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BENSON HOSPITAL CORPORATION: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
BENSON HOSPITAL CORPORATION (EIN 86-6007695)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-17
IRS object ID
202543219349321999
Schema version
2024v5.1
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

FieldValueIRS element (for citing)
Return2025-11-17T16:41:30+00:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS MAZARS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E St Louis 200 PO Box 1190AddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN866007695EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BENSON HOSPITAL CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBENSBusinessNameControlTxt
Phone5205861873PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2290AddressLine1Txt
CityBENSONCityNm
State AbbreviationAZStateAbbreviationCd
ZIP856022290ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK NELLIESPersonNm
Person TitleCFOPersonTitleTxt
Phone5203241614PhoneNum
Signature2025-11-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian ToddPreparerPersonNm
PTINP00422601PTIN
Phone4178658701PhoneNum
Preparation2025-11-17PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1GARY KARTCHNERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2290AddressLine1Txt
CityBENSONCityNm
State AbbreviationAZStateAbbreviationCd
ZIP856022290ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$34,942,895GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BENSONHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1960FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionTO PROVIDE EXCEPTIONAL HEALTH CARE WITH COMPASSION.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee245TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,000,525PYContributionsGrantsAmt
CY Contributions Grants$3,355,313CYContributionsGrantsAmt
PY Program Service Revenue$26,985,065PYProgramServiceRevenueAmt
CY Program Service Revenue$28,953,361CYProgramServiceRevenueAmt
PY Investment Income$343,877PYInvestmentIncomeAmt
CY Investment Income$793,088CYInvestmentIncomeAmt
PY Other Revenue$30,050PYOtherRevenueAmt
CY Other Revenue$69,970CYOtherRevenueAmt
PY Total Revenue$28,359,517PYTotalRevenueAmt
CY Total Revenue$33,171,732CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,982,673PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,677,437CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$12,516,666PYOtherExpensesAmt
CY Other Expenses$12,030,567CYOtherExpensesAmt
PY Total Expenses$26,499,339PYTotalExpensesAmt
CY Total Expenses$26,708,004CYTotalExpensesAmt
PY Revenues Less Expenses$1,860,178PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,463,728CYRevenuesLessExpensesAmt
Total Assets BOY$28,396,497TotalAssetsBOYAmt
Total Assets EOY$35,231,319TotalAssetsEOYAmt
Total Liabilities BOY$3,974,326TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,210,993TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$24,422,171NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$31,020,326NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE EXCEPTIONAL HEALTH CARE WITH COMPASSION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$24,459,574ExpenseAmt
Grant$0GrantAmt
Revenue$28,953,361RevenueAmt
DescBENSON 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$24,459,574TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document76IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee245EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARK NELLISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5207206514PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2290AddressLine1Txt
CityBENSONCityNm
State AbbreviationAZStateAbbreviationCd
ZIP856022290ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GARY KARTCHNER
CHIEF EXECUTIVE OFFICER39.01.0Yes (X)Yes (X)$221,259$0$58,563
JOSEPH SPRIETSMA
CHAIR1.00Yes (X)Yes (X)$0$0$0
ANN COOK
TRUSTEE1.00Yes (X)$0$0$0
BARBARA HARTLEY
TRUSTEE40.00Yes (X)$220,811$0$0
CHARLENE HARRIS
TRUSTEE1.00Yes (X)$0$0$0
MARCOS TERAN
