BENSON HOSPITAL CORPORATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- BENSON HOSPITAL CORPORATION (EIN 86-6007695)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-19
- IRS object ID
- 202403249349300425
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-19T11:55:47+00:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E St Louis 200 PO Box 1190 | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 866007695 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BENSON HOSPITAL CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BENS | BusinessNameControlTxt |
| Phone | 5205861873 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2290 | AddressLine1Txt |
| City | Benson | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 856022290 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRET HICKS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5203241614 | PhoneNum |
| Signature | 2024-11-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brian Todd | PreparerPersonNm |
| PTIN | P00422601 | PTIN |
| Phone | 4178658701 | PhoneNum |
| Preparation | 2024-11-19 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GARY KARTCHNER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2290 | AddressLine1Txt |
| City | Benson | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 856022290 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,359,517 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.tmcaz.com/bensonhealthcare/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1960 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | To provide exceptional health care with compassion. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 231 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,521,562 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,000,525 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $25,374,336 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $26,985,065 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$1,605,727 | PYInvestmentIncomeAmt |
| CY Investment Income | $343,877 | CYInvestmentIncomeAmt |
| PY Other Revenue | $80,600 | PYOtherRevenueAmt |
| CY Other Revenue | $30,050 | CYOtherRevenueAmt |
| PY Total Revenue | $25,370,771 | PYTotalRevenueAmt |
| CY Total Revenue | $28,359,517 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,003,694 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,982,673 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,899,187 | PYOtherExpensesAmt |
| CY Other Expenses | $12,516,666 | CYOtherExpensesAmt |
| PY Total Expenses | $24,902,881 | PYTotalExpensesAmt |
| CY Total Expenses | $26,499,339 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $467,890 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,860,178 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $27,377,484 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,396,497 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,643,358 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,974,326 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,734,126 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,422,171 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide exceptional health care with compassion. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $22,963,778 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $26,985,065 | RevenueAmt |
| Desc | Benson Hospital is a rural hospital that provides medical care on an inpatient, outpatient, and emergency basis in and around the town of Benson, Arizona. The hospital has 22 acute care beds and is designated as a critical access hospital by the State of Arizona. Care provided includes emergency, occupational medicine, respiratory therapy, diagnostic imaging, nutrition services, laboratory services, pharmacy, primary care, and physical rehabilitation. Care is provided regardless of race, creed, color, or ability to pay. | Desc |
| Total Program Service Expenses | $22,963,778 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 76 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 231 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRET HICKS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5203241614 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2290 | AddressLine1Txt |
| City | BENSON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 856022290 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Barbara Hartley | ||||||||
| VICE CHAIR/CHIEF OF STAFF | 20.0 | 0 | Yes (X) | Yes (X) | $211,050 | $0 | $0 | |
| Joseph Sprietsma | ||||||||
| BOARD CHAIR | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Ann Cook | ||||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| CHARLENE HARRIS | ||||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Jon Young | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| MARCOS TERAN | ||||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Matt Smith | ||||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Micah Mortensen | ||||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Gary Kartchner | ||||||||
| CEO BEG 09/23 | 40.0 | 0 | Yes (X) | $148,659 | $0 | $18,915 | ||
| Julia Strange | ||||||||
| CEO END 09/23 | 24.0 | 21.0 | Yes (X) | $225,135 | $150,090 | $60,001 | ||
| Kathleen Murray | ||||||||
| PHYSICIAN | 40.0 | 0 | $268,403 | $0 | $9,861 | Yes (X) | ||
| Mindee Garrett | ||||||||
| DIRECTOR OF FINANCE | 40.0 | 0 | $154,593 | $0 | $5,950 | Yes (X) | ||
| Osvaldo Enriquez | ||||||||
| DIRECTOR, PHARMACY | 40.0 | 0 | $184,292 | $0 | $10,049 | Yes (X) | ||
| Robert Via | ||||||||
| DIRECTOR, IT | 40.0 | 0 | $171,593 | $0 | $8,152 | Yes (X) | ||
