NORTHERN ARIZONA HEALTHCARE CORPORATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- NORTHERN ARIZONA HEALTHCARE CORPORATION (EIN 74-2410946)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-15
- IRS object ID
- 201511359349300706
- Schema version
- 2013v4.0
- 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 B
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-15T01:15:55-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TWO NORTH CENTRAL AVENUE STE 2300 | AddressLine1 |
| City | PHOENIX | City |
| State | AZ | State |
| ZIP Code | 85004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742410946 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHERN ARIZONA HEALTHCARE CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JOHN A CORTESE | InCareOfNm |
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 9287793366 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POST OFFICE BOX 1268 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | FLAGSTAFF | City |
| State | AZ | State |
| ZIP Code | 860021268 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROB P THAMES | PersonNm |
| Person Title | NAH PRESIDENT/CEO | PersonTitleTxt |
| Signature | 2015-05-14 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRENDA GRIESEMER | PreparerPersonNm |
| PTIN | P00264669 | PTIN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRISTOPHER BAVASI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 N BEAVER ST | AddressLine1 |
| City | FLAGSTAFF | City |
| State | AZ | State |
| ZIP Code | 86001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $61,411,508 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.nahealth.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE PATIENTS WITH EXCEPTIONAL CARE WHILE TRANSFORMING THE WHILE TRANSFORMING THE HEALTH OF THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 3905 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $566,892 | PYContributionsGrantsAmt |
| CY Contributions Grants | $238,172 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $63,710,599 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $60,916,295 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$601,063 | PYInvestmentIncomeAmt |
| CY Investment Income | -$1,933 | CYInvestmentIncomeAmt |
| PY Other Revenue | $80,572 | PYOtherRevenueAmt |
| CY Other Revenue | $251,466 | CYOtherRevenueAmt |
| PY Total Revenue | $63,757,000 | PYTotalRevenueAmt |
| CY Total Revenue | $61,404,000 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $25,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $25,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,675,108 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,840,588 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $41,305,892 | PYOtherExpensesAmt |
| CY Other Expenses | $36,017,412 | CYOtherExpensesAmt |
| PY Total Expenses | $65,006,000 | PYTotalExpensesAmt |
| CY Total Expenses | $62,883,000 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,249,000 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,479,000 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $44,122,493 | TotalAssetsBOYAmt |
| Total Assets EOY | $52,052,602 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,457,774 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,725,723 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $33,664,719 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $41,326,879 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE PATIENTS WITH EXCEPTIONAL CARE WHILE TRANSFORMING THE HEALTH OF THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $14,147,057 | ExpenseAmt |
| Grant | $25,000 | GrantAmt |
| Revenue | $61,167,761 | RevenueAmt |
| Desc | SEE SCHEDULE O. | Desc |
| Total Program Service Expenses | $14,147,057 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 3905 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN A CORTESE | PersonNm |
| Phone | 9282143545 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 914 N SAN FRANCISCO SUITE M | AddressLine1 |
| City | FLAGSTAFF | City |
| State | AZ | State |
| ZIP Code | 86001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM AUSTIN MD | ||||||||||
| DIRECTOR | 1.6 | 1.6 | Yes (X) | $0 | $56,283 | $0 | ||||
| CHRISTOPHER BAVASI | ||||||||||
| DIRECTOR/BOARD CHAIR | 0.2 | 1.4 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| WILLIAM T BRADEL | ||||||||||
| NAH CEO EX-OFICIO | 40.0 | 0.0 | Yes (X) | $699,323 | $31,961 | Yes (X) | ||||
| GARY CHRISTENSEN MD | ||||||||||
