Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
John C Lincoln Health Network
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2500 W Utopia Road
 
Room/suite
City or town, state or country, and ZIP + 4
Phoenix, AZ85027
D Employer identification number

86-0117301
E Telephone number

G Gross receipts $ 584,274,757
F Name and address of principal officer:
Rhonda Forsyth
2500 W Utopia Road Ste 100
Phoenix,AZ85027
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.JCL.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1954
M State of legal domicile: AZ
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: To assist each person entrusted to our care to enjoy the fullest gift of health possible, and to work with others to build a community where a helping hand is available for our most vulnerable members.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 23
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 17
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 4,436
6 Total number of volunteers (estimate if necessary) .... 6 1,822
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 14,476
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -5,431
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 956,106 1,034,965
9 Program service revenue (Part VIII, line 2g) ......... 512,928,378 539,839,309
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 3,874,753 6,160,596
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 517,759,237 547,034,870
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 150,200 1,242,426
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 252,633,326 259,571,321
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 259,269,445 266,762,356
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 512,052,971 527,576,103
19 Revenue less expenses. Subtract line 18 from line 12...... 5,706,266 19,458,767
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 494,831,110 533,152,535
21 Total liabilities (Part X, line 26)............ 267,331,512 285,117,818
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 227,499,598 248,034,717
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signature
Big Right Arrow
Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4
Big Right Arrow




EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: SEE SCHEDULE O FOR EXPANDED MISSION.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 465,380,341 including grants of $ 1,242,426 ) (Revenue $ 534,605,640 )
PROVISION OF HEALTHCARE AND OTHER COMMUNITY SERVICES TO THE NORTH PHOENIX AREA.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 465,380,341
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I
Click to see attachment
.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
483
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
4,436
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
23
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
17
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
AZ
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
THE ORGANIZATION
2500 W UTOPIA ROAD STE 100
PHOENIX,AZ85027
(623) 434-6200
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) FRANK PUGH
CHAIRMAN
1.0 X   X       0 0 0
(2) KATHLEEN WADE
VICE CHAIRMAN
1.0 X   X       0 0 0
(3) JOEL KRAMER
SECRETARY/TREASURER
1.0 X   X       0 0 0
(4) RHONDA FORSYTH
PRESIDENT & CEO
37.0 X   X       651,255 0 27,736
(5) ARNOLD ALPERT
DIRECTOR
1.0 X           0 0 0
(6) DANA M GEORGE
DIRECTOR
1.0 X           0 0 0
(7) SCOTT GOLDEN
DIRECTOR
1.0 X           0 0 0
(8) BRADLEY J HANSEN
DIRECTOR
1.0 X           0 0 0
(9) PETER HATHAWAY
DIRECTOR-EFF 10/1/10
1.0 X           0 0 0
(10) CLIFF KLIMA
DIRECTOR
1.0 X           0 0 0
(11) KATHRYN JO LINCOLN
DIRECTOR-EFF 9/2/10
1.0 X           0 0 0
(12) SUE ROE DPA RN
DIRECTOR
1.0 X           0 0 0
(13) ELIZABETH SCHRADER
DIRECTOR
1.0 X           0 0 0
(14) BARBARA SUTTON
DIRECTOR
1.0 X           0 0 0
(15) MARGIE TRAYLOR
DIRECTOR
1.0 X           0 0 0
(16) THOMAS BATSON
EX-OFFICIO MEMBER
1.0 X           0 0 0
(17) MARK BRENNER DO
EX-OFFICIO MEMBER
1.0 X           32,076 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) NELSON FAUX MD
EX-OFFICIO MEMBER
1.0 X           0 0 0
(19) LAWRENCE GASSNER MD
EX-OFFICIO MEMBER
1.0 X           0 0 0
(20) DAN HELLER MD
EX-OFFICIO MEMBER
1.0 X           35,748 0 0
(21) ROBIN KREUTZBERG
EX-OFFICIO MEMBER
1.0 X           0 0 0
(22) MARIA SORIANO MD
EX-OFFICIO MEMBER
1.0 X           8,250 0 0
(23) RICHARD WRIGHT DO
EX-OFFICIO MEMBER-THRU 9/30/10
1.0 X           0 0 0
(24) RICHARD FRIEDLANDER
VICE CHAIRMAN
1.0 X   X       0 0 0
(25) DAVID LAMPARTER
ASSISTANT TREASURER & CFO
37.0     X       402,259 0 27,993
(26) CYNTHIA A HOPKINS
ASSISTANT SECRETARY
40.0     X       88,994 0 17,879
(27) BRUCE PEARSON
EXECUTIVE VICE PRESIDENT/CEO
40.0       X     451,425 0 27,999
(28) NATHAN ANSPACH
SR VICE PRESIDENT-EFF 10-30-10
40.0       X     204,896 0 9,408
(29) SHEILA GERRY
SR VICE PRESIDENT
39.0       X     272,237 0 25,386
(30) GARY GROVER
SR VICE PRESIDENT-THRU 1-1-10
40.0       X     48,615 0 1,984
(31) ALAINA CHABRIER
VICE PRESIDENT
40.0       X     194,443 0 32,732
(32) FRANK CUMMINS
VICE PRESIDENT-EFF 1/11/10
40.0       X     228,404 0 21,911
(33) MAGGIE GRIFFIN
VICE PRESIDENT-EFF 3/8/10
40.0       X     182,012 0 21,955
(34) CINDY HALLMAN
VICE PRESIDENT
4.0       X     174,520 0 22,905
(35) SUSAN HANAUER KELLEY
VICE PRESIDENT
40.0       X     217,374 0 16,033
(36) ROBERT ISRAEL
VICE PRESIDENT &CIO-THRU 2/10/
40.0       X     107,939 0 12,596
(37) CATHY LINDSTROM
VICE PRESIDENT
40.0       X     195,823 0 14,944
(38) SUSAN MELKER
VICE PRESIDENT
40.0       X     192,284 0 20,894
(39) MARCIA MINTZ
VICE PRESIDENT/CEO, JCLHF
1.0       X     222,733 0 16,359
(40) COLLEEN SCHARNECK
VICE PRESIDENT
40.0       X     195,459 0 20,829
(41) MICHAEL SKEHAN
VICE PRESIDENT-EFF 11/13/10
40.0       X     30,977 0 533
(42) BRIAN SMIT
VICE PRESIDENT-EFF 1/6/10
40.0       X     195,639 0 35,889
(43) DALE SPARTZ
VICE PRESIDENT-THRU 1/8/10
40.0       X     13,416 0 1,671
(44) JOSEPH B FARES MD
PHYSICIAN
40.0         X   918,206 0 7,589
(45) JUAN CARLOS TERAN MD
PHYSICIAN
40.0         X   837,188 0 21,885
(46) DARYL PHILLIP BEABEAU MD
PHYSICIAN
40.0         X   636,860 0 15,856
(47) KIRK ANTHONY BUCON MD
PHYSICIAN
40.0         X   629,915 0 21,913
(48) PETER M STEINBERG MD
PHYSICIAN
40.0         X   630,606 0 16,277
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 7,999,553 0 461,156
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet324
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
MORTENSON CONSTRUCTION
3100 W RAY RD
CHANDLER,AZ85226
BUILDING CONTRACTOR 4,300,739
ANGELICA TEXTILE SERVICE
DEPT 6777
LOS ANGELES,CA90084
LAUNDRY SERVICE 2,068,153
NUANCE COMMUNICATIONS
3984 PEPSI COLA DR
NAPLES,FL32934
TRANSCRIPTION 1,665,322
PREMIER INC
5882 COLLECTIONS CENTER ONE
CHICAGO,IL60693
CONSULTING 1,152,419
TRAUMA ORTHOPEDIC GROUP LLC
9225 N 3RD ST STE 203
PHOENIX,AZ85020
TRAUMA DOCTORS 1,022,000
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet99
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 1,034,965
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
 
