CASA GRANDE COMMUNITY HOSPITAL FOUNDATION INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CASA GRANDE COMMUNITY HOSPITAL FOUNDATION INC (EIN 31-1726569)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-09-15
- IRS object ID
- 201702589349300145
- Schema version
- 2016v3.0
- 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
- Form 990
- Schedule A
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-09-15T11:34:58-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Moss Adams LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3121 W March Ln Ste 200 | AddressLine1Txt |
| City | Stockton | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 952192367 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311726569 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Casa Grande Community Hospital | BusinessNameLine1Txt |
| Business Name Line2 | Foundation Inc | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CASA | BusinessNameControlTxt |
| Phone | 5203816541 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 E Florence Blvd | AddressLine1Txt |
| City | Casa Grande | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85122 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | David Fitzgibbons III | PersonNm |
| Person Title | Chairman | PersonTitleTxt |
| Phone | 5203816541 | PhoneNum |
| Signature | 2017-09-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Tracy S Paglia | PreparerPersonNm |
| PTIN | P00366884 | PTIN |
| Phone | 2099556100 | PhoneNum |
| Preparation | 2017-09-08 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.129.7.100 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-09-15 | IPDt |
| IP Tm | 11:33:06 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | BE861C6778D90A5D3E7861ABDDE45BE6309F51A4 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID FITZGIBBONS III | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 E Florence Blvd | AddressLine1Txt |
| City | Casa Grande | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $266,022 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.bannerhealth.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | TO SUPPORT THE CASA GRANDE REGIONAL MEDICAL CENTER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 806 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $120,850 | PYContributionsGrantsAmt |
| CY Contributions Grants | $193,807 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,712 | PYInvestmentIncomeAmt |
| CY Investment Income | $19,482 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$3,788 | PYOtherRevenueAmt |
| CY Other Revenue | -$7,749 | CYOtherRevenueAmt |
| PY Total Revenue | $124,774 | PYTotalRevenueAmt |
| CY Total Revenue | $205,540 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $178,727 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $151,927 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $40,674 | PYOtherExpensesAmt |
| CY Other Expenses | $20,389 | CYOtherExpensesAmt |
| PY Total Expenses | $219,401 | PYTotalExpensesAmt |
| CY Total Expenses | $172,316 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$94,627 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $33,224 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,644,572 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,790,739 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $412,696 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $494,872 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,231,876 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,295,867 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE PRIMARY EXEMPT PURPOSE OF THE CASA GRANDE COMMUNITY HOSPITAL FOUNDATION, INC. IS TO SUPPORT THE CASA GRANDE REGIONAL MEDICAL CENTER. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $126,509 | ExpenseAmt |
| Grant | $126,509 | GrantAmt |
| Desc | THE FOUNDATION SEEKS TO PROMOTE PHILANTHROPY IN THE COMMUNITY THAT WILL SUPPORT THE CASA GRANDE REGIONAL MEDICAL CENTER. THE FOUNDATION'S WORK WILL ENHANCE THE QUALITY OF LIFE FOR THE ENTIRE COMMUNITY THROUGH ITS STEWARDSHIP OF THE CHARITABLE GIFTS ENTRUSTED TO IT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $25,418 | ExpenseAmt |
| Grant | $25,418 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | FREE BREAST HEALTH SCREENING FOR FINANCIALLY NEEDY WOMEN SERVING APPROXIMATELY 68 WOMEN. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $18,280 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Annuity Payments | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $170,207 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | 0 | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lisa Davis | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6027474000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2901 N Central Avenue Suite 160 | AddressLine1Txt |
| City | Phoenix | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85012 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| David Fitzgibbons | ||||||
| CHAIRMAN | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOHN R MCEVOY | ||||||
| SECRETARY/TREASURER | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Cherie McGlynn | ||||||
