CHILDRENS CLINICS FOR REHABILITATIVE SERVICES: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS CLINICS FOR REHABILITATIVE SERVICES (EIN 86-0667510)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-10
- IRS object ID
- 201311309349302946
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-10T17:58:44-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860683059 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEACHFLEISCHMAN PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 64130 | AddressLine1 |
| City | TUCSON | City |
| State | AZ | State |
| ZIP Code | 857284130 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860667510 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHIL | NameControl |
| Phone | 5203245437 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 NORTH WYATT DRIVE | AddressLine1 |
| City | TUCSON | City |
| State | AZ | State |
| ZIP Code | 85712 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BETH FRANTZ | Name |
| Title | CFO | Title |
| Phone | 5203245437 | Phone |
| Date Signed | 2013-05-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID M IACONIS CPA | Name |
| PTIN | P00143768 | PTIN |
| Phone | 5203214600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JILL BEMIS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 NORTH WYATT DRIVE | AddressLine1 |
| City | TUCSON | City |
| State | AZ | State |
| ZIP Code | 85712 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 10139999 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CHILDRENSCLINICS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1990 | YearFormation |
| State Legal Domicile | AZ | StateLegalDomicile |
| Activity Or Mission Description | PROVISION OF QUALITY FAMILY-CENTERED SERVICES FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 91 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 814605 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 352184 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6191057 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7289208 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 49662 | InvestmentIncomePriorYear |
| Investment Income Current Year | 64705 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 28854 | OtherRevenuePriorYear |
| Other Revenue Current Year | 36313 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7084178 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7742410 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3884491 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4276773 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2615134 | OtherExpensePriorYear |
| Other Expenses Current Year | 2725381 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6499625 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7002154 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 584553 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 740256 | RevenuesLessExpensesCY |
| Total Assets BOY | 7819057 | TotalAssetsBOY |
| Total Assets EOY | 8546266 | TotalAssetsEOY |
| Total Liabilities BOY | 1937928 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1924881 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5881129 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6621385 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE CHILDREN'S CLINICS PROVIDES A FAMILY CENTERED COMPREHENSIVE MEDICAL HOME TO MEET THE NEEDS OF SPECIAL NEEDS CHILDREN AND FAMILIES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6302980 | Expense |
| Revenue | 7289208 | Revenue |
| Description | CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES (CCRS) IS THE ONLY MULTI-SPECIALTY, INTER-DISCIPLINARY CLINIC IN SOUTHERN ARIZONA. THE CLINIC FOCUSES ON CHILDREN WITH COMPLEX NEEDS IN A COLLABORATIVE ENVIRONMENT. IN KEEPING WITH ITS TAX-EXEMPT PURPOSES, CCRS HAS CONTINUED TO PROVIDE A RANGE OF SPECIALTY MEDICAL, DENTAL, AND THERAPY SERVICES FOR MEDICALLY COMPLEX, CHRONICALLY ILL OR PHYSICALLY DISABLED CHILDREN AND THEIR FAMILIES FROM SOUTHERN ARIZONA. THE MAJORITY OF OUR PATIENTS ARE MEDICALLY UNDERSERVED AND FINANCIALLY UNDERPRIVILEGED. UNIQUE TO OUR PROGRAM IS A PEDIATRIC PRIMARY CARE PROGRAM DESIGNED FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS, ONE OF THE FEW PROGRAMS NATIONALLY THAT CENTERS SPECIFICALLY ON CHILDREN WITH COMPLEX NEEDS. IN ADDITION TO MEDICAL SERVICES, CCRS PROVIDED SOCIAL SERVICES, SPECIAL EDUCATION, PSYCHOLOGY, CHILD LIFE AND ADVOCACY SERVICES TO OUR PATIENTS. WE CONTINUE TO PROVIDE A VARIETY OF SPECIAL PROGRAMS AND OUTREACH SERVICES TO OUR PATIENT POPULATION AND COLLABORATE WITH OTHER COMMUNITY ORGANIZATIONS AND AGENCIES THAT SERVE CHILDREN WITH SPECIAL HEALTH CARE NEEDS. FOR EXAMPLE, WE HAVE CONTINUED TO DEVELOP TRANSITION SERVICES FOR OUR OLDER PATIENTS AS THEY MOVE INTO ADULTHOOD.CCRS HAS CONTINUED TO IMPLEMENT STAFF EDUCATION PROGRAMS FOR OUR EMPLOYEES. WE HAVE HOSTED IN-SERVICE AND CONTINUING EDUCATION MEETINGS IN OUR FACILITY AND HAVE MADE THE FACILITY AVAILABLE TO OTHER COMMUNITY AND ADVOCACY GROUPS. WE HAVE CONTINUED TO MAINTAIN EDUCATIONAL AFFILIATIONS IN A NUMBER OF CLINICAL AREAS ENABLING MEDICAL AND ALLIED HEALTH STUDENTS TO ROTATE THROUGH OUR FACILITY FOR PORTIONS OF THEIR CLINICAL EDUCATION EXPERIENCE. WE MAINTAIN A PARENT RESOURCE LIBRARY ON SITE, IN COLLABORATION WITH PILOT PARENTS, FOR THE USE OF PARENTS AND OTHERS WHO WANT TO KNOW MORE ABOUT THEIR CHILDREN'S MEDICAL CONDITIONS AND AVAILABLE RESOURCES.GEOGRAPHIC SERVICE AREA:PRIMARY SERVICE AREA INCLUDES ZIP CODES FOR ALL OF PIMA, SANTA CRUZ, COCHISE, GRAHAM, AND GREENLEE COUNTIES, AS WELL AS SOUTHERN AND CENTRAL PIMA COUNTY AND THE SOUTHERN TIP OF GILA COUNTY (WINKLEMAN/HAYDEN AREA). SOME REFERRAL PATIENTS COME FROM OUTSIDE THIS PRIMARY SERVICE AREA FOR SELECTED SPECIALTY SERVICES.CLINICAL STATISTICAL PROFILE FOR FYE 6/30/12:MEDICAL/DENTAL CLINIC VISITS 13,010REHAB SERVICE VISITS 9,745X-RAY PROCEDURES 1,107 | Description |
| Total Program Service Expense | 6302980 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 1 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 1 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 40 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 91 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | AZ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETH FRANTZ | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5203243217 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 N WYATT DR | AddressLine1 |
| City | TUCSON | City |
| State | AZ | State |
| ZIP Code | 85712 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| VICKI BEGAN RN MN | ||||||
| VOTING MEMBER | 0.50 | X | 0 | 0 | 0 | |
| ROGER BIEDE II DDS | ||||||
| VOTING MEMBER | 0.50 | X | 0 | 0 | 0 | |
| CL DEIBEL | ||||||
| VOTING MEMBER | 0.50 | X | 0 | 0 | 0 | |
| SHERRY ELROD | ||||||
| VOTING MEMBER | 0.50 | X | 0 | 0 | 0 | |
| FAYEZ GHISHAN MD | ||||||
| VOTING MEMBER | 0.50 | X | 0 | 0 | 0 | |
| MISTY HANSEN | ||||||
| VOTING MEMBER | 0.50 | X | 0 | 0 | 0 | |
| LAWRENCE HOUSEMAN MD | ||||||
| VOTING MEMBER | 0.50 | X | 0 | 0 | 0 | |
| SUSAN MATHEWS | ||||||
| VOTING MEMBER | 0.50 | X | 0 | 0 | 0 | |
| BRIAN NIELSEN MD | ||||||
| VOTING MEMBER | 0.50 | X | 0 | 0 | 0 | |
| DIANA SHELDON | ||||||
| VOTING MEMBER | 0.50 | X | 0 | 0 | 0 | |
| BURT STRUG MD | ||||||
| VOTING MEMBER | 0.50 | X | 0 | 0 | 0 | |
| SCOTT VAN VALDENBURG MD | ||||||
| VOTING MEMBER | 0.50 | X | 0 | 0 | 0 | |
| TRACY NUCKOLLS | ||||||
| PRESIDENT | 0.50 | X | 0 | 0 | 0 | X |
| JOHN STEPHENS MD | ||||||
| SECRETARY | 0.50 | X | 0 | 0 | 0 | X |
| WILLIAM LONG | ||||||
| TREASURER | 0.50 | X | 0 | 0 | 0 | X |
| JILL BEMIS | ||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 161816 | 0 | 5733 | X | |
| JANIA ARNOLDI | ||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 89929 | 0 | 11816 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 251745 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 17549 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UNIVERSITY PHYSICIANS HEALTHCARE | |||||
| 2701 E ELVIRA ROAD | TUCSON | AZ | 85756 | HEALTH SERVICES | 525517 |
| TUCSON MEDICAL CENTER | |||||
| 5301 E GRANT ROAD | TUCSON | AZ | 85712 | PROPERTY MANAGEMENT | 277984 |
| NEUROLOGICAL ASSOCIATES OF TUCSON | |||||
| 2450 E RIVER ROAD | TUCSON | AZ | 85718 | HEALTH SERVICES | 171390 |
| MEDSCRIBE TRANSCRIPTION SERVICES | |||||
| 800 SEA GATE DRIVE SUITE 101 | NAPLES | FL | 34103 | MEDICAL TRANSCRIPTION | 103982 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| All Other Contributions | 352184 | AllOtherContributions |
| Total Contributions | 352184 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICES | 621400 | 7256750 | 7256750 |
| MISCELLANEOUS | 621400 | 32458 | 32458 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7289208 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 64705 | TotalRevenueColumn |
| Exclusion | $64,705 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 36313 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 36313 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 36313 | TotalRevenueColumn |
| Exclusion | $36,313 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2397589 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2397589 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7742410 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7289208 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $101,018 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 255239 | Total |
| Program Services | 38286 | ProgramServices |
| Management And General | 216953 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3328911 | Total |
| Program Services | 3100742 | ProgramServices |
| Management And General | 228169 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79963 | Total |
| Program Services | 76162 | ProgramServices |
| Management And General | 3801 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 352951 | Total |
| Program Services | 316505 | ProgramServices |
| Management And General | 36446 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 259709 | Total |
| Program Services | 228329 | ProgramServices |
| Management And General | 31380 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23540 | Total |
| Program Services | 16007 | ProgramServices |
| Management And General | 7533 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 317168 | Total |
| Program Services | 310873 | ProgramServices |
| Management And General | 6295 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13909 | Total |
| Management And General | 13909 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 196203 | Total |
| Program Services | 168472 | ProgramServices |
| Management And General | 27731 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203659 | Total |
| Program Services | 150114 | ProgramServices |
| Management And General | 53545 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 258436 | Total |
| Program Services | 236984 | ProgramServices |
| Management And General | 21452 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21857 | Total |
| Program Services | 16673 | ProgramServices |
| Management And General | 5184 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26818 | Total |
| Program Services | 20344 | ProgramServices |
| Management And General | 6474 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 241011 | Total |
| Program Services | 207092 | ProgramServices |
| Management And General | 33919 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34776 | Total |
| Program Services | 30032 | ProgramServices |
| Management And General | 4744 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PATIENT CARE | 998482 | 998482 | |
| MEDICAL SUPPLIES | 322186 | 322186 | |
| BAD DEBT | 42664 | 42664 | |
| MISCELLANEOUS | 24672 | 23033 | 1639 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7002154 | Total |
| Program Services | 6302980 | ProgramServices |
| Management And General | 699174 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2565428 | BOY |
| EOY | 2836177 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 951120 | BOY |
| EOY | 1481393 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65804 | BOY |
| EOY | 55304 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4026048 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3120355 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1028529 | BOY |
| EOY | 905693 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3208176 | BOY |
| EOY | 3267699 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7819057 | BOY |
| EOY | 8546266 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1937928 | BOY |
| EOY | 1924881 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1937928 | BOY |
| EOY | 1924881 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5881129 | BOY |
| EOY | 6621385 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5881129 | BOY |
| EOY | 6621385 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7819057 | BOY |
| EOY | 8546266 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 740256 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 253905 | OtherCostOrOtherBasis |
| Depreciation | 195699 | Depreciation |
| Book Value | 58206 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3772143 | OtherCostOrOtherBasis |
| Depreciation | 2924656 | Depreciation |
| Book Value | 847487 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 905693 | TotalOfBookValueLandBuildings |
| Total Revenue | 7742410 | TotalRevenue |
| Total Expenses | 7002154 | TotalExpenses |
| Excess Or Deficit For Year | 740256 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 740256 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 8242873 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 500463 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 500463 | RevenueNotRptdF990 |
| Revenue Subtotal | 7742410 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 7742410 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 7502617 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 500463 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 500463 | ExpensesNotRptdF990 |
| Expenses Subtotal | 7002154 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 7002154 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | FINANCIAL STATEMENTS FIN 48 (ASC 740) FOOTNOTE: GAAP REQUIRES MANAGEMENT TO PERFORM AN EVALUATION OF ALL TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE ORGANIZATION'S TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS MEET A "MORE LIKELY THAN NOT" STANDARD OF BEING SUSTAINED UNDER EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. THIS EVALUATION IS REQUIRED TO BE PERFORMED FOR ALL OPEN TAX YEARS, AS DEFINED BY THE VARIOUS STATUTES OF LIMITATIONS, FOR FEDERAL AND STATE PURPOSES. THE ORGANIZATION IS ONLY SUBJECT TO INCOME TAXES ON UNRELATED BUSINESS TAXABLE INCOME (UBTI). AS A RESULT, THE ORGANIZATION IS REQUIRED TO FILE INFORMATIONAL RETURNS FOR FEDERAL AND STATE PURPOSES AND, IF IT HAS UBTI, FEDERAL AND STATE INCOME TAX RETURNS. WITH LIMITED EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO TAX EXAMINATION FOR ANY YEARS EARLIER THAN 2009 FOR FEDERAL AND 2008 FOR STATE. MANAGEMENT HAS PERFORMED ITS EVALUATION OF TAX POSITIONS TAKEN ON ALL OPEN TAX RETURNS AND HAS DETERMINED THAT THERE WERE NO POSITIONS TAKEN THAT DO NOT MEET THE "MORE LIKELY THAN NOT" STANDARD. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JILL BEMIS | NamePerson |
| Base Compensation Filing Org | 161816 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 4604 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 1129 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 167549 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule L IRS990ScheduleL
DQP Table DQPTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JANIA ARNOLDI | NamePerson |
| Description Of Transaction | UNAPPROVED EXPENSES | DescriptionOfTransaction |
| Transaction Corrected | 1 | TransactionCorrected |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Of Tax Imposed | 2084 | AmountOfTaxImposed |
| Amount Of Tax Reimbursed | 0 | AmountOfTaxReimbursed |
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| TUCSON MEDICAL CENTER | |||
| TRACY NUCKOLLS IS EXEC. VP BUSINESS AFFAIRS & CHIEF LEGAL OFFICER OF TMC | 277984 | CONTRACTED FOR PROPERTY SERVICES | 0 |
| UNIVERSITY PHYSICIANS HEALTHCARE | |||
| MISTY HANSEN IS CFO OF UPH AND FAYEZ GHISHAN IS A DIRECTOR OF UPH | 525517 | CONTRACTED FOR HEALTH SERVICES | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | MISTY HANSEN (VOTING MEMBER) IS CHIEF FINANCIAL OFFICER OF UNIVERSITY OF ARIZONA HEALTH NETWORK. VICKI BEGAN, RN, MN (VOTING MEMBER) IS VICE-PRESIDENT - CHIEF NURSING OFFICER OF UNIVERSITY CAMPUS, UNIVERSITY OF ARIZONA HEALTH NETWORK. SCOTT VAN VALKENBURG, M.D. (VOTING MEMBER) IS CHIEF MEDICAL OFFICER OF TUCSON MEDICAL CENTER. TRACY NUCKOLLS (PRESIDENT) IS SENIOR VICE PRESIDENT/LEGAL OF TUCSON MEDICAL CENTER. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS MUST BE EITHER (I) NONPROFIT, CHARITABLE ORGANIZATIONS WHICH ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND WHICH ARE LICENSED BY THE STATE OF ARIZONA TO OPERATE AN ACUTE CARE HOSPITAL OR WHICH OWN OR CONTROL ANY NONPROFIT, CHARITABLE ORGANIZATION WHICH IS SO LICENSED; OR (II) NONPROFIT, CHARITABLE ORGANIZATIONS WHICH ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE THAT PROVIDE FUNDS FOR THE DELIVERY OF CHARITABLE HEALTH CARE SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS ARE RESPONSIBLE FOR ELECTING THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BY THE FINANCE/AUDIT COMMITTEE OF THE BOARD. AFTER THE FORM IS REVIEWED BY THE COMMITTEE A COPY IS PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MONITORS CONFLICTS ANNUALLY BY REQUIRING EACH BOARD MEMBER TO FILL OUT A DISCLOSURE FORM. ANY DETERMINATION OF CONFLICT IS MADE BY THE BOARD PRESIDENT AND/OR VICE PRESIDENT. THE CONFLICT OF INTEREST POLICY COVERS ALL OF THE BOARD OF DIRECTORS AND A SEPARATE POLICY EXISTS FOR EMPLOYEES AND CONTRACTORS. IF THERE IS A CONFLICT THE BOARD WILL DECIDE WHETHER THE PERSON OR PEOPLE WITH THE CONFLICT WILL BE INCLUDED IN THE VOTE. IF IT IS DETERMINED THAT THEY SHOULD NOT VOTE ON THE MATTER, THEN THEY WILL BE EXCLUDED FROM THE VOTE. |
| FORM 990, PART VI, SECTION B, LINE 15 | A COMPENSATION COMMITTEE WAS CREATED FOR THE CEO'S SALARY. IN THE SUMMER OF 2012, INFORMATION WAS OBTAINED IN THE FORM OF A SALARY SURVEY BY THIS COMMITTEE. THEY THEN DECIDED ON CURRENT SALARY BASED ON THE DATA OBTAINED. IN REGARDS TO THE POSITIONS OF CFO AND COO, IN THE SPRING OF 2012, INFORMATION WAS OBTAINED FROM MEDICAL GROUP MANAGEMENT ASSOCIATION AND THE ARIZONA COUNCIL OF HUMAN SERVICES. SALARY.COM WAS UTILIZED FOR COMPARABILITY DATA FOR BOTH POSITIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
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