| DIRECTOR/VICE-CHAIR | 1.2 | 0.9 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| RICHARD CRANMER | ||||||||||
| DIRECTOR | 1.2 | 4.5 | Yes (X) | $473 | $0 | $0 | ||||
| JAMES DORMAN | ||||||||||
| DIRECTOR | 4.2 | 3.1 | Yes (X) | $0 | $0 | $0 | ||||
| WAYNE FOX | ||||||||||
| DIRECTOR/TREASURER | 5.0 | 10.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ALICE GAGNAIRE | ||||||||||
| DIRECTOR | 0.9 | 1.6 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM JEFFERS | ||||||||||
| DIRECTOR/SECRETARY | 1.6 | 2.1 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| JAMES LEDBETTER | ||||||||||
| DIRECTOR | 0.8 | 5.6 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLES MARR | ||||||||||
| DIRECTOR | 2.5 | 2.7 | Yes (X) | $0 | $0 | $0 | ||||
| SHAWN ORME | ||||||||||
| DIRECTOR | 2.3 | 4.9 | Yes (X) | $0 | $0 | $0 | ||||
| MATIAS SANDOVAL | ||||||||||
| DIRECTOR | 0.3 | 2.9 | Yes (X) | $0 | $0 | $0 | ||||
| RAY SELNA | ||||||||||
| DIRECTOR | 1.2 | 1.7 | Yes (X) | $0 | $0 | $0 | ||||
| GREGORY KUZMA | ||||||||||
| VP FINANCE/NAH CFO (THRU 3/14) | 40.0 | 0.0 | $413,520 | $0 | $111,454 | Yes (X) | ||||
| RICHARD LANGOSCH | ||||||||||
| INTERIM CFO (AS OF 3/14) | 40.0 | 0.0 | $0 | $0 | Yes (X) | |||||
| JOHN DEMPSEY | ||||||||||
| VP LEGAL & COMPLIANCE | 0.0 | 40.0 | $382,424 | $0 | $0 | Yes (X) | ||||
| IRWIN BLOOM | ||||||||||
| FMC PRESIDENT/CEO, VP NAH | 0.0 | 40.0 | $283,472 | $0 | $6,944 | Yes (X) | ||||
| BARBARA DEMBER | ||||||||||
| VVMC PRESIDENT/CEO, VP NAH | 0.0 | 40.0 | $380,618 | $0 | $3,692 | Yes (X) | ||||
| MARILYNN BLACK | ||||||||||
| NAH CHIEF INFORMATION OFFICER | 40.0 | 0.0 | $308,367 | $0 | $21,732 | Yes (X) | ||||
| STEVEN R SPRAVZOFF | ||||||||||
| VP PROCUREMENT (THRU 3/14) | 40.0 | 0.0 | $248,395 | $0 | $558,504 | Yes (X) | ||||
| ANN M BOLLONE | ||||||||||
| NAH VP HUMAN RESOURCES | 40.0 | 0.0 | $196,555 | $0 | $17,049 | Yes (X) | ||||
| STEVEN W LEWIS MD | ||||||||||
| NAH VP POPULATION HEALTH | 40.0 | 0.0 | $449,191 | $0 | $7,348 | Yes (X) | ||||
| SUSAN E LUDWIG | ||||||||||
| NAH CIO (Thru 11/13) | 40.0 | 0.0 | $206,764 | $0 | $29,461 | Yes (X) | ||||
| JENNIFER J BREWER | ||||||||||
| NAH CNIO (THRU 3/14) | 40.0 | 0.0 | $214,843 | $0 | $86,487 | Yes (X) | ||||
| JEFFREY J HAMBLEN | ||||||||||
| PRESIDENT LCMC (THRU 9/13) | 40.0 | 0.0 | $386,215 | $0 | $20,687 | Yes (X) | ||||
| VICKIE L LEWIS | ||||||||||
| DIR OF REGULATORY COMPLIANCE | 40.0 | 0.0 | $191,882 | $0 | $23,039 | Yes (X) | ||||
| RICHARD HENN | ||||||||||
| DIRECTOR OF EDUCATION | 40.0 | 0.0 | $176,494 | $0 | $123,590 | Yes (X) | ||||
| LORETTA F WELLBORN | ||||||||||
| DIRECTOR OF NURSING | 40.0 | 0.0 | $175,642 | $0 | $119,871 | Yes (X) | ||||
| JOHN CORTESE | ||||||||||
| NAH CONTROLLER/TREASURER | 40.0 | 0.0 | $173,723 | $0 | $7,967 | Yes (X) | ||||
| PATRICIA J CROFFORD | ||||||||||
| NAH PAST VP HR (THRU 9/12) | 0.0 | 0.0 | $155,866 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,043,767 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $56,283 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,169,786 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 66 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CONIFER HEALTH SOLUTIONS LLC | |||||
| 1500 S DOUGLASS ROAD | ANAHEIM | CA | 92806 | BILLING SERVICES | $6,515,855 |
| PRICEWATERHOUSE COOPERS LLP | |||||
| PO BOX 514038 | LOS ANGELES | CA | 900514038 | CONSULTING FEES | $1,507,095 |
| CIC ADVISORY LLC | |||||
| DEPT 165019 PO BOX 62600 | NEW ORLEANS | LA | 701622600 | PROFESSIONAL FEES | $351,229 |
| JEFFREY SLOCUM ASSOC INC | |||||
| 43 MAIN STREET SE SUITE 300 | MINNEAPOLIS | MN | 554141032 | INVEST CONSULTING | $254,426 |
| COREPOINT HEALTH LLC | |||||
| 3010 GAYLORD PARKWAY SUITE 320 | FRISCO | TX | 75034 | MEDICAL STAFFING | $231,475 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $117,816 | GovernmentGrantsAmt |
| All Other Contributions | $120,356 | AllOtherContributionsAmt |
| Total Contributions | $238,172 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOME HEALTH/HOSPICE PATIENT SERVICES | 621610 | $3,991,273 | $3,991,273 |
| INTERCOMPANY RENT | 521120 | $8,046 | $8,046 |
| CORP EXP REIMBURSEMENT ALLOCATION | 900099 | $56,031,175 | $56,031,175 |
| HEALTH SEMINARS | 611430 | $482,588 | $482,588 |
| MANAGEMENT FEE - LITTLE CO. MED. CTR. | 561000 | $403,213 | $403,213 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $60,916,295 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75 | TotalRevenueColumnAmt |
