2021-11-23T05:30:56-05:00 2020-12-31 990 2020-01-01 866007695 BENSON HOSPITAL CORPORATION % Bret Hicks BENS 5205861873 PO BOX 2290 BENSON AZ 856022290 Bret Hicks CFO 2021-11-23 false 2020 2022-09-23 18:48:47Z Bret Hicks PO BOX 2290 BENSON AZ 856022290 26010461 false X X 1960 AZ To provide exceptional health care with compassion. 9 8 209 26 0 0 1043330 4950611 8465148 20848944 0 113951 24969 47944 9533447 25961450 0 0 0 0 4134919 9356429 0 0 0 4557197 9647639 8692116 19004068 841331 6957382 6142989 17079434 2144945 6167685 3998044 10911749 To provide exceptional health care with compassion. false false 16985615 0 20907387 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. 16985615 true true false false false false false false false false true false false false false false false true false false false false false false false false true true false false true false false false false false false false false true false false false false true false true false true 70 0 true 209 true false false false false false false false false X 9 8 false false false false false false false true true false false true true true true true true true true false AZ X Bret Hicks 5205862291 PO BOX 2290 BENSON AZ 856022290 William Lindley Board Member 1.00 0.00 X 0 0 0 Matt Smith Board Member 1.00 0.00 X 0 0 0 Stephen Bush Board Member 1.00 40.00 X 0 1239372 45500 Hope Thomas Board Member 1.00 0.00 X 1085 0 0 Susan Willis Board Member 1.00 40.00 X 0 216504 19500 Barbara Hartley Board Member and Physician 40.00 0.00 X X 274399 0 0 Bob Lujan Secretary and Treasurer 1.00 0.00 X X 0 0 0 Jon Young Vice Chair 1.00 0.00 X X 0 0 0 Ann Cook Chair 1.00 0.00 X X 0 0 0 Julia Strange CEO 20.00 20.00 X 0 500415 26966 Bret Hicks CFO 15.00 25.00 X 2000 187678 19378 Teresa Vincifora COO 40.00 0.00 X 173636 0 17608 James Richey Pharmacist 40.00 0.00 X 179120 0 0 Nicklett Johnston Nurse Practitioner 40.00 0.00 X 126310 0 9310 Angela Overturf Nurse Practitioner 40.00 0.00 X 119487 0 4873 John Roberts IT Director 40.00 0.00 X 123998 0 0 David Brower Physician 40.00 0.00 X 186014 0 13637 1186049 2143969 156772 8 true true false Farshad Shirazi MD DBA Emergent Health PLLC 11900 N La Canada 68744 Tucson AZ 85737 Emergency Room Physicians 2685796 AthenaHealth Inc PO Box 415615 Boston MA 00241 Computer System 742559 Tucson Medical Center PO Box 31990 Tucson AZ 85751 Contract Labor 558513 Nouri PLLC 6181 N Paseo Zaldivar Tucson AZ 85750 Hospitalist 426967 Davin Healthcare Workforce Solutions Inc PO Box 69388 Baltimore MD 21264 Temporary Staffing 313495 9 0 0 0 0 3917521 1033090 129278 4950611 Net Patient Services 900099 20848944 20848944 0 0 20848944 119387 10499 0 108888 0 0 0 0 0 0 0 0 15150 0 0 0 15150 0 15150 15150 0 0 43575 0 43846 5165 -271 -5165 -5436 -5436 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria 722212 32794 32794 0 0 32794 25961450 20901951 0 108888 X 448313 274399 173914 0 0 0 0 0 7726151 7337925 388226 0 313 313 0 0 602398 596611 5787 0 579254 540357 38897 0 188826 0 188826 0 7912 2090 5822 0 59482 0 59482 0 0 0 0 0 0 0 0 0 0 0 5408796 5093661 315135 0 90690 58861 31829 0 23870 23041 829 0 5851 715 5136 0 0 0 0 0 779404 779193 211 0 22378 13676 8702 0 0 0 0 0 0 0 0 0 11947 0 11947 0 0 0 0 0 258034 0 258034 0 200411 9993 190418 0 Medical supplies 2070328 2053313 17015 0 All other expenses 490763 176955 313808 