MOUNTAIN PARK HEALTH CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MOUNTAIN PARK HEALTH CENTER (EIN 86-0498020)
Tax period: 2012-12-01 to 2013-11-30
Filed: 2014-03-28
IRS object ID: 201430879349300338
Schema version: 2012v2.3
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-03-28T16:36:50-05:00	Timestamp
Tax Period End Date	2013-11-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FESTER & CHAPMAN PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	8283 N HAYDEN RD STE 200	AddressLine1
City	SCOTTSDALE	City
State	AZ	State
ZIP Code	852582456	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-12-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	860498020	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MOUNTAIN PARK HEALTH CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MOUN	NameControl
Phone	6023233477	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2702 N 3RD STREET SUITE 4020	AddressLine1
City	PHOENIX	City
State	AZ	State
ZIP Code	850044608	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	CHRIS HEWETT	Name
Title	CFO	Title
Phone	6023233477	Phone
Date Signed	2014-03-27	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	RACHEL R LOCKE CPA	Name
Phone	6022643077	Phone
Date Prepared	2014-03-28	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	CHRIS HEWETT CFO	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2702 NORTH 3RD STREET SUITE 4020	AddressLine1
City	PHOENIX	City
State	AZ	State
ZIP Code	850044608	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	47635645	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	MOUNTAINPARKHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1984	YearFormation
State Legal Domicile	AZ	StateLegalDomicile
Activity Or Mission Description	MOUNTAIN PARK SUSTAINS AND IMPROVES HEALTH BY PROVIDING AFFORDABLE PRIMARY CARE TO THE NEEDY AND UNDERINSURED IN THE GREATER PHOENIX AREA. IN 1983, MOUNTAIN PARK HEALTH CENTER BEGAN SERVING THE COMMUNITY WITH 1 DOCTOR AND 1 CLINIC LOCATION. TODAY, OUR COMMUNITY HEALTH CENTER HAS 5 CLINICS IN DIVERSE NEIGHBORHOODS ACROSS THE VALLEY INCLUDING PRIMARY MEDICAL, DENTAL, PHARMACEUTICAL, AND INTEGRATED HEALTH CARE. THE CENTER PROVIDED 215,000 MEDICAL, DENTAL, AND INTEGRATED HEALTH VISITS TO 60,000 PATIENTS IN 2012. OUR COMMITMENT TO THE COMMUNITY IS TO KEEP HEALTHCARE AFFORDABLE AND ACCESSIBLE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	580	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	15498136	ContributionsGrantsPriorYear
Contributions Grants Current Year	14346205	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	29666538	ProgramServiceRevenuePriorYear
Program Service Revenue CY	32765314	ProgramServiceRevenueCY
Investment Income Prior Year	216	InvestmentIncomePriorYear
Investment Income Current Year	-145510	InvestmentIncomeCurrentYear
Other Revenue Prior Year	258928	OtherRevenuePriorYear
Other Revenue Current Year	523222	OtherRevenueCurrentYear
Total Revenue Prior Year	45423818	TotalRevenuePriorYear
Total Revenue Current Year	47489231	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	27221282	SalariesEtcPriorYear
Salaries Etc Current Year	27741317	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	17358600	OtherExpensePriorYear
Other Expenses Current Year	15703614	OtherExpensesCurrentYear
Total Expenses Prior Year	44579882	TotalExpensesPriorYear
Total Expenses Current Year	43444931	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	843936	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	4044300	RevenuesLessExpensesCY
