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THE FUNDS ARE TO BE USED TO SUPPORT THE ACTIVITIES WITHIN DEER VALLEY HOSPITAL, NORTH MOUNTAIN HOSPITAL AND ADMINISTRATION. THE TERM ENDOWMENTS HAVE BEEN RESTRICTED BY THE DONOR FOR A SPECIFIC TIME PERIOD OR PURPOSE. ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. 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PHYSICIAN CLINIC COSTING METHODOLOGY SCHEDULE H, PART I, LINE 7 THE NETWORK USED A COST-TO-CHARGE RATIO TO COMPUTE LINE 7A. THE COST-TO-CHARGE RATIO FOR LINE 7A WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. LINE 7B AND 7G COSTS WERE DERIVED FROM THE NETWORK'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS. COSTS FOR LINES 7E, 7F, AND 7I WERE DERIVED FROM INFORMATION WITHIN THE GENERAL LEDGER OR OTHER FINANCIAL INFORMATION RELATED TO THE SPECIFIC TYPES OF SERVICES PROVIDED TO THE COMMUNITY. METHODOLOGY FOR CALCULATING BAD DEBT SCHEDULE H, PART III, LINE 2 THE NETWORK REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS, AND OTHERS. THE NETWORK PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE NETWORK BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE ORDINARILY DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND ARE SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT OR ACCOUNT. METHODOLOGY FOR ATTRIBUTING BAD DEBT TO PATIENTS UNDER THE FAP SCHEDULE H, PART III, LINE 3 THE COST OF BAD DEBT EXPENSE IS DETERMINED USING THE NETWORK'S CALCULATED COST TO CHARGE RATIO APPLIED TO REPORTED GROSS CHARGES WRITTEN OFF DURING THE YEAR. USING A SAMPLE OF ACCOUNTS WRITTEN OFF DURING THE YEAR, THE NETWORK HAS ESTIMATED THAT APPROXIMATELY 60% OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE NETWORK'S CHARITY CARE POLICY. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY, BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS COMMUNITY BENEFIT. AUDIT FOOTNOTE THAT DESCRIBES BAD DEBT SCHEDULE H, PART III, LINE 4 ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE NETWORK ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE NETWORK ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE NETWORK RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. MEDICARE COSTING METHODOLOGY SCHEDULE H, PART III, LINE 8 THE AMOUNT ON PART III, LINE 6 IS FROM THE MEDICARE COSTS REPORTS FILED BY THE ORGANIZATION. THE ENTIRE SHORTFALL REPORTED ON PART III, LINE 7 IS A COMMUNITY BENEFIT. THE RATIONALE FOR INCLUDING MEDICARE LOSSES AS COMMUNITY BENEFIT LIES IN THE NETWORK'S BELIEF THAT, BASED ON IRS REVENUE RULING 69-545, SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS SUCH AS MEDICARE IS AN INDICATOR THAT THE NETWORK'S HOSPITALS OPERATE TO PROMOTE THE HEALTH OF THE COMMUNITY AND THEREFORE PROVIDES A COMMUNITY BENEFIT. THE NETWORK ALSO BELIEVES THAT TAX-EXEMPT HOSPITALS PLAY A VITAL ROLE IN PROVIDING THE ELDERLY WITH ACCESS TO HEALTHCARE SERVICES THEY MIGHT OTHERWISE BE DENIED BY FOR-PROFIT AND SPECIALTY HOSPITALS THAT FOCUS ON HIGH-MARGIN SERVICES OR THAT WOULD HAVE TO BE PROVIDED DIRECTLY BY THE FEDERAL GOVERNMENT. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 JOHN C. LINCOLN HEALTH NETWORK PERIODICALLY CONDUCTS COMMUNITY NEEDS ASSESSMENTS WITH THE ASSISTANCE OF EXTERNAL CONSULTANTS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 THE CONDITIONS OF ADMISSION ADVISES PATIENTS OF THE ORGANIZATION'S PAYMENT EXPECTATIONS AND ALSO ADVISES THEM TO NOTIFY US IMMEDIATELY SO WE CAN EVALUATE THEIR SITUATION AND HELP THEM OBTAIN BENEFITS OR ASSISTANCE. ADDITIONALLY, WE INCLUDE SIMILAR VERBIAGE ON OUR STATEMENTS, COLLECTION LETTERS, AND ON OUR WEBSITE SO THEY CAN APPLY FOR ASSISTANCE. IN-HOUSE FINANCIAL COUNSELORS TALK WITH PATIENTS AND ADVISE THEM OF THEIR OPTIONS. WE ALSO RETAIN OUTSIDE VENDORS TO FOLLOW UP WITH PATIENTS TO OBTAIN MEDICAID COVERAGE FOR TREAT AND RELEASE CASES. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 JOHN C. LINCOLN HEALTH NETWORK HAS ALWAYS BEEN A LOCALLY BASED, LOCALLY OWNED NOT-FOR-PROFIT HEALTH CARE ORGANIZATION SERVING THE PEOPLE IN NORTH CENTRAL PHOENIX AND NOW ALSO SERVES THE NORTH VALLEY ALONG THE I-17 CORRIDOR THROUGH MARICOPA AND SOUTHERN YAVAPAI COUNTIES. WE PROVIDE THE HIGHEST QUALITY EMERGENCY MEDICAL CARE THROUGH OUR LEVEL I AND LEVEL III TRAUMA CENTERS; OUR VIRGINIA G. PIPER PEDIATRIC CENTER OF EXCELLENCE, WHICH INCLUDES OUR CHILDREN'S EMERGENCY CENTER, MENDY'S PLACE, AND KIDSZONE INPATIENT PEDIATRIC UNIT; AND A COMPLETE RANGE OF PERSONALIZED INPATIENT AND OUTPATIENT CARE. AT JOHN C. LINCOLN NORTH MOUNTAIN HOSPITAL, THE QUALITY OF PATIENT CARE WAS FIRST IN THE VALLEY TO EARN AND RETAIN MAGNET RECOGNITION FROM THE AMERICAN NURSES ASSOCIATION. OUR BREAST HEALTH AND RESEARCH CENTER IS A MODEL FOR THE INDUSTRY, PROVIDING A COMPLETE RANGE OF BREAST DISEASE DIAGNOSTIC CARE AND COORDINATED REFERRAL FOR FOLLOW-UP CARE. WE PROVIDE OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR COMMUNITY THROUGH JOHN C. LINCOLN'S DESERT MISSION FOOD BANK, CHILDREN'S DENTAL CLINIC, COMMUNITY HEALTH CENTER, MARLEY HOUSE BEHAVIORAL HEALTH CENTER AND NEIGHBORHOOD RENEWAL. IN 2012, DESERT MISSION SERVED 39,805 CLIENTS - AN INCREASE OF NEARLY 5,000 INDIVIDUALS REPRESENTING A 15 PERCENT INCREASE FROM 2011. ONE HUNDRED PERCENT OF THOSE ACCESSING DESERT MISSION'S MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES WERE UNINSURED OR MEDICAID ELIGIBLE. ABOUT 44 PERCENT OF THOSE SERVED BY DESERT MISSION ARE CHILDREN AND THE ELDERLY (UNDER AGE 18 OR OVER AGE 64). JUST OVER 39 PERCENT WERE UNINSURED, AND ALMOST 59 PERCENT WERE MINORITIES. EIGHTY PERCENT OF OUR CLIENTS LIVE IN HOUSEHOLDS WHERE INCOME WAS AT OR BELOW 100 PERCENT OF FEDERAL POVERTY LEVEL. (CURRENTLY, 100 PERCENT OF FEDERAL POVERTY LEVEL FOR A FAMILY OF FOUR IS $23,050.) OF THE 19,680 ADULT CLIENTS SEEN FOR EMERGENCY FOOD ASSISTANCE IN 2012, 70 PERCENT WERE UNEMPLOYED. INDIVIDUALS AND FAMILIES ARE REFERRED TO THE DESERT MISSION BY OTHER COMMUNITY AGENCIES, FAITH-BASED COMMUNITIES, SCHOOLS AND THEIR NEIGHBORS. EIGHTEEN PERCENT OF DESERT MISSION'S CLIENTS ACCESSED MORE THAN ONE TYPE OF ITS SAFETY-NET SERVICES DURING THE YEAR - FOR EXAMPLE, EMERGENCY FOOD AND DENTAL CARE. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 JOHN C. LINCOLN PROMOTES COMMUNITY HEALTH THOUGH AN ONGOING SERIES OF FREE MEDICAL SEMINARS ON TOPICS SUCH AS UTERINE FIBROID EMBOLIZATION, INFLAMMATORY BREAST CANCER, JOINT PAIN, LYMPHEDEMA, VARICOSE VEINS, INTEGRATIVE MEDICINE, COLORECTAL CANCER, DIABETES SELF-MANAGEMENT, AND SCREENINGS FOR CONDITIONS INCLUDING STROKE, HEARING, AND GENERAL HEALTH. FREE SUPPORT GROUPS THAT MEET MONTHLY IN JOHN C. LINCOLN'S FACILITIES SERVE CAREGIVERS, INTERSTITIAL CYSTITIS, DIABETES AND SIX SEPARATE BREAST CANCER GROUPS. JOHN C. LINCOLN ALSO PARTNERS WITH OTHER COMMUNITY ORGANIZATIONS TO PROMOTE SAFETY, DISEASE PREVENTION AND HEALTH EDUCATION. OUR TRAUMA SERVICES PROGRAM PROVIDES SAFETY EDUCATION FOR TEENAGERS AND CONTINUING MEDICAL EDUCATION FOR PHYSICIANS AND FIRST RESPONDERS. ADDITIONALLY, OUR DESERT MISSION PROGRAMS SINCE THE LATE 1920S HAVE PROVIDED OUTREACH SERVICES TO ADDRESS THE PHYSICAL AND SOCIAL NEEDS OF FAMILIES IN THE NORTH PHOENIX DESERT.. TODAY, HEALTH NEEDS ARE SERVED THROUGH DESERT MISSION FOOD BANK, CHILDREN'S DENTAL CLINIC (WHICH ADDITIONALLY SENDS STAFF TO EDUCATE AND SCREEN SCHOOL CHILDREN), AND COMMUNITY HEALTH CENTER FOR FAMILIES. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 THE JOHN C. LINCOLN HEALTH NETWORK IS THE PARENT ORGANIZATION OF SEVERAL NONPROFIT CORPORATIONS SERVING THE NORTH PHOENIX COMMUNITY. DESERT MISSION, INC., ROUNDS OUT THE HOSPITAL'S CORE HEALTH CARE BUSINESS BY ADDRESSING THE COMMUNITY'S BROADER HEALTH NEEDS. IN RETURN, THE NETWORK PROVIDES IN-KIND ADMINISTRATIVE SUPPORT FOR SERVICES SUCH AS INFORMATION TECHNOLOGY, HUMAN RESOURCES, FUNDRAISING, AND ACCOUNTING. THOSE COSTS TOTALING $1,113,000 ARE REPORTED AS COMMUNITY BENEFIT ON SCHEDULE H, PART I, LINE 7I. -COMMUNITY HEALTH CENTER PROVIDES HEALTH CARE SERVICES SUCH AS WELLNESS CHECKUPS, IMMUNIZATIONS, AND OTHER PRIMARY CARE SERVICES AT A DISCOUNTED FEE BASED ON A FAMILY'S INCOME OR ABILITY TO PAY. IN 2012, OUR COMMUNITY HEALTH CENTER HAD 4,347 PATIENT VISITS AND 97 PERCENT OF CHILDREN AGED 11 THROUGH 15 HAD COMPLETE IMMUNIZATIONS. THE HEALTH CENTER IS CONTRACTED WITH AHCCCS. -CHILDREN'S DENTAL CLINIC PROVIDES LOW-COST AND FREE DENTAL CARE FOR UNINSURED CHILDREN THROUGH A STAFF THAT INCLUDES MORE THAN 50 VOLUNTEER DENTISTS AND HYGIENISTS. IN 2012, OUR CHILDREN'S DENTAL CLINIC FURNISHED 3,420 DENTAL VISITS, AND PERFORMED 14,655 DENTAL PROCEDURES. THERE WERE 8,550 STUDENTS IN 16 LOCAL SCHOOLS WHO WERE SCREENED FOR DENTAL DISEASE AND GIVEN A TOOTHBRUSH, TOOTHPASTE AND DENTAL FLOSS. THE DENTAL CLINIC ACCEPTS AHCCCS. -DESERT MISSION FOOD BANK PROVIDES