| Exclusion | $75 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,508 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$2,008 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,008 | TotalRevenueColumnAmt |
| Exclusion | -$2,008 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CREDIT CARD REBATES | 900099 | $192,700 | $192,700 |
| ALL OTHER REVENUE | 900099 | $58,766 | $58,766 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $251,466 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,404,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $61,167,761 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$1,933 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,000 | TotalAmt |
| Program Services | $25,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,790,946 | TotalAmt |
| Program Services | $1,367,595 | ProgramServicesAmt |
| Management And General | $2,423,351 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,919 | TotalAmt |
| Program Services | $32,331 | ProgramServicesAmt |
| Management And General | $50,588 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,971,105 | TotalAmt |
| Program Services | $7,507,528 | ProgramServicesAmt |
| Management And General | $11,463,577 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,420,568 | TotalAmt |
| Program Services | $130,263 | ProgramServicesAmt |
| Management And General | $1,290,305 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,213,832 | TotalAmt |
| Program Services | $445,779 | ProgramServicesAmt |
| Management And General | $768,053 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,361,218 | TotalAmt |
| Program Services | $171,601 | ProgramServicesAmt |
| Management And General | $1,189,617 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,045,004 | TotalAmt |
| Management And General | $6,045,004 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $504,791 | TotalAmt |
| Management And General | $504,791 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,053 | TotalAmt |
| Management And General | $104,053 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,426 | TotalAmt |
| Program Services | $39,807 | ProgramServicesAmt |
| Management And General | $214,619 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,371,788 | TotalAmt |
| Program Services | $1,153,389 | ProgramServicesAmt |
| Management And General | $6,218,399 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,919 | TotalAmt |
| Program Services | $3,578 | ProgramServicesAmt |
| Management And General | $18,341 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,011,844 | TotalAmt |
| Program Services | $1,632,843 | ProgramServicesAmt |
| Management And General | $1,379,001 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,545,082 | TotalAmt |
| Program Services | $689,864 | ProgramServicesAmt |
| Management And General | $7,855,218 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,624,743 | TotalAmt |
| Program Services | $463,148 | ProgramServicesAmt |
| Management And General | $1,161,595 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $677,698 | TotalAmt |
| Program Services | $333,709 | ProgramServicesAmt |
| Management And General | $343,989 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,155,222 | TotalAmt |
| Program Services | $143,491 | ProgramServicesAmt |
| Management And General | $7,011,731 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,226 | TotalAmt |
| Program Services | $7,131 | ProgramServicesAmt |
| Management And General | $147,095 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| REAL ESTATE TAXES | $196,319 | $196,319 |
| ALL OTHER EXPENSES | $350,297 | $350,297 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,883,000 | TotalAmt |
| Program Services | $14,147,057 | ProgramServicesAmt |
| Management And General | $48,735,943 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,298,259 | BOYAmt |
| EOY | $8,656,691 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $412,575 | BOYAmt |
| EOY | $620,360 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,944 | BOYAmt |
| EOY | $1,080 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,195 | BOYAmt |
| EOY | $21,824 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,882,560 | BOYAmt |
| EOY | $3,103,872 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $79,579,992 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $39,959,732 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,386,445 | BOYAmt |
| EOY | $39,620,260 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,515 | BOYAmt |
| EOY | $28,515 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,122,493 | BOYAmt |