Total Assets BOY	28722993	TotalAssetsBOY
Total Assets EOY	31791501	TotalAssetsEOY
Total Liabilities BOY	8996073	TotalLiabilitiesBOY
Total Liabilities EOY	7964447	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	19726920	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	23827054	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	MOUNTAIN PARK SUSTAINS AND IMPROVES HEALTH BY PROVIDING AFFORDABLE PRIMARY CARE TO THE NEEDY AND UNDERINSURED IN THE GREATER PHOENIX AREA. IN 1983, MOUNTAIN PARK HEALTH CENTER BEGAN SERVING THE COMMUNITY WITH 1 DOCTOR AND 1 CLINIC LOCATION. TODAY, OUR COMMUNITY HEALTH CENTER HAS 5 CLINICS IN DIVERSE NEIGHBORHOODS ACROSS THE VALLEY INCLUDING PRIMARY MEDICAL, DENTAL, PHARMACEUTICAL, AND INTEGRATED HEALTH CARE. THE CENTER PROVIDED 215,000 MEDICAL, DENTAL, AND INTEGRATED HEALTH VISITS TO 60,000 PATIENTS IN 2012. OUR COMMITMENT TO THE COMMUNITY IS TO KEEP HEALTHCARE AFFORDABLE AND ACCESSIBLE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	35909134	Expense
Description	MOUNTAIN PARK HEALTH CENTER PROVIDES ENCOUNTERS TO THE UNINSURED PATIENTS IN CARRYING OUT ITS TAX EXEMPT PURPOSE AS A PRIMARY CARE FACILITY.	Description
Total Program Service Expense	35909134	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	79	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	580	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	AZ	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	THE CENTER	NamePerson
Telephone Number	6023233344	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2702 N 3RD STREET SUITE 4020	AddressLine1
City	PHOENIX	City
State	AZ	State
ZIP Code	850044608	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
CORDELIA FAYE LOVE
DIRECTOR	2.00	X	0	0	0
ELIZABETH MCNAMEE
DIRECTOR	2.00	X	0	0	0
MANNY TARANGO
DIRECTOR	2.00	X	0	0	0
MOHAMED ABUKAR
DIRECTOR	2.00	X	0	0	0
RICHARD SIEVER
SECRETARY/TR	2.00	X	0	0	0	X
JOSEPH LOSADA
DIRECTOR	2.00	X	0	0	0
ANIELKA CONTRERAS
DIRECTOR	2.00	X	0	0	0
KATHERINE CECALA
DIRECTOR	2.00	X	0	0	0
RITA KHALAF
DIRECTOR	2.00	X	0	0	0
ARNOLD JACKSON
CHAIR	2.00	X	0	0	0	X
LINDA HUFF REDMAN
DIRECTOR	2.00	X	0	0	0
SCOTT GORMAN
VICE CHAIR	2.00	X	0	0	0	X
JOHN SWAGERT
CEO	40.00		340865	0	21322	X
CHRIS HEWETT
CFO	40.00		136788	0	10414	X
RACHEL LAMBERT
COO	40.00		136131	0	5097	X
DAVINDER SINGH
MEDICAL DIRE	40.00		232477	0	21143		X
CONSTANCE TUCKER
MEDICAL DIRE	40.00		200000	0	20453		X
DAVID ELDREDGE
PHYSICIAN	40.00		265000	0	14222			X
GEORGE DAVIDSON
PHYSICIAN	40.00		264992	0	21572			X
JOHN HARPENAU
PHYSICIAN	40.00		255001	0	21103			X
MOHAMMAD AHMAD
PHYSICIAN	40.00		255001	0	8587			X
CARL BRONITSKY
PHYSICIAN	40.00		252066	0	8332			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2338321	TotalReportableCompFromOrg
Total Other Compensation	152245	TotalOtherCompensation
Number Individuals GT100 K	10	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation	Address Line2AddressOfContractor/AddressUS/AddressLine2
COSMOPOLITAN MEDICAL COMMUNICATIONS
5665 W BEVERLY LANE	GLENDALE	AZ	85306	ANSWERING SVC	1731298
ONENECK IT SERVICES CORP
5301 NORTH PIMA ROAD STE 100	SCOTTSDALE	AZ	85250	IT SERVICES	734054
KB PROPERTY MAINTENANCE
JANITORIAL	GLENDALE	AZ	85308	JANITORIAL	540241	5903 W MICHIGAN AVENUE
ECLINICAL WORKS
2 TECHNOLOGY DRIVE	WESTBOROUGH	MA	01581	MEDICAL RECORDS	253374
NORTHEAST HEALTHCARE RECRUITMENT
70 LAKE ROAD	PLYMOUTH	MA	02360	RECRUITING	250125

