Skip to content
Nonprofiteer
← NORTHERN COCHISE COMMUNITY HOSPITAL INC

Form 990 for tax year 2022

Filed by NORTHERN COCHISE COMMUNITY HOSPITAL INC.

Totals

Total revenue
$21,296,954
Total expenses
$18,935,280
Contributions and grants received
$2,842,021
Grants paid
$0
Program service revenue
$18,255,628
Investment income
$5,208
Other revenue
$194,097
Total assets, end of year
$15,971,812
Total liabilities, end of year
$1,386,420
Net assets or fund balances, end of year
$14,585,392
Program services expenses (Part IX)
$14,905,770
Management and general expenses
$4,021,277
Fundraising expenses
$8,233
Program service expenses (Part III)
$14,905,770

Program services were 78.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $2,579,678

  • 1f · All other contributions, gifts and grants

    $262,343

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $18,255,628 · related or exempt $18,255,628

  • 3 · Investment income

    total $5,208 · excluded $5,208

  • 6a · Gross rents

    real property $35,050

  • 6c · Rental income or loss

    real property $35,050

  • 6d · Net rental income or loss

    total $35,050 · excluded $35,050

  • 11a · Other revenue: OTHER REVENUE

    total $55,292 · excluded $55,292

  • 11b · Other revenue: CAFETERIA REVENUE

    total $52,489 · excluded $52,489

  • 11c · Other revenue: REBATES

    total $51,266 · excluded $51,266

  • 11e · Other revenue, total

    $159,047

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $296,427 · management and general $296,427

  • 7 · Other salaries and wages

    total $6,565,390 · program services $5,791,417 · management and general $771,201 · fundraising $2,772

  • 8 · Pension plan contributions

    total $63,340 · program services $53,625 · management and general $9,689 · fundraising $26

  • 9 · Other employee benefits

    total $302,001 · program services $268,900 · management and general $32,972 · fundraising $129

  • 10 · Payroll taxes

    total $497,469 · program services $422,828 · management and general $74,437 · fundraising $204

  • 11b · Fees: legal

    total $7,002 · management and general $7,002

  • 11c · Fees: accounting

    total $50,018 · management and general $50,018

  • 11g · Fees: other

    total $5,123,374 · program services $4,442,896 · management and general $679,206 · fundraising $1,272

  • 12 · Advertising and promotion

    total $37,309 · program services $3,234 · management and general $34,075

  • 13 · Office expenses

    total $648,258 · program services $394,870 · management and general $252,607 · fundraising $781

  • 14 · Information technology

    total $430,776 · program services $53,951 · management and general $376,825

  • 16 · Occupancy

    total $239,922 · program services $190,821 · management and general $47,341 · fundraising $1,760

  • 17 · Travel

    total $55,101 · program services $45,080 · management and general $9,971 · fundraising $50

  • 19 · Conferences, conventions and meetings

    total $593 · program services $593

  • 20 · Interest

    total $10,670 · program services $11 · management and general $10,659

  • 22 · Depreciation, depletion and amortization

    total $562,669 · program services $416,533 · management and general $145,388 · fundraising $748

  • 23 · Insurance

    total $286,155 · program services $219,154 · management and general $67,001

  • 24a · Other expenses: MEDICAL SUPPLIES & DRUGS

    total $1,481,034 · program services $1,481,034

  • 24b · Other expenses: ASSESSMENT FEES

    total $633,480 · program services $633,480

  • 24c · Other expenses: REPAIRS & MAINTENANCE

    total $399,108 · program services $347,896 · management and general $50,721 · fundraising $491

  • 24e · All other expenses

    total $1,245,184 · program services $139,447 · management and general $1,105,737

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,498,704 · end of year $2,567,523

  • 2 · Savings and temporary cash investments

    beginning of year $3,823,576 · end of year $3,825,295

  • 4 · Accounts receivable

    beginning of year $3,952,351 · end of year $3,290,782

  • 8 · Inventories for sale or use

    beginning of year $276,641 · end of year $231,215

  • 9 · Prepaid expenses and deferred charges

    beginning of year $213,803 · end of year $199,649

  • 10a · Land, buildings and equipment: cost or other basis

    $4,075,862

  • 10b · Land, buildings and equipment: accumulated depreciation

    $826,539

  • 10c · Land, buildings and equipment, net

    beginning of year $3,249,292 · end of year $3,249,323

  • 11 · Investments: publicly traded securities

    beginning of year $750,000 · end of year $635,947

  • 15 · Other assets

    beginning of year $6,588,512 · end of year $1,972,078

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,691,605 · end of year $1,318,671

  • 19 · Deferred revenue

    beginning of year $535,373

  • 23 · Secured mortgages and notes payable

    beginning of year $5,788,130 · end of year $67,749

  • 27 · Net assets without donor restrictions

    beginning of year $12,337,771 · end of year $14,585,392

Mission and programs · 2022

Mission

TO PROVIDE FOR THE HEALTHCARE NEEDS OF THE GREATER WILLCOX COMMUNITY AND SOUTHEAST ARIZONA.

