FURP.ORG / PUBLIC DATA EXPLORER

NORTHERN ARIZONA HEALTHCARE CORPORATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
NORTHERN ARIZONA HEALTHCARE CORPORATION (EIN 74-2410946)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201131339349305033
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

FieldValueIRS element (for citing)
Timestamp2011-05-13T16:56:03-04:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

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)
NameGREGORY KUZMAName
TitleVICE PRESIDENT/CFOTitle
Date Signed2011-05-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6023223000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts50332117GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
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 Members10NbrIndependentVotingMembers
Total Nbr Employees3413TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year33024ContributionsGrantsPriorYear
Contributions Grants Current Year16308ContributionsGrantsCurrentYear
Program Service Revenue Prior Year49205881ProgramServiceRevenuePriorYear
Program Service Revenue CY49918203ProgramServiceRevenueCY
Investment Income Prior Year12845InvestmentIncomePriorYear
Investment Income Current Year205307InvestmentIncomeCurrentYear
Other Revenue Prior Year154755OtherRevenuePriorYear
Other Revenue Current Year174826OtherRevenueCurrentYear
Total Revenue Prior Year49406505TotalRevenuePriorYear
Total Revenue Current Year50314644TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year579500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16844515SalariesEtcPriorYear
Salaries Etc Current Year14841977SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year32630985OtherExpensePriorYear
Other Expenses Current Year36101282OtherExpensesCurrentYear
Total Expenses Prior Year50055000TotalExpensesPriorYear
Total Expenses Current Year50943259TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-648495RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-628615RevenuesLessExpensesCY
Total Assets BOY32585489TotalAssetsBOY
Total Assets EOY38124311TotalAssetsEOY
Total Liabilities BOY7176880TotalLiabilitiesBOY
Total Liabilities EOY10067858TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY25408609NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY28056453NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense35520725Expense
Grants0Grants
Revenue50093029Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense35520725TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3413NumberOfEmployees
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
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
WILLIAM AUSTIN MD
DIRECTOR2.5X0615090
CHRIS BAVASI
DIRECTOR / SECRETARY2.5X000X
GARY CHRISTENSEN MD
DIRECTOR1.1X000
RICHARD O CRANMER
DIRECTOR / PAST CHAIR2.0X02000
JIM DORMAN
DIRECTOR3.8X000
ALAN EVERETT
DIRECTOR6.0X02580
WAYNE R FOX
DIRECTOR2.4X000
JAMES E LEDBETTER
DIRECTOR / VICE-CHAIR6.0X02580X
ROBERT M MONTOYA
DIRECTOR / CHAIR2.9X000X
MOLLY MUNGER
DIRECTOR2.2X000
RAY SELNA
DIRECTOR / TREASURER2.0X02000X
TOM TAYLOR
DIRECTOR4.0X01990
JAMES A PUFFENBERGER THRU 7309
PRESIDENT/CEO40.0X730452070233X
WILLIAM T BRADEL
EX OFFICIO DIRECTOR/FMC PRES0.0X515361030262
JAMES BLEICHER MD
EX OFFICIO DIRECTOR/VVMC PRES0.0X329459033999
JOHN J DEMPSEY
EXECUTIVE VP LAW & ETHICS40.0469939098415X
GREGORY KUZMA
VP FINANCE/CFO40.03830530114249X
PATRICIA J CROFFORD
VP HUMAN RESOURCES40.0276946017054X
LAWRENCE J CAPEK
VP BUSINESS DEVELOPMENT40.02595020129310X
BRUCE C WEISENSEL
VP STRATEGIC PLANNING40.02591640159500X
STEVEN R SPRAVZOFF
VP PROCUREMENT/PROCESS IMPROVE40.02446720127409X
DALE PUGH
VP CORP MKTG40.0202930019987X
LORETTA WELLBORN
DIRECTOR HOMECARE40.0173789096970X
RICHARD HENN
DIRECTOR EDUCATION40.0167613096865X
ROBERT R MCKUSICK
DIRECTOR NURSING40.01638860123685X
JANET L MCNEESE
DIRECTOR HUMAN RESOURCES40.0159934050054X
JEFFREY J HAMBLEN
PRESIDENT LCMC40.0233459048082X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4570159TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs62624TotalReportableCompFrmRltdOrgs
Total Other Compensation1216074TotalOtherCompensation
Number Individuals GT100 K358NumberIndividualsGT100K
Formers ListedfalseFormersListed
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
FORT VALLEY PLAZA
1120 W UNIVERSITY AVE STE 200FLAGSTAFFAZ86001OFFICE SPACE RENTAL445425
FENNEMORE CRAIG PC
3003 N CENTRAL AVEPHOENIXAZ85012LEGAL SERVICES277483
HONIGMAN MILLER SCHWARTZ COHN
660 WOODWARD AVEDETROITMI48226LEGAL SERVICES269388
JANALENT NORTH AMERICA
7582 LAS VEGAS BLVD S STE 580LAS VEGASNV89123I.T. SERVICES263459
SQUIRE SANDERS DEMPSEY LLP
PO BOX 643051CINCINNATIOH45264LEGAL SERVICES111832
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions16308AllOtherContributions
Total Contributions16308TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOME HEALTH/HOSPICE PATIENT SERVICES62111053464005346400
INTERCOMPANY RENT5311207137671376
CORP EXP REIMBURSEMENT ALLOCATION9000994274595442745954
HEALTH SEMINARS611430592330592330
MANAGEMENT FEE - LITTLE CO. MED. CTR.56100011621431162143
FieldValueIRS element (for citing)
Total Program Service Revenue49918203TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column192130TotalRevenueColumn
Exclusion$192,130ExclusionAmount

