PIMA COMMUNITY ACCESS PROGRAM: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- PIMA COMMUNITY ACCESS PROGRAM (EIN 86-1014012)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-03
- IRS object ID
- 201603089349301735
- Schema version
- 2015v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-03T14:47:28-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 860494040 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FESTER & CHAPMAN PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4001 N 3RD ST STE 275 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 850122086 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861014012 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIMA COMMUNITY ACCESS PROGRAM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PIMA | BusinessNameControlTxt |
| Phone | 5203092922 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 W PASEO REDONDO | AddressLine1Txt |
| City | TUCSON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAL GOFORTH | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5203092922 | PhoneNum |
| Signature | 2016-11-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RACHEL R LOCKE CPA | PreparerPersonNm |
| PTIN | P00450405 | PTIN |
| Phone | 6022643077 | PhoneNum |
| Preparation | 2016-11-03 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAL GOFORTH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 W PASEO REDONDO | AddressLine1Txt |
| City | TUCSON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $888,400 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MYPCAP.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | PCAP PROVIDES AN EFFECTIVE, COORDINATED SYSTEM FOR ACCESSING COMPREHENSIVE HEALTH CARE AT HIGHLY DISCOUNTED RATES FOR ALL LOW INCOME, UNINSURED RESIDENTS OF PIMA AND SANTA CRUZ COUNTIES. THE GOAL IS TO IMPROVE HEALTH CARE OUTCOMES, TO REDUCE UNCOMPENSATED CARE AND TO FACILITATE EQUITABLE DISTRIBUTION OF CARE FOR OUR TARGETED POPULATION AMONG PROVIDERS IN OUR COMMUNITY. PCAP'S MISSION IS TO PROMOTE THE HEALTH OF MEDICALLY UNDERSERVED INDIVIDUALS AND FAMILIES BY ENROLLING ALL WHO ARE ELIGIBLE IN EITHER PCAP OR PUBLIC HEALTH PROGRAMS, TO FACILITATE PRIMARY CARE AND SPECIALTY SERVICES AND TO HELP REDUCE THE NUMBER OF AVOIDABLE HOSPITAL ADMISSIONS AND INAPPROPRIATE USE OF COMMUNITY EMERGENCY DEPARTMENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 12 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $996,946 | PYContributionsGrantsAmt |
| CY Contributions Grants | $848,244 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $72,545 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $31,825 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,172 | PYInvestmentIncomeAmt |
| CY Investment Income | $808 | CYInvestmentIncomeAmt |
| PY Other Revenue | $37,915 | PYOtherRevenueAmt |
| CY Other Revenue | $7,523 | CYOtherRevenueAmt |
| PY Total Revenue | $1,108,578 | PYTotalRevenueAmt |
| CY Total Revenue | $888,400 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $377,560 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $220,759 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $679,494 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $577,177 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $276,089 | PYOtherExpensesAmt |
| CY Other Expenses | $225,816 | CYOtherExpensesAmt |
| PY Total Expenses | $1,333,143 | PYTotalExpensesAmt |
| CY Total Expenses | $1,023,752 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$224,565 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$135,352 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $574,042 | TotalAssetsBOYAmt |
| Total Assets EOY | $402,978 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $112,276 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $76,564 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $461,766 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $326,414 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PCAP PROVIDES AN EFFECTIVE, COORDINATED SYSTEM FOR ACCESSING COMPREHENSIVE HEALTH CARE AT HIGHLY DISCOUNTED RATES FOR ALL LOW INCOME, UNINSURED RESIDENTS OF PIMA AND SANTA CRUZ COUNTIES. THE GOAL IS TO IMPROVE HEALTH CARE OUTCOMES, TO REDUCE UNCOMPENSATED CARE AND TO FACILITATE EQUITABLE DISTRIBUTION OF CARE FOR OUR TARGETED POPULATION AMONG PROVIDERS IN OUR COMMUNITY. PCAP'S MISSION IS TO PROMOTE THE HEALTH OF MEDICALLY UNDERSERVED INDIVIDUALS AND FAMILIES BY ENROLLING ALL WHO ARE ELIGIBLE IN EITHER PCAP OR PUBLIC HEALTH PROGRAMS, TO FACILITATE PRIMARY CARE AND SPECIALTY SERVICES AND TO HELP REDUCE THE NUMBER OF AVOIDABLE HOSPITAL ADMISSIONS AND INAPPROPRIATE USE OF COMMUNITY EMERGENCY DEPARTMENTS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $933,380 | ExpenseAmt |
| Grant | $220,759 | GrantAmt |
| Revenue | $31,825 | RevenueAmt |
| Desc | TO LINK LOW INCOME, UNINSURED RESIDENTS OF PIMA COUNTY WITH AN AFFORDABLE, COMPREHENSIVE AND COORDINATED NETWORK OF HEALTHCARE PROVIDERS. | Desc |
| Total Program Service Expenses | $933,380 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 12 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PIMA COMMUNITY ACCESS PROGRAM | PersonNm |
| Phone | 5203092922 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 W PASEO REDONDO | AddressLine1Txt |
| City | TUCSON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| ED SICURELLO | ||||||
| PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| STEVE NASH | ||||||
| VICE PRESIDE | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LIBBY LONERGAN | ||||||
| SECRETARY/TR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MICHAL GOFORTH | ||||||
| CEO | 40.00 | Yes (X) | $87,400 | $0 | $14,675 | |
