HACIENDA INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
HACIENDA INC (EIN 86-0253158)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-17
IRS object ID
202131379349311653
Schema version
2019v5.2
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)
Return2021-05-17T20:54:25-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN860271207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SCHMIDT WESTERGARD & COMPANY PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line177 WEST UNIVERSITY DRIVEAddressLine1Txt
CityMESACityNm
State AbbreviationAZStateAbbreviationCd
ZIP852015830ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN860253158EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HACIENDA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHACIBusinessNameControlTxt
Phone6022434231PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11402 E SOUTH MOUNTAIN AVENUEAddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85042ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPERRY PETRILLIPersonNm
Person TitleCEOPersonTitleTxt
Phone6022434231PhoneNum
Signature2021-05-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY A BITHERPreparerPersonNm
PTINP01428424PTIN
Phone4808346030PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPERRY PETRILLIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11402 E SOUTH MOUNTAIN AVENUEAddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85042ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$29,606,782GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.HACIENDAINC.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionPROVIDE SERVICES FOR HANDICAPPED AND CHRONICALLY ILL CHILDRENActivityOrMissionDesc
Voting Members Governing Body1VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee459TotalEmployeeCnt
Total Volunteers1TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$199,071PYContributionsGrantsAmt
CY Contributions Grants$11,760,904CYContributionsGrantsAmt
PY Program Service Revenue$20,665,536PYProgramServiceRevenueAmt
CY Program Service Revenue$17,506,724CYProgramServiceRevenueAmt
PY Investment Income-$961,188PYInvestmentIncomeAmt
CY Investment Income$8,768CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$19,903,419PYTotalRevenueAmt
CY Total Revenue$29,276,396CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,497,545PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,455,755CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,182,704PYOtherExpensesAmt
CY Other Expenses$6,677,943CYOtherExpensesAmt
PY Total Expenses$24,680,249PYTotalExpensesAmt
CY Total Expenses$22,133,698CYTotalExpensesAmt
PY Revenues Less Expenses-$4,776,830PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,142,698CYRevenuesLessExpensesAmt
Total Assets BOY$7,438,560TotalAssetsBOYAmt
Total Assets EOY$18,385,069TotalAssetsEOYAmt
Total Liabilities BOY$2,270,697TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,959,510TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,167,863NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,425,559NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDE SERVICES FOR HANDICAPPED AND CHRONICALLY ILL CHILDRENMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$12,141,259ExpenseAmt
Revenue$10,520,249RevenueAmt
DescINTERMEDIATE CARE FACILITY: THE ORGANIZATION OPERATES A STATE OF THE ART FACILITY WHICH OFFERS THREE SPECIALIZED PROGRAMS. THE HOSPITAL-TO-HOME PROGRAM PROVIDES SHORT-TERM MEDICAL INTERVENTION TO SPEED RECOVERY AND TO ALLOW PATEINTS TO RETURN HOME AS QUICKLY AS POSSIBLE. THIS PROGRAM ALSO PROVIDES FAMILY MEMBERS AND OTHER CAREGIVERS THE TRAINING NEEDED TO CARE FOR THEIR CHILD AT HOME. THE RESPITE CARE PROGRAM PROVIDES SHORT-TERM CARE TO PATIENTS WHILE FAMILIES TAKE TIMEOUT OR ATTEND TO OTHER MATTERS. THE RESIDENTIAL CARE PROGRAM PROVIES LONG-TERM CARE FOR CHRONICALLY ILL PATIENTS SUCH AS MEDICAL AND THERAPEUTIC SERVICES, ON CAMPUS AND PUBLIC SCHOOL EDUCATION, SOCIAL AND RECREATIONAL ACTIVITIES, AND PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,446,848ExpenseAmt
Revenue$5,762,308RevenueAmt
DescGROUP HOMES, MEDICAL GROUP HOMES: THE ORGANIZATION OPERATES EIGHT GROUP HOMES IN THE COMMUNITY; FIVE THAT ARE MEDICAL FACILITIES AND TWO TRADITIONAL GROUP HOMES AND ONE INDIVIDUAL DESIGNED LIVING ARRANGEMENT IDLA HOME.THE TWO TRADITIONAL GROUP HOMES OFFER 24-HOUR SUPERVISION, THE TEACHING OF HABILITATION SKILLS, DAILY LIVING SKILLS AND INTEGRATION INTO THE COMMUNITY.IN ADDITION TO THE OPPORTUNITIES PROVIDED IN THE TRADITIONAL GROUP HOME SETTING, THE MEDICAL GROUP HOME FACILITIES OFFER AROUND-THE-CLOCK MEDICAL SUPERVISION BY LICENSED PRACTICAL NURSES AND SUPERVISION BY A REGISTERED NURSE. THE INDIVIDUALS IN THESE HOMES REQUIRE SPECIFIC MEDICAL SUPERVISION BY TRAINED PERSONNEL.AS PARTICIPANTS BECOME READY TO GRADUATE THEY WILL BE GIVEN ASSISTANCE IN SECURING POST-PROGRAM EMPLOYMENT WHICH WILL INCLUDE PROVIDING THEM WITH A LETTER OF RECOMMENDATION THAT SPECIFIES THE TRAINING RECEIVED AND THE SKILLS THEY POSSESS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,624,649ExpenseAmt
Revenue$880,713RevenueAmt
DescTHE ORGANIZATION OPERATES A DAY TREATMENT JOB AND TRAINING PROGRAM IN PHOENIX, ARIZONA FOR ADULTS AND TEENAGERS WITH DEVELOPMENTAL DISABILITIES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$242,515ExpenseAmt
Revenue$314,580RevenueAmt
DescINDEPENDENT LIVING: THE ORGANIZATION OPERATES AN INDIVIDUAL LIVING PROGRAM WHICH IS DESIGNED TO PROVIDE ASSISTANCE TO PEOPLE WHO LIVE INDEPENDENTLY IN THEIR OWN HOME. PEOPLE WHO ARE SUPPORTED IN THE IDLA PROGRAM RECEIVE SUPPORT BASED ON THEIR LEVEL OF NEED. INDIVIDUALS MAY NEED SUPPORT RANGING FROM AS FEW AS FIVE HOURS PER WEEK TO AS MANY AS FIFTY HOURS PER WEEK. MEMBERS OF THE IDLA PROGRAM RENT OR OWN THEIR HOME AND PAY THE COST SASSOCIATED WITH LIVING EXPENSES THROUGH WAGES THEY EARN WORKING IN THEIR JOBS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$242,515TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$314,580TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$18,455,271TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
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 ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee459EmployeeCnt
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 Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
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 Members1GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldAZStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6022434231PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11402 E SOUTH MOUNTAIN AVENUEAddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85042ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DEBRA KULKAY
DIRECTOR OF REVENUE CYCLE40.00Yes (X)$121,716$0$2,771
LAURA WORTHY
FINANCE DIRECTOR40.00Yes (X)$152,291$0$2,444
LINDA STILLMAN
DIRECTOR OF HUMAN RESOURCE40.00Yes (X)$120,713$0$4,655
LORENA BOWERS
DIRECTOR OF RESPIRATORY40.00Yes (X)$112,851$0$4,447
MEL LIPSEY
DIRECTOR OF PROGRAM SERVICES40.00Yes (X)$103,146$0$2,511
PETER NICOLA
DIRECTOR IT40.00Yes (X)$101,574$0$2,940
TERESA DUNLAP
DIRECTOR OF NURSING, ICF40.00Yes (X)$137,780$0$3,539
PERRY PETRILLI
CEO40.00$251,885$0$0Yes (X)
HEATHER TEAFORD
RN40.00$115,928$0$4,852Yes (X)
SIERRA WALLWORK KAMELA
VP MARKETING/PR40.00$112,794$0$4,774Yes (X)
SILVIA SANDERSIUS
RN40.00$101,406$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,432,084TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$32,933TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$11,498,625RelatedOrganizationsAmt
Government Grants$179,283GovernmentGrantsAmt
All Other Contributions$82,996AllOtherContributionsAmt
Noncash Contributions$8,080,913NoncashContributionsAmt
Total Contributions$11,760,904TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GOVERNMENT PATIENT SERVICE REVENU623990$17,245,200$17,245,200
MEALS INCOME900099$254,768$254,768
MANAGEMENT FEE561000$6,473$6,473
PRIVATE PATIENT SERVICE REVENUE623990$283$283
FieldValueIRS element (for citing)
Total Program Service Revenue$17,506,724TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,936TotalRevenueColumnAmt
Exclusion$34,936ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$302,468SecuritiesAmt
Other$1,750OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$299,762SecuritiesAmt
Other$30,624OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,706SecuritiesAmt
Other-$28,874OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$26,168TotalRevenueColumnAmt
Related Or Exempt Func Income-$28,874RelatedOrExemptFuncIncomeAmt
Exclusion$2,706ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,276,396TotalRevenueColumnAmt
Related Or Exempt Func Income$17,477,850RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$37,642ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,126,864TotalAmt
Management And General$1,126,864ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,523,296TotalAmt
Program Services$11,381,464ProgramServicesAmt
Management And General$141,832ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$242,739TotalAmt
Program Services$230,871ProgramServicesAmt
Management And General$11,868ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,590,483TotalAmt
Program Services$1,430,016ProgramServicesAmt
Management And General$160,467ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$972,373TotalAmt
Program Services$788,994ProgramServicesAmt
Management And General$183,379ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$397,412TotalAmt
Management And General$397,412ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$47,421TotalAmt
Management And General$47,421ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,437TotalAmt
Management And General$1,437ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$761,457TotalAmt
Program Services$733,156ProgramServicesAmt
Management And General$28,301ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$44,096TotalAmt
Program Services$11,102ProgramServicesAmt
Management And General$32,994ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,864TotalAmt
Program Services$2,020ProgramServicesAmt
Management And General$4,844ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$57,372TotalAmt
Program Services$5,402ProgramServicesAmt
Management And General$51,970ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$683,681TotalAmt
Program Services$639,695ProgramServicesAmt
Management And General$43,986ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,552TotalAmt
Management And General$1,552ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$748,048TotalAmt
Program Services$704,233ProgramServicesAmt
Management And General$43,815ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$900,791TotalAmt
Program Services$786,618ProgramServicesAmt
Management And General$114,173ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
SETTLEMENT$1,000,000$1,000,000
SUPPLIES$789,487$54,187$735,300
EQUIPMENT EXPENSE$277,361$65,324$212,037
BAD DEBT EXPENSE$259,163$259,163

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$701,801TotalAmt
Program Services$535,200ProgramServicesAmt
Management And General$166,601ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,133,698TotalAmt
Program Services$18,455,271ProgramServicesAmt
Management And General$3,678,427ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,086,345BOYAmt
EOY$5,705,359EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,572,368BOYAmt
EOY$1,415,568EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$96,587BOYAmt
EOY$221,813EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$453,639BOYAmt
EOY$513,983EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$16,882,228LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,618,293LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,706,370BOYAmt
EOY$10,263,935EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$317,454BOYAmt
EOY$264,411EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$205,797BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,438,560BOYAmt
EOY$18,385,069EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,463,292BOYAmt
EOY$1,227,073EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$68,567BOYAmt
EOY$61,923EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$15,165,613EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$738,838BOYAmt
EOY$504,901EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,270,697BOYAmt
EOY$16,959,510EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,126,302BOYAmt
EOY$1,394,647EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$41,561BOYAmt
EOY$30,912EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,167,863BOYAmt
EOY$1,425,559EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,438,560BOYAmt
EOY$18,385,069EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$7,142,698ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$10,646NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$10,895,648PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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 Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$267,606CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$684,047CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$395,974CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$199,071CurrentTaxYearMinus1YearAmt
Current Tax Year$11,760,904CurrentTaxYearAmt
Total$13,307,602TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,269,538CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,894,872CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,551,025CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,665,536CurrentTaxYearMinus1YearAmt
Current Tax Year$17,506,724CurrentTaxYearAmt
Total$107,887,695TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,537,144CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,578,919CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,946,999CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,864,607CurrentTaxYearMinus1YearAmt
Current Tax Year$29,267,628CurrentTaxYearAmt
Total$121,195,297TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,200CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,550CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,700CurrentTaxYearMinus1YearAmt
Current Tax Year$1,750CurrentTaxYearAmt
Total$47,700TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,200CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,550CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,700CurrentTaxYearMinus1YearAmt
Current Tax Year$1,750CurrentTaxYearAmt
Total$47,700TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$121,147,597PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,388CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,870CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,327CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,690CurrentTaxYearMinus1YearAmt
Current Tax Year$34,936CurrentTaxYearAmt
Total$66,211TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,388CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,870CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,327CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,690CurrentTaxYearMinus1YearAmt
Current Tax Year$34,936CurrentTaxYearAmt
Total$66,211TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,406CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$74,547CurrentTaxYearMinus3YearsAmt
Total$77,953TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,546,938CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,660,336CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,956,326CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,873,297CurrentTaxYearMinus1YearAmt
Current Tax Year$29,302,564CurrentTaxYearAmt
Total$121,339,461TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99840PublicSupportCY509Pct
Public Support PY5090.99860PublicSupportPY509Pct
Investment Income CY0.00050InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$38,279BeginningYearBalanceAmt
End Year Balance$38,279EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$41,561BeginningYearBalanceAmt
Other Expenditures$3,282OtherExpendituresAmt
End Year Balance$38,279EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$104,076BeginningYearBalanceAmt
Contributions$54,089ContributionsAmt
Other Expenditures$116,604OtherExpendituresAmt
End Year Balance$41,561EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,942BeginningYearBalanceAmt
Contributions$299,522ContributionsAmt
Other Expenditures$211,388OtherExpendituresAmt
End Year Balance$104,076EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$74,000OtherCostOrOtherBasisAmt
Book Value$74,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,130,384OtherCostOrOtherBasisAmt
Depreciation$2,079,297DepreciationAmt
Book Value$7,051,087BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,580,227OtherCostOrOtherBasisAmt
Depreciation$1,624,440DepreciationAmt
Book Value$1,955,787BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,844,607OtherCostOrOtherBasisAmt
Depreciation$1,592,918DepreciationAmt
Book Value$251,689BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,253,010OtherCostOrOtherBasisAmt
Depreciation$1,321,638DepreciationAmt
Book Value$931,372BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,263,935TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DEFERRED COMPENSATION LIABILITY$264,411
DEFERRED SEVERANCE$240,490
FieldValueIRS element (for citing)
Total Liability$504,901TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$17,526,175TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$10,646NetUnrealizedGainsInvstAmt
Other Revenue-$260,600OtherRevenueAmt
Revenue Not Reported-$249,954RevenueNotReportedAmt
Revenue Subtotal$17,776,129RevenueSubtotalAmt
Other Revenues Not Included$11,500,267OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$11,500,267RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$29,276,396TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,842,582TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$1,642OtherExpensesIncludedAmt
Expenses Not Reported-$1,642ExpensesNotReportedAmt
Expenses Subtotal$20,844,224ExpensesSubtotalAmt
Other Expenses Not Included$1,289,474OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,289,474ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$22,133,698TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "IRC") AND SIMILAR STATE PROVISIONS. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A)(III) OF THE IRC AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(1) OF THE IRC. THE ORGANIZATION HAS PROVIDED FOR INCOME TAXES ON ITS UNRELATED BUSINESS INCOME, WHICH HAVE NOT BEEN SIGNIFICANT, AS REQUIRED BY SECTION 512 OF THE CODE. THE ORGANIZATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON WHETHER IT IS "MORE-LIKELY-THAN-NOT" THAT THE POSITION WILL BE SUSTAINED BY THE TAXING AUTHORITY UPON EXAMINATION. THE ORGANIZATION ROUTINELY EVALUATES POTENTIAL UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAS IDENTIFIED ITS STATUS AS AN EXEMPT ORGANIZATION AS A TAX POSITION; HOWEVER, THE ORGANIZATION HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY THAT REQUIRES RECOGNITION. THE ORGANIZATION FILES INFORMATIONAL AND INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF ARIZONA. AS OF JUNE 30, 2020, U.S. FEDERAL INFORMATIONAL AND INCOME TAX RETURNS FOR YEARS ENDED PRIOR TO JUNE 30, 2017 AND STATE RETURNS FOR YEARS ENDED PRIOR TO JUNE 30, 2016 ARE CLOSED TO ASSESSMENT. INTEREST AND PENALTIES, IF ANY, ARE ACCRUED AS A COMPONENT OF MANAGEMENT AND GENERAL EXPENSES WHEN ASSESSED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSE INCLUDED IN EXPENSES -259,163. INVESTMENT FEE INCLUDED IN EXPENSES -1,437.
PART XI, LINE 4B - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF PROPERTY REPORTED AS REVENUE -28,874. RELATED PARTY CONTRIBUTIONS 11,498,625. INTEREST INCOME 30,516.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF PROPERTY REPORTED AS REVENUE 28,874. INTEREST -30,516.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE INCLUDED IN EXPENSES 259,163. FINE 1,000,000. INVESTMENT FEE INCLUDED IN EXPENSES 1,437. OTHER 28,874.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
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 Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 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
LAURA WORTHY
FINANCE DIRECTOR$152,291$0$0$0$0$0$0$0$2,444$0$154,735$0$0$0
PERRY PETRILLI
CEO$251,885$0$0$0$0$0$0$0$0$0$251,885$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationHACIENDA HEALTHCARE COMPLETES AN ANNUAL EXECUTIVE COMPENSATION COMPARABILITY DATA STUDY TO ENSURE THAT THE VALUE OF THE SERVICES PROVIDED BY ITS EXECUTIVES IS COMMENSURATE WITH THEIR COMPENSATION. THIS ANNUAL PROCESS DOCUMENTS HOW IMPORTANT THIS MATTER IS TO HACIENDA HEALTHCARE. IN ARIZONA MOST NON-PROFIT ORGANIZATIONS ONLY DO AN EXECUTIVE COMPENSATION ANALYSIS EVERY 3-5 YEARS WITH EVERY 3 YEARS BEING THE AUDITORS' RECOMMENDATION AND EVERY 5 YEARS BEING ACCEPTABLE. THE REASON THAT HACIENDA HEALTHCARE DOES ANNUAL EXECUTIVE COMPENSATION COMPARABILITY DATA STUDIES IS BECAUSE THE ALREADY COMPLEX AND MULTI-FACETED SERVICE DELIVERY SYSTEM CONTINUES TO GROW. HACIENDA HEALTHCARE IS A COMPLEX, MULTI-FACETED HEALTH CARE AND SOCIAL SERVICE DELIVERY SYSTEM THAT PROVIDES 4 PROGRAMS THROUGHOUT THE STATE OF ARIZONA, MANY OF WHICH ARE ONE-OF-A-KIND. THUS, A THREE COMPONENT EXECUTIVE COMPENSATION COMPARABILITY DATA STUDY IS USED. IT INCLUDES TWO SALARY/PAYROLL WEBSITES AND A THOROUGH COMPENSATION COMPARABILITY STUDY USING 990'S FROM APPROXIMATELY 50 NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS THAT SHARE A NUMBER OF COMMON VARIABLES WITH HACIENDA HEALTHCARE. WE CONSIDERED THE UTILIZATION OF REBUTTABLE PRESUMPTION STUDIES AS ANOTHER WAY TO DETERMINE APPROPRITAE EXECUTIVE COMPENSATION. WE DETERMINED THAT A COMPARABLE ORGANIZATION WOULD HAVE TO BE SIMILAR TO HACIENDA HEALTHCARE IN 12 WAYS IN ORDER TO BE VALID. WE REQUESTED THE NAMES OF SEVERAL COMPANIES THAT PERFORM REBUTTABLE PRESUMPTION STUDIES. WE WERE PROVIDED FOUR NAMES. NONE OF THE COMPANIES WE CONTACTED WERE WILLING TO CONTRACT WITH HACIENDA HEALTHCARE SINCE THEY DID NOT FEEL THEY COULD MEET THE 12 CATEGORIES REQUIREMENT. THE HACIENDA HEALTHCARE BOARD OF DIRECTORS APPROVES CHANGES IN EXECUTIVE COMPENSATION ANNUALLY BEFORE THE CHANGES TAKE PLACE. THE ANNUAL EXECUTIVE COMPENSATION COMPARABILITY DATA STUDY AND THE BOARD OF DIRECTORS' APPROVAL OF EXECUTIVE COMPENSATION ARE THOROUGHLY DOCUMENTED.ExplanationTxt

Schedule M IRS990ScheduleM

Real Estate Other RealEstateOtherGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$7,735,886NoncashContributionsRptF990Amt
Method Of Determining RevenuesASSET NET BOOK VALUEMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4088ContributionCnt
Noncash Contributions Rpt F990$12,578NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (6 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)EQUIPMENT105$120,710ASSET NET BOOK VALUE
Yes (X)INVENTORY1$118,729COST
Yes (X)FURNITURE & FIXTURES57$73,260ASSET NET BOOK VALUE
Yes (X)FURNITURE1$19,000COST
Yes (X)TICKETS15$375COST
Yes (X)GIFT CARDS15$375COST
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3DUE TO COVID CONCERNS MANY NEW PROCEDURES WERE PUT INTO PLACE TO PROTECT EMPLOYEE IN CLIENTS INCLUDING THE ADDITION OF AN ISOLATION WARD, COMMITTEE, CLEANING PROCEDURES, ADDITIONAL PPE, SANITATION EQUIPMENT, ADMITTANCE OF OUTSIDE PERSONS, DAILY TEMPURTURE CHECKS AND TESTING. DTA AND TRANSPORTATION TO OUTSIDE ENTITIES CEASED DURING PEAK MONTHS AND ADMINISTRATIVE EMPLOYEES WENT REMOTE.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S CEO WILL REVIEW AND APPROVE THE FORM 990 PRIOR TO FILING. THEY WILL THEN REVIEW THE FINAL FORM 990 WITH THE ENTIRE BOARD.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT ADDRESSES THE CONSIDERATION OF POTENTIAL CONFLICTS OF INTEREST BY THE BOARD OF DIRECTORS, COMMITTEE MEMBERS, KEY EMPLOYEES, AND THEIR RELATIVES. AS PER THE POLICY, SUCH PERSONS MUST MAKE DISCLOSURE OF ANY POTENTIAL CONFLICTS OF INTEREST AND MUST ABSTAIN FROM VOTING ON ANY ACTION IN WHICH THEY MAY HAVE AN INTEREST. ON AN ANNUAL BASIS, ALL BOARD MEMBERS ARE REQUIRED TO SIGN OFF ON AN ANNUAL CONFLICT OF INTEREST FORM, EITHER STATING ANY KNOWN CONFLICTS, OR STATING THAT THERE ARE NONE.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS DETERMINES REASONABLE AND APPROPRIATE SALARIES FOR KEY EMPLOYEES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION GENERALLY DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
LOS NINOS HOSPITAL INC
1402 E SOUTH MOUNTAIN AVEPHOENIXAZ85042860892673NON-PROFIT CHILDREN'S HOSPITALAZ501(C)(3)LINE 3N/A0
HACIENDA SKILLED NURSING FACILITY INC
1402 E SOUTH MOUNTAIN AVEPHOENIXAZ85042141906233NURSING CARE & RESPIRATORY INTERVENTIONAZ501(C)(3)LINE 10N/A0
HACIENDA CHILDRENS HOSPITAL INC
1402 E SOUTH MOUNTAIN AVEPHOENIXAZ85042473035370NON-PROFIT CHILDREN'S HOSPITALAZ501(C)(3)LINE 3N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
SOUTH MOUNTAIN HEALTH SUPPLY
1402 E SOUTH MOUNTAIN AVEPHOENIXAZ85042860858893MEDICAL SUPPLY COMPANYAZN/AC0
INNOVATIVE HOME HEALTH INC
1402 E SOUTH MOUNTAIN AVEPHOENIXAZ85042262398755HOME HEALTH NURSING SERVICESAZN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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