EMERGENCY FOOD AND FOOD SECURITY PROGRAMS TO 35,000 FAMILIES WITH CHILDREN. IN 2012, THE FOOD BANK SERVED MORE THAN 2,000 INDIVIDUALS PER MONTH AND DISTRIBUTED 2.2 MILLION POUNDS OF DONATED FOOD TO THE COMMUNITY, INCLUDING 40,752 EMERGENCY FOOD BOXES. AREA SCHOOL CHILDREN RECEIVED 40,352 SNACK PACS. MARLEY HOUSE IS LICENSED BY THE STATE OF ARIZONA AS AN OUTPATIENT BEHAVIORAL HEALTH CLINIC. MARLEY HOUSE IS CONTRACTED BY THE STATE RHBA TO PROVIDE BEHAVIORAL HEALTH SERVICES FOR FAMILIES, CHILDREN AND INDIVIDUALS WITH GENERAL MENTAL HEALTH, SUBSTANCE ABUSE, AND SERIOUS MENTAL HEALTH CONDITIONS. IN 2012, VISITS TO MARLEY HOUSE INCREASED 9 PERCENT. THE BEHAVIORAL HEALTH CLINIC PROVIDED 1,866 COUNSELING SESSIONS TO 310 FAMILIES. -LINCOLN LEARNING CENTER OFFERS QUALITY CHILDCARE FOR CHILDREN AGES 6 WEEKS TO 12 YEARS. LINCOLN LEARNING CENTER IS ACCREDITED BY THE NATIONAL ACADEMY OF EARLY CHILDHOOD PROGRAMS (NAEYC). IN 2012, LINCOLN LEARNING CENTER HAD 447 CHILDREN ENROLLED; 76 OF THESE RECEIVED FINANCIAL ASSISTANCE. -DESERT MISSION NEIGHBORHOOD RENEWAL (DMNR) IS COMMITTED TO FACILITATING THE DEVELOPMENT OF COMMUNITY, HOUSING AND BUSINESS IN THE NORTH VALLEY OF PHOENIX, ARIZONA. DMNR PRIMARILY FOCUSES ON NEIGHBORHOOD REVITALIZATION THROUGH AFFORDABLE HOUSING DEVELOPMENT, BLIGHT ELIMINATION AND OWNER-OCCUPIED HOME REHABILITATION. DMNR ALSO PROVIDES LEADERSHIP AND SUPPORT IN DEVELOPING THE BUSINESS CORRIDOR AROUND THE JOHN C. LINCOLN NORTH MOUNTAIN HOSPITAL CAMPUS. NEIGHBORHOOD RENEWAL COUNSELED 326 FAMILIES ON HOUSING, AND HELPED 121 HOMEBUYERS LEVERAGE MORE THAN $13.8 MILLION IN FIRST MORTGAGES. THE NETWORK PROVIDED APPROXIMATELY $51,600 OF ADMINISTRATIVE SUPPORT TO DMNR IN 2012. -JOHN C. LINCOLN HEALTH FOUNDATION SUPPORTS THE NETWORK AND ITS AFFILIATES WITH FUNDRAISING SERVICES. IN ADDITION TO RAISING AND ADMINISTERING FUNDS TO SUPPORT NETWORK PROGRAMS, IN 2012 THE FOUNDATION DISTRIBUTED APPROXIMATELY $326,689 TO LOCAL NONPROFIT ORGANIZATIONS THROUGH COMMUNITY GRANTS. FACILITY REPORTING GROUP SCHEDULE H, PART VI, LINE 8 A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A: (1) JOHN C LINCOLN HOSPITAL - NORTH MOUNTAIN (2) JOHN C LINCOLN HOSPITAL - DEER VALLEY THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 12(H) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THE NETWORK WILL ALSO CONSIDER PERSONAL APPEALS RELATED TO THE FACTS AND CIRCUMSTANCES OF A PATIENT'S SITUATION IN DETERMINING AMOUNTS CHARGED TO THOSE PATIENTS. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 14(G) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THE NETWORK ALSO ENCOURAGES PATIENTS ON ITS CONDITIONS OF ADMISSION STATEMENT AND BILLING STATEMENTS TO CONTACT OUR FINANCIAL PROFESSIONALS FOR HELP IN APPLYING FOR FEDERAL, STATE AND NETWORK FINANCIAL ASSISTANCE. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 20(D) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THE NETWORK USES A TIERED FINANCIAL ASSISTANCE POLICY TO DETERMINE THE AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. BASIC FINANCIAL ASSISTANCE AVAILABLE TO ALL INDIVIDUALS ATTESTING TO INCOME LESS THAN 500% OF FEDERAL POVERTY LEVEL (FPL) IS A 75% DISCOUNT. IN ADDITION TO THIS DISCOUNT, A SLIDING SCALE FROM 10%-100% DISCOUNT IS THEN AVAILABLE TO THOSE PROVIDING DOCUMENTATION OF INCOME BETWEEN 200%-425% OF FPL. OUR POLICY ALSO ALLOWS OUR MANAGEMENT TO EXTEND ASSISTANCE IN INDIVIDUAL CASES BASED ON FACTS AND CIRCUMSTANCES. true DESERT MISSION INC 9201 N 5TH STREET PHOENIX AZ 85020 860096941 501(C)(3) 24448 SUPPORT THE 1 0 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 THE ORGANIZATION ONLY MAKES CONTRIBUTIONS TO RELATED TAX-EXEMPT ORGANIZATIONS FOR SPECIFIC PURPOSES. X X X X true true false false false false false true false RHONDA FORSYTH 686366 0 265991 0 929195 0 81026 0 18454 0 1981032 0 0 0 DAVID LAMPARTER 366223 0 133397 0 1312912 0 50198 0 18510 0 1881240 0 0 0 BRUCE PEARSON 383137 0 166512 0 260288 0 51884 0 20648 0 882469 0 0 0 NATHAN ANSPACH 323672 0 106013 0 89091 0 37142 0 23788 0 579706 0 0 0 SHEILA GERRY 208972 0 86518 0 302669 0 32223 0 16334 0 646716 0 0 0 ALAINA CHABRIER 200684 0 68152 0 147356 0 30757 0 26329 0 473278 0 0 0 FRANK CUMMINS 244496 0 70747 0 103812 0 9772 0 14729 0 443556 0 0 0 MAGGIE GRIFFIN 244869 0 80440 0 99814 0 10000 0 16233 0 451356 0 0 0 CINDY HALLMAN 140333 0 33158 0 84786 0 21931 0 14035 0 294243 0 0 0 SUSAN MELKER 