TY 2023 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) John Sternitzke...................................................................... Board Chair	8.0 ................. 1.0	X	X		0	0
(2) Lora Dana...................................................................... Board Secretary/Treasurer	6.0 ................. 1.0	X	X		0	0
(3) Louie Gradias...................................................................... Board Vice Chair	5.0 ................. 1.0	X	X		0	0
(4) Robert Trenschel DO...................................................................... President/CEO, Director	40.0 ................. 3.0	X	X		1,505,698	358,680
(5) Andres Salcido...................................................................... Board Member	5.0 ................. 1.0	X			0	0
(6) Ashvin Shah MD...................................................................... Board Member, Physician Pulmonology	5.0 ................. 1.0	X			101,839	0
(7) Claudia Dima MD...................................................................... Board Member, Physician Cardiology	5.0 ................. 1.0	X			70,700	0
(8) Fred Earle...................................................................... Board Member	5.0 ................. 1.0	X			0	0
(9) Steve Legros...................................................................... Board Member	5.0 ................. 1.0	X			0	0
(10) Woody Martin...................................................................... Board Member	5.0 ................. 3.0	X			0	0
(11) Vernon Moore III...................................................................... SVP & Chief Financial Officer	40.0 ................. 2.0		X		623,679	144,799
(12) Deborah Aders RN MS CIC...................................................................... SVP & Chief Nursing Officer	40.0 ................. 0.0			X	581,337	23,175
(13) Dr Bharat Magu...................................................................... SVP & Chief Medical Officer	40.0 ................. 0.0			X	676,478	129,667
(14) Fred Peet...................................................................... SVP & Chief Informational Officer	40.0 ................. 0.0			X	472,155	112,297
(15) James Adamson...................................................................... SVP & General Counsel	40.0 ................. 2.0			X	548,249	130,799
(16) Joan Cox...................................................................... SVP & Chief Experience Officer	40.0 ................. 0.0			X	401,931	94,155
(17) Machele Headington...................................................................... SVP Marketing & Communications	20.0 ................. 20.0			X	386,440	249,148

(A) Name and business address	(B) Description of services	(C) Compensation
Southwest Desert Radiology PC 1308 N Stockton Hill Rd Suite A108 Kingman,AZ86401	Radiology services	15,525,590
MJ Harris Construction Service 1 Riverchase Ridge Suite 300 Birmingham,AL35244	Construction Services	13,536,669
Hospitality Healthcare Service 6929 West Southern Avenue Laveen,AZ85339	Environmental Services	8,018,832
Yuma Heart and Vascular LLC 2400 S Avenue A Yuma,AZ85364	Cardiology Services	6,564,805
Archsol LLC 8900 East Bahia Drive Suite 300 Scottsdale,AZ85260	Construction Services	6,057,011
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 133

- 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

2023

Open to Public
Inspection

Name of the organization

Yuma Regional Medical Center

Employer identification number

86-6007596

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

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

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

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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

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) 2023

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) 2023

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) 2023

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 2023 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-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- 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

2023

Name of the organization

Yuma Regional Medical Center

Employer identification number

86-6007596

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

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

Special Rules

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

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

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

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization Yuma 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) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization Yuma Regional Medical Center		Employer identification number 86-6007596

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization Yuma Regional Medical Center			Employer identification number 86-6007596
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- 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

right arrow

Complete if the organization is described below. 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

2022

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Yuma Regional Medical Center

Employer identification number

86-6007596

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

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

Political campaign activity expenditures. See instructions .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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) 2022

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 right arrow

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 right arrow

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) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

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

29,075

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

29,075

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
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	YUMA REGIONAL MEDICAL CENTER (YRMC) IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND ARIZONA HOSPITAL ASSOCIATION (AZHHA). YRMC PAID A TOTAL OF $243,915 FOR MEMBERSHIP DURING FY2024. OF THE AMOUNT REPORTED, 11.92% OR $29,074.67 OF DUES WERE EXPENDED FOR SPECIFIC LOBBYING PURPOSES.

Schedule C (Form 990) 2022

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- 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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

Yuma Regional Medical Center

Employer identification number

86-6007596

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

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

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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 ....	17,228,984	15,686,283	17,050,847	14,025,276	12,942,714
b	Contributions ...	1,721	617	500	35,001	400
c	Net investment earnings, gains, and losses	2,688,940	1,730,745	-1,183,917	3,086,808	1,509,032
d	Grants or scholarships ...	320,619	188,661	181,147	80,238	240,753
e	Other expenditures for facilities and programs ...				16,000	186,117
f	Administrative expenses ....
g	End of year balance ......	19,599,026	17,228,984	15,686,283	17,050,847	14,025,276

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

Board designated or quasi-endowment right arrow

38 %

Permanent endowment right arrow

19 %

Term endowment right arrow

43 %

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 .....	24,972,917		24,972,917
b	Buildings ....	502,826,087	221,250,603	281,575,484
c	Leasehold improvements	0	0	0
d	Equipment ....	342,061,318	287,498,020	54,563,298
e	Other .....	131,184,912	33,574,996	97,609,916
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				458,721,615

Schedule D (Form 990) 2022

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

Part VIII

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

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

(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
SELF-INSURANCE LIABILITY	9,712,061
THIRD PARTY SETTLEMENTS	5,084,543
457(F) FUND PAYABLE	6,008,602
FINANCE LIABILITY	59,649,792
OTHER LIABILITIES	19,662,912
OPERATING/FINANCE LEASE LIABILITY	32,338,859



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	132,456,769
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) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE FOUNDATION OF YUMA REGIONAL MEDICAL CENTER HOLDS THE ENDOWMENT FUNDS: MCDANIEL ENDOWMENT FUND IS USED FOR VARIOUS PURPOSES RELATED TO CANCER CARE IN YUMA COUNTY. UNRESTRICTED ENDOWMENT FUNDS ARE USED TO SUPPORT SPECIAL PROJECTS, PROGRAMS, AND PRESSING NEEDS OF THE SUPPORTED ORGANIZATION, AS WELL AS COMMUNITY WELLNESS INITIATIVES AND SCHOLARSHIP SUPPORT FOR LOCAL STUDENTS.

Schedule D (Form 990) 2022

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right arrow

Attach to Form 990. Right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization
Yuma Regional Medical Center

Employer identification number

86-6007596

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	Central America and the Caribbean	0	0	Investments	8,754,958
















3a	Sub-total ....	0	0		8,754,958
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		8,754,958

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2023

Schedule F (Form 990) 2023

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2023

Schedule F (Form 990) 2023Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2023

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2023

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	CENTRAL AMERICA AND THE CARIBBEAN-Accrual

Schedule F (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- 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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

Yuma Regional Medical Center

Employer identification number

86-6007596

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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) . . .			7,960,245		7,960,245	0.98 %
b	Medicaid (from Worksheet 3, column a) . . . . .			235,556,836	176,073,000	59,483,836	7.33 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	243,517,081	176,073,000	67,444,081	8.31 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	8	19,997	703,670	82,608	621,062	0.08 %
f	Health professions education (from Worksheet 5) . . .	3	484	4,065,821		4,065,821	0.50 %
g	Subsidized health services (from Worksheet 6) . . . .	2	2,403	31,048	0	31,048	0 %
h	Research (from Worksheet 7) .	0	0	0	0	0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	36	29,346	291,924	0	291,924	0.04 %
j	Total. Other Benefits . .	49	52,230	5,092,463	82,608	5,009,855	0.62 %
k	Total. Add lines 7d and 7j .	49	52,230	248,609,544	176,155,608	72,453,936	8.92 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing					0	0 %
2	Economic development					0	0 %
3	Community support	5	298	22,292	0	22,292	0 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building	4	0	3,110	0	3,110	0 %
7	Community health improvement advocacy					0	0 %
8	Workforce development					0	0 %
9	Other					0	0 %
10	Total	9	298	25,402	0	25,402	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. ......

65,843,262

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).....

119,313,457

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

237,830,086

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

-118,516,629

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) 2023

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	YUMA REGIONAL MEDICAL CENTER 2400 S AVENUE A YUMA,AZ85364 WWW.ONVIDAHEALTH.ORG H0097	X	X	X	A
2	YUMA REHABILITATION HOSPITAL 901 W 24TH STREET YUMA,AZ85364 HTTPS://WWW.ENCOMPASSHEALTH.COM/LOCATIONS/YUMA-REHAB SH3378	X			B

Schedule H (Form 990) 2023

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)

	A
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

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

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

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): https://www.onvidahealth.org/community/community-health-needs-assessment/

Other website (list url): https://www.encompasshealth.com/locations/yuma-rehab/why-choose-us

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 22

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

Yes

If "Yes" (list url): https://www.onvidahealth.org/community/community-health-needs-assessment/

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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	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 200.0%
and FPG family income limit for eligibility for discounted care of 400.0%

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):

https://www.onvidahealth.org/PATIENTS-AND-VISITORS/PATIENT-RESOURCES/PATIENT-FINANCIAL-SERVICES/

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

https://www.onvidahealth.org/PATIENTS-AND-VISITORS/PATIENT-RESOURCES/PATIENT-FINANCIAL-SERVICES/

A plain language summary of the FAP was widely available on a website (list url):
https://www.onvidahealth.org/PATIENTS-AND-VISITORS/PATIENT-RESOURCES/PATIENT-FINANCIAL-SERVICES/

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) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	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) 2023

Page 7

Part VFacility Information (continued)

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

	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) 2023

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)

	B
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

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

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

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 22

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): HTTPS://WWW.ENCOMPASSHEALTH.COM/LOCATIONS/YUMA-REHAB/WHY-CHOOSE-US

Other website (list url): HTTPS://WWW.ONVIDAHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

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 22

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

Yes

If "Yes" (list url): HTTPS://WWW.ENCOMPASSHEALTH.COM/LOCATIONS/YUMA-REHAB/WHY-CHOOSE-US

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

10b

12a

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

12a

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

12b

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

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	B
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 200.0%
and FPG family income limit for eligibility for discounted care of 400.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

https://www.encompasshealth.com/locations/yuma-rehab/financial-information

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

https://www.encompasshealth.com/locations/yuma-rehab/financial-information

A plain language summary of the FAP was widely available on a website (list url):
https://www.encompasshealth.com/locations/yuma-rehab/financial-information

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

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

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

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

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

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	B
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

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

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) 2023

Page 7

Part VFacility Information (continued)

