Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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.).. | ||||||
| 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 | ||||
| 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 2022 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-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part I, Line 6: Services provided by volunteers: | Volunteers are a vital part of Yuma Regional Medical Center (YRMC). YRMC offers opportunities for service that accommodate the schedules of working adults, students and retirees. Some of our volunteers work directly with patients, while others provide invaluable assistance in support areas or with special projects. In FY2023, 291 volunteers assisted in numerous service areas and contributed over 23,000 volunteer hours. Due to COVID-19 precautions, the number of volunteers was down compared to prior years; however, we are confident that the number of volunteers will return to previous levels with the easing of the pandemic. Volunteers are an essential part of YRMC performing a variety of services to help patients, visitors and staff. They offer support in clinical as well as non-clinical areas by performing such duties as information desk receptionist, transporting visitors as a cart driver, book and beverage cart services, patient visitor and wheelchair transporters, warehouse and office assistants, and soothing a crying baby in the NICU. In addition, volunteers support blood drives, hospital support groups, community outreach events, and the patient and family care center. |
| Form 990, Part III, Line 4a: Program service accomplishments: | Yuma Regional Medical Center (YRMC) will be recognized as the model regional medical center. We will work collaboratively to evolve the best system of integrated healthcare in our service area. Our Mission: To improve the health and wellbeing of individuals, families and the communities we serve through excellence, innovation and prudent use of resources. Our Vision: We strive to be recognized as the model regional medical center. We work collaboratively to evolve the best system of integrated healthcare in our service area. Overview: Yuma Regional Medical Center is a licensed 406-bed general acute care hospital that provides inpatient, outpatient, emergency room and other acute care and hospital related services to the people of Yuma, Arizona and the surrounding communities. Not-for-Profit Community Hospital: As a not-for-profit community hospital, Yuma Regional Medical Center is dedicated to meeting the healthcare needs of this community today, tomorrow and well into the future. Through this report, you will learn about many services and programs that we provide. The YRMC team consists of over 3,000 employees, some 600 physicians and over 250 volunteers. YRMC maintains the highest standards for our medical staff to help ensure you receive the quality care you expect. More than 90 percent of the physicians practicing at YRMC are board certified/eligible in one or more specialties. We pledge to serve as an active community partner while continuing our mission to improve the health and well-being of the communities we serve. YRMC Board of Directors: The Board of Yuma Regional Medical Center is composed of an array of professionals who bring their skills and talents together to work, without pay, so that you can receive the highest quality of medical care in your community. As we look to the future, the YRMC Board of Directors has again set the bar high. It is our vision to work collaboratively to evolve the best system of coordinated health care in our service area. As a non-profit community hospital, we reinvest funds remaining at the close of the year into new services and programs for the community. Our strategies moving forward include: the ongoing implementation of an electronic health record to improve patient safety and quality; improving patient access to services through recruitment of physicians in identified shortage areas; investment in new technologies; remaining financially sound; and providing the highest standard of care and patient safety. As a not-for-profit hospital, YRMC has no shareholders. Financial Stability, a Solid Future: As a not-for-profit hospital, Yuma Regional Medical Center relies almost entirely on patient revenues for funding. We do not receive local, state or federal funds through tax levies. There are no out-of-state corporations or private shareholders involved with YRMC - all funds remaining at the end of the year are reinvested for the people and communities we serve. Charity Care/Financial Assistance: At Yuma Regional Medical Center, we believe that all people have a right to medically necessary health care and equal access to diagnostic and therapeutic treatment regardless of financial status. Eligibility criteria for charity care or discounts are based on a percentage of the department of health and human service's annual "federal poverty guidelines." Eligibility criteria includes individual or family income, individual or family net worth, employment status, other financial obligations, amount and frequency of healthcare bills and other financial resources available to the patient. A copy of YRMC's charity care policy is available on the website www.yumaregional.org. Neonatal Care: In FY2023, 386 of our tiniest patients were admitted to and cared for by the specially trained staff in the Neonatal Intensive Care Unit (NICU). YRMC's NICU is licensed to care for infants who have achieved 28 weeks gestation and older. Gestation for a full-term infant is 40 weeks. Infants that are born at YRMC at less than 28 weeks are cared for in the NICU until they are stable enough to transport. Our