  • THE CRITCAL ACCESS HOSPITAL PROVIDES HEALTHCARE TO THE GENERAL PUBLIC REGARDLESS OF AGE, RACE, OR ABILITY TO PAY. SERVICES INCLUDE, BUT ARE NOT LIMITED TO, EMERGENCY ROOM, PHYSICAL THERAPY, SPEECH THERAPY, RESP THERAPY, CT SCAN, MRI, RURAL HEALTH CLINIC, LABORATORY SERVICE, AND OTHER HEALTHCARE SERVICES. THE HOSPITAL PROVIDED 554 DAYS OF ACUTE PATIENT SERVICES, 5,599 EMERGENCY ROOM VISITS, AND 10,401 RURAL HEALTH CLINIC VISITS FOR THE YEAR. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 113,592 FOR CHARITY CARE, 2,597,735 FOR MEDICARE, 3,996,487 FOR MEDICAID, AND 7,177,015 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR.

    Expenses $14,905,770 · Revenue $18,255,628

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Monica Sheldon

    CEO

    Total calculated
    $185,648
    From this org
    $185,648
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $185,648
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    $185,648

  • Laurel Kibler

    NURSE PRACTI

    Total calculated
    $191,036
    From this org
    $178,205
    From related orgs
    $0
    Other
    $12,831
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $133,505
    Bonus
    $44,700
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $12,831
    Filer's total
    $191,036

  • Kristian Abarca

    NURSE PRACTI

    Total calculated
    $188,328
    From this org
    $170,901
    From related orgs
    $0
    Other
    $17,427
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $116,529
    Bonus
    $54,372
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $17,427
    Filer's total
    $188,328

  • Welton Wittwer

    PHYSICAL THE

    Total calculated
    $156,393
    From this org
    $136,401
    From related orgs
    $0
    Other
    $19,992
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $136,401
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $19,992
    Filer's total
    $156,393

  • Anna Nandimo

    REGISTERED N

    Total calculated
    $155,682
    From this org
    $145,782
    From related orgs
    $0
    Other
    $9,900
    Hours/week
    47

    Schedule J breakdown matched by us

    Base
    $145,782
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $9,900
    Filer's total
    $155,682

  • Peggie Johnson

    REGISTERED N

    Total calculated
    $131,165
    From this org
    $131,165
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • James Kraykovich

    CFO

    Total calculated
    $110,779
    From this org
    $89,535
    From related orgs
    $0
    Other
    $21,244
    Hours/week
    40

  • Steven Metts

    CHAIR

    Total calculated
    $0
    Hours/week
    5

  • Daniel Wilson

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    3

  • Kathy Cook

    SECRETARY

    Total calculated
    $0
    Hours/week
    3

  • Carol Dunagan

    DIRECTOR

    Total calculated
    $0
    Hours/week
    3

  • Jay Katz

    DIRECTOR

    Total calculated
    $0
    Hours/week
    3

  • Julia Strange

    DIRECTOR

    Total calculated
    $0
    Hours/week
    3

  • Dawn Walker

    DIRECTOR

    Total calculated
    $0
    Hours/week
    3

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PAGE 1, PART I, LINE 7
PURSUANT TO THE HOSPITAL'S EMPLOYEE AGREEMENT WITH THE CEO, AN ANNUAL INCENTIVE BONUS MAY BE PAID. THIS BONUS IS DEPENDENT ON THE ORGANIZATION'S OVERALL FINANCIAL CONDITION AND THE CEO'S ACHIEVEMENT OF A VARIETY OF PREVIOUSLY ESTABLISHED GOALS RELATED TO COMMUNITY INVOLVEMENT, EMPLOYEE DEVELOPMENT, OPERATIONAL COMPLIANCE, INDUSTRY KNOWLEDGE, AND THE IMPLEMENTATION OF NEW PROGRAMS. NO BONUS PAYMENT WAS MADE THIS TAX YEAR.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • GLP INSURANCE COMPANY

    INSURANCE · CJ

  • TMC HEALTHCARE SECURITY SERVICES

    SECURITY · AZ

Provenance

Return type
form_990
Tax year
2022
Filed
31 October 2023
IRS schema version
2022v5.0
Source object
202343049349302914

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.