CANYONLANDS COMMUNITY HEALTH CARE: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CANYONLANDS COMMUNITY HEALTH CARE (EIN 86-0350153)
Tax period
2015-06-01 to 2016-05-31
Filed
2017-01-23
IRS object ID
201740239349301079
Schema version
2015v3.0
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)
Return2017-01-23T14:34:14-07:00ReturnTs
Tax Period End2016-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN860494040PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FESTER & CHAPMAN PCBusinessNameLine1Txt

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 Begin2015-06-01TaxPeriodBeginDt

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)
PersonHOLLY SMITHPersonNm
Person TitleCFOPersonTitleTxt
Phone9286459675PhoneNum
Signature2017-01-14SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRACHEL R LOCKE CPAPreparerPersonNm
PTINP00450405PTIN
Phone6022643077PhoneNum
Preparation2017-01-23PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHOLLY SMITHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2272AddressLine1Txt
CityPAGECityNm
State AbbreviationAZStateAbbreviationCd
ZIP86040ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,488,401GrossReceiptsAmt
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 Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee166TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,618,716PYContributionsGrantsAmt
CY Contributions Grants$3,343,226CYContributionsGrantsAmt
PY Program Service Revenue$7,731,822PYProgramServiceRevenueAmt
CY Program Service Revenue$8,142,493CYProgramServiceRevenueAmt
PY Investment Income$8PYInvestmentIncomeAmt
CY Investment Income$2,682CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$10,350,546PYTotalRevenueAmt
CY Total Revenue$11,488,401CYTotalRevenueAmt
CY Grants And Similar Paid$181,008CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,630,425PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,364,390CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,673,459PYOtherExpensesAmt
CY Other Expenses$3,969,447CYOtherExpensesAmt
PY Total Expenses$10,303,884PYTotalExpensesAmt
CY Total Expenses$11,514,845CYTotalExpensesAmt
PY Revenues Less Expenses$46,662PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$26,444CYRevenuesLessExpensesAmt
Total Assets BOY$7,649,267TotalAssetsBOYAmt
Total Assets EOY$7,705,706TotalAssetsEOYAmt
Total Liabilities BOY$2,285,050TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,367,933TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,364,217NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,337,773NetAssetsOrFundBalancesEOYAmt
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$9,151,642ExpenseAmt
Grant$181,008GrantAmt
Revenue$8,142,493RevenueAmt
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$9,151,642TotalProgramServiceExpensesAmt
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 Document41IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee166EmployeeCnt
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
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
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 (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL BYRNES
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
FATHER TOM MAIKOWSKI
VICE PRESIDE2.00Yes (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
DIRECTOR2.00Yes (X)$0$0$0
GENE MAUGHAN
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$245,738$0$0Yes (X)
JANEEN CLAUDINE BJORK
PHYSICIAN &40.00$231,441$0$36,000Yes (X)
RAYMOND HOLSTEN II
PHYSICIAN40.00$186,599$0$23,582Yes (X)
SCOTT NUESSLE
DENTAL PROVI40.00$142,314$0$0Yes (X)
JAMES MILLWARD
DENTAL PROVI40.00$193,976$0$0Yes (X)
CHRISTOPHER HANSEN
CEO40.00Yes (X)$124,309$0$4,050
HOLLY SMITH
CFO40.00Yes (X)$79,868$0$0
ELIZABETH LATHAM
FORMER CEO40.00$124,090$0$42,000Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,328,335TotalReportableCompFromOrgAmt
Total Other Compensation$105,632TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MCKESSON
PO BOX 634404CINCINATTIOH452634404MEDICAL SUPPLY$231,881
CENTURY LINK
PO BOX 29040PHOENIXAZ850389040INTERNET$205,456
NEXTGEN
PO BOX 511449LOS ANGELESCA90051SOFTWARE$164,906
EL RIO
PO BOX 1231TUCSONAZ85702IT SUPPORT$148,385
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$2,958,089GovernmentGrantsAmt
All Other Contributions$385,137AllOtherContributionsAmt
Noncash Contributions$265,517NoncashContributionsAmt
Total Contributions$3,343,226TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE$7,522,841$7,522,841
CONTRACT PHARMACY INCOME$619,652$619,652
FieldValueIRS element (for citing)
Total Program Service Revenue$8,142,493TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,682TotalRevenueColumnAmt
Exclusion$2,682ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,488,401TotalRevenueColumnAmt
Related Or Exempt Func Income$8,142,493RelatedOrExemptFuncIncomeAmt
Exclusion$2,682ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$181,008TotalAmt
Program Services$181,008ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$208,227TotalAmt
Program Services$165,332ProgramServicesAmt
Management And General$42,895ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$166,090TotalAmt
Program Services$131,875ProgramServicesAmt
Management And General$34,215ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,171,519TotalAmt
Program Services$4,900,209ProgramServicesAmt
Management And General$1,271,310ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$344,242TotalAmt
Program Services$271,989ProgramServicesAmt
Management And General$72,253ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$474,312TotalAmt
Program Services$379,313ProgramServicesAmt
Management And General$94,999ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,283TotalAmt
Management And General$5,283ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$31,669TotalAmt
Management And General$31,669ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$62,669TotalAmt
Program Services$62,529ProgramServicesAmt
Management And General$140ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$155,577TotalAmt
Program Services$155,577ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$296,411TotalAmt
Program Services$198,789ProgramServicesAmt
Management And General$97,622ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$92,394TotalAmt
Management And General$92,394ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$259,407TotalAmt
Program Services$197,567ProgramServicesAmt
Management And General$61,840ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$37,945TotalAmt
Program Services$1,213ProgramServicesAmt
Management And General$36,732ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$1,080,675$1,043,121$37,554
CONTRACTUAL SERVICES$756,281$710,723$45,558
TELEPHONE$331,239$245,029$86,210
SOFTWARE MAINTENANCE$313,831$313,831

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$546,066TotalAmt
Program Services$507,368ProgramServicesAmt
Management And General$38,698ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,514,845TotalAmt
Program Services$9,151,642ProgramServicesAmt
Management And General$2,363,203ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,000,511BOYAmt
EOY$1,498,281EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$258,188BOYAmt
EOY$139,450EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,973,423BOYAmt
EOY$1,663,270EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$259,653BOYAmt
EOY$372,073EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$78,240BOYAmt
EOY$142,810EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,859,196LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,969,374LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,079,252BOYAmt
EOY$3,889,822EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,649,267BOYAmt
EOY$7,705,706EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$765,104BOYAmt
EOY$923,936EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,519,946BOYAmt
EOY$1,443,997EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,285,050BOYAmt
EOY$2,367,933EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,216,717BOYAmt
EOY$5,290,273EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$100,000BOYAmt

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$5,364,217BOYAmt
EOY$5,337,773EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,649,267BOYAmt
EOY$7,705,706EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$26,444ReconcilationRevenueExpnssAmt
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$2,428,547CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,194,972CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,952,212CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,618,716CurrentTaxYearMinus1YearAmt
Current Tax Year$3,343,226CurrentTaxYearAmt
Total$12,537,673TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,428,547CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,194,972CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,952,212CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,618,716CurrentTaxYearMinus1YearAmt
Current Tax Year$3,343,226CurrentTaxYearAmt
Total$12,537,673TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$12,537,673PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$457CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$288CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$117CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8CurrentTaxYearMinus1YearAmt
Current Tax Year$2,682CurrentTaxYearAmt
Total$3,552TotalAmt
FieldValueIRS element (for citing)
Total Support$12,541,225TotalSupportAmt
Gross Receipts Rltd Activities$8,142,493GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99970PublicSupportCY170Pct
Public Support PY1700.97570PublicSupportPY170Pct
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$4,623,676OtherCostOrOtherBasisAmt
Depreciation$2,189,852DepreciationAmt
Book Value$2,433,824BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,042,002OtherCostOrOtherBasisAmt
Depreciation$493,510DepreciationAmt
Book Value$548,492BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$603,888OtherCostOrOtherBasisAmt
Depreciation$286,012DepreciationAmt
Book Value$317,876BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,889,822TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$11,488,401TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$11,488,401RevenueSubtotalAmt
Total Revenue Per Form990$11,488,401TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,514,845TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$11,514,845ExpensesSubtotalAmt
Total Expenses Per Form990$11,514,845TotalExpensesPerForm990Amt

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$181,008CashGrantAmt
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$188,018$57,720$245,738
JANEEN CLAUDINE BJORK
PHYSICIAN & CMO$177,612$53,829$267,441$36,000
RAYMOND HOLSTEN II
PHYSICIAN$186,374$225$210,181$23,582
JAMES MILLWARD
DENTAL PROVIDOR$190,379$3,597$193,976
ELIZABETH LATHAM
FORMER CEO$122,774$1,316$166,090$42,000

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$265,517NoncashContributionsRptF990Amt
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 (7 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 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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