youngest infants have been 22 weeks. By having a NICU, families are relieved of the expense of going out of town for extended periods of time to be near their sick infants and are able to have a support system nearby. Healthcare Education: Yuma Regional Medical Center is committed to the education of healthcare professionals by providing expanded learning opportunities. YRMC's support of health education and advancement includes a significant commitment to nursing education through partnerships with local community college Arizona Western College (AWC) as well as Northern Arizona University and others. From our education center and simulation lab to clinical rotations and learning in the inpatient and outpatient setting, YRMC provides ongoing support for the development of nurses. YRMC also serves as a primary partner with AWC for a successful radiology tech program. Clinical internships and teaching for radiology tech students provide both inpatient and outpatient internship opportunities for local students. AWC massage therapy students utilize space in our outpatient clinic (and cancer center) - a partnership that includes the ability to provide YRMC cancer patients with massage therapy services at no cost. YRMC also supports a growing family medicine residency program as well as rotations for other medical specialties including sports medicine. Our pharmacy serves as a clinical site for interns, a program that continues to support the expanded need for trained pharmacists, social workers and clinical pastoral education (hospital chaplain residents). Training Tomorrow's Nurses: At the Yuma regional education center, nursing students from Northern Arizona University - Yuma apply classroom lessons in a setting that mirrors a hospital environment. Students work in a skills lab that has adult, child and infant Vitalsims - these are mannequins pre-programmed with heart rhythms, lung and bowel sounds and even voices. In a workshop outfitted with more advanced mannequins, called Simsman and Simsbaby, an observing instructor controls the physical traits of the simulated patient in response to the nurse's care during full lifelike scenarios. "The goal of our education center is to provide as many resources as possible to help nursing students and employees grow in knowledge and skill," says a clinical lab specialist at Yuma Regional Medical Center. "We feel it's an essential component in providing excellent patient care." Palliative Care: At times when acute medical care is no longer effective in addressing a patient's illness, patients need a team of nurses, social workers, chaplains and physicians to help patients and their families with palliative care services which help people work through the physical, emotional and spiritual concerns of serious, progressive illnesses. The goals are to help people have the best possible quality of life and to be allowed to die with dignity. Treatments and techniques focus on improving the quality of life of patients with illnesses such as cancer, heart failure and chronic obstructive pulmonary disease. Pain management plays a key role in palliative care. Palliative care helps patients understand the nature of their illness and make timely, informed decisions about their lives. Clinical Pastoral Education Program: The Clinical Pastoral Education (CPE) program at Yuma Regional Medical Center trains clergy of all faiths to provide healing, comfort and support to patients and their families during their hospital experience. YRMC offers level 1, level 2 and supervisory CPE. The CPE program is accredited by the Association for Clinical Pastoral Education. Recognized for its exceptionally high standards, the year-long residency program at YRMC offers a stimulating learning environment that encourages both personal and professional growth. Students learn how to provide emotional and spiritual support to individuals of all faiths and beliefs to help empower them in their healthcare experience. Students may experience a wide range of unique opportunities to practice chaplaincy within a clinical team environment, such as working with trauma situations and end-of-life issues and celebrating births. Residents become expert in active-listening skills, organ and tissue donation processes and advance directives. YRMC typically offers five chaplaincy residencies per year. Ensuring the Health Needs of Tomorrow: YRMC leaders and residents providing mentoring and support to high school students through the uniquely designed "Mentor Me MD." Residents and leaders teach and mentor young students who have interest in pursuing medicine. The program offers a variety of hands-on learning, mentoring and support. |
| Form 990, Part VI, Section B, line 11b | Prior to filing the Form 990, the return is uploaded to the Board Portal and Board members are encouraged to review it prior to the board meeting. Management also reviews the Form 990 prior to filing. At the board meeting, the Board approves the Form 990 for filing. |
| Form 990, Part VI, Section B, line 12c | The Conflict of Interest Policy covers members of the Yuma Regional Medical Center (YRMC) Board, including any ex-officio member, who by virtue of their position, may influence decisions affecting YRMC. YRMC requires the disclosure of potential conflicts of interest so that appropriate action may be taken to ensure that such conflicts will not inappropriately influence important decisions. The disclosures are reviewed by general counsel. In the event of a potential conflict, the board member must disclose to the Board the existence of any such interest and be given the opportunity to disclose all material facts. The Board may request additional information from all reasonable sources and shall involve the general counsel in its deliberations. Once all necessary information has been obtained, the Board shall make a finding as to whether a conflict of interest indeed exists. The Board determines by a majority vote in executive session without the subject member as to whether the disclosed interest may result in a conflict of interest. If the Board determines that subject board member has a conflict of interest, subject board member will be disqualified from voting on the decision under consideration. |
