2026-08-07T11:25:24+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 1201 WALNUT STREET SUITE 1700 KANSAS CITY MO 641062246 990 2024-10-01 866007596 YUMA REGIONAL MEDICAL CENTER YUMA 9283367000 2400 S AVENUE A YUMA AZ 85364 DR ROBERT J TRENSCHEL PRESIDENT/CEO 9283367000 2026-08-07 true KEVIN ENSMINGER P01310558 8162216300 2026-08-07 2024 2025-03-06 01:10:19Z ONVIDA HEALTH YUMA MEDICAL CENTER DR ROBERT J TRENSCHEL 2400 S AVENUE A YUMA AZ 85364 1395736872 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 3565 370 428941 0 2143994 5688237 823815953 956963949 28821944 49063692 6460096 6679989 861241987 1018395867 477980 594077 0 353325342 389308203 0 0 458229841 503621128 812033163 893523408 49208824 124872459 1456238423 1864145759 431670067 688578659 1024568356 1175567100 YUMA REGIONAL MEDICAL CENTER (DBA ONVIDA HEALTH YUMA MEDICAL CENTER) IS GUIDED BY ITS PURPOSE OF BUILDING A HEALTHIER TOMORROW. THIS PURPOSE IS BROUGHT TO LIFE THROUGH THREE CORE COMMITMENTS: PUTTING PATIENT FIRST, ROOTED IN THE COMMUNITY AND COMMITTED TO PROGRESS. TOGETHER, THESE PILLARS DRIVE THE WORK OF EVERY TEAM MEMBER, EVERY DAY -SERVING PATIENTS AND FAMILIES IN YUMA COUNTY. false false 761267307 594077 956535008 YUMA REGIONAL MEDICAL CENTER DBA ONVIDA HEALTH YUMA MEDICAL CENTER (YRMC) IS AN ARIZONA NONPROFIT CORPORATION PROVIDING HEALTHCARE TO THE RESIDENTS OF YUMA, ARIZONA AND SURROUNDING COMMUNITIES. YRMC PROVIDES A COMPREHENSIVE RANGE OF INPATIENT, OUTPATIENT, EMERGENCY, AND SPECIALTY SERVICES AND REINVESTS ALL EXCESS REVENUES INTO PROGRAMS, TECHNOLOGY AND SERVICES THAT BENEFIT THE COMMUNITY. YRMC IS GOVERNED BY A BOARD OF LOCAL COMMUNITY MEMBERS AND PROVIDES SERVICES THROUGH A WORKFORCE OF 4,000 TEAM MEMBERS, INCLUDING APPROXIMATELY 350 PROVIDERS ACROSS 52 SPECIALTIES AND OVER 300 VOLUNTEERS. MORE THAN 90 PERCENT OF ITS PHYSICIANS ARE BOARD CERTIFIED OR BOARD ELIGIBLE, SUPPORTING THE ORGANIZATION'S COMMITMENT TO HIGH-QUALITY, PATIENT-CENTERED CARE. TO ENSURE HEALTHCARE ACCESS FOR ALL, YRMC PROVIDES FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS BASED ON FEDERAL POVERTY GUIDELINES AND OTHER FINANCIAL CRITERIA. THE ORGANIZATION IS COMMITTED TO ENSURING THAT MEDICALLY NECESSARY CARE IS AVAILABLE REGARDLESS OF A PATIENT'S ABILITY TO PAY. AS A NONPROFIT ORGANIZATION, YRMC RELIES ALMOST EXCLUSIVELY ON PATIENT REVENUES. ALL FUNDS REMAINING AT THE END OF THE YEAR ARE REINVESTED INTO THE PEOPLE AND COMMUNITIES WE SERVE. A COPY OF THE CHARITY CARE POLICY IS AVAILABLE AT WWW.ONVIDAHEALTH.ORG. PROGRAM SERVICE ACCOMPLISHMENTS (OCT 2024- SEPT 2025) PROGRAM SERVICE HIGHLIGHTS (A) IMPROVING ACCESS TO ACUTE AND SPECIALIZED CARE SERVICES YRMC PROVIDES COMPREHENSIVE ACUTE CARE SERVICES, INCLUDING EMERGENCY CARE, SURGICAL SERVICES, CARDIOVASCULAR CARE, NEONATAL INTENSIVE CARE, ONCOLOGY AND OTHER SPECIALTY SERVICES. BY PROVIDING ADVANCED CARE LOCALLY, THE ORGANIZATION HELPS FAMILIES REMAIN CLOSE TO HOME, REDUCING THE FINANCIAL AND EMOTIONAL BURDEN ASSOCIATED WITH OUT-OF-AREA TREATMENT. RECOGNIZING BEHAVIORAL HEALTH AS A CRITICAL COMMUNITY NEED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, YRMC EXPANDED ACCESS THROUGH THE OPENING OF A 24-BED INPATIENT BEHAVIORAL HEALTH FACILITY IN 2023 AND SOON AFTER EXPANDED INTENSIVE OUTPATIENT (IOP) THERAPY SERVICES. IN 2025, YRMC TOOK A SIGNIFICANT STEP FORWARD WITH THE LAUNCH OF ITS PSYCHIATRY RESIDENCY PROGRAM, EXPANDING ACCESS TO CARE AND TRAINING PSYCHIATRISTS TO TREAT THE PHYSICAL AND EMOTIONAL WELL-BEING OF THEIR PATIENTS WHILE SERVING A DIVERSE POPULATION WITH COMPASSION AND CULTURAL AWARENESS. THESE INVESTMENTS INCREASE ACCESS TO TIMELY, COORDINATED MENTAL HEALTH CARE ACROSS THE SERVICE AREA. TO SUPPORT THE POPULATION GROWTH AND PROVIDE LOCAL ACCESS TO CARE IN SOUTH COUNTY, YRMC BROKE GROUND ON A NEW HOSPITAL IN SAN LUIS, ARIZONA. SCHEDULED TO OPEN IN 2027, THE CAMPUS WILL FEATURE INPATIENT AND OUTPATIENT OBSERVATION BEDS, A FULL-SERVICE EMERGENCY DEPARTMENT, OPERATING AND RECOVERY ROOMS, ADVANCED IMAGING, AND ACCESS TO SPECIALTY CARE. YRMC HAS PARTNERED WITH THE SOUTHERN ARIZONA VA HEALTH CARE SYSTEM IN THE CONSTRUCTION OF A NEW-STATE-OF-THE-ART MEDICAL FACILITY DEDICATED TO SERVING THE YUMA VETERAN'S COMMUNITY. WITH AN ESTIMATED COMPLETION IN SUMMER 2027, THE PROJECT MARKS YRMC'S LONG-TERM INVESTMENT IN THE HEALTH, DIGNITY AND WELL-BEING OF YUMA VETERANS. IN 2025, YRMC SOLIDIFIED ITS COMMITMENT TO EXPAND ACCESS TO CARE THROUGH THE RECRUITMENT OF MORE THAN 100 NEW HEALTHCARE PROVIDERS IN SPECIALTIES SUCH AS GENERAL SURGERY, PRIMARY CARE, BEHAVIORAL HEALTH, GASTROENTEROLOGY, VASCULAR SURGERY AND UROLOGY TO NAME A FEW. PROVIDERS WERE DRAWN TO YUMA THROUGH ADVANCED TECHNOLOGY, A GROWING MEDICAL CAMPUS, A CULTURE OF EXCELLENCE AND THE OPPORTUNITY TO MAKE A REAL DIFFERENCE IN A CLOSE-KNIT COMMUNITY. (B) COMMITMENT TO QUALITY AND EXPERIENCE YRMC'S MISSION HAS ALWAYS BEEN TO PROVIDE OUR COMMUNITY WITH THE HIGHEST LEVEL OF QUALITY CARE, COUPLED WITH AN ELEVATED PATIENT EXPERIENCE. TO DO THIS THE ORGANIZATION INVESTED IN INNOVATIONS THAT IMPROVED EFFICIENCY, REDUCED STAFF BURNOUT, AND ENHANCED CLINICAL OUTCOMES. IN 2025, YRMC MADE SIGNIFICANT ADVANCEMENTS IN EACH OF THESE AREAS THROUGH INVESTMENTS IN POINT-OF-CARE SOLUTIONS, ADVANCED SURGICAL TECHNOLOGIES, OPERATIONAL ENHANCEMENTS AND AI. - CELEBRATED THE 5,000TH ROBOTIC-ASSISTED SURGERY, A MAJOR MILESTONE IN THE ROBOTIC SURGERY PROGRAM - EMERGENCY DEPARTMENT INITIATIVES REDUCED PATIENT LENGTH OF STAY TO 3 HOURS AND 35 MINUTES (BELOW NATIONAL AVERAGE) AND ACHIEVED A 4.1 GOOGLE STAR RATING. - IMPLEMENTED AMBIENCE HEALTHCARE'S AI PLATFORM, REDUCING ADMINISTRATIVE WORKLOAD SO PROVIDERS CAN SPEND MORE TIME WITH PATIENTS. - PIONEERED YUMA'S FIRST AND ONLY ION ROBOTIC SYSTEM FOR EARLY LUNG CANCER DETECTION, ALLOWING DOCTORS TO ADDRESS THE DISEASE DURING MORE TREATABLE STAGES. - INTRODUCED THE EPIC ROVER MOBILE PLATFORM, ENABLING NURSES TO DOCUMENT IN REAL TIME, SAFELY ADMINISTER MEDICATIONS, AND ACCESS CRITICAL PATIENT INFORMATION AT THE BEDSIDE. EACH OF THESE INNOVATIONS BUILDS ON YRMC'S COMMITMENT TO DELIVERING HIGH-QUALITY, COMPASSIONATE CARE TO THE COMMUNITY. (C) HEALTH PROFESSIONS EDUCATION AND WORKFORCE DEVELOPMENT YRMC IS COMMITTED TO DEVELOPING THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS THROUGH ROBUST EDUCATION AND TRAINING PROGRAMS. - IN 2024 YRMC, IN PARTNERSHIP WITH ARIZONA WESTERN COLLEGE AND NORTHERN ARIZONA UNIVERSITY, ANNOUNCED PLANS TO CONSTRUCT YUMA'S FIRST HEALTH CAREERS CENTER TO PROVIDE ADVANCED CLINICAL TRAINING, SIMULATION-BASED EDUCATION, AND INTERNSHIPS ACROSS MULTIPLE DISCIPLINES INCLUDING NURSING, RADIOLOGY TECHNOLOGY, THERAPY AND SOCIAL WORK. - YRMC ALSO SUPPORTS A GROWING FAMILY MEDICINE RESIDENCY PROGRAM AND OFFERS CLINICAL TRAINING OPPORTUNITIES