,718
25	Total functional expenses. Add lines 1 through 24e	455,114,896	367,673,196	87,441,700	0
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 ........			6,750	1	4,819
2	Savings and temporary cash investments .........			156,823,368	2	148,145,902
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			40,997,792	4	46,997,561
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 .......
					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) ...
					6
7	Notes and loans receivable, net ...........			216,111	7	361,848
8	Inventories for sale or use ............			8,092,117	8	7,815,867
9	Prepaid expenses and deferred charges ......			4,389,424	9	1,488,834
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	345,824,510
b	Less: accumulated depreciation	10b	34,473,689	296,105,722	10c	311,350,821
11	Investments—publicly traded securities .			97,595,834	11	42,976,534
12	Investments—other securities. See Part IV, line 11 .....			32,052,992	12	81,803,715
13	Investments—program-related. See Part IV, line 11 ..			61,717	13	78,994
14	Intangible assets ...............			58,000,000	14	58,000,000
15	Other assets. See Part IV, line 11 ...........			5,387,928	15	10,372,927
16	Total assets. Add lines 1 through 15 (must equal line 33)...			699,729,755	16	709,397,822

17	Accounts payable and accrued expenses .....	38,044,382	17	37,658,267
18	Grants payable ...	2,712,030	18	4,986,197
19	Deferred revenue .........	1,750,735	19	1,126,927
20	Tax-exempt bond liabilities .........	126,335,000	20	123,265,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D		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 .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	6,399,353	23	5,814,451
24	Unsecured notes and loans payable to unrelated third parties ..		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	4,420,979	25	10,495,179
26	Total liabilities. Add lines 17 through 25..	179,662,479	26	183,346,021

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	520,064,547	27	526,051,260
28	Net assets with donor restrictions ...........	2,729	28	541
	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 ...........	520,067,276	32	526,051,801
33	Total liabilities and net assets/fund balances ........	699,729,755	33	709,397,822