ARIZONA ASSOCIATION OF COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ARIZONA ASSOCIATION OF COMMUNITY HEALTH CENTERS INC (EIN 86-0494702)
Tax period
2013-04-01 to 2014-03-31
Filed
2014-12-01
IRS object ID
201423359349300217
Schema version
2013v3.1
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

FieldValueIRS element (for citing)
Return2014-12-01T12:56:16-06:00ReturnTs
Tax Period End2014-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN860494040PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FESTER & CHAPMAN PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14001 N 3RD ST STE 275AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code850122086ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN860494702EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARIZONA ASSOCIATION OF COMMUNITYBusinessNameLine1
Business Name Line2HEALTH CENTERS INCBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlARIZBusinessNameControlTxt
Phone6022530090PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 E JEFFERSON STREETAddressLine1
Address Line2ROOM/SUITE 100AddressLine2
CityPHOENIXCity
StateAZState
ZIP Code85034ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN MCDONALDPersonNm
Person TitleCEOPersonTitleTxt
Phone6022530090PhoneNum
Signature2014-11-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRACHEL R LOCKE CPAPreparerPersonNm
PTINP00450405PTIN
Phone6022643077PhoneNum
Preparation2014-12-01PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1HEALTH CENTERSBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerJOHN MCDONALD CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 E JEFFERSON STREET SUITE 100AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85034ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$4,516,942GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AACHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionPROMOTION 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 Body21VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee45TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,083,063PYContributionsGrantsAmt
CY Contributions Grants$3,076,988CYContributionsGrantsAmt
PY Program Service Revenue$378,323PYProgramServiceRevenueAmt
CY Program Service Revenue$430,286CYProgramServiceRevenueAmt
PY Investment Income$11,474PYInvestmentIncomeAmt
CY Investment Income$10,422CYInvestmentIncomeAmt
PY Other Revenue$841,555PYOtherRevenueAmt
CY Other Revenue$999,246CYOtherRevenueAmt
PY Total Revenue$3,314,415PYTotalRevenueAmt
CY Total Revenue$4,516,942CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,879,792PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,313,328CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,408,973PYOtherExpensesAmt
CY Other Expenses$2,169,204CYOtherExpensesAmt
PY Total Expenses$3,288,765PYTotalExpensesAmt
CY Total Expenses$4,482,532CYTotalExpensesAmt
PY Revenues Less Expenses$25,650PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$34,410CYRevenuesLessExpensesAmt
Total Assets BOY$1,290,172TotalAssetsBOYAmt
Total Assets EOY$1,740,921TotalAssetsEOYAmt
Total Liabilities BOY$450,528TotalLiabilitiesBOYAmt
Total Liabilities EOY$866,867TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$839,644NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$874,054NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROMOTION 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 SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,953,658ExpenseAmt
DescPROMOTION AND IMPROVEMENT OF PRIMARY MEDICAL CARE TO MEDICALLY UNDERSERVED POPULATIONS OF ARIZONA.Desc
Total Program Service Expenses$3,953,658TotalProgramServiceExpensesAmt
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
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 OrganizationsfalseGrantsToOrganizationsInd
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 ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee45EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
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)
PersonARIZONA ASSOCIATION OF COMMUNITYPersonNm
Phone6022530090PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 E JEFFERSON STREET SUITE 100AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85034ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ELADIO PEREIRA MD
MEMBER AT-LA2.00Yes (X)$0$0$0
ARTHUR MARTINEZ MD
DIRECTOR2.00Yes (X)$0$0$0
KATHY BYRNE
VICE PRESIDE2.00Yes (X)$0$0$0Yes (X)
JOHN SWAGERT MD
DIRECTOR2.00Yes (X)$0$0$0
CLARENCE VATNE
DIRECTOR2.00Yes (X)$0$0$0
PEGGY NIES
DIRECTOR2.00Yes (X)$0$0$0
JENNIFER GINGER RYAN
DIRECTOR2.00Yes (X)$0$0$0
JAMES WELDEN
SECRETARY2.00Yes (X)$0$0$0Yes (X)
DAVID ROGERS
MEMBER AT-LA2.00Yes (X)$0$0$0
AVEIN SAATY-TAFOYA
PRESIDENT2.00Yes (X)$0$0$0Yes (X)
BETTY MATHIS
DIRECTOR2.00Yes (X)$0$0$0
DIANNA GONZALES
DIRECTOR2.00Yes (X)$0$0$0
FRAN DRIVER
DIRECTOR2.00Yes (X)$0$0$0
LISA CUMMINGS
DIRECTOR2.00Yes (X)$0$0$0
