2025-04-07T14:59:32+00:00 2024-06-30 440160260 Forvis Mazars LLP 2700 Post Oak Blvd Ste 1500 Houston TX 77056 990 2023-07-01 860892673 LOS NINOS HOSPITAL INC LOSN 6022434231 1402 E SOUTH MOUNTAIN AVENUE PHOENIX AZ 85042 PERRY PETRILLI CEO 2025-04-07 true true Amanda Maya P01067777 7134994600 2025-05-15 2023 2025-03-06 01:10:19Z PERRY PETRILLI 1402 E SOUTH MOUNTAIN AVENUE PHOENIX AZ 85042 4906104 false X WWW.HACIENDAINC.ORG/ X 1997 AZ TO CARE FOR MEDICALLY FRAGILE INFANTS, CHILDREN, TEENS AND ADULTS AT THEIR HOME. 3 3 40 3 0 0 288198 4355 4938547 4611199 -441733 24609 0 4785012 4640163 1020555 839931 0 2578208 1275011 0 0 2987598 2737565 6586361 4852507 -1801349 -212344 4191007 4137625 544070 358840 3646937 3778785 TO CARE FOR MEDICALLY FRAGILE INFANTS, CHILDREN, TEENS AND ADULTS AT THEIR HOME. false false 4641357 839931 4611199 VENTILATOR PROGRAM: THE VENTILATOR PROGRAM ENABLES VENTILATOR DEPENDENT INDIVIDUALS TO FUNCTION IN SOCIETY AT THE OPTIMAL LEVEL OF THEIR CAPABILITIES AND POTENTIAL BY COMBINING TECHNOLOGY, SERVICES AND MEDICAL SUPPLIES. THIS IS ACHIEVED BY PROVIDING PRODUCTS, EDUCATION, TRAINING AND ON-GOING MONITORING OF EQUIPMENT. THE VENTILATOR PROGRAM PROVIDES SERVICE ON VENTILATORS AND OTHER MEDICAL EQUIPMENT IN PATIENTS' HOMES, AS WELL AS A HOME ENTERAL FEEDING SERVICE THAT SERVES THE NUTRITIONAL NEEDS OF MEDICALLY FRAGILE PATIENTS BY PROVIDING FORMULA AND SUPPLIES. 4641357 true false false false false false false false false true false false false true true true false false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true 7 0 true 40 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 true true true true true true true true false X LAURA WORTHY 6022434231 1402 E SOUTH MOUNTAIN AVENUE PHOENIX AZ 85042 ALEXANDER RYAN TREASURER 1.0 1.0 X X 0 0 0 GARY ORMAN VICE PRESIDENT 1.0 1.0 X X 0 0 0 JANET WEIGEL PRESIDENT 1.0 1.0 X X 0 0 0 LAURA WORTHY CHIEF FINANCIAL OFFICER 4.0 36.0 X 0 217948 16809 PERRY PETRILI CEO 4.0 36.0 X 0 250636 9172 JOHN WIDDER HOME MEDICAL ADMINISTRATOR 40.0 0.0 X 138834 0 14766 138834 468583 40747 1 false true false 0 4355 4355 PRIVATE PATIENT REVENUE 623990 4022149 4022149 GOVERNMENT PATIENT REVENUE 623990 581789 581789 VENT EQUIPMENT RENTAL INCOME 623990 1375 1375 OTHER INCOME 623990 5886 5886 0 0 0 0 4611199 61939 61939 0 0 228611 266225 -284 -37614 284 -37330 -37330 0 0 0 0 0 4640163 4611199 0 24609 839931 839931 1076261 1031108 45153 27992 27992 96281 92866 3415 74477 74477 21467 21467 53865 53865 12658 12658 166046 163928 2118 0 15507 14841 666 39797 39797 40542 40514 28 1486 1486 131912 131912 115245 62985 52260 SUPPLIES 1738028 1738028 0 EQUIPMENT EXPENSE 317143 315242 1901 FLEET 50099 49842 257 LICENSE & DUES EXPENSE 26118 13540 12578 7652 2868 4784 0 4852507 4641357 211150 0 739308 399246 816 6 741025 899546 0 0 0 0 48634 25484 2180967 1908980 322421 271987 2338803 2541356 0 0 0 0 4191007 4137625 477037 332010 0 0 67033 26830 0 0 544070 358840 X 3646937 3778785 3646937 3778785 4191007 4137625 -212344 344192 0 X false true X true false X 1400627 1394459 10707 288198 4355 3098346 6512431 6059727 6307430 4938547 4611199 28429334 0 0 0 7913058 7454186 6318137 5226745 4615554 31527680 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31527680 45145 35201 83026 73613 61939 298924 0 45145 35201 83026 73613 61939 298924 0 0 0 0 0 0 0 7958203 7489387 6401163 5300358 4677493 31826604 0.9906 0.9906 0.01 0.01 X 2180967 1908980 271987 271987 0 X 4971413 344192 0 344192 4627221 12658 284 12942 4640163 4839565 -284 -284 4839849 12658 0 12658 4852507 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 US FEDERAL JURISDICTION AND THE STATE OF ARIZONA. AS OF JUNE 30, 2024, US FEDERAL INFORMATIONAL AND INCOME TAX RETURNS FOR THE THREE MOST RECENT YEARS OPEN TO ASSESSMENT. INTEREST AND PENALTIES, IF ANY, ARE ACCRUED AS A COMPONENT OF MANAGEMENT AND GENERAL EXPENSES WHEN ASSESSED. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements GAIN INCLUDED IN AUDIT EXPENSE - 284 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 GAIN INCLUDED IN AUDIT EXPENSE - -284 true HACIENDA INC 1402 E SOUTH MOUNTAIN AVE PHOENIX AZ 85042 860253158 501 (C) (3) 839379 TO FULFILL THE ORGANIZATION'S CHARITABLE PURPOSE 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. PROCEDURES FOR MONITORING GRANT FUNDS: THE RELATED ORGANIZATION'S GOVERNING BOARDS MONITOR THE USE OF GRANTS BETWEEN RELATED ENTITIES. X X X false false false false false false false false false PERRY PETRILI CEO 0 241463 0 0 0 9172 0 9172 0 0 0 259807 0 0 LAURA WORTHY CHIEF FINANCIAL OFFICER 0 209063 0 0 0 8885 0 8885 0 7924 0 234757 0 0 JOHN WIDDER HOME MEDICAL ADMINISTRATOR 138834 0 0 0 0 0 5741 0 9025 0 153600 0 0 0 Schedule J, Part I, Line 3 THE HACIENDA HEALTHCARE BOARD OF DIRECTORS APPROVES CHANGES IN EXECUTIVE COMPENSATION ANNUALLY BEFORE THE CHANGES TAKE PLACE. THE ANNUAL EXECUTIVE COMPENSATION COMPARABILITY DATA STUDY AND THE BOARD OF DIRECTORS' APPROVAL OF EXECUTIVE COMPENSATION ARE THOROUGHLY DOCUMENTED. Form 990, Part VI, Line 11b Review of form 990 by governing body PROCESS TO REVIEW FORM 990: THE ORGANIZATION'S BOARD TREASURER, CEO AND CFO WILL REVIEW AND APPROVE THE FORM 990 PRIOR TO FILING. THEY WILL THEN REVIEW THE FINAL FORM 990 WITH THE ENTIRE BOARD. 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 15a Process to establish compensation of top management official PROCESS FOR DETERMINING COMPENSATION: THE BOARD OF DIRECTORS DETERMINES REASONABLE AND APPROPRIATE SALARIES FOR KEY EMPLOYEES OF THE ORGANIZATION BY EXAMINING COMPETITIVE SALARIES. INCREASES ARE ALSO BASED ON PERFORMANCE OF THE EXECUTIVES AND BASED ON IMPORTANCE OF RESPONSIBILITIES. THE BOARD OF DIRECTORS' APPROVAL OF EXECUTIVE COMPENSATION ARE THOROUGHLY DOCUMENTED. Form 990, Part VI, Line 15b Process to establish compensation of other employees PROCESS FOR DETERMINING COMPENSATION: THE BOARD OF DIRECTORS DETERMINES REASONABLE AND APPROPRIATE SALARIES FOR KEY EMPLOYEES OF THE ORGANIZATION BY EXAMINING COMPETITIVE SALARIES. INCREASES ARE ALSO BASED ON PERFORMANCE OF THE EXECUTIVES AND BASED ON IMPORTANCE OF RESPONSIBILITIES. THE BOARD OF DIRECTORS' APPROVAL OF EXECUTIVE COMPENSATION ARE THOROUGHLY DOCUMENTED. Form 990, Part VI, Line 19 Required documents available to the public DOCUMENTS MADE AVAILABLE TO THE PUBLIC: THE ORGANIZATION GENERALLY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII COMPENSATION FROM RELATED PARTIES: LOS NINOS HOSPITAL, INC. IS RELATED TO ONE TAX EXEMPT AFFILIATE: HACIENDA, INC. THIS ORGANIZATION SHARES A COMMON MANAGEMENT TEAM WITH LOS NINOS HOSPITAL, INC. THE INDIVIDUALS ON THE MANAGEMENT TEAM ARE COMPENSATED AS EMPLOYEES BY HACIENDA, INC. THE COMPENSATION AMOUNTS LISTED IN PART VII ARE THE TOTAL GROSS WAGES AND OTHER COMPENSATION PAID TO THESE INDIVIDUALS FOR THEIR SERVICES TO ALL AFFILIATED ORGANIZATIONS. HACIENDA INC 1402 E SOUTH MOUNTAIN AVE PHOENIX AZ 85042 860253158 NURSING CARE AZ 501(c)(3) 10 NA true false true false false false false false false false false true true true true true true false true false HACIENDA INC B 839388 CASH