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NORTHERN ARIZONA HEALTHCARE CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTHERN ARIZONA HEALTHCARE CORPORATION (EIN 74-2410946)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201301349349302545
Schema version
2011v1.5
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)
Timestamp2013-05-14T12:34:56-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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
CityFLAGSTAFFCity
StateAZState
ZIP Code860021268ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGREG KUZMAName
TitleVICE PRESIDENT/CFOTitle
Date Signed2013-05-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6023223000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts56012043GrossReceipts
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 Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees3404TotalNbrEmployees
Total Nbr Volunteers14TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year22353ContributionsGrantsPriorYear
Contributions Grants Current Year372786ContributionsGrantsCurrentYear
Program Service Revenue Prior Year52204848ProgramServiceRevenuePriorYear
Program Service Revenue CY55492221ProgramServiceRevenueCY
Investment Income Prior Year150166InvestmentIncomePriorYear
Investment Income Current Year814InvestmentIncomeCurrentYear
Other Revenue Prior Year1276519OtherRevenuePriorYear
Other Revenue Current Year117812OtherRevenueCurrentYear
Total Revenue Prior Year53653886TotalRevenuePriorYear
Total Revenue Current Year55983633TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15956507SalariesEtcPriorYear
Salaries Etc Current Year17130819SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year38474088OtherExpensePriorYear
Other Expenses Current Year39603936OtherExpensesCurrentYear
Total Expenses Prior Year54430595TotalExpensesPriorYear
Total Expenses Current Year56734755TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-776709RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-751122RevenuesLessExpensesCY
Total Assets BOY41509226TotalAssetsBOY
Total Assets EOY41071104TotalAssetsEOY
Total Liabilities BOY7988971TotalLiabilitiesBOY
Total Liabilities EOY11658633TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY33520255NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY29412471NetAssetsOrFundBalancesEOY
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
Expense38050868Expense
Revenue55610033Revenue
DescriptionSEE SCHEDULE O.Description
Total Program Service Expense38050868TotalProgramServiceExpense
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 OrganizationsfalseGrantsToOrganizations
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 MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
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 Employees3404NumberOfEmployees
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 Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
BERT MCKINNON MD
CHAIRMAN4.0XX000
CHRIS BAVASI
DIRECTOR2.5X000
GARY CHRISTENSEN
DIRECTOR0.75X000
SHAWN ORME
SECRETARY2.5XX96900
JAMES DORMAN
DIRECTOR3.0X000
ALAN EVERETT
DIRECTOR3.0X65600
WAYNE R FOX
TREASURER1.75XX000
JAMES E LEDBETTER
DIRECTOR2.75X000
ROBERT M MONTOYA
DIRECTOR2.75X000
MOLLY MUNGER
DIRECTOR0.75X000
MATIAS SANDOVAL
VICE CHAIR5.0XX68300
TOM TAYLOR
DIRECTOR4.0X72900
WILLIAM T BRADEL
PRESIDENT/CO-CEO10.0XX624764027853
JAMES BLEICHER
PRESIDENT/CO-CEO10.0XX498033026353
JOHN J DEMPSEY
EXECUTIVE VP LAW & ETHICS20.0X4309820175204
GREGORY KUZMA
VP FINANCE/CFO20.0X4015760212390
PATRICIA J CROFFORD
VP HUMAN RESOURCES40.0283763016492X
STEVEN R SPRAVZOFF
VP PROCUREMENT/PROCESS IMPR40.02433340296118X
DALE PUGH
VP CORP MARKETING40.0228085015016X
LORETTA WELLBORN
DIRECTOR NURSING40.01724820173463X
RICHARD HENN
DIRECTOR EDUCATION40.01705500149961X
JANET L MCNEESE
DIRECTOR HUMAN RESOURCES40.01666870120271X
VICKIE L LEWIS
DIRECTOR REGULATORY COMPL40.0181051016669X
JEFFREY J HAMBLEN
PRESIDENT LCMC40.0355503025138X
JAMES A PUFFENBERGER
FMR PRES/CEO (THRU 7/09)0.020458500X
LAWRENCE J CAPEK
VP BUS DEVP (THRU 1/2011)0.02102390120542X
BRUCE C WEISENSEL
VP STRAT PLNG (THRU 1/11)0.02022660125654X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4376937TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1501124TotalOtherCompensation
Number Individuals GT100 K40NumberIndividualsGT100K
Formers ListedtrueFormersListed
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. CONSULTING268055
SQUIRE SANDERS DEMPSEY LLP
PO BOX 643051CINCINNATIOH45264LEGAL SERVICES656568
FORT VALLEY PLAZA
1120 W UNIVERSITY AVE STE 200FLAGSTAFFAZ86001RENTAL SPACE; OFFICE590489
INSIGHT NETWORKING
PO BOX 731069DALLASTX75373I.T. SERVICES486622
MERCER HEALTH BENEFITS
PO BOX 100260PASADENACA91189BENEFITS CONSULTING125000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Government Grants351379GovernmentGrants
All Other Contributions21407AllOtherContributions
Total Contributions372786TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOME HEALTH/HOSPICE PATIENT SERVICES62111047786944778694
INTERCOMPANY RENT5311202768927689
CORP EXP REIMBURSEMENT ALLOCATION9000994963026049630260
HEALTH SEMINARS611430404806404806
MANAGEMENT FEE - LITTLE CO. MED. CTR.561000650772650772
FieldValueIRS element (for citing)
Total Program Service Revenue55492221TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1720TotalRevenueColumn
Exclusion$1,720ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other27504Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other28410Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-906Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-906TotalRevenueColumn
Exclusion-$906ExclusionAmount