| EOY | $52,052,602 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,693,316 | BOYAmt |
| EOY | $5,176,737 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,764,458 | BOYAmt |
| EOY | $5,548,986 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,457,774 | BOYAmt |
| EOY | $10,725,723 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,664,719 | BOYAmt |
| EOY | $41,326,879 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,664,719 | BOYAmt |
| EOY | $41,326,879 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,122,493 | BOYAmt |
| EOY | $52,052,602 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,479,000 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $9,141,160 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,308 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,353 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $372,786 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $566,892 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $238,172 | CurrentTaxYearAmt |
| Total | $1,216,511 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,172,249 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,438,135 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,861,961 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,362,483 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,885,120 | CurrentTaxYearAmt |
| Total | $29,719,948 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,188,557 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,460,488 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,234,747 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,929,375 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,123,292 | CurrentTaxYearAmt |
| Total | $30,936,459 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,086,588 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $787,860 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $553,547 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $431,203 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $349,465 | CurrentTaxYearAmt |
| Total | $3,208,663 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,086,588 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $787,860 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $553,547 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $431,203 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $349,465 | CurrentTaxYearAmt |
| Total | $3,208,663 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $27,727,796 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $192,130 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $143,396 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,720 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,237 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $75 | CurrentTaxYearAmt |
| Total | $340,558 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $192,130 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $143,396 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,720 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,237 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $75 | CurrentTaxYearAmt |
| Total | $340,558 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $174,826 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,276,519 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $117,812 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $80,572 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $251,466 | CurrentTaxYearAmt |
| Total | $1,901,195 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,555,513 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,880,403 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,354,279 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,013,184 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,374,833 | CurrentTaxYearAmt |
| Total | $33,178,212 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.83572 | PublicSupportCY509Pct |
| Public Support PY509 | 0.82308 | PublicSupportPY509Pct |
| Investment Income CY | 0.01027 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01143 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,629,909 | BeginningYearBalanceAmt |
| Contributions | $108,254 | ContributionsAmt |
| End Year Balance | $2,738,163 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,629,909 | BeginningYearBalanceAmt |
| End Year Balance | $2,629,909 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,131,267 | BeginningYearBalanceAmt |
| Other Expenditures | $501,358 | OtherExpendituresAmt |
