NORTHERN ARIZONA HEALTHCARE CORPORATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NORTHERN ARIZONA HEALTHCARE CORPORATION (EIN 74-2410946)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-11
IRS object ID
201231329349302193
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-11T13:20:50-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1TWO NORTH CENTRAL AVENUE STE 2300AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742410946EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHERN ARIZONA HEALTHCARE CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone9287793366Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 1268AddressLine1
CityFLAGSTAFFCity
StateAZState
ZIP Code860021268ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGREG KUZMAName
TitleVICE PRESIDENT/CFOTitle
Date Signed2012-05-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6023223000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM T BRADELNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11200 N BEAVER STAddressLine1
CityFLAGSTAFFCity
StateAZState
ZIP Code86001ZIPCode
FieldValueIRS element (for citing)
Gross Receipts53658776GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NORTHERNARIZONAHEALTHCARE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees3495TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year16308ContributionsGrantsPriorYear
Contributions Grants Current Year22353ContributionsGrantsCurrentYear
Program Service Revenue Prior Year49918203ProgramServiceRevenuePriorYear
Program Service Revenue CY52204848ProgramServiceRevenueCY
Investment Income Prior Year205307InvestmentIncomePriorYear
Investment Income Current Year150166InvestmentIncomeCurrentYear
Other Revenue Prior Year174826OtherRevenuePriorYear
Other Revenue Current Year1276519OtherRevenueCurrentYear
Total Revenue Prior Year50314644TotalRevenuePriorYear
Total Revenue Current Year53653886TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14841977SalariesEtcPriorYear
Salaries Etc Current Year15956507SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year36101282OtherExpensePriorYear
Other Expenses Current Year38474088OtherExpensesCurrentYear
Total Expenses Prior Year50943259TotalExpensesPriorYear
Total Expenses Current Year54430595TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-628615RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-776709RevenuesLessExpensesCY
Total Assets BOY38124311TotalAssetsBOY
Total Assets EOY41509226TotalAssetsEOY
Total Liabilities BOY10067858TotalLiabilitiesBOY
Total Liabilities EOY7988971TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY28056453NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY33520255NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense37631639Expense
Revenue52316775Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense37631639TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3495NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN A CORTESENamePerson
Telephone Number9282143545TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1914 N SAN FRANCISCO SUITE MAddressLine1
CityFLAGSTAFFCity
StateAZState
ZIP Code86001ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
BERT MCKINNON MD
CHAIRMAN2.0XX000
CHRIS BAVASI
DIRECTOR2.5X000
GARY CHRISTENSEN
DIRECTOR0.75X000
SHAWN ORME
SECRETARY2.5XX46500
JAMES DORMAN
DIRECTOR3.0X000
ALAN EVERETT
DIRECTOR3.0X70900
WAYNE R FOX
TREASURER1.75XX000
JAMES E LEDBETTER
DIRECTOR2.75X184200
ROBERT M MONTOYA
DIRECTOR2.75X000
MOLLY MUNGER
DIRECTOR0.75X000
MATIAS SANDOVAL
VICE CHAIR5.0XX107200
TOM TAYLOR
DIRECTOR2.0X73700
WILLIAM T BRADEL
PRESIDENT/CEO FMC20.0XX617244028446
JAMES BLEICHER
PRESIDENT/CEO VVMC20.0XX483324033524
JOHN J DEMPSEY
EXECUTIVE VP LAW & ETHICS20.0X481858066284
GREGORY KUZMA
VP FINANCE/CFO20.0X355683051215
PATRICIA J CROFFORD
VP HUMAN RESOURCES20.0280722017054X
LAWRENCE J CAPEK
VP BUSINESS DEVELOPMENT20.02435090114381X
BRUCE C WEISENSEL
VP STRATEGIC PLANNING20.0258887058757X
STEVEN R SPRAVZOFF
VP PROCUREMENT/PROCESS IMPROVE20.0245489090192X
DALE PUGH
VP CORP MKTG20.0195897020286X
LORETTA WELLBORN
DIRECTOR NURSING20.0170505060802X
RICHARD HENN
DIRECTOR EDUCATION20.0166577066917X
ROBERT R MCKUSICK
DIRECTOR NURSING20.0158729061059X
VICKIE L LEWIS
DIRECTOR REGULATORY COMPLIANCE20.0184882014219X
JEFFREY J HAMBLEN
PRESIDENT LCMC40.0279698028740X
JAMES A PUFFENBERGER THRU 7309
PRESIDENT/CEO0.0647200043411X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4775029TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation755287TotalOtherCompensation
Number Individuals GT100 K32NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PRICEWATERHOUSE COOPERS LLP
PO BOX 514038LOS ANGELESCA90051I.T. CONSULTING756682
SQUIRE SANDERS DEMPSEY LLP
PO BOX 643051CINCINNATIOH45264LEGAL SERVICES666260
FORT VALLEY PLAZA
1120 W UNIVERSITY AVE STE 200FLAGSTAFFAZ86001OFFICE RENT580289
INSIGHT NETWORKING
PO BOX 731069DALLASTX75373I.T. SERVICES192165
GLOBAL HEALTHCARE EXCHANGE
1315 W CENTURY DRIVELOUISVILLECO80027SUPPLY CHAIN SVCS154150
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
All Other Contributions22353AllOtherContributions