IN ADDITIONAL SPECIALTIES. PROGRAMS SUCH AS "MENTOR ME MD" PROVIDE MENTORSHIP AND HANDS-ON LEARNING EXPERIENCES FOR LOCAL STUDENTS INTERESTED IN HEALTHCARE CAREERS, HELPING TO BUILD A SUSTAINABLE WORKFORCE PIPELINE. - ESTABLISHED THE SOUTHWEST HEALTH EDUCATION COLLABORATIVE AND NEW AREA HEALTH CENTER WITH ARIZONA WESTERN COLLEGE AND SUNSET HEALTH TO EXPAND CULTURALLY RESPONSIVE EDUCATION AND STRENGTHEN THE LOCAL HEALTHCARE WORKFORCE BY ENGAGING 2,500 STUDENTS FROM ACROSS YUMA, LA PAS AND MOHAVE COUNTIES. - CREATED HEALTHCARE CAREER PATHWAYS FOR LOCAL STUDENTS IN PARTNERSHIP WITH THE SOUTHWEST TECHNICAL EDUCATION DISTRICT OF YUMA (STEDY) STRENGTHENING OUR HEALTHCARE COMMUNITY MEANS CREATING OPPORTUNITIES FOR THOSE WHO WILL CARE FOR OUR REGION IN THE FUTURE. (D) OTHER SPECIALTY SERVICES INCLUDE, BUT AREN'T LIMITED TO: BOARD CERTIFIED EMERGENCY CARE FOR ADULT AND PEDIATRIC PATIENTS, NEONATAL INTENSIVE CARE UNIT, PALLIATIVE CARE SERVICES, INSTITUTIONAL RESEARCH, MAYO CLINIC CARE NETWORK ACCESS, TRANSPORTATION SERVICES, TRANSITIONAL CARE, INPATIENT AND OUTPATIENT DIABETES CARE, PEDIATRIC SPECIALTY CARE COORDINATION. ADDITIONAL WORKFORCE OPPORTUNITIES: PHARMACY RESIDENCY PROGRAM, CLINICAL PASTORAL EDUCATION, EMPLOYEE LEADERSHIP AND DEVELOPMENT TRAINING, SURGICAL TECH PROGRAM, AND INTERNSHIPS. 761267307 true true false true false 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 false true false false true false false false false false true true true true false false true X 433 0 true 3565 true true true true CJ false false false false false false false false true false X 10 7 false false false false true true true true true false 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 2042788 0 629079 ANDRES SALCIDO BOARD MEMBER 5.0 1.0 X 0 0 0 ASHVIN SHAH MD BOARD MEMBER, PHYSICIAN PULMONOLOGY 5.0 1.0 X 56554 0 0 CLAUDIA DIMA MD BOARD MEMBER, PHYSICIAN CARDIOLOGY 5.0 1.0 X 92750 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 768317 0 131114 DEBORAH ADERS RN MS CIC SVP & CHIEF NURSING OFFICER 40.0 0.0 X 613694 0 101777 DR BHARAT MAGU SVP & CHIEF MEDICAL OFFICER 40.0 0.0 X 725380 0 85665 FRED PEET SVP & CHIEF INFORMATIONAL OFFICER 40.0 0.0 X 536612 0 131690 JAMES ADAMSON SVP & GENERAL COUNSEL 40.0 2.0 X 630086 0 114810 JOAN COX SVP & CHIEF EXPERIENCE OFFICER 40.0 0.0 X 558267 0 18346 MACHELE HEADINGTON SVP MARKETING & COMMUNICATIONS 40.0 0.0 X 451785 0 108810 MARC CHASIN SVP & CHIEF DIGITAL & INFORMATION OFFICER 40.0 0.0 X 246110 0 22946 MATTHEW MCELRATH SVP & CHIEF HUMAN RESOURCE OFFICER 40.0 0.0 X 625277 0 122233 TRUDIE MILNER SVP & CHIEF OPERATING OFFICER 40.0 0.0 X 667331 0 149127 DAVID CAROPRESO PHYSICIAN UROLOGY SPECIALTY 40.0 0.0 X 1329821 0 24719 JON-RENE SUFFERN ANESTHESIOLOGIST 40.0 0.0 X 1595225 0 49034 NATHAN HERRINGTON ANESTHESIOLOGIST 40.0 0.0 X 1736776 0 48111 ROBERT TAKESUYE PHYSICIAN RADIATION ONCOLOGIST 40.0 2.0 X 1466366 0 18029 SIMON LAVOTSHKIN GENERAL SURGEON 40.0 0.0 X 1387792 0 51994 15530931 0 1807484 690 true true false SOUTHWEST DESERT RADIOLOGY PC 1308 N STOCKTON HILL RD SUITE A108 KINGMAN AZ 86401 RADIOLOGY SERVICES 19398419 MJ HARRIS CONSTRUCTION SERVICE 1 RIVERCHASE RIDGE SUITE 300 BIRMINGHAM AL 35244 CONSTRUCTION SERVICES 19245690 HOSPITALITY HEALTHCARE SERVICE 6929 WEST SOUTHERN AVENUE LAVEEN AZ 85339 ENVIRONMENTAL SERVICES 8991578 ARCHSOL LLC 8900 EAST BAHIA DRIVE SUITE 300 SCOTTSDALE AZ 85260 CONSTRUCTION SERVICES 5781492 COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 MEDICAL STAFFING 4714987 140 415125 5136139 136973 5688237 PATIENT SERVICE REVENUE 621110 932268090 932268090 CONTRACT REVENUE 624100 1322190 1322190 INCOME FROM AFFLIATES 523000 5095272 4666331 428941 HEALTH EDUCATION 611710 3862788 3862788 APSI REVENUE 621110 14006375 14006375 409234 409234 0 0 956963949 25408534 25408534 867093 0 867093 0 867093 867093 400595608 51050 372814640 4176860 27780968 -4125810 23655158 23655158 1567742 349505 1218237 1218237 REBATES 900099 3498027 3498027 SETTLEMENT REVENUE 900099 670946 670946 RESEARCH TRIAL REVENUE 541900 425686 425686 0 0 0 0 4594659 1018395867 956535008 428941 55743681 X 594077 594077 7259938 7259938 231610 231610 304378040 266933398 37444642 9747295 9488788 258507 47610607 40768141 6842466 20080713 17112686 2968027 2697807 2697807 3147754 3147754 365718 365718 20927 20927 3445009 3445009 185177684 161889196 23288488 0 2424823 2424823 7673553 4035492 3638061 21353578 14388764 6964814 21314030 14362115 6951915 7192224 4846364 2345860 105346 105346 14681653 12728820 1952833 37051414 29245012 7806402 3770757 809886 2960871 MEDICAL SUPPLIES 123493234 123493234 AHCCS FEES 47611570 47611570 DUES/SUBCRIPTIONS/TAXES 10251508 5391229 4860279 REPAIRS AND MAINTENANCE 2713621 1417161 1296460 9128918 6151374 2977544 0 893523408 761267307 132256101 0 61815924 19818968 81147059 103179377 0 0 153540051 153068199 3047871 8446785 0 0 13756731 15997905 13290799 24081807 1125763835 574785914 458721615 550977921 528061416 831664418 29332591 26466905 30438251 34965252 36327873 36327873 46758242 59150349 1456238423 1864145759 102281204 86927478 34774380 46408798 162157714 433511751 0 0 0 132456769 121730632 431670067 688578659 X 1024568356 1175567100 1024568356 1175567100 1456238423 1864145759 X 124872459 21342113 4784172 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 20927 20927 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY YUMA REGIONAL MEDICAL CENTER (ONVIDA HEALTH YUMA MEDICAL CENTER) IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND ARIZONA HOSPITAL ASSOCIATION (AZHHA). ONVIDA HEALTH PAID A TOTAL OF $251,206 FOR MEMBERSHIP DURING FY2025 OF THE AMOUNT REPORTED, 8.12% OR $20,927.03 OF DUES WERE EXPENDED FOR SPECIFIC LOBBYING PURPOSES. 19599026 398119 2914668 222889 1292 22687632 17228984 1721 2688940 320619 19599026 15686283 617 1730745 188661 17228984 17050847 500 -1183917 181147 15686283 14025276 35001 3086808 80238 16000 17050847 0.36 0.25 0.39 false true true 45251471 45251471 529066691 236170506 292896185 359121929 303210973 55910956 192323744 35404435 156919309 550977921 FEDERAL INCOME TAXES SELF-INSURANCE LIABILITY 12590165 THIRD PARTY SETTLEMENTS 5140028 457(F) FUND PAYABLE 7338767 FINANCE LIABILITY 53177396 OTHER LIABILITIES 8285447 OPERATING/FINANCE LEASE LIABILITY 35198829 121730632 0 0 0 0 0 0 0 0 0 0 0 0 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 ONVIDA HEALTH 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 6834452 0 0 0 0 0 0 6834452 0 6834452 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 true 8148362 0 8148362 0.00912 251452297 216016679 35435618 0.03966 0 0 0 0.0 0 0 259600659 216016679 43583980 0.04878 37 17869 1101710 800 1100910 0.00123 1 3950045 0 3950045 0.00442 3 970 24911 0 24911 0.00003 0 0 0 0.0 21 1000 89000 0 89000 0.00010 62 19839 