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 1,034,965
 Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 621,400 533,386,595 533,386,595    
b OTHER OPER. REV. 900,099 1,219,045 1,219,045    
c EXCLUDED RENTAL 531,120 1,852,789     1,852,789
d CAFETERIA/COFFEE SHOP/MEAL REVENUE 722,210 3,272,650     3,272,650
e PARKING 900,099 69,682     69,682
f All other program service revenue . 38,548   14,476 24,072
g Total. Add lines 2a–2f........MediumBullet 539,839,309
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 3,923,972     3,923,972
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents 632,217  
b Less: rental expenses 632,217  
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 38,685,770 158,524
b Less: cost or other basis and sales expenses 36,317,771 289,899
c Gain or (loss) 2,367,999 -131,375
d Net gain or (loss)..........MediumBullet 2,236,624     2,236,624
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 0
12 Total revenue. See Instructions....MediumBullet 547,034,870 534,605,640 14,476 11,379,789
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 1,242,426 1,242,426
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 5,267,680 4,637,278 630,402  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 213,379,943 187,843,999 25,535,944  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 4,749,628 4,076,675 672,953  
9 Other employee benefits ....... 20,829,584 17,903,756 2,925,828  
10 Payroll taxes ........... 15,344,486 13,540,957 1,803,529  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 2,082,580 840,016 1,242,564  
c Accounting ........... 0      
d Lobbying ........... 23,781   23,781  
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 563,780   563,780  
g Other .......... 32,305,837 23,698,384 8,607,453  
12 Advertising and promotion .... 1,169,625 75,815 1,093,810  
13 Office expenses ....... 5,894,790 4,796,165 1,098,625  
14 Information technology ...... 10,605,790 628,980 9,976,810  
15 Royalties .. 0      
16 Occupancy ........... 11,625,152 8,861,166 2,763,986  
17 Travel ............ 348,169 188,308 159,861  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 314,042 231,341 82,701  
20 Interest ........... 10,207,394 9,865,947 341,447  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 18,786,207 16,132,334 2,653,873  
23 Insurance .............. 3,706,905 3,703,669 3,236  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a EQUIPMENT RENTAL/REPAIR 10,690,932 9,968,939 721,993  
b FOOD SERVICE 3,708,187 3,299,105 409,082  
c MAINTENANCE CONTRACTS 4,820,559 4,806,324 14,235  
d MEDICAL SUPPLIES 86,321,240 86,320,817 423  
e PROVISION FOR UNCOLL. ACCTS. 57,741,091 57,741,091    
f All other expenses 5,846,295 4,976,849 869,446 0
25 Total functional expenses. Add lines 1 through 24f 527,576,103 465,380,341 62,195,762 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation
       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 12,909 1 12,644
2 Savings and temporary cash investments ....... 89,116,933 2 125,766,380
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 61,295,074 4 60,683,885
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 12,996,077 7 12,725,022
8 Inventories for sale or use .............. 9,498,552 8 9,073,135
9 Prepaid expenses and deferred charges ............ 6,083,760 9 4,308,718
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 367,308,077
b Less: accumulated depreciation. ..... 10b 143,109,394 228,837,428 10c 224,198,683
11 Investments—publicly traded securities .......... 68,200,765 11 79,251,987
12 Investments—other securities. See Part IV, line 11 ...... 4,025,050 12 4,488,598
13 Investments—program-related. See Part IV, line 11 .. 8,680,197 13 8,143,273
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 6,084,365 15 4,500,210
16 Total assets. Add lines 1 through 15 (must equal line 34)... 494,831,110 16 533,152,535
Liabilities 17 Accounts payable and accrued expenses . 61,941,116 17 69,905,651
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 196,843,846 20 203,071,719
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 5,906,550 23 9,500,448
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 2,640,000 25 2,640,000
26 Total liabilities. Add lines 17 through 25..... 267,331,512 26 285,117,818
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 222,900,286 27 243,055,512
28 Temporarily restricted net assets ..... 1,196,876 28 1,576,769
29 Permanently restricted net assets ..... 3,402,436 29 3,402,436
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 227,499,598 33 248,034,717
34 Total liabilities and net assets/fund balances ..... 494,831,110 34 533,152,535
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
547,034,870
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
527,576,103
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
19,458,767
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
227,499,598
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
1,076,352
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
248,034,717
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
John C Lincoln Health Network
 
Employer identification number

86-0117301
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv)
Is the organization in col. (i) listed in your governing document?
(v)
Did you notify the organization in col. (i) of your support?
(vi)
Is the organization in col. (i) organized in the U.S.?
(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
John C Lincoln Health Network
 
Employer identification number

86-0117301
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
John C Lincoln Health Network
 
Employer identification number

86-0117301
Part I
Contributors (see Instructions)
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
John C Lincoln Health Network
 
Employer identification number

86-0117301
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
John C Lincoln Health Network
 
Employer identification number

86-0117301
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
John C Lincoln Health Network
 
