CANYONLANDS COMMUNITY HEALTH CARE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CANYONLANDS COMMUNITY HEALTH CARE (EIN 86-0350153)
Tax period
2016-06-01 to 2017-05-31
Filed
2018-01-16
IRS object ID
201820169349301217
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)
Return2018-01-16T13:57:27-07:00ReturnTs
Tax Period End2017-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN860494040PreparerFirmEIN

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 Begin2016-06-01TaxPeriodBeginDt

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)
PersonFATHER TOM MAIKOWSKIPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9286459675PhoneNum
Signature2018-01-08SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRACHEL R LOCKE CPAPreparerPersonNm
PTINP00450405PTIN
Phone6022643077PhoneNum
Preparation2018-01-16PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device IdA6BC1764D5B8681CF7712E66D97C28E73D5D8591AtSubmissionCreationDeviceId
At Submission Filing Device IdA6BC1764D5B8681CF7712E66D97C28E73D5D8591AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerFATHER TOM MAIKOWSKIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1387AddressLine1Txt
CityPAGECityNm
State AbbreviationAZStateAbbreviationCd
ZIP86040ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,790,976GrossReceiptsAmt
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 Employee165TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,343,226PYContributionsGrantsAmt
CY Contributions Grants$4,915,282CYContributionsGrantsAmt
PY Program Service Revenue$8,142,493PYProgramServiceRevenueAmt
CY Program Service Revenue$8,874,731CYProgramServiceRevenueAmt
PY Investment Income$2,682PYInvestmentIncomeAmt
CY Investment Income$963CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$11,488,401PYTotalRevenueAmt
CY Total Revenue$13,790,976CYTotalRevenueAmt
PY Grants And Similar Paid$181,008PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$277,573CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,364,390PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,517,544CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,969,447PYOtherExpensesAmt
CY Other Expenses$4,713,771CYOtherExpensesAmt
PY Total Expenses$11,514,845PYTotalExpensesAmt
CY Total Expenses$13,508,888CYTotalExpensesAmt
PY Revenues Less Expenses-$26,444PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$282,088CYRevenuesLessExpensesAmt
Total Assets BOY$7,705,706TotalAssetsBOYAmt
Total Assets EOY$8,315,248TotalAssetsEOYAmt
Total Liabilities BOY$2,367,933TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,695,387TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,337,773NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,619,861NetAssetsOrFundBalancesEOYAmt
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 SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$10,848,946ExpenseAmt
Grant$277,573GrantAmt
Revenue$8,874,731RevenueAmt
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$10,848,946TotalProgramServiceExpensesAmt
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 LiabilitiesfalseReportOtherLiabilitiesInd
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 Document57IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee165EmployeeCnt
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
FATHER TOM MAIKOWSKI
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
PAULETTE LEBLANC
SECRETARY2.00Yes (X)Yes (X)$0$0$0
RICHARD BAKER
TREASURER2.00Yes (X)Yes (X)$0$0$0
BEVERLY BECENT-PIGMAN
PAST PRESIDE2.00Yes (X)$0$0$0
MEL PETERSON
DIRECTOR2.00Yes (X)$0$0$0
ANNETTE NEWMAN
DIRECTOR2.00Yes (X)$0$0$0
SAUNDRA GAINES
VICE PRESIDE2.00Yes (X)Yes (X)$0$0$0
JANICE LOVETT
DIRECTOR2.00Yes (X)$0$0$0
WILLIAM JUSTICE
DIRECTOR2.00Yes (X)$0$0$0
THOMAS BRADLEY
DIRECTOR2.00Yes (X)$0$0$0
DENNIS FOLEY
PHYSICIAN40.00$219,654$0$0Yes (X)
JANEEN CLAUDINE BJORK
PHYSICIAN &40.00$248,368$0$35,984Yes (X)
RAYMOND HOLSTEN II
PHYSICIAN40.00$210,041$0$22,920Yes (X)
KENNISHA GILBERT
OB/GYN40.00$265,648$0$0Yes (X)
JAMES MILLWARD
DENTAL PROVI40.00$194,714$0$0Yes (X)
CHRISTOPHER HANSEN
CEO40.00Yes (X)$140,731$0$4,300
HOLLY SMITH
CFO40.00Yes (X)$92,681$0$2,950
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,371,837TotalReportableCompFromOrgAmt
Total Other Compensation$66,154TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
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/ZIPCdServicesServicesDescCompensationCompensationAmt
ONSITE DEVELOPMENT INC
PO BOX 3171OGDENUT84409CONSTRUCTION$424,035
NEXTGEN
PO BOX 511449LOS ANGELESCA90051SOFTWARE$240,237
MCKESSON
PO BOX 634404CINCINATTIOH452634404MEDICAL SUPPLY$231,811
CENTURY LINK
PO BOX 29040PHOENIXAZ850389040INTERNET$195,617
EL RIO
PO BOX 1231TUCSONAZ85702IT SUPPORT$114,890
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$4,631,720GovernmentGrantsAmt
All Other Contributions$283,562AllOtherContributionsAmt
Noncash Contributions$390,905NoncashContributionsAmt
Total Contributions$4,915,282TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE$8,060,082$8,060,082
PHARMACY INCOME$814,649$814,649
FieldValueIRS element (for citing)
Total Program Service Revenue$8,874,731TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$963TotalRevenueColumnAmt
Exclusion$963ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,790,976TotalRevenueColumnAmt
Related Or Exempt Func Income$8,874,731RelatedOrExemptFuncIncomeAmt
Exclusion$963ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$277,573TotalAmt
Program Services$277,573ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$240,662TotalAmt
Program Services$193,275ProgramServicesAmt
Management And General$47,387ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,298,290TotalAmt
Program Services$5,935,900ProgramServicesAmt
Management And General$1,362,390ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$440,242TotalAmt
Program Services$356,551ProgramServicesAmt
Management And General$83,691ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$538,350TotalAmt
Program Services$432,349ProgramServicesAmt
Management And General$106,001ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,456TotalAmt
Program Services$1,169ProgramServicesAmt
Management And General$287ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$32,975TotalAmt
Management And General$32,975ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$93,931TotalAmt
Program Services$93,131ProgramServicesAmt
Management And General$800ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$160,576TotalAmt
Program Services$160,576ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$242,708TotalAmt
Program Services$162,929ProgramServicesAmt
Management And General$79,779ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$87,048TotalAmt
Management And General$87,048ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$263,334TotalAmt
Program Services$201,482ProgramServicesAmt
Management And General$61,852ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$41,649TotalAmt
Program Services$4,215ProgramServicesAmt
Management And General$37,434ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$1,635,304$1,544,148$91,156
CONTRACTUAL SERVICES$754,108$709,106$45,002
SOFTWARE MAINTENANCE$507,873$756$507,117
TELEPHONE$354,177$284,405$69,772

