2026-04-28T17:06:02+00:00 2025-06-30 440160260 Forvis Mazars LLP 2700 Post Oak Blvd Ste 1500 Houston TX 77056 990 2024-07-01 860253158 Hacienda Inc HACI 6022434231 1402 E South Mountain Avenue Phoenix AZ 85042 Perry Petrilli CEO 6022434231 2026-04-28 true Amanda Maya P01067777 7134994600 2026-05-15 2024 2025-03-06 01:10:19Z Perry Petrilli 1402 E South Mountain Avenue Phoenix AZ 85042 24477541 false X WWW.HACIENDAINC.ORG/ X 1970 AZ PROVIDE SERVICES FOR HANDICAPPED AND CHRONICALLY ILL CHILDREN, TEENS AND ADULTS 3 3 472 3 0 1942537 1122144 21782091 21986260 141028 526020 -87365 21010 23778291 23655434 0 0 18759298 18264575 0 0 5068025 4768253 23827323 23032828 -49032 622606 14766790 14598714 5422503 4538046 9344287 10060668 X PROVIDE SERVICES FOR HANDICAPPED AND CHRONICALLY ILL CHILDREN false false 15420824 16285380 INTERMEDIATE CARE FACILITY: HACIENDA'S ICF-IID SERVES RESIDENTS OF ALL AGES AT ALL LEVELS WITH INTELLECTUAL DISABILITIES. THE ICF PROVIDES INDIVIDUALIZED ACTIVE TREATMENT SERVICES AND SPECIALIZED MEDICAL CARE FOR INDIVIDUALS IN A COMMUNAL, HOMELIKE ENVIRONMENT. 2292285 2420800 THE ORGANIZATION OPERATES A DAY TREATMENT PROGRAM FOR ADULTS AND TEENAGERS WITH DEVELOPMENTAL DISABILITIES. 1667115 1760581 GROUP HOMES, MEDICAL GROUP HOMES: THE ORGANIZATION OPERATES FOUR GROUP HOMES IN THE COMMUNITY. THE MEDICAL GROUP HOME FACILITIES OFFER AROUND-THE-CLOCK MEDICAL SUPERVISION BY LICENSED PRACTICAL NURSES AND SUPERVISION BY A REGISTERED NURSE. THE INDIVIDUALS IN THESE HOMES REQUIRE SPECIFIC MEDICAL SUPERVISION BY TRAINED PERSONNEL. 1458727 1540509 THE ORGANIZATION OPERATES A GROUP SUPPORTED EMPLOYMENT PROGRAM TO ASSESS AND DEVELOP THEIR WORK SKILLS. 1458727 1540509 20838951 true true false false false false false false false true true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false true true true false false true 26 0 true 472 true false false false false false false false false false false false false X 3 3 false false false false false false false true true false false false false true true true true false false false false false AZ X LAURA BENJAMIN 6022434231 1402 E SOUTH MOUNTAIN AVENUE PHOENIX AZ 85042 ALEXANDER RYAN PRESIDENT 1.0 X X 0 0 0 GARY ORMAN VICE PRESIDENT 1.0 1.0 X X 0 0 0 JANET WEIGEL SECRETARY/TREASURER 1.0 1.0 X X 0 0 0 LAURA BENJAMIN CFO 36.0 4.0 X 231294 0 31013 PERRY PETRILLI CEO 36.0 4.0 X 256188 0 30552 ARACELI MENDOZA ICF ADMINISTRATOR 40.0 X 129127 0 6131 DAVID MILLS DIR OF OPERATIONS 40.0 X 157300 0 17431 JOON BAIK GROUP HOME/DTA ADMINISTRATOR 40.0 X 138555 0 12038 KATHLEEN BOEGLER LPN DRIVER 40.0 X 181225 0 20849 TERESA DUNLAP DIR OF NURSING 40.0 X 152016 0 24025 1245705 0 142039 10 false true false 0 459290 590536 72318 1122144 GOVERNMENT PATIENT SERVICE REVENUE 623990 21986260 21986260 0 0 0 0 21986260 38583 38583 0 0 930316 379228 750083 72024 180233 307204 487437 487437 OTHER REVENUE 900099 21010 21010 0 0 0 0 21010 23655434 22007270 0 526020 513620 513620 15007268 14248987 758281 379951 296045 83906 1246094 1074885 171209 1117642 1000696 116946 119475 119475 60998 60998 10555 10555 278250 231451 46799 