ARIZONA ASSOCIATION OF COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ARIZONA ASSOCIATION OF COMMUNITY HEALTH CENTERS INC (EIN 86-0494702)
Tax period
2021-04-01 to 2022-03-31
Filed
2023-02-09
IRS object ID
202320409349300907
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-02-09T11:19:38-05:00ReturnTs
Tax Period End2022-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN821455657PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FESTER & CHAPMAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19019 E BAHIA DR STE 100AddressLine1Txt
CitySCOTTSDALECityNm
State AbbreviationAZStateAbbreviationCd
ZIP85260ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN860494702EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARIZONA ASSOCIATION OF COMMUNITYBusinessNameLine1Txt
Business Name Line2HEALTH CENTERS INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlARIZBusinessNameControlTxt
Phone6022530090PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 E JEFFERSON STREET SUITE 100AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85034ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJESSICA YANOWPersonNm
Person TitleCEOPersonTitleTxt
Phone6022530090PhoneNum
Signature2023-02-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJESSICAPersonFirstNm
Person LastYANOWPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRACHEL R LOCKE CPAPreparerPersonNm
PTINP00450405PTIN
Phone6022643077PhoneNum
Preparation2023-02-08PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-03-07 01:45:13ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1AZ ALLIANCE FOR COMMUNITY HLTH CTRSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJESSICA YANOWPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 E JEFFERSON ST STE 100AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85034ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,673,233GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AACHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionTO INCREASE ACCESS TO QUALITY AND AFFORDABLE PRIMARY HEALTH CARE TO ALL PEOPLE LIVING IN ARIZONA REGARDLESS OF THEIR ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent24VotingMembersIndependentCnt
Total Employee79TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$9,794,614PYContributionsGrantsAmt
CY Contributions Grants$12,236,450CYContributionsGrantsAmt
PY Program Service Revenue$976,485PYProgramServiceRevenueAmt
CY Program Service Revenue$1,031,492CYProgramServiceRevenueAmt
PY Investment Income$22,059PYInvestmentIncomeAmt
CY Investment Income$10,425CYInvestmentIncomeAmt
PY Other Revenue$1,162,562PYOtherRevenueAmt
CY Other Revenue$1,394,866CYOtherRevenueAmt
PY Total Revenue$11,955,720PYTotalRevenueAmt
CY Total Revenue$14,673,233CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,892,229PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,292,281CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,046,306PYOtherExpensesAmt
CY Other Expenses$9,767,190CYOtherExpensesAmt
PY Total Expenses$11,938,535PYTotalExpensesAmt
CY Total Expenses$14,059,471CYTotalExpensesAmt
PY Revenues Less Expenses$17,185PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$613,762CYRevenuesLessExpensesAmt
Total Assets BOY$3,201,005TotalAssetsBOYAmt
Total Assets EOY$29,443,762TotalAssetsEOYAmt
Total Liabilities BOY$1,673,822TotalLiabilitiesBOYAmt
Total Liabilities EOY$27,305,552TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,527,183NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,138,210NetAssetsOrFundBalancesEOYAmt
MissionTO PROMOTE AND FACILITATE THE DEVELOPMENT AND DELIVERY OF AFFORDABLE AND ACCESSIBLE PRIMARY HEALTHCARE FOR EVERYONE IN ARIZONA THROUGH ADVOCACY, EDUCATION AND TECHNICAL ASSISTANCE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$13,141,252ExpenseAmt
Revenue$1,031,492RevenueAmt
DescPROMOTION AND IMPROVEMENT OF PRIMARY MEDICAL CARE TO MEDICALLY UNDERSERVED POPULATIONS OF ARIZONA.Desc
Total Program Service Expenses$13,141,252TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee79EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members24GoverningBodyVotingMembersCnt
Independent Voting Member24IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonARIZONA ASSOCIATION OF COMMUNITYPersonNm
Phone6022530090PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 E JEFFERSON STREET SUITE 100AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85034ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
CHRISTOPHER HANSEN
PRESIDENT2.005.00Yes (X)Yes (X)$0$0$0
ED SICURELLO
FORMER PRESI2.000.50Yes (X)Yes (X)$0$0$0
JOHN SWAGERT
VICE PRESIDE2.000.50Yes (X)Yes (X)$0$0$0
PEGGY CHASE
SECRETARY2.000.50Yes (X)Yes (X)$0$0$0
JONATHAN LEONARD
TREASURER/DI2.000.50Yes (X)Yes (X)$0$0$0
ANNE NEWLAND
DIRECTOR2.000.25Yes (X)$0$0$0
JEFF AXTELL
DIRECTOR2.000.25Yes (X)$0$0$0
KIM DESPRES
DIRECTOR2.000.25Yes (X)$0$0$0
BLAINE BANDI
DIRECTOR2.000.25Yes (X)$0$0$0
LYNETTE BONAR
DIRECTOR2.000.25Yes (X)$0$0$0
BARBARA HARDING
DIRECTOR2.000.25Yes (X)$0$0$0
CARMEN HEREDIA
DIRECTOR2.000.25Yes (X)$0$0$0
NANCY JOHNSON
DIRECTOR2.000.25Yes (X)$0$0$0
CLINT KUNTZ
DIRECTOR2.000.25Yes (X)$0$0$0
LAURA LARSON-HUFFAKER
DIRECTOR2.000.25Yes (X)$0$0$0
JONATHAN MELK
DIRECTOR2.000.25Yes (X)$0$0$0
SHARON RICKMAN
DIRECTOR2.000.25Yes (X)$0$0$0
DAVID ROGERS
