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NORTHERN ARIZONA HEALTHCARE CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NORTHERN ARIZONA HEALTHCARE CORPORATION (EIN 74-2410946)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201421359349305577
Schema version
2012v2.3
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)
Timestamp2014-05-15T14:11:19-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1TWO NORTH CENTRAL AVENUE STE 2300AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742410946EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHERN ARIZONA HEALTHCARE CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JOHN A CORTESEInCareOfName
Name ControlNORTNameControl
Phone9287793366Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 1268AddressLine1
Address Line2SuiteAddressLine2
CityFLAGSTAFFCity
StateAZState
ZIP Code860021268ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM BRADELName
TitlePRESIDENT/CEOTitle
Date Signed2014-05-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameBRENDA D GRIESEMERName
Phone6023223000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM T BRADELNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11200 N BEAVER STAddressLine1
CityFLAGSTAFFCity
StateAZState
ZIP Code86001ZIPCode
FieldValueIRS element (for citing)
Gross Receipts65014234GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.nahealth.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE PATIENTS WITH EXCEPTIONAL CARE WHILE TRANSFORMING THE HEALTH OF THE COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees3701TotalNbrEmployees
Total Nbr Volunteers17TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year372786ContributionsGrantsPriorYear
Contributions Grants Current Year566892ContributionsGrantsCurrentYear
Program Service Revenue Prior Year55492221ProgramServiceRevenuePriorYear
Program Service Revenue CY63710599ProgramServiceRevenueCY
Investment Income Prior Year814InvestmentIncomePriorYear
Investment Income Current Year-601063InvestmentIncomeCurrentYear
Other Revenue Prior Year117812OtherRevenuePriorYear
Other Revenue Current Year80572OtherRevenueCurrentYear
Total Revenue Prior Year55983633TotalRevenuePriorYear
Total Revenue Current Year63757000TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY25000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17130819SalariesEtcPriorYear
Salaries Etc Current Year23675108SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year39603936OtherExpensePriorYear
Other Expenses Current Year41305892OtherExpensesCurrentYear
Total Expenses Prior Year56734755TotalExpensesPriorYear
Total Expenses Current Year65006000TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-751122RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1249000RevenuesLessExpensesCY
Total Assets BOY41071104TotalAssetsBOY
Total Assets EOY44122493TotalAssetsEOY
Total Liabilities BOY11658633TotalLiabilitiesBOY
Total Liabilities EOY10457774TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY29412471NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY33664719NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE PATIENTS WITH EXCEPTIONAL CARE WHILE TRANSFORMING THE HEALTH OF THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense12299089Expense
Grants25000Grants
Revenue63791171Revenue
DescriptionSEE SCHEDULE O.Description
Total Program Service Expense12299089TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3701NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN A CORTESENamePerson
Telephone Number9282143545TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1914 N SAN FRANCISCO SUITE MAddressLine1
CityFLAGSTAFFCity
StateAZState
ZIP Code86001ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
WILLIAM AUSTIN MD
DIRECTOR0.50.5X6140000
CHRISTOPHER BAVASI
DIRECTOR/CHAIRMAN1.00.3X000X
GARY CHRISTENSEN MD
DIRECTOR/VICE CHAIRMAN0.70.8X000X
RICHARD CRANMER
DIRECTOR1.56.0X000
JAMES DORMAN
DIRECTOR3.72.0X000
BARBARA DEMBER
DIR/PRES/CEO (AS OF 2/13) & VP8.032.0X242836026642
WAYNE FOX
DIRECTOR/TREASURER0.90.9X000X
WILLIAM JEFFERS
DIRECTOR/SECRETARY0.51.1X000X
JAMES LEDBETTER
DIRECTOR0.55.0X103135100
BERT McKINNON MD
DIRECTOR (PART YEAR)0.70.4X000
ROBERT MONTOYA
DIRECTOR (PART YEAR)1.60.5X000
MOLLY MUNGER
DIRECTOR (PART YEAR)1.20.2X000
SHAWN ORME
DIRECTOR1.65.0X82400
MATIAS SANDOVAL
DIRECTOR1.64.0X10200
RAY SELNA
DIRECTOR0.33.0X69000
TOM TAYLOR
DIRECTOR (PART YEAR)0.63.0X61500
WILLIAM T BRADEL
PRESIDENT FMC/CO-CEO NAH10.040.0X623470035673X
JAMES BLEICHER MD
PRES/CO-CEO NAH (PART YEAR)10.030.0X596916028240X
GREGORY KUZMA
VP FINANCE/CFO20.020.0385765011333X
JOHN J DEMPSEY
EXEC VP LAW & ETHICS20.040.0420812058635X
PATRICIA J CROFFORD
VP HUMAN RESOURCES40.00.0310267016443X
MARILYNN BLACK
CHIEF INFORMATION OFFICER40.00.0262524023494X
STEVEN R SPRAVZOFF
VP PROCUREMENT/PROCESS IMPR40.00.0246004042127X
DALE PUGH
VP CORP MARKETING40.00.0143029010600X
JEFFREY J HAMBLEN
PRESIDENT LCMC40.00.0311950038331X
KATHLEEN WHITE
PHARMACY INFORMATICIST40.00.018974702821X
RICHARD HENN
DIRECTOR OF EDUCATION40.00.0178637076912X
LORETTA F WELLBORN
DIRECTOR OF NURSING40.00.0176213053544X
VICKIE L LEWIS
DIR OF REGULATORY COMPLIANCE40.00.0171204024160X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4324036TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3510TotalReportableCompFrmRltdOrgs
Total Other Compensation448955TotalOtherCompensation