Employer identification number

86-0117301
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
Organization's
Totals
(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
23,781
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
23,781
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
No
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Lobbying Expense Form 990, Sch. C, Part II-B, Line 1G JOHN C LINCOLN HEALTH NETWORK PAYS DUES TO AHA AND AZHHA IN WHICH A PORTION OF THE DUES IS ATTRIBUTABLE TO LOBBYING. The amount shown on this line is that percentage.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
John C Lincoln Health Network
 
Employer identification number

86-0117301
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 5,919,484 5,261,271 5,639,474
b Contributions ........ 649,154 1,004,482 877,446
c Investment earnings or losses ... 563,908 348,476 -613,881
d Grants or scholarships ..... 27,866 27,282 148,346
e Other expenditures for facilities
and programs ........
554,246 667,463 493,422
f Administrative expenses .... 10,921    
g End of year balance ...... 6,539,513 5,919,484 5,261,271
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet23.860 %
b
Permanent endowment: SchDMd Bullet52.030 %
c
Term endowment: SchDMd Bullet24.110 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   21,776,716 21,776,716
b Buildings ................   205,442,239 83,298,905 122,143,334
c Leasehold improvements ............   38,317,477 2,546,606 35,770,871
d Equipment ................   86,832,352 54,520,322 32,312,030
e Other .................   14,939,293 2,743,561 12,195,732
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 224,198,683
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
NOTE PAYABLE - DESERT MISSION 2,640,000








Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 2,640,000
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 547,034,870
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 527,576,103
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 19,458,767
4 Net unrealized gains (losses) on investments .......................... 4 2,375,242
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 -1,298,890
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 1,076,352
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 20,535,119
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 548,743,439
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 2,375,242
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d -1,298,890
e Add lines 2a through 2d ..................... 2e 1,076,352
3 Subtract line 2e from line 1..................... 3 547,667,087
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b -632,217
c Add lines 4a and 4b....................... 4c -632,217
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 547,034,870
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 528,208,320
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3 528,208,320
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b -632,217
c Add lines 4a and 4b....................... 4c -632,217
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 527,576,103
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
OTHER RECONCILING DIFFERENCE SCH D PART XI LINE 8 SUPPORT IMPAIRMENT OF PP&E & GOODWILL ON AFS: (3,021,302) CHANGE IN INTEREST IN FOUNDATION ON AFS: 1,722,412 TOTAL PART XI LINE 8 AMOUNT: (1,298,890)
OTHER RECONCILING DIFFERENCE SCH D PART XII LINE 2D SUPPORT IMPAIRMENT OF GOODWILL & PP&E ON AFS: (3,021,302) CHANGE IN INTERST IN FDN ON AFS: 1,722,412 TOTAL PART XII LINE 2D AMOUNT: (1,298,890)
OTHER RECONCILING DIFFERENCE SCH D PART XII LINE 4B SUPPORT RENTAL EXPENSE IN EXPENSE ON AFS: (632,217)
OTHER RECONCILING DIFFERENCE SCH D PART XIII LINE 4B SUPPORT RENTAL EXPENSE IN EXPENSE ON AFS: (632,217)
Intended Use of Endowment Funds Schedule D, Part V, Line 4 The endowment consists of eight individual funds established for a variety of purposes related to the exempt purpose of the organization. The funds are to be used to support the activities within Deer Valley Hospital, North Mountain Hospital and Administration. The term endowments have been restricted by the donor for a specific time period or purpose.
FIN 48 DISCLOSURE SCH D PART X FIN 48 Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
John C Lincoln Health Network
 
Employer identification number

86-0117301
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total
expenditures for region/investments
in region
Central America and the Caribbean     Investments   4,553,525
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     4,553,525
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     4,553,525
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount of
of non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
Part I, Line 3 (1), Column f Investments The amount reported on line 1 of column f includes $4,488,598 of investments and $64,927 of investment fees. The fees are determined based on the accrual method of accounting. The fees are computed from information off of the monthly investment statements.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
John C Lincoln Health Network
 