DIRECTOR2.000.25Yes (X)$0$0$0
EDDIE ESTRADA
DIRECTOR2.000.25Yes (X)$0$0$0
HUNTER ADAMS
DIRECTOR2.000.25Yes (X)$0$0$0
PEDRO CONS
DIRECTOR2.000.25Yes (X)$0$0$0
RODOLFO JIMENEZ
DIRECTOR2.000.25Yes (X)$0$0$0
SHAWN FRICK
CEO - FORMER36.004.00Yes (X)$204,543$0$13,937
TARA PLESE
CHIEF EXT AF36.004.00Yes (X)$126,010$0$21,558
ANNA HIRSIVARA
CONTROLLER36.004.00Yes (X)$93,040$0$7,500
LISA NIERI
COO25.0015.00Yes (X)$155,296$0$19,342
DEBBIE MCCUNE-DAVIS
EXECUTIVE DI36.004.00Yes (X)$93,460$0$10,828
JESSICA YANOW
CEO36.004.00Yes (X)$19,361$0$10,235
WALTER MURILLO
DIRECTOR2.000.50Yes (X)$0$0$0
WENDY ARMENDARIZ
DIRECTOR2.000.50Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$691,710TotalReportableCompFromOrgAmt
Total Other Compensation$83,400TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AZARA HEALTHCARE
70 BLANCHARD RDSUITE 401BURLINGTONMA01803IT$608,775
IDEAL NETWORKS
22216 N 87TH AVENUEPEORIAAZ85383IT$133,825
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$11,621,814GovernmentGrantsAmt
All Other Contributions$614,636AllOtherContributionsAmt
Total Contributions$12,236,450TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACT REVENUE621990$577,149$577,149
MEMBERSHIP DUES & ASSESSMENTS621990$243,690$243,690
REGISTRATIONS AND CONTRACTS621990$210,190$210,190
ADMIN SERVICE CONTRACT621990$463$463
FieldValueIRS element (for citing)
Total Program Service Revenue$1,031,492TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,425TotalRevenueColumnAmt
Exclusion$10,425ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescADMINISTRATIVE SERVICESDesc
Business621990BusinessCd
Total Revenue Column$1,394,866TotalRevenueColumnAmt
Related Or Exempt Func Income$1,394,866RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,394,866OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,673,233TotalRevenueColumnAmt
Related Or Exempt Func Income$2,426,358RelatedOrExemptFuncIncomeAmt
Exclusion$10,425ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$745,514TotalAmt
Program Services$704,511ProgramServicesAmt
Management And General$41,003ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,835,685TotalAmt
Program Services$2,482,756ProgramServicesAmt
Management And General$352,929ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$132,687TotalAmt
Program Services$118,091ProgramServicesAmt
Management And General$14,596ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$303,293TotalAmt
Program Services$269,931ProgramServicesAmt
Management And General$33,362ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$275,102TotalAmt
Program Services$244,841ProgramServicesAmt
Management And General$30,261ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$17,000TotalAmt
Program Services$6,737ProgramServicesAmt
Management And General$10,263ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,900TotalAmt
Program Services$10,263ProgramServicesAmt
Management And General$15,637ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$70,706TotalAmt
Program Services$70,706ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$32,199TotalAmt
Program Services$8,301ProgramServicesAmt
Management And General$23,898ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$204,405TotalAmt
Program Services$79,205ProgramServicesAmt
Management And General$125,200ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$41,652TotalAmt
Program Services$41,652ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$148,120TotalAmt
Program Services$144,723ProgramServicesAmt
Management And General$3,397ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,362TotalAmt
Management And General$13,362ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$34,727TotalAmt
Program Services$18,020ProgramServicesAmt
Management And General$16,707ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUBCONTRACT$6,975,778$6,975,778
CONSULTING & OUTSIDE SERV$1,785,145$1,629,955$155,190
MISCELLANEOUS$163,259$131,971$31,288
REGISTRATION AND DUES$104,298$103,979$319

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$150,639TotalAmt
Program Services$99,832ProgramServicesAmt
Management And General$50,807ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,059,471TotalAmt
Program Services$13,141,252ProgramServicesAmt
Management And General$918,219ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,101,136BOYAmt
EOY$25,613,119EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,413,221BOYAmt
EOY$3,082,617EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$73,502BOYAmt
EOY$96,431EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$370,845LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$353,276LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,930BOYAmt
EOY$17,569EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$582,216BOYAmt
EOY$634,026EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,201,005BOYAmt
EOY$29,443,762EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$389,328BOYAmt
EOY$1,984,507EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$754,353BOYAmt
EOY$359,286EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$530,141BOYAmt
EOY$24,961,759EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,673,822BOYAmt
EOY$27,305,552EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,527,183BOYAmt
EOY$2,138,210EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,527,183BOYAmt
EOY$2,138,210EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,201,005BOYAmt
EOY$29,443,762EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$613,762ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,735NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,247,178CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,868,679CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,541,639CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,794,614CurrentTaxYearMinus1YearAmt
Current Tax Year$12,236,450CurrentTaxYearAmt
Total$34,688,560TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,247,178CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,868,679CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,541,639CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,794,614CurrentTaxYearMinus1YearAmt
Current Tax Year$12,236,450CurrentTaxYearAmt
Total$34,688,560TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$34,688,560PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,737CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,392CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,439CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,713CurrentTaxYearMinus1YearAmt
Current Tax Year$10,425CurrentTaxYearAmt
Total$41,706TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,292,912CurrentTaxYearMinus4YearsAmt
Total$1,292,912TotalAmt
FieldValueIRS element (for citing)
Total Support$36,023,178TotalSupportAmt
Gross Receipts Rltd Activities$11,679,926GrossReceiptsRltdActivitiesAmt
Public Support CY1700.96300PublicSupportCY170Pct
Public Support PY1700.90650PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationOTHER REVENUE 0 ADMINISTRATIVE SERVICES 1,292,912ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$20,482DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$20,482TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationON THE STATE LEVEL, AACHC LOBBIED FOR RETENTION OF THE KIDSCARE PROGRAM, MEDICAID ORAL HEALTH COVERAGE FOR PREGNANT WOMEN, STATE FUNDING FOR GRADUATE MEDICAL EDUCATION AND THE STATE LOAN REPAYMENT PROGRAM, AND TELEHEALTH PARITY FOR COMMERCIAL HEALTH PLAN REIMBURSEMENT.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$113,132OtherCostOrOtherBasisAmt
Depreciation$113,132DepreciationAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$187,688OtherCostOrOtherBasisAmt
Depreciation$179,175DepreciationAmt
Book Value$8,513BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,025OtherCostOrOtherBasisAmt
Depreciation$60,969DepreciationAmt
Book Value$9,056BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,569TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
REFUNDABLE ADVANCE$24,896,568
DUE TO TAPI$65,191
FieldValueIRS element (for citing)
Total Liability$24,961,759TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$14,670,498TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$2,735NetUnrealizedGainsInvstAmt
Revenue Not Reported-$2,735RevenueNotReportedAmt
Revenue Subtotal$14,673,233RevenueSubtotalAmt
Total Revenue Per Form990$14,673,233TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,059,471TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$14,059,471ExpensesSubtotalAmt
Total Expenses Per Form990$14,059,471TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmount
SHAWN FRICK
CEO - FORMER$204,543$9,000$4,937$218,480
LISA NIERI
COO$154,996$9,200$10,142$174,638$300

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE ORGANIZATION PROVIDED A COPY OF THE 990, VIA EMAIL, TO THE GOVERNING BODY BEFORE IT WAS FILED. ANY QUESTIONS AND COMMENTS ARE RESOLVED PRIOR TO SUBMISSION.
FORM 990, PAGE 6, PART VI, LINE 12CEACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, AND KEY EMPLOYEES SIGN A STATEMENT EACH YEAR AFFIRMING THEY HAVE RECEIVED A COPY OF THE POLICY AND THAT THEY HAVE READ AND UNDERSTAND THE POLICY. AN INTERESTED PERSON MAY DISCLOSE THE EXISTENCE OF A POSSIBLE CONFLICT TO THE COMMITTEE WITH BOARD-DELEGATED POWERS, IN WHICH THEREAFTER THE BOARD WILL DETERMINE APPROPRIATE ACTION BY MAJORITY VOTE.
FORM 990, PAGE 6, PART VI, LINE 15AHR DIRECTOR COMPILED INFORMATION FROM MULTIPLE INDEPENDENT SALARY SURVEYS AND FROM 990'S OF SIMILAR ORGANIZATIONS (PUBLIC RECORDS), AND PROPOSED COMPENSATION TO BOARD OF DIRECTORS EXECUTIVE COMMITTEE FOR APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 15BHR DIRECTOR COMPILED INFORMATION FROM MULTIPLE INDEPENDENT SALARY SURVEYS AND FROM 990'S OF SIMILAR ORGANIZATIONS (PUBLIC RECORDS), AND PROPOSED COMPENSATION TO THE CEO FOR APPROVAL, WHICH IS INCLUDED IN THE ANNUAL BUDGET THAT IS APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CHC COLLABORATIVE VENTURESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 E JEFFERSON STREET SUITE 100AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85034ZIPCd
FieldValueIRS element (for citing)
EIN860873658EIN
Primary ActivitiesADMIN SERVPrimaryActivitiesTxt
Legal Domicile StateAZLegalDomicileStateCd
Exempt Code Section3ExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AACHCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHC COLLABORATIVE VENTURES
Q$550,487FMV
CHC COLLABORATIVE VENTURES
O$146,529FMV

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