Number Individuals GT100 K49NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PRICEWATERHOUSE COOPERS LLP
PO BOX 514038LOS ANGELESCA90051I.T. CONSULTING1675105
INSIGHT DIRECT USA
PO BOX 731069DALLASTX753731069I.T. SERVICES1016364
FORT VALLEY PLAZA
DORWAYWEST VILLAGE PROPERTIESFLAGSTAFFAZ86001DOCUMENT STORAGE599338
SQUIRE SANDERS DEMPSEY LLP
PO BOX 643051CINCINNATIOH452643051LEGAL SERVICES564569
CONIFER HEALTH SOLUTIONS LLC
1500 S DOUGLASS RDANAHEIMCA92806HEALTHCARE FIN SVCS446908
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Government Grants341822GovernmentGrants
All Other Contributions225070AllOtherContributions
Total Contributions566892TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOME HEALTH/HOSPICE PATIENT SERVICES62111144100054410005
INTERCOMPANY RENT5311202812728127
CORP EXP REIMBURSEMENT ALLOCATION9000995834811658348116
HEALTH SEMINARS611430433016433016
MANAGEMENT FEE - LITTLE CO. MED. CTR.561000491335491335
FieldValueIRS element (for citing)
Total Program Service Revenue63710599TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3237TotalRevenueColumn
Exclusion$3,237ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other652934Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1257234Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-604300Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-604300TotalRevenueColumn
Exclusion-$604,300ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CREDIT CARD REBATES9000994934249342
ALL OTHER REVENUE9000993123031230
FieldValueIRS element (for citing)
Total Other Revenue80572TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column63757000TotalRevenueColumn
Related Or Exempt Function Income63791171RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$601,063ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total25000Total
Program Services25000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2373343Total
Program Services1546049ProgramServices
Management And General827294ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total52841Total
Program Services52841ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17274625Total
Program Services5892854ProgramServices
Management And General11381771ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1412928Total
Program Services188811ProgramServices
Management And General1224117ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1248588Total
Program Services380686ProgramServices
Management And General867902ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1312783Total
Program Services178542ProgramServices
Management And General1134241ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6335195Total
Management And General6335195ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total894824Total
Program Services10908ProgramServices
Management And General883916ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total98141Total
Management And General98141ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6146981Total
Program Services915311ProgramServices
Management And General5231670ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total20669Total
Program Services1916ProgramServices
Management And General18753ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2911853Total
Program Services1669036ProgramServices
Management And General1242817ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14393293Total
Program Services534855ProgramServices
Management And General13858438ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1780750Total
Program Services424865ProgramServices
Management And General1355885ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total615602Total
Program Services270831ProgramServices
Management And General344771ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7587485Total
Program Services197638ProgramServices
Management And General7389847ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total149575Total
Program Services8946ProgramServices
Management And General140629ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
REAL ESTATE TAXES166806166806
ALL OTHER EXPENSES204718204718

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total65006000Total
Program Services12299089ProgramServices
Management And General52706911ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5164954BOY
EOY8298259EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY593934BOY
EOY412575EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY626788BOY
EOY81944EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY25215BOY
EOY25195EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1738127BOY
EOY2882560EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis68629108LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec36242663LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY32886571BOY
EOY32386445EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY35515BOY
EOY35515EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY41071104BOY
EOY44122493EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5166214BOY
EOY4693316EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6492419BOY
EOY5764458EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11658633BOY
EOY10457774EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY29412471BOY
EOY33664719EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29412471BOY
EOY33664719EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41071104BOY