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 REBATES9000993635536355
ALL OTHER REVENUE9000998145781457
FieldValueIRS element (for citing)
Total Other Revenue117812TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column55983633TotalRevenueColumn
Related Or Exempt Function Income55610033RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$814ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

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)
Total2801509Total
Program Services1685188ProgramServices
Management And General1116321ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total617090Total
Program Services617090ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10464970Total
Program Services3202472ProgramServices
Management And General7262498ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total831409Total
Program Services130794ProgramServices
Management And General700615ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1562118Total
Program Services498073ProgramServices
Management And General1064045ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total853723Total
Program Services167661ProgramServices
Management And General686062ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6748634Total
Program Services5816100ProgramServices
Management And General932534ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total868225Total
Program Services43549ProgramServices
Management And General824676ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total120041Total
Program Services120041ProgramServices
Management And General0ManagementAndGeneral

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)
Total2708681Total
Program Services1158865ProgramServices
Management And General1549816ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total31379Total
Program Services19781ProgramServices
Management And General11598ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2260279Total
Program Services1611478ProgramServices
Management And General648801ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total16450863Total
Program Services14797376ProgramServices
Management And General1653487ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1732868Total
Program Services664637ProgramServices
Management And General1068231ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total473535Total
Program Services156118ProgramServices
Management And General317417ManagementAndGeneral

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)
Total6976120Total
Program Services6610616ProgramServices
Management And General365504ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total134590Total
Program Services8807ProgramServices
Management And General125783ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REAL ESTATE TAXES1549470154947
ALL OTHER EXPENSES943774752172191602

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total56734755Total
Program Services38060818ProgramServices
Management And General18673937ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7980791BOY
EOY5164954EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY574113BOY
EOY593934EOY

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)
BOY489650BOY
EOY626788EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY26185BOY
EOY25215EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1878175BOY
EOY1738127EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis68792666LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec35906095LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY30524797BOY
EOY32886571EOY

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)
BOY41509226BOY
EOY41071104EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3714226BOY
EOY5166214EOY

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)
BOY4274745BOY
EOY6492419EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7988971BOY
EOY11658633EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY33520255BOY
EOY29412471EOY