| End Year Balance | $2,629,909 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,128,667 | BeginningYearBalanceAmt |
| Contributions | $1,855 | ContributionsAmt |
| Investment Earnings Or Losses | $2,472 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,727 | AdministrativeExpensesAmt |
| End Year Balance | $3,131,267 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,867,714 | OtherCostOrOtherBasisAmt |
| Book Value | $5,867,714 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,518,910 | OtherCostOrOtherBasisAmt |
| Depreciation | $710,342 | DepreciationAmt |
| Book Value | $1,808,568 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $603,246 | OtherCostOrOtherBasisAmt |
| Depreciation | $298,395 | DepreciationAmt |
| Book Value | $304,851 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,356,908 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,950,995 | DepreciationAmt |
| Book Value | $15,405,913 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,233,214 | OtherCostOrOtherBasisAmt |
| Book Value | $16,233,214 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $39,620,260 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| MINIMUM PENSION LIABILITY | $5,216,306 |
| CENTRAL BUSINESS OFFICE RESERV | $318,750 |
| PROFESSIONAL AND GENERAL LIABILITY | $13,930 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,548,986 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V | THESE CONTRIBUTIONS ARE DESIGNATED FOR THE USE OF BUILDING A HOSPICE HOUSE IN COTTONWOOD, ARIZONA. THE HOUSE HAS BEEN COMPLETED. THEREFORE, THE ENDOWMENT IS NO LONGER NEEDED. |
| SCHEDULE D, PART X, LINE 2 | The Corporation is a not-for-profit corporation and is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes is included in the accompanying consolidated financial statements. The Corporations management is not aware of any events that would cause the Corporation to lose its tax-exempt status. Management has reviewed all open tax years and has determined that the Corporation has no significant uncertain tax positions. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | RegionTxt |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $91,359,182 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $91,359,182 | SubtotalSpentAmt |
| Total Spent | $91,359,182 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHERN ARIZONA UNIVERSITY FOUNDATION | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4094 | AddressLine1 |
| City | FLAGSTAFF | City |
| State | AZ | State |
| ZIP Code | 86011 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 860193726 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $25,000 | CashGrantAmt |
| Purpose Of Grant | SCHOLARSHIP | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule I | FormAndLineReferenceDesc |
| Explanation | NORTHERN ARIZONA HEALTHCARE CORPORATION RELIES ON THE GOVERNANCE PRACTICES OF THE RECIPIENT ORGANIZATION TO USE THE FUNDS FOR THE INTENDED PURPOSE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM T BRADEL | ||||||||||||||
| NAH CEO EX-OFICIO | $528,264 | $158,103 | $12,956 | $4,900 | $27,061 | $731,284 | $0 | |||||||
| GREGORY KUZMA | ||||||||||||||
| VP FINANCE/NAH CFO (THRU 3/14) | $329,381 | $67,861 | $16,278 | $98,998 | $12,456 | $524,974 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| JOHN DEMPSEY | ||||||||||||||
| VP LEGAL & COMPLIANCE | $310,524 | $54,969 | $16,931 | $0 | $0 | $382,424 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| IRWIN BLOOM | ||||||||||||||
| FMC PRESIDENT/CEO, VP NAH | $242,035 | $28,099 | $13,338 | $2,743 | $4,201 | $290,416 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| BARBARA DEMBER | ||||||||||||||
| VVMC PRESIDENT/CEO, VP NAH | $277,990 | $94,079 | $8,549 | $2,024 | $1,668 | $384,310 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| PATRICIA J CROFFORD | ||||||||||||||
| NAH PAST VP HR (THRU 9/12) | $0 | $0 | $155,866 | $0 | $0 | $155,866 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| MARILYNN BLACK | ||||||||||||||
| NAH CHIEF INFORMATION OFFICER | $247,485 | $34,517 | $26,365 | $2,886 | $18,846 | $330,099 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| STEVEN R SPRAVZOFF | ||||||||||||||
| VP PROCUREMENT (THRU 3/14) | $216,018 | $31,055 | $1,322 | $547,170 | $11,334 | $806,899 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| JEFFREY J HAMBLEN | ||||||||||||||
| PRESIDENT LCMC (THRU 9/13) | $312,065 | $0 | $74,150 | $4,010 | $16,677 | $406,902 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| VICKIE L LEWIS | ||||||||||||||
| DIR OF REGULATORY COMPLIANCE | $176,059 | $15,629 | $194 | $3,878 | $19,161 | $214,921 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| RICHARD HENN | ||||||||||||||
| DIRECTOR OF EDUCATION | $154,692 | $13,257 | $8,545 | $105,919 | $17,671 | $300,084 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| LORETTA F WELLBORN | ||||||||||||||
| DIRECTOR OF NURSING | $159,228 | $13,872 | $2,542 | $107,155 | $12,716 | $295,513 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| ANN M BOLLONE | ||||||||||||||
| NAH VP HUMAN RESOURCES | $167,527 | $0 | $29,028 | $370 | $16,679 | $213,604 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| STEVEN W LEWIS MD | ||||||||||||||
| NAH VP POPULATION HEALTH | $381,083 | $56,933 | $11,175 | $4,900 | $2,448 | $456,539 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| SUSAN E LUDWIG | ||||||||||||||
| NAH CIO (Thru 11/13) | $194,026 | $10,071 | $2,667 | $4,349 | $25,112 | $236,225 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| JENNIFER J BREWER | ||||||||||||||
| NAH CNIO (THRU 3/14) | $171,595 | $29,948 | $13,300 | $72,910 | $13,577 | $301,330 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| JOHN CORTESE | ||||||||||||||
| NAH CONTROLLER/TREASURER | $158,747 | $12,875 | $2,101 | $3,514 | $4,453 | $181,690 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, Lines 1A AND 1B | ALL COMPENSATION, BENEFITS, AND REIMBURSEMENTS ARE PAID BY NORTHERN ARIZONA HEALTHCARE CORPORATION, THE PARENT ORGANIZATION. BOARD MEMBER AND OFFICER BUSINESS TRAVEL EXPENSES FOR COMPANIONS, SUCH AS AIRLINE AND MEALS, WERE PAID AND REPORTED ON W-2 OR 1099. GROSS-UP OF TAXES IS DONE ON ALL EMPLOYEE GIFT CERTIFICATES OF $25 OR MORE. IN PRACTICE, BOARD MEMBER AND OFFICER BUSINESS TRAVEL EXPENSES ARE APPROVED BY THE NEXT HIGHEST LEVEL. VERDE VALLEY MEDICAL CENTER (VVMC), A RELATED ORGANIZATION, PAID $473 FOR "COMPANION TRAVEL" FOR THE SPOUSE OF RICHARD CRANMER. MR. CRANMER IS A DIRECTOR OF BOTH NAH AND VVMC. |
| SCHEDULE J, PART I, LINE 4A | Severence payments were made as follows: Jeffrey J. Hamblen - $74,150 Patricia J. Crofford - $155,866 Schedule J, PART I, Line 4B FMC OFFERS CERTAIN EXECUTIVES A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IT IS INTENDED THAT THIS PLAN BE AN INELIGIBLE DEFERRED COMPENSATION PLAN UNDER THE PROVISIONS OF CODE SECTION 457(F) AND BE OPERATED IN COMPLIANCE WITH CODE SECTION 409A. THE DESIGN OF THE SERP IS SUCH THAT IT PROVIDES A MECHANISM FOR RESTORATION OF DEFERRED RETIREMENT THAT OTHERWISE WOULD BE LOST TO THE EXECUTIVES DUE TO MANDATORY CAP ON DEFERRALS WITHIN THE QUALIFIED RETIREMENT PLAN OFFERED TO OTHER EMPLOYEES OF FMC. THE SERP IS ALSO DESIGNED TO DISCOURAGE EXECUTIVE TURNOVER, WHICH COULD HAMPER ORGANIZATIONAL STABILITY AND SUSTAINABILITY, THROUGH THE AGE AND SERVICE REQUIREMENTS THAT AN EXECUTIVE MUST MEET IN ORDER TO RECEIVE BENEFITS FROM THIS PLAN. THE ANNUAL VALUE OF EACH EXECUTIVE'S PARTICIPATION IN THE PLAN IS TAKEN INTO CONSIDERATION AS PART OF THE CALCULATION OF TOTAL COMPENSATION WHEN TESTED AGAINST THE MARKET FOR REASONABLENESS. DEFERRED COMPENSATION, REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDES THE INCREASE IN VALUE OF THE SERP ACCOUNT FOR THE FOLLOWING INDIVIDUALS: WILLIAM BRADEL $51,623 |
| SCHEDULE J, PART I, LINE 7 | NORTHERN ARIZONA HEALTHCARE CORPORATION MAKES DISCRETIONARY PAYMENTS AS PART OF A SHORT-TERM INCENTIVE PLAN (STIP). PAYMENTS ARE BASED ON MEETING VARIOUS ORGANIZATION GOALS. SCHEDULE J, PART II THE FOLLOWING INDIVIDUALS PARTICIPATE IN A DEFINED BENEFIT RETIREMENT PLAN. AS SUCH, ACTUARIAL INCREASES IN THEIR ACCOUNTS ARE REPORTED ON PART II, COLUMN (C) AS DEFERRED COMPENSATION. INCREASE DUE TO ACTUARIAL BENEFIT JENNIFER BREWER $72,910 John Dempsey $112,752 GREGORY KUZMA $98,998 STEVEN R. SPRAVZOFF $547,170 LORETTA WELLBORN $107,155 RICHARD HENN $105,919 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ESTHER SPRAVZOFF | |||
| SPOUSE/ STEVE SPRAVZOFF | $51,028 | COMPENSATION | false |
| C SELNA | |||
| FATHER/RAY SELNA | $31,891 | COMPENSATION | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | On June 24, 2014, NAH filed articles of organization with the Arizona Corporation Commission to form PathfinderHealth, LLC as the sole equity member. The purpose of the entity is to operate as a regional, clinically integrated care delivery system that empowers providers to enhance health while improving quality, efficiency and the patient experience. The purpose will be accomplished by the entity leveraging the structure of and functioning as an Accountable Care Organization. As of June 30, 2014, there were no contractual arrangements entered into and the operating agreement for the new entity was effective August 6, 2014. FORM 990, PART III, LINE 4 DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS NORTHERN ARIZONA HEALTHCARE (NAH) IS THE PARENT CORPORATION OF FLAGSTAFF MEDICAL CENTER AND VERDE VALLEY MEDICAL CENTER. NAH IS DEDICATED TO IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE IN NORTHERN AND CENTRAL ARIZONA. NAH IS THE LARGEST HEALTHCARE ORGANIZATION IN NORTHERN ARIZONA SERVING ALMOST ONE HALF OF THE STATE. THE HEALTHCARE PROVIDER EMPLOYS MORE THAN 3,700 HEALTHCARE PROFESSIONALS AND, THROUGH ITS AFFILIATES, SERVICES A POPULATION OF MORE THAN 300,000 PEOPLE IN THE SERVICE AREA. NAH IS DEDICATED TO PROVIDING THE HIGHEST QUALITY, MOST COST EFFECTIVE HEALTH CARE DELIVERY SYSTEM TO THE VISITORS AND RESIDENTS OF NORTHERN AND CENTRAL ARIZONA. NAH ENCOURAGES PATIENTS TO BE PART OF THEIR OWN TREATMENT THROUGH EDUCATION AND WELLNESS PROGRAMS. PHYSICIANS, EMPLOYEES AND VOLUNTEERS ALL WORK FOR A COMMON GOAL, AND THE COMMUNITY BENEFITS FROM ORGANIZATIONAL OUTREACH THAT CONTRIBUTES TO RICHER AND HEALTHIER LIVING. NORTHERN ARIZONA HEALTHCARE'S VISION AND VALUES ----------------------------------------------- VISION - NAH, IN PARTNERSHIP WITH OUR COLLEAGUES AND PHYSICIANS, WILL BE THE HIGHEST QUALITY, COST-EFFECTIVE, PREFERRED HEALTHCARE DELIVERY SYSTEM IN NORTHERN AND CENTRAL ARIZONA. WE WILL EXCEED THE EXPECTATIONS OF THOSE WE SERVE BY: - DEVELOPING QUALITY HEALTHCARE SERVICES USING ADVANCED TECHNOLOGY TO IMPROVE THE HEALTH STATUS AND TO MEET THE GROWING NEEDS OF THE COMMUNITIES WE SERVE. - FOSTERING AN ORGANIZATIONAL CULTURE THAT ACTS AS A MAGNET FOR RECRUITING AND RETAINING HIGHLY QUALIFIED COLLEAGUES AND PHYSICIANS. - ENSURING EXCEPTIONAL VALUE FOR OUR PATIENTS AND FINANCIAL STRENGTH FOR OUR INSTITUTIONS. - DEVELOPING STRATEGIC ALLIANCES AND PARTNERSHIPS WITH PROVIDERS AND ORGANIZATIONS TO ENSURE COMPREHENSIVE SERVICES FOR OUR PATIENTS. - VALUES - WE ARE COMMITTED TO MEETING THE NEEDS AND EXCEEDING THE EXPECTATIONS OF OUR PATIENTS. WE WILL CREATE AN ORGANIZATIONAL CULTURE WHERE COLLEAGUES FEEL VALUED AND TAKE A SENSE OF PRIDE IN THEIR WORK. - QUALITY - WE CONTINUOUSLY STRIVE TO ACHIEVE EXCELLENCE AT ALL LEVELS IN THE ORGANIZATION. - SAFETY - WE ARE COMMITTED TO MAINTAINING A SAFE ENVIRONMENT FOR OUR PATIENTS, VISITORS AND COLLEAGUES. - LEADERSHIP - WE PROMOTE LEADERSHIP AS AN ATTITUDE, NOT A POSITION, PUTTING VALUE ON BOTH PEOPLE AND THE WORK THEY DO. - TEAMWORK - WE ARE COLLEAGUES WORKING TOGETHER, SHARING KNOWLEDGE, TALENTS, AND SKILLS TO ACHIEVE COMMON GOALS. NORTHERN ARIZONA HEALTHCARE PARTNERSHIPS ---------------------------------------- LITTLE COLORADO MEDICAL CENTER (WINSLOW MEMORIAL HOSPITAL) - NORTHERN ARIZONA HEALTHCARE HAS A MANAGEMENT AGREEMENT IN PLACE WITH LITTLE COLORADO MEDICAL CENTER (LCMC), A 25-BED CRITICAL ACCESS TAX-EXEMPT HOSPITAL IN WINSLOW, ARIZONA. THE LCMC BOARD OF DIRECTORS RETAINS ULTIMATE RESPONSIBILITY FOR THE OPERATIONS AND ACTIVITIES OF THE HOSPITAL. NAH AND LCMC MAINTAIN A RELATIONSHIP TO ENHANCE LCMC'S SERVICE TO THE COMMUNITY. THE PEAKS - THE PEAKS IS A SENIOR LIVING, LEARNING AND WELLNESS COMMUNITY THAT IS PART OF AN INTERGENERATIONAL CAMPUS IN FLAGSTAFF, ARIZONA. THROUGH THE INTERGENERATIONAL LEARNING, MENTORING AND VOLUNTEER OPPORTUNITIES, THE PEAKS OFFERS AN UNPARALLELED SENIOR RETIREMENT LIFESTYLE. NORTHERN ARIZONA HOMECARE - NORTHERN ARIZONA HOMECARE, A DIVISION OF NAH, PROVIDES QUALITY, PROFESSIONAL HEALTHCARE IN THE COMFORT OF THE PATIENT'S HOME. NORTHERN ARIZONA HOSPICE - HOSPICE, A DIVISION OF NAH, IS FOR PATIENTS WHO HAVE A TERMINAL ILLNESS AND HAVE DECIDED TO SHIFT THE FOCUS OF CARE FROM CURE TO COMFORT. HOSPICE CARE EMPHASIZES THE QUALITY OF REMAINING LIFE AND ALLOWS THE PATIENT TO REMAIN AT HOME IN FAMILIAR SURROUNDINGS WHILE RECEIVING EXPERT HEALTHCARE. |