5165666 800 5164866 0.00578 62 19839 264766325 216017479 48748846 0.05456 4 0 440500 0 440500 0.00049 3 5400 39650 0 39650 0.00004 11 4915 63615 0 63615 0.00007 0 0 0 0 0 0.0 1 0 1000 0 1000 0.00000 8 0 52906 0 52906 0.00006 0 0 0 0 0 0.0 1 560 41319 15000 26319 0.00003 0 0 0 0 0 0.0 28 10875 638990 15000 623990 0.00070 true 46783226 166244425 267416552 -101172127 X true true 2 1 ONVIDA HEALTH YUMA 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 25 true true false true X https://www.onvidahealth.org/community/community-health-needs-assessment/ HTTPS://WWW.ENCOMPASSHEALTH.COM/LOCATIONS/YUMA-REHAB/WHY-CHOOSE-US X true 25 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 X 25 true true false true X https://www.encompasshealth.com/locations/yuma-rehab https://www.onvidahealth.org X true 25 true https://www.encompasshealth.com/locations/yuma-rehab false true X 200.0 400.0 X X X X true true X X X true X https://www.encompasshealth.com/locations/yuma-re X https://www.encompasshealth.com/ X https://www.encompasshealt X X X X X X true X false X X X X false X 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 DBA ONVIDA HEALTH YUMA MEDICAL CENTER AND YUMA REHABILITATION HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2025. WORKING COLLABORATIVELY WITH OUR YUMA COUNTY PUBLIC HEALTH PARTNERS AND SOUTHWEST ARIZONA TOWN HALL (FORMERLY KNOWN AS THE SOUTHWEST ARIZONA FUTURES FORUM, OR SAFF), ONVIDA HEALTH 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, ONVIDA HEALTH 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 DBA ONVIDA HEALTH YUMA 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 2025 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. NOTE, KEY INFORMANTS RATED MENTAL HEALTH AS A TOP CONCERN. GOALS: * INCREASE AVAILABILITY AND ACCESS TO BEHAVIORAL HEALTH PROVIDERS IN THE COMMUNITY * REDUCE ER HOLDING TIMES DUE TO LACK OF INPATIENT PSYCHIATRIC FACILITY BEDS * REDUCE ER TRANSFERS OF PSYCHIATRIC INPATIENTS TO FACILITIES OUTSIDE OF YUMA COUNTY * INCREASE AWARENESS AMONG ADULTS AND TEENS ALIKE, WITH RELATED 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. 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 THE SHERIFF'S DEPARTMENT AND COUNTY 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. * ONVIDA HEALTH YUMA MEDICAL CENTER WAS A TOP TIER SPONSOR, CONTRIBUTING $20,000 FOR GRAD NIGHTS 2024 & 2025 TO ENSURE A SAFE, SUBSTANCE FREE CELEBRATION FOR GRADUATING SENIORS. * ONVIDA HEALTH YUMA MEDICAL CENTER'S ONGOING PARTNERSHIP THROUGHOUT YUMA COUNTY IN 2024 PROVIDED +100,000 DRUG PREVENTION RESOURCES AND 10,000 SYNCH BAGS CONTAINING MATERIALS AND EDUCATION TOOLS. * DEVELOPMENT OF ONVIDA HEALTH YUMA MEDICAL CENTER'S EMERGENCY ROOM KITS. THESE PROVIDE NARCAN INFORMATION AND OPIOID EDUCATION AND ARE DISTRIBUTED 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: * ONVIDA HEALTH YUMA MEDICAL CENTER OPENED A 24-BED INPATIENT BEHAVIORAL HEALTH UNIT IN FEBRUARY 2023 TO EXPAND COMMUNITY ACCESS TO INPATIENT BEHAVIORAL HEALTH. THE INPATIENT BEHAVIORAL HEALTH UNIT ALSO ESTABLISHED A ROBUST INTENSIVE OUTPATIENT PROGRAM FOR LONG-TERM TREATMENT AND MANAGEMENT OF BEHAVIORAL HEALTH PATIENTS. * THE CREATION OF THE BEHAVIORAL HEALTH CRISIS TEAM, NOW ON-SITE, PROVIDES BEHAVIORAL HEALTH CRISIS ASSESSMENTS. * THE BEHAVIORAL HEALTH CRISES ASSESSMENT TEAM IS PROVIDING ASSESSMENTS IN THE ONVIDA HEALTH YUMA MEDICAL CENTER EMERGENCY DEPARTMENTS, MEETING PATIENTS WHERE THE NEED IS. * ONVIDA HEALTH YUMA MEDICAL CENTER INTRODUCED A PILOT PROGRAM WITHIN THE FAMILY MEDICINE CLINIC TO PROVIDE ASSESSMENTS FOR PATIENTS AT RISK OF SUICIDE. PATIENTS CAN NOW UNDERGO THEIR ASSESSMENT AND INTAKE PROCESS WHILE STILL AT THE CLINIC 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. * ONVIDA HEALTH YUMA MEDICAL CENTER 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. * ONVIDA HEALTH YUMA MEDICAL CENTER IS CURRENTLY IN THE PROCESS OF DEVELOPING GERIATRIC BEHAVIORAL HEALTH SERVICES AND INTENSIVE OUTPATIENT PROGRAMS FOR LOCAL LONG-TERM CARE FACILITIES. * DELIVERED QUESTION, PERSUADE, REFER (QPR) SUICIDE AWARENESS TRAINING IN PARTNERSHIP WITH YUMA DISTRICT ONE SCHOOLS AND THE PEDIATRICS DEPARTMENT. * COLLABORATED WITH SUNSET CLINIC, A LOCAL FEDERALLY QUALIFIED HEALTH CENTER, TO STRENGTHEN PEDIATRIC PSYCHIATRY MANAGEMENT SERVICES AND ESTABLISH A REFERRAL PATHWAY FOR EARLY AUTISM INTERVENTION. * INITIATED THE STANDARDIZATION OF THE PHQ-9 (PATIENT HEALTH QUESTIONNAIRE) DEPRESSION SCREENING TOOL WITHIN THE ELECTRONIC MEDICAL RECORD TO SUPPORT MEASUREMENT-BASED TREATMENT FOR DEPRESSION; CONCURRENTLY PROGRESSING TOWARD THE IMPLEMENTATION OF THE ZERO SUICIDE PROJECT STRATEGY #5: DEVELOP AND IMPLEMENT A PSYCHIATRY RESIDENCY PROGRAM TO GROW AND RETAIN PSYCHIATRISTS IN OUR COMMUNITY. TARGET POPULATION(S): YUMA COUNTY SERVICE AREA. ACTIONS: * DR. TEREFE WAS 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. ACGME (ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION) SITE VISIT SCHEDULED FOR MAY 2024. * ONVIDA HEALTH YUMA MEDICAL CENTER 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 IN 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 AND WILL START AUGUST 25, 2024. * ACTIVE RECRUITMENT IS UNDERWAY FOR ADDITIONAL FACULTY PHYSICIANS TO SUPPORT AND BUILD THE ACADEMIC FOUNDATION FOR OUR PSYCHIATRY RESIDENCY PROGRAM. SEVERAL CANDIDATES ARE IN PROCESS AND ANTICIPATED TO FINALIZE IN 2024. * THE INITIAL ATTEMPT FOR ACGME (ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION) ACCREDITATION WAS NOT SUCCESSFUL DUE TO AN INSUFFICIENT NUMBER OF BOARD-CERTIFIED PSYCHIATRY FACULTY. * CORRECTIVE RECRUITMENT MEASURES WERE TAKEN, AND THE APPLICATION FOR ACGME ACCREDITATION WAS RE-SUBMITTED IN Q1 OF 2025 TO ESTABLISH A PSYCHIATRY GRADUATE MEDICAL EDUCATION PROGRAM. * PENDING ACGME APPROVAL, THE PLAN IS TO LAUNCH THE PSYCHIATRY RESIDENCY PROGRAM WITH AN IDEAL START DATE OF JULY 2025, ENROLLING FOUR RESIDENTS PER YEAR. THESE RESIDENTS WILL DELIVER COMPREHENSIVE MENTAL HEALTH CARE ACROSS THE YUMA COMMUNITY, ONVIDA HEALTH YUMA MEDICAL CENTER CLINICS, AND HOSPITAL SYSTEM, WITH THE GOAL OF RETAINING THESE RESIDENTS IN THE COMMUNITY. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY A, 2 FACILITY A, 2 - YUMA REGIONAL MEDICAL CENTER. PRIORITY AREA: SUBSTANCE USE 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). GOALS: * REDUCE NUMBER OF PATIENTS NEEDING TO TRAVEL OUT OF TOWN FOR SUBSTANCE DETOX AND TREATMENT. * EXPAND AWARENESS AND EDUCATION AMONG STUDENTS AND PARENTS. 