| VICE CHAIRMAN | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Ajay Bhatnager MD | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| Colleen Bechtel | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| Fernando Cornejo | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| Thomas Erickson MD | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| Chuck Goodmiller | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| RAMON MOURELO MD | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| Louie Sanchez | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| Terry Strain | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| Janet Warren | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| TOM LEEDS | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| FRANK DAVIDSON | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $62,539 | FundraisingAmt |
| All Other Contributions | $131,268 | AllOtherContributionsAmt |
| Noncash Contributions | $31,731 | NoncashContributionsAmt |
| Total Contributions | $193,807 | TotalContributionsAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,482 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,482 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,482 | TotalRevenueColumnAmt |
| Exclusion | $19,482 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $13,342 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $62,539 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $22,046 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,704 | TotalRevenueColumnAmt |
| Exclusion | -$8,704 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $39,391 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $38,436 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $955 | TotalRevenueColumnAmt |
| Exclusion | $955 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $205,540 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,733 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,509 | TotalAmt |
| Program Services | $118,509 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,418 | TotalAmt |
| Program Services | $33,418 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,054 | TotalAmt |
| Management And General | $1,054 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $465 | TotalAmt |
| Management And General | $465 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24 | TotalAmt |
| Management And General | $24 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Annuity payments | $18,280 | $18,280 | |
| Dues & Subscriptions | $566 | $566 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,316 | TotalAmt |
| Program Services | $170,207 | ProgramServicesAmt |
| Management And General | $2,109 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,102,663 | BOYAmt |
| EOY | $1,220,288 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,469 | BOYAmt |
| EOY | $14,042 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $57,405 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,336 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,069 | BOYAmt |
| EOY | $55,069 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $469,371 | BOYAmt |
| EOY | $501,340 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,644,572 | BOYAmt |
| EOY | $1,790,739 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $412,696 | BOYAmt |
| EOY | $494,872 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $412,696 | BOYAmt |
| EOY | $494,872 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,520 | BOYAmt |
| EOY | $76,511 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,219,356 | BOYAmt |
| EOY | $1,219,356 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,231,876 | BOYAmt |
| EOY | $1,295,867 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,644,572 | BOYAmt |
| EOY | $1,790,739 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $33,224 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $30,767 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $120,397 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $106,920 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $148,612 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $120,850 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $193,807 | CurrentTaxYearAmt |
| Total | $690,586 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $120,397 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $106,920 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $148,612 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $120,850 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $193,807 | CurrentTaxYearAmt |
| Total | $690,586 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $690,586 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,778 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,046 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $752 | CurrentTaxYearMinus2YearsAmt |
| Total | $46,576 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $26,743 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $955 | CurrentTaxYearAmt |
| Total | $27,698 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $764,860 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $151,540 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.90290 | PublicSupportCY170Pct |
| Public Support PY170 | 0.84470 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $55,069 | InvestmentCostOrOtherBasisAmt |