EOY44122493EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1249000ReconcilationRevenueExpenses
Reconcilation Other Changes5501248ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33024CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16308CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22353CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year372786CurrentTaxYearMinus1Year
Current Tax Year566892CurrentTaxYear
Total1011363Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6655112CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7172249CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6438135CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5861961CurrentTaxYearMinus1Year
Current Tax Year5362483CurrentTaxYear
Total31489940Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6688136CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7188557CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6460488CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6234747CurrentTaxYearMinus1Year
Current Tax Year5929375CurrentTaxYear
Total32501303Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1079129CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1086588CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years787860CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year553547CurrentTaxYearMinus1Year
Current Tax Year431203CurrentTaxYear
Total3938327Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1079129CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1086588CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years787860CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year553547CurrentTaxYearMinus1Year
Current Tax Year431203CurrentTaxYear
Total3938327Total
FieldValueIRS element (for citing)
Public Support Total50928562976PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56100CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years192130CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years143396CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1720CurrentTaxYearMinus1Year
Current Tax Year3237CurrentTaxYear
Total396583Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56100CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years192130CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years143396CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1720CurrentTaxYearMinus1Year
Current Tax Year3237CurrentTaxYear
Total396583Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years154755CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years174826CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1276519CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year117812CurrentTaxYearMinus1Year
Current Tax Year80572CurrentTaxYear
Total1804484Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6898991CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7555513CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7880403CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6354279CurrentTaxYearMinus1Year
Current Tax Year6013184CurrentTaxYear
Total34702370Total
FieldValueIRS element (for citing)
Public Support Percentage5090.82308PublicSupportPercentage509
Prior Year Support Percentage0.83431PriorYearSupportPercentage
Investment Income Percentage0.01143InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01263PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2629909BeginningOfYearBalance
Contributions108254Contributions
End Of Year Balance2738163EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2629909BeginningOfYearBalance
End Of Year Balance2629909EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3131267BeginningOfYearBalance
Other Expenditures501358OtherExpenditures
End Of Year Balance2629909EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3128667BeginningOfYearBalance
Contributions1855Contributions
Investment Earnings Or Losses2472InvestmentEarningsOrLosses
Administrative Expenses1727AdministrativeExpenses
End Of Year Balance3131267EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3090184BeginningOfYearBalance
Contributions19011Contributions
Investment Earnings Or Losses23119InvestmentEarningsOrLosses
Administrative Expenses3647AdministrativeExpenses
End Of Year Balance3128667EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5867714OtherCostOrOtherBasis
Book Value5867714BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2436145OtherCostOrOtherBasis
Depreciation589162Depreciation
Book Value1846983BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis603246OtherCostOrOtherBasis
Depreciation246946Depreciation
Book Value356300BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis55145629OtherCostOrOtherBasis
Depreciation35406555Depreciation
Book Value19739074BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4576374OtherCostOrOtherBasis
Book Value4576374BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings32386445TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
MINIMUM PENSION LIABILITY$5,426,521
CENTRAL BUSINESS OFFICE RESERVE$318,750
PROFESSIONAL AND GENERAL LIABILITY$19,187
FieldValueIRS element (for citing)
Total Of Amounts5764458TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
USE OF THE ORGANIZATION'S BOARD DESIGNATED FUNDSSCHEDULE D, PART VTHESE CONTRIBUTIONS ARE DESIGNATED FOR THE USE OF BUILDING A HOSPICE HOUSE IN COTTONWOOD, ARIZONA.