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 SIXTY-FIVE, HISPANIC. BARRIERS TO ACCESS ATTRIBUTED: LACK OF LOCALLY AVAILABLE DETOX AND SUPPORT GROUPS. STRATEGY #1: DEVELOP ACUTE MEDICAL DETOX AND TREATMENT SERVICES IN YUMA COUNTY TARGET POPULATION(S): YUMA COUNTY SERVICE AREA * DEVELOP INPATIENT CHEMICAL DEPENDENCY DETOX UNIT - INPATIENT DETOX UNIT IS CURRENTLY ON HOLD DUE TO SPACE RESTRAINTS. * EXPANDED INTENSIVE OUTPATIENT PROGRAM SERVICES FOR CHEMICAL DEPENDENCY PATIENTS AND FAMILIES. * BEHAVIORAL HEALTH UNIT EXPANDED INTENSIVE OUTPATIENT PROGRAM SERVICES INCLUDE CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE (COMMS) GROUP. THIS GROUP IS INTENDED TO FOCUS ON THE MENTAL HEALTH PORTION OF SUBSTANCE USE. * INITIATED THE EMERGENCY DEPARTMENT NALOXONE PROGRAM FOR THOSE IDENTIFIED IN NEED AND AT ELEVATED RISK. * THIS IS UNDERWAY WITH THE ESTABLISHMENT OF OUR PSYCHIATRY RESIDENCY PROGRAM AND RECRUITMENT OF AN ADDICTION PSYCHIATRIST. ACTIVE CONTRACT NEGOTIATIONS ARE UNDERWAY WITH AN ADDICTION PSYCHIATRIST ANTICIPATED TO START LATE SUMMER 2024. STRATEGY #2: PARTNER WITH COMMUNITY LEADERS, SCHOOLS, AND FAMILIES TO ENHANCE AWARENESS THROUGH OUTREACH AND EDUCATION TARGET POPULATION(S): YUMA COUNTY SERVICE AREA * FAMILY MEDICINE RESIDENT PHYSICIANS ROTATE THROUGH LOCAL ELEMENTARY AND MIDDLE SCHOOLS TO MENTOR AND EDUCATE UNDERSERVED STUDENTS THROUGH A VARIETY OF ACTIVITIES AND PRESENTATIONS. * FENTANYL AWARENESS CAMPAIGN IN COLLABORATION WITH YUMA COUNTY SHERIFF'S OFFICE. * FAMILY MEDICINE RESIDENT PHYSICIAN QPR (QUESTION, PERSUADE, REFER) TRAINING CERTIFICATES OFFERED FOR LOCAL SCHOOL TEACHERS AS OF 2024. #3: RECRUIT A HEPATOLOGY PRACTITIONER TARGET POPULATION(S): YUMA COUNTY SERVICE AREA * DR. SATIYA- INTERNAL MEDICINE PHYSICIAN, FOCUSING ON LIVER DISEASE- WAS FULLY ONBOARDED IN APRIL, 2024 AND BEGAN TO SIGNIFICANTLY IMPACT PATIENTS IN OUR YUMA COMMUNITY. STRATEGY #4: DEVELOP CURRICULUM FOR FAMILY MEDICINE RESIDENTS IN PARTNERSHIP WITH PSYCHIATRY PROGRAM - TO INCLUDE DETOX MEDICINE. TARGET POPULATION(S): YUMA COUNTY SERVICE AREA * THE PSYCHIATRY PROGRAM DIRECTOR HAS BEGUN A QUARTERLY BEHAVIORAL HEALTH SERIES PRESENTED TO FAMILY MEDICINE RESIDENTS DURING THEIR DIDACTICS. * THE NEW BEHAVIORAL HEALTH TRACK JUST ANNOUNCED ITS FIRST FAMILY MEDICINE RESIDENTPHYSICIAN PARTICIPANT, WHO WILL BEGIN THEIR FOCUSED EDUCATIONAL TRACK IN JULY 2024. * OUR FIRST RESIDENT SUCCESSFULLY COMPLETED THE FIRST YEAR OF THE MHT (MENTAL HEALTH TRAINING) PROGRAM. * A NEW RESIDENT (PGY-2) WILL BECOME THE SECOND FAMILY MEDICINE RESIDENT ENROLLED IN THE MHT PROGRAM. * A PROCESS IS BEING DEVELOPED TO ESTABLISH THE MENTAL HEALTH TRAINING CLINIC ON A PART-TIME BASIS WITHIN THE FAMILY MEDICINE CLINIC. STRATEGY #5: DEVELOP AND IMPLEMENT AN INTENSIVE OUTPATIENT PROGRAM TO INCORPORATE SUBSTANCE USE DISORDERS. TARGET POPULATION(S): YUMA COUNTY SERVICE. * ONVIDA HEALTH YUMA MEDICAL CENTER, BEHAVIORAL HEALTH CENTER STARTED A PILOT FOR CO-OCCURRING MENTAL HEALTH AND SUBSTANCE US (COMS) INTENSIVE OUTPATIENT PROGRAM GROUP IN APRIL 2025. * * CURRENTLY THERE ARE 10 PARTICIPANTS SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY A, 3 FACILITY A, 3 - YUMA REGIONAL MEDICAL CENTER. PRIORITY AREA: ACCESS TO HEALTH CARE SERVICES BARRIERS TO ACCESS ARE 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 A HIGH VOLUME OF NON-ACUTE CARE. GOALS: * EXPAND AVAILABILITY OF APPOINTMENTS AND REDUCE WAIT TIME FOR APPOINTMENTS * EXPAND THE AVAILABILITY OF PRIMARY CARE PROVIDERS ACROSS THE COMMUNITY * IMPROVE PHYSICIAN-TO-POPULATION RATIO BENCHMARK FOUR OF THE TESTED BARRIERS WERE FOUND TO HAVE A HIGHER IMPACT LOCALLY THAN NATIONALLY: APPOINTMENT AVAILABILITY, FINDING A PHYSICIAN, COST OF A DOCTOR VISIT, AND INCONVENIENT OFFICE HOURS. TREND SINCE 1997, MENTION OF APPOINTMENT AVAILABILITY AND COST OF A DOCTOR VISIT AS BARRIERS HAS INCREASED SIGNIFICANTLY. DISPARITY FOUR OF THE BARRIERS WERE FOUND TO BE HIGHER IN YUMA THAN IN THE OTHER THREE SUBAREAS: APPOINTMENT AVAILABILITY, COST OF A DOCTOR VISIT, COST OF PRESCRIPTIONS, AND LACK OF TRANSPORTATION. STRATEGY #1: EXPAND FAMILY & COMMUNITY MEDICINE RESIDENCY PROGRAM (GROWING OUR OWN) TARGET POPULATION(S): MEDICAL STUDENTS WITH STRONG INTEREST IN SERVING COMMUNITY * FAMILY MEDICINE RESIDENCY PROGRAM WILL WELCOME 11 RESIDENTS IN JULY 2024, AS WE EXPAND OUR INCOMING CLASS SIZE BY TWO AND WELCOME A TRANSFER PGY2 RESIDENT. * OVERALL GOAL TO EXPAND THE PROGRAM FROM 26 TO 36 RESIDENTS = 12 PER CLASS PER YEAR. FOR THIS YEAR'S MATCH, THE PROGRAM WAS SEEKING 12 NEW RESIDENTS AND MATCHED 11. NOW COMPLETING SOAP WEEK TO FILL THE REMAINING OPEN SPOT. * IN A CONTINUED EFFORT TO INCREASE ACCESS TO HEALTH CARE SERVICES, THE GRADUATE MEDICAL EDUCATION DEPARTMENT IS PLEASED TO ANNOUNCE THAT A SECOND RESIDENCY PROGRAM HAS BEEN APPROVED FOR ACGME ACCREDITATION. THE NEW PSYCHIATRY RESIDENCY PROGRAM WILL WELCOME 4 RESIDENT PHYSICIANS IN JULY 2025. * THE FAMILY & COMMUNITY MEDICINE RESIDENCY WILL TRAIN 32 RESIDENT PHYSICIANS IN AY 25-26 AND REACH FULL COMPLEMENT OF 36 RESIDENT PHYSICIANS IN AY 27-28. THE PSYCHIATRY RESIDENCY HAS BEEN APPROVED FOR 4 SLOTS PER CLASS AND WILL RECRUIT TO FILL ALL 16 POSITIONS BY AY 28-29. * THE UNDERGRADUATE MEDICAL EDUCATION DEPARTMENT WELCOMED ADDITIONAL STUDENTS OF VARYING SCOPES FOR CLINICAL ROTATIONS, FROM 19 UNIVERSITIES AND INSTITUTIONS DURING AY 24-25. * ACCESS TO PRIMARY CARE AND BEHAVIORAL HEALTH CARE WILL CONTINUE TO INCREASE, AS RESIDENT CLASS SIZES FILL. MOREOVER, WE ARE PLEASED TO SHARE THAT THE RETENTION RATE FOR THE GENERAL MEDICAL EDUCATION PROGRAMS AT ONVIDA HEALTH IS 34%, AND WE HAVE RETAINED 24 PHYSICIANS TO SERVE IN YUMA COUNTY OVER THE LAST 10 YEARS. STRATEGY #2: EXPAND CLINIC HOURS AND LOCATION TO SERVE MORE PEOPLE TARGET POPULATION(S): NEW GRADUATE PHYSICIANS SERVING YUMA COUNTY RESIDENTS AND VISITORS * ONVIDA HEALTH YUMA MEDICAL CENTER ACQUIRED AN INTERNAL MEDICINE AND DIABETES MEDICAL PRACTICE, ADDING TWO PROVIDERS SPECIALIZING IN DIABETES CARE. * INCREASED PEDIATRIC AND PRIMARY CARE APPOINTMENTS BY 4% BY EXPANDING HOURS AND INCREASING EFFICIENCY. * FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS AND OBSTETRICS INCREASED THE HOURS TO SEE PATIENTS BY STAGGERING PROVIDER AND STAFF SCHEDULES. SOME WORK FROM 7:00 AM TO 4:00 PM AND OTHERS FROM 9:00 AM TO 6:00 PM. THIS ALLOWS CLINICS TO OPEN EARLIER, CLOSE LATER AND OFFER SATURDAY SERVICES. * FALL 2023, ONVIDA HEALTH YUMA MEDICAL CENTER OPENED ITS FOOTHILLS MEDICAL PLAZA, ADDING A SECOND EMERGENCY DEPARTMENT LOCATION WITH THE ADDITION OF PRIMARY CARE, PEDIATRICS, OBSTETRICS, AND PODIATRY PROVIDERS WITHIN THAT SAME LOCATION. THIS HELPS TO IMPROVE ACCESS TO CARE, EVEN CLOSER TO PATIENTS' HOMES. OVER 12,000 NEW PATIENT APPOINTMENTS HAVE BEEN COMPLETED. * INCREASED TRANSITIONAL CARE HOURS BY 10 HOURS PER WEEK BY EXPANDING HOURS (7:30 AM TO 6:00 PM MONDAY THROUGH FRIDAY). * INCREASED TELE VISITS IN FAMILY MEDICINE, GASTROENTEROLOGY AND ALLERGY/ IMMUNOLOGY. * ONVIDA HEALTH YUMA MEDICAL CENTER ADDED A NEW SERVICE: VASCULAR MEDICINE AS A NEW SERVICE TO YUMA