Civic Intelligence

Verde Valley Medical Center

EIN 86-0100882 • 501(c)3 • Cottonwood, AZ

Profile

Improving health, healing people.

269 South Candy LaneCottonwood, AZ 86326

www.nahealth.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

43rd percentile

0.23x

Higher debt load relative to assets than 43% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

46th percentile

0.43x

Higher debt load relative to revenue than 46% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

66th percentile

9.8%

Higher net margin than 66% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

60th percentile

$879,135

Higher top officer pay than 60% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

16th percentile

-3.3%

Faster asset growth than 16% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2022 to 2024

Revenue Growth

17th percentile

-5.8%

Faster revenue growth than 17% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2022 to 2024

Assets

Up

$347,057,240

Up $15,192,374 (+4.6%) from 2023

Liabilities

Up

$79,653,642

Up $5,408,651 (+7.3%) from 2023

Net Assets

Up

$267,403,598

Up $9,783,723 (+3.8%) from 2023

Revenue

Down

$186,208,079

Down $4,856,125 (-2.5%) from 2023

Expenses

Up

$167,898,966

Up $2,867,887 (+1.7%) from 2023

Net Income

Down

$18,309,113

Down $7,724,012 (-30%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$600M$400M$200M$0Assets 2010: $216,883,460Liabilities 2010: $94,283,757Net Assets 2010: $122,599,7032010Assets 2011: $230,023,777Liabilities 2011: $89,253,790Net Assets 2011: $140,769,9872011Assets 2012: $230,505,315Liabilities 2012: $98,198,782Net Assets 2012: $132,306,5332012Assets 2013: $247,411,111Liabilities 2013: $92,426,757Net Assets 2013: $154,984,3542013Assets 2014: $242,857,215Liabilities 2014: $92,740,195Net Assets 2014: $150,117,0202014Assets 2015: $267,939,944Liabilities 2015: $79,482,941Net Assets 2015: $188,457,0032015Assets 2016: $274,524,805Liabilities 2016: $89,689,394Net Assets 2016: $184,835,4112016Assets 2017: $290,675,049Liabilities 2017: $82,572,407Net Assets 2017: $208,102,6422017Assets 2018: $310,358,710Liabilities 2018: $75,050,207Net Assets 2018: $235,308,5032018Assets 2019: $342,075,199Liabilities 2019: $81,100,867Net Assets 2019: $260,974,3322019Assets 2020: $391,874,841Liabilities 2020: $111,883,175Net Assets 2020: $279,991,6662020Assets 2021: $444,389,010Liabilities 2021: $91,770,893Net Assets 2021: $352,618,1172021Assets 2022: $370,915,260Liabilities 2022: $66,441,425Net Assets 2022: $304,473,8352022Assets 2023: $331,864,866Liabilities 2023: $74,244,991Net Assets 2023: $257,619,8752023Assets 2024: $347,057,240Liabilities 2024: $79,653,642Net Assets 2024: $267,403,5982024

Highlighted filing

2024

Assets$347,057,240
Liabilities$79,653,642
Net Assets$267,403,598

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300M$200M$100M$0Expenses 2010: $142,988,3902010Expenses 2011: $139,153,6872011Expenses 2012: $142,380,0122012Revenue 2013: $134,405,333Expenses 2013: $130,769,896Net Income 2013: $3,635,4372013Revenue 2014: $134,229,181Expenses 2014: $129,010,404Net Income 2014: $5,218,7772014Revenue 2015: $134,309,106Expenses 2015: $127,653,692Net Income 2015: $6,655,4142015Revenue 2016: $144,633,092Expenses 2016: $122,109,366Net Income 2016: $22,523,7262016Revenue 2017: $146,430,515Expenses 2017: $135,640,135Net Income 2017: $10,790,3802017Revenue 2018: $153,247,214Expenses 2018: $126,716,412Net Income 2018: $26,530,8022018Revenue 2019: $171,035,341Expenses 2019: $131,589,901Net Income 2019: $39,445,4402019Revenue 2020: $172,983,903Expenses 2020: $136,989,470Net Income 2020: $35,994,4332020Revenue 2021: $199,632,184Expenses 2021: $151,943,263Net Income 2021: $47,688,9212021Revenue 2022: $209,945,790Expenses 2022: $167,084,801Net Income 2022: $42,860,9892022Revenue 2023: $191,064,204Expenses 2023: $165,031,079Net Income 2023: $26,033,1252023Revenue 2024: $186,208,079Expenses 2024: $167,898,966Net Income 2024: $18,309,1132024