FIN 48 (ASC 740) FOOTNOTESCHEDULE D, PART X, LINE 2IN ACCORDANCE WITH ACCOUNTING GUIDANCE, MANAGEMENT HAS REVIEWED ALL OPEN TAX YEARS AND HAS DETERMINED THAT THE CORPORATION HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1NORTHERN ARIZONA UNIVERSITY FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 4094AddressLine1
CityFLAGSTAFFCity
StateAZState
ZIP Code86011ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient860193726EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant25000AmountOfCashGrant
Purpose Of GrantSCHOLARSHIPPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule IIdentifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationNORTHERN ARIZONA HEALTHCARE CORPORATION RELIES ON THE GOVERNANCE PRACTICES OF THE RECIPIENT ORGANIZATION TO USE THE FUNDS FOR THE INTENDED PURPOSE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BARBARA DEMBER
DIR/PRES/CEO (AS OF 2/13) & VP196207032810013819075350191070269478000
GREGORY KUZMA
VP FINANCE/CFO31892106604907950-54450167780397098000
WILLIAM T BRADEL
PRESIDENT FMC/CO-CEO NAH476580088748058142098000258730659143000
JAMES BLEICHER MD
PRES/CO-CEO NAH (PART YEAR)3673790191661037876098000184400625156000
JOHN J DEMPSEY
EXEC VP LAW & ETHICS3095140652200460780313350273000479447000
PATRICIA J CROFFORD
VP HUMAN RESOURCES19258003492208276509438070050326710000
MARILYNN BLACK
CHIEF INFORMATION OFFICER22875503208301686054090180850286018000
STEVEN R SPRAVZOFF
VP PROCUREMENT/PROCESS IMPR19209704691406993034173079540288131000
DALE PUGH
VP CORP MARKETING1009900004203905960046400153629000
JEFFREY J HAMBLEN
PRESIDENT LCMC24655100065399098000285310350281000
KATHLEEN WHITE
PHARMACY INFORMATICIST1374610444420784400028210192568000
RICHARD HENN
DIRECTOR OF EDUCATION1503020130420152930626860142260255549000
LORETTA F WELLBORN
DIRECTOR OF NURSING154892014435068860410310125130229757000
VICKIE L LEWIS
DIR OF REGULATORY COMPLIANCE15314801383504221066980174620195364000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE J, PART ILINE 1A AND LINE 1B:ALL COMPENSATION, BENEFITS AND REIMBURSEMENTS ARE PAID BY NORTHERN ARIZONA HEALTHCARE CORPORATION, THE PARENT ORGANIZATION. BOARD MEMBER AND OFFICERS BUSINESS TRAVEL EXPENSES ARE GENERALLY PAID AND REPORTED ON A W-2 OR 1099. FOR CALENDAR YEAR 2012, AMOUNTS PAID FOR COMPANION TRAVEL WERE INTENDED TO BE TREATED AS TAXABLE COMPENSATION. HOWEVER, 1099S WERE INADVERTENTLY NOT ISSUED IN EVERY CASE. NOT TREATED AS TAXABLE COMPENSATION. MANAGEMENT IS AWARE OF THE OMISSION AND AT THE TIME OF THIS FILING IS WORKING TO ISSUE 1099'S TO THE APPROPRIATE LISTED PERSONS. GROSS-UP OF TAXES IS DONE ON ALL EMPLOYEE GIFT