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)
Other30650Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other17473Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other13177Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column13177TotalRevenueColumn
Exclusion$13,177ExclusionAmount

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 IncomeRelatedOrExemptFunctionIncome
CREDIT CARD REBATES9000992829128291
PURCHASE DISCOUNT/REBATES9000999537295372
All other revenue9000995116351163
FieldValueIRS element (for citing)
Total Other Revenue174826TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column50314644TotalRevenueColumn
Related Or Exempt Function Income50093029RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$205,307ExclusionAmount

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)
Total3153192Total
Program Services1974282ProgramServices
Management And General1178910ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total730452Total
Program Services0ProgramServices
Management And General730452ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8035972Total
Program Services3060757ProgramServices
Management And General4975215ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1077053Total
Program Services181710ProgramServices
Management And General895343ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1022595Total
Program Services418961ProgramServices
Management And General603634ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total822713Total
Program Services180381ProgramServices
Management And General642332ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6611946Total
Program Services6321385ProgramServices
Management And General290561ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total590378Total
Program Services37636ProgramServices
Management And General552742ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total91830Total
Program Services91830ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2387515Total
Program Services1075359ProgramServices
Management And General1312156ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total17016Total
Program Services17016ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2324305Total
Program Services1714522ProgramServices
Management And General609783ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total15364602Total
Program Services13853619ProgramServices
Management And General1510983ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1732162Total
Program Services803095ProgramServices
Management And General929067ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total329752Total
Program Services196748ProgramServices
Management And General133004ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5137110Total
Program Services4833072ProgramServices
Management And General304038ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total146244Total
Program Services20915ProgramServices
Management And General125329ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBT4743744743740
REAL ESTATE TAXES1334750133475
ALL OTHER EXPENSES760573265063495510