167943 0 55539 0 269269 0 6158 0 16518 0 515427 0 0 0 MARCIA MINTZ 224177 0 72334 0 74158 0 24355 0 24555 0 419579 0 0 0 MICHAEL SKEHAN 65178 0 59540 0 34805 0 0 0 2311 0 161834 0 0 0 ROBERT SLEPIN 280186 0 65868 0 53749 0 39032 0 16522 0 455357 0 0 0 BRIAN SMIT 211833 0 64215 0 60810 0 31192 0 24315 0 392365 0 0 0 JOHN HARRINGTON JR 227539 0 0 0 4778 0 31980 0 669 0 264966 0 0 0 DAVID PRICE 231843 0 32651 0 31050 0 23981 0 21654 0 341179 0 0 0 PATRICIA REHN 138932 0 47780 0 36934 0 0 0 3762 0 227408 0 0 0 JOSEPH B FARES MD 918805 0 998 0 15113 0 0 0 8034 0 942950 0 0 0 JUAN CARLOS TERAN MD 848391 0 945 0 300 0 0 0 24897 0 874533 0 0 0 DARYL PHILLIP BEABEAU MD 498236 0 150107 0 30679 0 0 0 16366 0 695388 0 0 0 PETER M STEINBERG MD 495866 0 150105 0 26852 0 0 0 18289 0 691112 0 0 0 PHILLIP MOESER MD 523021 0 100106 0 11105 0 0 0 26516 0 660748 0 0 0 COLLEEN SHARNECK 3227 0 30420 0 641437 0 0 0 0 0 675084 0 0 0 CATHERINE LINDSTROM 2104 0 50280 0 500788 0 0 0 0 0 553172 0 0 0 DALE SPARTZ 0 0 0 0 282949 0 0 0 0 0 282949 0 0 0 GARY GROVER 0 0 0 0 566379 0 0 0 0 0 566379 0 0 0 TIMOTHY TRACY 0 0 0 0 308124 0 0 0 0 0 308124 0 0 0 SUSAN KELLEY 0 0 0 0 295450 0 0 0 0 0 295450 0 0 0 ROBERT ISRAEL 0 0 0 0 245022 0 0 0 0 0 245022 0 0 0 DAN COLEMAN 0 0 0 0 2108387 0 0 0 0 0 2108387 0 0 0 POLLY BAUGHMAN 0 0 0 0 244961 0 0 0 0 0 244961 0 0 0 SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A CATHY LINDSTROM RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $99,195. COLLEEN SCHARNECK RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF 106,781. PATRICIA REHN RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $96,179. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS HAD AMOUNTS INCLUDIBLE IN OTHER REPORTABLE COMPENSATION, SCHEDULE J, PART II, COLUMN (B)(III), RELATED TO PAYMENTS RECEIVED FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THAT WAS TERMINATED IN 2011: RHONDA FORSYTH: $911,711 DAVID LAMPARTER: $1,269,015 BRUCE PEARSON: $215,276 NATHAN ANSPACH: $82,977 SHEILA GERRY: $275,609 ALAINA CHABRIER: $128,379 FRANK CUMMINS: $96,803 MAGGIE GRIFFIN: $92,749 CINDY HALLMAN: $83,330 SUSAN MELKER: $239,914 MARCIA MINTZ: $67,637 MICHAEL SKEHAN: $31,200 ROBERT SLEPIN: $39,752 BRIAN SMIT: $59,480 DAVID PRICE: $29,999 PATRICIA REHN: $28,854 COLLEEN SHARNECK: $534,657 CATHERINE LINDSTROM: $401,593 DALE SPARTZ: $282,949 GARY GROVER: $566,379 TIMOTHY TRACY: $308,124 SUSAN KELLEY: $295,450 ROBERT ISRAEL: $245,022 DAN COLEMAN: $2,108,387 POLLY BAUGHMAN: $244,961 EFFECTIVE JANUARY 1, 2012, THE ORGANIZATION OFFERS A NONQUALIFIED DEFERRED COMPENSATION PLAN ORGANIZED UNDER SECTION 457(F) FOR CERTAIN EXECUTIVES OF THE ORGANIZATION. THE ORGANIZATION MAKES CONTRIBUTIONS ON BEHALF OF THE EMPLOYEES AS DETERMINED BY THE BOARD. NON-FIXED PAYMENTS SCHEDULE J, PART I, LINE 7 THE LINCOLN PERFORMANCE INCENTIVE PLAN (LPIP) PROVIDES A FORMAL METHOD OF REWARDING JOHN C. LINCOLN HEALTH NETWORK (JCLHN) LEADERSHIP FOR MEETING AND/OR EXCEEDING THE ORGANIZATIONAL GOALS ESTABLISHED BY THE NETWORK BOARD OF DIRECTORS. LPIP IS PAY AT RISK AND IS OFFERED TO ENSURE OUR TOTAL COMPENSATION PACKAGE IS COMPETITIVE IN THE MARKET. A INDUSTRIAL DEV AUTHORITY OF CITY OF GLENDALE AZ 860447234 378282BLO 2005-06-08 47305136 SEE PART VI false false false B INDUSTRIAL DEV AUTHORITY OF CITY OF GLENDALE AZ 860447234 378282CPO 2005-12-02 60851680 SEE PART VI false false false C ARIZONA HEALTH FACILITIES AUTHORITY 860453292 2006-12-22 28225895 LEASE PURCHASE AGREEMENT false false false D INDUSTRIAL DEV AUTHORITY OF CITY OF GLENDALE AZ 860447234 378282DR5 2007-04-25 77615738 SEE PART VI false false false A 3280000 0 47305136 0 0 6177663 554132 0 0 37333577 0 0 2008 true false true true B 1000000 0 60851680 0 0 47159449 611558 0 0 13080673 0 0 2007 false true true true C 0 0 28225895 0 0 0 0 0 28225895 0 0 0 2007 false false true true D 8545000 0 77615738 0 429564 40885685 0 690323 0 35570436 0 0 2010 false true true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A true false false 0 true ROYAL BANK OF CANADA 1.67 true false true B true false false 0 false 0 false true C true false false 0 false 0 false true D true false false 0 true RABOBANK 2.75 true false true A true B true C true D true DESCRIPTION OF PURPOSE 0 SCHEDULE K (1), PART I, LINE A, COLUMN (F) REFUND THE REMAINING SERIES 1994 BONDS, PROVIDE CAPITAL AND PROJECT FUNDING FOR REMODELING AND EXPANSION