Highlighted filing

2024

Revenue$186,208,079
Expenses$167,898,966
Net Income$18,309,113

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$347$79.7$267$186$168$18.3
2023Detailed filing. Detailed filing data is available for this year.$332$74.2$258$191$165$26.0
2022Detailed filing. Detailed filing data is available for this year.$371$66.4$304$210$167$42.9
2021Detailed filing. Detailed filing data is available for this year.$444$91.8$353$200$152$47.7
2020Detailed filing. Detailed filing data is available for this year.$392$112$280$173$137$36.0
2019Detailed filing. Detailed filing data is available for this year.$342$81.1$261$171$132$39.4
2018Detailed filing. Detailed filing data is available for this year.$310$75.1$235$153$127$26.5
2017Detailed filing. Detailed filing data is available for this year.$291$82.6$208$146$136$10.8
2016Detailed filing. Detailed filing data is available for this year.$275$89.7$185$145$122$22.5
2015Detailed filing. Detailed filing data is available for this year.$268$79.5$188$134$128$6.66
2014Detailed filing. Detailed filing data is available for this year.$243$92.7$150$134$129$5.22
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$247$92.4$155$134$131$3.64
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$231$98.2$132$142
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$230$89.3$141$139
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$217$94.3$123$143
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 15, 2025
Return Version
2023v6.0
Gross Receipts
$186,447,825
Mission and Program Overview

Mission

Improving health, healing people.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$207,948,095$227,887,034▲ $19,938,939
Land, Buildings, and Equipment, Net$79,906,927$79,471,695▼ $435,232
Accounts Receivable$28,228,388$30,164,750▲ $1,936,362
Prepaid Expenses and Deferred Charges$2,455,224$7,178,450▲ $4,723,226
Inventories for Sale or Use$5,208,508$5,409,945▲ $201,437
Cash and Non-Interest-Bearing Accounts$6,496$6,495▼ $1
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Savings and Temporary Cash Investments$3,498,958$-7,278,201▼ $10,777,159
Total Assets$331,864,866$347,057,240▲ $15,192,374
Other Assets Total$4,612,270$4,217,072▼ $395,198
Liabilities
Tax Exempt Bond Liabilities$59,000,047$57,690,375▼ $1,309,672
Accounts Payable and Accrued Expenses$7,374,605$15,697,930▲ $8,323,325
Other Liabilities$7,870,339$6,265,337▼ $1,605,002
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$74,244,991$79,653,642▲ $5,408,651
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$257,619,875$267,403,598▲ $9,783,723
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$257,619,875$267,403,598▲ $9,783,723
Total Liabilities and Net Assets / Fund Balance$331,864,866$347,057,240▲ $15,192,374

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$48,994,888$89,641,229$138,636,117
Equipment$16,987,092$74,469,243$91,456,335
Other Land Buildings$9,245,841$7,149,318$16,395,159
Land$4,238,797-$4,238,797
Leasehold Improvements$5,077$1,009,258$1,014,335
Compensation and Service Providers

Board Members and Trustees

NameTitle
William Riley PHDDirector/Chair
Florence SpyrowFormer Nah President/CEO
David CheneyNah President/CEO
Alice Gagnaire RNDirector
Daryl MelvinDirector
Janet Corrigan PHDDirector
Paula HeraldDirector
Randall GarrisonDirector
Richard EvnenDirector
Troy LorentsDirector
William Badger MDDirector
Charlie Agee MDDirector/Secretary
John RiversDirector/Treasurer
William JeffersDirector/Treasurer
Clifford LoaderChief Financial Officer
Derek FeuquayChief Medical Officer
Joshua TinkleFormer COO/interim Nah CEO
Cheryl K StonebrakerManager Pharmacy
Shea M HermesNurse Practitioner
Rebecca J KhinPharmacist
Stewart S WilsonPharmacist
Frank RafiePhysicist
Matt SenaVP Operations

Highest Paid Contractors

ContractorServicesLocationCompensation
Aya Healthcare INCContract LaborPO BOX 123519, Dallas, TX 75312$18,587,281
ComphealthMedical ServicesPO BOX 972651, Dallas, TX 75397$1,638,203
Mayo Clinic Mayo Medical LaborMedical ServicesPO BOX 9146, Minneapolis, MN 55480$671,323
The Hiller Companies LLCFire Protection ServicesPO BOX 842390, Los Angeles, CA 98084$263,358
Northern Arizona Radiology PCMedical ServicesPO BOX 97357, Las Vegas, NV 89193$188,817
Revenue and Support