Employer identification number

86-0117301
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
 
No
6b
If "Yes," does the organization make it available to the public? ..............
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) ..
    14,922,078   14,922,078 3.180 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) .
    109,110,421 84,871,952 24,238,469 5.160 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs .....
    124,032,499 84,871,952 39,160,547 8.340 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
    1,327,294 681,752 645,542 0.140 %
f Health professions education
(from Worksheet 5) ..
    489,746 79,437 410,309 0.090 %
g Subsidized health services
(from Worksheet 6) ..
    3,751,483 3,246,927 504,556 0.110 %
h Research (from Worksheet 7)            
i Cash and in-kind contributions
to community groups
(from Worksheet 8) ..
    1,065,000   1,065,000 0.230 %
jTotal Other Benefits ...     6,633,523 4,008,116 2,625,407 0.570 %
kTotal. Add lines 7d and 7j. ..     130,666,022 88,880,068 41,785,954 8.910 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense (at cost).....
2
10,411,317
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
6,246,790
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
75,549,293
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
82,898,407
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-7,349,114
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?2
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 JOHN C LINCOLN HOSPITAL - NORTH MTN
250 E Dunlap Avenue
PHOENIX,AZ85020
X X         X   LEVEL 1 TRAUMA CTR
2 JOHN C LINCOLN HOSPITAL - DEER VALLEY
19829 N 27th Ave
PHOENIX,AZ85027
X X         X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:JOHN C LINCOLN HOSPITAL - NORTH MTN
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:JOHN C LINCOLN HOSPITAL - DEER VALLEY
Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?27
Name and address Type of Facility (Describe)
1 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
2 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
3 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
4 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
5 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
6 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
7 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
8 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
9 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
10 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
11 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
12 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
13 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
14 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
15 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
16 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
17 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
18 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
19 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
20 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
21 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
22 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
23 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
24 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
25 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
26 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
27 North Mountain Radiology Group
2500 W Utopia Road Suite 100
PHOENIX,AZ85027
Physician Clinic
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
Part I, Line 7, Column F Bad Debt Expense The amount of bad debt expense removed from the denominator is $57,741,091.
Part I, Line 7 Cost Calculations The Network used a cost-to-charge ratio to compute line 7a. The cost-to-charge ratio for line 7a was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. Line 7b and 7g costs were derived from the Network's cost accounting system. The cost accounting system addresses all patient segments. Costs for lines 7e, 7f, and 7i were derived from information within the general ledger or other financial information related to the specific types of services provided to the community.
Part III, Line 4 Bad Debt The Network reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients, and others. The Network provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions. As a service to the patient, the Network bills third-party payers directly and bills the patient when the patient's liability is determined. Patient accounts receivable are ordinarily due in full when billed. Accounts are considered delinquent and are subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the patient or account. The cost of bad debt expense is determined using the Network's calculated cost to charge ratio applied to reported gross charges written off during the year. Using a sample of accounts written off during the year, the Network has estimated that 60% of bad debt was attributable to patients eligible under the Network's charity care policy. A number of patients are truly unable to pay their out-of-pocket liability, but do not complete the process required to apply for financial assistance under the hospital's charity care policy. These patients would qualify for charity care if they completed the paperwork, so the bad debt expense associated with treating them should be treated as community benefit.
Part III, Line 8 Medicare The amount on Part III Line 6 is from the Medicare costs reports filed by the organization. The entire shortfall is a community benefit. Rationale for including Medicare losses as community benefit: The Network believes that, based on IRS Revenue Ruling 69-545, serving patients with government health benefits such as Medicare is an indicator that the Network's hospitals operate to promote the health of the community and therefore provides a community benefit. The Network also believes that tax-exempt hospitals play a vital role in providing the elderly with access to healthcare services they might otherwise be denied by for-profit and specialty hospitals that focus on high-margin services or that would have to be provided directly by the federal government.
Part III, Line 9b Debt Collection Policy The condition of admission advises patients of the organization payment expectations and also notifies them to notify us immediately so we can evaluate their situation and help them obtain benefits or assistance. Additionally, we include similar verbiage on our statements, collection letters, and on our website so they can apply for assistance. We also retain outside vendors to follow up with patients to obtain Medicaid coverage for Treat and Release cases. In-house financial counselors talk with patients and advise them of their options.
Part VI Needs Assessment John C. Lincoln Health Network periodically conducts Community Needs Assessments with the assistance of external consultants.
Part VI Patient Education of Eligibility for Assistance The conditions of admission advises patients of the organization's payment expectations and also advises them to notify us immediately so we can evaluate their situation and help them obtain benefits or assistance. Additionally, we include similar verbiage on our statements, collection letters, and on our website so they can apply for assistance. We also retain outside vendors to follow up with patients to obtain Medicaid coverage for Treat and Release cases. In-house financial counselors talk with patients and advise them of their options.
Part VI Community Information John C. Lincoln Health Network has always been a locally based, locally owned not-for-profit health care organization serving the people in North Central Phoenix and the North Valley along the I-17 corridor through Maricopa and southern Yavapai Counties. We provide the highest quality emergency medical care through our Level I Trauma Center; our Virginia G. Piper Pediatric Center of Excellence, which includes our Mendy's Place pediatric emergency center and KidsZone inpatient pediatric unit; and a complete range of personalized inpatient and outpatient care with our Magnet nursing staff. Our Breast Health and Research Center is a model for the industry, providing a complete range of breast disease diagnostic care and coordinated referral for follow-up care as necessary. We provide outreach services to the most vulnerable members of our community through John C. Lincoln's Desert Mission Food Bank, Children's Dental Clinic, Community Health Center, Marley House Behavioral Health Center, and Neighborhood Renewal. In 2010, 100 percent of those accessing Desert Mission's medical, dental and behavioral health services were uninsured or Medicaid eligible. More than half of those served by Desert Mission are children and the elderly. In 2010, 39 percent were uninsured, and more than 63 percent were minorities. Over two-thirds of our clients live in households where income was at or below 100 percent of federal poverty level (FPL). (100 percent of the current FPL is $22,050 for a family of four). Seventy-four percent of working-age adults who came to the food bank for emergency food assistance were unemployed. Individuals and families are referred to the Desert Mission by other community agencies, faith-based communities, schools and their neighbors. Fifteen percent of Desert Mission's clients accessed more than one type of its safety-net services during the year - for example, emergency food and dental care.
Part VI Promotion of Community Health John C. Lincoln promotes community health though an ongoing series of free medical seminars on topics such as uterine fibroid embolization, inflammatory breast cancer, lymphedema, varicose veins, integrative medicine, colorectal cancer, diabetes self-management, prepared childbirth and parenting classes; and screenings for conditions including stroke, hearing, and men's health. Six free breast cancer support groups meet monthly. John C. Lincoln also partners with other community organizations to promote safety, disease prevention, and health education. Our Trauma Services program provides safety education for teenagers and continuing medical education for physicians and first responders. Additionally, our Desert Mission programs since the late 1920s have provided outreach services to promote the health of our community. Today, health needs are served through Desert Mission Food Bank, Children's Dental Clinic (which additionally sends staff to educate and screen school children), and Community Health Center for families.
Part VI Affiliated Health Care System The John C. Lincoln Health Network is the parent organization of several nonprofit corporations serving the North Phoenix community. Desert Mission Inc. rounds out the hospital's core health care business by addressing the community's broader health needs. In return, the Network provides in-kind administrative support for services such as information technology, human resources, fundraising, and accounting. Those costs totaling $1,065,000 are reported in Community Benefit Operations on Schedule H, Part I, Line 7i. Services of Desert Mission include: -Community Health Center provides health care services such as wellness checkups, immunizations, and other primary care services at a discounted fee based on a family's income or ability to pay. -Children's Dental Clinic provides low-cost and free dental care for uninsured children through a staff of mostly volunteer dentists and hygienists. -Desert Mission Food Bank provides emergency food and food security programs to families and children. In 2010, the Food Bank distributed nearly $3.6 million of donated food to the community. -Marley House Behavioral Health Clinic works with families whose children are at risk of child abuse and neglect. -Lincoln Learning Center is a National Academy of Early Childhood Programs (NAEYC) accredited program offering quality child care for children ages 6 weeks to 12 years. Desert Mission Neighborhood Renewal (DMNR) is committed to facilitating the development of community, housing, and business in the North Valley of Phoenix, Arizona. DMNR primarily focuses on neighborhood revitalization through affordable housing development, blight elimination, and owner-occupied home rehabilitation. DMNR also provides leadership and support in developing the business corridor around the John C. Lincoln North Mountain Hospital campus. The Network provided approximately $57,000 of administrative support to DMNR in 2010. John C. Lincoln Health Foundation supports the Network and its affiliates with fundraising services. In addition to raising and administering funds to support Network programs, in 2010 the Foundation distributed approximately $218,000 to local nonprofit organizations through community grants.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
John C Lincoln Health Network
 
Employer identification number
86-0117301
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed
......................... lBullet
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) DESERT MISSION9201 N 5TH STREET
PHOENIX,AZ85020
86-0096941 501(C)(3) 1,065,000       TO SUPPORT THE ORGANIZATIONS PRIMARY PURPOSE.
(2) JOHN C LINCOLN HEALTH FOUNDATION2500 W UTOPIA RD STE 100
PHOENIX,AZ85027
95-3320185 501(C)(3) 177,426       TO SUPPORT THE ORGANIZATIONS PRIMARY PURPOSE.




