CERTIFICATES. CURRENTLY, THERE IS NO WRITTEN POLICY FOR THESE ITEMS BUT THE ORGANIZATION RECOGNIZES THE NEED TO HAVE ONE. IN PRACTICE, BOARD MEMBER AND OFFICER BUSINESS TRAVEL EXPENSES ARE APPROVED BY THE NEXT HIGHEST LEVEL. AMOUNTS PAID FOR "COMPANION TRAVEL" WERE FOR SPOUSES OF THE FOLLOWING DIRECTORS: JAMES LEDBETTER: $1,031 SHAWN ORME: $824 RAY SELNA: $690 MATIAS SANDOVAL: $102 TOM TAYLOR: $615
SCHEDULE J, PART IITHE 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 DECREASE DUE TO BENEFIT TO INCREASE IN ACCRUAL DISCOUNT RATE TOTAL JOHN J. DEMPSEY 71,257 (39,922) 31,335 GREGORY KUZMA 59,590 (65,035) ( 5,445) STEVEN R. SPRAVZOFF 103,583 (69,410) 34,173 LORETTA WELLBORN 78,337 (37,306) 41,031 RICHARD HENN 77,524 (26,545) 50,979

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonESTHER SPRAVZOFFNamePerson
FieldValueIRS element (for citing)
RelationshipSPRAVZOFF/SPOUSERelationship
Amount Of Transaction52841AmountOfTransaction
Description Of TransactionCOMPENSATIONDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART III, LINE 4DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTSNORTHERN 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 VI, LINE 11BREVIEW OF THE FORM 990 BY THE ORGANIZATION'S GOVERNING BODYTHE 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 12CDESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTTHE 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 15BDESCRIPTION OF COMPENSATION PROCESSTHE 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 AUGUST 2013.
FORM 990, PART VI, LINE 19AVAILABILITY OF CERTAIN DOCUMENTS TO THE GENERAL PUBLICTHE 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 XI, LINE 9OTHER CHANGES IN NET ASSETS/FUND BALANCESDECREASE IN UNFUNDED PENSION LIABILITY $ 1,229,000 NET ASSET TRANSFERS FROM (TO) AFFILIATE 4,273,000 ROUNDING (752) ------------- TOTAL: $ 5,501,248

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
FLAGSTAFF MEDICAL CENTER
POST OFFICE BOX 1268FLAGSTAFFAZ86002860110232HEALTHCAREAZ501(C)(3)3NAHtrue
VERDE VALLEY MEDICAL CENTER
269 SOUTH CANDY LANECOTTONWOODAZ86326860100882HEALTHCAREAZ501(C)(3)3NAHtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
TASC LLC
1200 N BEAVER STFLAGSTAFFAZ86001860913157AMBULATORY SVCSAZNAN/A
NORTHERN ARIZONA HEALTHCARE PROVIDER GRO
1200 N BEAVER STFLAGSTAFFAZ86001454464070ADMIN AND BILLINGAZNAN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
FLAGSTAFF MEDICAL CENTER
R141920833COST
FLAGSTAFF MEDICAL CENTER
K63035COST
FLAGSTAFF MEDICAL CENTER
P3928415COST
FLAGSTAFF MEDICAL CENTER
J85752COST
FLAGSTAFF MEDICAL CENTER
O6947136COST
VERDE VALLEY MEDICAL CENTER
O3108062COST