FURP.ORG / PUBLIC DATA EXPLORER

MOUNTAIN PARK HEALTH CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MOUNTAIN PARK HEALTH CENTER (EIN 86-0498020)
Tax period
2016-12-01 to 2017-11-30
Filed
2018-05-15
IRS object ID
201831359349311783
Schema version
2016v3.0
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)
Return2018-05-15T16:32:24-05:00ReturnTs
Tax Period End2017-11-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line120 E THOMAS RD STE 2300AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85012ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-12-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN860498020EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN PARK HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOUNBusinessNameControlTxt
Phone6023233344PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13003 NORTH CENTRAL AVENUE NO 1600AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85012ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN SWAGERT MDPersonNm
Person TitleCEOPersonTitleTxt
Phone6023233344PhoneNum
Signature2018-05-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTINE M ABELLPreparerPersonNm
PTINP00279655PTIN
Phone6022662248PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerJOHN SWAGERT MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13003 NORTH CENTRAL AVENUE NO 1600AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85012ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$81,689,959GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MOUNTAINPARKHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionPROVIDE AFFORDABLE PRIMARY CARE TO THE NEEDY AND UNINSURED IN THE GREATER PHOENIX AREA.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee976TotalEmployeeCnt
Total Volunteers357TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$17,577,421PYContributionsGrantsAmt
CY Contributions Grants$18,978,625CYContributionsGrantsAmt
PY Program Service Revenue$59,887,651PYProgramServiceRevenueAmt
CY Program Service Revenue$59,893,647CYProgramServiceRevenueAmt
PY Investment Income$67,825PYInvestmentIncomeAmt
CY Investment Income$90,862CYInvestmentIncomeAmt
PY Other Revenue$1,764,382PYOtherRevenueAmt
CY Other Revenue$2,704,020CYOtherRevenueAmt
PY Total Revenue$79,297,279PYTotalRevenueAmt
CY Total Revenue$81,667,154CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$689,641CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$44,764,289PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$53,113,509CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$26,737,802PYOtherExpensesAmt
CY Other Expenses$31,193,165CYOtherExpensesAmt
PY Total Expenses$71,502,091PYTotalExpensesAmt
CY Total Expenses$84,996,315CYTotalExpensesAmt
PY Revenues Less Expenses$7,795,188PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,329,161CYRevenuesLessExpensesAmt
Total Assets BOY$77,773,908TotalAssetsBOYAmt
Total Assets EOY$87,815,705TotalAssetsEOYAmt
Total Liabilities BOY$32,960,176TotalLiabilitiesBOYAmt
Total Liabilities EOY$46,139,655TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$44,813,732NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$41,676,050NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMOUNTAIN PARK SUSTAINS AND IMPROVES HEALTH BY PROVIDING AFFORDABLE PRIMARY CARE TO THE NEEDY AND UNINSURED IN THE GREATER PHOENIX AREA. OUR COMMITMENT TO THE COMMUNITY IS TO KEEP HEALTHCARE AFFORDABLE AND ACCESSIBLE.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$67,245,266ExpenseAmt
Grant$689,641GrantAmt
Revenue$59,893,647RevenueAmt
DescMOUNTAIN PARK HEALTH CENTER PROVIDES ENCOUNTERS TO UNINSURED PATIENTS IN CARRYING OUT ITS TAX-EXEMPT PURPOSE AS A PRIMARY CARE FACILITY. IN 1984, MOUNTAIN PARK HEALTH CENTER BEGAN SERVING THE COMMUNITY WITH ONE DOCTOR AND ONE CLINIC LOCATION. TODAY, OUR COMMUNITY HEALTH CENTER HAS EIGHT CLINICS IN DIVERSE NEIGHBORHOODS ACROSS THE VALLEY, INCLUDING PRIMARY MEDICAL, DENTAL, PHARMACEUTICAL, AND INTEGRATED HEALTH CARE. THE CENTER PROVIDED 378,601 MEDICAL, DENTAL, AND INTEGRATED HEALTH VISITS TO 86,678 PATIENTS DURING THE FISCAL YEAR ENDED NOVEMEBER 30, 2017.Desc
Total Program Service Expenses$67,245,266TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document50IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee976EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldAZStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LYNN SMITHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6023233344PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13003 NORTH CENTRAL AVENUE NO 1600AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85012ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
