2024-08-29T18:10:17+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE DALLAS TX 75219 990 2023-01-01 261756912 Arizona Children's Risk Solutions ARIZ 6025128132 333 East Osborn Road 300 Phoenix AZ 85012 Michelle Bruhn Executive Vice President & CFO 6029335468 2024-08-29 true Patrick Shields P01508556 2149698000 2024-08-29 2023 2024-08-08 14:25:15Z Robert L Meyer 1919 E Thomas Road Phoenix AZ 85016 7659928 false X N/A X 2008 AZ PROVIDES CAPTIVE INSURANCE SERVICES TO PHOENIX CHILDREN'S HOSPITAL. 6 2 0 2 0 0 0 0 7267267 7595025 8372 64903 0 0 7275639 7659928 0 0 0 0 0 0 0 0 0 3513396 6982032 3513396 6982032 3762243 677896 46974371 50354188 27386922 30088843 19587449 20265345 PROVIDES CAPTIVE INSURANCE SERVICES TO PHOENIX CHILDREN'S HOSPITAL. false false 6891280 0 7595025 SEE SCHEDULE O 6891280 true false false false false false false false false false false false true true true true true 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 true true false false false true X 1 0 true 0 false false false false false false false false false false false false X 6 2 false true false false true true false true true false false true true true true true true false false false X Michelle Bruhn 6029335468 1919 E Thomas Road Phoenix AZ 85016 CARMEN NEUBERGER DIRECTOR/SECRETARY 1.0 39.0 X X 0 1233064 25111 DENNIS BRUNS DIRECTOR/TREASURER (TERMED 07/23) 1.0 39.0 X X 0 850000 6000 JON HULBURD DIRECTOR/PRESIDENT 1.0 2.0 X X 0 0 0 MICHELLE BRUHN DIRECTOR/TREASURER (START 08/23) 1.0 39.0 X X 0 358212 3666 ROBERT L MEYER DIRECTOR/VICE PRESIDENT 1.0 39.0 X X 0 3579364 25370 MICHAEL L RITCHEY MD DIRECTOR 1.0 0 X 0 841917 22871 MOLLY RYAN CARSON DIRECTOR 1.0 2.0 X 0 0 0 KARI CORNICELLI FORMER DIRECTOR/TREASURER (TERMED 08/22) 0.0 0.0 X 0 582116 0 0 7444673 83018 0 true true false 0 0 0 0 0 0 0 0 0 PREMIUM REVENUE 524298 7595025 7595025 0 0 0 0 7595025 64903 64903 0 0 0 0 0 0 0 0 0 7659928 7595025 0 64903 0 0 66200 66200 180 180 18872 18872 0 0 0 0 CLAIMS EXPENSE 6891280 6891280 LICENSES AND TAXES 5500 5500 0 0 0 0 6982032 6891280 90752 0 1448425 1513328 0 0 0 0 0 0 0 0 0 0 45525946 48840860 46974371 50354188 3617185 5252017 0 0 23769737 24836826 27386922 30088843 X 19587449 20265345 19587449 20265345 46974371 50354188 677896 0 X false true X true false X X X 1 PHOENIX CHILDREN'S HOSPITAL 860422559 3 true 6891280 0 1 6891280 0 true false false false false false false false false false false false false false false true false DUE FROM PCH 45494937 RECOVERABLE 1543471 PREMIUMS RECEIVABLE 1275617 MISCELLANEOUS RECEIVABLE 526835 48840860 UNPAID LOSSES 23561209 UNEARNED PREMIUMS 1648588 REINSURANCE PREMIUMS -372971 24836826 X 7659929 0 0 0 7659929 -1 -1 7659928 6982032 0 0 6982032 0 0 6982032 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Company accounts for uncertain tax positions in accordance with the provisions of FASB ASC 740, "Income Taxes", which provides a framework for how companies should recognize, measure, present and disclose uncertain tax positions in their financial statements. With these provisions, the Company will recognize a tax benefit from an uncertain tax position only if it is more-likely-than-not that the tax position will be sustained on examination by the taxing authorities, based upon the technical merits of the position. The tax benefits recognized in the financial statements from such a position are measured based upon the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The Company did not have any unrecognized tax benefits for the years ended December 31, 2023 and 2022. The Company does not believe it is reasonably possible that its unrecognized tax benefits would materially change in the next twelve months. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements ROUNDING DIFFERNECE - -1 true true false false false false false false false KARI CORNICELLI FORMER DIRECTOR/TREASURER (TERMED 08/22) 0 0 0 345481 0 236635 0 0 0 0 0 582116 0 0 MICHELLE BRUHN DIRECTOR/TREASURER (START 08/23) 0 294419 0 0 0 63793 0 0 0 3666 0 361878 0 0 DENNIS BRUNS DIRECTOR/TREASURER (TERMED 07/23) 0 850000 0 0 0 0 0 6000 0 0 0 856000 0 0 ROBERT L MEYER DIRECTOR/VICE PRESIDENT 0 1325223 0 1889823 0 364318 0 13200 0 12170 0 3604734 0 0 CARMEN NEUBERGER DIRECTOR/SECRETARY 0 529044 0 566800 0 137220 0 13200 0 11911 0 1258175 0 0 MICHAEL L RITCHEY MD DIRECTOR 0 715685 0 85969 0 40263 0 10909 0 11962 0 864788 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE TOP MANAGEMENT OFFICIAL'S COMPENSATION IS SUBJECT TO REVIEW AND DETERMINATION BY THE COMPENSATION COMMITTEE OF THE RELATED TAX-EXEMPT ORGANIZATION, PHOENIX CHILDREN'S HOSPITAL (PCH). OTHER EMPLOYEES ARE SUBJECT TO THE HUMAN RESOURCE POLICIES, INCLUDING COMPENSATION ARRANGEMENTS, OF PCH. ARIZONA CHILDREN'S RISK SOLUTIONS DOES NOT HAVE ANY DIRECT EMPLOYEES. ALL PAYROLL IS CENTRALIZED THROUGH PCH (EIN 86-0422559). Schedule J, Part I, Line 4a Severance or change-of-control payment SEVERANCE PAYMENTS WERE MADE IN 2023 TO: KARI CORNICELLI - $236,635 THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AS OTHER REPORTABLE COMPENSATION. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan PHOENIX CHILDREN'S HOSPITAL (PCH) OFFERS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO CERTAIN EXECUTIVES OF THE ORGANIZATION. ELIGIBLE PARTICIPANTS ARE SELECTED BY THE PCH BOARD OF DIRECTORS. PARTICIPANT VESTING OCCURS UPON RETIREMENT, DISABILITY BEFORE SEPARATION, INVOLUNTARY SEPARATION (OTHER THAN FOR CAUSE) OR DEATH. THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE SERP PLAN AND RECEIVED A TAXABLE SERP PAYOUT DURING 2023 THAT IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AS OTHER REPORTABLE COMPENSATION: ROBERT L. MEYER - $321,405 CARMEN NEUBERGER - $94,302 Schedule J, Part II ADDITIONAL INFORMATION MICHAEL RITCHEY, MD RECEIVED COMPENSATION FOR MEDICAL SERVICES RENDERED IN THE CAPACITY OF STAFF PHYSICIAN FOR PHOENIX CHILDREN'S HOSPITAL, NOT FOR HIS DUTIES AS CURRENT BOARD MEMBER. Form 990, Part III, Line 4 PROGRAM SERVICE ACCOMPLISHMENTS ARIZONA CHILDREN'S RISK SOLUTIONS (FORMERLY CAMBRIDGE ARIZONA INSURANCE COMPANY), (AN ARIZONA NON-PROFIT CORPORATION), ENGAGES IN THE BUSINESS OF PROVIDING CAPTIVE INSURANCE SERVICES TO NON-PROFIT CORPORATIONS WITHIN THE STATE OF ARIZONA. THE COMPANY SPECIFICALLY PROVIDES PROFESSIONAL LIABILITY INSURANCE ON A CLAIMS-MADE BASIS AND GENERAL LIABILITY INSURANCE ON AN OCCURRENCE BASIS PURSUANT TO THE PROVISIONS OF ARIZONA REVISED STATUTES 20-1098 AND WAS APPROVED FOR BUSINESS AS A PURE CAPTIVE INSURER BY THE STATE OF ARIZONA DEPARTMENT OF INSURANCE ON FEBRUARY 28, 2008. THE COMPANY SPECIFICALLY OFFERS INSURANCE COVERAGE TO ITS SOLE MEMBER, PHOENIX CHILDREN'S HOSPITAL, INC (PCH). THE ACTIVITIES AND OPERATIONS OF ARIZONA CHILDREN'S RISK SOLUTIONS EXCLUSIVELY BENEFIT PHOENIX CHILDREN'S HOSPITAL BY OFFERING A PROGRAM OF SELF INSURANCE FOR THE HOSPITAL. Form 990, Part V, Line 2a EMPLOYEES ARIZONA CHILDREN'S RISK SOLUTIONS DOES NOT HAVE EMPLOYEES, BUT SHARES COSTS OF PERSONNEL, SERVICES, AND EXPENSES WITH PHOENIX CHILDREN'S HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION. Form 990, Part VI, Line 15 COMPENSATION PROCESS THIS ORGANIZATION DOES NOT PAY ANY COMPENSATION. COMPENSATION IS PAID, AND COMPENSATION PRACTICES ARE DETERMINED, BY PHOENIX CHILDREN'S HOSPITAL. Form 990, Part VI, Line 3 Delegation of management duties THE ORGANIZATION HAS A CAPTIVE MANAGER RESPONSIBLE FOR ALL BUSINESS TRANSACTIONS RELATING TO INSURANCE OPERATIONS AND ACTIVITIES. Form 990, Part VI, Line 6 Classes of members or stockholders PHOENIX CHILDREN'S HOSPITAL IS THE SOLE MEMBER OF THE ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER ELECTS THE GOVERNING BODY OF THE ORGANIZATION. Form 990, Part VI, Line 11b Review of form 990 by governing body FORM 990 WAS REVIEWED BY THE PCH VP FINANCE, EVP/CFO AND CEO. FORM 990 WAS THEN SENT TO THE BOARD OF DIRECTORS. Form 990, Part VI, Line 12c Conflict of interest policy PCH AND ITS AFFILIATE ORGANIZATIONS REQUIRE EACH OF ITS DIRECTORS, OFFICERS, AND VICE PRESIDENTS TO COMPLETE AN ANNUAL DISCLOSURE FORM, IDENTIFYING REAL OR POTENTIAL CONFLICTS, SUCH AS FINANCIAL RELATIONSHIPS OR INTERESTS, FAMILY OR BUSINESS ASSOCIATIONS OR EMPLOYEE RELATIONSHIPS WITH PCH AND/OR ITS DIRECTORS, OFFICERS AND KEY EMPLOYEES. IF SITUATIONS ARE DISCLOSED THAT PRESENT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, THEY ARE REPORTED TO THE CEO AND THE BOARD OF DIRECTORS. RESOLUTION AND/OR AVOIDANCE OF CONFLICT OF INTEREST SITUATIONS RESIDES WITH THE BOARD AND THE CEO. Form 990, Part VI, Line 19 Required documents available to the public SUCH DOCUMENTS ARE NOT REQUIRED TO BE MADE PUBLIC. HOWEVER, SUCH DOCUMENTS WILL BE MADE AVAILABLE UPON REASONABLE REQUEST. CHILDREN'S HEALTHCARE OF ARIZONA INC 1919 E THOMAS ROAD PHOENIX AZ 85016 451474342 SUPPORT AZ 501(c)(3) Type I NA false PHOENIX CHILDREN'S HOSPITAL FOUNDATION 1919 E THOMAS ROAD PHOENIX AZ 85016 742421549 SUPPORT AZ 501(c)(3) 7 PCH true PHOENIX CHILDREN'S HOSPITAL 1919 E THOMAS ROAD PHOENIX AZ 85016 860422559 HOSPITAL AZ 501(c)(3) 3 CHA false PHX CHILDREN'S CARDIOLOGY DIAGNOSTICS LLC 1919 E THOMAS ROAD PHOENIX AZ 85016 464850215 HEALTHCARE AZ NA N/A PHX CHILDREN'S PROPERTY DEVELOPMENT LLC 1919 E THOMAS ROAD PHOENIX AZ 85016 472408123 HEALTHCARE AZ NA N/A false false false false false false false false false false false true false false true false false true false