| Book Value | $55,069 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,336 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,336 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $55,069 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATE | $264,587 |
| liability to beneficiaries under split interest agreements | $230,285 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $494,872 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Golf Tournament | Event1Nm |
| Gross Receipts Event1 | $47,090 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $33,748 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $13,342 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $4,484 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $3,800 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $6,359 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $655 | OtherDirectExpensesEvent1Amt |
| Event2 | Annual 5K | Event2Nm |
| Gross Receipts Event2 | $28,791 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $28,791 | CharitableContriEvent2Amt |
| Entertainment Event2 | $200 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $6,548 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $75,881 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $62,539 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $13,342 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $4,484 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $3,800 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $6,359 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $200 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $7,203 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $22,046 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$8,704 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $39,391 | GrossRevenueOtherGamingAmt |
| Cash Prizes Other Gaming | $6,580 | CashPrizesOtherGamingAmt |
| Non Cash Prizes Other Gaming | $27,535 | NonCashPrizesOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $4,321 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | 0 | VolunteerLaborOtherGamingInd |
| Gross Revenue Total Gaming | $39,391 | GrossRevenueTotalGamingAmt |
| Cash Prizes Total Gaming | $6,580 | CashPrizesTotalGamingAmt |
| Non Cash Prizes Total Gaming | $27,535 | NonCashPrizesTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $4,321 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $38,436 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $955 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | AZ | StatesWhereGamingConductedCd |
| Licensed | 0 | LicensedInd |
| Explanation If No | The raffle was held for the purpose of raising funds to support the Hospital's Breast Center to provide funding for mammograms and diagnostic testing for Women with no means to pay for the testing. The money is transferred to the hospital, which is a 501(c)(3) organization, for this purpose. The money raised is not used for any non tax-exempt purpose. The raffle was also held to support the Stanfield Free Clinic. | ExplanationIfNoTxt |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | 0 | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Own Facility | 0.00000 | GamingOwnFacilityPct |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
| Individual With Books | Kaitee Doll-Bell | IndividualWithBooksNm |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 E FLORENCE BLVD | AddressLine1Txt |
| City | CASA GRANDE | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | Kaitee Doll-Bell | GamingManagerPersonNm |
| Gaming Manager Services Prov | KAITEE PROVIDES COORDINATION OF THE EVENT, TRACKS THE CONTRIBUTIONS, TRACKS THE TICKETS SOLD, DESIGNS AND PRINTS ANY ADVERTISING OF THE EVENT, COORDINATES THE RAFFLE AND ENSURE PRIZES ARE DISTRIBUTED TO THE WINNERS. NO COMPENSATION IS PAID FOR THESE SERVICES. | GamingManagerServicesProvTxt |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Banner Health | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2901 North Central Avenue Ste 160 | AddressLine1Txt |
| City | Phoenix | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85012 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 450233470 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $118,509 | CashGrantAmt |
| Purpose Of Grant | General Support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| Scholarships | 12 | $8,000 |
| Free Breast Health Screening | 68 | $25,418 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | When the grantee organization provides a free screening to an eligible person, the grantee submits the invoice to the foundation who then pays the grantee. Payments are not issued until invoices are received. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, line 3: | FormAndLineReferenceDesc |
| Explanation | The organization relied on a related organization that used one or more of the methods listed to establish top management official's compensation. | ExplanationTxt |
Schedule M IRS990ScheduleM
Collectibles CollectiblesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 6 | ContributionCnt |
| Noncash Contributions Rpt F990 | $950 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost/Selling Price | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $294 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost/Selling Price | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | General Merchandise | 75 | $11,035 | cost/Selling Price |
