2025-08-15T12:55:45+00:00 2024-09-30 440160260 Forvis Mazars LLP 211 N Broadway Suite 600 St Louis MO 631022733 990 2023-10-01 866007596 Yuma Regional Medical Center YUMA 9283367000 2400 S Avenue A Yuma AZ 85364 Dr Robert J Trenschel President/CEO 9283367000 2025-08-15 true Kristen Hankins P01256574 3142315544 2025-08-15 2023 2025-03-06 01:10:19Z ONVIDA HEALTH YUMA MEDICAL CENTER Dr Robert J Trenschel 2400 S Avenue A Yuma AZ 85364 1021762157 false X WWW.ONVIDAHEALTH.ORG X 1964 AZ 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. 10 7 3341 202 394365 0 532542 2143994 802510970 823815953 28447342 28821944 947135 6460096 832437989 861241987 243427 477980 0 0 347225029 353325342 0 0 0 425499727 458229841 772968183 812033163 59469806 49208824 1307260079 1456238423 438293571 431670067 868966508 1024568356 THE PURPOSE OF YUMA REGIONAL MEDICAL CENTER IS "BUILDING A HEALTHIER TOMORROW." WE ARE GUIDED BY THREE PILLARS: (1) PUTTING PATIENTS FIRST; (2) ROOTED IN THE COMMUNITY AND; (3) COMMITTED TO PROGRESS. false false 689225747 477980 823421588 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. 689225747 true true false true false false false false true true false false false true false false true false false true false false false false false true true true false true true false false false false true false false true false false false false false true true true true false false true X 416 0 true 3341 true true true true CJ false false false false false false false false true false X 10 7 false false true false true true true true true false false true true true true true true true true true true X Vernon Moore 9283367000 2400 S Avenue A Yuma AZ 85364 John Sternitzke Board Chair 8.0 1.0 X X 0 0 0 Lora Dana Board Secretary/Treasurer 6.0 1.0 X X 0 0 0 Louie Gradias Board Vice Chair 5.0 1.0 X X 0 0 0 Robert Trenschel DO President/CEO, Director 40.0 3.0 X X 1505698 0 358680 Andres Salcido Board Member 5.0 1.0 X 0 0 0 Ashvin Shah MD Board Member, Physician Pulmonology 5.0 1.0 X 101839 0 0 Claudia Dima MD Board Member, Physician Cardiology 5.0 1.0 X 70700 0 0 Fred Earle Board Member 5.0 1.0 X 0 0 0 Steve Legros Board Member 5.0 1.0 X 0 0 0 Woody Martin Board Member 5.0 3.0 X 0 0 0 Vernon Moore III SVP & Chief Financial Officer 40.0 2.0 X 623679 0 144799 Deborah Aders RN MS CIC SVP & Chief Nursing Officer 40.0 0.0 X 581337 0 23175 Dr Bharat Magu SVP & Chief Medical Officer 40.0 0.0 X 676478 0 129667 Fred Peet SVP & Chief Informational Officer 40.0 0.0 X 472155 0 112297 James Adamson SVP & General Counsel 40.0 2.0 X 548249 0 130799 Joan Cox SVP & Chief Experience Officer 40.0 0.0 X 401931 0 94155 Machele Headington SVP Marketing & Communications 20.0 20.0 X 386440 0 249148 Matthew McElrath SVP & Chief Human Resource Officer 40.0 0.0 X 522904 0 142352 Trudie Milner SVP & Chief Operating Officer 40.0 0.0 X 542706 0 220159 David Caropreso Physician Urology 40.0 0.0 X 1239519 0 23175 Harvey Wilds Physician Radiation Oncologist 40.0 0.0 X 1379437 0 14578 Michael Tracy Physician Orthopedic Surgeon 40.0 0.0 X 1134334 0 32136 Robert Takesuye Physician Radiation Oncologist 40.0 