2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
2
3
Enter total number of other organizations ................................ . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS SCHEDULE I, QUESTION 2 THE ORGANIZATION ONLY MAKES CONTRIBUTIONS TO RELATED TAX-EXEMPT ORGANIZATIONS FOR SPECIFIC PURPOSES.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
John C Lincoln Health Network
 
Employer identification number

86-0117301
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) RHONDA FORSYTH (i)
(ii)
520,471
0
77,927
0
52,857
0
11,025
0
16,711
0
678,991
0
0
0
(2) DAVID LAMPARTER (i)
(ii)
307,841
0
52,100
0
42,318
0
11,025
0
16,968
0
430,252
0
0
0
(3) BRUCE PEARSON (i)
(ii)
368,577
0
48,721
0
34,127
0
11,025
0
16,974
0
479,424
0
0
0
(4) NATHAN ANSPACH (i)
(ii)
192,586
0
10,000
0
2,310
0
0
0
9,408
0
214,304
0
0
0
(5) SHEILA GERRY (i)
(ii)
216,996
0
34,969
0
20,272
0
10,175
0
15,211
0
297,623
0
0
0
(6) ALAINA CHABRIER (i)
(ii)
163,908
0
22,143
0
8,392
0
8,996
0
23,736
0
227,175
0
0
0
(7) FRANK CUMMINS (i)
(ii)
221,776
0
2,500
0
4,128
0
9,315
0
12,596
0
250,315
0
0
0
(8) MAGGIE GRIFFIN (i)
(ii)
161,261
0
20,000
0
751
0
6,745
0
15,210
0
203,967
0
0
0
(9) CINDY HALLMAN (i)
(ii)
128,696
0
39,552
0
6,272
0
8,027
0
14,878
0
197,425
0
0
0
(10) SUSAN HANAUER KELLEY (i)
(ii)
197,141
0
16,760
0
3,473
0
0
0
16,033
0
233,407
0
0
0
(11) CATHY LINDSTROM (i)
(ii)
167,121
0
0
0
28,702
0
7,750
0
7,194
0
210,767
0
0
0
(12) SUSAN MELKER (i)
(ii)
123,581
0
17,191
0
51,512
0
5,511
0
15,383
0
213,178
0
0
0
(13) MARCIA MINTZ (i)
(ii)
211,579
0
0
0
11,154
0
0
0
16,359
0
239,092
0
0
0
(14) COLLEEN SCHARNECK (i)
(ii)
192,837
0
0
0
2,622
0
7,829
0
13,000
0
216,288
0
0
0
(15) BRIAN SMIT (i)
(ii)
174,128
0
10,000
0
11,511
0
7,685
0
28,204
0
231,528
0
0
0
(16) JOSEPH B FARES MD (i)
(ii)
892,209
0
0
0
25,997
0
0
0
7,589
0
925,795
0
0
0
(17) JUAN CARLOS TERAN MD (i)
(ii)
837,002
0
0
0
186
0
0
0
21,885
0
859,073
0
0
0
(18) DARYL PHILLIP BEABEAU MD (i)
(ii)
497,605
0
100,000
0
39,255
0
0
0
15,856
0
652,716
0
0
0
(19) KIRK ANTHONY BUCON MD (i)
(ii)
525,968
0
100,000
0
3,947
0
0
0
21,913
0
651,828
0
0
0
(20) PETER M STEINBERG MD (i)
(ii)
494,327
0
100,000
0
36,279
0
0
0
16,277
0
646,883
0
0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
OFFICER COMPENSATION SCHEDULE J, Part I, Line 7 The Lincoln Performance Incentive Plan (LPIP) provides a formal method of rewarding John C. Lincoln Health Network (JCLHN) leadership for meeting and/or exceeding the organizational goals established by the Network Board of Directors. LPIP is pay at risk and is offered to ensure our total compensation package is competitive in the market.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
John C Lincoln Health Network
 
Employer identification number
86-0117301
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer
(i) Pool
financing
Yes No Yes No Yes No
A INDUSTRIAL DEVELOP AUTH OF THE CITY OF GLENDALE AZ
 
86-0447234 378282BLO 06-08-2005 47,305,136 SEE PART V   X   X   X
B INDUSTRIAL DEVELOP AUTH OF THE CITY OF GLENDALE AZ
 
86-0447234 378282CPO 12-02-2005 60,851,680 SEE PART V   X   X   X
C INDUSTRIAL DEVELOP AUTH OF THE CITY OF GLENDALE AZ
 
86-0447234 378282DR5 04-25-2007 77,615,738 SEE PART V   X   X   X
D ARIZONA HEALTH FACILITIES AUTHORITY
 
86-0453292   12-17-2010 11,000,000 LEASE PURCHASE AGREEMENT   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 3,280,000 1,000,000 8,545,000 0
2 Amount of bonds defeased . . . . 0 0 0 0
3 Total proceeds of issue . . . . 47,305,136 60,851,680 77,615,738 11,000,000
4 Gross proceeds in reserve funds . . 0 0 0 0
5 Capitalized interest from proceeds. 0 0 429,564 0
6 Proceeds in refunding escrow. . . . . 6,177,663 47,159,449 40,885,685 0
7 Issuance costs from proceeds . . . 554,132 611,558 690,323 39,000
8 Credit enhancement from proceeds. 0 0 0 0
9 Working capital expenditures from proceeds . . 0 0 0 0
10 Capital expenditures from proceeds . . 37,333,577 13,080,673 35,570,436 6,538,021
11 Other spent proceeds . . 0 0 0 0
12 Other unspent proceeds. . . 0 0 0 4,422,979
13 Year of substantial completion . . . 2008 2007 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X     X X   X  
15 Were the bonds issued as part of an advance refunding issue?   X X   X     X
16 Has the final allocation of proceeds been made? . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X   X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X   X   X   X
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X   X   X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . .. . . . . . 0 % 0 % 0 % 0 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue?   X   X   X   X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X   X
b Name of provider .  
 
 
 
 
 
 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? . X     X X     X
b Name of provider . ROYAL BANK OF CANADA
 
 
 
RABOBANK
 
 
 
c Term of GIC . . 1.67   2.75  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . X       X      
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X   X
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCHEDULE K, PART I, COL. F Description of Purpose PURPOSE OF BOND A: Refund the remaining series 1994 bonds, provide capital & Project funding for remodeling and expansion of North Mountain Hospital and pay costs incidental to their issuance. PURPOSE OF BOND B: Refund the remaining series 2000 & 2002 bonds, provide capital, and project funding for remodeling and expansion of North Mountain Hospital and Deer Valley Hospital and pay costs incidental to their issuance. PURPOSE OF BOND C: Refund the series 1997B bonds & partially refund a portion of Series 2002 bonds, provide capital & project funding for remodeling and expansion of North Mountain Hospital & Deer Valley Hospital and pay costs incidental to their issuance, and pay costs incidental to their issuance.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
John C Lincoln Health Network
 
Employer identification number

86-0117301
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Kathryn Blair Family Member 40,062 WAGES   No
(2) MARISCAL WEEKS MCINTYRE FRIEDLA See Part V 141,995 INDEPENDENT CONT. ARRANGEMENT   No
(3) Anatomical Pathology Associates PC See Part V 178,703 INDEPENDENT CONT. ARRANGEMENT   No
(4) David Faux Family Member 25,117 WAGES   No
(5) Emcare-PNX Emergency Physicians Ent>5% owned by BD Member 196,800 INDEPENDENT CONT. ARRANGEMENT   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Part IV, Line 3, column B Relationship A director of Anatomical Pathology Associates, PC is serving as a director of John C. Lincoln Health Network.
Part IV, Line 2, Column B Relationship MARISCAL, WEEKS, MCINTYRE & FRIEDLANDER IS AN ENTITY WHICH IS MORE THAN 5% OWNED BY A BOARD MEMBER.
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
John C Lincoln Health Network
 
Employer identification number

86-0117301
Identifier Return Reference Explanation
Unrelated Business Income 990-T John C. Lincoln has catering revenue which is deemed to be unrelated business income. This activity is reported on their 990-T for the year ended 12/31/2010.
Process for compensation of CEO and other officers and key employees Form 990, Part VI, Question 15a and 15b John C. Lincoln Health Network uses a compensation committee comprised of independent directors that oversees all aspects of compensation paid to the CEO and other executives. Annually, the committee assesses the performance of the CEO and recommends to the board the CEO's compensation. Additionally, the committee evaluates the organization's compensation philosophy and establishes permissible ranges of compensation for all executives. The committee engages a nationally recognized independent consultant who provides advice based on compensation surveys of organizations with a similar size and scope of services to John C. Lincoln Health Network. The consultant provides a written attestation of independence and reports only to the executive compensation committee of the board of directors. The CEO is not a member of this committee, but will be called on to assess and report on senior executive performance.
990 Review Process Form 990, Part VI, Question 11B The Form 990 is prepared by a third party. The Form 990 goes through a detailed review internally by the Controller and Director of Accounting. Once this process is complete the return is reviewed by the CFO and the Audit Committee. Once the return has gone through this review, the final Form 990 will be distributed via email to each member of the Board of Directors with a recommendation to file the return with the IRS.
Governing Documents Form 990, Part VI, Question 19 The organization considers requests for financial statements, governing documents or conflict of interest policy on a case by case basis.
Organization's Mission Form 990, Part III JOHN C. LINCOLN HEALTH NETWORK IS A LOCAL NOT-FOR-PROFIT HEALTH AND HUMAN SERVICES ORGANIZATION SERVING THE NORTH VALLEY OF PHOENIX, ARIZONA. IN 2007, THE ORGANIZATION CELEBRATED A MAJOR MILESTONE: 80 YEARS OF CARING FOR ITS COMMUNITY. IN ITS MORE THAN 80 YEARS OF GROWTH, THE HEALTH NETWORK HAS EXPANDED ITS SERVICE TERRITORY AND HAS BECOME A WELL-REGARDED ORGANIZATION THAT HAS RECENTLY BEEN HONORED BY INDEPENDENT EXPERTS FOR EXCELLENCE IN: HOSPITAL PERFORMANCE, NURSING CARE, COMMUNITY SERVICE, BUSINESS ETHICS, AND WORK ENVIRONMENT. SUCH HONORS HAVE BEEN BESTOWED ON THE NETWORK BY PRESTIGIOUS ORGANIZATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION, THE AMERICAN NURSES ASSOCIATION, THE NATIONAL CRITICAL-CARE NURSES ASSOCIATION, THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES, THE ARIZONA STATE QUALITY ALLIANCE, THE BETTER BUSINESS BUREAU OF CENTRAL AND NORTHERN ARIZONA, AND THE GREAT PLACES TO WORK INSTITUTE. OUR MISSION: JOHN C. LINCOLN HEALTH NETWORK EXISTS BECAUSE OUR FOUNDERS COULD NOT BE IDLE WHEN THEY SAW THE DIGNITY AND POTENTIAL OF OTHERS THREATENED BY ILLNESS OR SOCIAL CIRCUMSTANCE. THEY WORKED TO IMPROVE CONDITIONS. SO MUST WE TODAY. TRUE TO THE LEGACY WE'VE PROUDLY INHERITED, OUR MISSION IS TO ASSIST EACH PERSON ENTRUSTED TO OUR CARE TO ENJOY THE FULLEST GIFT OF HEALTH POSSIBLE, AND TO WORK WITH OTHERS TO BUILD A COMMUNITY WHERE A HELPING HAND IS AVAILABLE FOR OUR MOST VULNERABLE MEMBERS. WE DO THIS BECAUSE WE BELIEVE IN THE VALUE OF EACH PERSON WE ARE HONORED TO SERVE AND BECAUSE WE BELIEVE HELPING PEOPLE IS AN ENRICHING EXPERIENCE WORTHY OF OUR BEST EFFORTS. FACILITIES AND PROGRAMS: THE NOT-FOR-PROFIT JOHN C. LINCOLN HEALTH NETWORK IS COMPOSED OF MORE THAN 3,700 EMPLOYEES WITH A MEDICAL STAFF OF MORE THAN 1,000 PHYSICIANS. IT INCLUDES: JOHN C. LINCOLN DEER VALLEY HOSPITAL - JOHN C. LINCOLN DEER VALLEY HOSPITAL IS A 204-BED COMMUNITY HOSPITAL FEATURING ALL-PRIVATE ROOMS THAT WAS HONORED FOR ITS EXCELLENCE BY THE ARIZONA STATE QUALITY ALLIANCE WITH ITS PRESTIGIOUS ARIZONA PIONEER AWARD FOR QUALITY. THE HOSPITAL SERVES THE RAPIDLY EXPANDING NORTHERN PHOENIX METROPOLITAN AREA AS WELL AS COMMUNITIES TO THE NORTH ALONG INTERSTATE 17, INCLUDING NEW RIVER, BLACK CANYON CITY AND ANTHEM. THE HOSPITAL HAS A MEDICAL STAFF OF MORE THAN 700 PHYSICIANS REPRESENTING ALL MAJOR MEDICAL SPECIALTIES AND A CLINICAL STAFF OF MORE THAN 1,300 HEALTH CARE PROFESSIONALS OFFERING A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING: A 24-HOUR, 35-BED EMERGENCY DEPARTMENT DESIGNED TO SERVE UP TO 60,000 PATIENTS PER YEAR; RADIATION ONCOLOGY AND MRI IN A MEDICAL IMAGING AND ONCOLOGY UNIT; THE PEDIATRIC CENTER OF EXCELLENCE INCLUDING: KIDSZONE INPATIENT PEDIATRIC CARE UNIT, AND THE 12-BED MENDY'S PLACE, THE ONLY 24-HOUR HOSPITAL-BASED PEDIATRIC EMERGENCY DEPARTMENT IN NORTH PHOENIX; A 32-BED CRITICAL CARE UNIT; A 30-BED PROGRESSIVE CARDIAC CARE UNIT WITH OUTPATIENT CARDIAC REHABILITATION; AND A 30-BED ORTHOPEDIC UNIT FOR PATIENTS UNDERGOING JOINT REPLACEMENTS; INPATIENT AND OUTPATIENT ARTHROSCOPIC AND OTHER ORTHOPEDIC PROCEDURES. ALL INPATIENT CARE UNITS ARE DESIGNED WITH NURSES' WORK STATIONS LOCATED OUTSIDE EVERY PATIENT ROOM, ENABLING NURSES TO STAY CLOSE TO THEIR PATIENTS. INPATIENT AND OUTPATIENT GENERAL AND LAPAROSCOPIC SURGERY FEATURING STATE-OF-THE-ART EQUIPMENT AND MINIMALLY INVASIVE PROCEDURES; CARDIAC CARE INCLUDING TRADITIONAL OPEN-HEART AND "BEATING HEART" SURGERY; A MODERN DIAGNOSTIC; AND INTERVENTIONAL CARDIAC CATHETERIZATION LAB, ELECTROPHYSIOLOGY STUDIES, ACCREDITATION AS BOTH A CARDIAC ARREST CENTER AND AS A CHEST PAIN CENTER WITH PCI; DIGITAL NUCLEAR, COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE MEDICAL IMAGING; PHARMACY, RESPIRATORY, LABORATORY, ENDOSCOPY, SOCIAL SERVICES AND NUTRITIONAL SERVICES. THE BREAST HEALTH AND RESEARCH CENTER, WITH ADVANCED DIAGNOSTIC AND THERAPEUTIC TECHNOLOGY INCLUDING 3-D AND 2-D DIGITAL MAMMOGRAPHY, ULTRASOUND, NEEDLE BIOPSIES, MRI AND PATIENT EDUCATION FOR DETECTION AND TREATMENT OF BREAST CANCER. DIAGNOSIS OF OSTEOPOROSIS AND BODY MASS ANALYSIS IS ALSO OFFERED. BREAST CANCER CARE IS ENHANCED WITH GUIDANCE, ASSISTANCE AND EDUCATION FROM A PATIENT CARE COORDINATOR AND AN OUTREACH AND PATIENT RESOURCE COORDINATOR. JOHN C. LINCOLN NORTH MOUNTAIN HOSPITAL - JOHN C. LINCOLN NORTH MOUNTAIN HOSPITAL IS A 266-BED COMMUNITY HOSPITAL, PROVIDING A COMPREHENSIVE RANGE OF SERVICES TO MEET THE NEEDS OF PATIENTS IN NORTH CENTRAL PHOENIX IN WAYS FEW OTHER COMMUNITY HOSPITALS CAN MATCH. THE QUALITY OF ITS PATIENT CARE ENABLED NORTH MOUNTAIN TO BECOME THE FIRST HOSPITAL IN THE VALLEY DESIGNATED AND REDESIGNATED "MAGNET" BY THE AMERICAN NURSES ASSOCIATION. IT WAS THE FIRST HOSPITAL IN ARIZONA WHOSE INTENSIVE CARE UNIT EARNED THE BEACON AWARD FROM THE AMERICAN CRITICAL-CARE NURSES ASSOCIATION (ACCN), AND THE ONLY ONE WHOSE CARDIOVASCULAR INTENSIVE CARE UNIT ALSO EARNED THE ACCN'S BEACON AWARD. SOME 770 PHYSICIANS AND MORE THAN 1,600 DEDICATED HEALTH CARE PROFESSIONALS PROVIDE THE FOLLOWING SERVICES: LEVEL I TRAUMA CENTER WITH FOUR TRAUMA BAYS AND FOUR MAJOR MEDICAL ROOMS IS ONE OF SIX 24/7 TRAUMA CENTERS IN THE METROPOLITAN PHOENIX AREA AND THE CLOSEST ONE SERVING THE MOST SEVERELY INJURED IN THE NORTH VALLEY, NORTHERN ARIZONA AND PARTS OF SOUTHEAST CALIFORNIA, SOUTHERN NEVADA AND UTAH, AND NORTHWEST NEW MEXICO; AN EMERGENCY DEPARTMENT WITH 30 PRIVATE ROOMS THAT PROVIDE 24-HOUR CARE FOR A WIDE VARIETY OF INJURED AND ILL PEOPLE, AND A SEVEN-BED FAST TRACK UNIT FOR LESS SEVERELY ILL OR INJURED PATIENTS; CARDIAC CARE INCLUDING TRADITIONAL OPEN-HEART AND "BEATING HEART" SURGERY, A MODERN DIAGNOSTIC AND INTERVENTIONAL CARDIAC CATHETERIZATION LAB, ELECTROPHYSIOLOGY STUDIES, ACCREDITATION AS BOTH A CARDIAC ARREST CENTER AND AS A CHEST PAIN CENTER WITH PC, AND AS A PRIMARY STROKE CENTER; TRAUMA SURGERY, NEUROSURGERY AND RECONSTRUCTIVE SURGERY, AS WELL AS GENERAL AND LAPAROSCOPIC SURGERY; GENERAL, UROLOGICAL AND GYNECOLOGICAL ROBOTIC SURGERY WITH THE DA VINCI SURGICAL SYSTEM; INPATIENT MED/SURG CARE, INTENSIVE CARE, CARDIOVASCULAR INTENSIVE CARE AND PROGRESSIVE CARDIOVASCULAR CARE; ORTHOPEDIC CARE FOR PATIENTS UNDERGOING JOINT REPLACEMENTS; INPATIENT AND OUTPATIENT ARTHROSCOPIC AND OTHER ORTHOPEDIC PROCEDURES; DIGITAL NUCLEAR, COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE MEDICAL IMAGING; PHARMACY; PULMONARY AND RESPIRATORY; LABORATORY; ENDOSCOPY; AND SOCIAL SERVICES AND NUTRITIONAL SERVICES. PRIMARY CARE CENTERS: JOHN C. LINCOLN HEALTH CENTER AT ANTHEM JOHN C. LINCOLN HEALTH CENTER ON TATUM BOULEVARD PHYSICIAN NETWORK - JOHN C. LINCOLN'S PHYSICIAN AND ALLIED HEALTH CARE PARTNERS IN 18 PRIMARY AND SPECIALTY CARE PRACTICES THAT ARE PART OF THE HEALTH NETWORK. THESE INCLUDE: FAMILY PRACTICES: ARCADIA FAMILY CLINIC, BEATITUDES CAMPUS, COMPREHENSIVE WOMEN'S CENTER, DEARING FAMILY MEDICINE, DEER VALLEY FAMILY PRACTICE, DEER VALLEY MEDICAL, DYNAMITE CREEK MEDICAL CENTER, GAVILAN PEAK FAMILY PRACTICE, AND SAGUARO FAMILY PRACTICE. INTERNAL MEDICINE PRACTICES: HARBOR POINTE INTERNAL MEDICINE, NORTH PHOENIX MEDICAL CLINIC AND NORTH VALLEY INTERNAL MEDICINE. SPECIALTY PRACTICES: JOHN C. LINCOLN URGENT CARE AT ANTHEM, NORTH VALLEY AUDIOLOGY, NORTH VALLEY GASTROENTEROLOGY, COMPREHENSIVE PHYSICAL MEDICINE & REHABILITATION, NORTH VALLEY HEAD & NECK SURGERY, AND SUN VALLEY NEUROLOGY. DESERT MISSION - AN ORGANIZATION THAT PROVIDES COMMUNITY SERVICES, INCLUDING THE ONLY HOSPITAL-BASED FOOD BANK IN ARIZONA, THE COMMUNITY HEALTH CENTER, MARLEY HOUSE FOR BEHAVIORAL HEALTH AND FAMILY ASSISTANCE, LINCOLN LEARNING CENTER, ADULT DAY HEALTH AND CHILDREN'S DENTAL CLINIC. JOHN C. LINCOLN HEALTH FOUNDATION - THE PHILANTHROPIC AND FUNDRAISING BRANCH OF THE NETWORK THAT SUPPORTS THE ORGANIZATION'S CHARITABLE AND MEDICAL MISSION. DESERT MISSION NEIGHBORHOOD RENEWAL - AN ORGANIZATION THAT PROVIDES LOW-INCOME FAMILIES WITH AFFORDABLE HOUSING ALTERNATIVES AND WORKS WITH OTHER COMMUNITY ORGANIZATIONS TO IMPROVE THE QUALITY OF LIFE IN JOHN C. LINCOLN'S COMMUNITY.
Conflict of Interest Policy Form 990, Part VI, Question 12C The conflict of interest policy and disclosure form is sent to every board member, corporate officer, executive and key employee on an annual basis. The information from completed disclosure forms is reviewed by the Network Audit Committee for purposes of determining independence. Additionally, the Network's Compliance Committee reviews all employee disclosures. A summary report of the disclosures and the Audit Committee's recommendations related to independence are submitted to the Network board for approval. The conflict of interest policy requires volunteers and staff to self-report conflicts at the time they arise and complete an updated disclosure form. During the course of committee or board meetings, board members disclose any conflicts related to the agenda item/discussion and abstain from voting. Whenever appropriate, the board member would be excused from the room during discussion and voting. If a board member is interested in conducting business with JCLHN, the conflict of interest policy requires him or her to initiate that process through the Network CEO and not any other executive or employee.
Other Changes to Net Assets Part XI Line 5 IMPAIRMENT OF GOODWILL & PP&E ON AFS: (3,021,302) CHANGE IN INTERST IN FDN ON AFS: 1,722,412 NET UNREALIZED GAINS: 2,375,242 TOTAL OTHER CHANGES TO NET ASSETS: 1,076,352
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RHONDA FORSYTH TITLE:PRESIDENT & CEO HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID LAMPARTER TITLE:ASSISTANT TREASURER & CFO HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SHEILA GERRY TITLE:SR VICE PRESIDENT HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CINDY HALLMAN TITLE:VICE PRESIDENT HOURS:36
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARCIA MINTZ TITLE:VICE PRESIDENT/CEO, JCLHF HOURS:39
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
John C Lincoln Health Network
 