EX OFFICIO1.00Yes (X)$0$0$0
MATT SMITH
TRUSTEE1.00Yes (X)$0$0$0
MICAH MORTENSEN
TRUSTEE1.00Yes (X)$0$0$0
ALEXANDER HORVATH
CHIEF HUMAN RESOURCE OFFICER1.039.0Yes (X)$0$582,696$32,905
STEVE REICHLING
CHIEF FINANCIAL OFFICER1.039.0Yes (X)$0$646,106$147,469
TIM REUSCHEL
CHIEF LEGAL OFFICER1.039.0Yes (X)$0$525,776$135,090
AMANDA OSUNA
PHYSICIAN40.00$156,005$0$19,632Yes (X)
KATHLEEN MURRAY
PHYSICIAN40.00$268,242$0$17,123Yes (X)
OSVALDO ENRIQUEZ
PHYSICIAN40.00$204,967$0$13,129Yes (X)
ROBERT VIA
PHYSICIAN40.00$187,202$0$15,627Yes (X)
STEPHANIE STARNES
PHYSICIAN40.00$157,845$0$4,480Yes (X)
JULIA STRANGE
FORMER CEO24.020.0$0$424,547$34,215Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,416,331TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,179,125TotReportableCompRltdOrgAmt
Total Other Compensation$478,233TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K19IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EMERGENT HEALTH PLLC
11900 N LA CANADA68744TucsonAZ85737PHYSICIANS STAFFING$3,419,347
MCKESSON DRUG COMPANY
1401 ELM ST FL 5DALLASTX752022902PHARMACY SERVICES$1,135,967
ATHENA HEALTH INC
PO Box 415615BOSTONMA022415615COMPUTER SYSTEM$862,279
ABBOTT LABORATORIES
PO BOX 92679CHICAGOIL606752679LAB SERVICES$330,658
DAVIN HEALTHCARE WORKFORCE SOLUTIONS INC
PO BOX 1355MIDDLETOWNOH450424355CONTRACT STAFFING$253,583
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$125,000RelatedOrganizationsAmt
Government Grants$3,230,263GovernmentGrantsAmt
All Other Contributions$50AllOtherContributionsAmt
Total Contributions$3,355,313TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$27,414,133$27,414,133
PHARMACY REVENUE446110$839,251$839,251
OTHER REVENUE900099$699,977$699,977

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$28,953,361TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$697,852TotalRevenueColumnAmt
Exclusion$697,852ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$69,970RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$69,970RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$69,970TotalRevenueColumnAmt
Exclusion$69,970ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,866,399SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,753,403SecuritiesAmt
Other$17,760OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$112,996SecuritiesAmt
Other-$17,760OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$95,236TotalRevenueColumnAmt
Exclusion$95,236ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,171,732TotalRevenueColumnAmt
Related Or Exempt Func Income$28,953,361RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$863,058ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$500,633TotalAmt
Program Services$220,811ProgramServicesAmt
Management And General$279,822ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,315,582TotalAmt
Program Services$11,927,080ProgramServicesAmt
Management And General$388,502ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$296,832TotalAmt
Program Services$294,610ProgramServicesAmt
Management And General$2,222ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$705,100TotalAmt
Program Services$689,471ProgramServicesAmt
Management And General$15,629ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$859,290TotalAmt
Program Services$817,496ProgramServicesAmt
Management And General$41,794ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$667,320TotalAmt
Management And General$667,320ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,909TotalAmt
Management And General$2,909ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$23,550TotalAmt
Management And General$23,550ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,197,873TotalAmt
Program Services$4,631,722ProgramServicesAmt
Management And General$566,151ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$104,032TotalAmt
Program Services$92,960ProgramServicesAmt
Management And General$11,072ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$409,320TotalAmt
Program Services$367,366ProgramServicesAmt
Management And General$41,954ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$594,431TotalAmt
