| FORM 990, PART III, LINE 4A |
PROGRAM SERVICE DESCRIPTION: THE YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION WAS ESTABLISHED TO SUPPORT AND GUIDE ALL OF YAVAPAI REGIONAL MEDICAL CENTER'S (YRMC) FUND-RAISING AND DEVELOPMENT PROGRAMS. THROUGH A VARIETY OF MEANS, THE FOUNDATION ASSISTS FUNDING ADVANCES IN HEALTHCARE AND PROVIDES YRMC'S VALUED SUPPORTERS WITH A STRUCTURED VENUE FOR GIVING. THE FOUNDATION IS LED BY A BOARD OF DIRECTORS AND IS DESIGNATED TO ACCOMPLISH GOALS THAT INCLUDE: SUPPORTING YRMC AND ITS MISSION, FACILITIES AND PROGRAMS; PLANNING AND IMPLEMENTING FUND-RAISING AND DEVELOPMENT EFFORTS; SUPPORTING YRMC'S CURRENT OPERATIONS AND FUTURE GROWTH. IN 2016, GRANTS PROVIDED BY THE FOUNDATION TO YRMC WERE UTILIZED TO ASSIST IN FUNDING A VARIETY OF INITIATIVES AT THE HOSPITAL, INCLUDING ASSISTANCE IN THE DAY-TO-DAY OPERATIONS OF THE HOSPITAL IN PROVIDING HEALTHCARE SERVICES TO THE COMMUNITY. |
| FORM 990, PART VI, SECTION A, LINE 2 |
Family and Business Relationships: The following persons are all employees of a related organization and therefore have a business relationship: *John R. Amos, CEO *Lee Livin, CFO *Roberta Nicol, Director of Philanthropy |
| FORM 990, PART VI, SECTION A, LINE 6, 7A, & 7B |
DESCRIBE CIRCUMSTANCES FOR HAVING MEMBERS: YAVAPAI REGIONAL MEDICAL CENTER (YRMC), A 501(C)(3) ORGANIZATION, IS A MEMBER OF THE FOUNDATION. THE FOUNDATION NOMINATES AND ELECTS ITS OWN BOARD MEMBERS, WHICH ARE SUBJECT TO APPROVAL AND RATIFICATION BY THE GOVERNING BOARD OF YRMC. APPROVAL FROM THE MEMBER IS REQUIRED FOR THE FOLLOWING ACTIONS: - REMOVING OR HIRING EMPLOYEES; - REPEALING, ALTERING, AMENDING OR RESTATING THE BYLAWS OR THE FOUNDATION'S ARTICLES OF INCORPORATION; - MERGING WITH ANOTHER CORPORATION OR ENTITY; - DISSOLVING THE FOUNDATION; - GUARANTEEING THE OBLIGATIONS OF ANOTHER ENTITY OR INDIVIDUAL; - SELLING OR TRANSFERRING ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE FOUNDATION. |
| FORM 990, PART VI, SECTION B, LINE 11B |
PROCESS TO REVIEW THE FORM 990: THE FOUNDATION BOARD DOES NOT MEET ON A REGULAR BASIS, THEREFORE THE FOUNDATIONS 990 IS PRESENTED TO THE PLANNING & FINANCE COMMITTEE OF THE BOARD OF TRUSTEES OF YAVAPAI REGIONAL MEDICAL CENTER FOR REVIEW PRIOR TO FILING. THE COMMITTEE HAS THE OPPORTUNITY TO REVIEW THE FORM AND TO ASK QUESTIONS OF THE PREPARER. THE FULL BOARD OF TRUSTEES IS ALSO PROVIDED A COPY OF THE 990. THE CEO OF YAVAPAI REGIONAL MEDICAL CENTER, WHO IS ALSO ON THE FOUNDATION BOARD, PARTICIPATES WITH THE HOSPITAL PLANNING & FINANCE COMMITTEE IN THE REVIEW OF THE 990. |
| FORM 990, PART VI, SECTION B, LINE 12C |
PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: IN JANUARY OF EACH YEAR, A CONFLICT OF INTEREST FORM AND THE RELATED POLICY ARE SENT TO EACH MEMBER OF THE FOUNDATION BOARD OF DIRECTORS. THE RECIPIENTS ARE ASKED TO REVIEW THE POLICY AND SIGN THE FORM EACH YEAR AT THIS TIME. THE RETURNED FORMS ARE REVIEWED AND KEPT ON FILE IF NO CONFLICT HAS BEEN IDENTIFIED. IF CONFLICTS ARE IDENTIFIED, THE FORMS ARE SENT TO THE CEO OF YAVAPAI REGIONAL MEDICAL CENTER (YRMC) FOR REVIEW. DURING DISCUSSIONS AT BOARD MEETINGS, THOSE WITH CONFLICTS IDENTIFIED THROUGH THIS PROCESS ARE EXCUSED FROM DISCUSSION AND VOTING ON THE RELATED MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15A |
REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION: UNDER THE DIRECTION OF THE HOSPITAL BOARD OF DIRECTORS, AN INDEPENDENT CONSULTANT WAS SELECTED TO PERFORM A MARKET EQUITY ANALYSIS FOR THE CEO COMPENSATION AND BENEFIT PACKAGE. IN 2016, INTEGRATED HEALTHCARE STRATEGIES (IHS) WAS RETAINED TO CONDUCT A TOTAL COMPENSATION REVIEW, INCLUDING AN ANALYSIS OF ALL ELEMENTS OF CEO TOTAL COMPENSATION, INCLUDING SALARY, INCENTIVES, BENEFITS AND PERQUISITES COMPARED TO MARKET PRACTICES. THEY PROVIDED THE HOSPITAL HUMAN RESOURCES COMMITTEE (A SUBCOMMITTEE OF THE HOSPITAL BOARD) WITH A COMPREHENSIVE DESCRIPTION AND VALUATION OF ALL CASH COMPENSATION AND BENEFIT PRACTICES AND ASSESSED COMPENSATION FOR COMPETITIVENESS AND COMPLIANCE WITH REGULATORY REQUIREMENTS. IN ADDITION, IHS PROVIDED APPROPRIATE RECOMMENDATIONS FOR MODIFYING THE TOTAL COMPENSATION PROGRAM. ANY CHANGES TO THE CEO TOTAL COMPENSATION WERE APPROVED BY THE HOSPITAL BOARD OF DIRECTORS. COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE MINUTES OF THE HUMAN RESOURCES COMMITTEE AND BY SIGNED COMPENSATION AGREEMENTS IN PERSONNEL FILES MAINTAINED BY HR. |
| FORM 990, PART VI, SECTION B, LINE 15B |
REVIEW OF OTHER OFFICER OR KEY EMPLOYEES COMPENSATION: IN 2016, UNDER THE DIRECTION OF THE CEO, AN INDEPENDENT CONSULTANT, INTEGRATED HEALTHCARE STRATEGIES (IHS), WAS SELECTED TO PERFORM A MARKET EQUITY ANALYSIS OF THE COMPENSATION AND BENEFIT PACKAGE FOR HOSPITAL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THIS INCLUDED AN ANALYSIS OF ALL ELEMENTS OF EXECUTIVE TOTAL COMPENSATION, INCLUDING SALARY, INCENTIVES, BENEFITS AND PERQUISITES COMPARED TO MARKET PRACTICES. THEY PROVIDED THE HOSPITAL HUMAN RESOURCES COMMITTEE (A SUBCOMMITTEE OF THE HOSPITAL BOARD) WITH A COMPREHENSIVE DESCRIPTION AND VALUATION OF ALL CASH COMPENSATION AND BENEFIT PRACTICES AND ASSESSED COMPENSATION FOR COMPETITIVENESS AND COMPLIANCE WITH REGULATORY REQUIREMENTS. IN ADDITION, IHS PROVIDED APPROPRIATE RECOMMENDATIONS FOR MODIFYING THE TOTAL COMPENSATION PROGRAM. ANY CHANGES TO EXECUTIVE TOTAL COMPENSATION WERE APPROVED BY THE CEO. COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE MINUTES OF THE HUMAN RESOURCES COMMITTEE AND BY SIGNED COMPENSATION AGREEMENTS IN PERSONNEL FILES MAINTAINED BY HR. |
| FORM 990, PART VI, SECTION C, LINE 19 |
Governing Documents Available to the Public: THE COMBINED FINANCIAL STATEMENTS ARE SUMMARIZED IN THE ANNUAL REPORT PUBLISHED ON YAVAPAI REGIONAL MEDICAL CENTER'S (YRMC'S) INTERNET SITE. THE FOUNDATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
Attach to Form 990 or 990-EZ.