Total Contributions22353TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOME HEALTH/HOSPICE PATIENT SERVICES62111048728504872850
INTERCOMPANY RENT5311205537255372
CORP EXP REIMBURSEMENT ALLOCATION9000994576671345766713
HEALTH SEMINARS611430643249643249
MANAGEMENT FEE - LITTLE CO. MED. CTR.561000866664866664
FieldValueIRS element (for citing)
Total Program Service Revenue52204848TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column143396TotalRevenueColumn
Exclusion$143,396ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other11660Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other4890Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other6770Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6770TotalRevenueColumn
Exclusion$6,770ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
CREDIT CARD REBATES9000993098130981
ALL OTHER REVENUE9000998094680946
SEMINARS, MGMT FEES, ETC.9000991164592$1,164,592
FieldValueIRS element (for citing)
Total Other Revenue1276519TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column53653886TotalRevenueColumn
Related Or Exempt Function Income52316775RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,314,758ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3018660Total
Program Services1904173ProgramServices
Management And General1114487ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total647200Total
Program Services647200ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8918187Total
Program Services3125782ProgramServices
Management And General5792405ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1068982Total
Program Services197172ProgramServices
Management And General871810ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1529404Total
Program Services410823ProgramServices
Management And General1118581ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total774074Total
Program Services183631ProgramServices
Management And General590443ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6965557Total
Program Services6020420ProgramServices
Management And General945137ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total961362Total
Program Services26594ProgramServices
Management And General934768ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total82074Total
Program Services82074ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2921251Total
Program Services1744773ProgramServices
Management And General1176478ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total23665Total
Program Services20159ProgramServices
Management And General3506ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2257279Total
Program Services1701458ProgramServices
Management And General555821ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total16205922Total
Program Services14735888ProgramServices
Management And General1470034ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1827452Total
Program Services826778ProgramServices
Management And General1000674ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total271629Total
Program Services153092ProgramServices
Management And General118537ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5663063Total
Program Services5350516ProgramServices
Management And General312547ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total139915Total
Program Services23118ProgramServices
Management And General116797ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
REAL ESTATE TAXES133247100501231970
ALL OTHER EXPENSES10216724679385537340

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total54430595Total
Program Services37631639ProgramServices
Management And General16798956ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5567650BOY
EOY7980791EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY680109BOY
EOY574113EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3190864BOY
EOY489650EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY25029BOY
EOY26185EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2431394BOY
EOY1878175EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis59482277LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec28957480LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26193750BOY
EOY30524797EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY35515BOY
EOY35515EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY38124311BOY
EOY41509226EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4634174BOY
EOY3714226EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5433684BOY
EOY4274745EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10067858BOY
EOY7988971EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY28056453BOY
EOY33520255EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28056453BOY
EOY33520255EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38124311BOY
EOY41509226EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-776709ReconcilationRevenueExpenses