OF NORTH MOUNTAIN HOSPITAL AND PAY COSTS INCIDENTAL TO THEIR ISSUANCE. DESCRIPTION OF PURPOSE SCHEDULE K (1), PART I, LINE B, COLUMN (F) REFUND THE REMAINING SERIES 2000 AND 2002 BONDS, PROVIDE CAPITAL AND PROJECT FUNDING FOR REMODELING AND EXPANSION OF NORTH MOUNTAIN HOSPITAL AND DEER VALLEY HOSPITAL AND PAY COSTS INCIDENTAL TO THEIR ISSUANCE. DESCRIPTION OF PURPOSE SCHEDULE K (1), PART I, LINE D, COLUMN (F) REFUND THE SERIES 1997B BONDS AND PARTIALLY REFUND A PORTION OF SERIES 2002 BONDS, PROVIDE CAPITAL AND PROJECT FUNDING FOR REMODELING AND EXPANSION OF NORTH MOUNTAIN HOSPITAL AND DEER VALLEY HOSPITAL AND PAY COSTS INCIDENTAL TO THEIR ISSUANCE. DESCRIPTION OF PURPOSE SCHEDULE K (2), PART I, LINE D, COLUMN (F) AND SCHEDULE K (3), PART I, LINE A, COLUMN (F) THE SERIES 2012 BONDS WERE ISSUED FOR THE PURPOSE OF (I) REIMBURSING IMPROVEMENTS, EXPANSIONS AND EQUIPPING AT JOHN C. LINCOLN NORTH MOUNTAIN HOSPITAL AND JOHN C. LINCOLN DEER VALLEY HOSPITAL (COLLECTIVELY, THE "PROJECT"), (II) REFUNDING ALL OF THE OUTSTANDING SERIES 1997 BONDS, SERIES 2000 BONDS AND SERIES 2002 BONDS WITHIN 90 DAYS OF THE DATED DATE, AND (III) PAYING ISSUANCE EXPENSES. A ARIZONA HEALTH FACILITIES AUTHORITY 860453292 2010-12-17 11000000 LEASE PURCHASE AGREEMENT false false false B ARIZONA HEALTH FACILITIES AUTHORITY 860453292 2011-05-12 20050000 LEASE PURCHASE AGREEMENT false false false C ARIZONA HEALTH FACILITIES AUTHORITY 860453292 2011-05-31 5000000 LEASE PURCHASE AGREEMENT false false false D INDUSTRIAL DEV AUTHORITY OF TOWN OF GILBERT AZ 460914696 2012-09-11 31165000 SEE PART VI false false false A 0 0 11000000 0 0 0 39000 0 0 10961000 0 0 2011 false false true true B 0 0 20050000 0 0 0 93500 0 0 19956500 0 0 2012 false false true true C 0 0 5000000 0 0 0 10500 0 0 4989500 0 0 2012 false false true true D 0 0 31165000 0 0 0 165000 0 0 14074137 16925863 0 2012 true false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true D false true true false 0 false 0 false true A true B true C true D true A INDUSTRIAL DEV AUTHORITY OF TOWN OF GILBERT AZ 460914696 2012-09-11 49435000 SEE PART VI false false false A 0 0 49435000 0 0 0 100000 0 0 21952668 26807209 575123 2012 true false true true A false false false false 0 false false false true A false true true false 0 false 0 false true A true DICKENSON WRIGHT PLCC SEE PART V 100678 INDEPENDENT CONTR. ARRANGEMENT false RELATIONSHIP BETWEEN INTEREST PERSON AND ORGANIZATION SCHEDULE L, PART IV, LINE 3, COLUMN (B) DICKENSON WRIGHT PLCC (FORMERLY MARISCAL, WEEKS, MCINTYRE & FRIEDLANDER) IS AN ENTITY WHICH IS MORE THAN 5% OWNED BY A BOARD MEMBER. VOLUNTEERS FORM 990, PART I, LINE 6 THE TOTAL NUMBER OF VOLUNTEER HOURS FOR THE JOHN C. LINCOLN HEALTH NETWORK: JOHN C LINCOLN HOSPITAL - DEER VALLEY: 69,556 HOURS JOHN C LINCOLN HOSPITAL - NORTH MOUNTAIN: 75,214 HOURS DESERT MISSION: 43,664 HOURS ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 JOHN C. LINCOLN HEALTH NETWORK IS A LOCAL NOT-FOR-PROFIT HEALTH AND HUMAN SERVICES ORGANIZATION SERVING THE NORTH VALLEY OF PHOENIX, ARIZONA. IN 2012, THE ORGANIZATION CELEBRATED A MAJOR MILESTONE: 85 YEARS OF CARING FOR ITS COMMUNITY. IN ITS MORE THAN 85 YEARS OF GROWTH, THE HEALTH NETWORK HAS EXPANDED ITS SERVICE TERRITORY AND HAS BECOME A WELL-REGARDED ORGANIZATION THAT HAS BEEN HONORED BY INDEPENDENT EXPERTS FOR EXCELLENCE IN: HOSPITAL PERFORMANCE, NURSING CARE, COMMUNITY SERVICE, BUSINESS ETHICS, AND WORK ENVIRONMENT. SUCH HONORS HAVE BEEN BESTOWED ON THE NETWORK BY PRESTIGIOUS ORGANIZATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION, THE AMERICAN NURSES ASSOCIATION, THE NATIONAL CRITICAL-CARE NURSES ASSOCIATION, THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES, THE ARIZONA STATE QUALITY ALLIANCE, THE BETTER BUSINESS BUREAU OF CENTRAL AND NORTHERN ARIZONA, AND THE GREAT PLACES TO WORK INSTITUTE. ORGANIZATION'S MISSION: OUR MISSION IS TO ASSIST EACH PERSON ENTRUSTED TO OUR CARE TO ENJOY THE HIGHEST QUALITY HEALTH CARE POSSIBLE AND TO WORK WITH OTHERS TO BUILD HEALTHY COMMUNITIES. PROGRAM SERVICE ACTIVITIES FORM 990, PART III, LINE 4A THE NOT-FOR-PROFIT JOHN C. LINCOLN HEALTH NETWORK IS COMPOSED OF MORE THAN 3,800 EMPLOYEES WITH A MEDICAL STAFF OF MORE THAN 1,100 PHYSICIANS. IT INCLUDES: JOHN C. LINCOLN DEER VALLEY HOSPITAL - JOHN C. LINCOLN DEER VALLEY HOSPITAL IS A 204-BED COMMUNITY HOSPITAL THAT WAS HONORED FOR ITS EXCELLENCE BY THE ARIZONA