| Stephanie Starnes | ||||||||
| NURSE practitioner | 40.0 | 0 | $139,464 | $0 | $4,184 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,503,189 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $150,090 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $117,112 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Farshad Shirazi MD DBA Emergent Health PLLC | |||||
| 11900 N La Canada 68744 | Tucson | AZ | 85737 | ER Physician | $3,283,872 |
| Athena Health Inc | |||||
| PO Box 415615 | Boston | MA | 022415615 | Computer System | $816,145 |
| Davin Heathcare Workforce Solutions Inc | |||||
| PO 1355 | Middletown | OH | 45042 | Contract staffing | $715,446 |
| MCKESSON CORPORATION | |||||
| 1401 E ELM ST FL 5 | DALLAS | TX | 75202 | PHARMACEUTICAL SERVICES | $589,697 |
| ABBOTT LABORATORIES | |||||
| PO BOX 92679 | CHICAGO | IL | 60675 | LAB SERVICES | $371,978 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 22 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,000,000 | GovernmentGrantsAmt |
| All Other Contributions | $525 | AllOtherContributionsAmt |
| Total Contributions | $1,000,525 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $26,294,528 | $26,294,528 |
| OTHER REVENUE | 900099 | $188,719 | $188,719 |
| PHARMACY REVENUE | 446110 | $501,818 | $501,818 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $26,985,065 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $343,877 | TotalRevenueColumnAmt |
| Exclusion | $343,877 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $30,050 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $30,050 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,050 | TotalRevenueColumnAmt |
| Exclusion | $30,050 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,359,517 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,985,065 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $373,927 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $645,726 | TotalAmt |
| Program Services | $211,050 | ProgramServicesAmt |
| Management And General | $434,676 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,345,629 | TotalAmt |
| Program Services | $11,104,379 | ProgramServicesAmt |
| Management And General | $241,250 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,972 | TotalAmt |
| Program Services | $221,972 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $972,636 | TotalAmt |
| Program Services | $931,887 | ProgramServicesAmt |
| Management And General | $40,749 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $796,710 | TotalAmt |
| Program Services | $754,898 | ProgramServicesAmt |
| Management And General | $41,812 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,468,400 | TotalAmt |
| Management And General | $1,468,400 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,253 | TotalAmt |
| Management And General | $4,253 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,421 | TotalAmt |
| Management And General | $16,421 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,127,931 | TotalAmt |
| Program Services | $4,303,240 | ProgramServicesAmt |
| Management And General | $824,691 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,505 | TotalAmt |
| Program Services | $132,524 | ProgramServicesAmt |
| Management And General | $24,981 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $490,834 | TotalAmt |
| Program Services | $416,053 | ProgramServicesAmt |
| Management And General | $74,781 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $784,657 | TotalAmt |
| Program Services | $660,205 | ProgramServicesAmt |
| Management And General | $124,452 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,476 | TotalAmt |
| Program Services | $58,457 | ProgramServicesAmt |
| Management And General | $11,019 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $777,538 | TotalAmt |
| Program Services | $654,215 | ProgramServicesAmt |
| Management And General | $123,323 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,000 | TotalAmt |
| Program Services | $169,961 | ProgramServicesAmt |
| Management And General | $32,039 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES AND DRUGS | $2,386,243 | $2,386,243 | |
| HEALTH ASSESSMENT | $572,951 | $572,951 | |
| REPAIRS AND MAINTENANCE | $264,099 | $222,211 | $41,888 |
| RECRUITMENT AND RETENTION | $146,055 | $122,890 | $23,165 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,303 | TotalAmt |
| Program Services | $40,642 | ProgramServicesAmt |
| Management And General | $7,661 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,499,339 | TotalAmt |
| Program Services | $22,963,778 | ProgramServicesAmt |
| Management And General | $3,535,561 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $612,294 | BOYAmt |
| EOY | $230,415 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,328,927 | BOYAmt |
| EOY | $1,903,399 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,451,935 | BOYAmt |
| EOY | $2,271,208 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $572,577 | BOYAmt |
| EOY | $662,719 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $703,008 | BOYAmt |
| EOY | $247,162 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,191,473 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,203,220 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,359,624 | BOYAmt |
| EOY | $10,988,253 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,739,560 | BOYAmt |
| EOY | $9,101,641 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,609,559 | BOYAmt |
| EOY | $2,991,700 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,377,484 | BOYAmt |
