Civic Intelligence

Northern Cochise Community Hospital Inc.

990 • Fiscal year 2021 • EIN 86-0208451

Jul 01, 2020 to Jun 30, 2021 • Filed on May 09, 2022

Organization ProfileWWW.NCCH.NET

View Organization Page

901 West Rex Allen DriveWillcox, AZ 85643

(520) 384-3541

Siviq Scores

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Balance Sheet

Assets

Up

$20,177,243

Up $7,146,554 (+55%) from 2020

Net Assets

Up

$10,533,729

Up $3,181,591 (+43%) from 2020

Liabilities

Up

$9,643,514

Up $3,964,963 (+70%) from 2020

Revenue And Expenses

Revenue

Up

$20,842,048

Up $779,345 (+3.9%) from 2020

Expenses

Down

$17,909,615

Down $592,799 (-3.2%) from 2020

Net Income

Up

$2,932,433

Up $1,372,144 (+88%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0Assets 2010: $8,414,499Liabilities 2010: $6,779,789Net Assets 2010: $1,634,7102010Assets 2011: $7,192,570Liabilities 2011: $5,055,107Net Assets 2011: $2,137,4632011Assets 2012: $7,745,370Liabilities 2012: $4,291,683Net Assets 2012: $3,453,6872012Assets 2013: $6,419,891Liabilities 2013: $3,280,177Net Assets 2013: $3,139,7142013Assets 2014: $5,692,816Liabilities 2014: $2,832,979Net Assets 2014: $2,859,8372014Assets 2015: $5,907,937Liabilities 2015: $2,985,620Net Assets 2015: $2,922,3172015Assets 2016: $6,367,063Liabilities 2016: $2,554,710Net Assets 2016: $3,812,3532016Assets 2017: $7,584,573Liabilities 2017: $2,997,450Net Assets 2017: $4,587,1232017Assets 2018: $8,109,786Liabilities 2018: $2,867,008Net Assets 2018: $5,242,7782018Assets 2019: $8,569,443Liabilities 2019: $2,723,024Net Assets 2019: $5,846,4192019Assets 2020: $13,030,689Liabilities 2020: $5,678,551Net Assets 2020: $7,352,1382020Assets 2021: $20,177,243Liabilities 2021: $9,643,514Net Assets 2021: $10,533,7292021Assets 2021: $21,352,879Liabilities 2021: $9,015,108Net Assets 2021: $12,337,7712021Assets 2022: $15,971,812Liabilities 2022: $1,386,420Net Assets 2022: $14,585,3922022Assets 2023: $18,283,308Liabilities 2023: $1,959,370Net Assets 2023: $16,323,9382023Assets 2024: $22,803,061Liabilities 2024: $1,972,464Net Assets 2024: $20,830,5972024

Highlighted filing

2021

Assets$20,177,243
Liabilities$9,643,514
Net Assets$10,533,729
Open 2021 Filing

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $18,770,4532010Expenses 2011: $17,895,5252011Expenses 2012: $16,384,3802012Revenue 2013: $20,344,266Expenses 2013: $20,658,239Net Income 2013: -$313,9732013Revenue 2014: $20,310,426Expenses 2014: $20,590,303Net Income 2014: -$279,8772014Revenue 2015: $18,793,446Expenses 2015: $18,730,965Net Income 2015: $62,4812015Revenue 2016: $19,016,864Expenses 2016: $18,126,828Net Income 2016: $890,0362016Revenue 2017: $19,299,362Expenses 2017: $18,524,592Net Income 2017: $774,7702017Revenue 2018: $19,116,888Expenses 2018: $18,461,233Net Income 2018: $655,6552018Revenue 2019: $18,430,835Expenses 2019: $17,827,194Net Income 2019: $603,6412019Revenue 2020: $20,062,703Expenses 2020: $18,502,414Net Income 2020: $1,560,2892020Revenue 2021: $20,842,048Expenses 2021: $17,909,615Net Income 2021: $2,932,4332021Revenue 2021: $11,504,293Expenses 2021: $9,214,881Net Income 2021: $2,289,4122021Revenue 2022: $21,296,954Expenses 2022: $18,935,280Net Income 2022: $2,361,6742022Revenue 2023: $20,885,206Expenses 2023: $19,232,759Net Income 2023: $1,652,4472023Revenue 2024: $24,778,233Expenses 2024: $20,326,021Net Income 2024: $4,452,2122024

Highlighted filing

2021

Revenue$20,842,048
Expenses$17,909,615
Net Income$2,932,433
Open 2021 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
May 9, 2022
Return Version
2020v4.0
Gross Receipts
$20,842,048
Mission and Program Overview

Mission

To provide for the healthcare needs of the greater willcox community and southeast arizona.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$4,605,488$4,572,663▼ $32,825
Cash and Non-Interest-Bearing Accounts$2,148,332$3,729,114▲ $1,580,782
Land, Buildings, and Equipment, Net$3,738,501$3,136,632▼ $601,869
Accounts Receivable$1,518,512$2,319,642▲ $801,130
Pledges and Grants Receivable$397,956--
Inventories for Sale or Use$245,142$313,649▲ $68,507
Prepaid Expenses and Deferred Charges$176,766$209,030▲ $32,264
Total Assets$13,030,689$20,177,243▲ $7,146,554
Other Assets Total$199,992$5,896,513▲ $5,696,521
Liabilities
Mortgage Notes Payable Secured by Investment Property$3,402,054$7,100,639▲ $3,698,585
Accounts Payable and Accrued Expenses$1,202,393$1,724,025▲ $521,632
Deferred Revenue$1,074,104--
Other Liabilities-$818,850-
Total Liabilities$5,678,551$9,643,514▲ $3,964,963
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$7,352,138$10,533,729▲ $3,181,591
Total Net Assets Fund Balance$7,352,138$10,533,729▲ $3,181,591
Total Liabilities and Net Assets / Fund Balance$13,030,689$20,177,243▲ $7,146,554

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,479,012$4,867$2,483,879
Equipment$613,573$42,259$655,832
Other Land Buildings$27,774-$27,774
Leasehold Improvements$16,273-$16,273
Other Assets Org$18,500--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Laurel KiblerNurse PractiFT$178,223$13,234$191,457
Laurel KiblerNurse Practioner-$178,223$13,234$191,457
Martin DufourMedical DireFT$148,940$5,059$153,999
Martin DufourMedical Director-$148,940$5,059$153,999
Monica SheldonCEOFT$137,404$12,296$149,700
Welton WittwerPhysical theFT$129,943$19,614$149,557
Connie DineenCNOFT$138,238$6,631$144,869
Lisa CraneNurse PractiFT$127,623$10,769$138,392
Carol HoldenCFO Thru NovFT$116,132$18,548$134,680
Dawn WalkerDirector-$18,825-$18,825

Board Members and Trustees

NameTitle
Steven MettsChair
Winfield ThomasVice Chair
Carol DunaganDirector
Daniel WilsonDirector
Kathy CookSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Fedko Emergency ServicesEr PhysiciansPO BOX 742528, Dallas, TX 75374$3,061,271
Shared Imaging LLCMri MaintenanceLOCK BOX 88544, Milwaukee, WI 53288$123,950
Revenue and Support

Revenue Composition

Contributions and Grants
$5,406,574
Program Service Revenue
$15,310,103
Investment Income
$28,451
Other Revenue
$96,920
All Other Contributions
$150,140
Change in Net Assets
$2,932,433
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$9,820,075
Salaries, Compensation, and Employee Benefits$8,089,540
Total Fundraising Expense$8,495
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,245,382$1,167,982$2,970$6,416,334
Fees for Services Other$4,142,688$369,001$1,016$4,512,705
Office Expenses$718,917$198,485$1,329$918,731
Other Employee Benefits$534,622$177,754$303$712,679
Information Technology$12,678$587,292-$599,970
Depreciation Depletion$423,443$174,760$812$599,015
Payroll Taxes$444,618$124,795$251$569,664
Insurance$221,725$71,093-$292,818
Current Officers, Directors, Trustees, and Key Employees-$278,368-$278,368
Other Expenses$173,839$54,428$327$228,594
Occupancy$169,255$52,379$1,387$223,021
All Other Expenses$33,394$105,894$43$139,331
Pension Plan Contributions$88,141$24,304$50$112,495
Interest$57,575$3,877-$61,452
Fees for Services Legal-$48,683-$48,683
Advertising-$30,775-$30,775
Fees for Services Accounting-$23,804-$23,804
Travel$15,601-$7$15,608
Conferences and Meetings$6,745--$6,745
Total Functional Expenses$14,407,446$3,493,674$8,495$17,909,615
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Key EmployeeInternet/telecomNo$104,094
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third Party Settlements$818,850
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
Yes
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 4

“Effective june 1, 2021, the articles of incorporation for the hospital were amended to transfer membership interest to tmc healthcare.”

Form 990, Page 6, Part VI, Line 6

“Tmc healthcare is the sole member of northern cochise community hospital.”

Form 990, Page 6, Part VI, Line 7A

“Tmc healthcare appoints the hospital governing body.”

Form 990, Page 6, Part VI, Line 11B

“A copy of the 990 is provided to the ceo who reviews the form, schedules and related attachments. Any comments or questions are addressed with the preparer and a draft is made available to the board of directors who then approve the 990. Once management is satisfied with the 990, the ceo signs the form 8879-eo authorizing the preparer to e-file the return.”

Form 990, Page 6, Part VI, Line 12C

“All officers and directors are required to fill out a conflict of interest form annually. The forms are reviewed by the compliance officer for potential conflicts. Any actual conflicts are reviewed by the board of directors. A person with a conflict is restricted from voting on related matters.”

Form 990, Page 6, Part VI, Line 15A

“The ceo's compensation is determined on an annual basis by a compensation committee based on comparability data. The main source available to the hospital in regard to fair market value in salaries is the state hospital association annual survey. This survey is utilized by the board in determining the ceo's compensation.”

Form 990, Page 6, Part VI, Line 15B

“See form 990, part vi, line 15a.”

Form 990, Page 6, Part VI, Line 19

“The hospital makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Northern Cochise Community
EIN
86-0208451
Phone
5203843541
Address
901 WEST REX ALLEN DRIVE, WILLCOX, AZ 85643

Signing Officer

Name
Monica Sheldon
Title
CEO
Phone
5203843541
Signed
2022-05-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Monica Sheldon
Formed
1966
Legal Domicile
Az
Voting Board Members
6
Independent Board Members
4
Employees
195
Volunteers
16

Preparer

Firm
Dingus Zarecor & Associates Pllc
Address
12015 E MAIN AVE, SPOKANE VALLEY, WA 99206
Preparer
Thomas Dingus
Phone
5092420874
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“4,142,688 369,001 1,016”

Form 990, Part XI, Line 9

“Transfer of assets 96,695”

Financial Statement Notes

Schedule D, Page 3, Part X

“The hospital is exempt from federal income taxes under section 501(c)(3) of the internal revenue code. Accordingly, no provision for income tax is necessary. The hospital evaluates uncertain tax positions whereby the effect of the uncertainty would be recorded if the outcome was considered probable and reasonably estimable. As of june 30,2021 and 2020, the hospital had no uncertain tax positions requiring accrual. As organized, the district is exempt from paying federal income taxes.”

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IRS990/Desc0THE 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 553 DAYS OF ACUTE PATIENT SERVICES, 4,240 EMERGENCY ROOM VISITS, AND 9,349 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 155,158 FOR CHARITY CARE, 5,141,216 FOR MEDICARE, 1,693,890 FOR MEDICAID, AND 3,256,514 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR.
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IRS990/Form990PartVIISectionAGrp/TitleTxt10CNO
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IRS990/OtherExpensesGrp/Desc1ASSESSMENT FEES
IRS990/OtherExpensesGrp/Desc2REPAIRS & MAINTENANCE
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IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt0209030
IRS990/PrincipalOfficerNm0MONICA SHELDON
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IRS990/ProfessionalFundraisingInd0false
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IRS990/ReportLandBuildingEquipmentInd0true
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE HOSPITAL EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF JUNE 30,2021 AND 2020, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. AS ORGANIZED, THE DISTRICT IS EXEMPT FROM PAYING FEDERAL INCOME TAXES.

Document Assets

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Filings

Displayed year

2021 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$20,177,243
Liabilities
$9,643,514
Net assets
$10,533,729
Revenue
$20,842,048
Expenses
$17,909,615
Net income
$2,932,433
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.8$1.97$20.8$24.8$20.3$4.45
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.3$1.96$16.3$20.9$19.2$1.65
2022Detailed filing. Detailed filing data is available for this year.$16.0$1.39$14.6$21.3$18.9$2.36
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$21.4$9.02$12.3$11.5$9.21$2.29
2021Detailed filing. Detailed filing data is available for this year.$20.2$9.64$10.5$20.8$17.9$2.93
2020Detailed filing. Detailed filing data is available for this year.$13.0$5.68$7.35$20.1$18.5$1.56
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.57$2.72$5.85$18.4$17.8$0.60
2018Detailed filing. Detailed filing data is available for this year.$8.11$2.87$5.24$19.1$18.5$0.66
2017Detailed filing. Detailed filing data is available for this year.$7.58$3.00$4.59$19.3$18.5$0.77
2016Detailed filing. Detailed filing data is available for this year.$6.37$2.55$3.81$19.0$18.1$0.89
2015Detailed filing. Detailed filing data is available for this year.$5.91$2.99$2.92$18.8$18.7$0.06
2014Detailed filing. Detailed filing data is available for this year.$5.69$2.83$2.86$20.3$20.6$0.28
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.42$3.28$3.14$20.3$20.7$0.31
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.75$4.29$3.45$16.4
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.19$5.06$2.14$17.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.41$6.78$1.63$18.8
Peer Organizations

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