0 Professional development 28947 24512 4435 0 0 0 0 0 19004068 16985615 2018453 0 737700 516388 0 9244820 0 0 2878498 1809497 0 0 0 0 0 0 417881 661206 152037 314781 7561607 4435987 1956873 3125620 0 1407122 0 0 0 0 0 0 0 0 6142989 17079434 1436521 1374104 0 0 0 4793581 0 0 0 0 0 0 708424 0 0 0 0 0 2144945 6167685 X 3948044 10905427 50000 6322 3998044 10911749 6142989 17079434 X 6957382 0 0 0 0 -43677 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 324142 324142 0 3637717 2047485 1590232 0 72452 6038 66414 0 2968742 2382464 586278 0 558554 0 558554 3125620 25961450 0 0 0 0 0 25961450 0 0 0 25961450 18990000 0 0 0 0 0 18990000 0 14068 14068 19004068 Part XII, line 4b Insignificant audit variance true true X true X true X true true true false true true 0 0 339597 0 339597 0.0179 0 0 4461935 3727859 734076 0.0386 0 0 0 0 0 0.00 0 0 4801532 3727859 1073673 0.0565 0 0 12000 0 12000 0.0006 0 0 0 0 0 0.00 0 0 0 0 0 0.00 0 0 0 0 0 0.00 0 0 0 0 0 0.00 0 0 12000 0 12000 0.0006 0 0 4813532 3727859 1085673 0.0571 true 1498923 0 8133020 8728326 -595306 X true true 1 1 Benson Hospital Corporation 450 South Ocotillo Avenue Benson AZ 85602 www RGH0096 X A Benson Hospital Corporation 1 false false true X X X X X X X X 20 true true false true X WWW.BENSONHOSPITAL.ORG X WWW.TMCAZ.COM BENSONHEALTHCARE X true 20 true WWW.BENSONHOSPITAL.ORG false false 0 true X 150.0000 400.0000 X X true true X X X X true X X X X X X X true X false X X X X true X false false Facility Separate Hospital Facility, 1 - Benson Hospital Corporation. Part V, Section B Line 5 A ROBUST IN-PERSON COMMUNITY CONVENING PROCESS TO ASSESS IDENTIFY AND PRIORITIZE COMMUNITY NEEDS. HOWEVER DUE TO COVID A COMBINATION OF ONLINE SURVEYS AND ON-ON-ONE PHONE INTERVIEWS WAS CONDUCTED WITH COMMUNITY MEMBERS AND ORGANIZATIONS SERVING THE VULNERABLE. Facility Separate Hospital Facility, 1 - Benson Hospital Corporation. Part V, Section B Line 6a NORTHERN COCHISE COMMUNITY HOSPITAL Facility Separate Hospital Facility, 1 - Benson Hospital Corporation. Part V, Section B Line 11 TO ADDRESS GOOD JOBS AND HEALTHY ECONOMY THE HOSPITAL IS PARTNERING WITH THE SCHOOL TO INTRODUCE HEALTH CAREERS TO STUDENTS. TO ADDRESS MENTAL HEALTH AND SUBSTANCE ABUSE THE HOSPITAL HAS PARTNERED WITH CONCERT HEALTH WHICH OFFERS MENTAL HEALTH SERVICES. TO ADDRESS HEALTHY EATING OBESITY AND DIABETES THE HOSPITAL HAS PARTNERED WITH THE FOOD BANK AND PRODUCE ON WHEELS WITHOUT WASTE POWOW TO OFFER LOW-COST FREE FOOD TO COMMUNITY MEMBERS. Part I, line 3c THE HOSPITAL USES 150% OF FEDERAL POVERTY GUIDELINES FPG FOR FEE CARE. THIS IS THE ONLY TEST USED TO DETERMINE FREE CARE. SELF-PAY PATIENTS HAVE THEIR BILLS DISCOUNTED TO 45% OF THE FEE SCHEDULE WITH AN ADDITIONAL 5% DEDUCTION FOR IMMEDIATE PAYMENT. Part III, line 2 BAD DEBT EXPENSE IS BASED ON HISTORICAL BAD DEBT WRITE OFFS BY FINANCIAL PAY CLASS I.E. COMMERCIAL INSURANCE GOVERNMENT PAYORS - MEDICARE AND MEDICAID AND SELF-PAY. THE PAST PERFORMANCE IS USED TO ESTIMATE THE MONTHLY REVENUE AND OUTSTANDING RECEIVABLE BALANCE. THE ESTIMATE IS UPDATED 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. Part III, line 4 10 Part III, line 8 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. Part III, line 9 EVERY PATIENT IS INFORMED ABOUT THE FINANCIAL ASSISTANCE PROGRAM PRIOR TO BILLING AND IS OFTEN REVIEWED WHEN COLLECTION