COMMUNITY. * ONVIDA HEALTH YUMA MEDICAL CENTER ADDED A NEW SERVICE: EMERGENCY ORTHO SPINE CONSULTS, OFFERING REAL TIME ACCESS TO YUMA POPULATION. * ONVIDA HEALTH YUMA MEDICAL CENTER PLANNED FOR AND OPENED THEIR BEHAVIORAL HEALTH EAST FACILITY, EXPANDING BEHAVIORAL HEALTH PROGRAMS AND SERVICES. FURTHER SUPPORTING THE PREPARATION FOR THE APPROVED PSYCH RESIDENCY PROGRAM. * INVESTMENT IN AND FORMATION OF, THE ONVIDA HEALTH MEDICAL GROUP, INCLUDING EXPANSION OF PHYSICIAN/ APP LEADERSHIP. * ONVIDA HEALTH YUMA MEDICAL CENTER HELD A "BLESSING OF THE LAND" IN SAN LUIS AZ TO CULTURALLY SUPPORT OUR COMMITMENT TO THE FUTURE HOSPITAL THAT WILL BE BUILT IN SAN LUIS AZ. * THE ONVIDA HEALTH MOBILE UNIT HAS EXPANDED MOBILE CARE TO 2 ELEMENTARY SCHOOLS. EXPANDING OUR SERVICES TO TEACHERS AND STUDENTS' FAMILIES. * ONVIDA HEALTH YUMA MEDICAL CENTER ACQUIRED AND EXPANDED INTO A NEW PEDIATRICS LOCATION, ADDING 17 NEW EXAM ROOMS. * ONVIDA HEALTH YUMA MEDICAL CENTER HAS IMPLEMENTED MULTI-DISCIPLINARY DIABETES GROUP VISITS, EXPANDING THE ABILITY TO PROVIDE EVIDENCE-BASED CARE FOR PATIENTS WITH DIABETES IN YUMA COUNTY. 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 DBA ONVIDA HEALTH YUMA 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 DBA ONVIDA HEALTH YUMA MEDICAL CENTER SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY B, 1 FACILITY B, 1 - YUMA REHABILITATION HOSPITAL. YUMA REGIONAL MEDICAL CENTER DBA ONVIDA HEALTH YUMA MEDICAL CENTER AND YUMA REHABILITATION HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2025. WORKING COLLABORATIVELY WITH OUR YUMA COUNTY PUBLIC HEALTH PARTNERS AND SOUTHWEST ARIZONA TOWN HALL (FORMERLY KNOWN AS THE SOUTHWEST ARIZONA FUTURES FORUM, OR SAFF), ONVIDA HEALTH 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, PART V, SECTION B, LINE 21 FACILITY B, 1 FACILITY B, 1 - YUMA REHABILITATION HOSPITAL. HOSPITAL DOES NOT HAVE A DEDICATED EMERGENCY DEPARTMENT. THE HOSPITAL WILL APPRAISE EMERGENCIES, PROVIDE INITIAL TREATMENT, AND REFER OR TRANSFER AN INDIVIDUAL TO ANOTHER HOSPITAL/FACILITY, WHEN APPROPRIATE, WITHOUT DISCRIMINATION AND WITHOUT REGARD TO WHETHER THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE AND OTHERWISE COMPLY WITH THE EMERGENCY MEDICAL TREATMENT AND LABOR ACT (SECTION 1867 OF THE SOCIAL SECURITY ACT (42 U.S.C. 1395DD)) AND THE REGULATIONS THEREUNDER. HOSPITAL WILL NOT ENGAGE IN ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE, SUCH AS DEMANDING THAT AN INDIVIDUAL PAY BEFORE RECEIVING INITIAL TREATMENT FOR EMERGENCY MEDICAL CONDITIONS OR PERMITTING DEBT COLLECTION ACTIVITIES THAT INTERFERE WITH HOSPITAL'S APPRAISAL AND PROVISION, WITHOUT DISCRIMINATION, OF SUCH INITIAL TREATMENT. 43 ONVIDA HEALTH ANTICOAGULATION KACHINA MEDICAL PLAZA 2451 S AVENUE A SUITE B101 YUMA AZ 85364 ANTICOAGULATION CLINIC - KACHINA MEDICAL PLAZA ONVIDA HEALTH ANTICOAGULATION FOOTHILLS MEDICAL PLAZA 11351 S FRONTAGE ROAD YUMA AZ 85367 ANTICOAGULATION CLINIC ONVIDA HEALTH BARIATRICS 2460 S PARKVIEW LOOP SUITE 3 YUMA AZ 85364 BARIATRIC CLINIC ONVIDA HEALTH BEHAVIORAL HEALTH 7200 E 31ST PLACE YUMA AZ 85365 BEHAVIORAL HEALTH CLINIC ONVIDA HEALTH BEHAVIORAL HEALTH CENTER 7201 E 31ST PLACE YUMA AZ 85365 BEHAVIORAL HEALTH CENTER ONVIDA HEALTH BONE AND JOINT TUSCANY PLAZA 2851 S AVENUE B BLDG 20 SUITE 2001 YUMA AZ 85364 BONE AND JOINT CLINIC ONVIDA HEALTH CARDIOLOGY PICACHO PLAZA 1951 W 25TH STREET SUITE F YUMA AZ 85364 CARDIOLOGY CLINIC - PICACHO PLAZA ONVIDA HEALTH CARDIOPULMONARY REHABILITATION 2460 S PARKVIEW LOOP SUITE 206 YUMA AZ 85364 REHABILITATION CLINIC ONVIDA HEALTH CARDIOVASCULAR AND THORACIC SURGERY CLINIC 2460 S PARKVIEW LOOP SUITE 203 YUMA AZ 85364 SURGERY CENTER ONVIDA HEALTH BONE AND JOINT PARKVIEW MEDICAL PLAZA 2460 S PARKVIEW LOOP SUITE 3 YUMA AZ 85364 BONE AND JOINT CLINIC ONVIDA HEALTH CHILDREN'S REHABILITATIVE SERVICES 2851 S AVENUE B BLDG 25 SUITE 2504 YUMA AZ 85364 REHABILITATION CLINIC ONVIDA HEALTH OUTPATIENT IMAGING PARKVIEW MEDICAL PLAZA 2460 S PARKVIEW LOOP SUITE 2 YUMA AZ 85364 OUTPATIENT IMAGING CLINIC ONVIDA HEALTH OUTPATIENT IMAGING PROMED 2270 RIDGEVIEW DRIVE SUITE 127 YUMA AZ 85364 OUTPATIENT IMAGING CLINIC ONVIDA HEALTH EAR NOSE AND THROAT 2680 S AVENUE B YUMA AZ 85364 ENT CLINIC ONVIDA HEALTH FOOTHILLS MEDICAL PLAZA 11351 S FRONTAGE ROAD YUMA AZ 85367 DIAGNOSTIC IMAGING, PEDIATRICS, PODIATRY, WOMEN'S HEALTH SERVICES ONVIDA HEALTH ENDOSCOPY CENTER 2261 S AVENUE B YUMA AZ 85364 ENDOSCOPY CENTER ONVIDA HEALTH FAMILY MEDICINE 8TH AVENUE 2500 S 8TH AVENUE SUITE 200 YUMA AZ 85364 FAMILY MEDICAL CLINIC ONVIDA HEALTH FAMILY MEDICINE 24TH STREET 1965 W 24TH STREET SUITE A YUMA AZ 85364 FAMILY MEDICAL CLINIC ONVIDA HEALTH FOOT AND ANKLE 24TH STREET 1881 W 24TH STREET SUITE C YUMA AZ 85364 FOOT AND ANKLE CLINIC ONVIDA HEALTH EMERGENCY FOOTHILLS MEDICAL PLAZA 11351 E SOUTH FRONTAGE ROAD YUMA AZ 85367 EMERGENCY ROOM ONVIDA HEALTH GASTROENTEROLOGY 1390 W 16TH STREET YUMA AZ 85364 GASTROENTEROLOGY CLINIC ONVIDA HEALTH SURGERY SUITE 201 2270 RIDGEVIEW DRIVE SUITE 201 YUMA AZ 85364 GENERAL, VASCULAR & PLASTIC SURGERY CENTER ONVIDA HEALTH SURGERY SUITE 128 2270 RIDGEVIEW DRIVE SUITE 128 YUMA AZ 85364 GENERAL SURGERY CENTER ONVIDA HEALTH OPHTHALMOLOGY 2270 RIDGEVIEW DRIVE SUITE 303 YUMA AZ 85364 OPHTHALMOLOGY CLINIC ONVIDA HEALTH OUTPATIENT LABORATORY MESA DEL SOL 11282 N FRONTAGE ROAD YUMA AZ 85367 LABORATORY CLINIC ONVIDA HEALTH OUTPATIENT LABORATORY PARKVIEW MEDICAL PLAZA 2460 S PARKVIEW LOOP SUITE 2 YUMA AZ 85364 LABORATORY CLINIC ONVIDA HEALTH OUTPATIENT SURGERY 2460 S PARKVIEW LOOP SUITE 1 YUMA AZ 85364 SURGERY CENTER ONVIDA HEALTH PAIN MANAGEMENT PARKVIEW MEDICAL PLAZA 2460 S PARKVIEW LOOP ENTRANCE 3 YUMA AZ 85364 PAIN MANAGEMENT/PMR CLINIC ONVIDA HEALTH PEDIATRIC SPECIALISTS 2851 S AVENUE B BLDG 25 SUITE 2504 YUMA AZ 85364 PEDIATRIC CLINIC ONVIDA HEALTH PEDIATRICS TUSCANY PLAZA 2851 S AVENUE B BLDG 25 YUMA AZ 85364 PEDIATRIC CLINIC ONVIDA HEALTH WALK-IN CLINIC FOOTHILLS 11142 S SCOTTSDALE DRIVE YUMA AZ 85364 PRIMARY CARE CLINIC ONVIDA HEALTH FAMILY MEDICINE SAN LUIS 845 E B STREET SAN LUIS AZ 85369 PRIMARY CARE CLINIC ONVIDA HEALTH OUTPATIENT INFUSION THERAPY 1320 W 24TH STREET YUMA AZ 85364 INFUSION THERAPY CLINIC ONVIDA HEALTH SPECIALTY CARE 2851 S AVENUE B BLDG 20 SUITE 2001 YUMA AZ 85364 ALLERGY & IMMUN, CARDIAC ELECTROPHYSIOLOGY, DIABETES & ENDOY, NEUROLOGY, PULMONOLOGY & RHEUMATOLOGY ONVIDA HEALTH UROLOGY 2270 RIDGEVIEW DRIVE SUITE 302 YUMA AZ 85364 UROLOGY CLINIC ONVIDA HEALTH TRANSITIONAL CARE 2451 S AVENUE A SUITE A104 YUMA AZ 85364 TRANSITIONAL CARE ONVIDA HEALTH WOMEN'S HEALTH CENTER 2911 S 8TH AVENUE YUMA AZ 85364 WOMEN'S HEALTH CLINIC-OB/GYN ONVIDA HEALTH WOMEN'S HEALTH TUSCANY PLAZA 2851 S AVENUE B BLDG 6 YUMA AZ 85364 WOMENS HEALTH CLINIC-PERINATOLOGY ONVIDA HEALTH WOUND CARE 2460 S PARKVIEW LOOP SUITE 205 YUMA AZ 85364 WOUND CARE CENTER ONVIDA HEALTH CANCER AND BLOOD DISORDERS CENTER 2375 RIDGEVIEW DRIVE YUMA AZ 85364 CANCER CENTER/ONCOLOGY/HEMATOLOGY ONVIDA HEALTH OUTPATIENT IMAGING PICACHO PLAZA 1951 W 25TH STREET SUITE G YUMA AZ 85364 PET/CT SCANS IMAGING CLINIC ONVIDA HEALTH PALLIATIVE CARE 2451 S AVENUE A STE B103 YUMA AZ 85364 PALLIATIVE CARE CLINIC ONVIDA HEALTH PRIMARY CARE 24TH ST 3800 W 24TH STREET STE 1 YUMA AZ 85364 PRIMARY CARE CLINIC 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 (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. 