Program Services$531,169ProgramServicesAmt
Management And General$63,262ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$216,158TotalAmt
Program Services$193,154ProgramServicesAmt
Management And General$23,004ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$949,825TotalAmt
Program Services$887,655ProgramServicesAmt
Management And General$62,170ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$217,770TotalAmt
Program Services$194,594ProgramServicesAmt
Management And General$23,176ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES AND DRUGS$2,555,874$2,555,874
HEALTH ASSESSMENT$754,241$754,241
REPAIRS AND MAINTENANCE$286,095$255,648$30,447
LICENSES, DUES, SUBSCRIPTIONS$41,557$37,134$4,423

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$9,612TotalAmt
Program Services$8,589ProgramServicesAmt
Management And General$1,023ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$26,708,004TotalAmt
Program Services$24,459,574ProgramServicesAmt
Management And General$2,248,430ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$230,415BOYAmt
EOY$263,897EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,903,399BOYAmt
EOY$1,914,477EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$89,907EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,271,208BOYAmt
EOY$2,030,436EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$662,719BOYAmt
EOY$748,148EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$247,162BOYAmt
EOY$323,527EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,989,640LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,431,208LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,988,253BOYAmt
EOY$12,558,432EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$9,101,641BOYAmt
EOY$14,456,431EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,991,700BOYAmt
EOY$2,846,064EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$28,396,497BOYAmt
EOY$35,231,319EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,725,330BOYAmt
EOY$1,886,489EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,248,996BOYAmt
EOY$2,324,504EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,974,326BOYAmt
EOY$4,210,993EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,422,171BOYAmt
EOY$31,020,326EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,422,171BOYAmt
EOY$31,020,326EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,396,497BOYAmt
EOY$35,231,319EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$6,463,728ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$134,427NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$324,142OtherCostOrOtherBasisAmt
Book Value$324,142BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,256,613OtherCostOrOtherBasisAmt
Depreciation$3,318,094DepreciationAmt
Book Value$8,938,519BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,408,885OtherCostOrOtherBasisAmt
Depreciation$2,113,114DepreciationAmt
Book Value$3,295,771BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,558,432TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$1,708,550
ROU ASSETS$1,137,514
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,846,064TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Federal Income Taxes
ROU LIABILITY$1,189,571
DUE TO 3RD PARTY$1,134,933
FieldValueIRS element (for citing)
Total Liability$2,324,504TotalLiabilityAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$0RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$0TotalRevenuePerForm990Amt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$0ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$0TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 UNCERTAIN TAX POSITIONSFormAndLineReferenceDesc
ExplanationMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$350,978TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$350,978NetCommunityBenefitExpnsAmt
Total Expense0.01314TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,117,546TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,647,538DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$5,468,524TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,647,538DirectOffsettingRevenueAmt
