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.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
DESERT MISSION INC
Employer identification number
86-0096941
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
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(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 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
Provide the following information about the supported organization(s).
(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 monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
6,343,750
5,906,893
5,954,121
5,762,262
6,541,676
30,508,702
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3
6,343,750
5,906,893
5,954,121
5,762,262
6,541,676
30,508,702
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)..
435,065
6
Public support. Subtract line 5 from line 4.
30,073,637
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
6,343,750
5,906,893
5,954,121
5,762,262
6,541,676
30,508,702
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
156,679
137,551
143,606
143,945
147,233
729,014
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
0
11
Total support (Add lines 7 through 10).
31,237,716
12
Gross receipts from related activities, etc. (see instructions)
..................
12
10,788,438
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
96.274 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
95.375 %
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
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.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
DESERT MISSION INC
Employer identification number
86-0096941
Return Reference
Explanation
FORM 990, PART III, LINE 1
THE DESERT MISSION WAS ESTABLISHED IN 1927 TO ADDRESS THE PHYSICAL AND SOCIAL NEEDS OF FAMILIES IN THE NORTH PHOENIX DESERT. TODAY, THE DESERT MISSION CONTINUES TO HELP INDIVIDUALS AND FAMILIES MEET THEIR BASIC NEEDS AND BECOME SELF-SUFFICIENT. THE DESERT MISSION SERVED 39,564 PEOPLE IN 2013 IN NORTH PHOENIX. THEY ARE DIVERSE - IN AGE, ETHNICITY, AND ECONOMIC AND SOCIAL CIRCUMSTANCE. MOST ARE WORKING POOR FAMILIES AND/OR LIVING ON A FIXED INCOME. SERVICES INCLUDE A COMMUNITY HEALTH CENTER, CHILDREN'S DENTAL CLINIC, BEHAVIORAL HEALTH CLINIC, FOOD BANK AND CHILDCARE/EARLY LEARNING CENTER. THE DESERT MISSION'S STRONGEST PARTNER IS JOHN C. LINCOLN HEALTH NETWORK, A LOCAL NON-PROFIT HEALTH ORGANIZATION. THE DESERT MISSION ROUNDS OUT THE HOSPITALS' CORE HEALTHCARE BUSINESS BY ADDRESSING THE COMMUNITY'S BROADER HEALTH NEEDS. IN RETURN, THE NETWORK PROVIDES IN-KIND ADMINISTRATIVE SUPPORT FOR INFORMATION TECHNOLOGY, HUMAN RESOURCES, FUNDRAISING AND ACCOUNTING.
FORM 990, PART III, LINE 4D
DESERT MISSION CHILDREN'S DENTAL CLINIC: PROVIDES FREE AND LOW-COST DENTAL CARE FOR UNINSURED CHILDREN. THE CHILDREN'S DENTAL CLINIC SERVES MORE THAN 200 CHILDREN IN NEED EACH MONTH THROUGH ITS STAFF OF VOLUNTEERS, DENTISTS, AND HYGIENISTS. THE DENTAL CLINIC ACCEPTS AHCCCS. MARLEY HOUSE IS LICENSED BY THE STATE OF ARIZONA AS AN OUTPATIENT BEHAVIORAL HEALTH CLINIC. MARLEY HOUSE IS CONTRACTED BY THE STATE RHBA TO PROVIDE BEHAVIORAL HEALTH SERVICES FOR FAMILIES, CHILDREN AND INDIVIDUALS WITH GENERAL MENTAL HEALTH, SUBSTANCE ABUSE, AND SERIOUS MENTAL HEALTH CONDITIONS. DESERT MISSION GENERAL: PROVIDES ADMINISTRATIVE SUPPORT THAT BENEFITS ALL DESERT MISSION PROGRAMS.
FORM 990, PART VI, LINE 1A
PURSUANT TO THE BYLAWS, THE EXECUTIVE COMMITTEE HAS THE POWER TO ACT ON BEHALF OF THE BOARD BETWEEN BOARD MEETINGS. ALL MATTERS OF MAJOR IMPORTANCE BROUGHT BEFORE THE EXECUTIVE COMMITTEE SHALL BE REFERRED TO THE BOARD. THE EXECUTIVE COMMITTEE MAY NOT AUTHORIZE DISTRIBUTIONS, FILL BOARD OR COMMITTEE VACANCIES, OR ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. THE EXECUTIVE COMMITTEE IS COMPRISED OF THE BOARD CHAIR, VICE CHAIR, PAST CHAIR, SECRETARY, TREASURER, EXECUTIVE DIRECTOR OF DESERT MISSION, AND THE CHAIRS OF THE STANDING COMMITTEES.
FORM 990, PART VI, LINE 4
On October 1, 2013 Scottsdale Healthcare and John C. Lincoln Health Network entered into a system affiliation agreement, forming a new nonprofit corporation entitled Scottsdale Lincoln Health Network (SLHN). In connection with this affiliation, the articles and bylaws of DESERT MISSION, INC. were amended to reflect a change in member to John C. Lincoln Health Network. Additionally, the governing documents were amended to assign SLHN certain roles and authority over DESERT MISSION, INC.
FORM 990, PART VI, LINE 6
THE SOLE MEMBER OF DESERT MISSION, INC. IS JOHN C. LINCOLN HEALTH NETWORK, A RELATED NONPROFIT CORPORATION.
FORM 990, PART VI, LINE 7A
THE BOARD OF DIRECTORS OF SCOTTSDALE LINCOLN HEALTH NETWORK HAS THE RIGHT TO ELECT AND APPROVE THE BOARD OF DIRECTORS OF DESERT MISSION, INC.
FORM 990, PART VI, LINE 7B
THE BOARD OF Scottsdale Lincoln Health Network HAS THE AUTHORITY TO APPROVE OR DISAPPROVE THE FOLLOWING: ANY PROPOSAL FOR THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS; PROPOSED OPERATING AND CAPITAL BUDGETS FOR THE CORPORATION; ANY PROPOSED BORROWING WITH CERTAIN EXCEPTIONS; ANY PURCHASE, SALE, LEASE, EXCHANGE, DISPOSITION, ETC OF ANY ASSET IN EXCESS OF A CERTAIN DOLLAR VALUE; THE ENGAGEMENT OR DISENGAGEMENT OF THE INDEPENDENT AUDITOR AND CORPORATE COUNSEL; ANY TRANSACTION IN WHICH A DIRECTOR OR OFFICER HAS A MATERIAL FINANCIAL INTEREST; AND ANY TRANSACTION OF THE CORPORATION WHICH Scottsdale Lincoln Health Network BOARD DETERMINES TO REPRESENT A MAJOR TRANSACTION OR MAJOR POLICY ISSUE.
FORM 990, PART VI, LINE 11B
THE FORM 990 IS PREPARED BY A THIRD PARTY. THE FORM 990 GOES THROUGH A DETAILED REVIEW INTERNALLY BY THE CONTROLLER AND ASSISTANT CONTROLLER. 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.
FORM 990, PART VI, LINE 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 JOHN C. LINCOLN HEALTH NETWORK, A RELATED ENTITY (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 BOARD MEMBER IS INTERESTED IN CONDUCTING BUSINESS WITH THE NETWORK, THE CONFLICT OF INTEREST POLICY REQUIRES HIM OR HER TO INITIATE THAT PROCESS THROUGH THE NETWORK CEO AND NOT ANY OTHER EXECUTIVE OR EMPLOYEE.
FORM 990, PART VI, LINE 15A AND 15B
THE CEO AND OTHER EXECUTIVES OF DESERT MISSION, INC ARE COMPENSATED BY THE JOHN C. LINCOLN HEALTH NETWORK, A RELATED ENTITY. THE JOHN C. LINCOLN HEALTH NETWORK (THE NETWORK) USES A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT NETWORK DIRECTORS THAT OVERSEES ALL ASPECTS OF COMPENSATION PAID TO THE NETWORK CEO AND OTHER EXECUTIVES. ANNUALLY, THE COMMITTEE ASSESSES THE PERFORMANCE OF THE CEO AND RECOMMENDS TO THE NETWORK BOARD THE CEO'S COMPENSATION. ADDITIONALLY, THE COMMITTEE EVALUATES THE NETWORK'S COMPENSATION PHILOSOPHY AND ESTABLISHES PERMISSIBLE RANGES OF COMPENSATION FOR ALL EXECUTIVES WITHIN THE AFFILIATED HEALTH NETWORK. 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 NETWORK BOARD OF DIRECTORS. THE NETWORK CEO IS NOT A MEMBER OF THIS COMMITTEE, BUT WILL BE CALLED ON TO ASSESS AND REPORT ON SENIOR EXECUTIVE PERFORMANCE.
FORM 990, PART VI, LINE 19
THE ORGANIZATION CONSIDERS REQUESTS FOR FINANCIAL STATEMENTS, GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY ON A CASE BY CASE BASIS.
FORM 990, PART XI, LINE 9
CHANGE IN INTEREST IN JCL FOUNDATION $940,800
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.