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)
BOY33520255BOY
EOY29412471EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41509226BOY
EOY41071104EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-751122ReconcilationRevenueExpenses
Reconcilation Other Changes-3356662ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years3058876CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33024CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16308CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22353CurrentTaxYearMinus1Year
Current Tax Year372786CurrentTaxYear
Total3503347Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7583890CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6655112CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7172249CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6438135CurrentTaxYearMinus1Year
Current Tax Year5861961CurrentTaxYear
Total33711347Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10642766CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6688136CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7188557CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6460488CurrentTaxYearMinus1Year
Current Tax Year6234747CurrentTaxYear
Total37214694Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years764705CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1079129CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1086588CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year787860CurrentTaxYearMinus1Year
Current Tax Year553884CurrentTaxYear
Total4272166Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years764705CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1079129CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1086588CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year787860CurrentTaxYearMinus1Year
Current Tax Year553884CurrentTaxYear
Total4272166Total
FieldValueIRS element (for citing)
Public Support Total50932942528PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years105353CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years56100CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years192130CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year143396CurrentTaxYearMinus1Year
Current Tax Year1720CurrentTaxYear
Total498699Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-95CurrentTaxYearMinus4Years
Total-95Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years105258CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years56100CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years192130CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year143396CurrentTaxYearMinus1Year
Current Tax Year1720CurrentTaxYear
Total498604Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47465CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years154755CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years174826CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1276519CurrentTaxYearMinus1Year
Current Tax Year117812CurrentTaxYear
Total1771377Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10795489CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6898991CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7555513CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7880403CurrentTaxYearMinus1Year
Current Tax Year6354279CurrentTaxYear
Total39484675Total
FieldValueIRS element (for citing)
Public Support Percentage5090.83431PublicSupportPercentage509
Prior Year Support Percentage0.80938PriorYearSupportPercentage
Investment Income Percentage0.01263InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01575PriorYrInvestIncomePercentage
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
End Of Year Balance2629909EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6384280OtherCostOrOtherBasis
Book Value6384280BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2827192OtherCostOrOtherBasis
Depreciation466060Depreciation
Book Value2361132BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis594636OtherCostOrOtherBasis
Depreciation199790Depreciation
Book Value394846BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis55913044OtherCostOrOtherBasis
Depreciation35240245Depreciation
Book Value20672799BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3073514OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value3073514BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings32886571TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
MINIMUM PENSION LIABILITY$6,149,754
CENTRAL BUSINESS OFFICE RESERVE$318,750
PROFESSIONAL AND GENERAL LIABILITY$23,915
FieldValueIRS element (for citing)
Total Of Amounts6492419TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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 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 PaymenttrueSeverancePayment
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 (15 entries)

Base 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
JOHN J DEMPSEY
3287900942890790301586510165530606186000
GREGORY KUZMA
3305850709910002012890111010613966000
WILLIAM T BRADEL
481998099258043508098000180530652617000
JAMES BLEICHER
370011012802200098000165530524386000
PATRICIA J CROFFORD
2471040366590009800066920300255000
LAWRENCE J CAPEK
210153000860120542000330781000
BRUCE C WEISENSEL
202230000360125654000327920000
STEVEN R SPRAVZOFF
193154050180000289106070120539452000
DALE PUGH
2000110280740008004070120243101000
JAMES A PUFFENBERGER
000020458500000204585000
LORETTA WELLBORN
161720010762000167333061300345945000
RICHARD HENN
1461200244300001376920122690320511000
JANET L MCNEESE
1545860121010001094700108010286958000
VICKIE L LEWIS
155002025861018809957067120197720000
JEFFREY J HAMBLEN
28525107025200098000153380380641000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE J, PART ILINE 1A AND LINE 1B: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. 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.
SCHEDULE J, PART ILINE 4AJAMES PUFFENBERGER RECEIVED SEVERANCE PAYMENTS OF $204,585 WHICH WERE INCLUDED IN SCHEDULE J, PART II, COL B(III).
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. FOR THE CURRENT YEAR, THE INCREASES WERE SUBSTANTIALLY MORE THAN NORMAL DUE TO A DECREASE IN THE DISCOUNT RATE USED IN THE ACTUARIAL ANALYSIS AS FOLLOWS: INCREASE DUE INCREASE DUE TO BENEFIT TO DECREASE IN ACCRUAL DISCOUNT RATE TOTAL JOHN J. DEMPSEY 57,015 101,636 158,651 GREGORY KUZMA 43,310 157,979 201,289 LAWRENCE J. CAPEK (23,270) 143,812 120,542 BRUCE C. WEISENSEL 18,053 107,601 125,654 STEVEN R. SPRAVZOFF 108,151 180,955 289,106 LORETTA WELLBORN 72,311 95,022 167,333 RICHARD HENN 66,305 71,387 137,692 JANET L. MCNEESE 29,048 80,422 109,470