2.0 X 1090846 0 14578 Simon Lavotshkin General Surgeon 40.0 0.0 X 1663077 0 36996 12941329 0 1726694 604 false true false Southwest Desert Radiology PC 1308 N Stockton Hill Rd Suite A108 Kingman AZ 86401 Radiology services 15525590 MJ Harris Construction Service 1 Riverchase Ridge Suite 300 Birmingham AL 35244 Construction Services 13536669 Hospitality Healthcare Service 6929 West Southern Avenue Laveen AZ 85339 Environmental Services 8018832 Yuma Heart and Vascular LLC 2400 S Avenue A Yuma AZ 85364 Cardiology Services 6564805 Archsol LLC 8900 East Bahia Drive Suite 300 Scottsdale AZ 85260 Construction Services 6057011 133 313763 1754729 75502 2143994 PATIENT SERVICE REVENUE 621110 812673216 812673216 CONTRACT REVENUE 624100 1239447 1239447 INCOME FROM AFFLIATES 523000 5368898 4974533 394365 HEALTH EDUCATION 611710 3684518 3684518 RENT - AFFILIATES 134362 134362 715512 715512 0 0 823815953 16432353 16432353 869202 869202 0 869202 869202 172524014 0 159897077 237346 12626937 -237346 12389591 12389591 1513088 385747 1127341 1127341 GAIN FROM EXTINGUISHMENT OF DEBT 900099 1142580 1142580 RESEARCH TRIAL REVENUE 541900 439805 439805 REBATES 900099 2866288 2866288 14880 0 0 14880 4463553 861241987 823421588 394365 35282040 X 477980 477980 0 0 7083588 7083588 201742 201742 274690325 242650800 32039525 11101753 9718136 1383617 42589110 37332063 5257047 17658824 15485350 2173474 2514060 2514060 4441235 4441235 450725 450725 29075 29075 3843914 3843914 160695634 130453880 30241754 0 1104890 1104890 6133278 3885847 2247431 16946136 13258266 3687870 18527801 14495724 4032077 6936329 5426824 1509505 1179172 1179172 10496713 8731080 1765633 35971605 30086023 5885582 3014277 2358301 655976 MEDICAL SUPPLIES 113394877 113394877 AHCCS FEES 38234890 38234890 DUES/SUBCRIPTIONS/TAXES 16666692 10548823 6117869 REPAIRS AND MAINTENANCE 7402387 4689913 2712474 10246151 7996970 2249181 0 812033163 689225747 122807416 0 46857380 61815924 14868781 81147059 0 0 145775481 153540051 0 0 3047871 13955839 13756731 13698819 13290799 1001045234 542323619 416328596 458721615 521335470 528061416 33594620 29332591 27021623 30438251 36653488 36327873 37169982 46758242 1307260079 1456238423 83550696 102281204 1256347 34774380 175359061 162157714 0 34020087 0 144107380 132456769 438293571 431670067 X 868966508 1024568356 868966508 1024568356 1307260079 1456238423 X 49208824 89273223 17119801 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 29075 29075 false 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. 17228984 1721 2688940 320619 19599026 15686283 617 1730745 188661 17228984 17050847 500 -1183917 181147 15686283 14025276 35001 3086808 80238 16000 17050847 12942714 400 1509032 240753 186117 14025276 0.38 0.19 0.43 false true true 24972917 24972917 502826087 221250603 281575484 0 0 0 342061318 287498020 54563298 131184912 33574996 97609916 458721615 SELF-INSURANCE LIABILITY 9712061 THIRD PARTY SETTLEMENTS 5084543 457(F) FUND PAYABLE 6008602 FINANCE LIABILITY 59649792 OTHER LIABILITIES 19662912 OPERATING/FINANCE LEASE LIABILITY 32338859 132456769 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. Central