Reconcilation Other Changes6240511ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43252CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3058876CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years33024CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16308CurrentTaxYearMinus1Year
Current Tax Year22353CurrentTaxYear
Total3173813Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6345856CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7583890CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6655112CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7172249CurrentTaxYearMinus1Year
Current Tax Year6438135CurrentTaxYear
Total34195242Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6389108CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10642766CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6688136CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7188557CurrentTaxYearMinus1Year
Current Tax Year6460488CurrentTaxYear
Total37369055Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1548550CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years764705CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1079129CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1086588CurrentTaxYearMinus1Year
Current Tax Year799506CurrentTaxYear
Total5278478Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1548550CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years764705CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1079129CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1086588CurrentTaxYearMinus1Year
Current Tax Year799506CurrentTaxYear
Total5278478Total
FieldValueIRS element (for citing)
Public Support Total50932090577PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years116430CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years105353CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56100CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year192130CurrentTaxYearMinus1Year
Current Tax Year143396CurrentTaxYear
Total613409Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11038CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-95CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total10943Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years127468CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years105258CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56100CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year192130CurrentTaxYearMinus1Year
Current Tax Year143396CurrentTaxYear
Total624352Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1490CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47465CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years154755CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year174826CurrentTaxYearMinus1Year
Current Tax Year1276519CurrentTaxYear
Total1655055Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6518066CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10795489CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6898991CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7555513CurrentTaxYearMinus1Year
Current Tax Year7880403CurrentTaxYear
Total39648462Total
FieldValueIRS element (for citing)
Public Support Percentage5090.80938PublicSupportPercentage509
Prior Year Support Percentage0.82204PriorYearSupportPercentage
Investment Income Percentage0.01575InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01628PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance3131267BeginningOfYearBalance
Other Expenditures501358OtherExpenditures
End Of Year Balance2629909EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3128667BeginningOfYearBalance
Contributions1855Contributions
Investment Earnings Or Losses2472InvestmentEarningsOrLosses
Administrative Expenses1727AdministrativeExpenses
End Of Year Balance3131267EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3090184BeginningOfYearBalance
Contributions19011Contributions
Investment Earnings Or Losses23119InvestmentEarningsOrLosses
Administrative Expenses3647AdministrativeExpenses
End Of Year Balance3128667EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis6384279OtherCostOrOtherBasis
Book Value6384279BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2436145OtherCostOrOtherBasis
Depreciation336445Depreciation
Book Value2099700BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis594636OtherCostOrOtherBasis
Depreciation142818Depreciation
Book Value451818BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis41694296OtherCostOrOtherBasis
Depreciation28478217Depreciation
Book Value13216079BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis8372921OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value8372921BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings30524797TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
MINIMUM PENSION LIABILITY$3,922,445
CENTRAL BUSINESS OFFICE RESERVE$318,750
PROFESSIONAL AND GENERAL LIABILITY$33,550
FieldValueIRS element (for citing)
Total Of Amounts4274745TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
USE OF THE ORGANIZATION'S BOARD DESIGNATED FUNDSSCHEDULE D, PART VTHESE CONTRIBUTIONS ARE DESIGNATED FOR THE USE OF BUILDING A HOSPICE HOUSE IN COTTONWOOD, ARIZONA.
FIN 48 (ASC 740) FOOTNOTESCHEDULE D, PART X, LINE 2IN ACCORDANCE WITH ACCOUNTING GUIDANCE, MANAGEMENT HAS REVIEWED ALL OPEN TAX YEARS AND HAS DETERMINED THAT THE CORPORATION HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN J DEMPSEY
3741440581740495400481530181310548142000
GREGORY KUZMA
311056044627000340650171500406898000
WILLIAM T BRADEL
486222069300061722098000186460645690000
JAMES BLEICHER
356999012297803347098000237240516848000
PATRICIA J CROFFORD
2482880324340009793072610297776000
LAWRENCE J CAPEK
209271028981052570950340193470357890000
BRUCE C WEISENSEL
229851029036000363120224450317644000
STEVEN R SPRAVZOFF
190611047820070580770510131410335681000
DALE PUGH
17130602459100073060129800216183000
JAMES A PUFFENBERGER THRU 730
55380400093396000434110690611000
LORETTA WELLBORN
1597360103300439053398074040231307000
RICHARD HENN
15686009717000538870130300233494000
ROBERT R MCKUSICK
14901209717000444460166130219788000
VICKIE L LEWIS
1694460138410159507215070040199101000
JEFFREY J HAMBLEN
210184051775017739091040196360308438000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE J, PART ILINE 1A AND LINE 1B:BOARD MEMBER AND OFFICER BUSINESS TRAVEL EXPENSES, SUCH AS AIRLINE AND MEALS, FOR COMPANIONS WERE PAID AND REPORTED ON W-2 OR 1099. GROSS-UP OF TAXES IS DONE ON ALL EMPLOYEE GIFT CERTIFICATES. CURRENTLY, THERE IS NO WRITTEN POLICY FOR THESE ITEMS BUT THE ORGANIZATION RECOGNIZES THE NEED TO HAVE ONE. IN PRACTICE, BOARD MEMBER AND OFFICER BUSINESS TRAVEL EXPENSES ARE APPROVED BY THE NEXT HIGHEST LEVEL. THE FOLLOWING OFFICERS RECEIVED BENEFITS AND/OR GROSS-UP PAYMENTS THAT WERE INTENDED TO BE COMPENSATION: BENEFITS GROSS-UP PAYMENTS W-2 OR 1099 TOTAL ALAN EVERETT $ 538 171 709 JAMES LEDBETTER $1,649 193 1,842 SHAWN ORME $ 276 189 465 MATIAS SANDOVAL $ 872 200 1,072 TOM TAYLOR $ 552 185 737 JAMES BLEICHER $ 882 216 1,098
SCHEDULE J, PART I, LINE 4AJAMES PUFFENBERGER RECEIVED SEVERANCE PAYMENT OF $690,611.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
THE LEDBETTER LAW FIRM PLC
LEDBETTER/BOARD MEMBER228160LEGAL FEES PAIDfalse
ESTHER SPRAVZOFF
SPRAVZOFF/SPOUSE54686COMPENSATIONfalse
KRISTI KNECHT
SPRAVZOFF/DAUGHTER30286COMPENSATIONfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART III, LINE 4DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTSNORTHERN ARIZONA HEALTHCARE (NAH) IS THE PARENT CORPORATION OF FLAGSTAFF MEDICAL CENTER AND VERDE VALLEY MEDICAL CENTER. NAH IS DEDICATED TO IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE IN NORTHERN AND CENTRAL ARIZONA. NAH IS THE LARGEST HEALTHCARE ORGANIZATION IN NORTHERN ARIZONA SERVING ALMOST ONE HALF OF THE STATE. THE HEALTHCARE PROVIDER EMPLOYS MORE THAN 2,915 HEALTHCARE PROFESSIONALS AND, THROUGH ITS AFFILIATES, SERVICES A POPULATION OF MORE THAN 300,000 PEOPLE IN THE SERVICE AREA. NAH IS DEDICATED TO PROVIDING THE HIGHEST QUALITY, MOST COST EFFECTIVE HEALTH CARE DELIVERY SYSTEM TO THE VISITORS AND RESIDENTS OF NORTHERN AND CENTRAL ARIZONA. NAH ENCOURAGES PATIENTS TO BE PART OF THEIR OWN TREATMENT THROUGH EDUCATION AND WELLNESS PROGRAMS. PHYSICIANS, EMPLOYEES AND VOLUNTEERS ALL WORK FOR A COMMON GOAL, AND THE COMMUNITY BENEFITS FROM ORGANIZATIONAL OUTREACH THAT CONTRIBUTES TO RICHER AND HEALTHIER LIVING. NORTHERN ARIZONA HEALTHCARE'S VISION AND VALUES ----------------------------------------------- VISION - NAH, IN PARTNERSHIP WITH OUR COLLEAGUES AND PHYSICIANS, WILL BE THE HIGHEST QUALITY, COST-EFFECTIVE, PREFERRED HEALTHCARE DELIVERY SYSTEM IN NORTHERN AND CENTRAL ARIZONA. WE WILL EXCEED THE EXPECTATIONS OF THOSE WE SERVE BY: - DEVELOPING QUALITY HEALTHCARE SERVICES USING ADVANCED TECHNOLOGY TO IMPROVE THE HEALTH STATUS AND TO MEET THE GROWING NEEDS OF THE COMMUNITIES WE SERVE. - FOSTERING AN ORGANIZATIONAL CULTURE THAT ACTS AS A MAGNET FOR RECRUITING AND RETAINING HIGHLY QUALIFIED COLLEAGUES AND PHYSICIANS. - ENSURING EXCEPTIONAL VALUE FOR OUR PATIENTS AND FINANCIAL STRENGTH FOR OUR INSTITUTIONS. - DEVELOPING STRATEGIC ALLIANCES AND PARTNERSHIPS WITH PROVIDERS AND ORGANIZATIONS TO ENSURE COMPREHENSIVE SERVICES FOR OUR PATIENTS. - VALUES - WE ARE COMMITTED TO MEETING THE NEEDS AND EXCEEDING THE EXPECTATIONS OF OUR PATIENTS. WE WILL CREATE AN ORGANIZATIONAL CULTURE WHERE COLLEAGUES FEEL VALUED AND TAKE A SENSE OF PRIDE IN THEIR WORK. - QUALITY - WE CONTINUOUSLY STRIVE TO ACHIEVE EXCELLENCE AT ALL LEVELS IN THE ORGANIZATION. - SAFETY - WE ARE COMMITTED TO MAINTAINING A SAFE ENVIRONMENT FOR OUR PATIENTS, VISITORS AND COLLEAGUES. - LEADERSHIP - WE PROMOTE LEADERSHIP AS AN ATTITUDE, NOT A POSITION, PUTTING VALUE ON BOTH PEOPLE AND THE WORK THEY DO. - TEAMWORK - WE ARE COLLEAGUES WORKING TOGETHER, SHARING KNOWLEDGE, TALENTS, AND SKILLS TO ACHIEVE COMMON GOALS. NORTHERN ARIZONA HEALTHCARE PARTNERSHIPS ---------------------------------------- LITTLE COLORADO MEDICAL CENTER (WINSLOW MEMORIAL HOSPITAL) - NORTHERN ARIZONA HEALTHCARE HAS A MANAGEMENT AGREEMENT IN PLACE WITH LITTLE COLORADO MEDICAL CENTER (LCMC), A 25-BED CRITICAL ACCESS TAX EXEMPT HOSPITAL IN WINSLOW, ARIZONA. THE LCMC BOARD OF DIRECTORS RETAINS ULTIMATE RESPONSIBILITY FOR THE OPERATIONS AND ACTIVITIES OF THE HOSPITAL. NAH AND LCMC MAINTAIN A RELATIONSHIP TO ENHANCE LCMC'S SERVICE TO THE COMMUNITY. THE PEAKS - THE PEAKS IS A TAX EXEMPT SENIOR LIVING, LEARNING AND WELLNESS COMMUNITY THAT IS PART OF AN INTERGENERATIONAL CAMPUS IN FLAGSTAFF, ARIZONA. THROUGH THE INTERGENERATIONAL LEARNING, MENTORING AND VOLUNTEER OPPORTUNITIES, THE PEAKS OFFERS AN UNPARALLELED SENIOR RETIREMENT LIFESTYLE. NORTHERN ARIZONA HOMECARE - NORTHERN ARIZONA HOMECARE, A DIVISION OF NAH, PROVIDES QUALITY, PROFESSIONAL HEALTHCARE IN THE COMFORT OF THE PATIENT'S HOME. NORTHERN ARIZONA HOSPICE - HOSPICE, A DIVISION OF NAH, IS FOR PATIENTS WHO HAVE A TERMINAL ILLNESS AND HAVE DECIDED TO SHIFT THE FOCUS OF CARE FROM CURE TO COMFORT. HOSPICE CARE EMPHASIZES THE QUALITY OF REMAINING LIFE AND ALLOWS THE PATIENT TO REMAIN AT HOME IN FAMILIAR SURROUNDINGS WHILE RECEIVING EXPERT HEALTHCARE.
FORM 990, PART VI, LINE 11BREVIEW OF THE FORM 990 BY THE ORGANIZATION'S GOVERNING BODYTHE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM BASED ON DATA GATHERED BY THE CONTROLLER AND THE ORGANIZATION'S FINANCIAL OPERATIONS GROUP. THE CFO REVIEWS THE DRAFT FORM 990 AND PROVIDES ADDITIONAL COMMENTS. THE FINAL DRAFT VERSION OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE MAY 15 DUE DATE. ANY ADDITIONAL COMMENTS SUGGESTED BY THE GOVERNING BODY ARE THEN INCORPORATED INTO THE FINAL VERSION OF THE FORM 990 TO BE FILED WITH THE IRS BY THE FINAL DUE DATE. IF ANY SUGGESTED CHANGES ARE MATERIAL OR SIGNIFICANT, AN ADDITIONAL DRAFT IS DISTRIBUTED TO THE GOVERNING BODY PRIOR TO FILING.
FORM 990, PART VI, LINE 12CDESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTTHE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY (BOARD POLICY 6.1). THIS IS ACCOMPLISHED BY A NUMBER OF MECHANISMS. FIRST THE CONFLICT OF INTEREST QUESTIONNAIRE IS REVIEWED BY THE GOVERNANCE COMMITTEE OF THE BOARD. AS PART OF THE QUESTIONNAIRE, SELF-DISCLOSURE IS REQUIRED BY BOARD MEMBERS. IN ADDITION INDIVIDUAL DISCLOSURE BY BOARD MEMBERS OCCURS AT BOARD MEETINGS WHEN NECESSARY (I.E. A BOARD MEMBER WILL EXCLUDE HIMSELF FROM VOTING ON AN ISSUE IN WHICH HE MAY HAVE A CONFLICT OF INTEREST).
FORM 990, PART VI, LINE 15A AND 15BDESCRIPTION OF COMPENSATION PROCESSTHE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO AND OTHER OFFICERS INCLUDES THE PREPARATION OF COMPARABLE DATA BY TOWERS WATSON, AN INDEPENDENT CONSULTING FIRM. IN ADDITION THIS INFORMATION IS REVIEWED BY THE GOVERNANCE COMMITTEE OF THE BOARD AND DOCUMENTED IN BOARD MINUTES. THE MOST RECENT REVIEW WAS PERFORMED JANUARY 2010.
FORM 990, PART VI, LINE 19AVAILABILITY OF CERTAIN DOCUMENTS TO THE GENERAL PUBLICTHE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ARIZONA DEPARTMENT OF HEALTH SERVICES. IN ADDITION THEY ARE AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) AS PART OF THE ORGANIZATION'S CONTINUING DISCLOSURE DOCUMENTS THAT ARE REQUIRED BY ITS PUBLIC DEBT REQUIREMENTS. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART VIIHOURS DEVOTED TO RELATED ORGANIZATIONSBERT MCKINNON SERVES ON THE BOARD OF NORTHERN ARIZONA HEALTHCARE CORPORATION (NAHC) AND FLAGSTAFF MEDICAL CENTER (FMC). HE DEVOTED 2 HOURS PER WEEK TO EACH ORGANIZATION. CHRIS BAVASI SERVES ON THE BOARD OF NAHC AND FMC. HE DEVOTED 2.5 HOURS PER WEEK TO EACH ORGANIZATION. GARY CHRISTENSEN SERVES ON THE BOARD OF NAHC AND FMC. HE DEVOTED 0.75 HOURS PER WEEK TO EACH ORGANIZATION. JAMES DORMAN SERVES ON THE BOARD OF NAHC AND FMC. HE DEVOTED 3 HOURS PER WEEK TO EACH ORGANIZATION. WAYNE FOX SERVES ON THE BOARD OF NAHC AND FMC. HE DEVOTED 1.75 HOURS PER WEEK TO EACH ORGANIZATION. ROBERT M. MONTOYA SERVES ON THE BOARD OF NAHC AND FMC. HE DEVOTED 2.75 HOURS PER WEEK TO EACH ORGANIZATION. MOLLY MUNGER SERVES ON THE BOARD OF NAHC AND FMC. SHE DEVOTED 0.75 HOURS PER WEEK TO EACH ORGANIZATION. ALAN EVERETT SERVES ON THE BOARD OF NAHC AND VERDE VALLEY MEDICAL CENTER (VVMC). HE DEVOTED 3 HOURS PER WEEK TO EACH ORGANIZATION. JAMES LEDBETTER SERVES ON THE BOARD OF NAHC AND VVMC. HE DEVOTED 2.75 HOURS PER WEEK TO EACH ORGANIZATION. SHAWN ORME SERVES ON THE BOARD OF NAHC AND VVMC. HE DEVOTED 2.50 HOURS PER WEEK TO EACH ORGANIZATION. MATIAS SANDOVAL SERVES ON THE BOARD OF NAHC AND VVMC. HE DEVOTED 5 HOURS PER WEEK TO EACH ORGANIZATION. TOM TAYLOR SERVES ON THE BOARD OF NAHC AND VVMC. HE DEVOTED 2 HOURS PER WEEK TO EACH ORGANIZATION. GREGORY KUZMA IS THE VP AND CHIEF FINANCIAL OFFICER OF NAHC, FMC AND VVMC. HE DEVOTED 20 HOURS PER WEEK TO EACH NAHC AND FMC, AND HE DEVOTED 11 HOURS PER WEEK TO VVMC. WILLIAM BRADEL IS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF NAHC AND FMC. HE DEVOTED 20 HOURS PER WEEK TO EACH ORGANIZATION. JAMES BLEICHER IS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF NAHC AND VVMC. HE DEVOTED 20 HOURS TO EACH ORGANIZATION. JOHN DEMPSEY IS THE EXECUTIVE VP OF LAW & ETHICS OF NAHC AND VVMC. HE DEVOTED 20 HOURS TO EACH ORGANIZATION. Crofford, Capek, Weisensel, Spravzoff, Pugh, Wellborn, Henn, McKusick, and Lewis all devote time to FMC, NAH, and VVMC. ALL THEIR COMPENSATION IS PAID BY NAHC.
OTHER CHANGES IN NET ASSETS/FUND BALANCESFORM 990, PART XI, LINE 5DECREASE IN UNFUNDED PENSION LIABILITY $1,636,000 NET ASSET TRANSFERS FROM (TO) AFFILIATE 4,606,000 ROUNDING (1,489) ------------ TOTAL: $6,240,511

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
FLAGSTAFF MEDICAL CENTER
POST OFFICE BOX 1268FLAGSTAFFAZ86002860110232HEALTHCAREAZ501(C)(3)3NAH
VERDE VALLEY MEDICAL CENTER
269 SOUTH CANDY LANECOTTONWOODAZ86326860100882HEALTHCAREAZ501(C)(3)3NAH

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1TASC LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 N BEAVER STAddressLine1
CityFLAGSTAFFCity
StateAZState
ZIP Code86001ZIPCode
FieldValueIRS element (for citing)
EIN860913157EIN
Primary ActivityAMBULATORY SVPrimaryActivity
Legal Domicile StateAZLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeType
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
FLAGSTAFF MEDICAL CENTER
J59569
FLAGSTAFF MEDICAL CENTER
A, I19200
FLAGSTAFF MEDICAL CENTER
Q4947719
FLAGSTAFF MEDICAL CENTER
N6352271
FLAGSTAFF MEDICAL CENTER
R142430282
VERDE VALLEY MEDICAL CENTER
N2592071

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