| Form 990, Part VI, Section B, line 15 | The Board of Yuma Regional Medical Center (YRMC) has adopted a competitive pay strategy in order to attract and retain qualified executives to lead our organization and to fairly compensate executives for advancing the mission of YRMC. The policy is also intended to establish a formal, consistent process for governing executive compensation decisions. This process is meant to establish a rebuttable presumption of reasonableness under IRC Section 4958. In determining compensation of the President/CEO and other executives considered disqualified individuals, an outside consultant is engaged periodically to provide market comparability data, and contemporaneous substantiation of the deliberation and decision making, for setting up total compensation packages, including an incentive pay program known as "pay-at-risk and executive retirement programs. Our total compensation philosophy is comprised of the following elements: Role of the Compensation Committee: The Board's Compensation Committee, after reviewing the material provided by the consultant, sets the compensation for the President/CEO as well as the compensation policy and strategy for other executives to be implemented by the President/CEO. The Compensation Committee presents its recommendations to the full Board for endorsement. Peer Group: A national peer group of health care organizations comparable to YRMC in revenue, structure, mission, and scope of operations is used in collecting comparability data. Competitive Positioning: -Salary range midpoints are set at the 60th percentile of the peer group and individual salaries are positioned within the salary ranges based on factors such as qualifications, experience, and performance as well as recruitment and retention need. -Annual incentive: the "pay-at-risk" opportunity for the President/CEO, Senior Vice Presidents, Vice Presidents, and Directors is positioned on par with the average levels provided to individuals occupying comparable positions in the peer groups. -Benefit expenditures are positioned above the 75th percentile and designed to encourage retention and stability of the executive team. -Our total compensation, including cash compensation and benefits, will be positioned at approximately the 75th percentile for expected performance. Total compensation above the 75th percentile may be achieved for exceptional or superior performance. Appropriate perquisites will be provided based on position level and a moderate severance policy is also provided based on position level. "Pay-at-Risk" Incentive Program: YRMC's annual incentive plan is based on YRMC's strategy as outlined by the Board of Directors and uses a combination of organizational and individual performance measures contained in the Organizational Balanced Scorecard and Leadership Scorecards flowing from it. Triggers are established to define certain minimum performance levels that must be met before incentive awards may be paid, including a net operating margin threshold of 80% of budget and maintenance of accreditation. Insurance Products: A number of executive insurance products are available at the executive's choice. The currently available programs are: -Long-term care insurance for the executive and spouse -Executive disability coverage (This would supplement the basic hospital plan.) -Survivor life insurance (For executives enrolling in this benefit, the hospital will pay the executive's premium). Under applicable tax rules, the premium payments made by the hospital will be treated as a loan, and the executive must pay interest on hospital-paid premiums. The hospital will be repaid from the cash surrender value of the policy or the face amount of the policy in the event of death. This arrangement is documented by an agreement acceptable to YRMC. |
| Form 990, Part VI, Section C, line 19 | YRMC's governing documents, including Bylaws and Articles of Incorporation, and Conflict of Interest Policy are available to the general public upon request. YRMC's financial statements are posted on the EMMA website. |
| Form 990, Part IX, line 11g | Physicians fees: Program service expenses 59,081,792. Management and general expenses 0. Fundraising expenses 0. Total expenses 59,081,792. Purchased services: Program service expenses 27,670,202. Management and general expenses 6,984,321. Fundraising expenses 0. Total expenses 34,654,523. Consulting fees: Program service expenses 0. Management and general expenses 5,397,799. Fundraising expenses 0. Total expenses 5,397,799. Medical director fees: Program service expenses 906,725. Management and general expenses 0. Fundraising expenses 0. Total expenses 906,725. Therapist fees: Program service expenses 4,031,973. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,031,973. Medical services: Program service expenses 1,076,037. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,076,037. |
| Form 990, Part XI, line 9: | Change in fair value of interest rate swaps 1,105,859. Decrease in pension liability 14,182,885. Other changes in net assets 2,979. Accounting change in pension plan expense - non-service cost -596,769. Change in interest in Foundation 972,536. |
| Software ID: | |
| Software Version: |