ARIZONA ASSOCIATION OF COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ARIZONA ASSOCIATION OF COMMUNITY HEALTH CENTERS INC (EIN 86-0494702)
- Tax period
- 2014-04-01 to 2015-03-31
- Filed
- 2015-10-05
- IRS object ID
- 201532789349300628
- Schema version
- 2014v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-10-05T11:00:01-05:00 | ReturnTs |
| Tax Period End | 2015-03-31 | 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 | 2014-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860494702 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARIZONA ASSOCIATION OF COMMUNITY | BusinessNameLine1Txt |
| Business Name Line2 | HEALTH CENTERS INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ARIZ | BusinessNameControlTxt |
| Phone | 6022530090 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E JEFFERSON STREET SUITE 100 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85034 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN MCDONALD | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6022530090 | PhoneNum |
| Signature | 2015-09-28 | 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 | 2015-10-05 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AZ ALLIANCE OF COMMUNITY HEALTH CTR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN MCDONALD CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E JEFFERSON STREET SUITE 100 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85034 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,503,490 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.AACHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | PROMOTION AND IMPROVEMENT OF PRIMARY MEDICAL CARE TO MEDICALLY UNDERSERVED POPULATIONS OF AZ. ENHANCEMENT OF PRODUCTIVITY, FINANCIAL PERFORMANCE, CLINICAL CAPABILITY, COMMUNITY DEVELOPMENT, AND CLINIC SERVICES TO MEMBER CLINICS. FORMULATION AND ADVOCATION OF LEGISLATION AND APPROPRIATIONS FOR PRIMARY CARE PROGRAMS FOR LOW-INCOME UNINSURED AZ RESIDENTS UTILIZING PRIMARY CARE FACILITY GRANTS, PRIMARY CARE PROVIDER LOAN REPAYMENT PROGRAM, AND UNIVERSITY OF AZ MEDICAL STUDENT LOAN PROGRAM. MAINTENANCE OF AUDITING, PATIENT SATISFACTION SURVEYS, PRACTICE MANAGEMENT INFORMATION SYSTEMS, & QUALITY ASSURANCE SYSTEMS. REPRESENTATION OF MEMBERS ON DEVELOPMENT OF COST-BASED REIMBURSEMENT METHODOLOGY FOR AHCCCS PATIENTS. REPRESENTATION OF MEMBERS ON VARIOUS STATE-WIDE HEALTH CARE TASK FORCES, STUDY COMMITTIES, AND HEALTH CARE COALITIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 22 | VotingMembersIndependentCnt |
| Total Employee | 66 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,076,988 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,999,242 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $430,286 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $403,952 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,422 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,211 | CYInvestmentIncomeAmt |
| PY Other Revenue | $999,246 | PYOtherRevenueAmt |
| CY Other Revenue | $1,088,085 | CYOtherRevenueAmt |
| PY Total Revenue | $4,516,942 | PYTotalRevenueAmt |
| CY Total Revenue | $5,503,490 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,313,328 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,790,962 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,169,204 | PYOtherExpensesAmt |
| CY Other Expenses | $2,592,619 | CYOtherExpensesAmt |
| PY Total Expenses | $4,482,532 | PYTotalExpensesAmt |
| CY Total Expenses | $5,383,581 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $34,410 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $119,909 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,740,921 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,709,589 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $866,867 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $715,626 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $874,054 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $993,963 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROMOTION AND IMPROVEMENT OF PRIMARY MEDICAL CARE TO MEDICALLY UNDERSERVED POPULATIONS OF AZ. ENHANCEMENT OF PRODUCTIVITY, FINANCIAL PERFORMANCE, CLINICAL CAPABILITY, COMMUNITY DEVELOPMENT, AND CLINIC SERVICES TO MEMBER CLINICS. FORMULATION AND ADVOCATION OF LEGISLATION AND APPROPRIATIONS FOR PRIMARY CARE PROGRAMS FOR LOW-INCOME UNINSURED AZ RESIDENTS UTILIZING PRIMARY CARE FACILITY GRANTS, PRIMARY CARE PROVIDER LOAN REPAYMENT PROGRAM, AND UNIVERSITY OF AZ MEDICAL STUDENT LOAN PROGRAM. MAINTENANCE OF AUDITING, PATIENT SATISFACTION SURVEYS, PRACTICE MANAGEMENT INFORMATION SYSTEMS, & QUALITY ASSURANCE SYSTEMS. REPRESENTATION OF MEMBERS ON DEVELOPMENT OF COST-BASED REIMBURSEMENT METHODOLOGY FOR AHCCCS PATIENTS. REPRESENTATION OF MEMBERS ON VARIOUS STATE-WIDE HEALTH CARE TASK FORCES, STUDY COMMITTIES, AND HEALTH CARE COALITIONS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,827,027 | ExpenseAmt |
| Desc | PROMOTION AND IMPROVEMENT OF PRIMARY MEDICAL CARE TO MEDICALLY UNDERSERVED POPULATIONS OF ARIZONA. | Desc |
| Total Program Service Expenses | $4,827,027 | 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 | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | 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 | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | 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 | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 66 | 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 | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 22 | 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 |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ARIZONA ASSOCIATION OF COMMUNITY | PersonNm |
| Phone | 6022530090 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E JEFFERSON STREET SUITE 100 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85034 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| KATHY BYRNE | |||||||
| VICE PRESIDE | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN SWAGERT | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| PEGGY NIES | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES WELDEN | |||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID ROGERS | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| AVEIN SAATY-TAFOYA | |||||||
| PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BETTY MATHIS | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| FRAN DRIVER | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LIZ LATHAM | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WALTER MURILLO | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| TRAVIS J ROBINETTE | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM F VANASKIE | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT BABYAR | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ANN ROGGENBUCK | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| RODOLFO JIMENEZ | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CLINT KUNTZ | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JONATHAN MELK | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA MORIN | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| WENDY ARMENDARIZ | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KURT SHEPPARD | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LYNETTE BONAR | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KENNETH WHITE JR | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN MCDONALD | |||||||
| CEO | 40.00 | Yes (X) | $180,000 | $0 | $9,791 | ||
| TARA PLESE | |||||||
| DIR EXTERNAL | 40.00 | $126,586 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $306,586 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $9,791 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $3,293,100 | GovernmentGrantsAmt |
| All Other Contributions | $706,142 | AllOtherContributionsAmt |
| Total Contributions | $3,999,242 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| REGISTRATIONS AND CONTRACTS | 621990 | $215,157 | $215,157 |
| MEMBERSHIP DUES & ASSESSMENTS | 621990 | $188,795 | $188,795 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $403,952 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,211 | TotalRevenueColumnAmt |
| Exclusion | $12,211 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| TAPI | 621990 | $1,086,201 | $1,086,201 |
| OTHER | 621990 | $1,884 | $1,884 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,088,085 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,503,490 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,492,037 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $12,211 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,767 | TotalAmt |
| Program Services | $175,369 | ProgramServicesAmt |
| Management And General | $14,398 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,189,859 | TotalAmt |
| Program Services | $2,023,712 | ProgramServicesAmt |
| Management And General | $166,147 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,493 | TotalAmt |
| Program Services | $70,689 | ProgramServicesAmt |
| Management And General | $5,804 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,270 | TotalAmt |
| Program Services | $133,324 | ProgramServicesAmt |
| Management And General | $10,946 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,573 | TotalAmt |
| Program Services | $176,114 | ProgramServicesAmt |
| Management And General | $14,459 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,433 | TotalAmt |
| Program Services | $33 | ProgramServicesAmt |
| Management And General | $9,400 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,590 | TotalAmt |
| Program Services | $10 | ProgramServicesAmt |
| Management And General | $12,580 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,800 | TotalAmt |
| Program Services | $20,800 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,046 | TotalAmt |
| Program Services | $32,440 | ProgramServicesAmt |
| Management And General | $29,606 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,432 | TotalAmt |
| Program Services | $50,736 | ProgramServicesAmt |
| Management And General | $106,696 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,666 | TotalAmt |
| Program Services | $161,666 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,042 | TotalAmt |
| Program Services | $234,042 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,937 | TotalAmt |
| Management And General | $31,937 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,092 | TotalAmt |
| Program Services | $5,873 | ProgramServicesAmt |
| Management And General | $14,219 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUBCONTRACT | $1,337,001 | $1,337,001 | |
| CONSULTING & OUTSIDE SERV | $346,370 | $288,013 | $58,357 |
| REGISTRATION AND DUES | $61,132 | $60,182 | $950 |
| MISCELLANEOUS | $58,620 | $28,249 | $30,371 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,458 | TotalAmt |
| Program Services | $28,774 | ProgramServicesAmt |
| Management And General | $50,684 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,383,581 | TotalAmt |
| Program Services | $4,827,027 | ProgramServicesAmt |
| Management And General | $556,554 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $547,588 | BOYAmt |
| EOY | $470,656 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $744,000 | BOYAmt |
| EOY | $804,972 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,883 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,343 | BOYAmt |
| EOY | $59,822 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $296,860 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $233,186 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,155 | BOYAmt |
| EOY | $63,674 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,952 | BOYAmt |
| EOY | $310,465 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,740,921 | BOYAmt |
| EOY | $1,709,589 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $556,525 | BOYAmt |
| EOY | $513,853 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,081 | BOYAmt |
| EOY | $32,120 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,261 | BOYAmt |
| EOY | $169,653 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $866,867 | BOYAmt |
| EOY | $715,626 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $874,054 | BOYAmt |
| EOY | $993,963 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $874,054 | BOYAmt |
| EOY | $993,963 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,740,921 | BOYAmt |
| EOY | $1,709,589 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $119,909 | 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 | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,737,642 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,658,391 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,083,063 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,076,988 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,999,242 | CurrentTaxYearAmt |
| Total | $12,555,326 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,737,642 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,658,391 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,083,063 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,076,988 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,999,242 | CurrentTaxYearAmt |
| Total | $12,555,326 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $12,555,326 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,395 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,662 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,868 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,422 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,211 | CurrentTaxYearAmt |
| Total | $51,558 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,181,637 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,742,075 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $837,161 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $995,449 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,088,085 | CurrentTaxYearAmt |
| Total | $5,844,407 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $18,451,291 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,492,037 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.68050 | PublicSupportCY170Pct |
| Public Support PY170 | 0.66140 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | OTHER REVENUE 252,440 TAPI REVENUE 5,591,967 | ExplanationTxt |
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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $104,492 | OtherCostOrOtherBasisAmt |
| Depreciation | $82,205 | DepreciationAmt |
| Book Value | $22,287 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $155,612 | OtherCostOrOtherBasisAmt |
| Depreciation | $135,955 | DepreciationAmt |
| Book Value | $19,657 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,756 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,026 | DepreciationAmt |
| Book Value | $21,730 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $63,674 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| REFUNDABLE ADVANCE | $104,462 |
| DUE TO TAPI | $65,191 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $169,653 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $5,503,490 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $5,503,490 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $5,503,490 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,383,581 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $5,383,581 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $5,383,581 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN MCDONALD | PersonNm |
| Title | CEO | TitleTxt |
| Base Compensation Filing Org | $166,770 | BaseCompensationFilingOrgAmt |
| Bonus Filing Organization | $11,250 | BonusFilingOrganizationAmount |
| Other Compensation Filing Org | $1,980 | OtherCompensationFilingOrgAmt |
| Deferred Compensation Flng Org | $3,950 | DeferredCompensationFlngOrgAmt |
| Nontaxable Benefits Filing Org | $5,841 | NontaxableBenefitsFilingOrgAmt |
| Total Compensation Filing Org | $189,791 | TotalCompensationFilingOrgAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | PROMOTION AND IMPROVEMENT OF PRIMARY MEDICAL CARE TO MEDICALLY UNDERSERVED POPULATIONS OF AZ. ENHANCEMENT OF PRODUCTIVITY, FINANCIAL PERFORMANCE, CLINICAL CAPABILITY, COMMUNITY DEVELOPMENT, AND CLINIC SERVICES TO MEMBER CLINICS. FORMULATION AND ADVOCATION OF LEGISLATION AND APPROPRIATIONS FOR PRIMARY CARE PROGRAMS FOR LOW-INCOME UNINSURED AZ RESIDENTS UTILIZING PRIMARY CARE FACILITY GRANTS, PRIMARY CARE PROVIDER LOAN REPAYMENT PROGRAM, AND UNIVERSITY OF AZ MEDICAL STUDENT LOAN PROGRAM. MAINTENANCE OF AUDITING, PATIENT SATISFACTION SURVEYS, PRACTICE MANAGEMENT INFORMATION SYSTEMS, & QUALITY ASSURANCE SYSTEMS. REPRESENTATION OF MEMBERS ON DEVELOPMENT OF COST-BASED REIMBURSEMENT METHODOLOGY FOR AHCCCS PATIENTS. REPRESENTATION OF MEMBERS ON VARIOUS STATE-WIDE HEALTH CARE TASK FORCES, STUDY COMMITTIES, AND HEALTH CARE COALITIONS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE ORGANIZATION PROVIDED A COPY OF THE 990, VIA EMAIL, TO THE GOVERNING BODY BEFORE IT WAS FILED. ANY QUESTIONS AND COMMENTS ARE RESOLVED PRIOR TO SUBMISSION. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, AND KEY EMPLOYEES SIGN A STATEMENT EACH YEAR AFFIRMING THEY HAVE RECEIVED A COPY OF THE POLICY AND THAT THEY HAVE READ AND UNDERSTAND THE POLICY. AN INTERESTED PERSON MAY DISCLOSE THE EXISTENCE OF A POSSIBLE CONFLICT TO THE COMMITTEE WITH BOARD-DELEGATED POWERS, IN WHICH THEREAFTER THE BOARD WILL DETERMINE APPROPRIATE ACTION BY MAJORITY VOTE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | HR DIRECTOR COMPILED INFORMATION FROM 5 INDEPENDENT SALARY SURVEYS AND FROM CEO CONTRACTS OF 2 SIMILAR ORGANIZATIONS (PUBLIC RECORDS), AND PROPOSED COMPENSATION TO BOARD OF DIRECTORS EXECUTIVE COMMITTEE FOR APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 15B | HR DIRECTOR COMPILED INFORMATION FROM 5 INDEPENDENT SALARY SURVEYS AND FROM CEO CONTRACTS OF 2 SIMILAR ORGANIZATIONS (PUBLIC RECORDS), AND PROPOSED COMPENSATION TO BOARD OF DIRECTORS EXECUTIVE COMMITTEE FOR APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHC COLLABORATIVE VENTURES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E JEFFERSON STREET SUITE 100 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85034 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860873658 | EIN |
| Primary Activities | ADMIN SERV | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Exempt Code Section | 3 | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AACHC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CHC COLLABORATIVE VENTURES | ||
| O | $69,085 | FMV |
| CHC COLLABORATIVE VENTURES | ||
| Q | $5,073 | FMV |
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