Revenue Composition

Contributions and Grants
$194,028
Program Service Revenue
$177,814,395
Investment Income
$4,603,047
Other Revenue
$3,596,609
Change in Net Assets
$18,309,113
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$92,188,242
Salaries, Compensation, and Employee Benefits$75,710,724
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$53,645,450$9,308,410-$62,953,860
Office Expenses$7,853,090$1,755,429-$9,608,519
Depreciation Depletion$8,629,773$358,648-$8,988,421
Other Employee Benefits$5,356,046$929,366-$6,285,412
Fees for Services Other$5,158,675$1,050,342$0$6,209,017
Payroll Taxes$3,145,221$545,750-$3,690,971
Pension Plan Contributions$2,369,357$411,124-$2,780,481
Interest$9,120$2,011,859-$2,020,979
Occupancy$1,614,507--$1,614,507
Other Expenses$1,325,471$3,205,645-$1,325,471
Insurance$257,264$290,392-$547,656
All Other Expenses$238,466$79,719$0$318,185
Travel$116,827$47,050-$163,877
Fees for Services Accounting-$93,569-$93,569
Fees for Services Lobbying-$13,036-$13,036
Advertising$1,353$653-$2,006
Total Functional Expenses$147,797,974$20,100,992$0$167,898,966
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Insurance Deductibles Res-lt$10,817,965
Minimum Pension Liability$3,456,357
Gaap Presentation of Ins Claims$283,149
Operating Lease Liabilities-current$125,181
Operating Lease Liabilities-non Current$32,350
Claims Malpractice$-8,449,665

Bond Issues

BondIssuerIssuedIssue PricePurpose
AIndustrial Development Authority Yavapai County2015-06-30$37,340,563SEE PART VI
BIndustrial Development Authority Yavapai County2017-05-29$20,130,650SEE PART VI
CIndustrial Development Authority Yavapai County2021-07-06$5,350,198SEE PART VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$37,340,563$37,002,553$2,022,919$338,010
B$20,130,650$0$0$161,845
C$5,350,198$5,294,326$944,125$55,872

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 1A NUMBER OF VOTING MEMBERS OF THE GOVERNING BODY

The board of directors delegates authority to an executive committee to exercise the power and authority of the board in the event convening a quorum of the board is not possible and an urgent vote is required, and between the quarterly meetings of the full board. Actions taken shall be recorded in meeting minutes provided to the board post-meeting and included in the consent agenda at the following board meeting. In addition, the executive committee shall serve as the compensation committee for the president/ceo and oversee the annual nah president/ceo performance evaluation. The executive committee shall consist of the individuals then serving as board officers and optional board member at large, automatically and without separate election.

Form 990, Part VI, Line 6 Classes of members or stockholders

Northern arizona healthcare corporation is the sole corporate member of flagstff medical center and verde valley medical center.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

The board of directors is determined by the organization's member, northern arizona healthcare (nah). The directors at all times shall be, automatically and without the need of a separate election, the individuals serving as directors of nah.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

Northern arizona healthcare corporation is the sole voting member. The following actions may be initiated by the member in its sole and absolute discretion: a) adoption of the consolidated annual budget for the system and any amendments b) the selection and retention of the president and chief excecutive officer of this corporation c) the selection of banking affiliations, accounting firms, legal counsel as well as approval of the engagement of any consultants not specifically provided for in an approved budget d) the selection of the manner and location of investment of any retained earnings e) authorization of standing or adhoc committees for controlled subsidiaries within the system. The member may not transfer its membership or any rights arising therefrom.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The form 990 is prepared by an accounting firm based on data gathered by the controller and the organization's financial operations group. The cfo reviews the draft form 990 and provides additional comments. The final draft version of the form 990 is provided to the board of directors prior to the may 15 due date. Any additional comments suggested by the governing body are then incorporated into the final version of the form 990 to be filed with the irs by the final due date. If any suggested changes are material or significant, an additional draft is distributed to the governing body prior to filing.