Employer identification number

86-0117301
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity









(1) JOHN C LINCOLN LLC
25OO W UTOPIA ROAD STE 100
PHOENIX,AZ85027
86-0828589
PHYS PRACTICE AZ 55,732,145 5,139,718 NA
 










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No
(1) JOHN C LINCOLN HEALTH FOUNDATION

2500 W Utopia Rd STE 100

PHOENIX,AZ85027
95-3320185
FUNDRAISING AZ 501(c)(3) LINE 7 NA
 
 
 
(2) DESERT MISSION INC

2500 W UTOPIA ROAD STE 100

PHOENIX,AZ85027
86-0096941
COMM SERVICE AZ 501(c)(3) LINE 7 NA
 
 
 
(3) DESERT MISSION NEIGHBORHOOD RENEWAL

2500 W UTOPIA ROAD STE 100

PHOENIX,AZ85027
86-0746598
HOUSING/REHAB AZ 501(c)(3) LINE 7 NA
 
 
 








For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership














Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1) DESERT MISSION INC

Line 1,065,000  
(2) JOHN C LINCOLN HEALTH FOUNDATION

Line 1,034,965  
(3) DESERT MISSION INC

Line 2,640,000  
(4) DESERT MISSION NEIGHBORHOOD RENEWAL

Line 519,987  
(5) JOHN C LINCOLN HEALTH FOUNDATION

Line 177,426  
(6)

Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Are all
partners
section
501(c)(3)
organizations?
(e)
Share of
end-of-year
assets
(f)
Disproprtionate allocations?
(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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