HEALTH FIRST FOUNDATION-NORTHERN ARIZONA: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH FIRST FOUNDATION-NORTHERN ARIZONA (EIN 81-3137336)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-15
- IRS object ID
- 201901359349313170
- Schema version
- 2017v2.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-15T17:47:06-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | 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 | 1850 N CENTRAL AVE STE 400 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 850044624 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 813137336 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHERN ARIZONA HEALTHCARE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 9287732093 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1030 N SAN FRANCISCO ST STE 103 | AddressLine1Txt |
| City | FLAGSTAFF | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86001 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KARLA JACOBSEN | PersonNm |
| Person Title | FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 9287732093 | PhoneNum |
| Signature | 2019-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRENDA BLUNT | PreparerPersonNm |
| PTIN | P00075126 | PTIN |
| Phone | 6022645844 | PhoneNum |
| Preparation | 2019-05-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 8.39.233.205 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-15 | IPDt |
| IP Tm | 15:14:46 | IPTm |
| IP Timezone | US | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 0F92C7FECF68049E352FD4A666506CAC7CBA4EE2 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D4504F3418A69B1F64DD2B85EBC785D26ACEAFAF | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KARLA JACOBSEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1030 N SAN FRANCISCO ST STE 103 | AddressLine1Txt |
| City | FLAGSTAFF | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,440,099 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NAHEALTHFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2016 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF NORTHERN ARIZONA HEALTHCARE FOUNDATION ("NAHF") IS TO SUPPORT NORTHER ARIZONA HEALTHCARE CORPORATION ("NAHC"), WHILE ADVANCING COMMUNITY HEALTHCARE PRIORITIES. THE VISION IS A FUTURE WHERE EVERY PERION IN OUR REGION HAS EQUAL ACCESS TO QUALITY HEALTHCARE AND OPPORTUNITY TO ACHIEVE THEIR HIGHEST LEVEL OF HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 135 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $39,253,973 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,600,391 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $484,940 | PYInvestmentIncomeAmt |
| CY Investment Income | $731,174 | CYInvestmentIncomeAmt |
| PY Other Revenue | $19,800 | PYOtherRevenueAmt |
| CY Other Revenue | -$47,701 | CYOtherRevenueAmt |
| PY Total Revenue | $39,758,713 | PYTotalRevenueAmt |
| CY Total Revenue | $11,283,864 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,877,693 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,262,920 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,427,178 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,523,605 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,127,025 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $415,076 | PYOtherExpensesAmt |
| CY Other Expenses | $654,644 | CYOtherExpensesAmt |
| PY Total Expenses | $3,719,947 | PYTotalExpensesAmt |
| CY Total Expenses | $4,441,169 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $36,038,766 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,842,695 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $38,337,762 | TotalAssetsBOYAmt |
| Total Assets EOY | $49,210,411 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $521,173 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,614,938 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $37,816,589 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $46,595,473 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF NORTHERN ARIZONA HEALTHCARE FOUNDATION ("NAHF") IS TOSUPPORT NORTHERN ARIZONA HEALTHCARE CORPORATION ("NAHC"), WHILE ADVANCING COMMUNITY HEALTHCARE PRIORITIES. THE VISION IS A FUTURE WHERE EVERY PERSON IN OUR REGION HAS EQUAL ACCESS TO QUALITY HEALTHCARE AND AN OPPORTUNITY TO ACHIEVE THEIR HIGHEST LEVEL OF HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,316,840 | ExpenseAmt |
| Grant | $1,237,893 | GrantAmt |
| Desc | THE 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 2017 TAX YEAR, THE FOUNDATION MADE CONTRIBUTIONS, AWARDS, AND GRANTS TO NORTHERN ARIZONA HEALTHCARE, FLAGSTAFF MEDICAL CENTER, VERDE VALLEY MEDICAL CENTER, AND OTHER NONPROFIT ORGANIZATIONS THAT ADVANCE THE COMMUNITY HEALTH PRIORITIES OF NORTHERN ARIZONA HEALTHCARE AND SUPPORT THE HEALTH AND WELL-BEING OF PEOPLE THROUGHOUT THE NORTHERN ARIZONA COMMUNITY. MORE THAN 80,000 LIVES WERE IMPACTED THROUGH FOUNDATION EFFORTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $882,955 | ExpenseAmt |
| Grant | $830,020 | GrantAmt |
| Desc | DURING THE 2017 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 BEHAVIORAL HEALTH, CHILDREN'S HEALTH, CARDIOVASCULAR SERVICES, CANCER CARE, PALLIATIVE AND HOSPICE CARE, EMERGENCY CARE, RESEARCH AND DEVELOPMENT, AND PATIENT, FAMILY AND COLLEAGUE ASSISTANCE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $207,445 | ExpenseAmt |
| Grant | $195,007 | GrantAmt |
| Desc | DURING THE 2017 TAX YEAR, THE FOUNDATION BEGAN FUNDING THE CONSTRUCTION OF A NEW HEALTHCARE CENTER FOR THE WILLIAMS HOSPITAL DISTRICT OF COCONINO COUNTY THAT, WHEN COMPLETED, WILL PROVIDE HEALTHCARE SERVICES TO RESIDENTS OF THE CITY OF WILLIAMS, ARIZONA, AND OUTLYING AREAS SUCH AS TUSAYAN, RED LAKE, ASH FORK, AND PARKS, ARIZONA. THE FOUNDATION HAS COMMITTED TO FUND UP TO $6 MILLION FOR THE CONSTRUCTION OF THIS FACILITY | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $2,407,240 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | 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 | Yes (1) | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Distribution To Donor | 0 | DistributionToDonorInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | 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 | 0 | 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 |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KARLA AMBLER JACOBSEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9287732093 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1030 N SAN FRANCISCO ST STE 103 | AddressLine1Txt |
| City | FLAGSTAFF | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86001 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| RICHARD SMITH | ||||||
| PRESIDENT/CEO/DIRECTOR | 40.00 | Yes (X) | Yes (X) | $339,898 | $0 | $68,737 |
| CHRIS BAVASI | ||||||
| CHAIR/DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DEIRDE MELDRUM | ||||||
| VICE CHAIR/DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RICHARD CRANMER CPA ATA ATP | ||||||
| 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) | Yes (X) | $0 | $0 | $0 |
| WILLIAM HICKS III ESQ | ||||||
| DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RICHARD KRUSE | ||||||
| DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KARLA JACOBSON | ||||||
| FINANCIAL OFFICER | 40.00 | Yes (X) | $79,726 | $0 | $1,671 | |
| JOE WAGNER | ||||||
| FINANCIAL OFFICER(THRU 4/18) | 40.00 | Yes (X) | $59,589 | $0 | $780 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $479,213 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $71,188 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $418,261 | FundraisingAmt |
| All Other Contributions | $10,182,130 | AllOtherContributionsAmt |
| Noncash Contributions | $79,014 | NoncashContributionsAmt |
| Total Contributions | $10,600,391 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $731,174 | TotalRevenueColumnAmt |
| Exclusion | $731,174 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $104,398 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $418,261 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $156,235 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$51,837 | TotalRevenueColumnAmt |
| Exclusion | -$51,837 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $4,136 | TotalRevenueColumnAmt |
| Exclusion | $4,136 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,136 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,283,864 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $683,473 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,236,220 | TotalAmt |
| Program Services | $2,236,220 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,700 | TotalAmt |
| Program Services | $26,700 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,228,084 | TotalAmt |
| Program Services | $112,493 | ProgramServicesAmt |
| Management And General | $382,425 | ManagementAndGeneralAmt |
| Fundraising | $733,166 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,635 | TotalAmt |
| Program Services | $20,027 | ProgramServicesAmt |
| Management And General | $68,083 | ManagementAndGeneralAmt |
| Fundraising | $130,525 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,886 | TotalAmt |
| Program Services | $7,043 | ProgramServicesAmt |
| Management And General | $23,942 | ManagementAndGeneralAmt |
| Fundraising | $45,901 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,965 | TotalAmt |
| Management And General | $129,965 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,877 | TotalAmt |
| Management And General | $11,877 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,309 | TotalAmt |
| Management And General | $79,800 | ManagementAndGeneralAmt |
| Fundraising | $31,509 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,538 | TotalAmt |
| Program Services | $1,000 | ProgramServicesAmt |
| Management And General | $15,942 | ManagementAndGeneralAmt |
| Fundraising | $15,596 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,381 | TotalAmt |
| Management And General | $25,977 | ManagementAndGeneralAmt |
| Fundraising | $1,404 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,751 | TotalAmt |
| Management And General | $63,751 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,558 | TotalAmt |
| Program Services | $3,757 | ProgramServicesAmt |
| Management And General | $17,374 | ManagementAndGeneralAmt |
| Fundraising | $20,427 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,757 | TotalAmt |
| Fundraising | $5,757 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,178 | TotalAmt |
| Fundraising | $11,178 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,391 | TotalAmt |
| Management And General | $14,391 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,541 | TotalAmt |
| Management And General | $8,541 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| EVENT EXPENSES | $103,323 | $103,323 | |
| BOARD EXPENSE | $53,179 | $53,179 | |
| DONOR CULTIVATION | $20,825 | $20,825 | |
| PURCHASED SERVICES | $11,294 | $6,661 | $4,633 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,777 | TotalAmt |
| Management And General | $7,024 | ManagementAndGeneralAmt |
| Fundraising | $753 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,441,169 | TotalAmt |
| Program Services | $2,407,240 | ProgramServicesAmt |
| Management And General | $906,904 | ManagementAndGeneralAmt |
| Fundraising | $1,127,025 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,076,342 | BOYAmt |
| EOY | $892,497 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,001,141 | BOYAmt |
| EOY | $10,706,698 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,041,799 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,290,640 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,659 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $31,133 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $24,472 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,052 | BOYAmt |
| EOY | $6,661 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,928,928 | BOYAmt |
| EOY | $34,547,756 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,000 | BOYAmt |
| EOY | $15,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,337,762 | BOYAmt |
| EOY | $49,210,411 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $477,298 | BOYAmt |
| EOY | $414,774 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $206,621 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,875 | BOYAmt |
| EOY | $51,285 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,942,258 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $521,173 | BOYAmt |
| EOY | $2,614,938 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,593,867 | BOYAmt |
| EOY | $13,601,492 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,628,115 | BOYAmt |
| EOY | $10,239,424 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,594,607 | BOYAmt |
| EOY | $22,754,557 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,816,589 | BOYAmt |
| EOY | $46,595,473 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,337,762 | BOYAmt |
| EOY | $49,210,411 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $6,842,695 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,936,189 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | 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 Minus1 Year | $39,264,578 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,600,391 | CurrentTaxYearAmt |
| Total | $49,864,969 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $39,264,578 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,600,391 | CurrentTaxYearAmt |
| Total | $49,864,969 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $4,706,171 | SubstantialContributorsTotAmt |
| Public Support Total170 | $45,158,798 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $484,940 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $731,174 | CurrentTaxYearAmt |
| Total | $1,216,114 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $19,800 | CurrentTaxYearMinus1YearAmt |
| Total | $19,800 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $4,136 | CurrentTaxYearAmt |
| Total | $4,136 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $51,105,019 | TotalSupportAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
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 - 2017 AMOUNT: $ 4,136. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Donor Advised Funds Held | 5 | DonorAdvisedFundsHeldCnt |
| Donor Advised Funds Contri | $1,221,000 | DonorAdvisedFundsContriAmt |
| Donor Advised Funds Grants | $640,666 | DonorAdvisedFundsGrantsAmt |
| Donor Advised Funds Vl EOY | $26,229,421 | 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 | $23,136,444 | BeginningYearBalanceAmt |
| Contributions | $1,159,950 | ContributionsAmt |
| Investment Earnings Or Losses | $2,134,416 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,136,971 | OtherExpendituresAmt |
| Administrative Expenses | $415,097 | AdministrativeExpensesAmt |
| End Year Balance | $25,708,936 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $21,700,507 | ContributionsAmt |
| Investment Earnings Or Losses | $2,211,007 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $775,070 | AdministrativeExpensesAmt |
| End Year Balance | $23,136,444 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $31,133 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $24,472 | DepreciationAmt |
| Book Value | $6,661 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,661 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO NORTHERN ARIZONA HEALTHCARE CORPORATION | $1,813,391 |
| 457 EMPLOYER LIABILITY | $128,867 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,942,258 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $13,366,549 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,936,189 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $2,138 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $156,235 | OtherRevenueAmt |
| Revenue Not Reported | $2,094,562 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,271,987 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $11,877 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $11,877 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,283,864 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,587,665 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $2,138 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $156,235 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $158,373 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,429,292 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $11,877 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $11,877 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,441,169 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 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. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EXPENSES |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EXPENSES |
| SCHEDULE D, PART V, LINE 4 | THE NORTHERN ARIZON 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | TURQUOISE BALL | Event1Nm |
| Gross Receipts Event1 | $219,355 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $170,333 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $49,022 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $1,558 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $5,259 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $29,155 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $4,333 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $23,727 | OtherDirectExpensesEvent1Amt |
| Event2 | COPPER BALL | Event2Nm |
| Gross Receipts Event2 | $120,565 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $97,197 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $23,368 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $0 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $139 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $3,007 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $0 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $750 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $6,539 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 6 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $182,739 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $150,731 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $32,008 | GrossRevenueOtherEventsAmt |
| Cash Prizes Other Events | $5,080 | CashPrizesOtherEventsAmt |
| Non Cash Prizes Other Events | $6,283 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $38,296 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $2,078 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $0 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $30,031 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $522,659 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $418,261 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $104,398 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $5,080 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $7,980 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $46,562 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $31,233 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $5,083 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $60,297 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $156,235 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$51,837 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| AMERICAN RED CROSS OF NORTHERN ARIZONA | |||||||
| 1750 RAILROAD SPRINGS BLVD | FLAGSTAFF | AZ | 86001 | 530196605 | 501(C)(3) | $5,000 | COMMUNITY LEARDER BREAKFAST TO RAISE AWARENESS OF AMERICAN RED CROSS NORTHERN ARIZONA CHAPTER |
| ARIZONA COMMUNITY FOUNDATION OF SEDONA | |||||||
| 2201 E CAMELBACK RD STE 405B | PHOENIX | AZ | 85016 | 860348306 | 501(C)(3) | $20,000 | VERDE VALLEY IMAGINATION LIBRARY |
| ARIZONA'S CHILDREN ASSOCIATION | |||||||
| 3716 E COLUMBIA STREET | TUCSON | AZ | 85714 | 860096772 | 501(C)(3) | $7,933 | COMMUNITY DEVELOPMENTAL SCREENING |
| BIG BROTHERS BIG SISTERS | |||||||
| 102 W HUNT AVENUE | FLAGSTAFF | AZ | 86001 | 237170086 | 501(C)(3) | $8,000 | SPONSOR FUNDRAISING EVENT |
| BOYS & GIRLS CLUB OF NORTHERN ARIZONA | |||||||
| 301 S PASEO DEL FLAG | FLAGSTAFF | AZ | 86001 | 860688398 | 501(C)(3) | $12,545 | COMMUNITY HEALTHY LIFESTYLES PROGRAM |
| COCONINO COMMUNITY COLLEGE | |||||||
| 3000 N 4TH STREET 17 | FLAGSTAFF | AZ | 86004 | 860686666 | COCONINO COMMUNITY C | $100,000 | NURSING & ALLIED HEALTH PROGRAMS |
| CAMP VERDE UNIFIED SCHOOL DISTRICT | |||||||
| 510 CAMP LINCOLN RD | CAMP VERDE | AZ | 86322 | 866003046 | CAMP VERDE UNIFIED S | $24,322 | FIT KIDS AT SCHOOL |
| CATHOLIC CARITIES COMMUNITY SERVICES INC | |||||||
| 2101 N 4TH STREET | FLAGSTAFF | AZ | 86004 | 860223999 | 501(C)(3) | $40,000 | CLOSING THE GAP HOUSE COLLABORATION TO PROVIDE HOUSING TO PEOPLE SUFFERING FROM SUBSTANCE ABUSE AND HOMELESSNESS |
| CITY OF COTTONWOOD | |||||||
| 816 N MAIN STREET | COTTONWOOD | AZ | 86326 | 866007877 | CITY OF COTTONWOOD | $10,000 | LOOKING GOOD COTTONWOOD PROGRAM |
| FLAGSTAFF CHAMBER OF COMMERCE FOUNDATION | |||||||
| 101 W ROUTE 66 | FLAGSTAFF | AZ | 86001 | 860020635 | 501(C)(3) | $5,000 | ANNUAL MEETING SPONSOR |
| SEDONA CHAMBER OF COMMERCE | |||||||
| PO BOX 478 | SEDONA | AZ | 86339 | 860134659 | 501(C)(6) | $15,000 | SUPPORT FUNDRAISING MARATHON |
| SEDONA INTERNATIONAL FILMFEST | |||||||
| PO BOX 478 | SEDONA | AZ | 86339 | 860134659 | 501(C)(6) | $20,000 | SUPPORT HEALTHCARE MARATHON |
| NORTH COUNTRY HEALTHCARE INC | |||||||
| 2920 N 4TH STEET | FLAGSTAFF | AZ | 86004 | 860663432 | 501(C)(3) | $27,000 | SUPPORT DOMESTIC VIOLENCE PROGRAMS |
| WILIAMS HOSPITAL DISTRICT OF COCONINO COUNTY | |||||||
| 3000 N 4TH STREET 5 | FLAGSTAFF | AZ | 86004 | 866000441 | WILIAMS HOSPITAL DIS | $195,007 | FUND CONSTRUCTION OF A NEW HEALTHCARE CENTER TO PROVIDE ACCESS TO HEALTHCARE SERVICES TO RESIDENTS OF THE CITY OF WILLIAMS AND OUTLYING AREAS SUCH AS TUSAYAN, RED LAKE, ASH FORK AND PARKS. |
| FLAGSTAFF MEDICAL CENTER | |||||||
| 1200 BEAVER STREET | FLAGSTAFF | AZ | 86001 | 860110232 | 501(C)(3) | $413,415 | SUPPORT HOSPITAL DEPARTMENT INITIATIVES INCLUDING CHILDREN'S HEALTH, EMERGENCY SERVICES, PALLIATIVE/HOSPICE CARE, RESEARCH & EDUCATION AND OTHER COMMUNITY SUPPORT |
| FLAGSTAFF SYMPHONY ASSOCIATION | |||||||
| PO BOX 122 | FLAGSTAFF | AZ | 86002 | 860186038 | 501(C)(3) | $20,000 | SPONSORSHIP |
| NORTHERN ARIZONA UNIVERSITY | |||||||
| PO BOX 122 | FLAGSTAFF | AZ | 86002 | 900776492 | 501(C)(3) | $135,000 | SUPPORT PROGRAMS PROVIDING HEALTHCARE AND BEHAVIORAL HEALTH TO NAU ATHLETES AND FUNDING NAU NURSING PROGRAM |
| NORTHERN ARIZONA ADAPTIVE SPORTS ASSOCIATION | |||||||
| PO BOX 1903 | FLAGSTAFF | AZ | 86002 | 866004791 | 501(C)(3) | $15,000 | SUPPORT SNOWBOWL ADAPTIVE SPORTS PROGRAM TO TRAIN INSTRUCTORS AND PROVIDE SNOW EXPERIENCES TO INDIVIDUALS WITH DISABILITIES |
| NORTHERN ARIZONA HEALTHCARE | |||||||
| 1200 BEAVER STREET | FLAGSTAFF | AZ | 86001 | 742385187 | 501(C)(3) | $251,359 | SUPPORT HOSPITAL SYSTEM DEPARTMENT INITIATIVES INCLUDING CANCER CARE, CARDIOVASCULAR SERVICES, RESEARCH & EDUCATION, IT, SUICIDE PREVENTION, AND OTHER COMMUNITY SUPPORT |
| VERDE VALLEY MEDICAL CENTER | |||||||
| 1200 BEAVER STREET | FLAGSTAFF | AZ | 86001 | 860100882 | 501(C)(3) | $558,154 | SUPPORT HOSPITAL DEPARTMENT INITIATIVES INCLUDING CHILDREN'S HEALTH, EMERGENCY SERVICES, PALLIATIVE/HOSPICE CARE, RESEARCH & EDUCATION AND OTHER COMMUNITY SUPPORT |
| NORTHLAND HOSPICE & PALLIATIVE CARE INC | |||||||
| 452 N SWITZER CANYON | FLAGSTAFF | AZ | 86001 | 742385187 | 501(C)(3) | $13,000 | SUPPORT NORTHLAND HOSPICE ASSISTED LIVING FACILITY |
| POORE MEDICAL CLINIC | |||||||
| 120 W FINE STREET | FLAGSTAFF | AZ | 86001 | 800751712 | 501(C)(3) | $12,135 | SUPPORT COMMUNITY HEALTH |
| SUNNYSIDE NEIGHBORHOOD ASSOCIATION | |||||||
| 2304 THIRD STREET | FLAGSTAFF | AZ | 86004 | 861012315 | 501(C)(3) | $30,000 | SUPPORT SUNNYSIDE NEIGHBORHOOD LONGEVITY PROJECT, A STRATEGIC PLAN TO ADDRESS HEALTHCARE DISPARITIES AND INEQUITIES IN THE SUNNYSIDE NEIGHBORHOODSUPPORT SUNNYSIDE NEIGHBORHOOD LONGEVITY PROJECT, A STRATEGIC PLAN TO ADDRESS HEALTHCARE DISPARITIES AND INEQUITIES IN THE SUNNYSIDE NEIGHBORHOOD. SUPPORT SUNNYSIDE NEIGHBORHOOD LONGEVITY PROJECT, A STRATEGIC PLAN TO ADDRESS HEALTHCARE DISPARITIES AND INEQUITIES IN THE SUNNYSIDE NEIGHBORHOOD. |
| THE NARBHA INSTITUTE | |||||||
| 616 N BEAVER STREET | FLAGSTAFF | AZ | 86001 | 866037149 | 501(C)(3) | $12,334 | COMMUNITY HEALTH NEEDS ASSESSMENT |
| UNITED WAY OF NORTHERN ARIZONA | |||||||
| 1515 E CEDAR AVENUE SUITE D-1 | FLAGSTAFF | AZ | 86004 | 860211666 | 501(C)(3) | $25,000 | SUPPORT COMMUNITY HEALTH EDUCATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 23 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 30 | RecipientCnt |
| Cash Grant | $26,700 | CashGrantAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Yes (1) | 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 (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD SMITH | ||||||||||||||
| PRESIDENT/CEO/DIRECTOR | $255,697 | $0 | $57,200 | $0 | $27,001 | $0 | $64,434 | $0 | $4,303 | $0 | $408,635 | $0 | $0 | $0 |
| KARLA JACOBSON | ||||||||||||||
| FINANCIAL OFFICER | $79,384 | $0 | $0 | $0 | $342 | $0 | $0 | $0 | $1,671 | $0 | $81,397 | $0 | $0 | $0 |
| JOE WAGNER | ||||||||||||||
| FINANCIAL OFFICER(THRU 4/18) | $57,016 | $0 | $2,566 | $0 | $7 | $0 | $0 | $0 | $780 | $0 | $60,369 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | CEO COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS OF NORTHERN ARIZONA HEALTHCARE FOUNDATION USING THE FOLLOWING METHODS: WRITTEN CONTRACT, INDEPENDENT CONSULTANT, COMPENSATION SURVEY. |
| PART I, LINE 4B | THE ORGANIZATION CONTRIBUTED $64,434 TO A 457B PLAN FOR RICHARD SMITH, PRESIDENT AND CEO OF THE FOUNDATION. |
| PART I, LINE 7 | NORTHERN ARIZONA HEALTHCARE FOUNDATION MAKES ANNUAL, DISCRETIONARY BONUS PAYMENTS, WHICH ARE BASED ON MEETING VARIOUS FINANCIAL AND OTHER ORGANIZATIONAL GOALS. |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,500 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | APPRAISAL | MethodOfDeterminingRevenuesTxt |
Books And Publications BooksAndPublicationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $295 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | RETAIL VALUE/DONOR EST | MethodOfDeterminingRevenuesTxt |
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $30,252 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | RETAIL VALUE/DONOR EST | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (5 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | EVENT FOOD | 1461 | $39,734 | RETAIL VALUE/DONOR E |
| Yes (X) | ALCOHOL | 22 | $2,920 | RETAIL VALUE/DONOR E |
| Yes (X) | TOYS | 200 | $2,600 | RETAIL VALUE/DONOR E |
| Yes (X) | GIFT CERTIFICATES | 12 | $1,195 | RETAIL VALUE/DONOR E |
| Yes (X) | OTHER | 122 | $519 | RETAIL VALUE/DONOR E |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED IN COLUMN (B) | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | NORTHERN 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 11B | THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM BASED ON DATA GATHERED BY THE FOUNDATION'S ACCOUNTING DEPARTMENT. THE CFO REVIEWS THE DRAFT FORM 990 AND PROVIDES ADDITIONAL COMMENTS |
| FORM 990, PART VI, SECTION B, LINE 12C | THE FOUNDATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTERST POLICY. BOARD MEMEBERS AND OFFICERS ARE COVERD BY THE POLICY. COVERED INDIVIDUALS HAVE A DUTY TO DISCLOSE ALL MATERIALS FACT IN CONNETION 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 A 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 IN DETERMINE IF A MORE ADVANTAGEOUS TRANSACTION IS REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES, THE GOVERNING BODY, EXCLUDING THE INTERESTED PERSON, VOTES WHETEHR THE TRANSACTION IN THE FOUNDATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND FAIR AND REASONABLE. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE PRESIDENT AND CEO OF NAHF IS EMPLOYED BY NORTHERN ARIZONA HEALTHCARE CORP, AN UNRELATED TAX-EXEMPT ORGANIZATION, AND IS SECUNDED TO NAHF. NAHF REIMBURSES NORTHERN ARIZONA HEALTHCARE FOR ALL PAYROLL COSTS ASSOCIATED WITH ITS EMPLOYMENT OF THE PRESIDENT AND CEO. NAHF HIRED EIDE BAILLY, LLP, AN INDEPENDENT CONSULTING FIRM, TO PREPARE COMPARABLE COMPENSATION DATA FOR THIS EXECUTIVE POSITION. THIS INFORMATION WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE MOST RECENT REVIEW WAS PERFORMED IN SEPTEMBER 2016. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST. |
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