| EOY | $28,396,497 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,042,816 | BOYAmt |
| EOY | $1,725,330 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,225,522 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,375,020 | BOYAmt |
| EOY | $2,248,996 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,643,358 | BOYAmt |
| EOY | $3,974,326 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,734,126 | BOYAmt |
| EOY | $24,422,171 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,734,126 | BOYAmt |
| EOY | $24,422,171 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,377,484 | BOYAmt |
| EOY | $28,396,497 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,860,178 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $827,867 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $324,142 | OtherCostOrOtherBasisAmt |
| Book Value | $324,142 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,189,299 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,981,395 | DepreciationAmt |
| Book Value | $9,207,904 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,623,456 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,221,825 | DepreciationAmt |
| Book Value | $1,401,631 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,576 | OtherCostOrOtherBasisAmt |
| Book Value | $54,576 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,988,253 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ROU ASSETS | $1,422,222 |
| OTHER RECEIVABLES | $1,569,478 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,991,700 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ROU LIABILITY | $1,464,064 |
| DUE TO 3RD PARTY | $784,932 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,248,996 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS | FormAndLineReferenceDesc |
| Explanation | Management has reviewed the Company's tax positions for all open tax years and has concluded that no material liabilities exist as of December 31, 2023 or 2022 | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $377,617 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $377,617 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0143 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,371,697 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,339,655 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $5,749,314 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,339,655 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $377,617 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0143 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $5,749,314 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,339,655 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $377,617 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0143 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 200 | PersonsServedCnt |
| Total Community Benefit Expns | $500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 25 | PersonsServedCnt |
| Total Community Benefit Expns | $200 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 22095 | PersonsServedCnt |
| Total Community Benefit Expns | $20,900 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0008 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 19330 | PersonsServedCnt |
| Total Community Benefit Expns | $16,300 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 41650 | PersonsServedCnt |
| Total Community Benefit Expns | $37,900 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0014 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,598,284 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $509,156 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $6,722,184 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,285,710 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $436,474 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Benson Hospital Corporation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 S Ocotillo Ave | AddressLine1Txt |
| City | Benson | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.bensonhospital.org | WebsiteAddressTxt |
| State License | RGH0096 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Benson Hospital Corporation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.tmcaz.com/bensonhealthcare/community/community-health-needs-assessment | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.tmcaz.com/northern-cochise-community-hospital/community/community-health-needs-assessment/ | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.tmcaz.com/bensonhealthcare/community/community-health-needs-assessment | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.tmcaz.com/bensonhealthcare/about-my-bill/financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.tmcaz.com/bensonhealthcare/about-my-bill/financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.tmcaz.com/bensonhealthcare/about-my-bill/financial-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Benson Hospital Corporation. DATA FROM A NUMBER OF FEDERAL AND STATE LEVEL SOURCES WERE USED TO BETTER UNDERSTAND THE DEMOGRAPHICS, HEALTH BEHAVIORS, SOCIAL & ECONOMIC FACTORS, PHYSICAL ENVIRONMENT, AND CLINICAL CARE CHARACTERISTICS OF THE TWO HOSPITAL SERVICES AREAS AND THE COUNTY. SPECIFIC DATA SOURCES INCLUDED: CENTERS FOR DISEASE CONTROL, BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AMERICAN COMMUNITY SURVEY (ACS), US CENSUS BUREAU, ROBERT WOOD JOHNSON COUNTY HEALTG RANKINGS, DEPARTMENT OF HEALTH AND HUMAN SERVICES, NATIONAL VITAL STATISTICS, ARIZONA YOUTH SURVEY, UDS MAPPER HRSA DATA WAREHOUSE, ARIZONA DEPARTMENT OF HEALTH PRIMARY CARE, STATISTICAL AREA PROFILES, ARIZONA DEPARTMENT OF ECONOMIC SECURITY, AND POINT IN TIME HOMELESS SURVEY. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - BENSON HOSPITAL CORPORATION. THE CHNA WAS ALSO CONDUCTED FOR NORTHERN COCHISE COMMUNITY HOSPITAL. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Benson Hospital Corporation. MENTAL HEALTH AND SUBSTANCE ABUSE * COLLABORATE WITH CCHCI ON A MAT GRANT TO ENSURE PATIENTS FROM THE ED HAVE TREATMENT OPTIONS FOR ALCOHOL, OPIOID, AND OTHER ADDICTION ISSUES * PLAN AND COLLABORATE WITH THE LEGACY FOUNDATION OF SOUTHEASTERN ARIZONA TO HAVE AN ANNUAL MULTIDISCIPLINARY DRUG ADDICTION SUMMIT IN COCHISE COUNTY * COLLABORATE WITH THE BENSON POLICE DEPARTMENT & REACH PROGRAM TO ADDRESS ADDICTION-RELATED SOCIAL NEEDS * CONTINUE TO EXPAND CONCERT HEALTH PROGRAM * WORK WITH THE BENSON FAMILY ALLIANCE TO HOLD PARENT MULTIDISCIPLINARY EDUCATION NIGHTS AT THE SCHOOL AROUND SUBSTANCE ABUSE AND THE CORRELATION WITH ADVERSE CHILDHOOD EXPERIENCES * EXPLORE OPTIONS TO TREAT SOCIAL ISOLATION AMONG THE ELDERLY THROUGH FELLOWSHIP OPTIONS WITH LOCAL CHURCHES * CREATE A COLLABORATION WITH THE AREA AGENCY ON AGING TO IMPROVE MENTAL HEALTH OUTCOMES IN BENSON'S ELDERLY POPULATION * EXPLORE THE POSSIBILITY OF PARTNERING WITH SEAGO TO CREATE A CONGREGATE MEAL SITE IN BENSON THAT WOULD ADDRESS SOCIAL ISOLATION * WORK WITH COCHISE COUNTY HEALTH AND HUMAN SERVICES TO EXPLORE THE OPTION OF USING CAHS FOR DETOX BRIDGE TREATMENT GOOD JOBS AND HEALTHY ECONOMY * HOLD A SUMMER CAMP FOR CURRENT STUDENTS IN MIDDLE AND EARLY HIGH SCHOOL TO INVEST IN THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS * WORK WITH THE CENTER FOR THE FUTURE OF ARIZONA TO IMPROVE CAREER-BASED STEM LEARNING OPPORTUNITIES IN BENSON * ATTEND AND PARTICIPATE IN SERVICE AREA STEM NIGHT EVENTS * WORK WITH BUSD AND CENTER FOR THE FUTURE OF ARIZONA TO TRY AND CREATE A HEALTHCARE PORTION FOR THE SOUTHWESTERN REGION SPACE SETTLEMENT DESIGN COMPETITION * CONTINUE CREATING AND EXPANDING SERVICE LINES THAT BOTH KEEP AND INCREASE HEALTHCARE-ASSOCIATED SPENDING IN BENSON * WORK WITH THE BENSON CHAMBER OF COMMERCE AND THE SOUTHEAST ARIZONA ECONOMIC DEVELOPMENT GROUP TO IMPROVE THE OVERALL ECONOMIC ENVIRONMENT IN BENON * WORK WITH THE COCHISE TECHNOLOGY DISTRICT TO EXPAND THE PCT PROGRAM AND EXPLORE CREATING A COMMUNITY HEALTH WORKER PROGRAM * PARTNER WITH LOCAL SCHOOLS TO CREATE PRACTICAL EXPERIENCES FOR STUDENTS SUCH AS SHADOWING VARIOUS DEPARTMENTS INVOLVED WITH THE DELIVERY OF HEALTHCARE * RECRUIT MORE SPECIALISTS PROVIDERS TO BENSON IN ORDER TO INCREASE LOCAL REVENUE AND DECREASE THE COMMUNITY EXPENDITURES ASSOCIATED WITH TRAVELING TO TUCSON FOR CARE HEALTHY EATING, OBESITY AND DIABETES * EXPLORE THE POSSIBILITY OF WORKING WITH SEAGO TO HAVE CONGREGATE MEAL SITE FOR ELDERS IN BENSON * RECONVENE THE BENSON DIABETIC EDUCATION SUPPORT GROUP * WORK WITH CONCERT HEALTH TO ADDRESS LIFESTYLE DISEASES IN PATIENTS THAT ALSO HAVE COEXISTING CONDITIONS OTHER THAT ANXIETY AND DEPRESSION * CONTINUE WORKING WITH SOUTHWIND'S FARM TO IMPROVE ACCESS TO LOCALLY GROWN HEALTHY PRODUCE * REESTABLISH THE SUMMER FARMERS MARKET AT BENSON HOSPITAL TO INCREASE ACCESS TO LOCALLY GROWN PRODUCE * WORK THE BENSON CLEAN & BEAUTIFUL AND THE CITY OF BENSON TO DEVELOP A COMMUNITY GARDEN IN LIONS PARK * WORK WITH BENSON CLEAN & BEAUTIFUL TO EXPAND MARKET ON THE MOVE IN BENSON * PROVIDE GUIDANCE FOR YOUTH EFFORT FUNDRAISING FOR THE FOOD PANTRY * WORK WITH COCHISE (EFNEP) EXPANDED FOOD AND NUTRITION EDUCATION PROGRAM THROUGH THE U OF A COOPERATIVE EXTENSION TO HOLD MORE EDUCATIONAL CLASSES IN BENSON |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| BENSON FAMILY HEALTH CARE CLINIC | ||||
| 688 W FOURTH ST | BENSON | AZ | 65602 | PATIENT CLINIC |
| BENSON SAN PEDRO CLINIC | ||||
| 890 W FOURTH ST | BENSON | AZ | 85602 | PATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 PERCENT OF TOTAL EXPENSE | TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990. |
| Schedule H, Part I, Line 7 COSTING METHODOLOGY | THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1. IRS WORKSHEETS 3 AND 6 USED INTERNAL COST ACCOUNTING METHODOLOGY. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | BAD DEBT EXPENSE IS BASED ON HISTORICAL BAD DEBT WRITEOFFS BY FINANCIAL PAY CLASS I.E. COMMERCIAL INSURANCE GOVERNMENT PAYORS MEDICARE AND MEDICAID AND SELFPAY. THE PAST PERFORMANCE IS USED TO ESTIMATE THE MONTHLY REVENUE AND OUTSTANDING RECEIVABLE BALANCE. THE ESTIMATE IS UPLOADED MONTHLY TO REFLECT ACTUAL ACTIVITY TO DATE. ANY DISCOUNTS TO PATIENT BILLS ARE INCLUDED IN THE BAD DEBT EXPENSE SINCE THEY ARE BILLED NET OF ANY CONTRACTUAL ADJUSTMENTS OR SELF-PAY DISCOUNTS. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | ANY BAD DEBT EXPENSE WHERE THE FINANCIAL CLASS WAS SLIDING FEE WHICH IS THE TERM USED FOR PATIENTS UNDER THE FINANCIAL ASSISTANCE PLAN. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE AND PATIENT ACCOUNTS RECEIVABLE IS FOUND ON THE AUDITED FINANCIAL STATEMENTS UNDER NOTE 1, SUBTITLED "PATIENT ACCOUNTS RECEIVABLE." |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE ALLOWABLE COSTS ARE BASED ON THE MEDICARE COST REPORT WHICH IS BASED ON THE NUMBER OF PATIENT DAYS TIMES THE COST PER DIEM. ALL OF THE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT AS COMMUNITY MEMBERS WERE PROVIDED SERVICES THAT WERE NOT REIMBURSED TO THE HOSPITAL. SHORTFALL REPRESENTS COMMUNITY BENEFIT. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | BENSON HOSPITAL WILL CONTINUE TO BILL THE PATIENT FOR AT LEAST 120 DAYS IF THE PATIENT DOES NOT MAKE PAYMENT ARRANGEMENTS OR FAILS TO INITIATE THE FINANCIAL ASSISTANCE PROCESS. COLLECTION ACTIVITIES, INCLUDING TRANSFERRING TO A COLLECTION AGENCY, WILL BEGIN ON ACCOUNTS OLDER THAN 120 DAYS. BENSON HOSPITAL WILL SEND A MINIMUM OF THREE STATEMENTS EVERY 30-45 DAYS PRIOR TO TRANSFERRING AN ACCOUNT TO A COLLECTION AGENCY. BENSON HOSPITAL WILL MAKE TWO PHONE CALLS ON ACCOUNTS WITH RETURNED MAIL IN AN ATTEMPT TO CONTACT THE PATIENT AT THE ADDRESS AND PHONE NUMBERS PROVIDED BY THE PATIENT. IF THERE IS NO RESPONSE, THE ACCOUNT WILL BE TRANSFERRED TO A COLLECTION AGENCY. STATEMENT AND COMMUNICATIONS WILL INFORM THE PATIENT OF THE AMOUNT DUE, THE OPPORTUNITY TO COMPLETE AN FAP APPLICATION, AND THAT THE COMPLETION OF THE APPLICATION MAY QUALIFY THE PATIENT FOR FREE OR REDUCED-COST CARE. |
