2011-05-13T16:56:03-04:00 2010-06-30 ERNST & YOUNG US LLP TWO NORTH CENTRAL AVENUE STE 2300 PHOENIX AZ 85004 990 2009-07-01 742410946 NORTHERN ARIZONA HEALTHCARE CORPORATION NORT 9287793366 POST OFFICE BOX 1268 FLAGSTAFF AZ 860021268 GREGORY KUZMA 2011-05-13 6023223000 2009 2016-02-24 21:20:13Z WILLIAM T BRADEL 1200 N BEAVER ST FLAGSTAFF AZ 86001 50332117 false X WWW.NORTHERNARIZONAHEALTHCARE.COM X 1985 AZ TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 14 10 3413 12 0 0 33024 16308 49205881 49918203 12845 205307 154755 174826 49406505 50314644 579500 0 0 0 16844515 14841977 0 0 0 32630985 36101282 50055000 50943259 -648495 -628615 32585489 38124311 7176880 10067858 25408609 28056453 TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. false false 35520725 0 50093029 SEE SCHEDULE O 35520725 true false false false false false false false true true false true false false false false false false false false false false false true false false false false false false false true false false false false false true true false false true 0 0 3413 true false false false false false false false false false 14 10 false false false false false false false true true false false true true true true true true true true false AZ X JOHN A CORTESE 9282143545 914 N SAN FRANCISCO SUITE M FLAGSTAFF AZ 86001 WILLIAM AUSTIN MD 2.5 X 0 61509 0 CHRIS BAVASI 2.5 X X 0 0 0 GARY CHRISTENSEN MD 1.1 X 0 0 0 RICHARD O CRANMER 2.0 X 0 200 0 JIM DORMAN 3.8 X 0 0 0 ALAN EVERETT 6.0 X 0 258 0 WAYNE R FOX 2.4 X 0 0 0 JAMES E LEDBETTER 6.0 X X 0 258 0 ROBERT M MONTOYA 2.9 X X 0 0 0 MOLLY MUNGER 2.2 X 0 0 0 RAY SELNA 2.0 X X 0 200 0 TOM TAYLOR 4.0 X 0 199 0 JAMES A PUFFENBERGER THRU 7309 40.0 X X 730452 0 70233 WILLIAM T BRADEL 0.0 X 515361 0 30262 JAMES BLEICHER MD 0.0 X 329459 0 33999 JOHN J DEMPSEY 40.0 X 469939 0 98415 GREGORY KUZMA 40.0 X 383053 0 114249 PATRICIA J CROFFORD 40.0 X 276946 0 17054 LAWRENCE J CAPEK 40.0 X 259502 0 129310 BRUCE C WEISENSEL 40.0 X 259164 0 159500 STEVEN R SPRAVZOFF 40.0 X 244672 0 127409 DALE PUGH 40.0 X 202930 0 19987 LORETTA WELLBORN 40.0 X 173789 0 96970 RICHARD HENN 40.0 X 167613 0 96865 ROBERT R MCKUSICK 40.0 X 163886 0 123685 JANET L MCNEESE 40.0 X 159934 0 50054 JEFFREY J HAMBLEN 40.0 X 233459 0 48082 4570159 62624 1216074 358 false true false FORT VALLEY PLAZA 1120 W UNIVERSITY AVE STE 200 FLAGSTAFF AZ 86001 OFFICE SPACE RENTAL 445425 FENNEMORE CRAIG PC 3003 N CENTRAL AVE PHOENIX AZ 85012 LEGAL SERVICES 277483 HONIGMAN MILLER SCHWARTZ COHN 660 WOODWARD AVE DETROIT MI 48226 LEGAL SERVICES 269388 JANALENT NORTH AMERICA 7582 LAS VEGAS BLVD S STE 580 LAS VEGAS NV 89123 I.T. SERVICES 263459 SQUIRE SANDERS DEMPSEY LLP PO BOX 643051 CINCINNATI OH 45264 LEGAL SERVICES 111832 6 16308 16308 HOME HEALTH/HOSPICE PATIENT SERVICES 621110 5346400 5346400 INTERCOMPANY RENT 531120 71376 71376 CORP EXP REIMBURSEMENT ALLOCATION 900099 42745954 42745954 HEALTH SEMINARS 611430 592330 592330 MANAGEMENT FEE - LITTLE CO. MED. 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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. X X false true X X X X true false false false false false false false false JOHN J DEMPSEY 363677 0 88476 0 17786 0 80660 0 17755 0 568354 0 0 0 GREGORY KUZMA 313870 0 42828 0 26355 0 97679 0 16570 0 497302 0 0 0 PATRICIA J CROFFORD 244512 0 32434 0 0 0 9793 0 7261 0 294000 0 0 0 LAWRENCE J CAPEK 225699 0 32523 0 1280 0 112641 0 16669 0 388812 0 0 0 BRUCE C WEISENSEL 216716 0 29771 0 12677 0 141735 0 17765 0 418664 0 0 0 STEVEN R SPRAVZOFF 197726 0 42960 0 3986 0 114419 0 12990 0 372081 0 0 0 DALE PUGH 177395 0 25440 0 95 0 7362 0 12625 0 222917 0 0 0 JAMES A PUFFENBERGER THRU 730 287954 0 0 0 442498 0 49760 0 20473 0 800685 0 0 0 LORETTA WELLBORN 161308 0 11650 0 831 0 88785 0 8185 0 270759 0 0 0 RICHARD HENN 151740 0 10959 0 4914 0 80290 0 16575 0 264478 0 0 0 ROBERT R MCKUSICK 151740 0 10959 0 1187 0 106088 0 17597 0 287571 0 0 0 JANET L MCNEESE 153530 0 6404 0 0 0 33799 0 16255 0 209988 0 0 0 JEFFREY J HAMBLEN 216598 0 16861 0 0 0 8698 0 39384 0 281541 0 0 0 WILLIAM T BRADEL 404546 0 90630 0 20185 0 9800 0 20462 0 545623 0 0 0 JAMES BLEICHER MD 261360 0 63969 0 4130 0 9800 0 24199 0 363458 0 0 0 SCHEDULE J, PART I SUPPLEMENTAL COMPENSATION INFORMATION LINE 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. LEDBETTER LAW FIRM LLC LEDBETTER / PARTNER 291912 PARTNER OF LAW FIRM false ESTHER SPRAVZOFF SPRAVZOFF / SPOUSE 55041 COMPENSATION false KRISTI KNECHT SPRAVZOFF / DAUGHTER 35000 COMPENSATION false NO AZ ORTHOPAEDICS SPRAVZOFF / FAMILY MEMBER 1434994 MEDICAL SERVICES false FORM 990, PART III, LINE 4 DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS NORTHERN 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 11A REVIEW OF THE FORM 990 BY THE ORGANIZATION'S GOVERNING BODY THE 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 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE 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 15B DESCRIPTION OF COMPENSATION PROCESS THE 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 19 AVAILABILITY OF CERTAIN DOCUMENTS TO THE GENERAL PUBLIC THE 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 VII COMPENSATION PAYMENT WILLIAM 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 2 TRANSACTIONS WITH RELATED ORGANIZATIONS THE AMOUNTS REPORTED ON SCHEDULE R, PART V, LINE 2 ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING. 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