Net Community Benefit Expns$350,978NetCommunityBenefitExpnsAmt
Total Expense0.01314TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$5,468,524TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,647,538DirectOffsettingRevenueAmt
Net Community Benefit Expns$350,978NetCommunityBenefitExpnsAmt
Total Expense0.01314TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs20ActivitiesOrProgramsCnt
Persons Served2030PersonsServedCnt
Total Community Benefit Expns$14,900TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$14,900NetCommunityBenefitExpnsAmt
Total Expense0.00056TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served2200PersonsServedCnt
Total Community Benefit Expns$3,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,500NetCommunityBenefitExpnsAmt
Total Expense0.00013TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs13ActivitiesOrProgramsCnt
Persons Served101PersonsServedCnt
Total Community Benefit Expns$3,050TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,050NetCommunityBenefitExpnsAmt
Total Expense0.00011TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs20ActivitiesOrProgramsCnt
Persons Served2000PersonsServedCnt
Total Community Benefit Expns$6,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,000NetCommunityBenefitExpnsAmt
Total Expense0.00022TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs77ActivitiesOrProgramsCnt
Persons Served15873PersonsServedCnt
Total Community Benefit Expns$4,480TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,480NetCommunityBenefitExpnsAmt
Total Expense0.00017TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served540PersonsServedCnt
Total Community Benefit Expns$5,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,000NetCommunityBenefitExpnsAmt
Total Expense0.00019TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs151ActivitiesOrProgramsCnt
Persons Served22744PersonsServedCnt
Total Community Benefit Expns$36,930TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,930NetCommunityBenefitExpnsAmt
Total Expense0.00138TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,631,353BadDebtExpenseAmt
Bad Debt Expense Attributable$463,304BadDebtExpenseAttributableAmt
Reimbursed By Medicare$5,986,015ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,898,990CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$87,025MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BENSON HOSPITAL CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1450 S OCOTILLO AVEAddressLine1Txt
CityBENSONCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85602ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.BENSONHOSPITAL.ORGWebsiteAddressTxt
State LicenseRGH0096StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BENSON HOSPITAL CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.BENSONHOSPITAL.ORG/EN/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTOwnWebsiteURLTxt
Other Website URLHTTPS://WWW.NCCH.COM/EN/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.BENSONHOSPITAL.ORG/EN/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.BENSONHOSPITAL.ORG/EN/ABOUT-MY-BILL/FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.BENSONHOSPITAL.ORG/EN/ABOUT-MY-BILL/FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.BENSONHOSPITAL.ORG/EN/ABOUT-MY-BILL/FINANCIAL-ASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 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, AMERICAN COMMUNITY SURVEY (ACS), US CENSUS BUREAU, ROBERT WOOD JOHNSON COUNTY HEALTH 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 , 1Facility , 1 - BENSON HOSPITAL CORPORATION. THE CHNA WAS ALSO CONDUCTED FOR NORTHERN COCHISE COMMUNITY HOSPITAL.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 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
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
BENSON FAMILY HEALTH CARE CLINIC
688 WEST 4TH STREET SUITE BBENSONAZ85602PATIENT CLINIC
BENSON SAN PEDRO CLINIC