| Schedule H, Part V, Section B, Line 16a FAP website | - Benson Hospital Corporation: Line 16a URL: https://www.tmcaz.com/bensonhealthcare/about-my-bill/financial-assistance; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - Benson Hospital Corporation: Line 16b URL: https://www.tmcaz.com/bensonhealthcare/about-my-bill/financial-assistance; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - Benson Hospital Corporation: Line 16c URL: https://www.tmcaz.com/bensonhealthcare/about-my-bill/financial-assistance; |
| Schedule H, Part VI, Line 2 Needs assessment | OUR MISSION AT BENSON HOSPITAL IS TO PROVIDE EXCEPTION HEALTH CARE WITH COMPASSION. IN ORDER TO MEET THIS MISSION, WE STRIVE TO UNDERSTAND THE NEEDS OF OUR COMMUNITY IN SEVERAL DIFFERENT WAYS. OUR LEADERSHIP AND STAFF ARE MEMBERS OF CIVIC CLUBS, BOARDS, AND COMMITTEES. OUR BOARD OF TRUSTEES IS COMPRISED OF MEMBERS FROM COUNTIES THROUGHOUT OUR SERVICE AREA. WE WORK CLOSELY WITH THE HEALTH DEPARTMENT AND OTHER COMMUNITY AGENCIES. STATE, REGIONAL AND LOCAL MEDIAS ARE USED TO MONITOR NEEDS AT ALL LEVELS. WE ALSO BELONG TO MANY HEALTHCARE RELATED ORGANIZATIONS THAT PROVIDE INFORMATION REGARDING USAGE AND NEEDS OF HEALTHCARE IN OUR SERVICE AREA WHICH IS USED TO EVALUATE WHAT WE NEED TO FOCUS ON TO IMPROVE THE HEALTH IN OUR COMMUNITY. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | TO FURTHER BENSON HOSPITAL'S MISSION TO THE COMMUNITIES THAT IT SERVES, BENSON HOSPITAL WILL PROVIDE FINANCIAL ASSISTANCE FOR MEDICALLY NECESSARY HEALTH CARE IN A FAIR, CONSISTENT, RESPECTFUL AND OBJECTIVE MANNER TO LOW-INCOME PATIENTS WHO DO NOT HAVE INSURANCE COVERAGE OR ARE UNDERINSURED. COMMUNICATIONS TO PATIENTS A. BENSON HOSPITAL IS COMMITTED TO MAKING THE PEOPLE IN THE COMMUNITIES THAT IT SERVICES AWARE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH ITS COMMUNITY CARE POLICY. BENSON HOSPITAL WILL PROVIDE FINANCIAL COUNSELING TO PATIENTS UPON REQUEST AND HELP THOSE WHO ARE ELIGIBLE THROUGH THE COMMUNITY CARE APPLICATION PROCESS. B. BENSON HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN APPROPRIATE ACUTE-CARE SETTINGS SUCH AS THE EMERGENCY DEPARTMENT, REGISTRATION AREAS AND ON THE HOSPITAL WEBSITE. C. ALL BILLING STATEMENTS AND STATEMENTS OF SERVICES WILL INFORM PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. D. SIGNS ARE POSTED IN HOSPITAL REGISTRATION AREAS INFORMING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING PATIENTS WHO COMPLETE AN ASSISTANCE APPLICATION. THESE SIGNS INFORM PATIENTS THAT FREE OR REDUCED-COST CARE MAY BE AVAILABLE TO QUALIFYING PATIENTS WHO COMPLETE AN APPLICATION. E. MATERIALS DESCRIBING THE COMMUNITY CARE POLICY, INCLUDING CARDS AND BROCHURES, ARE AVAILABLE IN ENGLISH AND SPANISH ON THE HOSPITAL WEBSITE, IN ADMITTING AND AT THE BUSINESS OFFICE 450 S OCOTILLO AVE BENSON, AZ 85602 F. FINANCIAL COUNSELING AND BUSINESS OFFICE PERSONNEL ARE AVAILABLE AT THE HOSPITAL OR AT THE BUSINESS OFFICE TO ASSIST PATIENTS IN UNDERSTANDING AND APPLYING FOR LOCAL, STATE AND FEDERAL HEALTH CARE PROGRAMS AND THE BENSON HOSPITAL COMMUNITY CARE PROGRAM. G. REASONABLE EFFORTS ARE MADE TO ENSURE THAT ALL BENSON HOSPITAL EMPLOYEES ARE INFORMED ABOUT HOW TO REFER PATIENTS TO APPLY FOR BENSON HOSPITAL'S COMMUNITY CARE PROGRAM. ANNUAL STAFF EDUCATION PROGRAMS ARE PROVIDED TO ALL BUSINESS OFFICE AND ADMITTING STAFF. H. PATIENTS CAN REQUEST FINANCIAL ASSISTANCE INFORMATION OR A COPY OF THIS POLICY OR THE COMMUNITY CARE APPLICATION BY CALLING THE BUSINESS OFFICE AT (520)720-6519 OR BY E-MAIL AT FAP@BENSONHOSPITAL.ORG. VOICEMAIL IS AVAILABLE AND CALLS WILL BE FOLLOWED UP WITHIN TWO WORKING DAYS. I. PATIENTS ARE PROVIDED INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE UPON REGISTRATION OR ADMISSION TO BENSON HOSPITAL'S ACUTE CARE AREAS. J. THIS POLICY AND THE COMMUNITY CARE APPLICATION FOR ASSISTANCE IN THE FORM OF THE BENSON HOSPITAL FAP ARE AVAILABLE ON THE HOSPITAL WEBSITE AT HTTP://WWW.BENSONHOSPITAL.ORG, IN ACUTE CARE INPATIENT REGISTRATION AREAS OR VIA MAIL OR E-MAIL FROM THE BUSINESS OFFICE. THE COMMUNITY CARE APPLICATION DOCUMENTS INCLUDE INSTRUCTIONS ON HOW TO COMPLETE THE APPLICATION FORM AND THE KINDS OF SUPPORTING DOCUMENTATION THAT ARE NEEDED TO COMPLETE THE APPLICATION PROCESS. INSTRUCTIONS FOR RETURN OF THE FORM ARE ALSO PROVIDED. K. INDIVIDUALS OTHER THAN THE PATIENT, SUCH AS THE PATIENT'S PHYSICIAN, FAMILY MEMBERS, COMMUNITY OR RELIGIOUS GROUPS, SOCIAL SERVICES OR HOSPITAL PERSONNEL MAY MAKE REQUESTS FOR FINANCIAL ASSISTANCE ON A PATIENT'S BEHALF. |
| Schedule H, Part VI, Line 4 Community information | FOUNDED IN 1881, 31 YEARS BEFORE ARIZONA ACHIEVED STATEHOOD, COCHISE COUNTY HAS A RICH AND DIVERSE HISTORY. LOCATED IN THE SOUTHEAST CORNER OF ARIZONA AND COVERING NEARLY FOUR MILLION ACRES, IT IS LARGER THAN THE STATES OF CONNECTICUT AND RHODE ISLAND COMBINED. THE COUNTY'S NAMESAKE, THE LEGENDARY APACHE CHIEF COCHISE, WAGED BATTLE WITH U.S. CAVALRY UNITS IN THE DRAGOON MOUNTAINS, WHILE GERONIMO WAS PURSUED DEEP INTO THE CHIRICAHUA MOUNTAINS. TODAY, PEOPLE OF DIVERSE CULTURES, WITH VARYING SOCIOECONOMIC AND HEALTH STATUS CONDITIONS CALL COCHISE COUNTY HOME. THE COMMUNITIES COMPRISING THE COUNTY INCLUDING TOMBSTONE, THE COPPER TOWN TURNED ARTISTIC COMMUNITY OF BISBEE, SIERRA VISTA, FORT HUACHUCA, THE VINEYARDS, AND FARMS OF WILLCOX, THE NATURAL BEAUTY OF THE SAN PEDRO VALLEY AND THE CROSS-BORDER BUSTLE IN DOUGLAS EACH SERVE TO CREATE A DIVERSE LIFESTYLE AND GEOGRAPHY AS WELL. COCHISE COUNTY'S POPULATION IS NEARLY 127,000 TODAY. IT HAS DECLINED BY NEARLY 4% BETWEEN 2010 AND 2020. GROWTH BY 2025 IS EXPECTED TO BE VIRTUALLY FLAT (+1%). COLLECTIVELY, THE SERVICE AREAS OF NCCH AND BENSON COVER ABOUT 80% OF THE LAND AREA OF COCHISE COUNTY, AND THE POPULATIONS OF THE TWO COMBINED SERVICE AREAS REPRESENT ABOUT 53% OF THE COUNTY'S POPULATION. THE BENSON HOSPITAL SERVICE AREA ALSO INCLUDES SIX ZIP CODES. 83% OF BENSON'S PATIENTS RESIDE IN THESE SIX ZIP CODES: 85602 BENSON 85630 SAINT DAVID 85616 HUACHUCA CITY 85635 SIERRA VISTA 85627 POMERENE 85609 DRAGOON |
| Schedule H, Part VI, Line 5 Promotion of community health | THROUGH THE 2021-2023 CHNA PROCESS, BENSON CREATED INDIVIDUAL, COMMUNITY SPECIFIC CHNA PRIORITIES AND DEVELOPED STRATEGIES FOR IMPLEMENTING THOSE PRIORITIES. ACCOMPLISHMENTS RELATED TO THOSE 2021-23 CHNA INDIVIDUAL PRIORITIES AND STRATEGIES FOR EACH HOSPITAL ARE OUTLINED BELOW PRIORITY: MENTAL HEALTH AND SUBSTANCE ABUSE - ACCOMPLISHMENTS IMPLEMENTED DEPRESSION SCREENINGS AS PART OF PRIMARY CARE SERVICES. PARTNERED WITH CONCERT HEALTH FOR THE PROVISIONS OF MENTAL HEALTH SERVICES AT SSMC. PRIORITY: GOOD JOBS AND A HEALTHY ECONOMY CONNECTED WITH ARIZONA HOSA, A CAREER AND TECHNICAL STUDENT ORGANIZATION DEDICATED TO HELPING STUDENTS ENTER THE HEALTHCARE FIELD, TO BEGIN A COLLABORATIVE EFFORT WITH THE SCHOOLS TO INTRODUCE HEALTH-RELATED CAREERS TO STUDENTS. PRIORITY: AGING CONCERNS AND RESOURCES FOR HEALTHY LIVING CONTINUED THE FEASIBILITY ANALYSIS OF IMPLEMENTING SWING BEDS IN THE COMMUNITY TO PROVIDE A LOCAL LONG-TERM CARE OPTION. COLLABORATED WITH TUCSON MEDICAL CENTER TO VIRTUALLY HOST SENIOR HEALTH EDUCATION PROGRAMS. COLLABORATED WITH COMMUNITY ORGANIZATIONS TO RE-INITIATE SERVICES AT THE SENIOR CENTER POST-COVID. DEVELOPED AND OPENED AN OUTPATIENT GERIATRIC-PSYCHIATRY PROGRAM. PRIORITY: PRIMARY CARE IMPLEMENTED ROBUST RECRUITMENT PROGRAMS WITH THE GOAL OF ADDING ADDITIONAL DAYS OF OPERATION TO THE CLINICS. WHILE STILL IN THE RECRUITMENT PROCESS, NCCH WAS ABLE TO EXPAND CLINIC DAYS OF OPERATION TO THREE DAYS PER WEEK DURING THE SNOWBIRD SEASON. CONTINUED RECRUITMENT EFFORTS FOCUSED ON ADDING AN ADDITIONAL NURSE PRACTITIONER TO SSMC. CONTINUED MEDICAL DIRECTOR RECRUITMENT EFFORTS MADE TO HELP SUPPORT SERVICES AT EACH OF THE CLINICS. PRIORITY: DENTAL CARE EVALUATED THE FEASIBILITY OF PROVIDING FLUORIDE TREATMENTS TO MEDICAID CHILDREN WITHIN THE CLINICS. COLLABORATING WITH CHIRICAHUA FQHC'S PLANNED DENTAL EXPANSION TO WILLCOX. |
| Schedule H, Part VI, Line 6 Affiliated health care system | TMC HEALTHCARE IS A TAX-EXEMPT NONPROFIT CORPORATION LOCATED IN TUCSON, ARIZONA. TMC HEALTHCARE AND ITS VARIOUS SUBSIDIARIES AND AFFILIATES (COLLECTIVELY, THE COMPANY) PROVIDE GENERAL MEDICAL AND SURGICAL ACUTE CARE, GERIATRIC PSYCHIATRY SERVICES, HEALTHCARE EDUCATION, AND A FULL RANGE OF OUTPATIENT SERVICES PRIMARILY TO THE RESIDENTS OF SOUTHERN ARIZONA. TMC HEALTHCARE IS PRIMARILY A TAX-EXEMPT NONPROFIT HOLDING COMPANY. TUCSON MEDICAL CENTER (TMC) - TMC IS A TAX-EXEMPT NONPROFIT ARIZONA CORPORATION THAT HAS 596 ACUTE MEDICAL AND SURGICAL, 16 PSYCHIATRIC, AND 16 HOSPICE LICENSED BEDS AS OF DECEMBER 31, 2023 AND 2022. TMC HOLDINGS, INC. - TMC HOLDINGS, INC., IS A TAX-EXEMPT NONPROFIT CORPORATION. TMC HOLDINGS, INC., PRIMARILY LEASES MEDICAL FACILITIES TO HEALTHCARE PROVIDERS IN TUCSON, ARIZONA. TMC MEDICAL NETWORK (TMN) - TMN IS A TAX-EXEMPT NONPROFIT CORPORATION TMCONE - TMN IS THE SOLE CORPORATE MEMBER OF TMCONE, A TAX-EXEMPT NONPROFIT CORPORATION. TMCONE ENGAGES PHYSICIANS AND OTHER PROVIDERS TO PROVIDE PROFESSIONAL MEDICAL SERVICES, EITHER THROUGH DIRECT EMPLOYMENT OR THROUGH PROVIDER SERVICE AGREEMENTS. TMC FOUNDATION - TMC FOUNDATION IS A TAX-EXEMPT NONPROFIT CORPORATION. TMC FOUNDATION RAISES AND INVESTS FUNDS PRIMARILY FOR THE BENEFIT OF TMC AND OTHER COMMUNITY NONPROFIT INITIATIVES. GLP INSURANCE COMPANY (GLPIC) - GLPIC IS A FOREIGN FOR-PROFIT CORPORATION. GLPIC PROVIDES SELF-INSURED RETENTION INSURANCE FOR PROFESSIONAL AND GENERAL LIABILITY AND WORKERS' COMPENSATION LIABILITY AND ARRANGES FOR CERTAIN OTHER INSURANCE COVERAGE FOR THE COMPANY AND CERTAIN PHYSICIANS. TMC HEALTHCARE SECURITY SERVICES, INC. (SECURITY SERVICES) - SECURITY SERVICES IS A FOR-PROFIT CORPORATION. SECURITY SERVICES PROVIDES CONTRACTED SECURITY SERVICES TO RELATED AND NON-RELATED PARTIES. TMC HEALTH MEDICAL EDUCATION PROGRAM (THMEP) - THMEP IS TAX-EXEMPT NONPROFIT CORPORATION AND IS A PROVIDER OF GRADUATE AND CONTINUING MEDICAL EDUCATION IN THE SOUTHERN ARIZONA REGION. NORTHERN COCHISE COMMUNITY HOSPITAL (NCCH) - NCCH IS A TAX-EXEMPT NONPROFIT CORPORATION THAT OPERATES A 24-BED CRITICAL ACCESS HOSPITAL LOCATED IN WILLCOX, ARIZONA. RINCON NEIGHBORHOOD HOSPITAL (RNH) - RNH IS A TAX-EXEMPT NONPROFIT CORPORATION AND IS THE ENTITY CREATED FOR THE NEW HOSPITAL IN THE RINCON NEIGHBORHOOD. CONSTRUCTION ON THIS HOSPITAL IS ONGOING, AND THE HOSPITAL IS EXPECTED TO OPEN IN EARLY 2024. HOSPITAL CARE SYSTEMS DEVELOPMENT CORPORATION (HCSDC) - HCSDC IS A FOR-PROFIT CORPORATION CHILDREN'S CLINIC FOR REHABILITATION SERVICES (CCRS) - CCRS IS A TAX-EXEMPT NONPROFIT CORPORATION THAT PROVIDES PEDIATRIC SERVICES. SOUTHERN ARIZONA HOSPITAL ALLIANCE (SAHA) - SAHA IS A TAX-EXEMPT NONPROFIT CORPORATION FOCUSED ON PROVIDING SUSTAINABLE HEALTHCARE IN SOUTHERN ARIZONA. ABACUS HEALTH, LLC (ABACUS) - ABACUS IS A FOR-PROFIT LIMITED LIABILITY COMPANY THAT IS AN AFFILIATE OF ARIZONA COMMUNITY PHYSICIANS AND OPERATES AN ACCOUNTABLE CARE ORGANIZATION UNDER THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Barbara Hartley | ||||||||||||||