America and the Caribbean 0 0 Investments 8754958 0 0 0 0 0 0 8754958 0 8754958 false false true true true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual true true X true X true X true true false true false 7960245 7960245 0.0098 235556836 176073000 59483836 0.0733 0 0.0 0 0 243517081 176073000 67444081 0.0831 8 19997 703670 82608 621062 0.0008 3 484 4065821 4065821 0.0050 2 2403 31048 0 31048 0.0000 0 0 0 0 0 0.0 36 29346 291924 0 291924 0.0004 49 52230 5092463 82608 5009855 0.0062 49 52230 248609544 176155608 72453936 0.0892 0 0.0 0 0.0 5 298 22292 0 22292 0.0000 0 0.0 0 0.0 4 0 3110 0 3110 0.0000 0 0.0 0 0.0 0 0.0 9 298 25402 0 25402 0.0000 true 65843262 119313457 237830086 -118516629 X true true 2 1 YUMA REGIONAL MEDICAL CENTER 2400 S AVENUE A YUMA AZ 85364 WWW.ONVIDAHEALTH.ORG H0097 X X X A 2 YUMA REHABILITATION HOSPITAL 901 W 24TH STREET YUMA AZ 85364 HTTPS://WWW.ENCOMPASSHEALTH.COM/LOCATIONS/YUMA-REHAB SH3378 X B A 1 false false true X X X X X X X X X 22 true true false true X https://www.onvidahealth.org/community/community-health-needs-assessment/ X https://www.encompasshealth.com/locations/yuma-rehab/why-choose-us X true 22 true https://www.onvidahealth.org/community/community-health-needs-assessment/ false true X 200.0 400.0 X X X X X true true X X X true X https://www.onvidahealth.org/PATIENTS-AND-VISITORS/PATIENT-RESOURCES/PATIENT-FINANCIAL-SERVICES/ X https://www.onvidahealth.org/PATIENTS-AND-VISITORS/PATIENT-RESOURCES/PATIENT-FINANCIAL-SERVICES/ X https://www.onvidahealth.org/PATIENTS-AND-VISITORS/PATIENT-RESOURCES/PATIENT-FINANCIAL-SERVICES/ X X X X X X true X false X X X X true X false false B 1 false false true X X X X X X X X X 22 true true false true X HTTPS://WWW.ENCOMPASSHEALTH.COM/LOCATIONS/YUMA-REHAB/WHY-CHOOSE-US X HTTPS://WWW.ONVIDAHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X true 22 true HTTPS://WWW.ENCOMPASSHEALTH.COM/LOCATIONS/YUMA-REHAB/WHY-CHOOSE-US false true X 200.0 400.0 X X X X true true X X true X https://www.encompasshealth.com/locations/yuma-rehab/financial-information X https://www.encompasshealth.com/locations/yuma-rehab/financial-information X https://www.encompasshealth.com/locations/yuma-rehab/financial-information X X X true X false X X X X true X false false 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 49 ANTICOAGULATION CLINIC 2451 S AVENUE A SUITE B101 YUMA AZ 85364 ANTICOAGULATION CLINIC ANTICOAGULATION CLINIC - FOOTHILLS 11351 S FRONTAGE ROAD YUMA AZ 85367 ANTICOAGULATION CLINIC BARIATRIC CLINIC 2460 S PARKVIEW LOOP SUITE 3 YUMA AZ 85364 BARIATRIC CLINIC TUSCANY PLAZA 2851 S AVENUE B BLDG 19 YUMA AZ 85364 BEHAVIORAL HEALTH CLINIC BEHAVIORAL HEALTH CLINIC 7201 E 31ST PLACE YUMA AZ 85365 BEHAVIORAL HEALTH CLINIC BONE AND JOINT TUSCANY PLAZA 2851 S AVENUE B BLDG 20 SUITE 2001 YUMA AZ 85364 BONE AND JOINT CLINIC CARDIOLOGY 1951 W 25TH STREET SUITE F YUMA AZ 85364 CARDIOLOGY CLINIC CARDIOPULMONARY REHABILITATION 2460 S PARKVIEW LOOP SUITE 206 YUMA AZ 85364 REHABILITATION CLINIC CARDIOVASCULAR AND THORACIC SURGERY CENTER 2460 S PARKVIEW LOOP SUITE 203 YUMA AZ 85364 SURGERY CENTER CENTER FOR BONE AND JOINT HEALTH 2460 S PARKVIEW LOOP SUITE 3 YUMA AZ 85364 BONE AND JOINT CLINIC CHILDREN'S REHABILITATIVE SERVICES 2851 S AVENUE B BLDG 25 SUITE 2504 YUMA AZ 85364 REHABILITATION CLINIC DIAGNOSTIC IMAGING PARKVIEW 2460 S PARKVIEW LOOP SUITE 2 YUMA AZ 85364 IMAGING CLINIC DIAGNOSTIC IMAGING PROMED 2270 RIDGEVIEW DRIVE SUITE 127 YUMA AZ 85364 IMAGING CLINIC EAR NOSE AND THROAT 2680 S AVENUE B YUMA AZ 85364 ENT CLINIC EMERGENCY RESPONSELAB ANNEX 2451 S AVENUE A YUMA AZ 85364 COVID TESTING SITE ENDOSCOPY CENTER 2261 S AVENUE B YUMA AZ 85364 ENDOSCOPY CENTER FAMILY MEDICINE CENTER 2500 S 8TH AVENUE SUITE 200 YUMA AZ 85364 FAMILY MEDICAL CLINIC FAMILY MEDICINE CENTER - WEST 1965 W 24TH STREET SUITE A YUMA AZ 85364 FAMILY MEDICAL CLINIC FOOT AND ANKLE 1881 W 24TH STREET SUITE C YUMA AZ 85364 FOOT AND ANKLE CLINIC FOOTHILLS MEDICAL PLAZA 11351 E SOUTH FRONTAGE ROAD YUMA AZ 85367 EMERGENCY ROOM GASTROENTEROLOGY 1390 W 16TH STREET YUMA AZ 85364 GASTROENTEROLOGY CLINIC GENERAL SURGERY 2270 RIDGEVIEW DRIVE SUITE 201 YUMA AZ 85364 SURGERY CENTER GENERAL SURGERY 2270 RIDGEVIEW DRIVE SUITE 128 YUMA AZ 85364 SURGERY CENTER GENERAL SURGERY 2270 RIDGEVIEW DRIVE SUITE 130 YUMA AZ 85364 SURGERY CENTER HEALTH CLINICS 2851 S AVENUE B BLDG 25 SUITE 2503 YUMA AZ 85364 HEALTH CLINIC INTERNAL MEDICINE & DIABETES CLINIC 3800 W 24TH STREET SUITE 1 YUMA AZ 85364 INTERNAL MEDICINE & DIABETES CLINIC OPHTHALMOLOGY 2270 RIDGEVIEW DRIVE SUITE 303 YUMA AZ 85364 OPHTHALMOLOGY CLINIC OUTPATIENT LABORATORY FOOTHILLS 11282 N FRONTAGE ROAD YUMA AZ 85367 LABORATORY OUTPATIENT LABORATORY PARKVIEW 2460 S PARKVIEW LOOP SUITE 2 YUMA AZ 85364 LABORATORY OUTPATIENT NUTRITION SERVICES 2460 S PARKVIEW LOOP YUMA AZ 85364 NUTRITION EDUCATION SERVICES FOR BARIATRIC PTS OUTPATIENT SERVICES 1320 W 24TH STREET YUMA AZ 85364 OUTPATIENT CENTER OUTPATIENT SURGERY 2460 S PARKVIEW LOOP SUITE 1 YUMA AZ 85364 SURGERY CENTER PAIN MANAGEMENT 2460 S PARKVIEW LOOP ENTRANCE 3 YUMA AZ 85364 PAIN MANAGEMENT/PMR CLINIC PEDIATRIC SUB-SPECIALTY CLINIC 2851 S AVENUE B BLDG 25 SUITE 2504 YUMA AZ 85364 PEDIATRIC CLINIC PEDIATRICS TUSCANY PLAZA 2851 S AVENUE B BLDG 25 YUMA AZ 85364 PEDIATRIC CLINIC PLASTIC AND RECONSTRUCTIVE SURGERY 2460 S PARKVIEW LOOP SUITE 201 YUMA AZ 85364 PLASTIC AND RECONSTRUCTIVE SURGERY WALK-IN CLINIC FOOTHILLS 11142 S SCOTTSDALE DRIVE YUMA AZ 85364 PRIMARY CARE CLINIC PRIMARY CARE SAN LUIS 845 E B STREET SAN LUIS AZ 85369 PRIMARY CARE CLINIC SOUTHWEST PETCT INSTITUTE 1320 W 24TH STREET YUMA AZ 85364 IMAGING CLINIC SPECIALTY CLINICS 2851 S AVENUE B BLDG 20 SUITE 2001 YUMA AZ 85364 SPECIALTY CLINIC SPORTS MEDICINE 2851 S AVENUE B SUITE 201 YUMA AZ 85364 SPORTS MEDICINE/YRMC BONE & JOINT TUSCANY SURGICAL SPECIALTIES 2270 RIDGEVIEW DRIVE SUITE 302 YUMA AZ 85364 UROLOGY CLINIC TRANSITIONAL CARE SERVICESPALLIATIVE 2451 S AVENUE A SUITE 104A YUMA AZ 85364 TRANSITIONAL CARE/PALLIATIVE CARE SERVICES WOMEN'S HEALTH CENTER 2911 S 8TH AVENUE YUMA AZ 85364 WOMEN'S CLINIC WOMEN'S HEALTH CENTER LABORISTS 2911 S 8TH AVENUE YUMA AZ 85364 OB/GYN LABORISTS-WHC WOMEN'S HEALTH CENTER TUSCANY PLAZA 2851 S AVENUE B BLDG 6 YUMA AZ 85364 PERINATOLOGY CLINIC WOUND CARE CENTER 2460 S PARKVIEW LOOP SUITE 205 YUMA AZ 85364 WOUND CARE CENTER YRMC PEDIATRICS 2359 S 22ND DRIVE SUITE 2 YUMA AZ 85364 PEDIATRIC CLINIC YUMA REGIONAL CANCER CENTER 2375 RIDGEVIEW DRIVE YUMA AZ 85364 CANCER CENTER/ONCOLOGY/HEMATOLOGY 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 true Foundation of Yuma Regional Medical Center 2400 S Avenue A Yuma AZ 85364 510179146 501(c)(3) 298920 General Operating Grant CITY OF YUMA ARIZONA ONE CITY PLAZA YUMA AZ 85364 237064789 CITY OF YUMA AZ 26000 INCLUSIVE PLAYGROUND PIECES AND SENSORY SPACE CABALLEROS DE YUMA INC 180 W FIRST STREET C YUMA AZ 85364 866052369 501(C)(6) 11250 GENERAL SUPPORT GREATER YUMA ECONOMIC DEVELOPMENT CORPORATION 899 EAST PLAZA CIRCLE 2 YUMA AZ 85365 860537174 501(C)(6) 10000 GENERAL SUPPORT YUMA COUNTY CHAMBER OF COMMERCE 180 W 1ST STREET SUITE A YUMA AZ 85364 860069704 510(C)(6) 16310 GENERAL SUPPORT YUMA COUNTY HISTORICAL SOCIETY 240 MADISON AVENUE YUMA AZ 85364 860216519 501(C)(3) 7500 GENERAL SUPPORT YUMA COMMUNITY FOOD BANK 2404 EAST 24TH ST SUITE A YUMA AZ 85365 860457836 501(C)(3) 7500 GENERAL SUPPORT YUMA FRESH VEGETABLE ASSOCIATION PO BOX 1647 YUMA AZ 85366 866052752 501(C)(6) 10500 ANNUAL HARVEST DINNER YUMA ROTARY CLUB PO BOX 1739 YUMA AZ 85366 846037675 501(C)(4) 77500 FMV MEDICAL SUPPLIES GENERAL SUPPORT PROJECT CURE 10377 E GEDDES AVENUE CENTENNIAL CA 80012 841568566 501(C)(3) 12500 FMV MEDICAL SUPPLIES GENERAL SUPPORT 5 5 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. X X true true X X X X false true false false false false false false false Robert Trenschel DO President/CEO, Director 1254670 0 245088 0 5940 0 335218 0 23462 0 1864378 0 0 0 Vernon Moore III SVP & Chief Financial Officer 479356 0 115329 0 28994 0 125922 0 18877 0 768478 0 0 0 Dr Bharat Magu SVP & Chief Medical Officer 535856 0 120510 0 20112 0 121778 0 7889 0 806145 0 0 0 Trudie Milner SVP & Chief Operating Officer 447688 0 87360 0 7658 0 212132 0 8027 0 762865 0 0 0 James Adamson SVP & General Counsel 444105 0 101250 0 2894 0 107337 0 23462 0 679048 0 0 0 Matthew McElrath SVP & Chief Human Resource Officer 432477 0 86275 0 4152 0 111823 0 30529 0 665256 0 0 0 Machele Headington SVP Marketing & Communications 312560 0 71370 0 2510 0 225686 0 23462 0 635588 0 0 0 Deborah Aders RN MS CIC SVP & Chief Nursing Officer 476542 0 91260 0 13535 0 13200 0 9975 0 604512 0 0 0 Fred Peet SVP & Chief Informational Officer 375330 0 87750 0 9075 0 93420 0 18877 0 584452 0 0 0 Joan Cox SVP & Chief Experience Officer 304233 0 74844 0 22854 0 92927 0 1228 0 496086 0 0 0 Simon Lavotshkin General Surgeon 470833 0 1191481 0 763 0 13200 0 23796 0 1700073 0 0 0 Harvey Wilds Physician Radiation Oncologist 530858 0 845457 0 3122 0 13200 0 1378 0 1394015 0 0 0 David Caropreso Physician Urology 430850 0 806845 0 1824 0 13200 0 9975 0 1262694 0 0 0 Michael Tracy Physician Orthopedic Surgeon 876748 0 252289 0 5297 0 13200 0 18936 0 1166470 0 0 0 Robert Takesuye Physician Radiation Oncologist 502875 0 582272 0 5699 0 13200 0 1378 0 1105424 0 0 0 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. A INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA ARIZONA 860498547 988514CE3 2014-02-05 179884512 CURRENT REFUNDING OF TAX-EXEMPT BONDS, FACILITIES IMPROVEMENT false false false B ARIZONA HEALTH FACILITIES AUTHORITY 860453292 000000000 2015-09-15 20000000 FACILITIES IMPROVEMENTS false false false C INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA ARIZONA 860498547 000000000 2017-03-14 20000000 FINANCE EQUIPMENT AND INFORMATION SYSTEMS ACQUISITIONS false false false D INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA ARIZONA 860498547 000000000 2019-09-10 20000000 FINANCE EQUIPMENT AND INFORMATION SYSTEMS ACQUISITIONS false false false A 129235000 0 179901930 0 0 0 1127545 0 0 75002093 103375000 397292 2015 true false true true B 17820140 0 20000000 0 0 0 78870 0 0 19921130 0 0 2016 false false true true C 18636926 0 20097323 0 0 0 84500 0 0 20012823 0 0 2019 false false true true D 9463746 0 20126067 0 0 0 74000 0 0 20052387 0 0 2023 false false true true A false false false false 0.0 0.0 0.0 false false true B false false false false 0.0 0.0 0.0 false false true C false false false false 0.0 0.0 0.0 false false true D false false false false 0.0 0.0 0.0 false false true A false false false true true false false false true B false false false true false false false false true C false false false true false false false false true D false false false true false false false true true A true B true C true D true 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 A INDUSTRIAL DEVELOPMENT AUTHORITY OF CITY OF YUMA ARIZONA 860498547 000000000 2023-12-12 102290000 Current Refunding of Tax-Exempt Bonds false false false A 375000 0 102290067 0 0 0 438043 0 0 0 101851957 67 2024 true false true true A false false false false 0.0 0.0 0.0 false false true A false true false false true false false false true A true DR BHARAT MAGU CURRENT KEY EMPLOYEE SPLIT DOLLAR AGREEMENT X 3025000 3047871 false true true 3047871 Michael Headington Family member of Machele Headington, Key Employee 85524 Salaries & Wages false Gary Aders Family member of Deborah Aders, Key Employee 116218 Salaries & Wages false 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; SOUTHWEST HEALTH COLLABORATIVE LLC 2400 S AVENUE A YUMA AZ 85364 822352860 HEALTHCARE AZ 14880 0 YUMA REGIONAL MEDICAL CENTER YUMA REGIONAL HEALTH SYSTEM INSURANCE LLC 2400 S AVENUE A YUMA AZ 85364 823158109 HEALTHCARE AZ 7438520 3170212 YUMA REGIONAL MEDICAL CENTER WORLD CLASS IMAGING LLC 2400 S AVENUE A YUMA AZ 85364 INACTIVE AZ 0 0 YUMA REGIONAL MEDICAL CENTER FOUNDATION OF YUMA REGIONAL MEDICAL CENTER 2400 S AVENUE A YUMA AZ 85364 510179146 SUPPORTING AZ 501(c)(3) Type I YUMA REGIONAL MEDICAL CENTER true SOUTHWEST HEALTH 720 S RIO VISTA DR YUMA AZ 85365 920682043 SUPPORTING ORGANIZATION AZ 501(c)(3) Type III-FI NA false false true true false false false false false false false false true true true true false false true false Foundation of Yuma Regional Medical Center B 298920 Cash Transferred Foundation of Yuma Regional Medical Center C 313763 Cash Transferred