890 WEST 4TH STREETBENSONAZ85602PATIENT CLINIC
BENSON HOSPITAL REHABILITATION
500 SOUTH HIGHWAY 80 SUITE BBENSONAZ85602REHABILITATION
BENSON HOSPITAL SATELLITE DRAW STATION
880 WEST 4TH STREETBENSONAZ85602LAB DRAW STATION

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7 PERCENT OF TOTAL EXPENSETO 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 METHODOLOGYTHE 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 II Community Building ActivitiesTHE HOSPITAL IMPROVES THE HEALTH OF THE COMMUNITY BY ASSISTING WITH FREE/DISCOUNTED FOOD DISTRIBUTION, EDUCATION EVENTS TO HELP INFORM THEM ON WAYS TO IMPROVE AND MAINTAIN HEALTH, PARTNERING WITH SCHOOLS TO ASSIST WITH STUDENTS, COLLABORATING WITH A PARTNER TO PROVIDE FREE DIAPERS TO THE COMMUNITY, AND COLLABORATING/PARTICIPATING IN MANY COMMUNITY COLLABORATION ACTIVITIES.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountBAD 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 MethodologyANY 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 footnoteTHE 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 costsTHE 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 assistanceBENSON 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.BENSONHOSPITAL.ORG/EN/ABOUT-MY-BILL/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website- BENSON HOSPITAL CORPORATION: Line 16b URL: HTTPS://WWW.BENSONHOSPITAL.ORG/EN/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.BENSONHOSPITAL.ORG/EN/ABOUT-MY-BILL/FINANCIAL-ASSISTANCE;
Schedule H, Part VI, Line 2 Needs assessmentOUR 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 assistanceTO 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 informationFOUNDED 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 healthTHROUGH THE MOST RECENT CHNA PROCESS, BENSON CREATED INDIVIDUAL, COMMUNITY-SPECIFIC CHNA PRIORITIES AND DEVELOPED STRATEGIES FOR IMPLEMENTING THOSE PRIORITIES. ACCOMPLISHMENTS RELATED TO THOSE 2024-26 CHNA INDIVIDUAL PRIORITIES AND STRATEGIES FOR EACH HOSPITAL ARE OUTLINED BELOW. PRIORITY: MENTAL HEALTH AND SUBSTANCE ABUSE - ACCOMPLISHMENTS - FORMED COLLABORATE WITH THE FQHC (CCHCI) ON A MAT GRANT TO ENSURE PATIENTS FROM THE ED HAVE TREATMENT OPTIONS FOR ALCOHOL, OPIOID, AND OTHER ADDICTION ISSUES. PATIENTS CAN ACCESS THE FIRST DOSE OF MAT AT THE ER ANY TIME DAY OR NIGHT AND FOLLOW UP OUTPATIENT WITH CCHCI FOR CONTINUED CARE. - HAS HELPED PLAN AND COLLABORATED WITH THE LEGACY FOUNDATION OF SOUTHEASTERN ARIZONA TO HOLD AN ANNUAL MULTIDISCIPLINARY DRUG ADDICTION SUMMIT IN COCHISE COUNTY. - COLLABORATED WITH THE BENSON POLICE DEPARTMENT & REACH PROGRAM TO ADDRESS ADDICTION-RELATED SOCIAL NEEDS. - CREATE A COLLABORATION WITH THE AREA AGENCY ON AGING TO IMPROVE MENTAL HEALTH OUTCOMES IN BENSON'S ELDERLY POPULATION THROUGH REFERRALS AND PROVIDING THEM LOCAL SPACE TO OPERATE IN TOWN. - WORKED WITH THE CITY OF BENSON TO CREATE A FREE FRIDAY LUNCH TO SENIORS IN THE COMMUNITY TO HELP ADDRESS SOCIAL ISOLATION. - COLLABORATED WITH LOCAL HIGH SCHOOL STUDENTS AND THE CENTER FOR THE FUTURE OF ARIZONA TO CREATE AN ANTI-VAPING CAMPAIGN THAT THE SCHOOLS AND LOCAL LAW ENFORCEMENT USE. PRIORITY: GOOD JOBS AND A HEALTHY ECONOMY - WORKED WITH THE CENTER FOR THE FUTURE OF ARIZONA TO IMPROVE CAREER-BASED STEM LEARNING OPPORTUNITIES IN BENSON THROUGH A SUMMER CAMP FOR CHILDREN. - SPONSORED AND PARTICIPATED IN STEM LEARNING NIGHTS ACROSS THE COUNTY. - COLLABORATED WITH THE CENTER FOR THE FUTURE OF ARIZONA TO CREATE A HEALTHCARE PORTION FOR THE SOUTHWESTERN REGION SPACE SETTLEMENT DESIGN COMPETITION, ALSO SPONSORED THE COMPETITION. - WORKED WITH THE COCHISE TECHNOLOGY DISTRICT TO CREATE AND THEN EXPAND A PATIENT CARE TECH TRAINING PROGRAM. - PARTNERED WITH LOCAL SCHOOLS TO CREATE PRACTICAL EXPERIENCES FOR STUDENTS SUCH AS SHADOWING VARIOUS DEPARTMENTS INVOLVED WITH THE DELIVERY OF HEALTHCARE. - RECRUITED MORE SPECIALIST PROVIDERS TO BENSON TO INCREASE LOCAL REVENUE AND DECREASE THE COMMUNITY EXPENDITURE ASSOCIATED WITH TRAVELING TO TUCSON FOR CARE. PRIORITY: AGING CONCERNS AND RESOURCES FOR HEALTHY LIVING - NCCH