| AMY BEITER | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| NANCY JOHNSON | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ANDREA CHIASSON | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| SCOTT CUMMINGS | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JONATHAN LEONARD | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| FRANCISCO GARCIA | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CLINTON KUNTZ | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| SONJA LIDDEKE | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| VICKI MCNALLY | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CAROL SMALLWOOD | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| PATRICIA DORGAN | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| KATHY SALOIS | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES STOVER | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| GAIL WINTERKORN | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $87,400 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $14,675 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $639,522 | GovernmentGrantsAmt |
| All Other Contributions | $208,722 | AllOtherContributionsAmt |
| Total Contributions | $848,244 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $31,825 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $31,825 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $31,825 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $808 | TotalRevenueColumnAmt |
| Exclusion | $808 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $7,523 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,523 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,523 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $888,400 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $39,348 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $808 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,759 | TotalAmt |
| Program Services | $220,759 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,618 | TotalAmt |
| Program Services | $78,957 | ProgramServicesAmt |
| Management And General | $12,661 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $366,951 | TotalAmt |
| Program Services | $316,243 | ProgramServicesAmt |
| Management And General | $50,708 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,975 | TotalAmt |
| Program Services | $7,552 | ProgramServicesAmt |
| Management And General | $4,423 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,301 | TotalAmt |
| Program Services | $57,724 | ProgramServicesAmt |
| Management And General | $13,577 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,332 | TotalAmt |
| Program Services | $31,111 | ProgramServicesAmt |
| Management And General | $4,221 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,300 | TotalAmt |
| Program Services | $8,900 | ProgramServicesAmt |
| Management And General | $4,400 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,396 | TotalAmt |
| Program Services | $147,378 | ProgramServicesAmt |
| Management And General | $18 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,700 | TotalAmt |
| Program Services | $11,700 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,756 | TotalAmt |
| Program Services | $19,756 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,616 | TotalAmt |
| Program Services | $19,616 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,743 | TotalAmt |
| Program Services | $8,743 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509 | TotalAmt |
| Program Services | $509 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383 | TotalAmt |
| Program Services | $383 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $3,309 | $3,165 | $144 |
| OTHER | $1,104 | $884 | $220 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,023,752 | TotalAmt |
| Program Services | $933,380 | ProgramServicesAmt |
| Management And General | $90,372 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,144 | BOYAmt |
| EOY | $228,564 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $80,412 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,403 | BOYAmt |
| EOY | $91,980 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,495 | BOYAmt |
| EOY | $2,022 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $574,042 | BOYAmt |
| EOY | $402,978 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,061 | BOYAmt |
| EOY | $47,351 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,215 | BOYAmt |
| EOY | $29,213 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,276 | BOYAmt |
| EOY | $76,564 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $461,766 | BOYAmt |
| EOY | $326,414 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $461,766 | BOYAmt |
| EOY | $326,414 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $574,042 | BOYAmt |
| EOY | $402,978 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$135,352 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $775,379 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $836,528 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $803,775 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $996,946 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $848,244 | CurrentTaxYearAmt |
| Total | $4,260,872 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $401,008 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $399,886 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $316,277 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $110,460 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,348 | CurrentTaxYearAmt |
| Total | $1,266,979 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,176,387 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,236,414 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,120,052 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,107,406 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $887,592 | CurrentTaxYearAmt |
| Total | $5,527,851 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $5,527,851 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,567 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,574 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,317 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,172 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $808 | CurrentTaxYearAmt |
| Total | $6,438 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,567 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,574 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,317 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,172 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $808 | CurrentTaxYearAmt |
| Total | $6,438 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,177,954 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,237,988 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,121,369 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,108,578 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $888,400 | CurrentTaxYearAmt |
| Total | $5,534,289 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99880 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99880 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Rev Etc Audited Fincl Stmt | $888,400 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $888,400 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $888,400 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,023,752 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $1,023,752 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,023,752 | TotalExpensesPerForm990Amt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| MARIPOSA COMMUNITY HEALTH CENTER | |||||||||
| 1852 N MASTICK WAY | NOGALES | AZ | 85621 | 860524321 | 3 | $26,600 | FMV | N/A | CHILD HEALTH ASSIST |
| UNITED WAY OF TUCSON AND SOUTHERN | |||||||||
| 330 N COMMERCE PARK LOOP STE 200 | TUCSON | AZ | 85745 | 860098932 | 3 | $31,034 | FMV | N/A | CHILD HEALTH ASSIST |
| CHILDREN'S ACTION ALLIANCE | |||||||||
| 4001 N 3RD STREET SUITE 160 | PHOENIX | AZ | 85012 | 860594785 | 3 | $87,477 | FMV | N/A | CHILD HEALTH ASSIST |
| EL RIO SANTA CRUZ NEIGHBORHOOD | |||||||||
| 839 W CONGRESS STREET | TUCSON | AZ | 85745 | 860285857 | 3 | $12,443 | FMV | N/A | CHILD HEALTH ASSIST |
| MARANA HEALTH CENTER INC | |||||||||
| 13395 N MARANA MAIN ST | MARANA | AZ | 85653 | 866053462 | 3 | $9,050 | FMV | N/A | CHILD HEALTH ASSIST |
| UNITED COMMUNITY HEALTH CENTER | |||||||||
| 1260 S CAMPBELL AVE 2 | GREEN VALLEY | AZ | 85614 | 942905416 | 3 | $6,515 | FMV | N/A | CHILD HEALTH ASSIST |
| EMPOWERMENT SYSTEMS INC | |||||||||
| 2066 W APACHE TRAIL SUITE 116 | APACHE JUNCTION | AZ | 85120 | 860664708 | 3 | $20,416 | FMV | N/A | CHILD HEALTH ASSIST |
| PIMA COUNTY | |||||||||
| 130 W CONGRESS 6TH FLOOR | TUCSON | AZ | 85701 | 861014012 | GOV | $11,514 | FMV | N/A | CHILD HEALTH ASSIST |
| ST ELIZABETH'S HEALTH CENTER | |||||||||
| 140 W SPEEDWAY SUITE 100 | TUCSON | AZ | 85705 | 464151173 | 3 | $10,885 | FMV | CHILD HEALTH ASSIST | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION RECEIVES INVOICES AND SUPPORTING DOCUMENTS OF REQUESTS FOR REIMBURSEMENTS FROM GRANT RECIPIENTS. THE ORGANIZATION ALSO CONDUCTS SITE VISITS OF GRANT RECIPIENTS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | PCAP PROVIDES AN EFFECTIVE, COORDINATED SYSTEM FOR ACCESSING COMPREHENSIVE HEALTH CARE AT HIGHLY DISCOUNTED RATES FOR ALL LOW INCOME, UNINSURED RESIDENTS OF PIMA AND SANTA CRUZ COUNTIES. THE GOAL IS TO IMPROVE HEALTH CARE OUTCOMES, TO REDUCE UNCOMPENSATED CARE AND TO FACILITATE EQUITABLE DISTRIBUTION OF CARE FOR OUR TARGETED POPULATION AMONG PROVIDERS IN OUR COMMUNITY. PCAP'S MISSION IS TO PROMOTE THE HEALTH OF MEDICALLY UNDERSERVED INDIVIDUALS AND FAMILIES BY ENROLLING ALL WHO ARE ELIGIBLE IN EITHER PCAP OR PUBLIC HEALTH PROGRAMS, TO FACILITATE PRIMARY CARE AND SPECIALTY SERVICES AND TO HELP REDUCE THE NUMBER OF AVOIDABLE HOSPITAL ADMISSIONS AND INAPPROPRIATE USE OF COMMUNITY EMERGENCY DEPARTMENTS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE CEO WILL REVIEW THE TAX RETURN. THEN THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WILL REVIEW THE TAX RETURN AND MAKE A MOTION TO THE FULL BOARD. THE FULL BOARD WILL APPROVE AT THE BOARD MEETING. IF MEETING IS NOT AVAILABLE, THE TAX RETURN WILL BE SUBMITTED VIA EMAIL TO THE EXECUTIVE COMMITTEE MEMBERS AND THEN REVIEWED AND APPROVED VIA EMAIL. |
| FORM 990, PAGE 6, PART VI, LINE 12C | AT THE ANNUAL BOD MEETING THERE IS A CALL FOR DIRECTORS OR OFFICERS TO DECLARE ANY CONFLICT OF INTEREST AND IT IS SO NOTED IN THE MINUTES OF THE ANNUAL MEETING AND DURING THE YEAR IF A CONFLICT ARISES IT IS DISCLOSED AT THE TIME. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE PROCESS FOR DETERMINING COMPENSATION OF THE KEY EMPLOYEES INCLUDE A REVIEW AND APPROVAL BASED ON COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION SURVEY OR STUDY. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE PROCESS FOR DETERMINING COMPENSATION OF THE KEY EMPLOYEES INCLUDE A REVIEW AND APPROVAL BASED ON COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION SURVEY OR STUDY. |
| FORM 990, PAGE 6, PART VI, LINE 19 | CURRENTLY IT IS AVAILABLE UPON REQUEST- WE DO SHARE WITH ALL OUR CONTRACTORS |
| FORM 990, PART IX, LINE 11G | OUTSIDE SERVICES 147,378 18 0 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EL RIO SANTA CRUZ NEIGHBORHOOD | BusinessNameLine1Txt |
| Business Name Line2 | HEALTH CENTER INC | BusinessNameLine2Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 W PASEO REDONDO | AddressLine1Txt |
| City | TUCSON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860285857 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Exempt Code Section | 3 | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EL RIO SANTA CRUZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | P | TransactionTypeTxt |
| Involved | $765,076 | InvolvedAmt |
| Method Of Amount Determination | AMOUNT ACTUALLY PAID | MethodOfAmountDeterminationTxt |
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