HEALTH FIRST FOUNDATION-NORTHERN ARIZONA: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HEALTH FIRST FOUNDATION-NORTHERN ARIZONA (EIN 81-3137336)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-15
IRS object ID
202341359349312114
Schema version
2021v4.2
Note
A later return for the same period supersedes this one.
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)
Return2023-05-15T14:25:12-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12355 E CAMELBACK RD STE 900AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP850169065ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN813137336EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTH FIRST FOUNDATION-NORTHERN ARIZONABusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone9282239237PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11030 N SAN FRANCISCO ST STE 130AddressLine1Txt
CityFLAGSTAFFCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86001ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSANDRA KOWALSKIPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone9282239237PhoneNum
Signature2023-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSANDRAPersonFirstNm
Person LastKOWALSKIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRENDA ANN BLUNT CPAPreparerPersonNm
PTINP00075126PTIN
Phone4803151040PhoneNum
Preparation2023-05-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerSANDRA KOWALSKIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11030 N SAN FRANCISCO ST STE 130AddressLine1Txt
CityFLAGSTAFFCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86001ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$28,207,686GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HEALTHFIRSTFORALL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2016FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionHEALTH FIRST FOUNDATION PROVIDES LEADERSHIP, FORGES PARTNERSHIPS, AND SUPPORTS (CONT'D ON SCH O) INNOVATION TO ADVANCE HEALTH AND WELL-BEING ACROSS NORTHERN ARIZONA'S DIVERSE POPULATION AND GEOGRAPHY. WE INSPIRE DONORS TO SUPPORT INNOVATIVE COMMUNITY HEALTH INITIATIVES OF NONPROFIT ORGANIZATIONS, HOSPITALS, AND MEDICAL CENTERS. OUR COLLABORATIONS AND INVESTMENT ALLIANCES STRIVE TO BRING HEALTH AND WELL-BEING TO THE GREATEST NUMBER OF PEOPLE POSSIBLE WITH MAXIMUM IMPACT. WE EVALUATE COMMUNITY HEALTH NEEDS ASSESSMENTS TO DETERMINE PRIORITY NEEDS AND USE QUANTITATIVE MEASUREMENTS TO ASSESS THE SUSTAINABLE IMPACT HEALTH FIRST FUNDED PROGRAMS HAVE ON HEALTH AND WELL-BEING FOR ALL AND PROMOTING VIBRANT COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee14TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,220,217PYContributionsGrantsAmt
CY Contributions Grants$166,493CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,068,631PYInvestmentIncomeAmt
CY Investment Income$17,416,960CYInvestmentIncomeAmt
PY Other Revenue$3,410PYOtherRevenueAmt
CY Other Revenue-$821CYOtherRevenueAmt
PY Total Revenue$5,292,258PYTotalRevenueAmt
CY Total Revenue$17,582,632CYTotalRevenueAmt
PY Grants And Similar Paid$2,247,002PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$586,613CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,715,517PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$876,837CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$548,187CYTotalFundraisingExpenseAmt
PY Other Expenses$1,050,913PYOtherExpensesAmt
CY Other Expenses$3,940,321CYOtherExpensesAmt
PY Total Expenses$5,013,432PYTotalExpensesAmt
CY Total Expenses$5,403,771CYTotalExpensesAmt
PY Revenues Less Expenses$278,826PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,178,861CYRevenuesLessExpensesAmt
Total Assets BOY$53,020,022TotalAssetsBOYAmt
Total Assets EOY$43,321,734TotalAssetsEOYAmt
Total Liabilities BOY$1,612,322TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,081,976TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$51,407,700NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$40,239,758NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE ADVANCE COMMUNITY HEALTH AND WELL-BEING THROUGH LEADERSHIP, PARTNERSHIPS, AND INNOVATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$382,835ExpenseAmt
Grant$303,110GrantAmt
DescTHE FOUNDATION GENERATES FUNDS TO SUPPORT THREE HEALTH PRIORITIES IN NORTHERN ARIZONA: INCREASED ACCESS TO HEALTHCARE, IMPROVED BEHAVIORAL HEALTH OUTCOMES, AND DECREASED INCIDENCE OF CHRONIC MEDICAL CONDITIONS. DURING THE 2021 TAX YEAR, THE FOUNDATION MADE GRANTS TO FOUR NONPROFIT AND GOVERNMENTAL ORGANIZATIONS THAT ADVANCE THESE COMMUNITY HEALTH PRIORITIES AND SUPPORT THE HEALTH AND WELL-BEING OF PEOPLE THROUGHOUT THE NORTHERN ARIZONA COMMUNITY. THE FOUNDATION'S ANNUAL GRANTS PROGRAM IMPACTED 51,064 LIVES DURING THE 2021 TAX YEAR.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$159,474ExpenseAmt
Grant$126,265GrantAmt
DescDURING THE 2021 TAX YEAR, THE FOUNDATION AWARDED GRANTS TO SIX NONPROFIT ORGANIZATIONS IN NORTHERN ARIZONA, INCLUDING FLAGSTAFF MEDICAL CENTER, TO SUPPORT PROGRAMS FOR NATIVE AMERICAN INTERPRETERS, NURSE NAVIGATORS, AND NURSING SCHOLARSHIPS. THESE GRANTS ALSO SUPPORTED THE PURCHASE OF PERSONAL PROTECTION EQUIPMENT (PPE) FOR TUBA CITY REGIONAL HEALTH CARE CORPORATION, EMERGENCY FIREWOOD FOR HOPI AND NAVAJO FAMILIES FACING EXTREME RISK FROM EXPOSURE THROUGH THE WINTER MONTHS, AND VITAL SUPPLIES FOR HAVASUPAI FAMILIES FORCED TO QUARANTINE AWAY FROM THEIR HOMES. THESE GRANTS IMPACTED ABOUT 14,758 LIVES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$125,514ExpenseAmt
Grant$110,829GrantAmt
DescDURING THE 2021 TAX YEAR, THE FOUNDATION PROVIDED FUNDING TO OR ON BEHALF OF NORTHERN ARIZONA HEALTHCARE, FLAGSTAFF MEDICAL CENTER, AND VERDE VALLEY MEDICAL CENTER FOR VARIOUS DEPARTMENT INITIATIVES, INCLUDING CANCER CARE, CHILDREN'S HEALTH, CLINICAL SERVICES, COLLEAGUE SUPPORT, COMMUNITY SUPPORT, PALLIATIVE AND HOSPICE CARE, PATIENT AND FAMILY ASSISTANCE, AND RESEARCH AND EDUCATION. THIS FUNDING IMPACTED 6,691 LIVES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$58,616ExpenseAmt
Grant$46,409GrantAmt
DescDURING THE 2021 TAX YEAR, THE FOUNDATION SUPPORTED THREE NONPROFITS THROUGH SPONSORSHIPS AND AWARDED SCHOLARSHIPS TO 19 INDIVIDUALS PURSUING CAREERS IN HEALTH AND HEALTHCARE.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$58,616TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$46,409TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$726,439TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised FundYes (1)DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document34IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee14EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings0DAFExcessBusinessHoldingsInd
Taxable Distributions0TaxableDistributionsInd
Distribution To Donor0DistributionToDonorInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTINA BROWNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9282239237PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11030 N SAN FRANCISCO ST STE 130AddressLine1Txt
CityFLAGSTAFFCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86001ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
RICHARD A SMITH EDD
PRES./CEO/DIR. (THRU 07/2021)40.00Yes (X)Yes (X)$410,632$0$2,575
SANDRA KOWALSKI
OPS MGR/PRES/CEO/DIR (FROM 8/21)40.00Yes (X)Yes (X)$161,543$0$1,074
CHRIS BAVASI
CHAIR(TO 9/21)/DIRECTOR (FROM 10/21)1.00Yes (X)Yes (X)$0$0$0
DEIRDRE MELDRUM PHD
VICE CHAIR/CHAIR/DIRECTOR1.00Yes (X)Yes (X)$0$0$0
WAYNE FOX CPA
TREASURER/DIRECTOR (THRU 5/22)1.00Yes (X)Yes (X)$0$0$0
RICHARD KRUSE CPA
VICE CHAIR/TREASURER/DIRECTOR1.00Yes (X)Yes (X)$0$0$0
JAMES OUSLEY
SECRETARY/DIRECTOR1.00Yes (X)Yes (X)$0$0$0
OLIVER HARPER MD
DIRECTOR1.00Yes (X)$0$0$0
WILLIAM HICKS III ESQ
DIRECTOR1.00Yes (X)$0$0$0
ALICE GAGNAIRE
DIRECTOR1.00Yes (X)$0$0$0
CHUCK MARR
DIRECTOR1.00Yes (X)$0$0$0
WILLIAM RILEY PHD
DIRECTOR (THRU 09/2021)1.00Yes (X)$0$0$0
KARLA JACOBSEN CPA
MANAGER OF FINANCIAL OPERATIONS40.00Yes (X)$135,948$0$687
MATTHEW BRASMER
VP DEVELOPMENT (THRU 9/21)40.00$260,127$0$4,043Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$968,250TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$8,379TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BALLARD SPAHR
PO BOX 825470PHILADELPHIAPA19182LEGAL SERVICES$549,176
MITCHELL STEIN CAREY CHAPMAN
2600 NORTH CENTRAL AVENUE SUITE 10PHOENIXAZ85004LEGAL SERVICES$180,999
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Fundraising$33,389FundraisingAmt
All Other Contributions$133,104AllOtherContributionsAmt
Noncash Contributions$6,068NoncashContributionsAmt
Total Contributions$166,493TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,665,177TotalRevenueColumnAmt
Exclusion$1,665,177ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$5,636RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,033RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,603RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,603TotalRevenueColumnAmt
Exclusion$4,603ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$23,857,526SecuritiesAmt
Other$2,500,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$8,688,318SecuritiesAmt
Other$1,917,425OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$15,169,208SecuritiesAmt
Other$582,575OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,751,783TotalRevenueColumnAmt
Exclusion$15,751,783ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$12,854FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$33,389ContriRptFundraisingEventAmt
Fundraising Direct Expenses$18,278FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,424TotalRevenueColumnAmt
Exclusion-$5,424ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,582,632TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$17,416,139ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$539,813TotalAmt
Program Services$539,813ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$44,300TotalAmt
Program Services$44,300ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$2,500TotalAmt
Program Services$2,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$521,460TotalAmt
Program Services$82,555ProgramServicesAmt
Management And General$307,778ManagementAndGeneralAmt
Fundraising$131,127FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$224,725TotalAmt
Program Services$4,717ProgramServicesAmt
Management And General$38,039ManagementAndGeneralAmt
Fundraising$181,969FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$20,102TotalAmt
Program Services$2,352ProgramServicesAmt
Management And General$9,318ManagementAndGeneralAmt
Fundraising$8,432FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$59,749TotalAmt
Program Services$7,006ProgramServicesAmt
Management And General$27,747ManagementAndGeneralAmt
Fundraising$24,996FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$50,801TotalAmt
Program Services$5,943ProgramServicesAmt
Management And General$23,547ManagementAndGeneralAmt
Fundraising$21,311FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$26,000TotalAmt
Management And General$26,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,101,478TotalAmt
Management And General$1,101,478ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$45,372TotalAmt
Management And General$45,372ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$75,080TotalAmt
Management And General$75,080ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$193,515TotalAmt
Program Services$17,915ProgramServicesAmt
Management And General$114,036ManagementAndGeneralAmt
Fundraising$61,564FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$33,774TotalAmt
Program Services$900ProgramServicesAmt
Management And General$32,874ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$30,896TotalAmt
Program Services$893ProgramServicesAmt
Management And General$20,399ManagementAndGeneralAmt
Fundraising$9,604FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$63,409TotalAmt
Program Services$541ProgramServicesAmt
Management And General$23,731ManagementAndGeneralAmt
Fundraising$39,137FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$118,054TotalAmt
Program Services$14,573ProgramServicesAmt
Management And General$55,070ManagementAndGeneralAmt
Fundraising$48,411FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,818TotalAmt
Program Services$747ProgramServicesAmt
Management And General$3,187ManagementAndGeneralAmt
Fundraising$884FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,911TotalAmt
Management And General$12,911ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,242TotalAmt
Management And General$12,242ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
SETTLEMENT EXPENSE$2,000,000$2,000,000
OTHER$192,205$177,999$1,684$12,522
BOARD EXPENSE$22,337$22,337
EVENT EXPENSE$4,677$4,677

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,553TotalAmt
Fundraising$3,553FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,403,771TotalAmt
Program Services$726,439ProgramServicesAmt
Management And General$4,129,145ManagementAndGeneralAmt
Fundraising$548,187FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$125,560BOYAmt
EOY$51,336EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,077,776BOYAmt
EOY$971,188EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$933,581BOYAmt
EOY$12,500EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$886BOYAmt
EOY$16,347EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,021,781EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$21,227BOYAmt
EOY$12,183EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$689,755LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$49,762LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,563,069BOYAmt
EOY$639,993EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$48,282,923BOYAmt
EOY$39,499,918EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$94,688EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$15,000BOYAmt
EOY$1,800EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$53,020,022BOYAmt
EOY$43,321,734EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,251,117BOYAmt
EOY$2,619,770EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$344,705BOYAmt
EOY$462,206EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,500BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,612,322BOYAmt
EOY$3,081,976EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,465,751BOYAmt
EOY$3,903,715EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$41,941,949BOYAmt
EOY$36,336,043EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$51,407,700BOYAmt
EOY$40,239,758EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$53,020,022BOYAmt
EOY$43,321,734EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$12,178,861ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$22,464,069NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$882,734OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,662,657CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,143,076CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,573,426CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,220,217CurrentTaxYearMinus1YearAmt
Current Tax Year$166,493CurrentTaxYearAmt
Total$19,765,869TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,662,657CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,143,076CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,573,426CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,220,217CurrentTaxYearMinus1YearAmt
Current Tax Year$166,493CurrentTaxYearAmt
Total$19,765,869TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$9,485,263SubstantialContributorsTotAmt
Public Support Total170$10,280,606PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$731,174CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,282,949CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,211,974CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,387,031CurrentTaxYearMinus1YearAmt
Current Tax Year$1,670,813CurrentTaxYearAmt
Total$6,283,941TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,136CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$49CurrentTaxYearMinus1YearAmt
Total$4,185TotalAmt
FieldValueIRS element (for citing)
Total Support$26,053,995TotalSupportAmt
Gross Receipts Rltd Activities$24,150GrossReceiptsRltdActivitiesAmt
Public Support CY1700.39460PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOME - 2017 AMOUNT: $ 4,136. 2020 AMOUNT: $ 49.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Donor Advised Funds Held1DonorAdvisedFundsHeldCnt
Donor Advised Funds Contri$0DonorAdvisedFundsContriAmt
Donor Advised Funds Grants$0DonorAdvisedFundsGrantsAmt
Donor Advised Funds Vl EOY$29,253,042DonorAdvisedFundsVlEOYAmt
Disclosed Org Leg CtrlYes (1)DisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsYes (1)DisclosedForCharitablePrpsInd
Agent Trustee Etc0AgentTrusteeEtcInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$34,117,086BeginningYearBalanceAmt
Contributions$9,500ContributionsAmt
Investment Earnings Or Losses-$4,275,139InvestmentEarningsOrLossesAmt
Administrative Expenses$588,905AdministrativeExpensesAmt
End Year Balance$29,262,542EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,640,220BeginningYearBalanceAmt
Investment Earnings Or Losses$8,487,464InvestmentEarningsOrLossesAmt
Grants Or Scholarships$312,300GrantsOrScholarshipsAmt
Administrative Expenses$698,298AdministrativeExpensesAmt
End Year Balance$34,117,086EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$27,201,322BeginningYearBalanceAmt
Contributions$212,792ContributionsAmt
Investment Earnings Or Losses$1,047,402InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,281,961GrantsOrScholarshipsAmt
Administrative Expenses$539,335AdministrativeExpensesAmt
End Year Balance$26,640,220EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,708,936BeginningYearBalanceAmt
Contributions$1,384,435ContributionsAmt
Investment Earnings Or Losses$1,668,446InvestmentEarningsOrLossesAmt
Grants Or Scholarships$936,144GrantsOrScholarshipsAmt
Administrative Expenses$624,351AdministrativeExpensesAmt
End Year Balance$27,201,322EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$23,136,444BeginningYearBalanceAmt
Contributions$1,159,950ContributionsAmt
Investment Earnings Or Losses$2,134,416InvestmentEarningsOrLossesAmt
Grants Or Scholarships$616,515GrantsOrScholarshipsAmt
Administrative Expenses$105,359AdministrativeExpensesAmt
End Year Balance$25,708,936EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.82250PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.17750TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$610,000InvestmentCostOrOtherBasisAmt
Book Value$610,000BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$79,755OtherCostOrOtherBasisAmt
Depreciation$49,762DepreciationAmt
Book Value$29,993BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$639,993TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt-$4,942,973TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$22,464,069NetUnrealizedGainsInvstAmt
Other Revenue$13,544OtherRevenueAmt
Revenue Not Reported-$22,450,525RevenueNotReportedAmt
Revenue Subtotal$17,507,552RevenueSubtotalAmt
Investment Expenses Not Incld$75,080InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$75,080RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$17,582,632TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,224,969TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$951,278OtherExpensesIncludedAmt
Expenses Not Reported$951,278ExpensesNotReportedAmt
Expenses Subtotal$5,273,691ExpensesSubtotalAmt
Investment Expenses Not Incld2$75,080InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$55,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$130,080ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,403,771TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:MANAGEMENT BELIEVES THAT THE FOUNDATION HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:DIRECT FUNDRAISING EVENT EXPENSES 12,511. RENTAL EXPENSES 1,033.
PART XI, LINE 4B - OTHER ADJUSTMENTS:IN KIND REVENUE
PART XII, LINE 2D - OTHER ADJUSTMENTS:DIRECT FUNDRAISING EVENT EXPENSES 12,511. RENTAL EXPENSES 1,033. BAD DEBT EXPENSE 937,734.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RETURNED GRANTS 55,000. IN KIND EXPENSES
SCHEDULE D, PART V, LINE 4THE NORTHERN ARIZONA HEALTHCARE ENDOWMENT FUND WAS ESTABLISHED TO SUPPORT NORTHERN ARIZONA HEALTHCARE CORPORATION AND TO SUPPORT BOTH THE DELIVERY OF QUALITY HEALTH CARE AND TO INCREASE THE IMPACT ON HEALTH IN POSITIVE, COLLABORATIVE WAYS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF EVENTEvent1Nm
Gross Receipts Event1$46,243GrossReceiptsEvent1Amt
Charitable Contri Event1$33,389CharitableContriEvent1Amt
Gross Revenue Event1$12,854GrossRevenueEvent1Amt
Non Cash Prizes Event1$5,768NonCashPrizesEvent1Amt
Rent Facility Costs Event1$8,400RentFacilityCostsEvent1Amt
Food And Beverage Event1$295FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$3,815OtherDirectExpensesEvent1Amt
Gross Receipts Total$46,243GrossReceiptsTotalAmt
Charitable Contributions Tot$33,389CharitableContributionsTotAmt
Gross Revenue Total Events$12,854GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$5,768NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$8,400RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$295FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$3,815OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$18,278DirectExpenseSummaryEventsAmt
Net Income Summary-$5,424NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
ARIZONA COMMUNITY FOUNDATION
3716 E COLUMBIA STREETTUCSONAZ85714860096772501(C)(3)$25,000$0GRANT TO SUPPORT ROKOSZ NURSING SCHOLARSHIP ENDOWMENT
CREEK VALLEY HEALTH CLINIC
20 S COLVIN STREET 418COLORADO CITYAZ86021833039533501(C)(3)$70,000$0GRANTS TO SUPPORT BEHAVIORAL AND MENTAL HEALTH SERVICE PROGRAM AND CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAM
FLAGSTAFF MEDICAL CENTER
1200 N BEAVER STREETFLAGSTAFFAZ86001860110232501(C)(3)$84,549$0GRANTS TO SUPPORT HOSPITAL DEPARTMENT INITIATIVES INCLUDING RADIATION ONCOLOGY, PALLIATIVE CARE, PEDIATRIC TRAUMA, CHILDREN'S HEALTH, NATIVE AMERICAN INTERPRETER PROGRAM, AND OTHER PATIENT SUPPORT
GRIFFITH BLUE HEART NONPROFIT
5636 W TONOPAH DRIVEGLENDALEAZ85308842908035501(C)(3)$92,206$0GRANT TO SUPPORT THE FLAGSTAFF POLICE HIGH-PERFORMANCE RESUSCITATION PROJECT
NORTH COUNTRY HEALTHCARE INC
PO BOX 3630FLAGSTAFFAZ860033630860663432501(C)(3)$100,000$0GRANT TO SUPPORT A TEAM BASED CARE MODEL IN A RESIDENCY CLINIC PROJECT
NORTHERN ARIZONA UNIVERSITY FOUNDATION
PO BOX 4094FLAGSTAFFAZ86011860193726501(C)(3)$21,000$0CONTRIBUTION TO SUPPORT A NURSING SCHOLARSHIP PROGRAM
RED FEATHER DEVELOPMENT GROUP
PO BOX 907BOZEMANMT59771911632134501(C)(3)$109,500$0GRANTS TO SUPPORT THE HEALTHY HEATING INITIATIVE AND TO FUND THE WATER & HYGIENE SOLUTIONS FOR NATIVE COMMUNITIES PROJECT.
TUBA CITY REGIONAL HEALTH CARE CORPORATION
167 N MAIN STREET/ PO BOX 600TUBA CITYAZ860450600043651340501(C)(3)$19,000$0GRANT TO FUND PPE PURCHASES
VERDE VALLEY MEDICAL CENTER
1200 N BEAVER STREETFLAGSTAFFAZ86001860100882501(C)(3)$9,403$0GRANTS TO SUPPORT TO SUPPORT HOSPITAL RADIATION ONCOLOGY DEPARTMENT INITIATIVES INCLUDING PATIENT LODGING AND TRANSPORTATION AND MASTECTOMY BRAS
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
SCHOLARSHIPS AWARDED TO INDIVIDUALS PURSUING CAREERS IN NURSING, BEHAVIORAL HEALTH, ALLIED HEALTH AND OTHER HEALTH RELATED FIELDS OF STUDY.19$39,300
FINANCIAL ASSISTANCE FOR BURIAL ASSISTANCE1$5,000

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION ISSUES GRANTS PRIMARILY TO TAX-EXEMPT ORGANIZATIONS AND, HISTORICALLY, HAS RELIED ON THE GOOD GOVERNANCE PRACTICES OF THESE ENTITIES. THE ORGANIZATION INSTITUTED A ROBUST OVERSIGHT PROGRAM DURING FY18 TO MONITOR THE USE OF GRANT FUNDS, WHICH INCLUDES REQUIRING MID-TERM AND ANNUAL REPORTING BY THE GRANTEE AND ON-SIGHT INSPECTIONS BY ORGANIZATION PERSONNEL. THE ORGANIZATION CONTINUES TO IMPLEMENT THIS OVERSIGHT PROGRAM. THE ORGANIZATION AWARDS SCHOLARSHIPS TO INDIVIDUALS PURSUING CAREERS IN NURSING, BEHAVIORAL HEALTH, ALLIED HEALTH, AND OTHER HEALTH-RELATED FIELDS OF STUDY IN ACCORDANCE WITH A COMPETITIVE AND UNBIASED PROCESS ESTABLISHED BY THE ORGANIZATION. GRANTS OF FINANCIAL ASSISTANCE TO EMERGENCY MEDICAL TECHNICIANS AND THEIR FAMILIES ARE AWARDED BY THE ORGANIZATION BASED ON PROCEDURES ESTABLISHED BY NORTHERN ARIZONA HEALTHCARE CORPORATION ("NAHC"). THE ORGANIZATION RELIES ON NAHC'S GOVERNANCE PRACTICES TO ENSURE COMPLIANCE WITH NAHC'S POLICIES AND PROCEDURES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICHARD A SMITH EDD
PRES./CEO/DIR. (THRU 07/2021)$178,968$0$61,785$0$169,879$0$0$0$2,575$0$413,207$0$0$0
MATTHEW BRASMER
VP DEVELOPMENT (THRU 9/21)$154,342$0$104,996$0$789$0$3,501$0$543$0$264,171$0$0$0
SANDRA KOWALSKI
OPS MGR/PRES/CEO/DIR (FROM 8/21)$146,154$0$14,736$0$653$0$0$0$1,074$0$162,617$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE ORGANIZATION PAYS DUES FOR A MEMBERSHIP IT OWNS IN A LOCAL PRIVATE GOLF CLUB. BY VIRTUE OF THIS MEMBERSHIP, THE ORGANIZATION IS ALLOWED TO HOST ITS ANNUAL FUNDRAISING EVENT AND TO ENTERTAIN CURRENT AND PROSPECTIVE DONORS AT THIS CLUB FOR ACQUISITION AND CULTIVATION PURPOSES. THE ORGANIZATION'S CEO IS THE ONLY AUTHORIZED USER OF THIS SOCIAL MEMBERSHIP. THE ORGANIZATION REPORTS ALL PERSONAL USE (IF ANY) OF THIS SOCIAL MEMBERSHIP AS COMPENSATION.
PART I, LINE 3RICHARD SMITH'S COMPENSATION WAS DETERMINED AND PAID BY NORTHERN ARIZONA HEALTHCARE CORPORATION, BASED ON A MARKET COMPENSATION STUDY PERFORMED BY A THIRD-PARTY CONSULTANT. A COMPENSATION AND INCENTIVE PACKAGE WAS STRUCTURED BY THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS USING THE MARKET COMPENSATION STUDY, A WRITTEN CONTRACT, AND THE OPINION OF AN INDEPENDENT CONSULTANT. THE CONTRACT ENDED ON JUNE OF 2021. HEALTH FIRST CONTRACTED WITH RICHARD SMITH, AS AN INDEPENDENT CONTRACTOR, TO PROVIDE CONSULTING SERVICES DURING JULY 2021 AT SIMILAR RATES. SANDRA KOWALSKI'S COMPENSATION IS STRUCTURED UNDER A PERFORMANCE CONTRACT TIED TO THE ORGANIZATION'S MISSION. THE COMPENSATION COMMITTEE RELIED ON MARKET COMPENSATION STUDIES RELATED TO THIS EXECUTIVE POSITION. FURTHER, THE COMPENSATION COMMITTEE HIRED AN INDEPENDENT CONSULTING FIRM TO PROVIDE AN OPINION AS TO THE REASONABLENESS OF THE COMPENSATION PACKAGE FOR THIS POSITION.
PART I, LINES 4A-BDURING THE 2021 TAX YEAR, THE ORGANIZATION'S FORMER VP OF DEVELOPMENT WAS PAID A SEVERANCE OF $7,040. THE ORGANIZATION'S FORMER CEO PARTICIPATED IN A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN ESTABLISHED BY THE ORGANIZATION. THE FORMER CEO WAS THE ONLY PARTICIPANT IN THIS PLAN. DURING THE 2021 TAX YEAR, THE ORGANIZATION PAID $117,300 IN CUMULATIVE PLAN CONTRIBUTIONS TO THE FORMER CEO. THE ORGANIZATION'S FORMER VP OF DEVELOPMENT PARTICIPATED IN A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN ESTABLISHED BY THE ORGANIZATION. THE FORMER VP OF DEVELOPMENT WAS THE ONLY PARTICIPANT IN THIS PLAN. DURING THE 2021 TAX YEAR, THE ORGANIZATION PAID $84,404 IN CUMULATIVE PLAN CONTRIBUTIONS TO THE FORMER VP OF DEVELOPMENT.
PART I, LINE 7THE ORGANIZATION MAKES ANNUAL PAYMENTS, WHICH ARE BASED ON MEETING VARIOUS FINANCIAL AND OTHER ORGANIZATIONAL GOALS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7ANORTHERN ARIZONA HEALTHCARE CORPORATION HAS THE RIGHT TO APPOINT 20% OF THE TOTAL NUMBER OF VOTING DIRECTORS, ROUNDED UP TO THE NEAREST WHOLE NUMBER.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM BASED ON DATA COMPILED BY THE FOUNDATION'S FINANCE DEPARTMENT. THE FINANCE COMMITTEE OF THE FOUNDATION'S BOARD OF DIRECTORS REVIEWS THE DRAFT FORM 990 AND PROVIDES ADDITIONAL COMMENTS. THE FINANCE COMMITTEE, ACTING ON BEHALF OF THE FOUNDATION'S BOARD OF DIRECTORS, APPROVES THE FINAL DRAFT OF FORM 990 BEFORE IT IS FILED. IN ADDITION, A COPY OF THE FINAL DRAFT OF FORM 990 IS DISTRIBUTED TO THE FOUNDATION'S BOARD OF DIRECTORS BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. BOARD MEMBERS AND OFFICERS ARE COVERED BY THE POLICY. COVERED INDIVIDUALS HAVE A DUTY TO DISCLOSE ALL MATERIAL FACTS IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS. THE DETERMINATION OF HOW TO PROCEED WITH A CONFLICT IS MADE BY THE MEMBERS OF THE GOVERNING BODY WHO ARE NOT AN INTERESTED PERSON WITH RESPECT TO THE PROPOSED TRANSACTION. AFTER DISCLOSURE OF ALL MATERIAL FACTS, THE INTERESTED PERSON LEAVES AND THE REMAINING MEMBERS OF THE GOVERNING BODY DELIBERATE AND VOTE ON THE EXISTENCE OF CONFLICT. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, THE GOVERNING BODY, EXCLUDING THE INTERESTED PERSON, SHALL EXERCISE DUE DILIGENCE TO DETERMINE IF A MORE ADVANTAGEOUS TRANSACTION IS REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES. THE GOVERNING BODY, EXCLUDING THE INTERESTED PERSON, VOTES WHETHER THE TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND FAIR AND REASONABLE.
FORM 990, PART VI, SECTION B, LINE 15ATHE FORMER PRESIDENT & CEO OF THE ORGANIZATION WAS EMPLOYED BY NORTHERN ARIZONA HEALTHCARE CORPORATION (NAHC), AN UNRELATED TAX-EXEMPT ORGANIZATION, AND WAS SECONDED TO THE ORGANIZATION. THE EMPLOYMENT CONTRACT BETWEEN NAHC AND THE FORMER PRESIDENT & CEO EXPIRED ON JUNE 30, 2021. THE ORGANIZATION CONTRACTED WITH THE FORMER PRESIDENT & CEO, AS AN INDEPENDENT CONTRACTOR, TO PROVIDE CONSULTING SERVICES DURING THE MONTH OF JULY 2021. THE CURRENT PRESIDENT & CEO IS EMPLOYED BY THE ORGANIZATION. THE ORGANIZATION'S COMPENSATION COMMITTEE STRUCTURED A COMPENSATION PACKAGE UNDER A PERFORMANCE CONTRACT TIED TO THE ORGANIZATION'S MISSION. THE COMPENSATION COMMITTEE RELIED ON MARKET COMPENSATION STUDIES RELATED TO THIS EXECUTIVE POSITION. FURTHER, THE COMPENSATION COMMITTEE HIRED AN INDEPENDENT CONSULTING FIRM TO PROVIDE AN OPINION AS TO THE REASONABLENESS OF THE COMPENSATION PACKAGE FOR THIS POSITION. THIS INFORMATION WAS REVIEWED AND APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS IN LATE 2021. THE ORGANIZATION'S PRESIDENT & CEO, WITH ASSISTANCE FROM THE ORGANIZATION'S HR DEPARTMENT, DETERMINED COMPENSATION FOR ALL OTHER EMPLOYEES OF THE ORGANIZATION USING SALARY STUDIES OF COMPARABLE ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:BAD DEBT -937,734. REDUCED PREVIOUSLY ACCRUED GRANTS 55,000.

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