| VICE CHAIR/CHIEF OF STAFF | $211,050 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $211,050 | $0 | $0 | $0 |
| Gary Kartchner | ||||||||||||||
| CEO BEG 09/23 | $148,659 | $0 | $0 | $0 | $0 | $0 | $15,803 | $0 | $3,112 | $0 | $167,574 | $0 | $0 | $0 |
| Julia Strange | ||||||||||||||
| CEO END 09/23 | $165,384 | $110,256 | $36,958 | $24,638 | $22,793 | $15,196 | $28,247 | $18,831 | $7,754 | $5,169 | $261,136 | $174,090 | $0 | $0 |
| Robert Via | ||||||||||||||
| DIRECTOR, IT | $159,561 | $0 | $12,032 | $0 | $0 | $0 | $5,212 | $0 | $2,940 | $0 | $179,745 | $0 | $0 | $0 |
| Mindee Garrett | ||||||||||||||
| DIRECTOR OF FINANCE | $143,170 | $0 | $11,423 | $0 | $0 | $0 | $4,660 | $0 | $1,290 | $0 | $160,543 | $0 | $0 | $0 |
| Osvaldo Enriquez | ||||||||||||||
| DIRECTOR, PHARMACY | $179,944 | $0 | $4,348 | $0 | $0 | $0 | $5,633 | $0 | $4,416 | $0 | $194,341 | $0 | $0 | $0 |
| Kathleen Murray | ||||||||||||||
| PHYSICIAN | $268,403 | $0 | $0 | $0 | $0 | $0 | $7,814 | $0 | $2,047 | $0 | $278,264 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | EXECUTIVES PARTICIPATING IN A SUPPLEMENTAL, NON QUALIFIED RETIREMENT PLAN: JULIA STRANGE 2023 VESTED CONTRIBUTIONS INCLUDED IN W-2: $37,989 |
| Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization | MIP BONUS METRICS- MANAGEMENT IS ELIGIBLE FOR AN ANNUAL MANAGEMENT INCENTIVE PLAN (MIP) AT THE DISCRETION OF THE GOVERNING BOARD OF TMCH. THE INCENTIVE IS BASED ON THE GOALS: RELATIVE VALUE UNITS AND QUALITY. METRICS ARE ESTABLISHED FOR EACH FISCAL (CALENDAR) YEAR, TOGETHER WITH THE PERCENTAGE OF COMPENSATION PAYOUT BASED ON REACHING ANNUAL ESTABLISHED GOALS. STIP BONUS METRICS - EXECUTIVES ARE ELIGIBLE FOR AN ANNUAL SHORT TERM INCENTIVE PROGRAM (STIP) AT THE DISCRETION OF THE GOVERNING BOARD OF TMCH. THE INCENTIVE IS BASED ON THE GOALS: FINANCIAL, PEOPLE, QUALITY, PATIENT EXPERIENCE, AND GROWTH. METRICS ARE ESTABLISHED FOR EACH FISCAL (CALENDAR) YEAR, TOGETHER WITH THE PERCENTAGE OF COMPENSATION PAYOUT BASED ON REACHING ANNUAL ESTABLISHED GOALS. |
| Schedule J, Part II RELATED ORGANIZATION COMPENSATION | JULIA STRANGE RECEIVES COMPENSATION FROM TUCSON MEDICAL CENTER, A RELATED ORGANIZATION, FOR DUTIES PERFORMED OUTSIDE HER RESPONSIBILITIES AS THE BENSON CEO. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE HOSPITAL SHALL HAVE ONLY ONE MEMBER, TMC HEALTHCARE. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE HOSPITAL BOARD SHALL BE COMPOSED OF THOSE PERSONS APPOINTED BY THE SYSTEM BOARD OF TRUSTEES AND THOSE PERSONS WHO ARE EX OFFICIO DIRECTORS. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | TMC HEALTHCARE SHALL HAVE EXCLUSIVE AUTHORITY, IN ITS SOLE AND ABSOLUTE DISCRETION, TO DETERMINE ANY OF THE FOLLOWING ACTIONS BY OR ON BEHALF OF THE HOSPITAL: (A) APPROVAL OF THE HOSPITAL'S ANNUAL OPERATING AND CAPITAL BUDGETS AND MATERIAL CHANGES THERETO. THE HOSPITAL BOARD SHALL PROPOSE ANNUAL OPERATING AND CAPITAL BUDGETS FOR THE HOSPITAL, AND MAY REQUEST MATERIAL CHANGES THERETO. (B) APPROVAL OF INDIVIDUAL NON-RECURRING UNBUDGETED EXPENDITURES IN EXCESS OF FIFTY THOUSAND AND NO/100 DOLLARS, WHICH APPROVAL CAN BE PROVIDED BY THE SYSTEM CEO OR SYSTEM CHIEF FINANCIAL OFFICER. (C) APPROVAL OF ANY UNBUDGETED CAPITAL EXPENDITURES THE COST OF WHICH IN ANY ONE FISCAL YEAR EXCEEDS FIFTY THOUSAND AND NO/100 DOLLARS, WHICH APPROVAL CAN BE PROVIDED BY THE SYSTEM CEO OR SYSTEM CHIEF FINANCIAL OFFICER. (D) APPOINTING OR REMOVING THE HOSPITAL CEO. THE SYSTEM SHALL CONSULT WITH THE HOSPITAL BOARD REGARDING CANDIDATES FOR THE POSITION OF HOSPITAL CEO. (E) APPROVING THE HOSPITAL'S STRATEGIC GOALS AND OBJECTIVES, CONSISTENT WITH THE SYSTEM'S STRATEGIC GOALS AND OBJECTIVES. (F) FILING FOR BANKRUPTCY, MAKING A GENERAL ASSIGNMENT FOR THE BENEFIT OF CREDITORS, OR TAKING ANY SIMILAR ACTION. (G) MAKING ANY MATERIAL CHANGE IN THE NATURE OF THE HOSPITAL'S BUSINESS. (H) SALE, EXCHANGE OR OTHER DISPOSITION OF ANY ASSETS OUTSIDE THE ORDINARY COURSE OF BUSINESS. (I) ENTERING INTO, AMENDING, OR TERMINATING ANY LEASE OF REAL PROPERTY. (J) ENGAGING IN ANY DISSOLUTION OR LIQUIDATION. (K) ENGAGING IN ANY MERGER, CONSOLIDATION, CONVERSION, REORGANIZATION OR ISSUANCE OF ANY MEMBERSHIPS. (L) ENTERING INTO A MANAGEMENT AGREEMENT WITH ANY PERSON OR ENTITY PURSUANT TO WHICH IT WOULD REASONABLY BE INTERPRETED THAT THE HOSPITAL IS TRANSFERRING MANAGEMENT CONTROL OF ITS OPERATIONS TO A THIRD PARTY. (M) BORROWING MONEY IN THE NAME OF THE HOSPITAL OR UTILIZING PROPERTY (REAL OR PERSONAL) OWNED BY THE HOSPITAL AS SECURITY FOR SUCH LOANS, OR OTHERWISE ENTERING INTO ANY LOAN, GUARANTY, SECURITY INTEREST, MORTGAGE, SURETY, HYPOTHECATION OR OTHER FORM OF INDEBTEDNESS, EXCEPT AS PERMITTED BY A POLICY OF THE SYSTEM THAT ALLOWS MANAGEMENT TO INCUR DEBT UP TO BUT NOT EXCEEDING A SPECIFIED AMOUNT PER TRANSACTION WITHOUT ADDITIONAL APPROVAL. (N) MAKING ANY LOAN, INVESTMENT, TRANSFER OR DISPOSITION OF ANY ASSETS OF THE HOSPITAL OR ENTERING INTO ANY CONTRACT OR INCURRING ANY LIABILITIES ON BEHALF OF THE HOSPITAL OTHER THAN FOR FAIR CONSIDERATION AND IN THE ORDINARY COURSE OF BUSINESS RELATING TO ITS NORMAL DAILY OPERATION. (O) TAKING ANY OTHER ACTION THAT THE SYSTEM DETERMINES, IN ITS SOLE AND ABSOLUTE DISCRETION, MAY HAVE A MATERIAL ADVERSE EFFECT ON THE 501(C)(3) STATUS OF THE HOSPITAL OR THE 501(C)(3) STATUS OR TAX-EXEMPT BONDS OF THE SYSTEM OR ANY SUBSIDIARY OR AFFILIATE. IN ADDITION, THE HOSPITAL SHALL NOT (I) ACQUIRE OR CREATE ANY SUBSIDIARY OR ACQUIRE AN INTEREST IN ANY AFFILIATE WITHOUT PRIOR WRITTEN APPROVAL OF THE SYSTEM, WHICH APPROVAL MAY BE GIVEN, WITHHELD OR CONDITIONED BY THE SYSTEM IN ITS SOLE AND ABSOLUTE DISCRETION, OR (II) PERFORM OR COMMIT, OR AUTHORIZE OR DIRECT ANY OFFICER OR OTHER PERSON OR ENTITY TO PERFORM OR COMMIT, ANY OF THE ACTIONS IDENTIFIED IN THIS SECTION WITH RESPECT TO A SUBSIDIARY OR AFFILIATE. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A DRAFT IS PROVIDED TO THE CEO FOR REVIEW. UPON THE CEO'S APPROVAL A COPY IS PROVIDED TO THE BOARD. |
| Form 990, Part VI, Line 12c Conflict of interest policy | Conflict of Interest policy is reviewed by the board annually. The policy covers the directors, officers, committee members, or a person related to a such person. A conflict is defined as a situation where an interested person has a beneficial interest or other link to a transaction that would reasonably be expected to exert influence on that person's judgment. Conflicting interest transactions also include transactions involving entities with which an interested person is affiliated persons who control entities with an interested person is affiliated and persons who are general partners principals or employers of an interested person. Interested persons must disclose conflicting interests to the board when and where appropriate and cannot play a direct or indirect role in deliberations of vote on the related matter. Directors or committee members who do not have a conflicting interest with the transaction vote to approve the related transaction. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | TMC IS RESPONSIBLE FOR THE PAYMENT OF COMPENSATION AND BENEFITS AS WELL AS THE PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR ADMINISTRATIVE LEADERSHIP. FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER AS WELL AS OTHER SENIOR LEADERSHIP POSITIONS THE COMPENSATION COMMITTEE CONTRACTS DIRECTLY WITH SULLIVAN COTTER, AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT, WHO PERIODICALLY PROVIDES A WRITTEN REPORT CONTAINING A SUMMARY OF RELEVANT, CONTEMPORANEOUS BENCHMARK INFORMATION AND MAKES RECOMMENDATIONS REGARDING THE LEVEL OF COMPENSATION AND BENEFITS THAT WOULD BE REASONABLE. THE COMPENSATION COMMITTEE CAREFULLY REVIEWS THE INFORMATION, DISCUSSES IT DIRECTLY WITH THE CONSULTANT AND MAKES RECOMMENDATIONS BASED UPON THE INFORMATION PROVIDED. THE COMPENSATION COMMITTEE THEN MAKES ITS FINAL RECOMMENDATION TO THE ULL BOARD FOR THEIR APPROVAL. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization makes its governing documents conflict of interest policy and financial statements available to the public upon request. |
| Form 990, Part IX, Line 11g Other Fees | PHYSICIAN SERVICES - Total Expense: 2701171, Program Service Expense: 2272748, Management and General Expenses: 428423, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 1766059, Program Service Expense: 1485950, Management and General Expenses: 280109, Fundraising Expenses: ; OTHER PROFESSIONAL FEES - Total Expense: 521325, Program Service Expense: 405166, Management and General Expenses: 116159, Fundraising Expenses: ; MEDICAL DIRECTOR - Total Expense: 139376, Program Service Expense: 139376, Management and General Expenses: , Fundraising Expenses: ; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| TUCSON MEDICAL CENTER | ||||||||||
| 5301 E GRANT RF | TUCSON | AZ | 85712 | 860137567 | HOSPITAL | AZ | 501(c)(3) | 3 | TMC HEALTHCARE | false |
| TMC FOUNDATION | ||||||||||
| 5301 E GRANT RD | TUCSON | AZ | 85712 | 860504015 | FUNDRAISING | AZ | 501(c)(3) | 3 | TMC HEALTHCARE | false |
| TMC HEALTHCARE | ||||||||||
| 5301 E GRANT RD | TUCSON | AZ | 85712 | 202218975 | SUPPORTING ORGANIZATION | AZ | 501(c)(3) | Type II | NA | false |
| TMC MEDICAL NETWORK | ||||||||||
| 5301 E GRANT RD | TUCSON | AZ | 85712 | 811156192 | PHYSICIANS OFFICES | AZ | 501(c)(3) | 3 | TMC HEALTHCARE | false |
| TMCONE | ||||||||||
| 5301 E GRANT RD | TUCSON | AZ | 85712 | 810686782 | PHYSICIAN PRACTICES | AZ | 501(c)(3) | Type I | TMC MEDICAL NETWORK | false |
| TMC HOLDING | ||||||||||
| 5301 E GRANT RD | TUCSON | AZ | 85712 | 860441785 | HOLDING COMPANY | AZ | 501(c)(2) | TMC HEALTHCARE | false | |
| NORTHERN COCHISE COMMUNITY HOSPITAL | ||||||||||
| 9001 W REX ALLEN DR | WILCOX | AZ | 85643 | 860208451 | HOSPITAL | AZ | 501(c)(3) | 3 | TMC HEALTHCARE | false |
| TUCSON HOSPITALS MEDICAL EDUCATION PROGRAM | ||||||||||
| PO BOX 42195 | TUCSON | AZ | 85733 | 860204268 | EDUCATION | AZ | 501(c)(3) | 3 | TMC HEALTHCARE | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HOSPITAL CARE SYSTEMS DEVELOPM | ||||||||||||
| 5301 E GRANT RD | TUCSON | AZ | 85712 | 203015545 | HOSPITAL MANAGEMENT | AZ | TMC HEALTHCARE | C Corporation | $0 | $0 | false | |
| SAGUARO MEDICAL HOLDINGS INC | ||||||||||||
| 5301 E GRANT RD | TUCSON | AZ | 85712 | 200614853 | HOLDING COMPANY | AZ | NA | C Corporation | $0 | $0 | false | |
| TMC HEALTHCARE SECURITY SERVICE | ||||||||||||
| 5301 E GRANT RD | TUCSON | AZ | 85712 | 522414943 | SECURITY SERVICES | AZ | TMC HEALTHCARE | C Corporation | $0 | $0 | false | |
| GLP INSURANCE | ||||||||||||
| SELF INSURANCE | TMC HEALTHCARE | C Corporation | $0 | $0 | false | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |