2018-05-15T11:13:40-05:00 2017-06-30 ERNST & YOUNG US LLP TWO NORTH CENTRAL AVENUE STE 2300 PHOENIX AZ 85004 990 2016-07-01 813137336 Northern Arizona Healthcare Foundation % RICHARD SMITH NORT 9287732093 1030 N San Francisco Street Suite 1 FLAGSTAFF AZ 86001 RICHARD SMITH PRESIDENT/CEO 9287732093 2018-05-15 true JUSTIN CALTABIANO P01701186 6023223000 2016 2022-09-23 18:48:47Z X RICHARD SMITH 1030 N SAN FRANCISCO ST 130 FLAGSTAFF AZ 86001 41672830 false X www.nahealthfoundation.org X 2016 AZ SEE SCHEDULE O 8 7 0 175 0 0 0 39305578 0 0 0 2262763 0 19800 0 41588141 0 1877693 0 0 0 1427178 0 0 364941 0 425681 0 3730552 0 37857589 0 38337762 0 521173 0 37816589 X SEE SCHEDULE O false false 1006301 1006301 0 THE FIT KIDS SCHOOL INITIATIVE WAS DEVELOPED TO ADDRESS THE OBESITY EPIDEMIC AMONGST MINORS SPECIFICALLY IN NORTHERN ARIZONA. FUNDING GOES DIRECTLY TO NORTHERN ARIZONA SCHOOL DISTRICTS TO HELP EDUCATE CHILDREN IN HEALTHY ATHLETIC AND DIETARY ACTIVITIES. 361674 361674 0 IN TAX YEAR 2016, A PORTION OF THE SPECIAL PROJECTS RESERVE WAS DESIGNATED TO PAY FOR THE REGIONAL HEALTH NEEDS ASSESSMENT PERFORMED JOINTLY BETWEEN THE NORTHERN ARIZONA HEALTHCARE FOUNDATION, NORTHERN ARIZONA UNIVERSITY, AND THE NORTHERN ARIZONA REGIONAL BEHAVIORAL HEALTH AUTHORITY INSTITUTE. THE FIRST EVER COMPREHENSIVE ASSESSMENT OF ALL NORTHERN ARIZONA HEALTHCARE NEEDS WAS COMPLETED COMBINING DOZENS OF DIFFERENT INDIVIDUAL HEALTH NEEDS ASSESSMENTS INTO ONE OVERALL EVALUATION OF WHAT THE TOP PRIORITIES SHOULD BE WHEN ADDRESSING NORTHERN ARIZONA COMMUNITY HEALTH. THE EVALUATION IS EXPECTED TO BE COMPLETED ANEW EVERY 3-5 YEARS. 94113 94113 0 THE SEDONA MEDICAL CENTER CANCER CENTER FUND WAS ESTABLISHED TO SUPPORT INITIATIVES RELATED TO SUPPLEMENTAL PATIENT CARE AND/OR DEPARTMENTAL PREROGATIVES OF THAT SPECIFIC CANCER CENTER. OFTEN THESE INITIATIVES ARE OUTSIDE OF THE SCOPE OF THE CENTER'S OPERATIONAL BUDGET BUT ARE STILL IN THE NAME OF THE MISSION/VISION OF BOTH THE FOUNDATION AND THE CANCER CENTER. THE MAIN PURCHASE IN TAX YEAR 2016 WAS RELATED TO AN UPGRADE TO CANCER PATIENT TREATMENT EQUIPMENT THAT HELP EASE THE BURDEN ON THE PATIENT WHILE RECEIVING TREATMENT. OTHER EXPENSES ARE RELATED TO TRAINING STAFF ON NEW OR EMERGING CANCER CENTER TRENDS TO HELP THE CENTER STAY AHEAD OF TECHNOLOGICAL IMPLEMENTATIONS. 559898 559898 0 2021986 true true false false false true false false false true true false false false false false false false false false false false false false true false false true true true false false false false false false false false true false false false false false false false false true X 0 0 0 false false false false false true true false false false false false false false X 8 7 false false false false false false false true true false false false true true true true true false false false AZ X RICHARD SMITH 9287732017 1030 N SAN FRANCISCO STREET 103 FLAGSTAFF AZ 86001 X RICHARD SMITH PRESIDENT/CEO/DIRECTOR 40.0 0.0 X X 283678 0 30251 CHRIS BAVASI CHAIR/DIRECTOR 1.0 0.0 X X 0 0 0 DEIRDRE MELDRUM VICE CHAIR/DIRECTOR 1.0 0.0 X X 0 0 0 RICHARD CRANMER CPA ATA ATP TREASURER/DIRECTOR 1.0 0.0 X X 0 0 0 RICHARD KRUSE CPA SECRETARY/DIRECTOR 1.0 0.0 X X 0 0 0 OLIVER HARPER MD DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM HICKS III ESQ DIRECTOR 1.0 0.0 X 0 0 0 JAMES OUSLEY DIRECTOR 1.0 0.0 X 0 0 0 283678 0 30251 1 false false true 0 362659 0 0 38942919 113796 39305578 0 2262763 2262763 0 0 0 0 0 0 104489 362659 84689 19800 19800 0 0 0 0 0 0 0 41588141 2282563 X 1844962 1844962 32731 32731 0 0 0 0 0 0 0 1093963 81028 850878 162057 84936 8494 59455 16987 193902 19390 135732 38780 54377 5438 38064 10875 18519 18519 43522 43522 3684 3684 0 0 4102 4102 0 77335 21843 11797 43695 37445 2500 9684 25261 47059 47059 0 90042 3600 39733 46709 30792 2000 27392 1400 0 3434 3434 0 0 15121 15121 658 658 DONOR CULTIVATION 17435 17435 BOARD EXPENSE 13000 13000 PURCHASED SERVICES 11387 11387 MEMBERSHIP DUES 6480 6480 5666 5666 3730552 2021986 1343625 364941 0 5076342 0 3001141 0 0 0 1290640 0 0 0 0 0 0 0 0 0 4659 31133 10081 0 21052 0 28928928 0 0 0 0 0 0 0 15000 0 38337762 0 477298 0 0 0 43875 0 0 0 0 0 0 0 0 0 0 0 0 0 521173 X 0 3816734 0 10434554 0 23565301 0 37816589 0 38337762 37857589 -41000 X false false false X 0 0 0 0 39305578 39305578 0 0 0 0 0 0 39305578 39305578 32646291 6659287 2262763 2262763 104000 104000 0 41672341 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 159 24 33250494 5696308 2471918 625815 30778576 5070493 true true false false 0 21700507 2211007 775070 23136444 1.00000 false false 31133 10081 21052 21052 SCHEDULE D, PART V, LINE 4 The Northern Arizona Healthcare Endowment Fund was established to support Northern Arizona Healthcare Corporation and to support both the delivery of quality health care and to increase the impact on health in positive, collaborative ways. TURQUOISE BALL 194156 129481 64675 792 2221 25867 6714 COPPER BALL 94940 85870 9070 12262 2500 6 178052 147308 30744 4750 10333 6326 12924 467148 362659 104489 4750 11125 20809 38791 9214 84689 19800 true NAH Occupational Health Division 1200 N BEAVER STREET FLAGSTAFF AZ 86001 742410946 501(c)(3) 25000 TO SUPPORT FIREFIGHTER ASSESSMENTS AROUND NORTHERN ARIZONA NAH Camp Verde Pediatric Rehab Clinic 1200 N BEAVER STREET FLAGSTAFF AZ 86001 860100882 501(C)(3) 25000 To support patient related supplemental services for the given division purpose NAH Behavioral Health Division 1200 N BEAVER STREET FLAGSTAFF AZ 86001 742410946 501(C)(3) 25000 To support new supplemental Critical Incident Stress Management Training NAH VVMC Women's and Infant Health Division 1200 N BEAVER STREET FLAGSTAFF AZ 86001 742410946 501(C)(3) 25000 To purchase Daddy Beds for victims Red Earth Theatre Company 205 Sunset Drive 135 SEDONA AZ 86336 463424602 501(C)(3) 25000 HEALTHY CHALLENGE Coconino Community College 3000 N 4th Street 17 FLAGSTAFF AZ 86004 860686666 GOVERNMENT 100000 To support the nursing education program and other healthcare related curriculums Boys & Girls Club 301 S Paseo Del Flag FLAGSTAFF AZ 86001 860688398 501(C)(3) 7500 Arizona Community Foundation pass-through grant to support the mission and vision of the established nonprofit healthcare recipients NAU School of Nursing PO Box 122 FLAGSTAFF AZ 86002 866004791 501(C)(3) 90000 Arizona Community Foundation pass-through grant to support the mission and vision of the established nonprofit healthcare recipients Poore Medical Clinic 120 W Fine FLAGSTAFF AZ 86001 800751712 501(C)(3) 10000 Arizona Community Foundation pass-through grant to support the mission and vision of the established nonprofit healthcare recipients Cottonwood Recreation Center 150 S 6th Street COTTONWOOD AZ 86326 866007877 501(C)(3) 10000 Lookin Good Cottonwood community weight loss and education Sedona Chamber of Commerce PO Box 478 SEDONA AZ 86339 860134659 501(C)(6) 10000 Contribution for nonprofit fundraising marathon for community health Sedona International FilmFest PO Box 478 SEDONA AZ 86004 860134659 501(C)(6) 12500 To support healthcare marathon for cottonwood community health NORTH COUNTRY HEALTHCARE INC 2920 N 4th Street FLAGSTAFF AZ 86004 860663432 501(C)(3) 15000 To support women and children programs/facilities for those at risk of domestic violence Coconino City Sust Econ Dev Initiative 616 N Beaver Street FLAGSTAFF AZ 86001 261077054 501(C)(3) 10000 To support teacher participation and recognition AZ's Children Assoc for Comm Dvlpmtl screening 3716 E Columbia Street TUCSON AZ 85714 860096772 501(C)(3) 7000 To support expansion of children developmental screenings in northern Arizona VV Senior Center Meals on Wheels Program PO Box 681 COTTONWOOD AZ 86326 860328194 501(C)(3) 6000 To support the mission and vision of the meals on wheels program Flagstaff Unified School District 3285 E Sparrow FLAGSTAFF AZ 86004 860593041 GOVERNMENT 417441 Fit Kids at School Cottonwood-Oak Creek School District 1 N Willard Street COTTONWOOD AZ 86326 866000563 GOVERNMENT 40137 Fit Kids at School Camp Verde Unified School District 510 Camp Lincoln Rd CAMP VERDE AZ 86322 866003046 GOVERNMENT 28380 Fit Kids at School 15 1 SCHOLARSHIPS 37 32731 Form 990, Schedule I, PART I, LINE 2 Grants are considered 'awardsthe Foundation issues awards only to tax-exempt organizations. The Foundation relies on the good governance practices of these entities. X X X false true false false false false false true false RICHARD SMITH PRESIDENT/CEO/DIRECTOR 242060 0 37933 0 3685 0 10600 0 19651 0 313929 0 0 0 SCHEDULE J, PART I, LINES 1A & 1B SUPPLEMENTAL COMPENSATION INFORMATION ALL COMPENSATION, BENEFITS AND REIMBURSEMENTS ARE PAID BY NORTHERN ARIZONA HEALTHCARE CORPORATION ("NAHC"), AN UNRELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION REPORTED ON SCHEDULE J FOR RICHARD SMITH WAS PAID BY NAHC FOR SERVICES RENDERED TO THE FOUNDATION IN HIS CAPACITY AS PRESIDENT AND CEO. SCHEDULE J, PART I, LINE 3 CEO COMPENSATION IS DERIVED BY NORTHERN ARIZONA HEALTHCARE CORPORATION USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, WRITTEN CONTRACT, INDEPENDENT CONSULTANT, COMPENSATION SURVEY, AND RECOMMENDATION OF COMPENSATION COMMITTEE TO BOARD FOR APPROVAL. SCHEDULE J, PART I, LINE 7 NORTHERN ARIZONA HEALTHCARE CORPORATION MAKES DISCRETIONARY PAYMENTS AS PART OF A SHORT-TERM INCENTIVE PLAN (STIP). PAYMENTS ARE BASED ON MEETING VARIOUS ORGANIZATIONAL GOALS. SCHEDULE J, PART II RICHARD SMITH PARTICIPATES IN A DEFINED BENEFIT RETIREMENT PLAN. AS SUCH, ACTUARIAL INCREASES IN THEIR ACCOUNTS ARE REPORTED ON PART II, COLUMN (C) AS DEFERRED COMPENSATION. SCHEDULE J, PART III FOUNDATION SPECIFIC INCENTIVE PROGRAM REQUIRES 8% GROWTH IN REVENUE TO BE ACTIVATED. PAYOUT DEPENDS 50% ON REVENUE GROWTH (THREE TIERS: 8% / 12% / 15%) AND 50% ON QUALITATIVE FACTORS RELATED TO COMMUNITY HEALTH AND THE MISSION/VISION OF THE FOUNDATION (LIVES IMPACTED, WEBSITE/SOCIAL MEDIA DEVELOPMENT, REGIONAL HEALTH NEEDS ASSESSMENT COMPLETION WERE THE PRIMARY MEASUREMENTS MADE FOR AWARD). AMOUNT WAS ACCRUED IN FY17 BUT NOT PAID UNTIL FY18. X 23 6065 APPRAISAL X 3037 RETAIL VAL/DONOR EST X 25776 RETAIL VAL/DONOR EST X Gift Certificates 276 34680 RETAIL VALUE X Event Food 146 22063 RETAIL VAL/DONOR EST X JEWELRY 18 11477 RETAIL VAL/DONOR EST X EVENT PRINTING & MEDIA 1 3500 RETAIL VALUE X TOYS 225 2466 RETAIL VALUE X OTHER CONTRIBUTIONS 8 1608 RETAIL VALUE X ALCOHOL 206 1410 RETAIL VAL/DONOR EST X TICKETS/ADMISSION 22 1343 RETAIL VALUE X MEMBERSHIPS 3 371 RETAIL VALUE false false false SCHEDULE M, PART I, COLUMN(B) THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN COLUMN (B). FORM 990, PART I, LINE 1 AND PART III, LINE 1 THE MISSION OF NORTHERN ARIZONA HEALTHCARE FOUNDATION ("NAHF") IS TO SUPPORT 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. FORM 990, PART III, LINE 4D CONTRIBUTIONS TO ORGANIZATIONS THAT ADVANCE THE COMMUNITY HEALTHCARE PRIORITIES OF NORTHERN ARIZONA HEALTHCARE CORPORATION AND SUPPORT THE HEALTH AND WELL-BEING OF PEOPLE THROUGHOUT OUR COMMUNITY. Form 990, Part IV, Line 12a and Part XII, Line 2b The foundation has engaged an accounting firm to complete a separate, independent audit of the financial statements for the period ending June 30, 2017. However, the financial statements were not issued at the time of the Form 990's extended due date. FORM 990, PART V, LINE 2A; PART VII, SECTION A, AND PART IX NAHF DOES NOT HAVE EMPLOYEES. NAHC, AN UNRELATED TAX-EXEMPT ORGANIZATION, SECUNDED ITS EMPLOYEES TO THE FOUNDATION AND CONTRIBUTED THE COSTS OF ALL STAFF. FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM BASED ON DATA GATHERED BY THE FOUNDATION'S ACCOUNTING DEPARTMENT. THE PRESIDENT AND CEO REVIEWS THE DRAFT FORM 990 AND PROVIDES ADDITIONAL COMMENTS. FORM 990, PART VI, LINE 12C THE FOUNDATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. BOARD MEMBERS AND OFFICERS ARE COVERED BY THE POLICY. COVERED INDIVIDUALS HAVE A DUTY TO DISCLOSE ALL MATERIALS FACTS IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS. THE DETERMINATION OF HOW TO PROCEED WITH A CONFLICT IS MADE BY THE MEMBERS OF THE GOVERNING BODY WHO ARE NOT AN INTERESTED PERSON WITH RESPECT TO THE PROPOSED TRANSACTION. AFTER DISCLOSURE OF ALL MATERIAL FACTS, THE INTERESTED PERSON LEAVES AND THE REMAINING MEMBERS OF THE GOVERNING BODY DELIBERATE AND VOTE ON THE EXISTENCE OF A 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 EXISTS THAT WOULD NOT GIVE RISE TO A CONFLICT. IF A MORE ADVANTAGEOUS TRANSACTION IS REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES, THE GOVERNING BODY, EXCLUDING THE INTERESTED PERSON, VOTES WHETHER THE TRANSACTION IN THE FOUNDATIONS BEST INTEREST, FOR ITS OWN BENEFIT, AND FAIR AND REASONABLE. FORM 990, PART VI, LINES 15A AND 15B THE PRESIDENT AND CEO OF NAHF IS COMPENSATED BY NORTHERN ARIZONA HEALTHCARE CORP ("NAHC"), AN UNRELATED TAX EXEMPT ORGANIZATION. THE PROCESS DESCRIBED BELOW IS THAT OF NAHC. THE PROCESS FOR DETERMINING COMPENSATION INCLUDES THE PREPARATION OF COMPARABLE DATA BY WILLIS TOWERS WATSON, AN INDEPENDENT CONSULTING FIRM. IN ADDITION, THIS INFORMATION IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND IS DOCUMENTED IN THE BOARD MINUTES. THE MOST RECENT REVIEW WAS PERFORMED IN SEPTEMBER 2016. FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C The Foundation did not take the FY17 audit to bid; they hired the Deloitte auditors that audited the Northern Arizona Healthcare system to ease the audit process in the first year. The Foundation has an audit committee member who is also a voting director on the board. When the audit is taken out to bid it undergoes a scoring process by the Foundation accountant and then the audit committee director reviews and makes the ultimate decision.