LIZ LATHEM
TREASURER2.00Yes (X)$0$0$0Yes (X)
WALTER MURILLO
DIRECTOR2.00Yes (X)$0$0$0
LINDA COWAN
DIRECTOR2.00Yes (X)$0$0$0
TRAVIS J ROBINETTE
DIRECTOR2.00Yes (X)$0$0$0
WILLIAM F VANASKIE
DIRECTOR2.00Yes (X)$0$0$0
ROBERT BABYAR
DIRECTOR2.00Yes (X)$0$0$0
ANN ROGGENBUCK
DIRECTOR2.00Yes (X)$0$0$0
JOSEPH ENGELKEN
DIRECTOR2.00Yes (X)$0$0$0
CLINT KUNTZ
DIRECTOR2.00Yes (X)$0$0$0
JONATHAN MELK
DIRECTOR2.00Yes (X)$0$0$0
LINDA MORIN
DIRECTOR2.00Yes (X)$0$0$0
WENDY ARMENDARIZ
DIRECTOR2.00Yes (X)$0$0$0
JOHN MCDONALD
CEO40.00$177,050$0$13,836Yes (X)
TARA PLESE
DIR EXTERNAL40.00$101,468$0$13,313Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$278,518TotalReportableCompFromOrgAmt
Total Other Compensation$27,149TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$3,076,988GovernmentGrantsAmt
Total Contributions$3,076,988TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REGISTRATIONS AND CONTRACTS621990$258,252$258,252
MEMBERSHIP DUES & ASSESSMENTS621990$169,254$169,254
RECRUITING REVENUE621990$2,780$2,780
FieldValueIRS element (for citing)
Total Program Service Revenue$430,286TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,422TotalRevenueColumnAmt
Exclusion$10,422ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
TAPI621990$995,449$995,449
OTHER621990$3,797$3,797
FieldValueIRS element (for citing)
Other Revenue Total$999,246OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,516,942TotalRevenueColumnAmt
Related Or Exempt Func Income$1,429,532RelatedOrExemptFuncIncomeAmt
Exclusion$10,422ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$192,708TotalAmt
Program Services$182,247ProgramServicesAmt
Management And General$10,461ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,779,350TotalAmt
Program Services$1,682,759ProgramServicesAmt
Management And General$96,591ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$57,498TotalAmt
Program Services$54,377ProgramServicesAmt
Management And General$3,121ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$123,668TotalAmt
Program Services$116,955ProgramServicesAmt
Management And General$6,713ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$160,104TotalAmt
Program Services$151,413ProgramServicesAmt
Management And General$8,691ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,544TotalAmt
Program Services$544ProgramServicesAmt
Management And General$10,000ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$13,060TotalAmt
Program Services$900ProgramServicesAmt
Management And General$12,160ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$139TotalAmt
Program Services$95ProgramServicesAmt
Management And General$44ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$50,354TotalAmt
Program Services$50,354ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$87,408TotalAmt
Program Services$7,172ProgramServicesAmt
Management And General$80,236ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$129,888TotalAmt
Program Services$41,044ProgramServicesAmt
Management And General$88,844ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$120,132TotalAmt
Program Services$120,132ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$274,561TotalAmt
Program Services$227,274ProgramServicesAmt
Management And General$47,287ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$40,348TotalAmt
Management And General$40,348ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$16,468TotalAmt
Program Services$3,903ProgramServicesAmt
Management And General$12,565ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUBCONTRACT$825,993$825,993
CONSULTING & OUTSIDE SERV$364,376$298,230$66,146
MISCELLANEOUS$85,852$73,920$11,932
EQUIPMENT RENTAL$59,274$47,460$11,814

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$90,807TotalAmt
Program Services$68,886ProgramServicesAmt
Management And General$21,921ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,482,532TotalAmt
Program Services$3,953,658ProgramServicesAmt
Management And General$528,874ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$611,828BOYAmt
EOY$547,588EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$166,190BOYAmt
EOY$744,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$77,394BOYAmt
EOY$6,883EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$45,916BOYAmt
EOY$66,343EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$283,405LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$201,250LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$104,813BOYAmt
EOY$82,155EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$284,031BOYAmt
EOY$293,952EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,290,172BOYAmt
EOY$1,740,921EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$176,144BOYAmt
EOY$556,525EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$82,944BOYAmt
EOY$86,081EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$191,440BOYAmt
EOY$224,261EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$450,528BOYAmt