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ESTHER SPRAVZOFF
SPRAVZOFF/SPOUSE50902COMPENSATIONfalse
KRISTI KNECHT
SPRAVZOFF/DAUGHTER29161COMPENSATIONfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 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 3,400 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 2012.
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 VIIHOURS DEVOTED TO RELATED ORGANIZATIONSCHRIS BAVASI SERVES ON THE BOARD OF NORTHERN ARIZONA HEALTHCARE CORPORATION ("NAHC") AND FLAGSTAFF MEDICAL CENTER ("FMC"). HE DEVOTED 2.5 HOURS PER WEEK TO EACH ORGANIZATION. GARY CHRISTENSEN SERVES ON THE BOARD OF NAHC AND FMC. HE DEVOTED 0.75 HOURS PER WEEK TO EACH ORGANIZATION. JAMES DORMAN SERVES ON THE BOARD OF NAHC AND FMC. HE DEVOTED 3 HOURS PER WEEK TO EACH ORGANIZATION. WAYNE FOX SERVES ON THE BOARD OF NAHC AND FMC. HE DEVOTED 1.75 HOURS PER WEEK TO EACH ORGANIZATION. ROBERT M. MONTOYA SERVES ON THE BOARD OF NAHC AND FMC. HE DEVOTED 2.75 HOURS PER WEEK TO EACH ORGANIZATION. MOLLY MUNGER SERVES ON THE BOARD OF NAHC AND FMC. SHE DEVOTED 0.75 HOURS PER WEEK TO EACH ORGANIZATION. ALAN EVERETT SERVES ON THE BOARD OF NAHC AND VERDE VALLEY MEDICAL CENTER (VVMC). HE DEVOTED 3 HOURS PER WEEK TO EACH ORGANIZATION. JAMES LEDBETTER SERVES ON THE BOARD OF NAHC AND VVMC. HE DEVOTED 2.75 HOURS PER WEEK TO EACH ORGANIZATION. SHAWN ORME SERVES ON THE BOARD OF NAHC AND VVMC. SHE DEVOTED 2.50 HOURS PER WEEK TO EACH ORGANIZATION. MATIAS SANDOVAL SERVES ON THE BOARD OF NAHC AND VVMC. HE DEVOTED 5 HOURS PER WEEK TO EACH ORGANIZATION. RICHARD CRANMER SERVES ON THE BOARD OF NAHC AND VVMC. HE DEVOTED 4 HOURS PER WEEK TO EACH ORGANIZATION. RAY SELNA SERVES ON THE BOARD OF NAHC AND VVMC. HE DEVOTED 4 HOURS PER WEEK TO EACH ORGANIZATION. GREGORY KUZMA IS THE VP AND CHIEF FINANCIAL OFFICER OF NAHC, FMC AND VVMC. HE DEVOTED 20 HOURS PER WEEK TO NAHC, 14 HOURS TO FMC, AND 6 HOURS PER WEEK TO VVMC. WILLIAM BRADEL IS AN EX-OFFICIO DIRECTOR OF NAHC AND PRESIDENT AND CHIEF EXECUTIVE OFFICER OF FMC. HE DEVOTED 10 HOURS PER WEEK TO NAHC AND 30 HOURS PER WEEK TO FMC. JAMES BLEICHER IS AN EX-OFFICIO DIRECTOR OF NAHC AND PRESIDENT AND CHIEF EXECUTIVE OFFICER OF VVMC. HE DEVOTED 10 HOURS PER WEEK TO NAHC AND 30 HOURS PER WEEK TO VVMC. JOHN DEMPSEY IS THE EXECUTIVE VP OF LAW & ETHICS OF NAHC, FMC AND VVMC. HE DEVOTED 20 HOURS PER WEEK TO NAHC, 14 HOURS TO FMC, AND 6 HOURS PER WEEK TO VVMC. TOM TAYLOR SERVES ON THE BOARDS OF BOTH NAH AND VVMC. HE DEVOTED 4 HOURS PER WEEK TO EACH ORGANIZATION. CROFFORD, SPRAVZOFF, PUGH, WELLBORN, HENN, MCNEESE, AND LEWIS ALL DEVOTE TIME TO FMC, NAH, AND VVMC. ALL COMPENSATION IS PAID BY NAHC.
FORM 990, PART XI, LINE 5OTHER CHANGES IN NET ASSETS/FUND BALANCESINCREASE IN UNFUNDED PENSION LIABILITY $ (3,091,000) NET ASSET TRANSFERS FROM (TO) AFFILIATE (264,000) ROUNDING (1,662) ------------- TOTAL: $ (3,356,662)

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

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1TASC LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 N BEAVER STAddressLine1
CityFLAGSTAFFCity
StateAZState
ZIP Code86001ZIPCode
FieldValueIRS element (for citing)
EIN860913157EIN
Primary ActivityAMBULATORY SVCSPrimaryActivity
Legal Domicile StateAZLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeType
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
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 OrgfalseReimbursementPaidToOtherOrg
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
I108360COST
FLAGSTAFF MEDICAL CENTER
J62094COST
FLAGSTAFF MEDICAL CENTER
Q4044271COST
FLAGSTAFF MEDICAL CENTER
N7234524COST
FLAGSTAFF MEDICAL CENTER
R137788767COST
VERDE VALLEY MEDICAL CENTER
N3236635COST