CANYONLANDS COMMUNITY HEALTH CARE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CANYONLANDS COMMUNITY HEALTH CARE (EIN 86-0350153)
Tax period
2017-06-01 to 2018-05-31
Filed
2018-11-27
IRS object ID
201813319349300806
Schema version
2017v2.3
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)
Return2018-11-27T13:20:16-07:00ReturnTs
Tax Period End2018-05-31TaxPeriodEndDt

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 Begin2017-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN860350153EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CANYONLANDS COMMUNITY HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCANYBusinessNameControlTxt
Phone9286459675PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1625AddressLine1Txt
CityPAGECityNm
State AbbreviationAZStateAbbreviationCd
ZIP86040ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS MAIKOWSKIPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9286459675PhoneNum
Signature2018-11-26SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRACHEL R LOCKE CPAPreparerPersonNm
PTINP00450405PTIN
Phone6022643077PhoneNum
Preparation2018-11-26PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address52.37.240.203IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-26IPDt
IP Tm11:09:09IPTm
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC393DF87A0DDCD8E2F2689520FAC52A44D27B9CFAtSubmissionCreationDeviceId
At Submission Filing Device Id5202ADC3982A0055B8B88FD9A0C762A4FF6CE3E7AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS MAIKOWSKIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1387AddressLine1Txt
CityPAGECityNm
State AbbreviationAZStateAbbreviationCd
ZIP86040ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,015,752GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CANYONLANDSCHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionTHE MISSION OF CANYONLANDS HEALTHCARE IS TO PROMOTE HEALTHIER LIVES THROUGH AFFORDABLE, ACCESSIBLE, INTEGRATED PRIMARY CARE.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee179TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,915,282PYContributionsGrantsAmt
CY Contributions Grants$3,904,043CYContributionsGrantsAmt
PY Program Service Revenue$8,874,731PYProgramServiceRevenueAmt
CY Program Service Revenue$10,108,048CYProgramServiceRevenueAmt
PY Investment Income$963PYInvestmentIncomeAmt
CY Investment Income$3,661CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$13,790,976PYTotalRevenueAmt
CY Total Revenue$14,015,752CYTotalRevenueAmt
PY Grants And Similar Paid$277,573PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$233,478CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,517,544PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,626,786CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,713,771PYOtherExpensesAmt
CY Other Expenses$4,343,762CYOtherExpensesAmt
PY Total Expenses$13,508,888PYTotalExpensesAmt
CY Total Expenses$14,204,026CYTotalExpensesAmt
PY Revenues Less Expenses$282,088PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$188,274CYRevenuesLessExpensesAmt
Total Assets BOY$8,315,248TotalAssetsBOYAmt
Total Assets EOY$7,633,240TotalAssetsEOYAmt
Total Liabilities BOY$2,695,387TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,201,653TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,619,861NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,431,587NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF CANYONLANDS HEALTHCARE IS TO PROMOTE HEALTHIER LIVES THROUGH AFFORDABLE, ACCESSIBLE, INTEGRATED PRIMARY CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$11,408,429ExpenseAmt
Grant$233,478GrantAmt
Revenue$10,108,048RevenueAmt
DescCANYONLANDS COMMUNITY HEALTH CARE (HEREIN REFERRED TO AS CANYONLANDS), OPENED IN 1973. CANYONLANDS IS A LEADER IN DELIVERING COMPREHENSIVE, HIGH- QUALITY, PATIENT-CENTERED HEALTH CARE TO ALL THE PEOPLE OF ARIZONA REGARDLESS OF INCOME FOR OVER 40 YEARS. CANYONLANDS ANNUALLY PROVIDES COMPREHENSIVE PRIMARY HEALTH CARE, OB, AND DENTAL SERVICES THROUGH NEARLY 60,000 PATIENT VISITS TO OVER 17,000 PATIENTS IN NINE RURAL COMMUNITIES SERVING NORTHERN AND SOUTHEASTERN ARIZONA. OUR MISSION IS TO PROVIDE ACCOMMODATING, AFFORDABLE AND ACCESSIBLE HEALTH CARE. CANYONLANDS HAS BEEN AN INDEPENDENT, OUTPATIENT TREATMENT FACILITY SINCE 1973 AND HAS BEEN A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) FOR THE SAME TIME PERIOD. THE HEALTH CENTER PROVIDES HEALTH CARE FOR THE ENTIRE (CONTINUED ON SCHEDULE O) FAMILY, INCLUDING PREVENTATIVE AND PRIMARY HEALTH CARE SERVICES, DENTAL SERVICES, BEHAVIORAL HEALTH SERVICES, OUTREACH AND EDUCATION PROGRAMS, AND ELIGIBILITY ASSISTANCE FOR AHCCCS AND OTHER SLIDING FEE SCALE AND DISCOUNTED SERVICES PROGRAMS. OUR GOAL IS TO DEVELOP AN UNDERSTANDING OF THE NEEDS OF OUR PATIENTS, AND RESPOND TO THOSE NEEDS BY PROVIDING CLINICAL ASSISTANCE, PATIENT EDUCATION, AND REFERRAL, WHEN APPROPRIATE, TO COMMUNITY RESOURCE SPECIALISTS AND SAFETY NET SERVICES. THE CANYONLANDS SERVICE AREA SPANS, SIX ARIZONA COUNTIES: THREE IN THE NORTHERN PART OF THE STATE (COCONINO, MOHAVE, NAVAJO) AND THREE IN THE SOUTHEASTERN PART (GREENLEE, GRAHAM, AND PIMA). ADDITIONALLY, CANYONLANDS RECEIVES PATIENTS FROM UTAH, NEVADA AND NEW MEXICO. OUR SERVICES ARE DELIVERED TO SOME OF THE MOST REMOTE AND ISOLATED AREAS IN THE U.S. THE CANYONLANDS ADMINISTRATIVE OFFICES AS WELL AS OUR LARGEST CLINIC ARE LOCATED IN PAGE, ARIZONA, WHICH IS THREE HOURS FROM THE CLOSEST MERTOPOLITAN AREA. THE CANYONLANDS PATIENT POPULATION IS AS DIVERSE AS THE REGION THAT SURROUNDS US. CANYONLANDS SERVES A LARGE CONTINGENT OF NATIVE AMERICANS LIVING ON AND OFF THE NAVAJO INDIAN RESERVATION, THE LARGEST RESERVATION IN THE COUNTRY. OUR CANYONLANDS HEALTHCARE-BEAVER DAM CLINIC PROVIDES SERVICES FOR A LARGE POPULATION OF HISPANIC FAMILIES, BOTH DOCUMENTED AND UNDOCUMENTED, WHO WORK FOR THE GAMING INDUSTRY IN NEVADA. ADDITIONALLY OUR SOUTHEASTERN FACILITIES PROVIDE SERVICES FOR A LARGE MINORITIY POPULATION, AS WELL AS TRANSIENT WORKERS IN THE MINING INDUSTRY. CANYONLANDS IS PROUD TO OFFER HEALTH CARE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. CANYONLANDS DELIVERS A BROAD RANGE OF PRIMARY HEALTH CARE SERVICES IN A CULTURALLY-APPROPRIATE MANNER TO ALL PATIENTS.Desc
Total Program Service Expenses$11,408,429TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 OrganizationsYes (true)GrantsToOrganizationsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document55IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee179EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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
States Where Copy Of Return Is FldAZStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCANYONLANDS COMM HEALTH CAREPersonNm
Phone9286459675PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1827 VISTA AVEAddressLine1Txt
CityPAGECityNm
State AbbreviationAZStateAbbreviationCd
ZIP86040ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
THOMAS MAIKOWSKI
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
SAUNDRA GAINES
VICE PRESIDE2.00Yes (X)Yes (X)$0$0$0
RICHARD BAKER
TREASURER2.00Yes (X)Yes (X)$0$0$0
PAULETTE LEBLANC
SECRETARY2.00Yes (X)Yes (X)$0$0$0
THOMAS BRADLEY
DIRECTOR2.00Yes (X)$0$0$0
MEL PETERSON
DIRECTOR2.00Yes (X)$0$0$0
WILLIAM JUSTICE
DIRECTOR2.00Yes (X)$0$0$0
BEVERLY BECENTI-PIGMAN
DIRECTOR2.00Yes (X)$0$0$0
ANNETTE NEWMAN
DIRECTOR2.00Yes (X)$0$0$0
JANICE LOVETT
DIRECTOR2.00Yes (X)$0$0$0
JANEEN BJORK
CMO40.00Yes (X)$210,398$0$34,116
CHRISTOPHER HANSEN
CEO40.00Yes (X)$148,654$0$3,544
HOLLY SMITH
CFO40.00Yes (X)$100,758$0$1,525
KENNISHA GILBERT
PHYSICIAN40.00$258,380$0$25,936Yes (X)
DENNIS J FOLEY
PHYSICIAN32.00$216,536$0$8,974Yes (X)
LAURA MILLER
PHYSICIAN40.00$200,944$0$25,756Yes (X)
RAYMOND HOLSTEN
PHYSICIAN40.00$174,078$0$53,583Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,309,748TotalReportableCompFromOrgAmt
Total Other Compensation$153,434TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtBusiness Name Line2ContractorName/BusinessName/BusinessNameLine2Txt
MCKESSON CORPORATION
PO BOX 634404CINCINATTIOH452634404MEDICAL SUPPLY$227,008
CENTURYLINK INC
PO BOX 29040PHOENIXAZ850389040INTERNET$215,082
NEXTGEN HEALTHCARE
PO BOX 511449LOS ANGELESCA90051SOFTWARE$211,017
EL RIO SANTA CRUZ NEIGHBORHOOD
PO BOX 1231TUCSONAZ85702IT SUPPORT$144,286HEALTH CENTER
BARTON ASSOCIATES
PO BOX 417844BOSTONMA022418744STAFFING$138,502
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$3,843,414GovernmentGrantsAmt
All Other Contributions$60,629AllOtherContributionsAmt
Noncash Contributions$269,998NoncashContributionsAmt
Total Contributions$3,904,043TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621400$8,656,854$8,656,854
PHARMACY INCOME624100$1,451,194$1,451,194
FieldValueIRS element (for citing)
Total Program Service Revenue$10,108,048TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,661TotalRevenueColumnAmt
Exclusion$3,661ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,015,752TotalRevenueColumnAmt
Related Or Exempt Func Income$10,108,048RelatedOrExemptFuncIncomeAmt
Exclusion$3,661ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$233,478TotalAmt
Program Services$233,478ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$498,995TotalAmt
Program Services$205,447ProgramServicesAmt
Management And General$293,548ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,858,046TotalAmt
Program Services$6,582,918ProgramServicesAmt
Management And General$1,275,128ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$123,210TotalAmt
Program Services$96,575ProgramServicesAmt
Management And General$26,635ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$553,561TotalAmt
Program Services$484,868ProgramServicesAmt
Management And General$68,693ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$592,974TotalAmt
Program Services$485,081ProgramServicesAmt
Management And General$107,893ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$12,739TotalAmt
Management And General$12,739ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$41,669TotalAmt
Management And General$41,669ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$619,929TotalAmt
Program Services$591,589ProgramServicesAmt
Management And General$28,340ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$99,166TotalAmt
Program Services$58,698ProgramServicesAmt
Management And General$40,468ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$190,479TotalAmt
Program Services$104,614ProgramServicesAmt
Management And General$85,865ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$538,855TotalAmt
Program Services$65,024ProgramServicesAmt
Management And General$473,831ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$356,972TotalAmt
Program Services$334,721ProgramServicesAmt
Management And General$22,251ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$252,701TotalAmt
Program Services$195,349ProgramServicesAmt
Management And General$57,352ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,661TotalAmt
Program Services$841ProgramServicesAmt
Management And General$2,820ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$81,665TotalAmt
Management And General$81,665ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$309,606TotalAmt
Program Services$217,162ProgramServicesAmt
Management And General$92,444ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$42,052TotalAmt
Program Services$7,073ProgramServicesAmt
Management And General$34,979ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$1,229,532$1,213,508$16,024
IN-KIND$269,998$269,998
RECRUITMENT$92,840$89,835$3,005
MISCELLEANEOUS$76,381$76,381

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$125,517TotalAmt
Program Services$95,269ProgramServicesAmt
Management And General$30,248ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,204,026TotalAmt
Program Services$11,408,429ProgramServicesAmt
Management And General$2,795,597ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,586,283BOYAmt
EOY$822,163EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$371,897BOYAmt
EOY$247,663EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,332,203BOYAmt
EOY$1,817,397EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$363,512BOYAmt
EOY$345,083EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$106,329BOYAmt
EOY$106,139EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,779,253LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,484,458LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,555,024BOYAmt
EOY$4,294,795EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,315,248BOYAmt
EOY$7,633,240EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,332,562BOYAmt
EOY$900,472EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,362,825BOYAmt
EOY$1,276,238EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$24,943EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,695,387BOYAmt
EOY$2,201,653EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,572,361BOYAmt
EOY$5,384,087EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$47,500BOYAmt
EOY$47,500EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,619,861BOYAmt
EOY$5,431,587EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,315,248BOYAmt
EOY$7,633,240EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$188,274ReconcilationRevenueExpnssAmt
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$1,952,212CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,618,716CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,343,226CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,915,282CurrentTaxYearMinus1YearAmt
Current Tax Year$3,904,043CurrentTaxYearAmt
Total$16,733,479TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,952,212CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,618,716CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,343,226CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,915,282CurrentTaxYearMinus1YearAmt
Current Tax Year$3,904,043CurrentTaxYearAmt
Total$16,733,479TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$16,733,479PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$117CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,682CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$963CurrentTaxYearMinus1YearAmt
Current Tax Year$3,661CurrentTaxYearAmt
Total$7,431TotalAmt
FieldValueIRS element (for citing)
Total Support$16,740,910TotalSupportAmt
Gross Receipts Rltd Activities$10,108,048GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99960PublicSupportCY170Pct
Public Support PY1700.99970PublicSupportPY170Pct
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 0ExplanationTxt

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$589,630OtherCostOrOtherBasisAmt
Book Value$589,630BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,094,952OtherCostOrOtherBasisAmt
Depreciation$2,418,080DepreciationAmt
Book Value$2,676,872BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,433,829OtherCostOrOtherBasisAmt
Depreciation$749,599DepreciationAmt
Book Value$684,230BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$660,842OtherCostOrOtherBasisAmt
Depreciation$316,779DepreciationAmt
Book Value$344,063BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,294,795TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescREFUNDABLE ADVANCESDesc
Amt$24,943Amt
FieldValueIRS element (for citing)
Total Liability$24,943TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$14,015,752TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$14,015,752RevenueSubtotalAmt
Total Revenue Per Form990$14,015,752TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,204,026TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$14,204,026ExpensesSubtotalAmt
Total Expenses Per Form990$14,204,026TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1AZ ASSOC OF COMMUNITY HEALTH CTRSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 EAST JEFFERSON STAddressLine1Txt
Address Line2SUITE 100AddressLine2Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85034ZIPCd
FieldValueIRS element (for citing)
Recipient EIN860494702RecipientEIN
IRC Section3IRCSectionDesc
Cash Grant$233,478CashGrantAmt
Purpose Of GrantHEALTHCARE SUPPORTPurposeOfGrantTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
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 (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
JANEEN BJORK
CMO$204,441$5,957$34,116$244,514
CHRISTOPHER HANSEN
CEO$148,654$3,544$152,198
KENNISHA GILBERT
PHYSICIAN$200,743$57,637$25,936$284,316
DENNIS J FOLEY
PHYSICIAN$191,483$25,053$8,974$225,510
LAURA MILLER
PHYSICIAN$194,944$6,000$25,756$226,700
RAYMOND HOLSTEN
PHYSICIAN$173,554$524$53,583$227,661

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$269,998NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4AFAMILY, INCLUDING PREVENTATIVE AND PRIMARY HEALTH CARE SERVICES, DENTAL SERVICES, BEHAVIORAL HEALTH SERVICES, OUTREACH AND EDUCATION PROGRAMS, AND ELIGIBILITY ASSISTANCE FOR AHCCCS AND OTHER SLIDING FEE SCALE AND DISCOUNTED SERVICES PROGRAMS. OUR GOAL IS TO DEVELOP AN UNDERSTANDING OF THE NEEDS OF OUR PATIENTS, AND RESPOND TO THOSE NEEDS BY PROVIDING CLINICAL ASSISTANCE, PATIENT EDUCATION, AND REFERRAL, WHEN APPROPRIATE, TO COMMUNITY RESOURCE SPECIALISTS AND SAFETY NET SERVICES. THE CANYONLANDS SERVICE AREA SPANS, SIX ARIZONA COUNTIES: THREE IN THE NORTHERN PART OF THE STATE (COCONINO, MOHAVE, NAVAJO) AND THREE IN THE SOUTHEASTERN PART (GREENLEE, GRAHAM, AND PIMA). ADDITIONALLY, CANYONLANDS RECEIVES PATIENTS FROM UTAH, NEVADA AND NEW MEXICO. OUR SERVICES ARE DELIVERED TO SOME OF THE MOST REMOTE AND ISOLATED AREAS IN THE U.S. THE CANYONLANDS ADMINISTRATIVE OFFICES AS WELL AS OUR LARGEST CLINIC ARE LOCATED IN PAGE, ARIZONA, WHICH IS THREE HOURS FROM THE CLOSEST MERTOPOLITAN AREA. THE CANYONLANDS PATIENT POPULATION IS AS DIVERSE AS THE REGION THAT SURROUNDS US. CANYONLANDS SERVES A LARGE CONTINGENT OF NATIVE AMERICANS LIVING ON AND OFF THE NAVAJO INDIAN RESERVATION, THE LARGEST RESERVATION IN THE COUNTRY. OUR CANYONLANDS HEALTHCARE-BEAVER DAM CLINIC PROVIDES SERVICES FOR A LARGE POPULATION OF HISPANIC FAMILIES, BOTH DOCUMENTED AND UNDOCUMENTED, WHO WORK FOR THE GAMING INDUSTRY IN NEVADA. ADDITIONALLY OUR SOUTHEASTERN FACILITIES PROVIDE SERVICES FOR A LARGE MINORITIY POPULATION, AS WELL AS TRANSIENT WORKERS IN THE MINING INDUSTRY. CANYONLANDS IS PROUD TO OFFER HEALTH CARE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. CANYONLANDS DELIVERS A BROAD RANGE OF PRIMARY HEALTH CARE SERVICES IN A CULTURALLY-APPROPRIATE MANNER TO ALL PATIENTS.
FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 IS FIRST REVIEWED BY THE CFO AND THEN WILL BE PRESENTED TO THE BOARD FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 12CEACH EMPLOYEE IS REQUIRED TO SIGN THIS POLICY EACH YEAR. RELATIONSHIPS WITH VENDORS AND PROCUREMENT CONTRACTS ARE REVIEWED TO DETERMINE WHETHER THERE IS A RELATIONSHIP WITH A BOARD MEMBER OR OTHER EMPLOYEE WITHIN THE ORGANIZATION. MULTIPLE BIDS ARE OBTAINED AS WELL.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION STUDIES AND 990'S OF OTHER COMPARABLE ORGANIZATIONS.
FORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION STUDIES OF COMPARABLE ORGANIZATIONS.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

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