0 19112 18317 795 160307 68610 91697 75205 21338 53867 424074 399325 24749 285 -31 316 56139 44806 11333 31934 154 31780 561507 517807 43700 1025796 1013922 11874 SUPPLIES 1088041 1080975 7066 FOOD 215324 215027 297 EQUIPMENT RENTAL 164663 156411 8252 FLEET 148944 143203 5741 327644 307023 20621 0 23032828 20838951 2193877 0 2285828 1633165 0 0 1897385 2068325 0 0 0 0 0 79566 95071 309511 297730 15260791 7153347 8542463 8107444 1591510 2365094 0 0 0 60527 31885 14766790 14598714 1661911 1895274 0 0 0 0 0 0 0 0 0 0 27717 0 520521 507041 3212354 2135731 5422503 4538046 X 9329497 10045316 14790 15352 9344287 10060668 14766790 14598714 622606 93775 0 X false true false false X 8669618 7651008 2162309 1942537 1122144 21547616 16073335 17954022 21032004 21809606 22007270 98876237 0 0 0 24742953 25605030 23194313 23752143 23129414 120423853 2175 17400 2800 2741 22886 48002 0 0 0 0 0 0 2175 17400 2800 2741 22886 48002 120375851 14010 58879 47676 52241 38583 211389 0 14010 58879 47676 52241 38583 211389 0 0 0 240490 -114880 0 125610 24756963 25663909 23482479 23689504 23167997 120760852 0.99681 0.99716 0 0.0 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 240490.0, COLUMN D - -114880.0, COLUMN E - , COLUMN F - 125610.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3200 3200 3200 3200 3200 3200 3200 3200 3200 3200 1.0 0.0 0.0 false false 74000 74000 9778513 3602674 6175839 3127510 1777603 1349907 2092130 1773070 319060 188638 0 188638 8107444 Federal Income Taxes DEFERRED COMPENSATION 365104 AHCCCS SETTLEMENT 1745648 OTHER LONG TERM LIABILITIES 24979 REFUNDABLE ADVANCES LEASE LIABILITY 2135731 X 23604236 93775 -134418 -40643 23644879 10555 0 10555 23655434 22887855 0 0 22887855 10555 134418 144973 23032828 Schedule D, Part V, Line 4 Intended uses of endowment funds INTENDED USE OF ENDOWMENT FUNDS: TO USE THE INTEREST EARNINGS TO FUND THE ORGANIZATION'S PROGRAM SERVICES AND GENERAL OPERATIONS. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote ASC 740 FOOTNOTE: THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "IRC") AND SIMILAR STATE PROVISIONS. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A)(III) OF THE IRC AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(1) OF THE IRC. THE ORGANIZATION HAS PROVIDED FOR INCOME TAXES ON ITS UNRELATED BUSINESS INCOME, WHICH HAVE NOT BEEN SIGNIFICANT, AS REQUIRED BY SECTION 512 OF THE CODE. THE ORGANIZATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON WHETHER IT IS "MORE-LIKELY-THAN-NOT" THAT THE POSITION WILL BE SUSTAINED BY THE TAXING AUTHORITY UPON EXAMINATION. THE ORGANIZATION ROUTINELY EVALUATES POTENTIAL UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAS IDENTIFIED ITS STATUS AS AN EXEMPT ORGANIZATION AS A TAX POSITION; HOWEVER, THE ORGANIZATION HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY THAT REQUIRES RECOGNITION. THE ORGANIZATION FILES INFORMATIONAL AND INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. AS OF JUNE 30, 2025, U.S. FEDERAL INFORMATIONAL AND INCOME TAX RETURNS FOR THE THREE MOST RECENT YEARS. INTEREST AND PENALTIES, IF ANY, ARE ACCRUED AS A COMPONENT OF MANAGEMENT AND GENERAL EXPENSES WHEN ASSESSED. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 BAD DEBT EXPENSE - -134418 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements BAD DEBT EXPENSE - 134418 X X X false false false false false false false true false PERRY PETRILLI CEO 256188 0 0 0 0 0 29471 0 1081 0 286740 0 0 0 LAURA BENJAMIN CFO 231294 0 0 0 0 0 28086 0 2927 0 262307 0 0 0 KATHLEEN BOEGLER LPN DRIVER 179562 0 1663 0 0 0 10749 0 10100 0 202074 0 0 0 DAVID MILLS DIR OF OPERATIONS 157300 0 0 0 0 0 6442 0 10989 0 174731 0 0 0 TERESA DUNLAP DIR OF NURSING 152016 0 0 0 0 0 12614 0 11411 0 176041 0 0 0 JOON BAIK GROUP HOME/DTA ADMINISTRATOR 138555 0 0 0 0 0 11084 0 954 0 150593 0 0 0 ARACELI MENDOZA ICF ADMINISTRATOR 129127 0 0 0 0 0 5209 0 922 0 135258 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation METHOD USED TO ESTABLISH CEO/EXECUTIVE DIRECTOR COMPENSATION: HACIENDA HEALTHCARE MONITORS THE COMPETITIVE RATES THAT OTHER SIMILAR HEALTHCARE COMPANIES OFFER. THE HACIENDA HEALTHCARE BOARD OF DIRECTORS APPROVES CHANGES IN EXECUTIVE COMPENSATION ANNUALLY BEFORE THE CHANGES TAKE PLACE. Schedule J, Part I, Line 7 Non-fixed payments NONFIXED PAYMENTS: THE LPN DRIVER RECEIVES A BONUS THAT INCLUDES A NONFIXED PORTION BASED ON EXTRA SHIFTS WORKED. THESE BONUSES WERE AT THE DISCRETION OF MANAGEMENT. Form 990, Part III, Line 4a-4c Description of program services (Expenses $ 1,458,727 including grants of $)(Revenue $ 1,540,509) THE ORGANIZATION OPERATES A GROUP SUPPORTED EMPLOYMENT PROGRAM TO ASSESS AND DEVELOP THEIR WORK SKILLS. Form 990, Part VI, Line 11b Review of form 990 by governing body PROCESS TO REVIEW FORM 990: THE ORGANIZATION'S CEO WILL REVIEW AND APPROVE THE FORM 990 PRIOR TO FILING. THE ORGANIZATION'S CEO HAS BEEN AUTHORIZED BY THE BOARD OF DIRECTORS TO SIGN THE FINAL FORM 990. Form 990, Part VI, Line 12c Conflict of interest policy CONFLICT OF INTEREST POLICY: THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT ADDRESSES THE CONSIDERATION OF POTENTIAL CONFLICTS OF INTEREST BY THE BOARD OF DIRECTORS, COMMITTEE MEMBERS, KEY EMPLOYEES, AND THEIR RELATIVES. AS PER THE POLICY, SUCH PERSONS MUST MAKE DISCLOSURE OF ANY POTENTIAL CONFLICTS OF INTEREST AND MUST ABSTAIN FROM VOTING ON ANY ACTION IN WHICH THEY MAY HAVE AN INTEREST. ON AN ANNUAL BASIS, ALL BOARD MEMBERS ARE REQUIRED TO SIGN OFF ON AN ANNUAL CONFLICT OF INTEREST FORM, EITHER STATING ANY KNOWN CONFLICTS, OR STATING THAT THERE ARE NONE. Form 990, Part VI, Line 19 Required documents available to the public DOCUMENTS MADE AVAILABLE TO THE PUBLIC: THE ORGANIZATION GENERALLY DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES (EXPENSES $1,458,727 INCLUDING GRANTS OF )(REVENUE $1,540,509) THE ORGANIZATION OPERATES A GROUP SUPPORTED EMPLOYMENT PROGRAM TO ASSESS AND DEVELOP THEIR WORK SKILLS. LOS NINOS HOSPITAL INC 1402 E SOUTH MOUNTAIN AVE PHOENIX AZ 85042 860892673 HEALTHCARE AZ 501(c)(3) 10 NA true false false true false false false false false false false false true true true true false false false true LOS NINOS HOSPITAL INC C 459290 CASH