2023-08-31T23:31:54+00:00 2022-12-31 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE DALLAS TX 75219 990 2022-01-01 261756912 Arizona Children's Risk Solutions ARIZ 6025128132 333 East Osborn Road 300 Phoenix AZ 85012 Michelle Bruhn Executive Vice President & CFO 6029335468 2023-08-31 true Michelle Bruhn 999009999 true Patrick Shields P01508556 2149698000 2022 2023-04-26 12:10:37Z Robert L Meyer 1919 E Thomas Road Phoenix AZ 85016 7275639 false X N/A X 2008 AZ PROVIDES CAPTIVE INSURANCE SERVICES TO PHOENIX CHILDREN'S HOSPITAL. 6 2 0 2 0 0 0 0 7061893 7267267 2518 8372 0 0 7064411 7275639 0 0 0 0 0 0 0 0 0 4610497 3513396 4610497 3513396 2453914 3762243 42245805 46974371 26420599 27386922 15825206 19587449 SEE SCHEDULE O false false 3432487 0 7267267 SEE SCHEDULE O 3432487 true false false false false false false false false false false false true true true true true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false false true X 1 0 true 0 false false false false false false false false false false false false X 6 2 false true false false true true false true true false false true true true true true true false false false X Michelle Bruhn 6029335468 1919 E Thomas Road Phoenix AZ 85016 CARMEN NEUBERGER DIRECTOR/SECRETARY 1.0 39.0 X X 0 1156830 25640 DENNIS BRUNS DIRECTOR/TREASURER (START 08/22) 1.0 39.0 X X 0 380000 5400 KARI CORNICELLI DIRECTOR/TREASURER (TERMED 08/22) 1.0 39.0 X X 0 1062453 22362 ROBERT L MEYER DIRECTOR/VICE PRESIDENT 1.0 39.0 X X 0 3479860 29081 DAVID LENHARDT DIRECTOR 1.0 2.0 X 0 0 0 JON HULBURD DIRECTOR 1.0 2.0 X 0 0 0 MICHAEL L RITCHEY DIRECTOR 1.0 0 X 0 812484 23776 0 6891627 106259 0 true true false 0 0 0 0 0 0 0 0 0 PREMIUM REVENUE 524298 7267267 7267267 0 0 0 0 7267267 8372 8372 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7275639 7267267 0 8372 66085 66085 9137 9137 0 0 0 0 187 187 CLAIMS EXPENSE 3432487 3432487 LICENSES AND TAXES 5500 5500 0 0 0 0 3513396 3432487 80909 0 1440052 1448425 0 0 0 0 0 0 0 0 0 0 40805753 45525946 42245805 46974371 5040541 3617185 0 0 21380058 23769737 26420599 27386922 X 15825206 19587449 15825206 19587449 42245805 46974371 3762243 0 X false true X true false X X X 1 PHOENIX CHILDREN'S HOSPITAL 860422559 3 true 3432487 0 1 3432487 0 true false false false false false false false false false false false false false false true false DUE FROM PCH 41683575 RECOVERABLE 2099850 PREMIUMS RECEIVABLE 1215687 MISCELLANEOUS RECEIVABLE 526834 45525946 UNPAID LOSSES 22554050 UNEARNED PREMIUMS 1547069 REINSURANCE PREMIUMS -331382 23769737 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MANAGEMENT IS OF THE OPINION THAT SUBSTANTIALLY ALL OF THE HOSPITAL'S, FOUNDATION'S, CAPTIVE'S, PHOENIX CHILDREN'S CARE NETWORK'S AND PHOENIX CHILDREN'S PROPERTY DEVELOPMENT, LLC'S ACTIVITIES ARE RELATED TO THEIR EXEMPT PURPOSES, AND PHOENIX CHILDREN'S CARDIOLOGY DIAGNOSTICS LLC'S ACTIVITIES WILL NOT RESULT IN TAXABLE INCOME. NO MATERIAL UNCERTAIN TAX POSITIONS HAVE BEEN IDENTIFIED OR RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2022 OR 2021. true true false false false false false false false DENNIS BRUNS DIRECTOR/TREASURER (START 08/22) 0 380000 0 0 0 0 0 5400 0 0 0 385400 0 0 KARI CORNICELLI DIRECTOR/TREASURER (TERMED 08/22) 0 378006 0 409794 0 274653 0 11600 0 10762 0 1084815 0 0 ROBERT L MEYER DIRECTOR/VICE PRESIDENT 0 1274153 0 1818065 0 387642 0 12200 0 16881 0 3508941 0 0 CARMEN NEUBERGER DIRECTOR/SECRETARY 0 503441 0 532045 0 121344 0 12000 0 13640 0 1182470 0 0 MICHAEL L RITCHEY DIRECTOR 0 692446 0 83514 0 36524 0 9818 0 13958 0 836260 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE TOP MANAGEMENT OFFICIAL'S COMPENSATION IS SUBJECT TO REVIEW AND DETERMINATION BY THE COMPENSATION COMMITTEE OF THE RELATED TAX-EXEMPT ORGANIZATION, PHOENIX CHILDREN'S HOSPITAL (PCH). OTHER EMPLOYEES ARE SUBJECT TO THE HUMAN RESOURCE POLICIES, INCLUDING COMPENSATION ARRANGEMENTS, OF PCH. ARIZONA CHILDREN'S RISK SOLUTIONS DOES NOT HAVE ANY DIRECT EMPLOYEES. ALL PAYROLL IS CENTRALIZED THROUGH PCH (EIN 86-0422559). Schedule J, Part I, Line 4a Severance or change-of-control payment SEVERANCE PAYMENTS WERE MADE IN 2022 TO: KARI CORNICELLI - $183,558 THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AS OTHER REPORTABLE COMPENSATION. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan PHOENIX CHILDREN'S HOSPITAL (PCH) OFFERS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO CERTAIN EXECUTIVES OF THE ORGANIZATION. ELIGIBLE PARTICIPANTS ARE SELECTED BY THE PCH BOARD OF DIRECTORS. PARTICIPANT VESTING OCCURS UPON RETIREMENT, DISABILITY BEFORE SEPARATION, INVOLUNTARY SEPARATION (OTHER THAN FOR CAUSE) OR DEATH. THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE SERP PLAN AND RECEIVED A TAXABLE SERP PAYOUT DURING 2022 THAT IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AS OTHER REPORTABLE COMPENSATION: ROBERT L. MEYER - $348,211 CARMEN NEUBERGER - $87,521 KARI CORNICELLI - $66,237 Schedule J, Part I, Line 7 NON-FIXED PAYMENTS CERTAIN EXECUTIVES WERE ELIGIBLE FOR THE DISCRETIONARY EXECUTIVE INCENTIVE PLAN OF PHOENIX CHILDREN'S HOSPITAL IN WHICH ONE OF THE PERFORMANCE MEASURES WAS EARNINGS BEFORE INTEREST, DEPRECIATION AND AMORTIZATION. THIS INCENTIVE PLAN WAS APPROVED BY THE COMPENSATION COMMITTEE. Schedule J, Part II ADDITIONAL INFORMATION MICHAEL RITCHEY, MD RECEIVED COMPENSATION FOR MEDICAL SERVICES RENDERED IN THE CAPACITY OF STAFF PHYSICIAN FOR PHOENIX CHILDREN'S HOSPITAL, NOT FOR HIS DUTIES AS CURRENT BOARD MEMBER. Form 990, Part III, Line 4 PROGRAM SERVICE ACCOMPLISHMENTS ARIZONA CHILDREN'S RISK SOLUTIONS (FORMERLY CAMBRIDGE ARIZONA INSURANCE COMPANY), (AN ARIZONA NON-PROFIT CORPORATION), ENGAGES IN THE BUSINESS OF PROVIDING CAPTIVE INSURANCE SERVICES TO NON-PROFIT CORPORATIONS WITHIN THE STATE OF ARIZONA. THE COMPANY SPECIFICALLY PROVIDES PROFESSIONAL LIABILITY INSURANCE ON A CLAIMS-MADE BASIS AND GENERAL LIABILITY INSURANCE ON AN OCCURRENCE BASIS PURSUANT TO THE PROVISIONS OF ARIZONA REVISED STATUTES 20-1098 AND WAS APPROVED FOR BUSINESS AS A PURE CAPTIVE INSURER BY THE STATE OF ARIZONA DEPARTMENT OF INSURANCE ON FEBRUARY 28, 2008. THE COMPANY SPECIFICALLY OFFERS INSURANCE COVERAGE TO ITS SOLE MEMBER, PHOENIX CHILDREN'S HOSPITAL, INC (PCH). THE ACTIVITIES AND OPERATIONS OF ARIZONA CHILDREN'S RISK SOLUTIONS EXCLUSIVELY BENEFIT PHOENIX CHILDREN'S HOSPITAL BY OFFERING A PROGRAM OF SELF INSURANCE FOR THE HOSPITAL. Form 990, Part V, Line 2a EMPLOYEES ARIZONA CHILDREN'S RISK SOLUTIONS DOES NOT HAVE EMPLOYEES, BUT SHARES COSTS OF PERSONNEL, SERVICES, AND EXPENSES WITH PHOENIX CHILDREN'S HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION. Form 990, Part VI, Line 15 COMPENSATION PROCESS THIS ORGANIZATION DOES NOT PAY ANY COMPENSATION. COMPENSATION IS PAID, AND COMPENSATION PRACTICES ARE DETERMINED, BY PHOENIX CHILDREN'S HOSPITAL. Form 990, Part VI, Line 3 Delegation of management duties THE ORGANIZATION HAS A CAPTIVE MANAGER RESPONSIBLE FOR ALL BUSINESS TRANSACTIONS RELATING TO INSURANCE OPERATIONS AND ACTIVITIES. Form 990, Part VI, Line 6 Classes of members or stockholders PHOENIX CHILDREN'S HOSPITAL IS THE SOLE MEMBER OF THE ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER ELECTS THE GOVERNING BODY OF THE ORGANIZATION. Form 990, Part VI, Line 11b Review of form 990 by governing body FORM 990 WAS REVIEWED BY VP FINANCE, EVP/CFO AND CEO. FORM 990 WAS THEN SENT TO THE BOARD OF DIRECTORS. Form 990, Part VI, Line 12c Conflict of interest policy PCH AND ITS AFFILIATE ORGANIZATIONS REQUIRE EACH OF ITS DIRECTORS, OFFICERS, AND VICE PRESIDENTS TO COMPLETE AN ANNUAL DISCLOSURE FORM, IDENTIFYING REAL OR POTENTIAL CONFLICTS, SUCH AS FINANCIAL RELATIONSHIPS OR INTERESTS, FAMILY OR BUSINESS ASSOCIATIONS OR EMPLOYEE RELATIONSHIPS WITH PCH AND/OR ITS DIRECTORS, OFFICERS AND KEY EMPLOYEES. IF SITUATIONS ARE DISCLOSED THAT PRESENT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, THEY ARE REPORTED TO THE CEO AND THE BOARD OF DIRECTORS. RESOLUTION AND/OR AVOIDANCE OF CONFLICT OF INTEREST SITUATIONS RESIDES WITH THE BOARD AND THE CEO. Form 990, Part VI, Line 19 Required documents available to the public SUCH DOCUMENTS ARE NOT REQUIRED TO BE MADE PUBLIC. HOWEVER, SUCH DOCUMENTS WILL BE MADE AVAILABLE UPON REASONABLE REQUEST. CHILDREN'S HEALTHCARE OF ARIZONA INC 1919 E THOMAS ROAD PHOENIX AZ 85016 451474342 SUPPORT AZ 501(c)(3) Type I NA false PHOENIX CHILDREN'S HOSPITAL FOUNDATION 1919 E THOMAS ROAD PHOENIX AZ 85016 742421549 SUPPORT AZ 501(c)(3) 7 PCH true PHOENIX CHILDREN'S HOSPITAL 1919 E THOMAS ROAD PHOENIX AZ 85016 860422559 HOSPITAL AZ 501(c)(3) 3 CHA false PHX CHILDREN'S CARDIOLOGY DIAGNOSTICS LLC 1919 E THOMAS ROAD PHOENIX AZ 85016 464850215 HEALTHCARE AZ NA N/A PHX CHILDREN'S PROPERTY DEVELOPMENT LLC 1919 E THOMAS ROAD PHOENIX AZ 85016 472408123 HEALTHCARE AZ NA N/A false false false false false false false false false false false true false false true false false true false