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total50943259Total
Program Services35520725ProgramServices
Management And General15422534ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4940065BOY
EOY5567650EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY693790BOY
EOY680109EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY290579BOY
EOY3190864EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY26428BOY
EOY25029EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2234903BOY
EOY2431394EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis49895773LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec23702023LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY20129256BOY
EOY26193750EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4270468BOY
EOY35515EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY32585489BOY
EOY38124311EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5573266BOY
EOY4634174EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1603614BOY
EOY5433684EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7176880BOY
EOY10067858EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY25408609BOY
EOY28056453EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25408609BOY
EOY28056453EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32585489BOY
EOY38124311EOY
FieldValueIRS element (for citing)
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 Years76533CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years43252CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3058876CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year33024CurrentTaxYearMinus1Year
Current Tax Year16308CurrentTaxYear
Total3227993Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5950842CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6345856CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7583890CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6655112CurrentTaxYearMinus1Year
Current Tax Year7172249CurrentTaxYear
Total33707949Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6027375CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6389108CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10642766CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6688136CurrentTaxYearMinus1Year
Current Tax Year7188557CurrentTaxYear
Total36935942Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years897147CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1548550CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years764750CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1079129CurrentTaxYearMinus1Year
Current Tax Year1086588CurrentTaxYear
Total5376164Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years897147CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1548550CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years764750CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1079129CurrentTaxYearMinus1Year
Current Tax Year1086588CurrentTaxYear
Total5376164Total
FieldValueIRS element (for citing)
Public Support Total50931559778PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years81261CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years116430CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105353CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56100CurrentTaxYearMinus1Year
Current Tax Year192130CurrentTaxYear
Total551274Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years62713CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11038CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-95CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total73656Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years143974CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years127468CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105258CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56100CurrentTaxYearMinus1Year
Current Tax Year192130CurrentTaxYear
Total624930Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years452610CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1490CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47465CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year154755CurrentTaxYearMinus1Year
Current Tax Year174826CurrentTaxYear
Total831146Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6623959CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6518066CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10795489CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6898991CurrentTaxYearMinus1Year
Current Tax Year7555513CurrentTaxYear
Total38392018Total
FieldValueIRS element (for citing)
Public Support Percentage5090.82204PublicSupportPercentage509
Prior Year Support Percentage0.82850PriorYearSupportPercentage
Investment Income Percentage0.01628InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01280PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Balance3128667BeginningOfYearBalance
Contributions1855Contributions
Investment Earnings Or Losses2472InvestmentEarningsOrLosses
Administrative Expenses1727AdministrativeExpenses
End Of Year Balance3131267EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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)
Other Cost Or Other Basis5883079OtherCostOrOtherBasis
Book Value5883079BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2108534OtherCostOrOtherBasis
Depreciation226665Depreciation
Book Value1881869BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis178280OtherCostOrOtherBasis
Depreciation101636Depreciation
Book Value76644BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis35065296OtherCostOrOtherBasis
Depreciation23373722Depreciation
Book Value11691574BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6660584OtherCostOrOtherBasis
Book Value6660584BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26193750TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
MINIMUM PENSION LIABILITY$5,073,484
CENTRAL BUSINESS OFFICE RESERVE$318,750
PROF/GEN LIAB INSURANCE RESERVE$41,450
FieldValueIRS element (for citing)
Total Of Amounts5433684TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierINTENDED USE OF THE ORGANIZATION'S BOARD DESIGNATED FUNDSIdentifier
ExplanationSCHEDULE D, PART V THESE CONTRIBUTIONS ARE DESIGNATED FOR THE USE OF BUILDING A HOSPICE HOUSE IN COTTONWOOD, ARIZONA. SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS REVIEWED ALL OPEN TAX YEARS AND HAS DETERMINED THAT THE CORPORATION HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS.Explanation