RICHARD SIEVER
CHAIR2.005.00Yes (X)Yes (X)$0$0$0
KRISTIN GUBSER
VICE CHAIR2.000.00Yes (X)Yes (X)$0$0$0
JARRET SHARP EDD
TREASURER2.000.00Yes (X)Yes (X)$0$0$0
LINDA HUFF REDMAN
IMMEDIATE PAST CHAIR2.000.00Yes (X)$0$0$0
MOHAMED ADEN
DIRECTOR2.000.00Yes (X)$0$0$0
MOHAMED AHMAD
DIRECTOR (THROUGH JUNE 2017)2.000.00Yes (X)$0$0$0
KEVIN CAMBERG
DIRECTOR2.001.00Yes (X)$0$0$0
ANIELKA CONTRERAS
DIRECTOR2.000.00Yes (X)$0$0$0
SCOTT GORMAN MD
DIRECTOR2.000.00Yes (X)$0$0$0
ROGER GRANCORVITZ
DIRECTOR2.000.00Yes (X)$0$0$0
REV ARNOLD JACKSON
DIRECTOR (THROUGH JAN 2017)2.001.00Yes (X)$0$0$0
RITA KHALAF
DIRECTOR2.000.00Yes (X)$0$0$0
LINDA KNUTSON
DIRECTOR2.000.00Yes (X)$0$0$0
MARTIN PEREZ
DIRECTOR2.000.00Yes (X)$0$0$0
SIMAN QAASIM
DIRECTOR2.001.00Yes (X)$0$0$0
LORI ROBINSON
DIRECTOR2.004.00Yes (X)$0$0$0
KALEIGH SCHWALBE
DIRECTOR (THROUGH JUNE 2017)2.000.00Yes (X)$0$0$0
ANTHONY TREMONTO
DIRECTOR2.000.00Yes (X)$0$0$0
DARREN VINER
DIRECTOR2.000.00Yes (X)$0$0$0
JORDAN YOUNG
DIRECTOR2.000.00Yes (X)$0$0$0
JOHN SWAGERT MD
CHIEF EXECUTIVE OFFICER44.005.00Yes (X)$413,060$0$17,788
CHRIS HEWETT
CHIEF FINANCIAL OFFICER46.001.00Yes (X)$147,052$0$8,333
RACHEL LAMBERT
CHIEF OPERATING OFFICER50.000.00Yes (X)$173,110$0$17,363
ALANA PODWIKA RPH
CHIEF INFORMATION OFFICER50.000.00Yes (X)$157,044$0$10,401
DAVINDER SINGH MD
CHIEF MEDICAL OFFICER50.000.00Yes (X)$316,063$0$19,817
STELLA XENAKIS
SR. GRANTS DIR. / COMPLIANCE OFFICER50.000.00Yes (X)$126,030$0$3,731
NEIL TRACHTENBERG
PHYSICIAN50.000.00$266,345$0$720Yes (X)
MOHAMMAD AHMAD
PHYSICIAN50.000.00$261,440$0$15,748Yes (X)
GEORGE DAVIDSON
PHYSICIAN50.000.00$255,834$0$19,830Yes (X)
DENISE GENTLES-FORD
PHYSICIAN50.000.00$230,909$0$7,089Yes (X)
JOHN HARPENAU
PHYSICIAN50.000.00$217,523$0$18,697Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,564,410TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$139,517TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K65IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COSMOPOLITAN MEDICAL COMMUNICATIONS
5665 W BEVERLY LANEGLENDALEAZ85306ANSWERING SERVICES$2,773,387
CONCORD GENERAL CONTRACTORS
4215 E MCDOWELL RD STE 201MESAAZ85215CONSTRUCTION$1,833,273
SONORA QUEST LABS
PO BOX 29661 DEPT 2059PHOENIXAZ85038MEDICAL SERVICES$991,991
ECLINICAL WORKS
PO BOX 847950BOSTONMA022847950PATIENT ACCOUNTING$805,432
DOCTORS RESOURCE SPECIALIST LLC
2525 W BERYL AVENUEPHOENIXAZ85021PATIENT BILLING$692,335
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K29CntrctRcvdGreaterThan100KCnt
Government Grants$17,852,702GovernmentGrantsAmt
All Other Contributions$1,125,923AllOtherContributionsAmt
Noncash Contributions$3,870,899NoncashContributionsAmt
Total Contributions$18,978,625TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621400$57,146,982$57,146,982
PHARMACY REVENUE621400$2,746,665$2,746,665
FieldValueIRS element (for citing)
Total Program Service Revenue$59,893,647TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$96,593TotalRevenueColumnAmt
Exclusion$96,593ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$150,067RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$150,067RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$150,067TotalRevenueColumnAmt
Exclusion$150,067ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$17,074SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$22,805OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$17,074SecuritiesAmt
Other-$22,805OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,731TotalRevenueColumnAmt
Exclusion-$5,731ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
OTHER INCOME621400$1,292,809$1,292,809
INCENTIVE INCOME621400$844,644$844,644
MEANINGFUL USE REVENUE621400$416,500$416,500
FieldValueIRS element (for citing)
Other Revenue Total$2,553,953OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,667,154TotalRevenueColumnAmt
Related Or Exempt Func Income$59,893,647RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,794,882ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$689,641TotalAmt
Program Services$689,641ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,409,792TotalAmt
Program Services$1,127,834ProgramServicesAmt
Management And General$281,958ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,481,942TotalAmt
Program Services$36,867,148ProgramServicesAmt
Management And General$6,614,794ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$409,893TotalAmt
Program Services$296,132ProgramServicesAmt
Management And General$113,761ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,695,772TotalAmt
Program Services$3,912,806ProgramServicesAmt
Management And General$782,966ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,116,110TotalAmt
Program Services$2,643,894ProgramServicesAmt
Management And General$472,216ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$214,180TotalAmt
Management And General$214,180ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$59,900TotalAmt
Management And General$59,900ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$12,079TotalAmt
Management And General$12,079ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,282,945TotalAmt
Program Services$5,639,288ProgramServicesAmt
Management And General$4,643,657ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$262,144TotalAmt
Management And General$262,144ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,235,941TotalAmt
Program Services$756,688ProgramServicesAmt
Management And General$479,253ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,413,081TotalAmt
Program Services$387,018ProgramServicesAmt
Management And General$1,026,063ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,358,380TotalAmt
Program Services$3,915,653ProgramServicesAmt
Management And General$442,727ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$247,691TotalAmt
Program Services$172,718ProgramServicesAmt
Management And General$74,973ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$149,308TotalAmt
Program Services$53,668ProgramServicesAmt
Management And General$95,640ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,023,842TotalAmt
Program Services$6ProgramServicesAmt
Management And General$1,023,836ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,492,033TotalAmt
Program Services$1,838,711ProgramServicesAmt
Management And General$653,322ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$175,934TotalAmt
Program Services$6,692ProgramServicesAmt
Management And General$169,242ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$8,346,065$8,341,103$4,962
MISCELLANEOUS EXPENSES$919,642$596,266$323,376

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$84,996,315TotalAmt
Program Services$67,245,266ProgramServicesAmt
Management And General$17,751,049ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,711,274BOYAmt
EOY$13,199,289EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$408,722BOYAmt
EOY$637,693EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$877,450BOYAmt
EOY$1,266,727EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,189,434BOYAmt
EOY$20,027,820EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$6,240BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$51,086BOYAmt
EOY$38,755EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$653,079BOYAmt
EOY$521,294EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$61,669,246LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,044,432LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,685,601BOYAmt
EOY$48,624,814EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,091,053BOYAmt
EOY$3,069,341EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$57,370EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$19,231BOYAmt
EOY$18,448EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$80,738BOYAmt
EOY$354,154EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$77,773,908BOYAmt
EOY$87,815,705EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,243,770BOYAmt
EOY$7,631,102EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$618,095BOYAmt
EOY$782,757EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,146,151BOYAmt
EOY$11,720,906EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$15,339BOYAmt
EOY$9,563EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$14,880,750BOYAmt
EOY$25,995,327EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,071BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,960,176BOYAmt
EOY$46,139,655EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$44,813,732BOYAmt
EOY$41,676,050EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,813,732BOYAmt
EOY$41,676,050EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$77,773,908BOYAmt
EOY$87,815,705EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$3,329,161ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$191,479NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)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$14,346,205CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,166,057CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,033,386CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,577,421CurrentTaxYearMinus1YearAmt
Current Tax Year$18,978,625CurrentTaxYearAmt
Total$82,101,694TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,346,205CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,166,057CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,033,386CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,577,421CurrentTaxYearMinus1YearAmt
Current Tax Year$18,978,625CurrentTaxYearAmt
Total$82,101,694TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$82,101,694PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$104CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,998CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$223,056CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$300,784CurrentTaxYearMinus1YearAmt
Current Tax Year$246,660CurrentTaxYearAmt
Total$787,602TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$523,222CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$672,783CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,987,388CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,567,616CurrentTaxYearMinus1YearAmt
Current Tax Year$2,553,953CurrentTaxYearAmt
Total$7,304,962TotalAmt
FieldValueIRS element (for citing)
Total Support$90,194,258TotalSupportAmt
Gross Receipts Rltd Activities$241,164,331GrossReceiptsRltdActivitiesAmt
Public Support CY1700.91030PublicSupportCY170Pct
Public Support PY1700.93410PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME DEBT FORGIVENESS MEANINGFUL USE REVENUE INCENTIVE INCOMEExplanationTxt

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)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$195,092GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$195,092TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationMOUNTAIN PARK HEALTH CENTER MAKES CONTRIBUTIONS TO BUILDING HEALTHY COMMUNITIES AND THE ARIZONA ALLIANCE OF COMMUNITY CENTERS, A PORTION OF WHICH IS USED TO LOBBY ON BEHALF OF THEIR MEMBERS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,632,011OtherCostOrOtherBasisAmt
Book Value$8,632,011BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,974,467OtherCostOrOtherBasisAmt
Depreciation$7,460,382DepreciationAmt
Book Value$25,514,085BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,283,223OtherCostOrOtherBasisAmt
Depreciation$2,031,471DepreciationAmt
Book Value$7,251,752BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,363,898OtherCostOrOtherBasisAmt
Depreciation$3,552,579DepreciationAmt
Book Value$3,811,319BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,415,647OtherCostOrOtherBasisAmt
Book Value$3,415,647BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$48,624,814TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$81,741,283TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$63,663DonatedServicesAndUseFcltsAmt
Other Revenue$646,315OtherRevenueAmt
Revenue Not Reported$709,978RevenueNotReportedAmt
Revenue Subtotal$81,031,305RevenueSubtotalAmt
Investment Expenses Not Incld$12,079InvestmentExpensesNotIncldAmt
Other Revenues Not Included$623,770OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$635,849RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$81,667,154TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$84,553,383TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$63,663DonatedServicesUseFcltsAmt
Other Expenses Included$623,510OtherExpensesIncludedAmt
Expenses Not Reported$687,173ExpensesNotReportedAmt
Expenses Subtotal$83,866,210ExpensesSubtotalAmt
Investment Expenses Not Incld2$12,079InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$1,118,026OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,130,105ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$84,996,315TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ORGANIZATION HOLDS SECURITY DEPOSITS FOR TENANTS WHO LEASE SPACE IN A BUILDING. THE FUNDS ARE HELD IN A BANK ACCOUNT UNTIL RETURNED TO THE TENANT. FUNDS ARE REFUNDED TO TENANTS UPON TERMINATION OF THE LEASE.
PART X, LINE 2:THE HEALTH CENTER FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THIS STANDARD HAS NO EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS. THE HEALTH CENTER'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF ASSETS 22,805. ELIMINATED INTERCOMPANY TRANSACTIONS 623,510.
PART XI, LINE 4B - OTHER ADJUSTMENTS:MPHC TEMPE LLC REVENUES 623,510. BASELINE MEDICAL HOLDINGS LLC REVENUES 260.
PART XII, LINE 2D - OTHER ADJUSTMENTS:ELIMINATED INTERCOMPANY TRANSACTIONS 623,510.
PART XII, LINE 4B - OTHER ADJUSTMENTS:MPHC TEMPE LLC EXPENSES 535,523. BASELINE MEDICAL HOLDINGS LLC EXPENSES 82,955. TRANSFER OF NET ASSETS 499,548.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
MAYA CINEMAS EDUCATION FUND
4730 SW MACADAM AVENUE SUITE 101PORTLANDOR97239473931778501(C)(3)$10,000TO FUND SCHOLARSHIPS
BUILDING HEALTHY COMMUNITIES INC
3003 N CENTRAL AVENUE SUITE 1600PHOENIXAZ85012815108903501(C)(4)$180,093TO FUND STARTUP COSTS AND INITIAL OPERATIONS
BASELINE MEDICAL PROPERTIES INC
3003 N CENTRAL AVENUE SUITE 1600PHOENIXAZ85012821671826501(C)(3)$499,548TO FUND STARTUP COSTS AND INITIAL OPERATIONS
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationBEFORE GIVING A CONTRIBUTION TO A LOCAL CHARITY, MOUNTAIN PARK HEALTH CENTER CONFIRMS THAT THE RECIPIENT IS A QUALIFIED CHARITY OR GOVERNMENT AGENCY. ASIDE FROM THIS CONFIRMATION, MOUNTAIN PARK HEALTH CENTER DOES NOT MONITOR FOR USE OF FUNDS. AS A CONDITION OF QUALIFYING FOR THE NEW MARKETS TAX CREDIT, MOUNTAIN PARK HEALTH CENTER GAVE A UNIQUE GRANT TO CHICAGO TITLE AGENCY TO FUND SCHOLARSHIPS. MOUNTAIN PARK HEALTH CENTER RECEIVES PERIODIC REPORTS ON THE USE OF FUNDS TO ENSURE THEY ARE USED APPROPRIATELY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN SWAGERT MD
CHIEF EXECUTIVE OFFICER$413,060$0$0$0$0$0$5,908$0$11,880$0$430,848$0$0$0
CHRIS HEWETT
CHIEF FINANCIAL OFFICER$147,052$0$0$0$0$0$0$0$8,333$0$155,385$0$0$0
RACHEL LAMBERT
CHIEF OPERATING OFFICER$173,110$0$0$0$0$0$5,483$0$11,880$0$190,473$0$0$0
ALANA PODWIKA RPH
CHIEF INFORMATION OFFICER$157,044$0$0$0$0$0$2,421$0$7,980$0$167,445$0$0$0
DAVINDER SINGH MD
CHIEF MEDICAL OFFICER$316,063$0$0$0$0$0$7,937$0$11,880$0$335,880$0$0$0
NEIL TRACHTENBERG
PHYSICIAN$266,345$0$0$0$0$0$0$0$720$0$267,065$0$0$0
MOHAMMAD AHMAD
PHYSICIAN$261,440$0$0$0$0$0$7,228$0$8,520$0$277,188$0$0$0
GEORGE DAVIDSON
PHYSICIAN$255,834$0$0$0$0$0$7,950$0$11,880$0$275,664$0$0$0
DENISE GENTLES-FORD
PHYSICIAN$230,909$0$0$0$0$0$6,369$0$720$0$237,998$0$0$0
JOHN HARPENAU
PHYSICIAN$217,523$0$0$0$0$0$6,817$0$11,880$0$236,220$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ARIZONA HEALTH FACILITIES AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN860453292BondIssuerEIN
Bond Issued2014-02-27BondIssuedDt
Issue Price$12,225,000IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$12,225,000TotalProceedsAmt
Issuance Costs From Proceeds$235,913IssuanceCostsFromProceedsAmt
Capital Expenditures$7,000,000CapitalExpendituresAmt
Other Spent Proceeds$4,989,087OtherSpentProceedsAmt
Substantial Completion2015SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN FFormAndLineReferenceDesc
ExplanationDESCRIPTION OF PURPOSE: TO FINANCE THE CONSTRUCTION, IMPROVEMENT AND EQUIPPING OF HEALTH CARE FACILITIES FOR USE BY THE BORROWER; TO REFINANCE CERTAIN OF THE BORROWER'S OUTSTANDING OBLIGATIONS FOR THE ACQUISITION AND CONSTRUCTION OF PRIOR HEALTH CARE FACILITIES AND OPERATING EXPENSES; AND TO PAY THE COSTS OF ISSUANCE OF THE SERIES 2014 BONDS.ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution190ContributionCnt
Noncash Contributions Rpt F990$3,865,849NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMISCELLANEOUSDesc
Contribution4ContributionCnt
Noncash Contributions Rpt F990$5,050NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2DURING THE FISCAL YEAR, THE ORGANIZATION ADDED HIGH-RISK PREGNANCY SERVICES.
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD OFFICERS AND THE IMMEDIATE PAST CHAIR IF STILL ON THE BOARD. THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE THE POWERS OF THE BOARD BETWEEN MEETINGS OF THE BOARD, BUT SHALL NOT POSSESS ANY AUTHORITY OF THE BOARD PROHIBITED BY LAW. IN ADDITION, THE EXECUTIVE COMMITTEE MAY NOT (A) FIX THE COMPENSATION OF, OR FILL ANY VACANCY ON, THE BOARD OF DIRECTORS OR ANY OF ITS COMMITTEES, (B) ADOPT AMENDMENTS TO THE ARTICLES OF INCORPORATION OR TO THE BYLAWS, (C) AUTHORIZE DISTRIBUTIONS, OR (D) APPROVE A MERGER OF THE ORGANIZATION OR SALE OF SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS.
FORM 990, PART VI, SECTION B, LINE 11BTHE FINANCE AND AUDIT COMMITTEES REVIEWED AND APPROVED THE FORM 990, THEN THE BOARD OF DIRECTORS APPROVED THE FORM 990 BEFORE IT WAS SUBMITTED TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ANNUALLY REVIEW AND SIGN A CONFLICT OF INTEREST STATEMENT. POTENTIAL CONFLICTS ARE BROUGHT TO THE FULL BOARD FOR A DETERMINATION OF WHETHER A CONFLICT EXISTS. EMPLOYEES ARE REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT TO DISCLOSE POTENTIAL CONFLICTS. IF THE SITUATION IS UNCLEAR, THE CEO DETERMINES WHETHER A CONFLICT EXISTS.
FORM 990, PART VI, SECTION B, LINE 15SALARIES ARE DETERMINED BY A COMBINATION OF PERFORMANCE EFFECTIVENESS REVIEWS AND SALARY SURVEY DATA FOR COMPARABLE JOBS COMPILED BY AN INDEPENDENT FIRM. THE SALARIES OF THE CEO AND OTHER OFFICERS ARE SET AND REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND COMPARED TO SURVEY DATA FOR COMPARABLE JOBS. THE LAST COMPENSATION REVIEW OCCURRED IN 2017.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GMEDICAL SERVICES: PROGRAM SERVICE EXPENSES 5,543,162. MANAGEMENT AND GENERAL EXPENSES 4,292,010. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,835,172. OTHER SERVICES: PROGRAM SERVICE EXPENSES 96,126. MANAGEMENT AND GENERAL EXPENSES 351,647. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 447,773.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MOUNTAIN PARK HEALTH CENTER TEMPE BUILDING LLC
3003 N CENTRAL AVENUE SUITE 1600PHOENIXAZ85012813099857HOLD PROPERTYAZ$623,510$12,625,644MOUNTAIN PARK HEALTH CENTER
BASELINE MEDICAL HOLDINGS LLC
3003 N CENTRAL AVENUE SUITE 1600PHOENIXAZ85012821688846OPERATIONAL ARM OF BL 303 BLDG POINT OF BUSINESSAZ$260$13,884,710MOUNTAIN PARK HEALTH CENTER

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MOUNTAIN PARK HEALTH CENTER FOUNDATION
3003 N CENTRAL AVENUE SUITE 1600PHOENIXAZ85012205241918SUPPORT MOUNTAIN PARK HEALTH CENTERAZ501(C)(3)LINE 7MOUNTAIN PARK HEALTH CENTERYes (1)
BUILDING HEALTHY COMMUNITIES INC
3003 N CENTRAL AVENUE SUITE 1600PHOENIXAZ85012815108903ADVOCATE TO AZ FAMILIES TO HAVE QUALITY HEALTH CAREAZ501(C)(4)MOUNTAIN PARK HEALTH CENTERYes (1)
BASELINE MEDICAL PROPERTIES INC
3003 N CENTRAL AVENUE SUITE 1600PHOENIXAZ85012821671826NEW MARKETS TAX CREDITAZ501(C)(3)LINE 12A, IMOUNTAIN PARK HEALTH CENTERYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BUILDING HEALTHY COMMUNITIES INC
B$180,093CASH
BASELINE MEDICAL PROPERTIES INC
B$499,548CASH