Form 990, Part VI, Line 12C Conflict of interest policy

The organization regularly monitors and enforces compliance with its conflict-of-interest policy (board policy 6.1 standards of conduct). This is accomplished by a number of mechanisms. First, the conflict-of-interest questionnaire is reviewed by nah board development committee ("governance committee" of the board). As part of the questionnaire, self-disclosure is required by board members, community committee members and the nah president/ceo. In addition, individual disclosure by board members occurs at board meetings when necessary. A board member must exclude himself or herself from voting on an issue in which he or she may have a conflict of interest. The chief compliance & privacy officer reviews potential conflicts and follows up with any additional questions, if necessary. Then the summary of responses and conflicts are brought before the governance committee for final review and provided to the board for their information.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

The process for determining compensation of the organization's ceo and other officers includes the preparation of comparable data by willis towers watson or sullivancotter, independent consulting firms. In addition, this information is reviewed by the board executive committee and documented in board minutes. The most recent comprehensive review was performed august 2024.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

The process for determining compensation of the organization's ceo and other officers includes the preparation of comparable data by willis towers watson or sullivancotter, independent consulting firms. In addition, this information is reviewed by the board executive committee and documented in board minutes. The most recent comprehensive review was performed august 2024.

Form 990, Part VI, Line 19 Required documents available to the public

The organization's financial statements are available through the arizona department of health services. In addition, they are available through the electronic municipal market access (emma) as part of the organization's continuing disclosure documents that are required by its public debt requirements. The organization does not make its governing documents or its conflict-of-interest policy available to the public, as this is not required.

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

All Other Revenue - Total Revenue: 2512636, Related or Exempt Function Revenue: 2512636, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
Verde Valley Medical Center
EIN
86-0100882
Phone
9286396442
Address
269 SOUTH CANDY LANE, COTTONWOOD, AZ 86326

Signing Officer

Name
Florence L Spyrow
Title
Nah President/CEO
Signed
2025-05-15
Discuss with paid preparer
Yes

Organization Details

Formed
1939
Legal Domicile
Az
Voting Board Members
13
Independent Board Members
12
Employees
0
Volunteers
13

Preparer

Firm
Ernst & Young US Llp
Address
2323 VICTORY AVENUE, DALLAS, TX 75219
Preparer
Patrick Shields
Phone
2149698000
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 6 VOLUNTEERS

The Northern Arizona Healthcare volunteer program exists to support our mission and vision. Volunteer roles are focused on improving the patient experience. Volunteer assignments do not replace or overlap with paid positions and duties. Volunteer absences do not interrupt daily workflow of department in which they are assigned. Our volunteer assignments and duties at the Verde Valley Medical Center are summarized here: Sedona Medical Center - Emergency Department - SMC: Rounding on patients to provide comfort items and stocking basic items. Verde Valley Medical Center - Caring Canines-Pet Therapy: Pet therapy visitation to common areas and nursing units - Emergency Department: Rounding on stable patients to provide company and offer comfort items - Greeters-VVMC Main: Welcome visitors, wayfinding and pushing visitors in wheelchairs - Music: Playing comforting music in common areas and nursing units

Form 990, Part III, Line 1 ORGANIZATION MISSION

Verde valley medical center's mission and vision -------------------------------------------------------------- mission - improving health, healing people. Vision - always better care. Every person, every time...together.

Form 990, Part V, Line 2A NUMBER OF EMPLOYEES REPORTED ON FORM W-3

Verde valley medical center does not have employees, but shares the cost of personnel, services, and expenses with northern arizona healthcare corporation, a related tax-exempt organization and vvmc's sole member.

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

DECREASE PENSION PLAN VALUATION - 1211300; NAHF Contributions - -208379; TRANSFER TO AFFILIATES - -25011499;

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The corporation is a not-for-profit corporation and is exempt from income taxes under section 501(c)(3) of the internal revenue code. Accordingly, no provision for income taxes is included in the accompanying consolidated financial statements. The corporation's management is not aware of any events that would cause the corporation to lose its tax-exempt status. Management has reviewed all open tax years and has determined that the corporation has no significant uncertain tax positions.

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IRS990/Desc0VERDE VALLEY MEDICAL CENTER WORKS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY THROUGH INPATIENT, OUTPATIENT AND EMERGENCY HOSPITAL CARE AND RELATED MEDICAL SERVICES, CHARITY CARE AND COMMUNITY SERVICE. TOTAL INPATIENT DISCHARGES WERE 5,127 AND 17,994 PATIENT DAYS. OUTPATIENT VISITS APPROXIMATED 576,339 AND 23,786 EMERGENCY VISITS.
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