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

	B
Name of hospital facility or letter of facility reporting group

Yes

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

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

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

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
Schedule H, Part V, Section B, Line 3E	THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - Yuma Regional Medical Center. Yuma Regional Medical Center and Yuma Rehabilitation Hospital conducted a Community Health Needs Assessment in 2022. Working collaboratively with our Yuma County public health partners and Southwest Arizona town hall (formerly known as the Southwest Arizona futures forum, or SAFF), Yuma Regional Medical Center adopted the below-listed community health priorities as a working document and vision to address the top health concerns within our defined service area, Yuma County. In alignment with our mission, goals and strategic priorities, Yuma Regional Medical Center will focus on the below listed five (5) priorities: 1. Mental health 2. Substance use/abuse 3. Access to healthcare services 4. Diabetes 5. Cancer
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - Yuma Regional Medical Center. Yuma Rehabilitation Hospital
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - Yuma Regional Medical Center. Yuma Regional Medical Center and Yuma Rehabilitation Hospital leaders, along with leaders and partners from various community stakeholder groups, have continued to address needs from the most recent 2022 CHNA. The following community health improvement plan results are shared: Priority Area: Mental Health High incidence of those who reported fair or poor mental health, symptoms of chronic depression, suicide deaths (particularly in young adults), ratio of mental health providers. Of note, key informants rated mental health as a top concern. Goals: - Increase availability/access to behavioral health providers in community - Reduce ER holding times due to lack of inpatient psychiatric facility beds - Reduce ER transfers of psychiatric inpatients to facilities outside Yuma County - Increase awareness among adults and teens related to mental health wellness strategies and coping skills Strategy #1: Recruit additional behavioral health providers to the community to expand access to care (increased providers means more appointments). Target population(s): Patients currently needing to travel for care due to no available providers and appointments. Actions: The following providers have been recruited: - Dr. Eyuel Terefe, psychiatry residency program director - Janelle Rudnick, NP, inpatient BHU - Full-time agency provider coverage for inpatient BHU - The onboarding of a psychiatry residency program director is instrumental in preparing for and establishing YRMC's psychiatry residency program to begin summer 2025, where we will train and retain psychiatry providers in Yuma County and increase access to care. The program director cares for patients in the outpatient setting. - Expanded Outpatient/Intensive Outpatient Therapy Services, investment in expanded behavioral health facilities, and development of a full behavioral health campus. - Recruited two additional physicians in 2024, including one child and adolescent provider serving children 6 and older. Children's psychiatry was identified as a top need in the 2022 CHNA town hall. Strategy #2: Initiate community coalition to minimize duplication of resources and eliminate gaps in care. Target population(s): Community leaders, key stakeholders, social service organizations, law enforcement and those directly impacted (families and patients). Actions: - Launched collaboration with local law enforcement for education and training. - Expanded partnership with local law enforcement to accept direct voluntary referrals for evaluation. - Collaboration with outpatient community programs for potential referrals to inpatient behavioral health unit (BHU) and intensive outpatient program (IOP). - Initiated transport for patients at outpatient clinics to provide urgent assessments and admission to BHU minimizing unnecessary emergency department visits where appropriate. - Collaboration with local jail to provide court-ordered treatments for patients (April 2024). - YRMC serves as an active hub coordinating between agencies to minimize resource use. - Coordination of efforts with local military and law enforcement to minimize the need to transfer patients outside of the community for care. Strategy #3: Expand local availability of behavioral health services (acute inpatient and intensive outpatient) to reduce need to travel out of town for care. Target population(s): Yuma County service area. Patients and families seeking services. Actions: - YRMC opened a 24-bed inpatient adult behavioral health unit in February 2023. - Behavioral health crisis assessments are now provided on-site by crisis teams. Additionally, YRMC assessment teams are also now providing assessments in the YRMC emergency departments, meeting patients where the need is. -YRMC now accepts direct admits from local law enforcement minimizing wait times during crisis episodes. -YRMC also added a full series of needed intensive outpatient program/groups, including: -General Mood Disorders -Acute Disorders -Military, Veterans and First Responders -Spanish New programs/groups starting 2024: - Military/Law Enforcement IOP - Adolescent Emergency (11-17) The following providers have been recruited: - Dr. Eyuel Terefe, Psychiatry Residency Program Director - Janelle Rudnick, NP, Inpatient BHU - Full-time agency coverage provider for inpatient BHU - YRMC opened a 24-bed inpatient behavioral health unit in February 2023 to expand access to inpatient behavioral health. The IP BHU also established a robust iop for long-term treatment and management of behavioral health patients. Strategy #4: Partner to host behavioral health educational sessions to build community awareness and support. Target population(s): School systems, adult care facilities, caregivers, and directly impacted patients and families. Actions: - Partnership with Yuma County Anti-Drug Coalition to provide ongoing education and support to local schools with a heavy focus on high schools and parents. - YRMC serves as an active member of the Yuma County Anti-Drug Coalition current efforts include education and state-supported distribution of Narcan to patients and families who present to the emergency department with fentanyl overdose. - Ongoing collaborative efforts with local schools and adult facilities to provide education and support for identifying a person in crisis/need. - YRMC is currently in the process of developing geriatric behavioral health services and IOP for local long-term care facilities. Strategy #5: Develop and implement psychiatry residency program to grow and retain psychiatrists in our community. Target population(s): Yuma County service area. Actions: - Dr. Terefe recruited and hired in July 2023 to lead the psychiatry residency program. Residency application submitted, new building purchased and renovated to accommodate the residency program and increase space (access) to psychiatry services. Application for ACGME Program filed in 2024. - YRMC psychiatry residency program is on track to open its doors to resident physicians in July 2025. Dr. Terefe is instrumental in preparing for and establishing our psychiatry residency program starting summer 2025, where we will train and retain psychiatry physicians in Yuma County and improve/increase access to care. Dr. Terefe also cares for patients in the outpatient setting at YRMC Behavioral Health Center. - In addition, a child and adolescent psychiatrist for our psych residency program has been recruited. - Active recruitment is underway for additional faculty physicians to support and build the academic foundation for our psychiatry residency program.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - YUMA REGIONAL MEDICAL CENTER. Priority Area: Substance Abuse High incidence of cirrhosis, liver disease death, excessive drinking, unintentional drug-related deaths, illicit drug use. Key informants ranked substance use as a top concern. A total of 24.1% of area adults are excessive drinkers (heavy and/or binge drinkers). Benchmark: Higher than found across Arizona. Trend: Marks a significant increase since 2019. Disparity: Highest in Yuma. More often reported among men, adults younger than 65, Hispanic. Barriers to access attributed: Lack of locally available detox and support groups. Goals: - Reduce number of patients needing to travel out of town for substance detox and treatment - Expand awareness and education among students and parents Strategy #1: Develop acute medical detox and treatment services in Yuma County Target population(s): Yuma County service area Actions: - Expand iop services for chemical dependency patients and families. - Initiate the ED Naloxone program for those identified in need and at high risk. - This is underway with the establishment of our psychiatry residency program and recruitment of an addiction psychiatrist. Strategy #2: Partner with community leaders, schools and families to enhance awareness through outreach and education Target population(s): Yuma County service area Actions: - Family medicine resident physicians rotate through local elementary and middle schools to mentor and educate underserved students through a variety of activities and presentations. - ACTIVE INVOLVEMENT IN THE YUMA COUNTY ANTI-DRUG & MENTAL HEALTH COALITION. - SPONSORSHIP AND VOLUNTEER SUPPORT FOR SENIOR GRAD NIGHT; OFFERING LOCAL HIGH SCHOOL STUDENTS A DRUG / ALCOHOL FREE CELEBRATION. STRATEGY #3: RECRUIT A HEPATOLOGY PRACTITIONER TARGET POPULATION(S): YUMA COUNTY SERVICE AREA ACTIONS: - RECRUITED AN INTERNAL MEDICINE / HEPATOLOGY PHYSICIAN, DR. JINENDRA SATIYA, IN 2024. STRATEGY #4: DEVELOP CURRICULUM FOR FAMILY MEDICINE RESIDENTS IN PARTNERSHIP WITH PSYCHIATRY PROGRAM - TO INCLUDE DETOX MEDICINE. TARGET POPULATION(S): YUMA COUNTY SERVICE AREA ACTIONS : - PSYCHIATRY PROGRAM DIRECTOR HAS BEGUN A QUARTERLY BEHAVIORAL HEALTH SERIES, PRESENTED TO FAMILY MEDICINE RESIDENTS DURING THEIR DIDACTICS. - THE NEW BEHAVIORAL HEALTH TRACK WILL INCLUDE FAMILY MEDICINE RESIDENT PHYSICIANS. PRIORITY AREA: ACCESS TO HEALTH CARE SERVICES BARRIERS TO ACCESS ATTRIBUTED TO: INCONVENIENT OFFICE HOURS, LACK OF AVAILABLE APPOINTMENTS (WAIT TIME TO GET AN APPOINTMENT), PRIMARY CARE PHYSICIAN RATIO WELL BELOW NATIONAL STANDARD. EMERGENCY DEPARTMENT UTILIZATION BURDENED WITH