EOY$866,867EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$839,644BOYAmt
EOY$874,054EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$839,644BOYAmt
EOY$874,054EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,290,172BOYAmt
EOY$1,740,921EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$34,410ReconcilationRevenueExpnssAmt
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$1,579,134CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,737,642CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,658,391CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,083,063CurrentTaxYearMinus1YearAmt
Current Tax Year$3,076,988CurrentTaxYearAmt
Total$10,135,218TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,579,134CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,737,642CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,658,391CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,083,063CurrentTaxYearMinus1YearAmt
Current Tax Year$3,076,988CurrentTaxYearAmt
Total$10,135,218TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$10,135,218PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$8,395CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,662CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,868CurrentTaxYearMinus1YearAmt
Current Tax Year$10,422CurrentTaxYearAmt
Total$39,347TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$393,518CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,181,637CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,742,075CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$837,161CurrentTaxYearMinus1YearAmt
Current Tax Year$995,449CurrentTaxYearAmt
Total$5,149,840TotalAmt
FieldValueIRS element (for citing)
Total Support$15,324,405TotalSupportAmt
Gross Receipts Rltd Activities$1,429,532GrossReceiptsRltdActivitiesAmt
Public Support CY1700.66140PublicSupportCY170Pct
Public Support PY1700.62720PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationOTHER REVENUE 263,783 TAPI REVENUE 4,650,356 MCAP REVENUE 235,701ExplanationTxt

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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$104,493OtherCostOrOtherBasisAmt
Depreciation$66,623DepreciationAmt
Book Value$37,870BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$145,729OtherCostOrOtherBasisAmt
Depreciation$125,412DepreciationAmt
Book Value$20,317BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,183OtherCostOrOtherBasisAmt
Depreciation$9,215DepreciationAmt
Book Value$23,968BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$82,155TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
REFUNDABLE ADVANCE$159,070
DUE TO TAPI$65,191
FieldValueIRS element (for citing)
Total Liability$224,261TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$4,516,942TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$4,516,942RevenueSubtotalAmt
Total Revenue Per Form990$4,516,942TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,482,532TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$4,482,532ExpensesSubtotalAmt
Total Expenses Per Form990$4,482,532TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
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

FieldValueIRS element (for citing)
PersonJOHN MCDONALDPersonNm
TitleCEOTitleTxt
Base Compensation Filing Org$164,228BaseCompensationFilingOrgAmt
Bonus Filing Organization$11,000BonusFilingOrganizationAmount
Other Compensation Filing Org$1,822OtherCompensationFilingOrgAmt
Deferred Compensation Flng Org$6,100DeferredCompensationFlngOrgAmt
Nontaxable Benefits Filing Org$7,736NontaxableBenefitsFilingOrgAmt
Total Compensation Filing Org$190,886TotalCompensationFilingOrgAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONPROMOTION 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 2, PART III, LINE 2BEGAN WORK ON NAVIGATOR AND COMMUNITY CATALYST GRANTS. BOTH GRANTS INVOLVE SERVICES EDUCATING INDIVIDUALS ABOUT THE AFFORDABLE CARE ACT MARKETPLACE AND HELPING THEM SIGN-UP FOR MEDICAID OR COMMERCIAL HEALTH INSURANCE USING THE MARKETPLACE.
FORM 990, PAGE 6, PART VI, LINE 11BTHE 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 12CEACH 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 15AHR 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 15BHR 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 19THE GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CHC COLLABORATIVE VENTURESBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 E JEFFERSON STREET SUITE 100AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85034ZIPCode
FieldValueIRS element (for citing)
EIN860873658EIN
Primary ActivitiesADMIN SERVPrimaryActivitiesTxt
Legal Domicile StateAZLegalDomicileStateCd
Exempt Code Section3ExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AACHCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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