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. 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. YUMA REGIONAL MEDICAL CENTER ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. YUMA REGIONAL 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 A COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE YUMA REGIONAL MEDICAL CENTER 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 10 ON PAGE 24 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 ONIVDA HEALTH 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 ONVIDA HEALTH'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 - ONVIDA HEALTH YUMA 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-RE; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE A - ONVIDA HEALTH YUMA 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/; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE A - ONVIDA HEALTH YUMA 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.ENCOMPASSHEALT; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT YUMA REGIONAL MEDICAL CENTER 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, 2022 & 2025, 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 AT THE TIME OF REGISTRATION FOR SERVICES AT YUMA REGIONAL MEDICAL CENTER (YRMC), INSURANCE INFORMATION IS REQUESTED AND PAYMENT OPTIONS ARE DISCUSSED IN ACCORDANCE WITH SECTION 501(R) OF THE INTERNAL REVENUE CODE. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE, INCLUDING ACCESS TO A PLAIN LANGUAGE SUMMARY (PLS) OF THE FINANCIAL ASSISTANCE POLICY (FAP), AS REQUIRED UNDER 501(R). IF A PATIENT REPORTS NO INSURANCE COVERAGE, FULL PAYMENT OR A DEPOSIT IS REQUESTED. IF A BALANCE REMAINS, THE PATIENT IS INTERVIEWED AND ASSISTED WITH COMPLETING YRMC'S FINANCIAL ASSISTANCE PROGRAM APPLICATION. THROUGHOUT THIS PROCESS, STAFF MAKE REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS (ECAS), IN COMPLIANCE WITH 501(R). PATIENTS ARE ALSO PROVIDED INFORMATION REGARDING THE AHCCCS APPLICATION PROCESS. WHEN APPROPRIATE, BASED ON ELIGIBILITY CRITERIA SUCH AS RESIDENCY AND INCOME, THE APPLICATION IS COMPLETED USING THE ONLINE HEALTH-E-ARIZONA (HEALTH-E-AZ) SYSTEM. THIS WEB-BASED TOOL PROVIDES A PRELIMINARY ELIGIBILITY DETERMINATION PENDING VERIFICATION OF SUBMITTED INFORMATION. IF IT IS DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR ANY GOVERNMENT ASSISTANCE PROGRAMS, A FINANCIAL COUNSELOR MEETS WITH THE PATIENT TO REVIEW THE YRMC FINANCIAL ASSISTANCE PROGRAM. PATIENTS WHO CHOOSE TO PROCEED ARE ASSISTED IN GATHERING REQUIRED INCOME DOCUMENTATION TO COMPLETE THE APPLICATION. THIS PROCESS MAY EXTEND BEYOND DISCHARGE, AND THE PATIENT FINANCIAL SERVICES (PFS) DEPARTMENT MAY CONTINUE THE PROCESS TO MAKE REASONABLE EFFORTS TO OBTAIN A COMPLETED APPLICATION DURING THE 501(R) APPLICATION PERIOD. PATIENTS ARE NOTIFIED OF THE FINANCIAL ASSISTANCE PROGRAM THROUGH MULTIPLE METHODS, INCLUDING VERBAL COMMUNICATION, WRITTEN MATERIALS, AND BILLING STATEMENTS, CONSISTENT WITH 501(R) NOTIFICATION REQUIREMENTS. NO EXTRAORDINARY COLLECTION ACTIONS ARE TAKEN UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE ELIGIBILITY. FOR EMERGENCY ROOM (ER) PATIENTS WHO ARE NOT ELIGIBLE TO COMPLETE AN AHCCCS APPLICATION DURING THEIR VISIT, WRITTEN INSTRUCTIONS ARE PROVIDED. THESE INSTRUCTIONS INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, A LIST OF REQUIRED DOCUMENTATION, AND CONTACT INFORMATION TO SCHEDULE A FOLLOW-UP APPOINTMENT, ENSURING COMPLIANCE WITH 501(R) NOTIFICATION AND ACCESS REQUIREMENTS. THE FINANCIAL ASSISTANCE PROCESS IS A COORDINATED EFFORT INVOLVING FRONT-END REGISTRARS, FINANCIAL COUNSELORS, AND PFS, ALL WORKING TO ENSURE COMPLIANCE WITH 501(R) REGULATIONS AND TO SUPPORT PATIENTS IN UNDERSTANDING AND ACCESSING AVAILABLE FINANCIAL ASSISTANCE OPTIONS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION YUMA REGIONAL MEDICAL CENTER DBA ONVIDA HEALTH YUMA MEDICAL CENTER IS THE ONLY ACUTE CARE 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 64.4 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. IN YUMA COUNTY, 24.9 PERCENT OF THE POPULATION ARE CHILDREN AGE 0-17, ANOTHER 54.8 PERCENT ARE AGE 18-64, WHILE 20.3 PERCENT ARE AGE 65 AND OLDER. OVER 76.6 PERCENT OF THE POPULATION AGE 25 AND OLDER IN YUMA COUNTY HAS A GED OR HIGH SCHOOL DIPLOMA; 16 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER. APPROXIMATELY 5 PERCENT HAVE A MASTER'S DEGREE. THE MAIN INDUSTRIES IN YUMA COUNTY ARE AGRICULTURE, TOURISM, AND THE MILITARY. THERE ARE TWO MILITARY BASES IN YUMA COUNTY - MARINE CORPS AIR STATION YUMA AND YUMA PROVING GROUNDS (US ARMY). APPROXIMATELY 16.5 PERCENT OF THE POPULATION IS BELOW THE POVERTY LINE. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH YUMA REGIONAL MEDICAL CENTER DBA ONIDA HEALTH YUMA MEDICAL CENTER IS INVOLVED IN SEVERAL COMMUNITY BUILDING ACTIVITIES THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS. THROUGH THESE ACTIVITIES, ONVIDA HEALTH SUPPORTS COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF OUR HEALTHCARE ORGANIZATION. ONVIDA HEALTH 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 ONVIDA HEALTH 2400 S AVENUE A YUMA AZ 85364 YUMA AZ 85364 510179146 501(C)(3) 512788 GENERAL OPERATING GRANT(SEE STATEMENT) CITY OF YUMA ONE CITY PLAZA YUMA AZ 85364 230764789 CITY OF YUMA, AZ 281000 (SEE STATEMENT) CHILDRENS MUSEUM OF YUMA COUNTY INC 200 S MAIN STREET YUMA AZ 85364 462286334 501(C)(3) 105000 (SEE STATEMENT) CABALLEROS DE YUMA INC 180 W 1ST STREET YUMA AZ 85364 866052369 501(C)(6) 17400 GENERAL SUPPORT GREATER YUMA ECONOMIC DEVELOPMENT CORPORATION 1351 S REDONDO CENTER DR YUMA AZ 85365 860537174 501(C)(6) 12500 GENERAL SUPPORT YUMA CROSSING NATIONAL HERITAGE AREA CORPORATION 180 W 1ST STREET SUITE E YUMA AZ 85364 800038830 501(C)(3) 16500 GENERAL SUPPORT FORT YUMA ROTARY CLUB INC PO BOX 1378 YUMA AZ 85366 866052778 501(C)(4) 10200 GENERAL SUPPORT ARIZONA WESTERN COLLEGE PO BOX 929 YUMA AZ 85366 860179321 STATE OF AZ 10000 GENERAL SUPPORT AMBERLYS PLACE INC 1310 S 3RD AVE YUMA AZ 85364 860952115 501(C)(3) 10000 GENERAL SUPPORT SAN LUIS FRONTERA ROTARY CLUB PO BOX 13926 SAN LUIS AZ 85349 860734186 501(C)(4) 10000 GENERAL SUPPORT YUMA COUNTY ANTI-DRUG COALITION INC 2180 S 4TH AVE