HAS EARNED AN AGE FRIENDLY DESIGNATION FROM THE INSTITUTE FOR HEALTHCARE IMPROVEMENT. - HAS EXPANDED THE SWING BED PROGRAM SO SENIORS CAN RECOVER CLOSE TO HOME - HIRED A COMMUNITY DEVELOPMENT SPECIALIST TO FOCUS ON THE DEEPER NEEDS AROUND AGEING AND HEALTHY LIVING IN THE SERVICE AREA. - COLLABORATED WITH TUCSON MEDICAL CENTER TO VIRTUALLY HOST SENIOR HEALTH EDUCATION PROGRAMS. - HELPED THE LOCAL SENIOR SERVICES GROUP OBTAIN THEIR OWN 501 C 3 DESIGNATION. - CREATED A DIAPER BANK COLLABORATION TO PROVIDE BOTH PEDIATRIC AND ADULT INCONTINENCE SUPPLIES TO THE COMMUNITY FOR FREE. - WORKED TO BRING A MOBILE CARDIAC PET SCANNER TO THE COMMUNITY SO THAT RESIDENTS NO LONGER HAVE TO TRAVEL 170 MILES ROUND TRIP FOR THE SERVICE. - WORKED WITH LOCAL FOOD PANTRY TO ADDRESS SENIOR FOOD INSECURITY. PRIORITY: PRIMARY CARE - CONTINUED RECRUITMENT EFFORTS FOCUSED ON ADDING NEW PROVIDERS TO SSMC - HIRED A NEW MEDICAL DIRECTOR FOR THE SSMC RURAL HEALTH CLINIC. - IMPLEMENTED A CAREER PATHWAY FOR PATIENT CARE TECHS TO WORK IN AT SSMC RURAL HEALTH CLINIC IN ORDER MAXIMIZE EFFICIENCY. - EXPANDED PREVENTATIVE VACCINE AVAILABILITY. 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. - EXPLORE DENTISTRY SCREENING DAYS WITH TUCSON DENTISTS.
Schedule H, Part VI, Line 6 Affiliated health care systemTMC 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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GARY KARTCHNER
CHIEF EXECUTIVE OFFICER$201,582$0$15,384$0$4,293$0$38,943$0$19,620$0$279,822$0$0$0
BARBARA HARTLEY
TRUSTEE$220,811$0$0$0$0$0$0$0$0$0$220,811$0$0$0
JULIA STRANGE
FORMER CEO$0$268,068$0$92,793$0$63,686$0$21,972$0$12,243$0$458,762$0$0
ALEXANDER HORVATH
CHIEF HUMAN RESOURCE OFFICER$0$402,148$0$71,954$0$108,594$0$10,350$0$22,555$0$615,601$0$0
STEVE REICHLING
CHIEF FINANCIAL OFFICER$0$556,420$0$75,153$0$14,533$0$127,034$0$20,435$0$793,575$0$0
TIM REUSCHEL
CHIEF LEGAL OFFICER$0$418,703$0$80,071$0$27,002$0$106,519$0$28,571$0$660,866$0$0
OSVALDO ENRIQUEZ
PHYSICIAN$191,292$0$12,957$0$718$0$6,019$0$7,110$0$218,096$0$0$0
KATHLEEN MURRAY
PHYSICIAN$257,792$0$450$0$10,000$0$6,900$0$10,223$0$285,365$0$0$0
AMANDA OSUNA
PHYSICIAN$145,270$0$10,463$0$272$0$4,779$0$14,853$0$175,637$0$0$0
STEPHANIE STARNES
PHYSICIAN$131,538$0$3,950$0$22,357$0$4,480$0$0$0$162,325$0$0$0
ROBERT VIA
PHYSICIAN$174,542$0$12,252$0$408$0$5,691$0$9,936$0$202,829$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationTUCSON MEDICAL CENTER, A RELATED ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE TMC HEALTHCARE TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planEXECUTIVES PARTICIPATING IN A SUPPLEMENTAL, NON QUALIFIED RETIREMENT PLAN: STEPHEN REICHLING 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $116,684 ALEXANDER HORVATH 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $86,496 JULIA STRANGE 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $37,608 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $12,536 TIM REUSCHEL 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $96,169 GARY KARTCHNER 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $33,258
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organizationMIP 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6 Classes of members or stockholdersTHE HOSPITAL SHALL HAVE ONLY ONE MEMBER, TMC HEALTHCARE.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE 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 stockholdersTMC 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 bodyTHE 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 policyCONFLICT 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 officialTMC 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 15b Process to establish compensation of other employeesTMC 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 FULL BOARD FOR THEIR APPROVAL.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VII, Section A BOARD MEMBER COMPENSATIONBARBARA HARTLEY IS COMPENSATED RELATED TO SERVICES PERFORMED AT BENSON HOSPITAL. NO BOARD MEMBER RECEIVES COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS.
Form 990, Part IX, Line 11g Other FeesPHYSICIAN SERVICES - Total Expense: 2543287, Program Service Expense: 2249120, Management and General Expenses: 294167, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 1898463, Program Service Expense: 1696421, Management and General Expenses: 202042, Fundraising Expenses: ; OTHER PROFESSIONAL FEES - Total Expense: 657200, Program Service Expense: 587258, Management and General Expenses: 69942, Fundraising Expenses: ; MEDICAL DIRECTOR - Total Expense: 98923, Program Service Expense: 98923, Management and General Expenses: , Fundraising Expenses: ;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
TUCSON MEDICAL CENTER
5301 E GRANT RDTUCSONAZ85712860137567HOSPITALAZ501(c)(3)3TMC HEALTHCAREfalse
TMC HEALTH FOUNDATION
5301 E GRANT RDTUCSONAZ85712860504015SUPPORTING ORGANIZATIONAZ501(c)(3)3TMC HEALTHCAREfalse
TMC HEALTHCARE
5301 E GRANT RDTUCSONAZ85712202218975SUPPORTING ORGANIZATIONAZ501(c)(3)Type IINAfalse
TMC MEDICAL NETWORK
5301 E GRANT RDTUCSONAZ85712811156192PHYSICIANS OFFICESAZ501(c)(3)3TMC HEALTHCAREfalse
TMCONE
5301 E GRANT RDTUCSONAZ85712810686782PHYSICIAN PRACTICESAZ501(c)(3)Type ITMC MEDICAL NETWORKfalse
TMC HOLDING
5301 E GRANT RDTUCSONAZ85712860441785SUPPORTING ORGANIZATIONAZ501(c)(2)TMC HEALTHCAREfalse
NORTHERN COCHISE COMMUNITY HOSPITAL
901 W REX ALLEN DRWILCOXAZ85643860208451HOSPITALAZ501(c)(3)3TMC HEALTHCAREfalse
TMC HEALTH MEDICAL EDUCATION PROGRAM
PO BOX 42195TUCSONAZ85733860204268EDUCATIONAZ501(c)(3)3TMC HEALTHCAREfalse
SOUTHERN ARIZONA HOSPITAL ALLIANCE
5301 E GRANT RDTUCSONAZ85712200385301HEALTHCAREAZ501(c)(3)10TMC HEALTHCAREfalse
PEOPLE FOR COMMUNITY HEALTHCARE
450 S OCOTILLO STBENSONAZ85602871219769CIVIC ORGANIZATIONAZ501(c)(4)TMC HEALTHCAREfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
HOSPITAL CARE SYSTEM DEVELOPMENT
5301 E GRANT RDTUCSONAZ85712203015545HOSPITAL MANAGEMENTAZTMC HEALTHCAREC Corporationfalse
TMC HEALTHCARE SECURITY SERVICE
5301 E GRANT RDTUCSONAZ85712522414943SECURITY SERVICESAZTMC HEALTHCAREC Corporationfalse
GLP INSURANCE
SELF INSURANCETMC HEALTHCAREC CorporationfalseGEORGE TOWNGRAND CAYMANCJKY11203CJ
PEDIATRICS GPS
5301 E GRANT RDTUCSONAZ85712845151905PEDIATRIC CAREAZTMC MEDICAL NETWORKC Corporationfalse
SOUTHERN ARIZONA MEDICAL SERVICES
5301 E GRANT RDTUCSONAZ85712200614780BILLING COMPANYAZTMC MEDICAL NETWORKC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd