HEALTH FIRST FOUNDATION-NORTHERN ARIZONA: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH FIRST FOUNDATION-NORTHERN ARIZONA (EIN 81-3137336)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-15
- IRS object ID
- 202531359349307113
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-15T12:16:47-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2355 E CAMELBACK RD STE 900 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 850169065 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 813137336 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH FIRST FOUNDATION-NORTHERN ARIZONA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 9282239239 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1120 W UNIVERSITY STREET STE 200 | AddressLine1Txt |
| City | FLAGSTAFF | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86001 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK URICK | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 9282239239 | PhoneNum |
| Signature | 2025-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRENDA ANN BLUNT CPA | PreparerPersonNm |
| PTIN | P00075126 | PTIN |
| Phone | 4803151040 | PhoneNum |
| Preparation | 2025-05-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | MARK URICK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1120 W UNIVERSITY STREET STE 200 | AddressLine1Txt |
| City | FLAGSTAFF | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,181,308 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALTHFIRSTFORALL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2016 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | HEALTH 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 Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 6 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $95,921 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,249 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$1,786,195 | PYInvestmentIncomeAmt |
| CY Investment Income | $247,064 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$12,850 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | -$1,703,124 | PYTotalRevenueAmt |
| CY Total Revenue | $262,313 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $23,193,367 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $651,341 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $614,231 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $508,131 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $60,250 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $96,779 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,655,574 | PYOtherExpensesAmt |
| CY Other Expenses | $395,611 | CYOtherExpensesAmt |
| PY Total Expenses | $25,523,422 | PYTotalExpensesAmt |
| CY Total Expenses | $1,555,083 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$27,226,546 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,292,770 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,016,463 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,717,975 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,644,890 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $86,568 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $18,371,573 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $18,631,407 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE ADVANCE COMMUNITY HEALTH AND WELL-BEING THROUGH LEADERSHIP, PARTNERSHIPS, AND INNOVATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $841,642 | ExpenseAmt |
| Grant | $651,341 | GrantAmt |
| Desc | DURING THE FYE 2024, THE FOUNDATION AWARDED GRANTS TO SUPPORT VARIOUS NONPROFIT PROGRAMS OF CLINICS, MEDICAL CENTERS, AND HOSPITALS IN NORTHERN ARIZONA, BENEFITTING RESIDENTS, VISITORS, AND PATIENTS FROM THE REGION TO IMPROVE MENTAL HEALTH, ACCESS TO CARE, AND CHRONIC CONDITIONS. THIS GRANT FUNDING IMPACTED 116,143 LIVES. IN ADDITION, THE FOUNDATION AWARDED GRANTS TO NORTHERN ARIZONA NON-HEALTHCARE NONPROFITS FOR PROGRAMS SUPPORTING AND IMPROVING MENTAL HEALTH, ACCESS TO CARE, AND CHRONIC CONDITIONS. OUR GRANT FUNDING SUPPORT HERE IMPACTED THE LIVES OF 9,520 PEOPLE.(CONTINUED ON SCH O)THE FOUNDATION ALSO AWARDED SCHOLARSHIPS TO UNIVERSITY STUDENTS AND CURRENT HEALTHCARE INDUSTRY EMPLOYEES WORKING TOWARD A DEGREE OR ADVANCED DEGREE IN HEALTH OR HEALTHCARE-RELATED FIELDS. IN ADDITION, THE FOUNDATION FUNDED SPONSORSHIPS TO BUILD AWARENESS OF MENTAL HEALTH DISEASES AND CONDITIONS AND TO REDUCE THE ASSOCIATED STIGMA. LIVES IMPACTED BY SCHOLARSHIP AND SPONSORSHIP FUNDING WERE 165.TOTAL LIVES IMPACTED THROUGH PROGRAMS: 125,828. | Desc |
| Total Program Service Expenses | $841,642 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | Yes (1) | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 6 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Distribution To Donor | 0 | DistributionToDonorInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARK URICK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9282239239 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1120 W UNIVERSITY STREET STE 200 | AddressLine1Txt |
| City | FLAGSTAFF | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86001 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| SANDRA KOWALSKI | |||||||
| PRESIDENT/CEO/DIRECTOR | 40.00 | Yes (X) | Yes (X) | $186,641 | $0 | $4,445 | |
| DEIRDRE MELDRUM PHD | |||||||
| BOARD CHAIR/DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICHARD KRUSE CPA | |||||||
| VICE CHAIR/TREASURER/DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JAMES OUSLEY | |||||||
| SECRETARY/DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| OLIVER HARPER MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM HICKS III ESQ | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALICE GAGNAIRE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTINA BROWN CPA - MGR | |||||||
| OF FINANCIAL OPERATIONS(THRU 2/24) | 40.00 | Yes (X) | $77,643 | $0 | $9,013 | ||
| ANA CASTILLO- OPERATIONS MGR | |||||||
| GRANTS & AWARDS/SPEC. INITIATIVES | 40.00 | $111,793 | $0 | $734 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $376,077 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $14,192 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $15,249 | AllOtherContributionsAmt |
| Total Contributions | $15,249 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $556,063 | TotalRevenueColumnAmt |
| Exclusion | $556,063 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,601,996 | SecuritiesAmt |
| Other | $8,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,918,995 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$316,999 | SecuritiesAmt |
| Other | $8,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$308,999 | TotalRevenueColumnAmt |
| Exclusion | -$308,999 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $262,313 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $247,064 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $636,341 | TotalAmt |
| Program Services | $636,341 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,000 | TotalAmt |
| Program Services | $15,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,107 | TotalAmt |
| Program Services | $23,719 | ProgramServicesAmt |
| Management And General | $204,052 | ManagementAndGeneralAmt |
| Fundraising | $21,336 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,648 | TotalAmt |
| Program Services | $70,335 | ProgramServicesAmt |
| Management And General | $117,296 | ManagementAndGeneralAmt |
| Fundraising | $11,017 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,380 | TotalAmt |
| Program Services | $2,106 | ProgramServicesAmt |
| Management And General | $4,881 | ManagementAndGeneralAmt |
| Fundraising | $393 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,743 | TotalAmt |
| Program Services | $7,552 | ProgramServicesAmt |
| Management And General | $25,619 | ManagementAndGeneralAmt |
| Fundraising | $2,572 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,253 | TotalAmt |
| Program Services | $3,645 | ProgramServicesAmt |
| Management And General | $12,367 | ManagementAndGeneralAmt |
| Fundraising | $1,241 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,443 | TotalAmt |
| Program Services | $7,066 | ProgramServicesAmt |
| Management And General | $23,971 | ManagementAndGeneralAmt |
| Fundraising | $2,406 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,536 | TotalAmt |
| Program Services | $2,437 | ProgramServicesAmt |
| Management And General | $8,269 | ManagementAndGeneralAmt |
| Fundraising | $830 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,556 | TotalAmt |
| Program Services | $7,090 | ProgramServicesAmt |
| Management And General | $24,052 | ManagementAndGeneralAmt |
| Fundraising | $2,414 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,448 | TotalAmt |
| Program Services | $2,503 | ProgramServicesAmt |
| Management And General | $29,093 | ManagementAndGeneralAmt |
| Fundraising | $852 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,856 | TotalAmt |
| Program Services | $3,984 | ProgramServicesAmt |
| Management And General | $13,515 | ManagementAndGeneralAmt |
| Fundraising | $1,357 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,435 | TotalAmt |
| Program Services | $16,974 | ProgramServicesAmt |
| Management And General | $16,974 | ManagementAndGeneralAmt |
| Fundraising | $8,487 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,893 | TotalAmt |
| Program Services | $12,654 | ProgramServicesAmt |
| Management And General | $25,650 | ManagementAndGeneralAmt |
| Fundraising | $21,589 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,580 | TotalAmt |
| Program Services | $27,938 | ProgramServicesAmt |
| Management And General | $33,673 | ManagementAndGeneralAmt |
| Fundraising | $13,969 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,516 | TotalAmt |
| Program Services | $104 | ProgramServicesAmt |
| Management And General | $3,412 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,174 | TotalAmt |
| Management And General | $14,174 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,113 | TotalAmt |
| Management And General | $15,113 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| OTHER | $53,115 | $2,194 | $44,551 | $6,370 |
| EVENT EXPENSE | $1,946 | $1,946 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,555,083 | TotalAmt |
| Program Services | $841,642 | ProgramServicesAmt |
| Management And General | $616,662 | ManagementAndGeneralAmt |
| Fundraising | $96,779 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,957 | BOYAmt |
| EOY | $147,483 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $444,651 | BOYAmt |
| EOY | $61,756 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,999,938 | BOYAmt |
| EOY | $1,999,938 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,560 | BOYAmt |
| EOY | $15,126 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $610,000 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $625,819 | BOYAmt |
| EOY | $610,000 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,891,721 | BOYAmt |
| EOY | $15,875,284 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $958,605 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,212 | BOYAmt |
| EOY | $8,388 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,016,463 | BOYAmt |
| EOY | $18,717,975 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,502,573 | BOYAmt |
| EOY | $79,980 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,905 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,412 | BOYAmt |
| EOY | $6,588 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,644,890 | BOYAmt |
| EOY | $86,568 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,789,086 | BOYAmt |
| EOY | $9,009,261 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,582,487 | BOYAmt |
| EOY | $9,622,146 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,371,573 | BOYAmt |
| EOY | $18,631,407 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,016,463 | BOYAmt |
| EOY | $18,717,975 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,292,770 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,552,604 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAuditedInd |
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,573,426 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,220,217 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $166,493 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,921 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,249 | CurrentTaxYearAmt |
| Total | $7,071,306 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,573,426 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,220,217 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $166,493 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,921 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,249 | CurrentTaxYearAmt |
| Total | $7,071,306 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $3,256,391 | SubstantialContributorsTotAmt |
| Public Support Total170 | $3,814,915 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,211,974 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,387,031 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,670,813 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,431,539 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $556,063 | CurrentTaxYearAmt |
| Total | $6,257,420 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $49 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $16 | CurrentTaxYearMinus1YearAmt |
| Total | $65 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $13,328,791 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $7,493 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.28620 | PublicSupportCY170Pct |
| Public Support PY170 | 0.29970 | PublicSupportPY170Pct |
| Ten Pct Facts Crcmstncs Test CY | Yes (X) | TenPctFactsCrcmstncsTestCYInd |
| Facts And Circumstances Test | THE ORGANIZATION HAS A 7-MEMBER BOARD COMPRISED OF THE EXECUTIVE DIRECTOR AND SIX OTHER BOARD MEMBERS WHO ARE UNRELATED MEMBERS OF THE COMMUNITY SERVED BY THE ORGANIZATION OR WHO HAVE A CLOSE CONNECTION TO THE CAUSE. EACH OF THE SIX COMMUNITY MEMBERS OF THE BOARD BRING THEIR OWN EXPERTISE TO THE GOVERNANCE OF THE ORGANIZATION. THE CURRENT BOARD INCLUDES A DOCTOR, AN ATTORNEY, A CPA, A UNIVERSITY PROFESSOR, A BUSINESS EXECUTIVE AND A COMMUNITY HEALTH LAISON TO THE INDIGINOUS TRIBES IN CENTRAL AND NORTHERN ARIZONA. THE ORGANIZATION MAINTAINS A CONTINUOUS AND BONA FIDE PROGRAM FOR SOLICITING CONTRIBUTIONS AND CARRIES ON ACTIVITIES DESIGNED TO ATTRACT SUPPORT FROM THE GENERAL PUBLIC. SUCH SOLICITATION EFFORTS INCLUDE E-MAIL SOLICITATIONS, MAIL SOLICITATIONS AND IN-PERSON VISITS WITH POTENTIAL DONORS. THE ORGANIZATION HAS RECENTLY HIRED A NEW EXECUTIVE DIRECTOR WITH SIGNIFICANT FUNDRAISING EXPERIENCE AND THE ORGANIZATION IS WORKING ON DEVELOPING DIGITIAL MARKETING CAMPAIGNS DESIGNED TO DRIVE CONTRIBUTIONS, REINSTITUTING FUNDRAISING EVENTS, AS WELL AS A PROGRAM FOR SOLICITING GRANTS. CONSIDERING THE CURRENT YEAR ALONE, THE ORGANIZATION RAISED IN EXECESS OF 33 1/3 OF ITS SUPPORT FROM THE GENERAL PUBLIC. SO, WE HAVE ALREADY MADE SIGNIFICANT PROGRESS IN EXPANDING OUR SOURCES OF SUPPORT. | FactsAndCircumstancesTestTxt |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME - 2020 AMOUNT: $ 49. 2022 AMOUNT: $ 16. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Donor Advised Funds Held | 1 | DonorAdvisedFundsHeldCnt |
| Donor Advised Funds Contri | $0 | DonorAdvisedFundsContriAmt |
| Donor Advised Funds Grants | $18,200 | DonorAdvisedFundsGrantsAmt |
| Donor Advised Funds Vl EOY | $113,664 | DonorAdvisedFundsVlEOYAmt |
| Disclosed Org Leg Ctrl | Yes (1) | DisclosedOrgLegCtrlInd |
| Disclosed For Charitable Prps | Yes (1) | DisclosedForCharitablePrpsInd |
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $23,750 | BeginningYearBalanceAmt |
| End Year Balance | $23,750 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $29,262,542 | BeginningYearBalanceAmt |
| Contributions | $15,000 | ContributionsAmt |
| Investment Earnings Or Losses | $2,722,207 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $31,317,611 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $658,388 | AdministrativeExpensesAmt |
| End Year Balance | $23,750 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $34,117,086 | BeginningYearBalanceAmt |
| Contributions | $9,500 | ContributionsAmt |
| Investment Earnings Or Losses | -$4,275,139 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $588,905 | AdministrativeExpensesAmt |
| End Year Balance | $29,262,542 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,640,220 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $8,487,464 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $312,300 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $698,298 | AdministrativeExpensesAmt |
| End Year Balance | $34,117,086 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $27,201,322 | BeginningYearBalanceAmt |
| Contributions | $212,792 | ContributionsAmt |
| Investment Earnings Or Losses | $1,047,402 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,281,961 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $539,335 | AdministrativeExpensesAmt |
| End Year Balance | $26,640,220 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $610,000 | InvestmentCostOrOtherBasisAmt |
| Book Value | $610,000 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $610,000 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE LIABILITY | Desc |
| Amt | $6,588 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,588 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| SCHEDULE D, PART V, LINE 4 | THE FOUNDATION'S ENDOWMENT (THE ENDOWMENT) CONSISTS OF ONE FUND ESTABLISHED BY DONORS TO PROVIDE ANNUAL FUNDING FOR SPECIFIC ACTIVITIES. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| CREEK VALLEY HEALTH CLINIC | ||||||||
| 20 S COLVIN ST PO BOX 418 | COLORADO CITY | AZ | 86021 | 833039533 | 501(C)(3) | $90,000 | $0 | GRANT TO SUPPORT THE INTEGRATION OF DENTAL HEALTH WITH PHYSICAL AND MENTAL HEALTH AT A RURAL HEALTH CLINIC IN NORTHWEST ARIZONA |
| GRIFFITH BLUE HEART NON-PROFIT | ||||||||
| 5636 W TONOPAH DRIVE | GLENDALE | AZ | 85308 | 842908035 | 501(C)(3) | $109,000 | $0 | GRANT TO SUPPORT AND ADDRESS SUDDEN CARDIAC ARREST IN COLLABORATION WITH THE COCONINO COUNTY SHERIFF'S OFFICE OUTFITTING PATROL VEHICLES WITH AED'S AND PROVING HIGH IMPACT RESUSCITATION TO OFFICERS |
| HOPI FOUNDATION | ||||||||
| PO BOX 301 | KYKOTSMOVI | AZ | 86039 | 742488628 | 501(C)(3) | $45,000 | $0 | GRANT TO SUPPORT PROVIDING MENTAL AND BEHAVIROAL HEALTH SERVICES TO MEMBERS OF THE HOPI AND NAVAJO TRIBAL MEMBERS |
| KINGMAN HEALTHCARE INC DBA KINGMAN REGIONAL MEDICAL CENTER | ||||||||
| 3269 STOCKTON HILL ROAD | KINGMAN | AZ | 86409 | 942916102 | 501(C)(3) | $30,000 | $0 | GRANT TO SUPPORT RURAL HOSPITAL IN COMBATTING CHRONIC CONDITIONS THROUGH DIABETES MANAGEMENT AND ACCESS TO RELATED HEALTHCARE SERVICES AND RESOURCES. |
| TECHNICAL ASSISTANCE PARTNERSIP OF ARIZONA (TAPAZ) | ||||||||
| 2020 N CENTRAL AVE STE 720 | PHOENIX | AZ | 85004 | 860975231 | 501(C)(3) | $82,286 | $0 | GRANT TO SUPPORT PROVIDING ACCESS TO DENTAL HEALTH WHILE COMBATTING CHRONIC CONDITIONS WITH A MOBILE DENTAL CLINIC IN COCONINO COUNTY. |
| VERDE VALLEY CAREGIVERS | ||||||||
| 299 VAN DEREN ROAD STE 2 | SEDONA | AZ | 86336 | 860725787 | 501(C)(3) | $54,000 | $0 | GRANT TO SUPPORT COMBATTING CHRONIC CONDITIONS THROUGH NUTRITION AND MENTAL HEALTH SERVICES FOR SENIOR CITIZENS |
| WEST YAVAPAI GUIDANCE CENTER DBA POLARA HEALTH | ||||||||
| 3343 WINDSONG DR | PRESCOTT VALLEY | AZ | 86314 | 860206928 | 501(C)(3) | $90,000 | $0 | GRANT TO SUPPORT AN ORGANIZATION WHO IS ADDRESSING MENTAL AND BEHAVIORAL HEALTH ISSUES AND ACCESS TO HEALTHCARE SERVICES THROUGH A NURSE NAVIGATOR PROGRAM. |
| FLAGSTAFF MEDICAL CENTER | ||||||||
| 1200 N BEAVER STREET | FLAGSTAFF | AZ | 86001 | 860110232 | 501(C)(3) | $131,145 | $0 | GRANTS TO SUPPORT HOSPITAL DEPARTMENT INITIATIVES INCLUDING NATIVE AMERICAN INTERPRETER PROGRAM AND NURSING DAISY AWARDS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 5 | RecipientCnt |
| Cash Grant | $15,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION HAS A ROBUST OVERSIGHT PROGRAM TO MONITOR THE USE OF GRANT FUNDS, WHICH INCLUDES A COMPETITIVE GRANT CYCLE AND REQUIRES MID-TERM AND ANNUAL REPORTING BY THE GRANTEE AND ON-SIGHT INSPECTIONS BY ORGANIZATION PERSONNEL. 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. WE TRACK EACH GRANT AND SCHOLARSHIP AWARDED TO INDIVIDUALS. SCHOLARSHIPS WERE ALSO BASED ON THE PARAMETERS AND CRITERIA SET FORTH BY DONORS WHO HAD DEDICATED SCHOLARSHIP FUNDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SANDRA KOWALSKI | PersonNm |
| Title | PRESIDENT/CEO/DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $142,516 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $43,500 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $625 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $4,445 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $191,086 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE 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 7 | PRESIDENT/CEO BONUS IS DETERMINED BY THE BOARD IN ITS SOLE AND ABSOLUTE DISCRETION BASED ON FACTORS THAT INCLUDE, BUT ARE NOT LIMITED TO: EMPLOYEE'S SUCCESSFUL ATTAINMENT OF PERFORMANCE REQUIREMENTS AND GOALS ESTABLISHED BY THE BOARD, ACHIEVEMENT OF FINANCIAL GOALS ESTABLISHED BY THE BOARD, AND EMPLOYER'S OVERALL FINANCIAL POSITION AS DETERMINED ANNUALLY BY THE BOARD. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION AMENDED ITS BYLAWS TO REMOVE THE REQUIREMENT THAT 20% OF BOARD MEMBERS REPRESENTED ARE ELECTED BY NORTHERN ARIZONA HEALTHCARE. |
| FORM 990, PART VI, SECTION A, LINE 7A | NORTHERN ARIZONA HEALTHCARE CORPORATION HAD THE RIGHT TO APPOINT 20% OF THE TOTAL NUMBER OF VOTING MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS, ROUNDED UP TO THE NEAREST WHOLE NUMBER THROUGH JULY 17, 2023. BYLAWS WERE AMENDED ON JULY 17, 2023, TO REMOVE THAT REQUIREMENT. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM BASED ON DATA COMPILED BY THE FOUNDATION'S FINANCE DEPARTMENT. THE FINANCE CHAIR REVIEWS THE DRAFT FORM 990 AND PROVIDES ADDITIONAL COMMENTS. 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 12C | THE 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 15A | 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 2023. 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 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE. |
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