SUITE D YUMA AZ 85364 934637709 501(C)(3) 10000 GENERAL SUPPORT SOMERTON TAMALE FESTIVAL INC 1111 WEST YUCCA ST SOMERTON AZ 85350 204166222 501(C)(3) 10000 GENERAL SUPPORT INSPIRE HI PROJECT 16500 S AVENUE A 1/2 SOMERTON AZ 85350 882516026 501(C)(3) 10000 (SEE STATEMENT) COUNTY SUPERVISORS ASSOCIATION OF ARIZONA 1905 W WASHINGTON ST SUITE 100 PHOENIX AZ 85009 860439251 YUMA COUNTY, AZ 10000 GENERAL SUPPORT YUMA COUNTY HISTORICAL SOCIETY INC 240 MADISON AVE YUMA AZ 85365 860216519 501(C)(3) 7500 GENERAL SUPPORT YUMA COMMUNITY FOOD BANK 2404 E 24TH STREET A YUMA AZ 85364 860457836 501(C)(3) 7500 GENERAL SUPPORT YUMA COUNTY CHAMBER OF COMMERCE 180 W 1ST STREET SUITE A YUMA AZ 85364 860069704 501(C)(6) 5274 GENERAL SUPPORT & ANNUAL DINNER GADSDEN ELEMENTARY SCHOOL DISTRICT PO BOX 6870 SAN LUIS AZ 85349 900149673 CITY OF SAN LUIS, AZ 15000 GENERAL SUPPORT MARCHING BAND SPECIAL OLYMPICS ARIZONA INC 2455 N CITRUS RD BLDG 64 GOODYEAR AZ 85395 860307564 501(C)(3) 5000 GENERAL AMERICAN CANCER SOCIETY INC 270 PEACHTREE STREET SUITE 1300 ATLANTA GA 30303 131788491 501(C)(3) 7500 GENERAL SUPPORT ARIZONA-MEXICO COMMISSION 100 N 7TH AVENUE PHOENIX AZ 85007 237290803 501(C)(4) 5000 GENERAL SUPPORT 15 6 SCHEDULE I, PART II, LINE 1(H) CITY OF YUMA INCLUSIVE PLAYGROUND AND SENSORY SPACE SCHEDULE I, PART II, LINE 1(H) CHILDREN'S MUSEUM OF YUMA CHILDREN'S MUSEUM EXHIBIT & GENERAL SUPPORT SCHEDULE I, PART II, LINE 1(H) FAUX REAL DESIGN GROUP PAINTED MURAL IN COMMUNITY SCHEDULE I, PART II, LINE 1(H) INSPIRE HI PROJECT DONATION FOR UNIVERSAL CHANGING TABLE SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS YUMA REGIONAL MEDICAL CENTER/ONVIDA HEALTH YUMA MEDICAL EXERCISES CONTROL OVER THE FOUNDATION OF ONVIDA HEALTH 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 1416844 0 600000 0 25944 0 603300 0 25779 0 2671867 0 0 0 VERNON MOORE III SVP & CHIEF FINANCIAL OFFICER 576561 0 158760 0 32996 0 99260 0 31854 0 899431 0 0 0 DR BHARAT MAGU SVP & CHIEF MEDICAL OFFICER 556200 0 167430 0 1750 0 71842 0 13823 0 811045 0 0 0 TRUDIE MILNER SVP & CHIEF OPERATING OFFICER 497124 0 153300 0 16907 0 139304 0 9823 0 816458 0 0 0 JAMES ADAMSON SVP & GENERAL COUNSEL 475131 0 143438 0 11517 0 89127 0 25683 0 744896 0 0 0 MATTHEW MCELRATH SVP & CHIEF HUMAN RESOURCE OFFICER 459171 0 139538 0 26568 0 86990 0 35243 0 747510 0 0 0 MACHELE HEADINGTON SVP MARKETING & COMMUNICATIONS 336292 0 91719 0 23774 0 82827 0 25983 0 560595 0 0 0 DEBORAH ADERS RN MS CIC SVP & CHIEF NURSING OFFICER 427693 0 128430 0 57571 0 90858 0 10919 0 715471 0 0 0 FRED PEET SVP & CHIEF INFORMATIONAL OFFICER 401365 0 123750 0 11497 0 100240 0 31450 0 668302 0 0 0 JOAN COX SVP & CHIEF EXPERIENCE OFFICER 298504 0 102562 0 157201 0 14330 0 4016 0 576613 0 0 0 MARC CHASIN SVP & CHIEF DIGITAL & INFORMATION OFFICER 199457 0 39375 0 7278 0 9152 0 13794 0 269056 0 0 0 SIMON LAVOTSHKIN GENERAL SURGEON 456526 0 870003 0 61263 0 14529 0 37465 0 1439786 0 0 0 DAVID CAROPRESO PHYSICIAN UROLOGY SPECIALTY 459392 0 863783 0 6646 0 13800 0 10919 0 1354540 0 0 0 ROBERT TAKESUYE PHYSICIAN RADIATION ONCOLOGIST 540584 0 904524 0 21258 0 13800 0 4229 0 1484395 0 0 0 NATHAN HERRINGTON ANESTHESIOLOGIST 1421952 0 26171 0 288653 0 14567 0 33544 0 1784887 0 0 0 JON-RENE SUFFERN ANESTHESIOLOGIST 454295 0 734411 0 406519 0 18512 0 30522 0 1644259 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 INCOME. SCHEDULE J, PART I, LINE 1A DISCRETIONARY SPENDING ACCOUNT THE CEO IS PROVIDED A MONTHLY PERQ ALLOWANCE WHICH IS TREATED AS TAXABLE INCOME. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN YUMA REGIONAL MEDICAL CENTER DBA ONVIDA HEALTH YUMA MEDICAL CENTER (YRMC) ESTABLISHED A "CAPITAL ACCUMULATION AND RETENTION PLAN", UNDER 457(F) OF THE CODE (INTERNAL REVENUE CODE 1986) AS A NON-QUALIFIED DEFERRED COMPENSATION PLAN APPROVED 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 2024: JAMES ADAMSON - $74,588 DEB ADERS - $77,058 MACHELE HEADINGTON - $69,027 BHARAT MAGU - $58,042 MATTHEW MCELRATH - $72,560 TRUDIE MILNER - $124,770 VERNON MOORE - $84,610 FRED PEET - $85,800 ROBERT J. TRENSCHEL - $589,500 THERE WERE NO WITHDRAWALS FROM THE PLAN IN CALENDAR YEAR 2024. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF YUMA ARIZONA 860498547 000000000 2017-03-14 20000000 FINANCE EQUIPMENT AND INFORMATION SYSTEMS ACQUISITIONS false false false B THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF YUMA ARIZONA 860498547 000000000 2019-09-10 20000000 FINANCE EQUIPMENT AND INFORMATION SYSTEMS ACQUISITIONS. false false false C THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF YUMA ARIZONA 860498547 000000000 2023-12-12 102290000 CURRENT REFUNDING OF TAX-EXEMPT BONDS false false false D THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF YUMA ARIZONA 860498547 988514DD4 2024-10-08 331545239 SEE SUPPLEMENTAL INFORMATION false false false A 19172494 0 20097323 0 0 0 84500 0 0 20012823 0 0 2019 false false true true B 11481493 0 20126067 0 0 0 74000 0 0 20052387 0 0 2023 false false true true C 775000 0 102290067 0 0 0 438043 0 0 0 101851957 67 2024 true false true true D 5015000 338475577 9755960 2362129 567620 94391040 47989776 183409052 2028 true false false true A false false false false false false 0.0 0.0 0.0 false false 0 false true B false false false false false false 0.0 0.0 0.0 false false 0 false true C false false false false false false 0.0 0.0 0.0 false false 0 false true D false false false false false false 0.0 0.0 0.0 false false 0 false true A false false false true false false 0 false false false 0 false false true B false false false true false false 0 false false false 0 false true true C false true false false true false 0 false false false 0 false false true D false true false false false false 0 false false true TORONTO-DOMINION BANK 2.8 true false true A true B true C true D true SCHEDULE K, PART I, COLUMN (A) BOND A, B, C, D THE COMPLETE ISSUER NAME IS THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF YUMA, ARIZONA. SCHEDULE K, PART I, COLUMN (C) BOND D THE CUSIP NUMBER REPORTED IS THAT ASSIGNED TO THE INSURED 2054 (FINAL) MATURITY OF THE SERIES 2024A BONDS, CONSISTENT WITH FORM 8038. UNINSURED SERIES 2024A BONDS HAVING A 2054 MATURITY HAVE A SEPARATE CUSIP NUMBER. SCHEDULE K, PART I, COLUMN (F) BONDS A AND B THE COMPLETE PURPOSE OF THESE BONDS IS EQUIPMENT AND INFORMATION SYSTEM ACQUISITIONS. SCHEDULE K, PART I, COLUMN (F) BOND D THE COMPLETE PURPOSE OF THIS BOND IS LAND AND FACILITIES ACQUISITIONS, FACILITIES CONSTRUCTIONS, FACILITIES IMPROVEMENTS, EQUIPMENT AND INFORMATION SYSTEM ACQUISITIONS, AND CURRENT REFUNDING OF TAX-EXEMPT SERIES 2014A BONDS THAT WERE ISSUED ON FEBRUARY 5, 2014. SCHEDULE K, PART II, LINE 3 BONDS A AND B THE AMOUNTS REPORTED FOR ISSUE PRICE (PART I, COLUMN (E)) AND THE