| Yes (X) | Gift Cards | 89 | $7,800 | Cost/Selling Price |
| Yes (X) | Entertainment and vacation packages | 23 | $6,610 | Cost/Selling Price |
| Yes (X) | Sporting Tickets | 17 | $5,042 | Cost/Selling Price |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 33: | FormAndLineReferenceDesc |
| Explanation | N/A | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The sole voting member of Casa Grande Community Hospital foundation is banner health, an Arizona nonprofit corporation exempt from tax as an entity described under section 501(c)(3) of the internal revenue code. |
| Form 990, Part VI, Section A, line 7a | Banner Health, the sole member of Casa Grande Community Hospital Foundation, has the power to elect directors of the board. |
| Form 990, Part VI, Section A, line 7b | The sole member shall have control over the foundation and it affairs which shall be paramount to the right of the Board in every respect. The following actions of the board shall not be effective until approved by the member: 1) The repel, alteration or amendment of the bylaws. 2) The election of directors. 3) The election of officers. |
| Form 990, Part VI, Section B, line 11b | The CEO of Banner Casa Grande Medical Center and banner health tax department reviews the Form 990 prior to filing. The CEO will provide an overview after filing to the Board of Directors. |
| Form 990, Part VI, Section B, line 12c | THE BANNER HEALTH INTERNAL AUDIT DEPARTMENT PROVIDES EACH PARTY WITH A DISCLOSURE QUESTIONNAIRE. THE INTERNAL AUDIT DEPARTMENT PREPARES A SUMMARY FOR THE TAX DEPARTMENT. THIS SUMMARY IS ALSO PRESENTED TO THE AUDIT COMMITTEE. THE TAX DEPARTMENT PREPARES THE FORM 990 DISCLOSURE. THIS DISCLOSURE IS PRESENTED TO THE LEGAL DEPARTMENT FOR REVIEW. PURSUANT TO BANNER'S CONFLICT OF INTEREST POLICY, ALL BOARD MEMBERS, OFFICERS AND THE DIRECTOR OF AUDIT SERVICES MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST THAT MAY GIVE RISE TO A CONFLICT OF INTEREST. |
| Form 990, Part VI, Section B, line 15 | This organization does not pay compensation to the CEO, officers or key employees, so the questions have been answered "no" as they do not apply. |
| Form 990, Part VI, Section C, line 19 | The organization's Governing documents, conflict of interest policy, and tax returns are available upon request. Copies are maintained at each administrative office and in the legal and tax departments. |
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 | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Banner Health | |||||||||||
| 2901 N Cntral Ave Ste 160 | Phoenix | AZ | 85012 | 450233470 | Hospital | AZ | 501(c)(3) | Line 3 | N/A | 0 | |
| Banner Health Foundation | |||||||||||
| 2901 N Cntral Ave Ste 160 | Phoenix | AZ | 85012 | 942545356 | Support | AZ | 501(c)(3) | Line 7 | 0 | Banner Health | |
| Banner Alzheimers Foundation | |||||||||||
| 2901 N Cntral Ave Ste 160 | Phoenix | AZ | 85012 | 204862361 | Support | AZ | 501(c)(3) | Line 7 | 0 | Banner Health | |
| Banner Medical Group | |||||||||||
| 2901 N Cntral Ave Ste 160 | Phoenix | AZ | 85012 | 900532830 | Medical Services | AZ | 501(c)(3) | Line 3 | 0 | Banner Health | |
| Banner Medical Group Colorado | |||||||||||
| 2901 N Cntral Ave Ste 160 | Phoenix | AZ | 85012 | 900532831 | Medical Services | CO | 501(c)(3) | Line 3 | 0 | Banner Health | |
| Banner - University Medical Group | |||||||||||
| 2701 E Elvira Road | Tucson | AZ | 85756 | 942958258 | Medical Services | AZ | 501(c)(3) | Line 3 | 0 | Banner Health | |
| The University of Arizona Health Plans - Family Care Inc | |||||||||||
| 2901 N Cntral Ave Ste 160 | Phoenix | AZ | 85012 | 463766901 | Health Insurance | AZ | 501(c)(3) | Line 10 | 0 | Banner Health | |
| The university of Arizona Health Plans - University Care Advantage | |||||||||||
| 2901 N Cntral Ave Ste 160 | Phoenix | AZ | 85012 | 463757358 | Health Insurance | AZ | 501(c)(3) | Line 10 | 0 | Banner Health | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Partners in Integrated Health LLC | |||||||
| 2901 N Central Avenue Suite 160 | Phoenix | AZ | 85012 | 611700965 | Management services | AZ | N/A |
| Banner Arizona ASC LLC | |||||||
| 525 W Brown Road | Mesa | AZ | 85201 | 900532830 | Out-patient Surgery Center | TN | N/A |
| DGV Enhanced US Equity Fund LLC | |||||||
| 10 Second Street NE Suite 200 | Minneapolis | MN | 55413 | 472398930 | Investments | MN | N/A |
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 | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Banner Plan Administration Inc | ||||||||||||||
| 445 W 5th Place Suite 101 | Mesa | AZ | 85201 | 860800246 | 3rd Party Administration | AZ | N/A | C | 0 | |||||
| Banner Indemnity Ltd | ||||||||||||||
| 450233470 | Investments | N/A | C | 0 | PO Box 1051 | Grand Cayman | British WEst Indi | CJ | CJ | |||||
| Banner Health Network | ||||||||||||||
| 2901 N Central Ave Suite 160 | Phoenix | AZ | 85012 | 900750689 | Accountable Care Organization | AZ | N/A | C | 0 | |||||
| The University of Arizona Health Plans-University Healthcare Inc | ||||||||||||||
| 2901 N Central Ave Suite 160 | Phoenix | AZ | 85012 | 454370907 | Health Insurance | AZ | N/A | C | 0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |