CHILDRENS CLINICS FOR REHABILITATIVE SERVICES: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS CLINICS FOR REHABILITATIVE SERVICES (EIN 86-0667510)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-02-02
- IRS object ID
- 201130339349300413
- Schema version
- 2009v1.7
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-02-02T12:32:11-06:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2009-07-01 | 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 | Jania Arnoldi | Name |
| Title | CFO | Title |
| Phone | 5203245437 | Phone |
| Date Signed | 2011-01-25 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | David M Iaconis CPA | Name |
| Phone | 5203214600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 6326624 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 86 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 178685 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 401345 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 9796196 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5822543 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 65113 | InvestmentIncomePriorYear |
| Investment Income Current Year | 73882 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 28645 | OtherRevenuePriorYear |
| Other Revenue Current Year | 28854 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 10068639 | TotalRevenuePriorYear |
| Total Revenue Current Year | 6326624 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4084476 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3747380 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5145275 | OtherExpensePriorYear |
| Other Expenses Current Year | 2556789 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 9229751 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6304169 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 838888 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 22455 | RevenuesLessExpensesCY |
| Total Assets BOY | 7066830 | TotalAssetsBOY |
| Total Assets EOY | 7660825 | TotalAssetsEOY |
| Total Liabilities BOY | 1792709 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2364249 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5274121 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5296576 | NetAssetsOrFundBalancesEOY |
| Mission Description | The Children's Clinics provides a family centered comprehensive medical home to meet the special needs of children and families. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5396923 | Expense |
| Revenue | 5822543 | Revenue |
| Description | The Children's Clinics for Rehabilitative Services (CCRS), in keeping with its tax-exempt purposes, 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. The volume of visits to our Medical/Dental Specialty Clinics, Rehab Services and Ancillary Services during Fiscal Year 09/10 are shown at Schedule O. 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.Children's Clinics 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 6/30/10:Medical/Dental Clinic Visits 12,993Rehab Service Visits 7,507X-Ray Procedures 1,026 | Description |
| Total Program Service Expense | 5396923 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | 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 | 0 | 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 |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 41 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 86 | 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 |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | 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 |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jania Arnoldi | 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 (15 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 | 2.00 | X | 0 | 0 | 0 | |
| Roger Biede II DDS | ||||||
| Voting Member | 2.00 | X | 0 | 0 | 0 | |
| Chris Cunniff MD | ||||||
| Voting Member | 2.00 | X | 0 | 0 | 0 | |
| CL Deibel | ||||||
| Voting Member | 2.00 | X | 0 | 0 | 0 | |
| Palmer Evans MD | ||||||
| Voting Member | 2.00 | X | 0 | 0 | 0 | |
| Fayez Ghishan MD | ||||||
| Voting Member | 2.00 | X | 0 | 0 | 0 | |
| Lawrence Houseman MD | ||||||
| Voting Member | 2.00 | X | 0 | 0 | 0 | |
| Diana Sheldon | ||||||
| Voting Member | 2.00 | X | 0 | 0 | 0 | |
| Burt Strug MD | ||||||
| Voting Member | 2.00 | X | 0 | 0 | 0 | |
| Tracy Nuckolls | ||||||
| President | 2.00 | X | 0 | 0 | 0 | X |
| Kevin Burns | ||||||
| Vice President | 2.00 | X | 0 | 0 | 0 | X |
| John Stephens MD | ||||||
| Secretary | 2.00 | X | 0 | 0 | 0 | X |
| Jill Bemis | ||||||
| Chief Executive Officer | 40.00 | 153585 | 0 | 5160 | X | |
| Jania Arnoldi | ||||||
| Chief Financial Officer | 40.00 | 89730 | 0 | 9549 | X | |
| Edie Jordan RN | ||||||
| Chief Operating Officer | 40.00 | 93867 | 0 | 9639 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 337182 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 24348 | 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 (5 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 | Medical Services | 447572 |
| Blue Cross Blue Shield of Arizona | |||||
| 5285 E Williams Circle 1000 | Tucson | AZ | 85711 | Medical Services | 369816 |
| Tucson Medical Center | |||||
| 5301 E Grand Road | Tucson | AZ | 85712 | Medical Services | 266864 |
| Target Commercial Interiors | |||||
| 1201 E Broadway Blvd | Tucson | AZ | 85719 | Interior Design | 247209 |
| Neurological Associates of Tucson | |||||
| 2450 E River Road | Tucson | AZ | 85718 | Medical Services | 133800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| All Other Contributions | 401345 | AllOtherContributions |
| Total Contributions | 401345 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient services | 621400 | 5756599 | 5756599 |
| Insurance Claims | 621400 | 65944 | 65944 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5822543 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 73882 | TotalRevenueColumn |
| Exclusion | $73,882 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 28854 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 28854 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28854 | TotalRevenueColumn |
| Exclusion | $28,854 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6326624 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5822543 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $102,736 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 369144 | Total |
| Program Services | 143693 | ProgramServices |
| Management And General | 225451 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2753932 | Total |
| Program Services | 2395184 | ProgramServices |
| Management And General | 358748 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56222 | Total |
| Program Services | 48495 | ProgramServices |
| Management And General | 7727 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 342448 | Total |
| Program Services | 285196 | ProgramServices |
| Management And General | 57252 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 225634 | Total |
| Program Services | 184042 | ProgramServices |
| Management And General | 41592 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29225 | Total |
| Program Services | 23989 | ProgramServices |
| Management And General | 5236 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 338902 | Total |
| Program Services | 333355 | ProgramServices |
| Management And General | 5547 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2880 | Total |
| Management And General | 2880 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191835 | Total |
| Program Services | 113777 | ProgramServices |
| Management And General | 78058 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184898 | Total |
| Program Services | 151617 | ProgramServices |
| Management And General | 33281 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 306552 | Total |
| Program Services | 280244 | ProgramServices |
| Management And General | 26308 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24204 | Total |
| Program Services | 19847 | ProgramServices |
| Management And General | 4357 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19795 | Total |
| Program Services | 16232 | ProgramServices |
| Management And General | 3563 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 264847 | Total |
| Program Services | 217175 | ProgramServices |
| Management And General | 47672 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32921 | Total |
| Program Services | 26995 | ProgramServices |
| Management And General | 5926 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Patient Care | 832293 | 832293 | |
| Medical Supplies | 241820 | 241820 | |
| Bad Debt | 66372 | 66372 | |
| Miscellaneous | 20245 | 16597 | 3648 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6304169 | Total |
| Program Services | 5396923 | ProgramServices |
| Management And General | 907246 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2601229 | BOY |
| EOY | 3274093 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 481057 | BOY |
| EOY | 333294 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 123098 | BOY |
| EOY | 71532 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4288575 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3472423 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 761647 | BOY |
| EOY | 816152 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3099799 | BOY |
| EOY | 3165754 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7066830 | BOY |
| EOY | 7660825 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1792709 | BOY |
| EOY | 2364249 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1792709 | BOY |
| EOY | 2364249 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5274121 | BOY |
| EOY | 5296576 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5274121 | BOY |
| EOY | 5296576 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7066830 | BOY |
| EOY | 7660825 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 319396 | OtherCostOrOtherBasis |
| Depreciation | 240971 | Depreciation |
| Book Value | 78425 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3676452 | OtherCostOrOtherBasis |
| Depreciation | 3231452 | Depreciation |
| Book Value | 445000 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 292727 | OtherCostOrOtherBasis |
| Book Value | 292727 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 816152 | TotalOfBookValueLandBuildings |
| Total Revenue | 6326624 | TotalRevenue |
| Total Expenses | 6304169 | TotalExpenses |
| Excess Or Deficit For Year | 22455 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 22455 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 6853614 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 526990 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 526990 | RevenueNotRptdF990 |
| Revenue Subtotal | 6326624 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 6326624 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 6831159 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 526990 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 526990 | ExpensesNotRptdF990 |
| Expenses Subtotal | 6304169 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 6304169 | TotalExpensesPerForm990 |
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
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jill Bemis | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Base Compensation Filing Org | 153585 | 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 | 3600 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 1560 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 158745 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 2 | Kevin Burns (Vice President) Is Chief Executive Officer of University Medical Center Corporation. Vicki Began, RN, MN (Voting Member) is Vice President of Women, Children's and Emergency services, University Medical Center Corporation. Palmer Evans (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 approval by the finance/audit 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 | An independent CPA was engaged to perform a salary survey in February 2007 when a new CEO was hired. Information was provided to the board regarding compensation for a final decision. In February 2009, the independent CPA completed another salary survey and provided the information to the board. In regards to the positions of CFO and COO, in November 2006, information was obtained from Medical Group Management Association and the Arizona Council of Human Services. Salary.com was utilized in August 2007 for comparability data for the CFO position. |
| 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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