STATE QUALITY ALLIANCE WITH ITS PRESTIGIOUS ARIZONA PIONEER AWARD FOR QUALITY. THE DEER VALLEY HOSPITAL WAS RECOGNIZED AS A QUEST 2011 TOP PERFORMING HOSPITAL AND WAS NAMED A BLUE DISTINCTION CENTER FOR KNEE AND HIP REPLACEMENT; THE HOSPITAL SERVES THE RAPIDLY EXPANDING NORTHERN PHOENIX METROPOLITAN AREA AS WELL AS COMMUNITIES TO THE NORTH ALONG INTERSTATE 17, INCLUDING NEW RIVER, BLACK CANYON CITY AND ANTHEM. THE HOSPITAL HAS A MEDICAL STAFF OF MORE THAN 700 PHYSICIANS REPRESENTING ALL MAJOR MEDICAL SPECIALTIES AND A CLINICAL STAFF OF MORE THAN 1,300 HEALTH CARE PROFESSIONALS OFFERING A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING: A 24-HOUR, 35-BED EMERGENCY DEPARTMENT AND LEVEL III TRAUMA CENTER DESIGNED TO SERVE UP TO 60,000 PATIENTS PER YEAR WITH AN EXPEDITED CARE PROGRAM FOR TRAUMA PATIENTS 60 AND OLDER; RADIATION ONCOLOGY AND MRI IN A MEDICAL IMAGING AND ONCOLOGY UNIT; THE VIRGINIA G. PIPER PEDIATRIC CENTER OF EXCELLENCE WHICH INCLUDES OUR CHILDREN'S EMERGENCY CENTER, MENDY'S PLACE, AND KIDSZONE INPATIENT PEDIATRIC UNIT, AND A COMPLETE RANGE OF PERSONALIZED INPATIENT AND OUTPATIENT CARE; A 32-BED CRITICAL CARE UNIT; A 30-BED PROGRESSIVE CARDIAC CARE UNIT WITH OUTPATIENT CARDIAC REHABILITATION; AND A 30-BED ORTHOPEDIC UNIT FOR PATIENTS UNDERGOING JOINT REPLACEMENTS, INPATIENT AND OUTPATIENT ARTHROSCOPIC AND OTHER ORTHOPEDIC PROCEDURES. CARDIAC CARE INCLUDING TRADITIONAL OPEN-HEART AND "BEATING HEART" SURGERY; A MODERN DIAGNOSTIC AND INTERVENTIONAL CARDIAC CATHETERIZATION LAB AND ELECTROPHYSIOLOGY STUDIES, HAS RECEIVED FULL ACCREDITATION AS A HEART FAILURE CENTER, A CARDIAC ARREST CENTER AND AS A CHEST PAIN CENTER. INPATIENT CARE UNITS IN PAVILION 2 WERE DESIGNED WITH NURSES' WORK STATIONS LOCATED OUTSIDE PATIENT ROOMS, ENABLING NURSES TO STAY CLOSE TO THEIR PATIENTS. INPATIENT AND OUTPATIENT CARE INCLUDES GENERAL AND LAPAROSCOPIC SURGERY FEATURING STATE-OF-THE-ART EQUIPMENT AND MINIMALLY INVASIVE PROCEDURES; DIGITAL NUCLEAR, COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE MEDICAL IMAGING; PHARMACY, RESPIRATORY, LABORATORY, ENDOSCOPY, SOCIAL SERVICES AND NUTRITIONAL SERVICES. THE BREAST HEALTH AND RESEARCH CENTER, WITH ADVANCED DIAGNOSTIC AND THERAPEUTIC TECHNOLOGY INCLUDING 3D AND 2D DIGITAL MAMMOGRAPHY, ULTRASOUND, NEEDLE BIOPSIES, BREAST AND SPINE MRI AND PATIENT EDUCATION FOR DETECTION AND TREATMENT OF BREAST CANCER. DIAGNOSIS OF OSTEOPOROSIS AND BODY MASS ANALYSIS IS ALSO OFFERED. BREAST CANCER CARE IS ENHANCED WITH GUIDANCE, ASSISTANCE AND EDUCATION FROM A PATIENT CARE COORDINATOR AND AN OUTREACH AND PATIENT RESOURCE COORDINATOR. THE BREAST HEALTH AND RESEARCH CENTER WAS NAMED BY THE AMERICAN COLLEGE OF RADIOLOGY AS A BREAST IMAGING CENTER OF EXCELLENCE AND IS ONE OF SEVEN ORGANIZATIONS NATIONWIDE TO PARTNER WITH THE CDC TO BRING EDUCATION AND SUPPORT SERVICES TO YOUNG (<45) CANCER SURVIVORS AND THEIR FAMILIES TO REDUCE MORTALITY. JOHN C. LINCOLN NORTH MOUNTAIN HOSPITAL - JOHN C. LINCOLN NORTH MOUNTAIN HOSPITAL IS A 262-BED COMMUNITY HOSPITAL, PROVIDING A COMPREHENSIVE RANGE OF SERVICES TO MEET THE NEEDS OF PATIENTS IN NORTH CENTRAL PHOENIX IN WAYS FEW OTHER COMMUNITY HOSPITALS CAN MATCH. THE QUALITY OF ITS PATIENT CARE ENABLED NORTH MOUNTAIN TO BECOME THE FIRST HOSPITAL IN THE VALLEY DESIGNATED AND REDESIGNATED "MAGNET" BY THE AMERICAN NURSES ASSOCIATION. IT WAS THE FIRST HOSPITAL IN ARIZONA WHOSE INTENSIVE CARE UNIT EARNED THE BEACON AWARD FROM THE AMERICAN CRITICAL-CARE NURSES ASSOCIATION (ACCN), AND THE ONLY ONE WHOSE CARDIOVASCULAR INTENSIVE CARE UNIT ALSO EARNED THE ACCN'S BEACON AWARD. THE NORTH MOUNTAIN HOSPITAL HAS ACCREDITATION AS BOTH A CARDIAC ARREST CENTER AND AS A CHEST PAIN CENTER WITH PCI, HAS RECEIVED FULL ACCREDITATION AS A HEART FAILURE CENTER AND AS A PRIMARY STROKE CENTER; AND WAS NAMED IN THE US NEWS & WORLD REPORT BEST HOSPITALS. SOME 740 PHYSICIANS AND MORE THAN 1,700 DEDICATED HEALTH CARE PROFESSIONALS PROVIDE THE FOLLOWING SERVICES: THE LEVEL I TRAUMA CENTER WITH FOUR TRAUMA BAYS AND FOUR MAJOR MEDICAL ROOMS IS ONE OF SIX 24/7 TRAUMA CENTERS IN THE METROPOLITAN PHOENIX AREA AND THE CLOSEST ONE SERVING THE MOST SEVERELY INJURED IN THE NORTH VALLEY, NORTHERN ARIZONA AND PARTS OF SOUTHEAST CALIFORNIA, SOUTHERN NEVADA, UTAH AND NORTHWEST NEW MEXICO; AN EMERGENCY DEPARTMENT WITH 30 PRIVATE ROOMS THAT PROVIDE 24/7 CARE FOR A WIDE VARIETY OF INJURED AND ILL PEOPLE, AN EXPEDITED CARE PROGRAM FOR TRAUMA PATIENTS 60 AND OLDER AND A SEVEN-BED FAST TRACK UNIT FOR LESS SEVERELY ILL OR INJURED PATIENTS; CARDIAC CARE INCLUDING TRADITIONAL OPEN-HEART AND "BEATING HEART" SURGERY, A MODERN DIAGNOSTIC AND INTERVENTIONAL CARDIAC CATHETERIZATION LAB, ELECTROPHYSIOLOGY STUDIES; TRAUMA SURGERY, NEUROSURGERY AND RECONSTRUCTIVE SURGERY, AS WELL AS GENERAL AND LAPAROSCOPIC SURGERY; GENERAL, UROLOGICAL AND GYNECOLOGICAL ROBOTIC SURGERY WITH THE DA VINCI SURGICAL SYSTEM; INPATIENT MED/SURG CARE, INTENSIVE CARE, CARDIOVASCULAR INTENSIVE CARE AND PROGRESSIVE CARDIOVASCULAR CARE; ORTHOPEDIC CARE FOR PATIENTS UNDERGOING JOINT REPLACEMENTS; INPATIENT AND OUTPATIENT ARTHROSCOPIC AND OTHER ORTHOPEDIC PROCEDURES; DIGITAL NUCLEAR, COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE MEDICAL IMAGING; PHARMACY; PULMONARY AND RESPIRATORY; LABORATORY; ENDOSCOPY; AND SOCIAL SERVICES AND NUTRITIONAL SERVICES. PRIMARY CARE CENTERS: JOHN C. LINCOLN HEALTH CENTER AT ANTHEM JOHN C. LINCOLN HEALTH CENTER ON TATUM BOULEVARD URGENT CARE AT JOHN C. LINCOLN HEALTH CENTER AT ANTHEM IMMEDIATE CARE AT SAGUARO FAMILY PRACTICE AND DEER VALLEY MEDICAL PHYSICIAN NETWORK - JOHN C. LINCOLN'S PHYSICIAN AND ALLIED HEALTH CARE PARTNERS IN 38 PRIMARY AND SPECIALTY CARE PRACTICES THAT ARE PART OF THE HEALTH NETWORK. THESE INCLUDE: FAMILY PRACTICES: ARCADIA FAMILY CLINIC, BEATITUDES CAMPUS, CACTUS FAMILY MEDICINE, CALAVAR FAMILY MEDICINE, CAVE CREEK FAMILY MEDICINE, CARE FOR WOMEN DEER VALLEY, CARE FOR WOMEN NORTH MOUNTAIN, DEARING FAMILY MEDICINE, DEER VALLEY FAMILY PRACTICE, DEER VALLEY MEDICAL, DEL LAGO FAMILY MEDICINE, DYNAMITE CREEK MEDICAL CENTER, GAVILAN PEAK FAMILY PRACTICE, GLENDALE FAMILY MEDICINE, LIFE STREAM AT THUNDERBIRD AND YOUNGTOWN, NEW RIVER MEDICAL OFFICE, NORTH PEORIA FAMILY MEDICINE, SAGUARO FAMILY PRACTICE, SQUAW PEAK FAMILY MEDICINE, TRAMONTO CROSSING FAMILY MEDICINE, YOUR FAMILY MEDICINE AND YOUR FAMILY WELLNESS. INTERNAL MEDICINE PRACTICES: HARBOR POINTE INTERNAL MEDICINE, NORTH PHOENIX MEDICAL CLINIC, AND NORTH VALLEY INTERNAL MEDICINE. SPECIALTY PRACTICES: BREAST HEALTH AND RESEARCH CENTER, HEART INSTITUTE AT NORTH MOUNTAIN, ARROWHEAD, ESTRELLA AND TATUM, URGENT CARE AT ANTHEM, IMMEDIATE CARE AT SAGUARO FAMILY PRACTICE AND DEER VALLEY MEDICAL, NORTH MOUNTAIN RADIOLOGY GROUP, NORTH PHOENIX PULMONOLOGY, NORTH VALLEY AUDIOLOGY, AND NORTH VALLEY GASTROENTEROLOGY. ACCOUNTABLE CARE ORGANIZATION - AN ORGANIZATION THAT INCLUDES A GROUP OF HEALTH CARE PROVIDERS WHO COLLABORATE AND AGREE TO SHARE RESPONSIBILITY FOR THE TOTAL COST AND QUALITY OF CARE FOR A DESIGNATED GROUP OF PATIENTS OVER A PERIOD OF TIME. DESERT MISSION - AN ORGANIZATION THAT PROVIDES COMMUNITY SERVICES, INCLUDING THE ONLY HOSPITAL-BASED FOOD BANK IN ARIZONA, THE COMMUNITY HEALTH CENTER, MARLEY HOUSE FOR BEHAVIORAL HEALTH AND FAMILY ASSISTANCE, LINCOLN LEARNING CENTER, ADULT DAY HEALTH AND CHILDREN'S DENTAL CLINIC. JOHN C. LINCOLN HEALTH FOUNDATION - THE PHILANTHROPIC AND FUNDRAISING BRANCH OF THE NETWORK THAT SUPPORTS THE ORGANIZATION'S CHARITABLE AND MEDICAL MISSION. DESERT MISSION NEIGHBORHOOD RENEWAL - AN ORGANIZATION THAT PROVIDES LOW-INCOME FAMILIES WITH AFFORDABLE HOUSING ALTERNATIVES AND WORKS WITH OTHER COMMUNITY ORGANIZATIONS TO IMPROVE THE QUALITY OF LIFE IN JOHN C. LINCOLN'S COMMUNITY. EXECUTIVE COMMITTEE FORM 990, PART VI, LINE 1A PURSUANT TO THE BYLAWS, THE EXECUTIVE COMMITTEE HAS THE POWER AND AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE ORGANIZATION AND SUCH OTHER MATTERS AS MAY BE DELEGATED TO IT IN THE INTERVALS BETWEEN MEETINGS OF THE BOARD SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OR BY STATUTE. MATTERS OF MAJOR IMPORTANCE BROUGHT BEFORE THE EXECUTIVE COMMITTEE SHALL BE REFERRED TO THE BOARD AND ALL ACTIONS OF THE EXECUTIVE COMMITTEE SHALL BE REPORTED AT THE NEXT REGULAR MEETING OF THE BOARD. SPECIFIC DUTIES OF THIS COMMITTEE SHALL INCLUDE THE FOLLOWING: (A) ANNUALLY REVIEW AND EVALUATE THE PRESIDENT'S PERFORMANCE BASED ON CRITERIA OUTLINED IN THE PRESIDENT'S JOB DESCRIPTION. THIS EVALUATION IS TO BE DONE IN CONCERT WITH THE EXECUTIVE COMPENSATION COMMITTEE; (B) REVIEW AND EVALUATE THE CORPORATE COMPLIANCE PROGRAM; (C) DEVELOP AND RECOMMEND LAND AND FACILITY PLANS APPLICABLE TO THE CORPORATION AND ITS AFFILIATES; (D) REVIEW AND MONITOR ALL MAJOR BUILDING AND REMODELING PLANS AND PROJECTS FOR THE