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$538,632TotalAmt
Program Services$491,381ProgramServicesAmt
Management And General$47,251ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,508,888TotalAmt
Program Services$10,848,946ProgramServicesAmt
Management And General$2,659,942ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,498,281BOYAmt
EOY$1,586,283EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$139,450BOYAmt
EOY$371,897EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,663,270BOYAmt
EOY$1,332,203EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$372,073BOYAmt
EOY$363,512EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$142,810BOYAmt
EOY$106,329EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,729,880LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,174,856LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,889,822BOYAmt
EOY$4,555,024EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,705,706BOYAmt
EOY$8,315,248EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$923,936BOYAmt
EOY$1,332,562EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,443,997BOYAmt
EOY$1,362,825EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,367,933BOYAmt
EOY$2,695,387EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,290,273BOYAmt
EOY$5,572,361EOYAmt

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$5,337,773BOYAmt
EOY$5,619,861EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,705,706BOYAmt
EOY$8,315,248EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$282,088ReconcilationRevenueExpnssAmt
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$2,194,972CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,952,212CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,618,716CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,343,226CurrentTaxYearMinus1YearAmt
Current Tax Year$4,915,282CurrentTaxYearAmt
Total$15,024,408TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,194,972CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,952,212CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,618,716CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,343,226CurrentTaxYearMinus1YearAmt
Current Tax Year$4,915,282CurrentTaxYearAmt
Total$15,024,408TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$15,024,408PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$288CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$117CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,682CurrentTaxYearMinus1YearAmt
Current Tax Year$963CurrentTaxYearAmt
Total$4,058TotalAmt
FieldValueIRS element (for citing)
Total Support$15,028,466TotalSupportAmt
Gross Receipts Rltd Activities$8,874,731GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99970PublicSupportCY170Pct
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

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 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$5,077,525OtherCostOrOtherBasisAmt
Depreciation$2,257,682DepreciationAmt
Book Value$2,819,843BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,408,383OtherCostOrOtherBasisAmt
Depreciation$626,226DepreciationAmt
Book Value$782,157BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$654,342OtherCostOrOtherBasisAmt
Depreciation$290,948DepreciationAmt
Book Value$363,394BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,555,024TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$13,790,976TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$13,790,976RevenueSubtotalAmt
Total Revenue Per Form990$13,790,976TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,508,888TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$13,508,888ExpensesSubtotalAmt
Total Expenses Per Form990$13,508,888TotalExpensesPerForm990Amt

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 E JEFFERSON ST 100AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85034ZIPCd
FieldValueIRS element (for citing)
Recipient EIN860494702RecipientEIN
IRC Section3IRCSectionDesc
Cash Grant$277,573CashGrantAmt
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 (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountTotal Compensation Filing OrgTotalCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmt
DENNIS FOLEY
PHYSICIAN$191,662$27,992$219,654
JANEEN CLAUDINE BJORK
PHYSICIAN & CMO$229,503$18,865$284,352$35,984
RAYMOND HOLSTEN II
PHYSICIAN$210,041$232,961$22,920
KENNISHA GILBERT
OB/GYN$211,130$54,518$265,648
JAMES MILLWARD
DENTAL PROVIDOR$187,288$7,426$194,714

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$390,905NoncashContributionsRptF990Amt
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6VOLUNTEERS ANNUALLY ASSEMBLE HUNDREDS OF DENTAL PACKETS AT OUR DENTAL CENTERS LOCATED THROUGHOUT ARIZONA. VOLUNTEERS PROVIDE SUPPORT TO OUR HEALTH EDUCATION OUTREACH PROGRAMS - BY ASSISTING OUR HEALTH CARE PROVIDERS WITH HEALTH EDUCATION OUTREACH ACTIVITIES, AND HEALTH FAIRS AT NUMEROUS COMMUNITY EVENTS ACROSS ARIZONA.
FORM 990, PAGE 2, PART III, LINE 2CANYONLANDS HEALTHCARE HAS A FULL SERVICE ON-SITE PHARMACY CONVENIENTLY LOCATED WITHIN THE LAKE POWELL MEDICAL CENTER. THIS MAKES PICKING UP YOUR PRESCRIPTIONS IN THE PAGE AREA QUICK AND EASY.
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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