FIGURES ON THIS LINE 3 DIFFER BY ACCUMULATED EARNINGS ON UNDISBURSED BOND PROCEEDS. THESE LINE 3 AMOUNTS ARE NOT EXPECTED TO CHANGE IN SUBSEQUENT REPORTING PERIODS. SCHEDULE K, PART II, LINE 3 BOND D THE AMOUNT REPORTED FOR ISSUE PRICE (PART I, COLUMN (E)) AND THE FIGURE ON THIS LINE 3 DIFFERS BY ACCUMULATED EARNINGS ON UNDISBURSED BOND PROCEEDS. THIS LINE 3 AMOUNT IS EXPECTED TO CHANGE IN SUBSEQUENT REPORTING PERIODS. SCHEDULE K, PART II, LINE 11 BOND C THE AMOUNT REPORTED IS THE PRINCIPAL AMOUNT OF TAX-EXEMPT BONDS CURRENTLY REFUNDED TOGETHER WITH ACCRUED INTEREST THEREON. SCHEDULE K, PART II, LINE 11 BOND D THE AMOUNT REPORTED IS THAT PORTION OF BOND D PROCEEDS WHICH WERE APPLIED, TOGETHER WITH EARNINGS THEREON AND AMOUNTS ON DEPOSIT IN FUNDS RELATING TO THE SERIES 2014A BONDS, TOWARD THE REFUNDING OF THE SERIES 2014A BONDS PRIOR TO THE END OF THE REPORTING PERIOD. ACCORDING, NONE OF THESE AMOUNTS ARE REPORTED IN PART II, LINE 6. SCHEDULE K, PART II, LINE 14 BOND C SUBSTANTIALLY ALL OF THE PROCEEDS OF BOND C WERE APPLIED TOWARD THE CURRENT REFUNDING OF THE SERIES 2014B AND SERIES 2014C BONDS, NEITHER OF WHICH WERE OUTSTANDING AT THE END OF THE REPORTING PERIOD. SCHEDULE K, PART II, LINE 14 BOND D CERTAIN PROCEEDS OF BOND D (PART II. LINE 11) WERE APPLIED TOWARD THE CURRENT REFUNDING OF THE SERIES 2014A BONDS, WHICH WERE NO LONGER OUTSTANDING AT THE END OF THE REPORTING PERIOD. SCHEDULE K, PART IV, LINE 2C BOND A THE REBATE CALCULATION WAS PERFORMED ON APRIL 10, 2023, FOR THE PERIOD MARCH 14,2017 THROUGH MARCH 14,2022. SCHEDULE K, PART IV, LINE 2C BOND B THE REBATE CALCULATION WAS PERFORMED ON OCTOBER 18,2024 FOR THE PERIOD SEPTEMBER 10,2019 THROUGH SEPTEMBER 10,2024. SCHEDULE K, PART IV, LINE 5C BOND D THE PORTION OF THE GIC RELATING TO THE PROJECT FUND TERMINATES ON JULY 15, 2027; THE PORTION OF THE GIC RELATING TO THE CAPITALIZED INTEREST FUND TERMINATES ON AUGUST 1, 2027. SCHEDULE K, PART IV, LINE 6 BOND B THE REBATE CALCULATION PERFORMED ON OCTOBER 18, 2024 DEMONSTRATED THAT THE YIELD ON THE UNDISBURSED BOND PROCEEDS AFTER THE EXPIRATION OF THE AVAILABLE TEMPORARY PERIOD WAS LESS THAN THE YIELD ON THE BONDS, SO NO REBATE PAYMENT WAS DUE. SCHEDULE K, PART IV, LINE 2C COLUMN A ISSUER NAME: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF YUMA, ARIZONA THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 04/10/2023 SCHEDULE K, PART IV, LINE 2C COLUMN B ISSUER NAME: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF YUMA, ARIZONA. THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 10/18/2024 DR BHARAT MAGU CURRENT KEY EMPLOYEE SPLIT DOLLAR AGREEMENT X 3025000 3111917 false true true DR MARC CHASIN CURRENT KEY EMPLOYEE SPLIT DOLLAR AGREEMENT X 5275000 5334868 false true true 8446785 MICHAEL HEADINGTON FAMILY MEMBER OF MACHELE HEADINGTON, KEY EMPLOYEE 105730 SALARIES & WAGES false GARY ADERS FAMILY MEMBER OF DEBORAH ADERS, KEY EMPLOYEE 125880 SALARIES & WAGES false FORM 990, PART VI, LINE 15 COMPENSATION POLICY AND STRATEGY THE BOARD OF YUMA REGIONAL MEDICAL CENTER DBA ONVIDA HEALTH YUMA 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 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-FOR-PERFORMANCE 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 CEO AS WELL AS THE COMPENSATION POLICY AND STRATEGY FOR OTHER EXECUTIVES TO BE IMPLEMENTED BY THE 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-FOR-PERFORMANCE" OPPORTUNITY FOR THE CEO, PRESIDENT OF HOSPITAL OPERATIONS, 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-FOR-PERFORMANCE" 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 6 CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF THE ORGANIZATION IS SOUTHWEST HEALTH DBA ONVIDA 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 FOR BOARD MEMBER REVIEW. MANAGEMENT REVIEWS THE FORM 990 PRIOR TO ITS FILING. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY THE CONFLICT OF INTEREST POLICY COVERS MEMBERS OF THE YUMA REGIONAL MEDICAL CENTER BOARD DBA ONVIDA HEALTH YUMA MEDICAL CENTER BOARD, INCLUDING ANY EX-OFFICIO MEMBER, WHO BY VIRTUE OF THEIR POSITION, MAY INFLUENCE DECISIONS AFFECTING ONVIDA HEALTH. ONVIDA HEALTH 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 DBA ONVIDA HEALTH YUMA 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 2025. 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 DBA ONVIDA HEALTH YUMA 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. WE ARE IN THE PROCESS OF THE NEXT MARKET REVIEW FOR 2026. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC YUMA REGIONAL MEDICAL CENTER DBA ONVIDA HEALTH YUMA MEDICAL CENTER'S GOVERNING DOCUMENTS, INCLUDING BYLAWS AND ARTICLES OF INCORPORATION AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW AT ITS PLACE OF BUSINESS UPON REQUEST, AND ITS FINANCIAL STATEMENTS ARE POSTED ON THE EMMA WEBSITE. FORM 990, PART VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE ALL OTHER PROGRAM SERVICE REVENUE - TOTAL REVENUE: 409234, RELATED OR EXEMPT FUNCTION REVENUE: 409234, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; FORM 990, PART IX, LINE 11G OTHER FEES PHYSICIAN FEES - TOTAL EXPENSE: 94468683, PROGRAM SERVICE EXPENSE: 94468683, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACT LABOR - TOTAL EXPENSE: 43146981, PROGRAM SERVICE EXPENSE: 39395246, MANAGEMENT AND GENERAL EXPENSES: 3751735, FUNDRAISING EXPENSES: ; CONSTRUCTION AND EQUIPMENT SERVICES - TOTAL EXPENSE: 8660852, PROGRAM SERVICE EXPENSE: 7907770, MANAGEMENT AND GENERAL EXPENSES: 753082, FUNDRAISING EXPENSES: ; LABORATORY SERVICES - TOTAL EXPENSE: 8388067, PROGRAM SERVICE EXPENSE: 8388067, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OTHER PURCHASED SERVICES - TOTAL EXPENSE: 5392273, PROGRAM SERVICE EXPENSE: 4943458, MANAGEMENT AND GENERAL EXPENSES: 448815, FUNDRAISING EXPENSES: ; THERAPIST FEES - TOTAL EXPENSE: 3598534, PROGRAM SERVICE EXPENSE: 3598534, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; RECRUITMENT SERVICES - TOTAL EXPENSE: 2505730, PROGRAM SERVICE EXPENSE: 2287851, MANAGEMENT AND GENERAL EXPENSES: 217879, FUNDRAISING EXPENSES: ; MEDICAL DIRECTOR FEES - TOTAL EXPENSE: 899587, PROGRAM SERVICE EXPENSE: 899587, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONSULTANT FEES - TOTAL EXPENSE: 18116977, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 18116977, FUNDRAISING EXPENSES: ; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES DECREASE IN PENSION LIABILITY - 3701417; OTHER CHANGES IN NET ASSETS - 1107886; INTERCOMPANY ELIMINATIONS - -25131; TOTAL - 4784172; YUMA REGIONAL HEALTH SYSTEM INSURANCE LLC 2400 S AVENUE A YUMA AZ 85364 823158109 HEALTHCARE AZ 5132749 3638634 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 512788 CASH TRANSFERRED FOUNDATION OF YUMA REGIONAL MEDICAL CENTER C 415125 CASH TRANSFERRED