CORPORATION AND ALL ITS AFFILIATES; (E) REVIEW AND RECOMMEND TO THE APPROPRIATE BOARD PROPERTY ACQUISITION, DISPOSITION AND DEVELOPMENT PROPOSALS; AND (F) OVERSEE THE STRATEGIC PLANNING OF THE CORPORATION AND MAKE RECOMMENDATIONS FOR ACTION TO THE BOARD. THE EXECUTIVE COMMITTEE CONSISTS OF NO MORE THAN 9 MEMBERS AND SHALL INCLUDE THE CHAIRMAN, THE VICE CHAIRMAN, THE SECRETARY/TREASURER, THE CHAIRMAN OF THE FINANCE COMMITTEE, THE CHAIRMAN OF THE QUALITY AND SAFETY COMMITTEE, AND THE PRESIDENT. PROCESS TO REVIEW THE FORM 990 FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED BY A THIRD PARTY. THE FORM 990 GOES THROUGH A DETAILED REVIEW INTERNALLY BY THE CONTROLLER AND ASSISTANT CONTROLLER. ONCE THIS PROCESS IS COMPLETE THE RETURN IS REVIEWED BY THE CFO AND THE AUDIT COMMITTEE. ONCE THE RETURN HAS GONE THROUGH THIS REVIEW, THE FINAL FORM 990 WILL BE DISTRIBUTED VIA EMAIL TO EACH MEMBER OF THE BOARD OF DIRECTORS WITH A RECOMMENDATION TO FILE THE RETURN WITH THE IRS. PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C THE CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM IS SENT TO EVERY BOARD MEMBER, CORPORATE OFFICER, EXECUTIVE AND KEY EMPLOYEE ON AN ANNUAL BASIS. THE INFORMATION FROM COMPLETED DISCLOSURE FORMS IS REVIEWED BY THE NETWORK AUDIT COMMITTEE FOR THE PURPOSES OF DETERMINING INDEPENDENCE. ADDITIONALLY, THE NETWORK'S COMPLIANCE COMMITTEE REVIEWS ALL EMPLOYEE DISCLOSURES. A SUMMARY REPORT OF THE DISCLOSURES AND THE AUDIT COMMITTEE'S RECOMMENDATIONS RELATED TO INDEPENDENCE ARE SUBMITTED TO THE NETWORK BOARD FOR APPROVAL. THE CONFLICT OF INTEREST POLICY REQUIRES VOLUNTEERS AND STAFF TO SELF-REPORT CONFLICTS AT THE TIME THEY ARISE AND COMPLETE AN UPDATED DISCLOSURE FORM. DURING THE COURSE OF COMMITTEE OR BOARD MEETINGS, BOARD MEMBERS DISCLOSE ANY CONFLICTS RELATED TO THE AGENDA ITEM/DISCUSSION AND ABSTAIN FROM VOTING. WHENEVER APPROPRIATE, THE BOARD MEMBER WOULD BE EXCUSED FROM THE ROOM DURING DISCUSSION AND VOTING. IF A BOARD MEMBER IS INTERESTED IN CONDUCTING BUSINESS WITH JCLHN, THE CONFLICT OF INTEREST POLICY REQUIRES HIM OR HER TO INITIATE THAT PROCESS THROUGH THE NETWORK CEO AND NOT ANY OTHER EXECUTIVE OR EMPLOYEE. PROCESS FOR COMPENSATION OF CEO, OTHER OFFICERS AND KEY EMPLOYEES FORM 990, PART VI, LINE 15A AND 15B JOHN C. LINCOLN HEALTH NETWORK USES A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT DIRECTORS THAT OVERSEES ALL ASPECTS OF COMPENSATION PAID TO THE CEO AND OTHER EXECUTIVES. ANNUALLY, THE COMMITTEE ASSESSES THE PERFORMANCE OF THE CEO AND RECOMMENDS TO THE BOARD THE CEO'S COMPENSATION. ADDITIONALLY, THE COMMITTEE EVALUATES THE ORGANIZATION'S COMPENSATION PHILOSOPHY AND ESTABLISHES PERMISSIBLE RANGES OF COMPENSATION FOR ALL EXECUTIVES. THE COMMITTEE ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT CONSULTANT WHO PROVIDES ADVICE BASED ON COMPENSATION SURVEYS OF ORGANIZATIONS WITH A SIMILAR SIZE AND SCOPE OF SERVICES TO JOHN C. LINCOLN HEALTH NETWORK. THE CONSULTANT PROVIDES A WRITTEN ATTESTATION OF INDEPENDENCE AND REPORTS ONLY TO THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE CEO IS NOT A MEMBER OF THIS COMMITTEE, BUT WILL BE CALLED ON TO ASSESS AND REPORT ON SENIOR EXECUTIVE PERFORMANCE. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 THE ORGANIZATION CONSIDERS REQUESTS FOR FINANCIAL STATEMENTS, GOVERNING DOCUMENTS OR THE CONFLICT OF INTEREST POLICY ON A CASE BY CASE BASIS. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 CHANGE IN INTEREST IN FOUNDATION $(2,975,809) LOSS ON IMPAIRMENT (174,100) ----------- TOTAL $(3,149,909) =========== JOHN C LINCOLN LLC 2500 W UTOPIA RD SUITE 100 PHOENIX AZ 85027 860828589 PHYS PRACTICE AZ 32933552 6610578 JCLHN JOHN C LINCOLN ACO 2500 W UTOPIA RD SUITE 100 PHOENIX AZ 85027 352437265 ACO AZ 0 142 JCLHN JOHN C LINCOLN HEALTH FOUNDATION 2500 W UTOPIA ROAD SUITE 100 PHOENIX AZ 85027 953320185 FUNDRAISING AZ 501(C)(3) 7 JCLHN true DESERT MISSION INC 2500 W UTOPIA ROAD SUITE 100 PHOENIX AZ 85027 860096941 COMMUNITY SVC AZ 501(C)(3) 7 JCLHN true DESERT MISSION NEIGHBORHOOD RENEWAL 2500 W UTOPIA ROAD SUITE 100 PHOENIX AZ 85027 860746598 HOUSING/REHAB AZ 501(C)(3) 7 JCLHN true false true true true true false false false false false false false true true true false true false false JOHN C LINCOLN HEALTH FOUNDATION C 5387491 CASH DESERT MISSION INC E 2640000 BOOK BALANCE DESERT MISSION NEIGHBORHOOD RENEWAL D 688418 BOOK BALANCE