| FORM 990, PART V, LINE 2A; PART VII, SECTION A, AND PART IX | FLAGSTAFF MEDICAL CENTER (FMC) AND VERDE VALLEY MEDICAL CENTER (VVMC) ARE RELATED ORGANIZATIONS OF NORTHERN ARIZONA HEALTHCARE CORPORATION (NAH). NEITHER FMC NOR VVMC HAVE EMPLOYEES; RATHER, EACH SHARES THE COST OF PERSONNEL, SERVICES, AND EXPENSES WITH NAH. FORM 990, PART VI, LINE 1 THE BOARD OF DIRECTORS DELEGATES AUTHORITY TO AN EXECUTIVE COMMITTEE. THE MEMBERS OF THE EXECUTIVE COMMITTEE INCLUDE THE BOARD OFFICERS, THE PRESIDENT, AND ANY OTHER PARTY THE BOARD OF DIRECTOR APPOINTS. THE EXECUTIVE COMMITTEE POSSESSES AND MAY EXERCISE THE POWERS OF THE BOARD OF DIRECTORS IN BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE REVIEWS THE PERFORMANCE AND COMPENSATION OF THE CEO EACH YEAR. THE BOARD DOES NOT POSSESS THE AUTHORITY TO REMOVE ANY DIRECTOR, FIX DIRECTOR COMPENSATION, EXERCISE ANY RESERVED POWER WHICH REQUIRES SUBSIDIARY BOARD APPROVAL, OR ANY EXERCISE ANY AUTHORITY PROHIBITED BY LAW. FORM 990, PART VI, LINE 11B REVIEW OF THE FORM 990 BY THE ORGANIZATION'S GOVERNING BODY THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM BASED ON DATA GATHERED BY THE CONTROLLER AND THE ORGANIZATION'S FINANCIAL OPERATIONS GROUP. THE CFO REVIEWS THE DRAFT FORM 990 AND PROVIDES ADDITIONAL COMMENTS. THE FINAL DRAFT VERSION OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE MAY 15 DUE DATE. ANY ADDITIONAL COMMENTS SUGGESTED BY THE GOVERNING BODY ARE THEN INCORPORATED INTO THE FINAL VERSION OF THE FORM 990 TO BE FILED WITH THE IRS BY THE FINAL DUE DATE. IF ANY SUGGESTED CHANGES ARE MATERIAL OR SIGNIFICANT, AN ADDITIONAL DRAFT IS DISTRIBUTED TO THE GOVERNING BODY PRIOR TO FILING. |
| FORM 990, PART VI, LINE 12C | DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY (BOARD POLICY 6.1). THIS IS ACCOMPLISHED BY A NUMBER OF MECHANISMS. FIRST THE CONFLICT OF INTEREST QUESTIONNAIRE IS REVIEWED BY THE GOVERNANCE COMMITTEE OF THE BOARD. AS PART OF THE QUESTIONNAIRE, SELF-DISCLOSURE IS REQUIRED BY BOARD MEMBERS. IN ADDITION, INDIVIDUAL DISCLOSURE BY BOARD MEMBERS OCCURS AT BOARD MEETINGS WHEN NECESSARY (I.E. A BOARD MEMBER WILL EXCLUDE HIMSELF FROM VOTING ON AN ISSUE IN WHICH HE MAY HAVE A CONFLICT OF INTEREST). |
| FORM 990, PART VI, LINES 15A AND 15B | DESCRIPTION OF COMPENSATION PROCESS THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO AND OTHER OFFICERS INCLUDES THE PREPARATION OF COMPARABLE DATA BY TOWERS WATSON, AN INDEPENDENT CONSULTING FIRM. IN ADDITION, THIS INFORMATION IS REVIEWED BY THE GOVERNANCE COMMITTEE OF THE BOARD AND DOCUMENTED IN BOARD MINUTES. THE MOST RECENT REVIEW WAS PERFORMED IN SEPTEMBER 2014. |
| FORM 990, PART VI, LINE 19 | AVAILABILITY OF CERTAIN DOCUMENTS TO THE GENERAL PUBLIC THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ARIZONA DEPARTMENT OF HEALTH SERVICES. IN ADDITION, THEY ARE AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) AS PART OF THE ORGANIZATION'S CONTINUING DISCLOSURE DOCUMENTS THAT ARE REQUIRED BY ITS PUBLIC DEBT REQUIREMENTS. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VII, SECTION A | THE ORGANIZATION PAID $21,000 TO THE COKER GROUP HOLDINGS, LLC ("COKER") FOR THE SERVICES OF INTERIM CFO RICHARD LANGOSCH, WHO IS AN EMPLOYEE OF COKER. |
| FORM 990, PART IX, LINE 11G | OTHER FEES FOR SERVICES CONSULTING $3,759,185 PURCHASE SERVICE $2,985,664 CONTRACT LABOR $347,220 MANAGEMENT DEVELOPMENT $134,469 PROFESSIONAL FEES $73,411 CLEANING $49,599 OTHER PROFESSIONAL FEES $21,600 EXTERNAL LAB SERVICE $640 ------------- TOTAL: $7,371,788 |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS/FUND BALANCES DECREASE IN UNFUNDED PENSION LIABILITY $416,000 NET ASSET TRANSFERS FROM (TO) AFFILIATE $8,723,000 ROUNDING $2,160 ------------- TOTAL: $9,141,160 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATHFINDERHEALTH LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 N BEAVER | AddressLine1 |
| City | FLAGSTAFF | City |
| State | AZ | State |
| ZIP Code | 86001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742410946 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NAHC | BusinessNameLine1 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| FLAGSTAFF MEDICAL CENTER | ||||||||||
| POST OFFICE BOX 1268 | FLAGSTAFF | AZ | 86002 | 860110232 | HEALTHCARE | AZ | 501(C)(3) | 3 | NAH | Yes (true) |
| VERDE VALLEY MEDICAL CENTER | ||||||||||
| 269 SOUTH CANDY LANE | COTTONWOOD | AZ | 86326 | 860100882 | HEALTHCARE | AZ | 501(C)(3) | 3 | NAH | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| TASC LLC | ||||||||
| 1200 N BEAVER ST | FLAGSTAFF | AZ | 86001 | 860913157 | AMBULATORY SVCS | AZ | NA | N/A |
| NORTHERN ARIZONA HEALTHCARE PROVIDER GRO | ||||||||
| 1200 N BEAVER ST | FLAGSTAFF | AZ | 86001 | 454464070 | ADMIN AND BIL | AZ | NA | N/A |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FLAGSTAFF MEDICAL CENTER | ||
| J | $85,752 | COST |
| FLAGSTAFF MEDICAL CENTER | ||
| K | $62,948 | COST |
| FLAGSTAFF MEDICAL CENTER | ||
| O | $8,046,709 | COST |
| FLAGSTAFF MEDICAL CENTER | ||
| P | $4,621,472 | COST |
| FLAGSTAFF MEDICAL CENTER | ||
| P | $153,657,950 | COST |
| VERDE VALLEY MEDICAL CENTER | ||
| O | $3,305,871 | COST |