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
3636770884760177860806600177550568354000
GREGORY KUZMA
3138700428280263550976790165700497302000
PATRICIA J CROFFORD
2445120324340009793072610294000000
LAWRENCE J CAPEK
2256990325230128001126410166690388812000
BRUCE C WEISENSEL
21671602977101267701417350177650418664000
STEVEN R SPRAVZOFF
1977260429600398601144190129900372081000
DALE PUGH
177395025440095073620126250222917000
JAMES A PUFFENBERGER THRU 730
2879540004424980497600204730800685000
LORETTA WELLBORN
1613080116500831088785081850270759000
RICHARD HENN
151740010959049140802900165750264478000
ROBERT R MCKUSICK
1517400109590118701060880175970287571000
JANET L MCNEESE
15353006404000337990162550209988000
JEFFREY J HAMBLEN
21659801686100086980393840281541000
WILLIAM T BRADEL
404546090630020185098000204620545623000
JAMES BLEICHER MD
26136006396904130098000241990363458000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE J, PART IIdentifier
Return ReferenceSUPPLEMENTAL COMPENSATION INFORMATIONReturnReference
ExplanationLINE 1A AND LINE 1B: BOARD MEMBER AND OFFICER BUSINESS TRAVEL EXPENSES, SUCH AS AIRLINE AND MEALS, FOR SPOUSES WERE PAID AND INFORMATION GATHERED FOR W-2 AND 1099 REPORTING. GROSS UP OF TAXES IS DONE ON ALL EMPLOYEE GIFT CERTIFICATES. CURRENTLY, THERE IS NO WRITTEN POLICY FOR THESE ITEMS. IN PRACTICE, THE BOARD MEMBER AND OFFICER BUSINESS TRAVEL EXPENSES ARE APPROVED BY NEXT HIGHEST LEVEL. LINE 4A: JAMES PUFFENBERGER RECEIVED SEVERANCE PAYMENT OF $217,597.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
LEDBETTER LAW FIRM LLC
LEDBETTER / PARTNER291912PARTNER OF LAW FIRMfalse
ESTHER SPRAVZOFF
SPRAVZOFF / SPOUSE55041COMPENSATIONfalse
KRISTI KNECHT
SPRAVZOFF / DAUGHTER35000COMPENSATIONfalse
NO AZ ORTHOPAEDICS
SPRAVZOFF / FAMILY MEMBER1434994MEDICAL SERVICESfalse

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 11AREVIEW 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 AND KEY OFFICERS AT A BOARD MEETING HELD PRIOR TO THE MAY 15 DUE DATE FOR THE FORM 990. A REPRESENTATIVE FROM THE ACCOUNTING FIRM ATTENDS THE MEETING AND EXPLAINS SOME OF THE SIGNIFICANT DISCLOSURES IN THE FORM 990. 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 VIICOMPENSATION PAYMENTWILLIAM AUSTIN, MD RECEIVED COMPENSATION PAYMENT OF $61,509 FROM FLAGSTAFF MEDICAL CENTER FOR THE PHYSICIAN SERVICES HE PROVIDED. FORM 990, PART VII, COLUMN B HOURS WORKED FOR RELATED ENTITIES WILLIAM BRADEL IS PRESIDENT OF FLAGSTAFF MEDICAL CENTER AND DEVOTES 40 HOURS PER WEEK TO THAT ENTITY. JAMES BLEICHER IS PRESIDENT OF VERDE VALLEY MEDICAL CENTER AND DEVOTES 40 HOURS PER WEEK TO THAT ENTITY.
FORM 990, SCHEDULE R, PART V, LINE 2TRANSACTIONS WITH RELATED ORGANIZATIONSTHE AMOUNTS REPORTED ON SCHEDULE R, PART V, LINE 2 ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING.

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 1268FLAGSTAFFAZ860021268860110232HEALTHCAREAZ501(C)(3)3NAH
VERDE VALLEY MEDICAL CENTER
269 SOUTH CANDY LANECOTTONWOODAZ86326860100882HEALTHCAREAZ501(C)(3)3NAH

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartner
TASC LLC
1200 N BEAVER STFLAGSTAFFAZ86001860913157AMBULATORY SVCSAZNARELATED00false$0true
SUMMIT CENTER MRI LLC
1485 N TURQUOISE DR STE 140FLAGSTAFFAZ86001208307589MRI CENTERAZNARELATED00false$0false
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 OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
FLAGSTAFF MEDICAL CENTER
j59515
FLAGSTAFF MEDICAL CENTER
n6056091
VERDE VALLEY MEDICAL CENTER
n2349310
FLAGSTAFF MEDICAL CENTER
q4926298
FLAGSTAFF MEDICAL CENTERVERDE VALLEY MED CTR
A71376