CALLS ARE MADE. false false false false false false false false false David Brower Physician 186014 0 0 0 0 0 13637 0 0 0 199651 0 0 0 Stephen Bush Board Member 0 450969 0 93112 0 695291 0 45500 0 0 0 1284872 0 0 Susan Willis Board Member 0 216504 0 0 0 0 0 19500 0 0 0 236004 0 0 Barbara Hartley Board Member and Physician 274399 0 0 0 0 0 0 0 0 0 274399 0 0 0 Julia Strange CEO 0 242662 0 33162 0 224591 0 26966 0 0 0 527381 0 0 Bret Hicks CFO 2000 187678 0 0 0 0 0 19378 0 0 2000 207056 0 0 Teresa Vincifora COO 173636 0 0 0 0 0 17608 0 0 0 191244 0 0 0 James Richey Pharmacist 179120 0 0 0 0 0 0 0 0 0 179120 0 0 0 X Equipment 17 129278 Cost 0 false false false FormAndLineReferenceDesc: Part I, Column(b) 25.Other-Number Of Item Contributed: 17 Part III, Line 4d | Description:, Expense Amount:, Grants Amount:, Revenue Amount:| Part VI, Section B, Line 11b FORM 990 IS INTERNALLY PREPARED BY THE COMPANY'S CONTROLLER AND A DRAFT IS PROVIDED TO THE CFO FOR REVIEW. UPON THE CFO'S APPROVAL A COPY IS PROVIDED TO THE ENTIRE BOARD. Part VI, Section B, Line 12c THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD ANNUALLY. THE POLICY COVERS THE DIRECTORS OFFICERS COMMITTEE MEMBERS OR A PERSON RELATED TO SUCH A 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 INTERSTED PERSON IS AFFILIATED PERSONS WHO CONTROL ENTITIES WITH WHICH AN INTERESTED PERSON IS AFFILIATED AND PERSONS WHO ARE GENERAL PARTNERS PRINCIPALS OR EMPLOYERS OF AN INTERSTED 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 CONLICTING INTEREST WITH THE TRANSACTION VOTE TO APPROVE THE RELATED TRANSACTION. Part VI, Section B, Line 15 | Name of the Person:, The process used to establish compensation of the person who served in:|, The year in which this process was last undertaken:| Officers, THE ORGANIZATION'S BYLAWS REQUIRE THAT IN DETERMINING COMPENSATION FOR ANY OFFICER DIRECTOR COMMITTEE MEMBER OR KEY EMPLOYEE OF THE CORPORATION: A. THE INDIVIDUALS ON THE BOARD THAT APPROVE COMPENSATION ARRANGEMENTS SHALL FOLLOW THE CONFLICTING INTEREST PROVISIONS OF THESE BYLAWS AND THE CORPORATION'S CONFLICT OF INTEREST POLICIES IN EFFECT AT THE TIME OF DETERMINATION. B. COMPENSATION ARRANGEMENT MUST BE APPROVED BY THE BOARD IN ADVANCE OF PAYING COMPENSATION. C. BOARD SHALL DOCUMENT IN WRITING THE DATE AND TERMS OF EACH APPROVED COMPENSATION ARRANGEMENT. D. BOARD SHALL RECORD IN WRITING THE DECISION MADE BY EACH INDIVIDUAL WHO VOTED ON EACH COMPENSATION ARRANGEMENT. E. BOARD WILL APPROVE COMPENSATION ARRANGEMENTS BASED ON COMPENSATION PAID BY SIMILARILY-SITUATED TAXABLE OR TAX-EXEMPT ORGANIZATIONS CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS OR ACTUAL WRITTEN OFFERS FROM SIMILARILY-SITUATED ORGANIZATIONS; AND, 2019| Part VI, Section C, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Part IX, line 11g | Description:, Amount:| Other, $5408796| Part XI, Line 9 | Description:, Explanation:, Amount:| Donor restricted net assets, Usage of donor restricted net assets, $-43677| Tucson Medical Center 5301 E Grant Road Tucson AZ 85712 860137567 Hospital AZ 501(c)(3) 3 N/A false false false true false false false false false false false false false true false true false true false false Tucson Medical Center c 129278 Cost Tucson Medical Center m 314096 Cost Tucson Medical Center o 280708 Cost Tucson Medical Center q 672667 Cost