HIGH VOLUME OF NON-ACUTE CARE. GOALS: - EXPAND AVAILABILITY OF APPOINTMENTS / REDUCE WAIT TIME FOR APPOINTMENTS - EXPAND AVAILABILITY OF PRIMARY CARE PROVIDERS ACROSS COMMUNITY - IMPROVE PHYSICIAN-TO-POPULATION RATIO STRATEGY #1: EXPAND FAMILY & COMMUNITY MEDICINE RESIDENCY PROGRAM (GROWING OUR OWN) TARGET POPULATION(S): MEDICAL STUDENTS WITH STRONG INTEREST IN SERVING COMMUNITY ACTIONS: - FAMILY MEDICINE RESIDENCY PROGRAM HAS EXPANDED BY WELCOMING TWO ADDITIONAL RESIDENTS AND A TRANSFER PGY2 RESIDENT. - YRMC CONTINUES TO WELCOME GROWING NUMBERS OF MEDICAL STUDENTS, WHO ROTATE THROUGH A VARIETY OF SPECIALTIES. STRATEGY #2: EXPAND CLINIC HOURS AND LOCATION TO SERVE MORE PEOPLE TARGET POPULATION(S): NEW GRADUATE PHYSICIANS SERVING YUMA COUNTY RESIDENTS AND VISITORS ACTIONS: - NEW FOOTHILLS MEDICAL PLAZA OPENED IN JULY 2023. OVER 12,000 NEW PATIENT APPOINTMENTS COMPLETED. NOW DELIVERING BOTH PRIMARY AND SPECIALTY CARE TO EAST COUNTY COMMUNITIES. - ACQUIRED INTERNAL MEDICINE / DIABETES MEDICAL PRACTICE ADDING TWO PROVIDERS SPECIALIZING IN DIABETES CARE. - INCREASED PEDIATRIC AND PRIMARY CARE APPOINTMENTS BY NEARLY 4% BY EXPANDING HOURS AND INCREASING EFFICIENCY. - IN PARTICULAR, FM, IM, PEDS AND OB BY INCREASED HOURS TO SEE PATIENTS BY STAGGERING PROVIDER/STAFF SCHEDULES. SOME WORK 7 AM - 4 PM AND OTHERS 9 AM TO 6 PM TO OPEN EARLIER AND CLOSE LATER AS WELL AS SATURDAYS. - FALL 2023, YRMC OPENED ITS FOOTHILLS MEDICAL PLAZA ADDING A SECOND EMERGENCY DEPARTMENT LOCATION WITH THE ADDITION OF PRIMARY CARE, PEDS, OB, AND PODIATRY PROVIDERS WITHIN THAT SAME LOCATION. THIS HELPS TO IMPROVE ACCESS TO CARE, EVEN CLOSER TO THE PATIENT'S HOME. - INCREASED TRANSITIONAL CARE HOURS BY 10 HOURS PER WEEK BY EXPANDING HOURS (0730 TO 6PM MONDAY THROUGH FRIDAY). STRATEGY #3: RECRUIT AND RETAIN ADDITIONAL PROVIDERS TO MEET COMMUNITY NEED TARGET POPULATION(S): NEW GRADUATE PHYSICIANS SERVING YUMA COUNTY RESIDENTS AND VISITORS ACTIONS: - ADDED 38 NEW PROVIDERS IN 2023 AND ANOTHER 58 NEW PROVIDERS IN 2024. YUMA COUNTY IS A HEALTH PROVIDER SHORTAGE AREA (HPSA). INVESTMENT IN THE RECRUITMENT OF PROVIDERS AIMS TO IMPROVE ACCESS TO CARE THROUGHOUT YUMA COUNTY AS A HEALTH PROVIDER SHORTAGE AREA. - YUMA COUNTY RETAINED TWO PHYSICIANS FROM THE CLASS OF 2023, AND WILL RETAIN THREE PHYSICIANS FROM THE CLASS OF 2024. PRIORITY AREA: DIABETES HIGH INCIDENCE OF DEATHS ATTRIBUTED TO DIABETES, OVERALL PREVALENCE OF DIABETES IS HIGH AMONG ADULTS, KIDNEY DISEASE DEATHS / PREVALENCE. KEY INFORMANTS RANKED DIABETES AS A TOP CONCERN. GOALS: - REDUCE INCIDENCE THROUGH DIABETES EDUCATION (INPATIENT & OUTPATIENT) - RECRUIT ADDITIONAL PROVIDERS TO INCLUDE PEDIATRIC ENDOCRINOLOGY STRATEGY #1: EXPAND AVAILABILITY OF DIABETES SUPPORT / EDUCATION (INPATIENT & OUTPATIENT) TARGET POPULATION(S): PATIENTS DIAGNOSED AS DIABETIC OR BORDERLINE ACTIONS: - ACQUIRED INTERNAL MEDICINE / DIABETES MEDICAL PRACTICE ADDING TWO PROVIDERS SPECIALIZING IN DIABETES CARE. - IMPLEMENTED CHRONIC CARE MANAGEMENT PROGRAM FOCUSED SPECIFICALLY ON KEEPING OUR DIABETIC PATIENT POPULATION HEALTHIER. - IMPLEMENTED NUTRITION COUNSELING IN OUR DIABETES AND PRIMARY CARE PRACTICES. - DEVELOP (2024) NATIONAL ACCREDITATION FOR BEST PRACTICE INPATIENT DIABETES MANAGEMENT PROGRAM WITH STANDARDIZATION IN TREATMENT AND FOLLOW UP - ADDED REGISTERED DIETICIAN TO TRANSITIONAL CARE SERVICES TO HELP WITH DIABETES MANAGEMENT - PEDIATRIC ENDOCRINOLOGIST COVERAGE BY DR. HASSAN THRU YRMC PEDS SUBSPECIALTY CLINIC. STRATEGY #2: RECRUIT ADDITIONAL SPECIALISTS (ADULT ENDOCRINOLOGY) TARGET POPULATION(S): SERVING YUMA COUNTY RESIDENTS AND VISITORS ACTIONS: - ADULT ENDOCRINOLOGIST RECRUITED AND HIRED IN 2023. - PEDIATRIC ENDOCRINOLOGIST COVERAGE BY DR. HASSAN THRU YRMC PEDS SUBSPECIALTY CLINIC
Schedule H, Part V, Section B, Line 11 Facility A, 3	Facility A, 3 - YUMA REGIONAL MEDICAL CENTER. PRIORITY AREA: CANCER CARE CANCER IS A LEADING CAUSE OF DEATH IN YUMA COUNTY. IDENTIFIED HIGH PREVALENCE OF CANCER (NON- SKIN) IN YUMA COUNTY. GOALS: - IMPROVE LUNG CANCER EARLY DETECTION / REDUCE DEATHS - INCREASE LOCAL AVAILABILITY OF ADVANCED CLINICAL TRIAL / TREATMENTS STRATEGY #1: IMPLEMENT LUNG SCREENING PROGRAM TARGET POPULATION(S): YUMA COUNTY SERVICE AREA - PATIENTS WITH HISTORY OF SMOKING ACTIONS: - ADDED LUNG SCREENING PROGRAM INTO SERVICES IN 2022 FOR PATIENTS WITH A HISTORY OF SMOKING. PATIENTS MEETING CRITERIA ARE SCHEDULED FOR A LOW-DOSE CAT LUNG SCAN. - 471 PATIENTS SCANNED WITH 14 PATIENTS RECEIVING PRE-SYMPTOM DIAGNOSES AND MANY OTHERS BEING ACTIVELY MONITORED. STRATEGY #2: INVEST IN ADVANCED CLINICAL RESEARCH FACILITIES AND PROGRAMS TARGET POPULATION(S): YUMA COUNTY SERVICE AREA ACTIONS: - INCREASING THE NUMBER OF CLINICAL TRIALS AVAILABLE TO CANCER PATIENTS. - INITIATED AN AFFLATION WITH UNIVERSITY OF ARIZONA CLINICAL TRIAL NETWORK TO HAVE ACCESS TO NATIONAL CO-OP GROUP TRIALS. - RECOGNIZED AS A TOP PERFORMING LEADER IN THE RECRUITMENT OF MINORITIES TO CLINICAL TRIALS. - LAUDED AS A TOP RECRUITING SITE FOR A NOVARTIS TRIAL. STRATEGY #3: RECRUIT ADDITIONAL RADIATION ONCOLOGY AND PALLIATIVE CARE PROVIDERS TARGET POPULATION(S): YUMA COUNTY SERVICE AREA ACTIONS: - RECRUITED RAMON PEREZ, NP FOR PALLIATIVE CARE, STARTED 1/14/2024. - ACTIVELY RECRUITING TWO FULL-TIME MEDICAL ONCOLOGISTS. - ACTIVELY RECRUITING THREE PALLIATIVE CARE ADVANCED PRACTICE PROVIDERS AND ONE PALLIATIVE CARE PHYSICIAN. SECONDARY FOCUS: IT SHOULD BE DUALLY NOTED THE BELOW LISTED IDENTIFIED HEALTH NEEDS WILL REMAIN VISIBLE AND MAY BE ADDRESSED AS RESOURCES ALLOW - TO INCLUDE POTENTIAL COMMUNITY PARTNERSHIPS THAT MINIMIZE DUPLICATION OF EFFORT: NUTRITION, HEART DISEASE AND STROKE, RESPIRATORY DISEASE, INFANT HEALTH & FAMILY PLANNING, INJURY & VIOLENCE, PHYSICAL ACTIVITY & WEIGHT, POTENTIALLY DISABLING CONDITIONS, TOBACCO USE, ORAL HEALTH. ACTIONS: - BEGAN STROKE SUPPORT GROUP (FEBRUARY 2024) FOR PATIENTS AND THEIR FAMILIES/CARE GIVERS TO PROVIDE SUPPORT AND RESOURCES - EARNED AMERICAN HEART ASSOC. "GET WITH THE GUIDELINES" TO INCLUDE RECOGNITION FOR THE ADDITION OF DIABETES MANAGEMENT IN OUR STROKE PROGRAM FOR BEST PRACTICE - EXPANDING CARDIAC REHAB PROGRAM IN CONJUNCTION WITH PULMONOLOGISTS TO DEVELOP CARDIO-PULMONARY REHAB SERVICES - EXPANDING STROKE EDUCATION INTO THE LOCAL MIDDLE SCHOOLS/HIGH SCHOOLS FOR AWARENESS OF SIGNS AND SYMPTOMS FOR EARLY IDENTIFICATION AND TREATMENT - HIRED A CHEST PAIN COORDINATOR 12/ 2022 AND APPLIED FOR DNV CHEST PAIN/STEMI CERTIFICATION 3/2024 - SHOCKWAVE IVL FOR CORONARIES AND PERIPHERAL ARTERIES NEW PROCEDURE - ENDOBRONCHIAL ULTRASOUND (EBUS) NEW PROCEDURE - WATCHMAN LEFT ATRIAL APPENDAGE OCCLUDER (LAAO) NEW PROCEDURE - VENTILATOR PROTOCOL IMPLEMENTATION - CATH LAB NURSES, RAD TECHS, ECHO TECHS AND RESPIRATORY THERAPISTS VOLUNTEER REGULARLY AT COMMUNITY EVENTS
Schedule H, Part V, Section B, Line 3E	THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility B, 1	Facility B, 1 - Yuma Rehabilitation Hospital. Please see the narrative response for Yuma Regional Medical Center (Reporting Group A)
Schedule H, Part V, Section B, Line 6a Facility B, 1	Facility B, 1 - YUMA REHABILITATION HOSPITAL. YUMA REGIONAL MEDICAL CENTER
Schedule H, Part V, Section B, Line 11 Facility B, 1	Facility B, 1 - Yuma Rehabilitation Hospital. Yuma Regional Medical Center and Yuma Rehabilitation Hospital conducted a Community Health Needs Assessment in 2022. Working collaboratively with our Yuma County public health partners and Southwest Arizona Town Hall (formerly known as the Southwest Arizona Futures Forum, or SAFF), Yuma Regional Medical Center adopted the below-listed community health priorities as a working document and vision to address the top health concerns within our defined service area, Yuma County. In alignment with our mission, goals and strategic priorities, Yuma Rehabilitation Hospital will focus on the below listed insert three priorities: 1. Heart Disease/Stroke 2. Nutrition, Physical Activity, Weight 3. Potentially Disabling Conditions Priority Area: Heart Disease and Stroke Heart disease and stroke is among leading causes of deaths in Yuma County. Prevalence of heart disease and stroke are high. High pressure and high blood cholesterol are also prevalent. Overall cardiovascular risk is high. Goals: - Increase knowledge of community and referral sources regarding the American Heart Association's recommendations for Inpatient Rehabilitation Facility following stroke. - Increase awareness in community about risk of heart disease and stroke - Improve patient outcomes through education and support services Strategy 1: Educate community and referral sources on the American Heart Association's recommendations for IRF following stroke. Promote YRH Disease Specific Certification for Stroke by the Joint Commission. Target Population(s): Yuma County service area Strategy 2: Expand community patient / education of risk factors for heart disease and stroke through community events and seminars. Continue monthly Heart Healthy cooking classes with City of Yuma. Target Population(s): YRH patient population and Yuma County service area Priority Area: Nutrition, Physical Activity, Weight Low fruit and vegetable consumption and growing number of those with reported food insecurity, high incidence of overweight / obesity, access to recreation and fitness facilities low. Key informants ranked nutrition, physical activity and weight as a top health concern. Goals: - Promote physical activity among community through physical activity events - Partner with community to increase consumption of cost effective healthy meals Strategy 1: Create and support community events that are geared around physical activity Target Population(s): Yuma County service area Strategy 2: Partner with City of Yuma to increase consumption of fruits and vegetables through low cost meal ideas Target Population(s): Yuma County service area Priority Area: Potentially Disabling Conditions 36.8% of county residents report having three or more chronic health conditions. People with disabilities are less likely to get preventive health care services. Goals: - Increase independence in populations with chronic conditions - Decrease risk for injuries related to chronic conditions Strategy 1: Educate community and partners on self and rapid admission program to help support individuals with chronic conditions being referred to YRH for inpatient rehabilitation Target Population(s): Yuma County service area Strategy 2: Yuma Rehabilitation Hospital therapy department education on fall prevention strategies for patients and community outreach Target Population(s): YRH patient population and Yuma County service area

Schedule H (Form 990) 2023

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?49
Name and address		Type of Facility (describe)
1	ANTICOAGULATION CLINIC 2451 S AVENUE A SUITE B101 YUMA,AZ85364	ANTICOAGULATION CLINIC
2	ANTICOAGULATION CLINIC - FOOTHILLS 11351 S FRONTAGE ROAD YUMA,AZ85367	ANTICOAGULATION CLINIC
3	BARIATRIC CLINIC 2460 S PARKVIEW LOOP SUITE 3 YUMA,AZ85364	BARIATRIC CLINIC
4	TUSCANY PLAZA 2851 S AVENUE B BLDG 19 YUMA,AZ85364	BEHAVIORAL HEALTH CLINIC
5	BEHAVIORAL HEALTH CLINIC 7201 E 31ST PLACE YUMA,AZ85365	BEHAVIORAL HEALTH CLINIC
6	BONE AND JOINT TUSCANY PLAZA 2851 S AVENUE B BLDG 20 SUITE 2001 YUMA,AZ85364	BONE AND JOINT CLINIC
7	CARDIOLOGY 1951 W 25TH STREET SUITE F YUMA,AZ85364	CARDIOLOGY CLINIC
8	CARDIOPULMONARY REHABILITATION 2460 S PARKVIEW LOOP SUITE 206 YUMA,AZ85364	REHABILITATION CLINIC
9	CARDIOVASCULAR AND THORACIC SURGERY CENTER 2460 S PARKVIEW LOOP SUITE 203 YUMA,AZ85364	SURGERY CENTER
10	CENTER FOR BONE AND JOINT HEALTH 2460 S PARKVIEW LOOP SUITE 3 YUMA,AZ85364	BONE AND JOINT CLINIC
11	CHILDREN'S REHABILITATIVE SERVICES 2851 S AVENUE B BLDG 25 SUITE 2504 YUMA,AZ85364	REHABILITATION CLINIC
12	DIAGNOSTIC IMAGING PARKVIEW 2460 S PARKVIEW LOOP SUITE 2 YUMA,AZ85364	IMAGING CLINIC
13	DIAGNOSTIC IMAGING PROMED 2270 RIDGEVIEW DRIVE SUITE 127 YUMA,AZ85364	IMAGING CLINIC
14	EAR NOSE AND THROAT 2680 S AVENUE B YUMA,AZ85364	ENT CLINIC
15	EMERGENCY RESPONSELAB ANNEX 2451 S AVENUE A YUMA,AZ85364	COVID TESTING SITE
16	ENDOSCOPY CENTER 2261 S AVENUE B YUMA,AZ85364	ENDOSCOPY CENTER
17	FAMILY MEDICINE CENTER 2500 S 8TH AVENUE SUITE 200 YUMA,AZ85364	FAMILY MEDICAL CLINIC
18	FAMILY MEDICINE CENTER - WEST 1965 W 24TH STREET SUITE A YUMA,AZ85364	FAMILY MEDICAL CLINIC
19	FOOT AND ANKLE 1881 W 24TH STREET SUITE C YUMA,AZ85364	FOOT AND ANKLE CLINIC
20	FOOTHILLS MEDICAL PLAZA 11351 E SOUTH FRONTAGE ROAD YUMA,AZ85367	EMERGENCY ROOM
21	GASTROENTEROLOGY 1390 W 16TH STREET YUMA,AZ85364	GASTROENTEROLOGY CLINIC
22	GENERAL SURGERY 2270 RIDGEVIEW DRIVE SUITE 201 YUMA,AZ85364	SURGERY CENTER
23	GENERAL SURGERY 2270 RIDGEVIEW DRIVE SUITE 128 YUMA,AZ85364	SURGERY CENTER
24	GENERAL SURGERY 2270 RIDGEVIEW DRIVE SUITE 130 YUMA,AZ85364	SURGERY CENTER
25	HEALTH CLINICS 2851 S AVENUE B BLDG 25 SUITE 2503 YUMA,AZ85364	HEALTH CLINIC
26	INTERNAL MEDICINE & DIABETES CLINIC 3800 W 24TH STREET SUITE 1 YUMA,AZ85364	INTERNAL MEDICINE & DIABETES CLINIC
27	OPHTHALMOLOGY 2270 RIDGEVIEW DRIVE SUITE 303 YUMA,AZ85364	OPHTHALMOLOGY CLINIC
28	OUTPATIENT LABORATORY FOOTHILLS 11282 N FRONTAGE ROAD YUMA,AZ85367	LABORATORY
29	OUTPATIENT LABORATORY PARKVIEW 2460 S PARKVIEW LOOP SUITE 2 YUMA,AZ85364	LABORATORY
30	OUTPATIENT NUTRITION SERVICES 2460 S PARKVIEW LOOP YUMA,AZ85364	NUTRITION EDUCATION SERVICES FOR BARIATRIC PTS
31	OUTPATIENT SERVICES 1320 W 24TH STREET YUMA,AZ85364	OUTPATIENT CENTER
32	OUTPATIENT SURGERY 2460 S PARKVIEW LOOP SUITE 1 YUMA,AZ85364	SURGERY CENTER
33	PAIN MANAGEMENT 2460 S PARKVIEW LOOP ENTRANCE 3 YUMA,AZ85364	PAIN MANAGEMENT/PMR CLINIC
34	PEDIATRIC SUB-SPECIALTY CLINIC 2851 S AVENUE B BLDG 25 SUITE 2504 YUMA,AZ85364	PEDIATRIC CLINIC
35	PEDIATRICS TUSCANY PLAZA 2851 S AVENUE B BLDG 25 YUMA,AZ85364	PEDIATRIC CLINIC
36	PLASTIC AND RECONSTRUCTIVE SURGERY 2460 S PARKVIEW LOOP SUITE 201 YUMA,AZ85364	PLASTIC AND RECONSTRUCTIVE SURGERY
37	WALK-IN CLINIC FOOTHILLS 11142 S SCOTTSDALE DRIVE YUMA,AZ85364	PRIMARY CARE CLINIC
38	PRIMARY CARE SAN LUIS 845 E B STREET SAN LUIS,AZ85369	PRIMARY CARE CLINIC
39	SOUTHWEST PETCT INSTITUTE 1320 W 24TH STREET YUMA,AZ85364	IMAGING CLINIC
40	SPECIALTY CLINICS 2851 S AVENUE B BLDG 20 SUITE 2001 YUMA,AZ85364	SPECIALTY CLINIC
41	SPORTS MEDICINE 2851 S AVENUE B SUITE 201 YUMA,AZ85364	SPORTS MEDICINE/YRMC BONE & JOINT TUSCANY
42	SURGICAL SPECIALTIES 2270 RIDGEVIEW DRIVE SUITE 302 YUMA,AZ85364	UROLOGY CLINIC
43	TRANSITIONAL CARE SERVICESPALLIATIVE 2451 S AVENUE A SUITE 104A YUMA,AZ85364	TRANSITIONAL CARE/PALLIATIVE CARE SERVICES
44	WOMEN'S HEALTH CENTER 2911 S 8TH AVENUE YUMA,AZ85364	WOMEN'S CLINIC
45	WOMEN'S HEALTH CENTER LABORISTS 2911 S 8TH AVENUE YUMA,AZ85364	OB/GYN LABORISTS-WHC
46	WOMEN'S HEALTH CENTER TUSCANY PLAZA 2851 S AVENUE B BLDG 6 YUMA,AZ85364	PERINATOLOGY CLINIC
47	WOUND CARE CENTER 2460 S PARKVIEW LOOP SUITE 205 YUMA,AZ85364	WOUND CARE CENTER
48	YRMC PEDIATRICS 2359 S 22ND DRIVE SUITE 2 YUMA,AZ85364	PEDIATRIC CLINIC
49	YUMA REGIONAL CANCER CENTER 2375 RIDGEVIEW DRIVE YUMA,AZ85364	CANCER CENTER/ONCOLOGY/HEMATOLOGY

Schedule H (Form 990) 2023

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
Schedule H, Part I, Line 3c DISCOUNTED CARE EXCEPTIONS	SEE PART V, SECTION B, LINE 13 FOR EACH FACILITY REPORTING GROUP FOR THE LIST OF FACTORS USED, AND THE ELIGIBILITY CRITERIA, FOR FREE AND DISCOUNTED CARE.
Schedule H, Part I, Line 7g Subsidized Health Services	NO PHYSICIAN CLINIC COSTS ARE INCLUDED IN THE COMMUNITY BENEFIT EXPENSES.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	UTILIZING THE WORKSHEETS INCLUDED IN THE INSTRUCTIONS FOR SCHEDULE H, COST-TO-CHARGE RATIOS WERE CALCULATED AND USED TO DETERMINE AMOUNTS REPORTED IN THE TABLE.
Schedule H, Part II Community Building Activities	YUMA REGIONAL MEDICAL CENTER IS INVOLVED IN SEVERAL COMMUNITY BUILDING ACTIVITIES THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS. THROUGH THESE ACTIVITIES, YRMC SUPPORTS COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF OUR HEALTHCARE ORGANIZATION. WE ENCOURAGE EMPLOYEES TO BE INVOLVED IN THE COMMUNITY THROUGH COMMUNITY BOARDS, HEALTH ADVOCACY PROGRAMS, AND PHYSICAL IMPROVEMENT PROJECTS. THIS WILL HELP IMPROVE THE QUALITY OF LIFE FOR THE COMMUNITY WE SERVE. SPECIFIC ACTIVITIES REPORTED IN SCHEDULE H, PART II INCLUDE: - HOSPITAL REPRESENTATION TO COMMUNITY COALITIONS RELATED TO COMMUNITY HEALTH SUCH AS THE YUMA COUNTY ANTI-DRUG COALITION AND YUMA COMMUNITY FOOD BANK - PARTNERSHIP WITH THE CITY OF YUMA TO BUILD AN INCLUSIVE PLAYGROUND WITH WORK ON A SECOND PLAYGROUND ALREADY UNDERWAY - PARTNERSHIP WITH THE CITY OF YUMA TO BEAUTIFY BIKE / WALKING PATHS AROUND THE CITY - YUMA DROWNING PREVENTION COALITION - KIDS AT HOPE COMMUNITY SUPPORT AROUND BUILDING CONFIDENCE AND SUPPORT OF KIDS "ALL KIDS ARE CAPABLE OF SUCCESS, NO EXCEPTIONS" TRAINING OFFERED FREE ACROSS COMMUNITY
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	PATIENTS COVERED BY THIRD PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE MEDICAL CENTER ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE MEDICAL CENTER ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS CHARITY CARE OR BAD DEBT EXPENSE, DEPENDING ON THE CIRCUMSTANCES.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	YUMA REGIONAL MEDICAL CENTER DID NOT MAKE AN ESTIMATE OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY; HOWEVER, AS BAD DEBT IS A COST OF PROVIDING HEALTH CARE SERVICES TO AN UNDERSERVED COMMUNITY, THE AMOUNT SHOULD BE CONSIDERED COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	YRMC PERIODICALLY REVIEWS ITS COLLECTION RATES FOR ALL SELF PAY ACCOUNTS AND ESTIMATES THE ANTICIPATED COLLECTIONS ON ALL OUTSTANDING SELF PAY BALANCES. A RESERVE IS ESTABLISHED TO ESTIMATE THOSE ACCOUNT BALANCES THAT ARE NOT EXPECTED TO BE COLLECTED BASED ON THOSE HISTORICAL COLLECTION RATES. SEE NOTE 1 ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE "PATIENT ACCOUNTS RECEIVABLE NOTE 12 ON PAGE 26 FOR THE DISCUSSION ON "NET PATIENT SERVICE REVENUE"
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE ORGANIZATION PROVIDES ACUTE MEDICAL CARE TO ALL IN NEED WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY AND WITHOUT REGARD TO THEIR PAYOR SOURCE. THE COMMUNITY BENEFITS FROM THE PROMPT PROVISION OF ACUTE CARE SERVICES AND, TO THE EXTENT YRMC INCURS A SHORTFALL PROVIDING SUCH SERVICES IS CLEARLY A BENEFIT TO THE COMMUNITY. THE ORGANIZATION UTILIZES THE STEP-DOWN METHOD OF COST ALLOCATION, AS PRESCRIBED BY CMS IN THE MEDICARE COST REPORT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	PATIENTS MAY BE ELIGIBLE FOR FULL FINANCIAL ASSISTANCE OR PARTIAL ASSISTANCE. IF PARTIAL, THE REMAINING BALANCE ON THE ACCOUNT WILL BE SUBJECT TO YRMC'S NORMAL COLLECTION PROCESS AND PAYMENT ARRANGEMENTS WILL BE MADE. THE BALANCE WILL BE TURNED OVER TO A COLLECTION AGENCY IF ANY OF THE FOLLOWING EVENTS OCCUR: 1. MAIL RETURNED - NOT ABLE TO LOCATE PATIENT. ACCOUNT GOES TO A COLLECTION AGENCY AFTER TWO CONSECUTIVE MAIL RETURNS. 2. NO TELEPHONE LISTING OR DISCONNECTED. 3. REGULAR SEQUENCE OF STATEMENTS AND COLLECTION NOTICES SENT, INCLUDING A FINAL NOTICE, WITH NO RESPONSE.
Schedule H, Part V, Section B, Line 16a FAP website	A - YUMA REGIONAL MEDICAL CENTER: Line 16a URL: https://www.onvidahealth.org/PATIENTS-AND-VISITORS/PATIENT-RESOURCES/PATIENT-FINANCIAL-SERVICES/; B - YUMA REHABILITATION HOSPITAL: Line 16a URL: https://www.encompasshealth.com/locations/yuma-rehab/financial-information;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - YUMA REGIONAL MEDICAL CENTER: Line 16b URL: https://www.onvidahealth.org/PATIENTS-AND-VISITORS/PATIENT-RESOURCES/PATIENT-FINANCIAL-SERVICES/; B - YUMA REHABILITATION HOSPITAL: Line 16b URL: https://www.encompasshealth.com/locations/yuma-rehab/financial-information;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - YUMA REGIONAL MEDICAL CENTER: Line 16c URL: https://www.onvidahealth.org/PATIENTS-AND-VISITORS/PATIENT-RESOURCES/PATIENT-FINANCIAL-SERVICES/; B - YUMA REHABILITATION HOSPITAL: Line 16c URL: https://www.encompasshealth.com/locations/yuma-rehab/financial-information;
Schedule H, Part VI, Line 2 Needs assessment	YUMA REGIONAL MEDICAL CENTER (YRMC) HAS PROACTIVELY DEVELOPED SEVERAL MECHANISMS FOR CONTINUOUS EVALUATION OF COMMUNITY HEALTH NEEDS. A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT, FUNDED BY YRMC. THE FINDINGS OF THAT SURVEY WERE SHARED DURING A YUMA COUNTY LEADERSHIP PLENARY SESSION DESIGNED FOR COMMUNITY FEEDBACK AND COMMUNITY HEALTH NEEDS. MORE RECENTLY, YRMC HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS IN 2016, 2019 AND 2022, AS OUTLINED IN PART V OF THIS SCHEDULE H. PERIODICALLY, THE YRMC BOARD OF DIRECTORS CONDUCTS A COMPREHENSIVE PHYSICIAN MANPOWER REVIEW, THEN PREPARES A MEDICAL STAFF DEVELOPMENT PLAN (MSDP). YRMC THEN IMPLEMENTS THE PLAN TO RECRUIT THOSE PROVIDERS NEEDED INTO THE COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	AS EACH PATIENT IS REGISTERED FOR SERVICES, REQUEST FOR INSURANCE INFORMATION OR PAYMENT IS COMPLETED. IF A PATIENT STATES THAT THEY HAVE NO INSURANCE, WE WILL REQUEST PAYMENT IN FULL OR A DEPOSIT. IF A BALANCE REMAINS, WE WILL INTERVIEW THE PATIENT AND COMPLETE YRMC FINANCIAL ASSISTANCE FORMS. AT THIS TIME THE PATIENT IS GIVEN INFORMATION ABOUT THE AHCCCS APPLICATION PROCESS, AND THE APPLICATION IS COMPLETED IF THE PATIENT IS ELIGIBLE (BASED ON RESIDENCY AND INCOME, FOR EXAMPLE). THE APPLICATION PROCESS IS AN ONLINE WEB-BASED APPLICATION CALLED HEALTH-E-AZ. THIS ONLINE PROCESS PROVIDES A TENTATIVE APPROVAL PENDING VERIFICATION OF INFORMATION TO DETERMINE IF THE PATIENT MIGHT POTENTIALLY QUALIFY FOR AHCCCS. ONCE IT IS DETERMINED THAT THE PATIENT WILL NOT QUALIFY FOR ANY GOVERNMENT PROGRAMS, THEN THE FINANCIAL COUNSELOR WILL VISIT WITH THE PATIENT AND EXPLAIN THE FINANCIAL ASSISTANCE PROGRAM AND, IF THE PATIENT WISHES TO APPLY, WILL RETRIEVE ALL OF THE NECESSARY PROOF OF INCOME TO COMPLETE THE FINANCIAL ASSISTANCE PROCESS. THE COMPLETION OF THIS PROCESS MAY CONTINUE AFTER THE PATIENT LEAVES THE HOSPITAL UNTIL THE FINANCIAL ASSISTANCE PROCESS IS COMPLETED BY THE STAFF IN THE PATIENT ACCOUNTING DEPARTMENT. IF THE PATIENT IS AN EMERGENCY ROOM (ER) PATIENT AND DOES NOT QUALIFY FOR COMPLETING AN AHCCCS APPLICATION, THE PATIENT IS GIVEN A SHEET OF INSTRUCTIONS EXPLAINING THE FINANCIAL ASSISTANCE PROCESS, DOCUMENTS THAT ARE NEEDED TO COMPLETE THE APPLICATION, AND PHONE NUMBERS TO CALL TO MAKE AN APPOINTMENT TO COMPLETE THE FINANCIAL ASSISTANCE PROCESS. THE FINANCIAL ASSISTANCE PROCESS INVOLVES THE COLLABORATION OF FRONT-END REGISTRARS, FINANCIAL COUNSELORS, MED-ASSIST EMPLOYEES, CASHIERS, AND THE PATIENT ACCOUNTING DEPARTMENT.
Schedule H, Part VI, Line 4 Community information	YRMC IS THE ONLY HOSPITAL IN YUMA COUNTY AND ALSO SERVES SURROUNDING AREAS (TOWNS ON THE CALIFORNIA/ARIZONA BORDER) AND RESIDENTS OF MEXICAN BORDER TOWNS. THE COUNTY HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVED AREA. IN YUMA COUNTY, APPROXIMATELY 65 PERCENT OF THE POPULATION IS HISPANIC OR LATINO AND, IN THE CITY OF SAN LUIS AND THE CITY OF SOMERTON (BOTH IN YUMA COUNTY), OVER 90 PERCENT OF THE POPULATION IS HISPANIC OR LATINO. YUMA COUNTY'S POPULATION IS ABOUT 208,000 AND IS EXPECTED TO GROW BY 5-6 PERCENT IN THE NEXT FIVE YEARS. OVER 75 PERCENT OF THE POPULATION IN YUMA COUNTY HAS A GED OR HIGH SCHOOL DIPLOMA; 16 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER. APPROXIMATELY FIVE PERCENT HAVE A MASTER'S DEGREE. THE MAIN INDUSTRIES IN YUMA COUNTY ARE AGRICULTURE, TOURISM, AND THE MILITARY. THERE ARE TWO MILITARY BASES HERE - MARINE CORPS AIR STATION YUMA AND YUMA PROVING GROUNDS (US ARMY). APPROXIMATELY 17 PERCENT OF THE POPULATION IS BELOW THE POVERTY LINE.
Schedule H, Part VI, Line 5 Promotion of community health	YRMC IS INVOLVED IN SEVERAL COMMUNITY BUILDING ACTIVITIES THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS. THROUGH THESE ACTIVITIES, YRMC SUPPORTS COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF OUR HEALTHCARE ORGANIZATION. YRMC ENCOURAGES EMPLOYEES TO BE INVOLVED IN THE COMMUNITY THROUGH COMMUNITY BOARDS, HEALTH ADVOCACY PROGRAMS AND PHYSICAL IMPROVEMENT PROJECTS TO CONTINUOUSLY IMPROVE THE QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE. SEE ALSO COMMUNITY BUILDING ACTIVITIES LISTED FOR SCHEDULE H, PART II ABOVE.
Schedule H, Part VI, Line 7 State filing of community benefit report	AZ

Schedule H (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- 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

2023

Open to Public
Inspection

Name of the organization
Yuma Regional Medical Center

Employer identification number
86-6007596

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

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

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) Foundation of Yuma Regional Medical Center 2400 S Avenue A Yuma,AZ85364	51-0179146	501(c)(3)	298,920				General Operating Grant
(2) CITY OF YUMA ARIZONA ONE CITY PLAZA YUMA,AZ85364	23-7064789	CITY OF YUMA AZ	26,000				INCLUSIVE PLAYGROUND PIECES AND SENSORY SPACE
(3) CABALLEROS DE YUMA INC 180 W FIRST STREET C YUMA,AZ85364	86-6052369	501(C)(6)	11,250				GENERAL SUPPORT
(4) GREATER YUMA ECONOMIC DEVELOPMENT CORPORATION 899 EAST PLAZA CIRCLE 2 YUMA,AZ85365	86-0537174	501(C)(6)	10,000				GENERAL SUPPORT
(5) YUMA COUNTY CHAMBER OF COMMERCE 180 W 1ST STREET SUITE A YUMA,AZ85364	86-0069704	510(C)(6)	16,310				GENERAL SUPPORT
(6) YUMA COUNTY HISTORICAL SOCIETY 240 MADISON AVENUE YUMA,AZ85364	86-0216519	501(C)(3)	7,500				GENERAL SUPPORT
(7) YUMA COMMUNITY FOOD BANK 2404 EAST 24TH ST SUITE A YUMA,AZ85365	86-0457836	501(C)(3)	7,500				GENERAL SUPPORT
(8) YUMA FRESH VEGETABLE ASSOCIATION PO BOX 1647 YUMA,AZ85366	86-6052752	501(C)(6)	10,500				ANNUAL HARVEST DINNER
(9) YUMA ROTARY CLUB PO BOX 1739 YUMA,AZ85366	84-6037675	501(C)(4)		77,500	FMV	MEDICAL SUPPLIES	GENERAL SUPPORT
(10) PROJECT CURE 10377 E GEDDES AVENUE CENTENNIAL,CA80012	84-1568566	501(C)(3)		12,500	FMV	MEDICAL SUPPLIES	GENERAL SUPPORT

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2023

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
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	Yuma Regional Medical Center exercises control over the Foundation of Yuma Regional Medical Center and monitors the use of grant funds through shared members of the Board of Directors of each organization.

Schedule I (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- 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
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

Yuma Regional Medical Center

Employer identification number

86-6007596

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

If any of the boxes 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 .....

Yes

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

Yes

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2023

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)
1Robert Trenschel DO President/CEO, Director	(i) (ii)	1,254,670 ------------- 0	245,088 ------------- 0	5,940 ------------- 0	335,218 ------------- 0	23,462 ------------- 0	1,864,378 ------------- 0	0 ------------- 0
2Vernon Moore III SVP & Chief Financial Officer	(i) (ii)	479,356 ------------- 0	115,329 ------------- 0	28,994 ------------- 0	125,922 ------------- 0	18,877 ------------- 0	768,478 ------------- 0	0 ------------- 0
3Dr Bharat Magu SVP & Chief Medical Officer	(i) (ii)	535,856 ------------- 0	120,510 ------------- 0	20,112 ------------- 0	121,778 ------------- 0	7,889 ------------- 0	806,145 ------------- 0	0 ------------- 0
4Trudie Milner SVP & Chief Operating Officer	(i) (ii)	447,688 ------------- 0	87,360 ------------- 0	7,658 ------------- 0	212,132 ------------- 0	8,027 ------------- 0	762,865 ------------- 0	0 ------------- 0
5James Adamson SVP & General Counsel	(i) (ii)	444,105 ------------- 0	101,250 ------------- 0	2,894 ------------- 0	107,337 ------------- 0	23,462 ------------- 0	679,048 ------------- 0	0 ------------- 0
6Matthew McElrath SVP & Chief Human Resource Officer	(i) (ii)	432,477 ------------- 0	86,275 ------------- 0	4,152 ------------- 0	111,823 ------------- 0	30,529 ------------- 0	665,256 ------------- 0	0 ------------- 0
7Machele Headington SVP Marketing & Communications	(i) (ii)	312,560 ------------- 0	71,370 ------------- 0	2,510 ------------- 0	225,686 ------------- 0	23,462 ------------- 0	635,588 ------------- 0	0 ------------- 0
8Deborah Aders RN MS CIC SVP & Chief Nursing Officer	(i) (ii)	476,542 ------------- 0	91,260 ------------- 0	13,535 ------------- 0	13,200 ------------- 0	9,975 ------------- 0	604,512 ------------- 0	0 ------------- 0
9Fred Peet SVP & Chief Informational Officer	(i) (ii)	375,330 ------------- 0	87,750 ------------- 0	9,075 ------------- 0	93,420 ------------- 0	18,877 ------------- 0	584,452 ------------- 0	0 ------------- 0
10Joan Cox SVP & Chief Experience Officer	(i) (ii)	304,233 ------------- 0	74,844 ------------- 0	22,854 ------------- 0	92,927 ------------- 0	1,228 ------------- 0	496,086 ------------- 0	0 ------------- 0
11Simon Lavotshkin General Surgeon	(i) (ii)	470,833 ------------- 0	1,191,481 ------------- 0	763 ------------- 0	13,200 ------------- 0	23,796 ------------- 0	1,700,073 ------------- 0	0 ------------- 0
12Harvey Wilds Physician Radiation Oncologist	(i) (ii)	530,858 ------------- 0	845,457 ------------- 0	3,122 ------------- 0	13,200 ------------- 0	1,378 ------------- 0	1,394,015 ------------- 0	0 ------------- 0
13David Caropreso Physician Urology	(i) (ii)	430,850 ------------- 0	806,845 ------------- 0	1,824 ------------- 0	13,200 ------------- 0	9,975 ------------- 0	1,262,694 ------------- 0	0 ------------- 0
14Michael Tracy Physician Orthopedic Surgeon	(i) (ii)	876,748 ------------- 0	252,289 ------------- 0	5,297 ------------- 0	13,200 ------------- 0	18,936 ------------- 0	1,166,470 ------------- 0	0 ------------- 0
15Robert Takesuye Physician Radiation Oncologist	(i) (ii)	502,875 ------------- 0	582,272 ------------- 0	5,699 ------------- 0	13,200 ------------- 0	1,378 ------------- 0	1,105,424 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

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
Schedule J, Part I, Line 1a Travel for companions	TRAVEL FOR COMPANIONS IS AVAILABLE TO BOARD MEMBERS AND IS TREATED AS TAXABLE COMPENSATION.
Schedule J, Part I, Line 1a Discretionary spending account	THE PRESIDENT/CEO IS PROVIDED A MONTHLY PERQ ALLOWANCE WHICH IS TREATED AS TAXABLE COMPENSATION.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	YUMA REGIONAL MEDICAL CENTER ESTABLISHED THE "CAPITAL ACCUMULATION AND IN SECTION 457(F) OF THE CODE (INTERNAL REVENUE CODE OF 1986) AS APPROVED RETENTION PLAN" AS A NON-QUALIFIED DEFERRED COMPENSATION PLAN AS DESCRIBED BY THE BOARD OF DIRECTORS. THE PURPOSE OF THIS PLAN IS TO PROVIDE CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO ELIGIBLE EXECUTIVES. THE BOARD MAY ONLY DESIGNATE PARTICIPANTS FROM AMONG THOSE EMPLOYEES WHO ARE PART OF A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. YRMC WILL ESTABLISH AN INITIAL VESTING DATE FOR EACH PARTICIPANT AND, WITHIN THE BOARD'S DISCRETION, MAY OFFER TO EXTEND A PARTICIPANT'S VESTING DATE MEETING SPECIFIC CRITERIA AS SET FORTH WITHIN THE PLAN DOCUMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN AND HAD CONTRIBUTIONS TO THE PLAN IN CALENDAR YEAR 2023: JAMES ADAMSON - $94,137 MACHELE HEADINGTON - $212,486 BHARAT MAGU - $108,578 MATTHEW MCELRATH - $98,623 TRUDIE MILNER - $198,932 VERNON MOORE - $112,722 FRED PEET - $80,040 ROBERT J. TRENSCHEL - $322,018 JOAN COX $83,358 THERE WERE NO WITHDRAWALS FROM THE PLAN IN CALENDAR YEAR 2023.

Schedule J (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- 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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
Yuma Regional Medical Center

Employer identification number
86-6007596

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA ARIZONA	86-0498547	988514CE3	02-05-2014	179,884,512	CURRENT REFUNDING OF TAX-EXEMPT BONDS, FACILITIES IMPROVEMENT		X		X		X
B	ARIZONA HEALTH FACILITIES AUTHORITY	86-0453292	000000000	09-15-2015	20,000,000	FACILITIES IMPROVEMENTS		X		X		X
C	INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA ARIZONA	86-0498547	000000000	03-14-2017	20,000,000	FINANCE EQUIPMENT AND INFORMATION SYSTEMS ACQUISITIONS		X		X		X
D	INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA ARIZONA	86-0498547	000000000	09-10-2019	20,000,000	FINANCE EQUIPMENT AND INFORMATION SYSTEMS ACQUISITIONS		X		X		X
	INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA ARIZONA	86-0498547	000000000	12-12-2023	102,290,000	Current Refunding of Tax-Exempt Bonds		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	129,235,000		17,820,140		18,636,926		9,463,746
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	179,901,930		20,000,000		20,097,323		20,126,067
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	1,127,545		78,870		84,500		74,000
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	75,002,093		19,921,130		20,012,823		20,052,387
11 Other spent proceeds .............	103,375,000		0		0		0
12 Other unspent proceeds .............	397,292		0		0		0
13 Year of substantial completion .............	2015		2016		2019		2023
	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		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		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2023

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		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		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		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		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		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		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		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		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		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		X

Schedule K (Form 990) 2023

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		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		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	X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		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		X

Part Ⅵ

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

Return Reference	Explanation
Schedule K, Part I BOND A	DETERMINED TO BE A SINGLE ISSUE FOR TAX PURPOSES COMPRISED OF THREE SERIES OF TAX-EXEMPT BONDS - SERIES 2014A, SERIES 2014B, AND SERIES 2014C: (I) ALL THREE SERIES WERE SOLD FEWER THAN 15 DAYS APART (II) ALL THREE SERIES WERE SOLD PURSUANT TO A COMMON PLAN OF FINANCING (III) THE SOURCE OF REPAYMENT FOR ALL THREE SERIES IS EXPECTED TO BE THE SAME
Schedule K, Part I, Column (c) BOND A	THE CUSIP NUMBER REPORTED IS THAT ASSIGNED TO THE FINAL MATURITY OF THE SERIES 2014A BONDS; NO CUSIP NUMBERS WERE ASSIGNED TO EITHER SERIES 2014B OR SERIES 2014C BONDS.
Schedule K, Part II, Line 3 BONDS A, C AND D	THE AMOUNTS REPORTED FOR THE ISSUE PRICE (PART I, COLUMN (E)) AND THE FIGURES ON THIS LINE 3 DIFFER BY ACCUMULATED EARNINGS ON UNDISBURSED BOND PROCEEDS.
Schedule K, Part II, Line 11 BOND A	THE AMOUNT REPORTED IS THE PRINCIPAL AMOUNT OF TAX-EXEMPT BONDS CURRENTLY REFUNDED.
Schedule K, Part II, Line 12 BOND A	THIS AMOUNT WAS EARMARKED FOR ISSUANCE COSTS, BUT WAS UNSPENT AND TRANSFERRED TO THE RESPECTIVE SERIES' REVENUE FUNDS IN ACCORDANCE WITH THE RESPECTIVE SERIES' BOND INDENTURES.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA, ARIZONA The calculation for computing no rebate due was performed on 03/14/2024
Schedule K, Part IV, Line 2c COLUMN B	Issuer name: ARIZONA HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 04/10/2023
Schedule K, Part IV, Line 2c COLUMN C	Issuer name: INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA, ARIZONA The calculation for computing no rebate due was performed on 04/10/2023
Schedule K, Part IV, Line 2c COLUMN D	Issuer name: INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA, ARIZONA The calculation for computing no rebate due was performed on 10/18/2024

Schedule K (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- 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

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
Yuma Regional Medical Center

Employer identification number
86-6007596

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA ARIZONA	86-0498547	988514CE3	02-05-2014	179,884,512	CURRENT REFUNDING OF TAX-EXEMPT BONDS, FACILITIES IMPROVEMENT		X		X		X
B	ARIZONA HEALTH FACILITIES AUTHORITY	86-0453292	000000000	09-15-2015	20,000,000	FACILITIES IMPROVEMENTS		X		X		X
C	INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA ARIZONA	86-0498547	000000000	03-14-2017	20,000,000	FINANCE EQUIPMENT AND INFORMATION SYSTEMS ACQUISITIONS		X		X		X
D	INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA ARIZONA	86-0498547	000000000	09-10-2019	20,000,000	FINANCE EQUIPMENT AND INFORMATION SYSTEMS ACQUISITIONS		X		X		X
	INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA ARIZONA	86-0498547	000000000	12-12-2023	102,290,000	Current Refunding of Tax-Exempt Bonds		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	129,235,000		17,820,140		18,636,926		9,463,746
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	179,901,930		20,000,000		20,097,323		20,126,067
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	1,127,545		78,870		84,500		74,000
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	75,002,093		19,921,130		20,012,823		20,052,387
11 Other spent proceeds .............	103,375,000		0		0		0
12 Other unspent proceeds .............	397,292		0		0		0
13 Year of substantial completion .............	2015		2016		2019		2023
	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		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		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2023

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		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		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		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		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		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		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		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		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		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		X

Schedule K (Form 990) 2023

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		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		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	X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		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		X

Part Ⅵ

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

Return Reference	Explanation
Schedule K, Part I BOND A	DETERMINED TO BE A SINGLE ISSUE FOR TAX PURPOSES COMPRISED OF THREE SERIES OF TAX-EXEMPT BONDS - SERIES 2014A, SERIES 2014B, AND SERIES 2014C: (I) ALL THREE SERIES WERE SOLD FEWER THAN 15 DAYS APART (II) ALL THREE SERIES WERE SOLD PURSUANT TO A COMMON PLAN OF FINANCING (III) THE SOURCE OF REPAYMENT FOR ALL THREE SERIES IS EXPECTED TO BE THE SAME
Schedule K, Part I, Column (c) BOND A	THE CUSIP NUMBER REPORTED IS THAT ASSIGNED TO THE FINAL MATURITY OF THE SERIES 2014A BONDS; NO CUSIP NUMBERS WERE ASSIGNED TO EITHER SERIES 2014B OR SERIES 2014C BONDS.
Schedule K, Part II, Line 3 BONDS A, C AND D	THE AMOUNTS REPORTED FOR THE ISSUE PRICE (PART I, COLUMN (E)) AND THE FIGURES ON THIS LINE 3 DIFFER BY ACCUMULATED EARNINGS ON UNDISBURSED BOND PROCEEDS.
Schedule K, Part II, Line 11 BOND A	THE AMOUNT REPORTED IS THE PRINCIPAL AMOUNT OF TAX-EXEMPT BONDS CURRENTLY REFUNDED.
Schedule K, Part II, Line 12 BOND A	THIS AMOUNT WAS EARMARKED FOR ISSUANCE COSTS, BUT WAS UNSPENT AND TRANSFERRED TO THE RESPECTIVE SERIES' REVENUE FUNDS IN ACCORDANCE WITH THE RESPECTIVE SERIES' BOND INDENTURES.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA, ARIZONA The calculation for computing no rebate due was performed on 03/14/2024
Schedule K, Part IV, Line 2c COLUMN B	Issuer name: ARIZONA HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 04/10/2023
Schedule K, Part IV, Line 2c COLUMN C	Issuer name: INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA, ARIZONA The calculation for computing no rebate due was performed on 04/10/2023
Schedule K, Part IV, Line 2c COLUMN D	Issuer name: INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA, ARIZONA The calculation for computing no rebate due was performed on 10/18/2024

Schedule K (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

Yuma Regional Medical Center

Employer identification number

86-6007596

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

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

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No
(1) DR BHARAT MAGU	CURRENT KEY EMPLOYEE	SPLIT DOLLAR AGREEMENT		X	3,025,000	3,047,871		No	Yes		Yes



Total ............... $						3,047,871

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) 2023

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Michael Headington	Family member of Machele Headington, Key Employee	85,524	Salaries & Wages		No
(2) Gary Aders	Family member of Deborah Aders, Key Employee	116,218	Salaries & Wages		No

Part V

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

Return Reference	Explanation

Schedule L (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- 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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

Yuma Regional Medical Center

Employer identification number

86-6007596

Return Reference	Explanation
Form 990, Part VI, Line 15 COMPENSATION POLICY AND STRATEGY	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 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.
Form 990, Part VI, Line 4 Significant changes to organizational documents	The governing documents of the Organization were amended to make Southwest Health (the "Member") the sole member of the Organization. In addition, the governing documents were amended to provide the Member with the right to elect and to remove the officers and directors of the Corporation and to delegate various reserved powers to the Member. These reserved powers include, among others, (a) the establishment of operating and capital budgets and incurring of expense and obligations not contemplated by such budgets, (b) the incurring of debt outside the ordinary course of business, (c) the initiation of capital projects not contemplated by any approved operating or capital budgets and (d) the amendment of the articles of incorporation or bylaws of the Organization. The Member also has the right to approve any mergers, consolidations, the sale, lease, exchange or disposition of all, or substantially all of the property and assets, voluntary dissolution or distribution of the assets of the Organization. The bylaws of the Organization were amended to provide that the Member may act by action of its board of directors or by appointment of two of its officers. The bylaws of the Organization were amended to increase the range of the number of directors, to change director terms to two years, and to clarify the authority of the board of directors, particularly as it relates to those duties and responsibilities relating to the operation of a hospital. Those provisions relating to the conduct of board meetings were updated, as well as those provisions relating to conflicts of interest. The bylaws of the Organization were amended to update the duties and responsibilities of the officers, as well as the committees of the board, including additional detail for the responsibilities of the quality and service committee, a standing committee under the bylaws. Those provisions relating the medical staff were updated. The bylaws of the Organization were amended to provide that in the event of the dissolution of the Organization all remaining assets of the Organization are to be distributed to the Member, if in existence and exempt from tax.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE MEMBER OF THE ORGANIZATION IS SOUTHWEST HEALTH. The Member is the sole member of the Organization. As the sole member, the Member has the right to elect and remove the members of the board of directors of the Organization. The Member has the right to approve those significant decisions of the Organization set forth and described in Question 4. Upon the dissolution of the Organization, the Member shall receive the remaining assets of the Organization provided that it is in existence and exempt from federal income tax.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	The Member has the right to elect and to remove the members of the board of directors of the Organization.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	The Member has the right to approve those governance decisions set forth and described in Question 4.
Form 990, Part VI, Line 11b Review of form 990 by governing body	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, Line 12c Conflict of interest policy	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, Line 15a Process to establish compensation of top management official	An independent third party compensation vendor conducts an external market review annually. This review includes data points from benchmarked roles in organizations nationally with similar demographics (size/budget etc) to Yuma Regional Medical Center. This review is delivered to the Board's Compensation Committee who reviews the findings and approves changes to base compensation in alignment with the external market. This process is completed annually with the last review taking place in 2024.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	An independent third party compensation vendor conducts an external market review for all Director and above leadership positions every other year. This review includes data points from benchmarked roles in organizations nationally with similar demographics (size/budget etc) to Yuma Regional Medical Center. The review also includes adjustment recommendations to better align positions relative to the external market. The Human Resources department receives the results of this analysis and recommends applicable changes to ensure market competitiveness for all applicable roles. Senior Vice President (SVP) roles are aligned to the 75-80th percentile. Other leadership positions (VP/Administrative Directors/Directors) are aligned to the 50th percentile. These recommendations are reviewed and approved by the Executive Leadership Team (ELT) prior to implementation. This process was last completed in 2024.
Form 990, Part VI, Line 19 Required documents available to the public	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 VIII, Line 2f Other Program Service Revenue	OTHER PROGRAM REVENUE - Total Revenue: 715512, Related or Exempt Function Revenue: 715512, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	OTHER REVENUE - Total Revenue: 14880, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 14880;
Form 990, Part IX, Line 11g Other Fees	PHYSICIAN FEES - Total Expense: 72822864, Program Service Expense: 72822864, Management and General Expenses: , Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 41295186, Program Service Expense: 29400934, Management and General Expenses: 11894252, Fundraising Expenses: ; CONSTRUCTION AND EQUIPMENT SERVICES - Total Expense: 13667272, Program Service Expense: 9730688, Management and General Expenses: 3936584, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 7663125, Program Service Expense: 7663125, Management and General Expenses: , Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 6180529, Program Service Expense: 4400351, Management and General Expenses: 1780178, Fundraising Expenses: ; THERAPIST FEES - Total Expense: 4110928, Program Service Expense: 4110928, Management and General Expenses: , Fundraising Expenses: ; RECRUITMENT SERVICES - Total Expense: 1821771, Program Service Expense: 1297046, Management and General Expenses: 524725, Fundraising Expenses: ; MEDICAL DIRECTOR FEES - Total Expense: 1027944, Program Service Expense: 1027944, Management and General Expenses: , Fundraising Expenses: ; CONSULTANT FEES - Total Expense: 12106015, Program Service Expense: , Management and General Expenses: 12106015, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS - -52361; DECREASE IN PENSION LIABILITY - 4973898; OTHER CHANGES IN NET ASSETS - 9900; CHANGE IN INTEREST IN FOUNDATION - 2317054; REVERSAL OF LIABILITY ACCRUALS - 8200000; TRANSFER OF MEMBERSHIP INTEREST - 1671310;

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

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

1	Briefly describe the organization’s mission or most significant activities: THROUGH PRUDENT USE OF RESOURCES, OUR 406-BED INPATIENT HOSPITAL, ALONG WITH NUMEROUS OUTPATIENT CLINICS, SERVES AS THE HEALTHCARE HUB FOR ALL OF YUMA COUNTY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	3,341
6	Total number of volunteers (estimate if necessary) .............	6	202
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	394,365
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	532,542	2,143,994
9	Program service revenue (Part VIII, line 2g) .........	802,510,970	823,815,953
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	28,447,342	28,821,944
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	947,135	6,460,096
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	832,437,989	861,241,987
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	243,427	477,980
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)	347,225,029	353,325,342
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)....	425,499,727	458,229,841
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	772,968,183	812,033,163
19	Revenue less expenses. Subtract line 18 from line 12.......	59,469,806	49,208,824
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,307,260,079	1,456,238,423
21	Total liabilities (Part X, line 26).............	438,293,571	431,670,067
22	Net assets or fund balances. Subtract line 21 from line 20.....	868,966,508	1,024,568,356

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 689,225,747 including grants of $ 477,980 ) (Revenue $ 823,421,588 )
	YUMA REGIONAL MEDICAL CENTER IS RECOGNIZED AS THE MODEL REGIONAL MEDICAL CENTER. WE WILL WORK COLLABORATIVELY TO EVOLVE THE BEST SYSTEM OF INTEGRATED HEALTHCARE IN OUR SERVICE AREA. BUILDING A HEALTHIER TOMORROW: OUR PILLARS: PUTTING PATIENTS FIRST, ROOTED IN COMMUNITY AND COMMITTED TO PROGRESS. OUR VALUES: BRING KINDNESS, ACHIEVE TOGETHER, ASPIRE FOR BETTER, DO THE RIGHT THING AND LEAD WITH OPTIMISM. OVERVIEW: YUMA REGIONAL MEDICAL CENTER SERVES THE COMMUNITY ACROSS MULTIPLE LOCATIONS INCLUDING; A 406 LICENSED BED GENERAL ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT, EMERGENCY ROOM AND OTHER ACUTE CARE AND HOSPITAL RELATED SERVICES TO THE PEOPLE OF YUMA, ARIZONA AND THE SURROUNDING COMMUNITIES. A 24-BED INPATIENT BEHAVIORAL HEALTH HOSPITAL, FREE STANDING EMERGENY DEPARTMENT IN THE FOOTHILLS AND SEVERAL CLINIC SITES ACROSS YUMA COUNTY. DELIVERING CARE WHERE PATIENTS LIVE, WORK AND PLAY. 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 200 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. CHAIRMAN, YRMC BOARD OF DIRECTORS. THE BOARD OF YUMA REGIONAL MEDICAL CENTER IS COMPOSED OF AN ARRAY OF PROFESSIONALS WHO BRING THEIR SKILLS AND TALENTS TOGETHER TO WORK, WITHOUT PAY, SO THAT YOU CAN RECEIVE THE HIGHEST QUALITY OF MEDICAL CARE IN YOUR COMMUNITY. AS WE LOOK TO THE FUTURE, THE YRMC BOARD OF DIRECTORS HAS AGAIN SET THE BAR HIGH. IT IS OUR VISION TO WORK COLLABORATIVELY TO EVOLVE THE BEST SYSTEM OF COORDINATED HEALTH CARE IN OUR SERVICE AREA. AS A NON-PROFIT COMMUNITY HOSPITAL, WE REINVEST FUNDS REMAINING AT THE CLOSE OF THE YEAR INTO NEW SERVICES AND PROGRAMS FOR THE COMMUNITY. OUR STRATEGIES MOVING FORWARD INCLUDE: 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 https://www.onvidahealth.org/ NEONATAL CARE: IN FISCAL 2024, 348 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 INFANT 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 TO 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 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.

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 expenses689,225,747

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) Matthew McElrath........................................................................ SVP & Chief Human Resource Officer	40.0 .......................0.0	X		522,904	0	142,352
(19) Trudie Milner........................................................................ SVP & Chief Operating Officer	40.0 .......................0.0	X		542,706	0	220,159
(20) David Caropreso........................................................................ Physician Urology	40.0 .......................0.0		X	1,239,519	0	23,175
(21) Harvey Wilds........................................................................ Physician Radiation Oncologist	40.0 .......................0.0		X	1,379,437	0	14,578
(22) Michael Tracy........................................................................ Physician Orthopedic Surgeon	40.0 .......................0.0		X	1,134,334	0	32,136
(23) Robert Takesuye........................................................................ Physician Radiation Oncologist	40.0 .......................2.0		X	1,090,846	0	14,578
(24) Simon Lavotshkin........................................................................ General Surgeon	40.0 .......................0.0		X	1,663,077	0	36,996

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	12,941,329	0	1,726,694

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	313,763
e	Government grants (contributions)		1e	1,754,729

f	All other contributions, gifts, grants, and similar amounts not included above		1f	75,502

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

h Total. Add lines 1a-1f.......		2,143,994

		Business Code
2a	PATIENT SERVICE REVENUE	621110	812,673,216	812,673,216
b	CONTRACT REVENUE	624100	1,239,447	1,239,447
c	INCOME FROM AFFLIATES	523000	5,368,898	4,974,533	394,365
d	HEALTH EDUCATION	611710	3,684,518	3,684,518
e	RENT - AFFILIATES		134,362	134,362
f	All other program service revenue.		715,512	715,512	0	0
g	Total. Add lines 2a–2f .....		823,815,953

3 Investment income (including dividends, interest, and othersimilar amounts) ......			16,432,353			16,432,353
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	869,202
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	869,202	0
d	Net rental income or (loss).......			869,202			869,202
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	172,524,014	0
b	Less: cost or other basis and sales expenses	7b	159,897,077	237,346
c	Gain or (loss)	7c	12,626,937	-237,346
d	Net gain or (loss).........			12,389,591			12,389,591
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	1,513,088
b	Less: cost of goods sold ..		10b	385,747
c	Net income or (loss) from sales of inventory..			1,127,341			1,127,341

Business Code
11a	GAIN FROM EXTINGUISHMENT OF DEBT		900099	1,142,580			1,142,580
b	RESEARCH TRIAL REVENUE		541900	439,805			439,805
c	REBATES		900099	2,866,288			2,866,288
d	All other revenue ....			14,880	0	0	14,880
e	Total. Add lines 11a–11d ......			4,463,553
12	Total revenue. See instructions.....			861,241,987	823,421,588	394,365	35,282,040

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	477,980	477,980
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 .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........	7,083,588		7,083,588
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	201,742		201,742
7	Other salaries and wages........	274,690,325	242,650,800	32,039,525
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	11,101,753	9,718,136	1,383,617
9	Other employee benefits .......	42,589,110	37,332,063	5,257,047
10	Payroll taxes ...........	17,658,824	15,485,350	2,173,474
11	Fees for services (non-employees):
a	Management ......	2,514,060		2,514,060
b	Legal .........	4,441,235		4,441,235
c	Accounting ...........	450,725		450,725
d	Lobbying ...........	29,075		29,075
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	3,843,914		3,843,914
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	160,695,634	130,453,880	30,241,754	0
12	Advertising and promotion ....	1,104,890		1,104,890
13	Office expenses .......	6,133,278	3,885,847	2,247,431
14	Information technology ......	16,946,136	13,258,266	3,687,870
15	Royalties ..
16	Occupancy ...........	18,527,801	14,495,724	4,032,077
17	Travel ............	6,936,329	5,426,824	1,509,505
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,179,172		1,179,172
20	Interest ...........	10,496,713	8,731,080	1,765,633
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	35,971,605	30,086,023	5,885,582
23	Insurance ...	3,014,277	2,358,301	655,976
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	113,394,877	113,394,877
b	AHCCS FEES	38,234,890	38,234,890
c	DUES/SUBCRIPTIONS/TAXES	16,666,692	10,548,823	6,117,869
d	REPAIRS AND MAINTENANCE	7,402,387	4,689,913	2,712,474
e	All other expenses	10,246,151	7,996,970	2,249,181	0
25	Total functional expenses. Add lines 1 through 24e	812,033,163	689,225,747	122,807,416	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 ........			46,857,380	1	61,815,924
2	Savings and temporary cash investments .........			14,868,781	2	81,147,059
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			145,775,481	4	153,540,051
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
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	3,047,871
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			13,955,839	8	13,756,731
9	Prepaid expenses and deferred charges ......			13,698,819	9	13,290,799
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,001,045,234
b	Less: accumulated depreciation	10b	542,323,619	416,328,596	10c	458,721,615
11	Investments—publicly traded securities .			521,335,470	11	528,061,416
12	Investments—other securities. See Part IV, line 11 .....			33,594,620	12	29,332,591
13	Investments—program-related. See Part IV, line 11 ..			27,021,623	13	30,438,251
14	Intangible assets ...............			36,653,488	14	36,327,873
15	Other assets. See Part IV, line 11 ...........			37,169,982	15	46,758,242
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,307,260,079	16	1,456,238,423

17	Accounts payable and accrued expenses .....	83,550,696	17	102,281,204
18	Grants payable ...		18
19	Deferred revenue .........	1,256,347	19	34,774,380
20	Tax-exempt bond liabilities .........	175,359,061	20	162,157,714
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	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..	34,020,087	24	0
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	144,107,380	25	132,456,769
26	Total liabilities. Add lines 17 through 25..	438,293,571	26	431,670,067

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	868,966,508	27	1,024,568,356
28	Net assets with donor restrictions ...........		28
	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 ...........	868,966,508	32	1,024,568,356
33	Total liabilities and net assets/fund balances ........	1,307,260,079	33	1,456,238,423

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) SOUTHWEST HEALTH COLLABORATIVE LLC 2400 S AVENUE A YUMA,AZ85364 82-2352860	HEALTHCARE	AZ	14,880	0	YUMA REGIONAL MEDICAL CENTER
(2) YUMA REGIONAL HEALTH SYSTEM INSURANCE LLC 2400 S AVENUE A YUMA,AZ85364 82-3158109	HEALTHCARE	AZ	7,438,520	3,170,212	YUMA REGIONAL MEDICAL CENTER
(3) WORLD CLASS IMAGING LLC 2400 S AVENUE A YUMA,AZ85364	INACTIVE	AZ	0	0	YUMA REGIONAL MEDICAL CENTER

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)FOUNDATION OF YUMA REGIONAL MEDICAL CENTER 2400 S AVENUE A YUMA,AZ85364 51-0179146	SUPPORTING	AZ	501(c)(3)	Type I	YUMA REGIONAL MEDICAL CENTER	Yes
(2)SOUTHWEST HEALTH 720 S RIO VISTA DR YUMA,AZ85365 92-0682043	SUPPORTING ORGANIZATION	AZ	501(c)(3)	Type III-FI	NA		No

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Foundation of Yuma Regional Medical Center	B	298,920	Cash Transferred
(2) Foundation of Yuma Regional Medical Center	C	313,763	Cash Transferred

(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