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Government Grants	13809009	GovernmentGrants
All Other Contributions	537196	AllOtherContributions
Noncash Contributions	2391909	NoncashContributions
Total Contributions	14346205	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	621400	31033319	31033319
PHARMACY REVENUE	621400	1731995	1731995

Field	Value	IRS element (for citing)
Total Program Service Revenue	32765314	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	104	TotalRevenueColumn
Exclusion	$104	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	800	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	146414	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-145614	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-145614	TotalRevenueColumn
Related Or Exempt Function Income	-145614	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME	621400	476622	476622
DEBT FORGIVENESS		46600	46600

Field	Value	IRS element (for citing)
Total Other Revenue	523222	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	47489231	TotalRevenueColumn
Related Or Exempt Function Income	33142922	RelatedOrExemptFunctionIncome
Exclusion	$104	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1124690	Total
Program Services	899752	ProgramServices
Management And General	224938	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	22544080	Total
Program Services	19877717	ProgramServices
Management And General	2666363	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	323178	Total
Program Services	323178	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2123659	Total
Program Services	1899318	ProgramServices
Management And General	224341	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1625710	Total
Program Services	1436391	ProgramServices
Management And General	189319	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	86478	Total
Program Services	690	ProgramServices
Management And General	85788	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	47850	Total
Management And General	47850	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1369491	Total
Program Services	1158219	ProgramServices
Management And General	211272	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	336272	Total
Management And General	336272	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1100289	Total
Program Services	1100289	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	108005	Total
Program Services	108005	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
CONTRACTUAL SERVICES	5027280	2959114	2068166
MEDICAL SUPPLIES	2416920	2251743	165177
IN-KIND	2306909	2306909
GENERAL & ADMINISTRATIVE	2280607	1118578	1162029

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	623513	Total
Program Services	469231	ProgramServices
Management And General	154282	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	43444931	Total
Program Services	35909134	ProgramServices
Management And General	7535797	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2937085	BOY
EOY	4589266	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	7691686	BOY
EOY	9327184	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1722991	BOY
EOY	1739011	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	97602	BOY
EOY	506134	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	65695	BOY
EOY	59288	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	164006	BOY
EOY	180695	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	23595852	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	8313322	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	15865996	BOY
EOY	15282530	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	177932	BOY
EOY	107393	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	28722993	BOY
EOY	31791501	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1883811	BOY
EOY	1425670	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	6298375	BOY
EOY	5938866	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	684403	BOY
EOY	498750	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	129484	BOY
EOY	101161	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	8996073	BOY
EOY	7964447	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	19726920	BOY
EOY	23827054	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	19726920	BOY
EOY	23827054	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	28722993	BOY
EOY	31791501	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	4044300	ReconcilationRevenueExpenses
Reconcilation Other Changes	55834	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8812628	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	13987747	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	19688880	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	15498136	CurrentTaxYearMinus1Year
Current Tax Year	14346205	CurrentTaxYear
Total	72333596	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8812628	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	13987747	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	19688880	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	15498136	CurrentTaxYearMinus1Year
Current Tax Year	14346205	CurrentTaxYear
Total	72333596	Total

Field	Value	IRS element (for citing)
Public Support Total170	72333596	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	21	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	820	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	522	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	216	CurrentTaxYearMinus1Year
Current Tax Year	104	CurrentTaxYear
Total	1683	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	102551	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	107580	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	256111	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	258928	CurrentTaxYearMinus1Year
Current Tax Year	523222	CurrentTaxYear
Total	1248392	Total

Field	Value	IRS element (for citing)
Total Support	73583671	TotalSupport
Gross Receipts From Admissions Etc	132090193	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.98300	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.98780	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1230491	OtherCostOrOtherBasis
Book Value	1230491	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9285377	OtherCostOrOtherBasis
Depreciation	4395797	Depreciation
Book Value	4889580	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6742176	OtherCostOrOtherBasis
Depreciation	1232890	Depreciation
Book Value	5509286	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3855263	OtherCostOrOtherBasis
Depreciation	2684635	Depreciation
Book Value	1170628	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2482545	OtherCostOrOtherBasis
Book Value	2482545	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	15282530	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
REFUNDABLE ADVANCES	$58,680
OTHER NON-CURRENT LIABILITY	$42,481

Field	Value	IRS element (for citing)
Total Of Amounts	101161	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	47545065	TotRevenueEtcAuditedFinclStmt
Other Revenues	55834	OtherRevenues
Revenue Not Rptd F990	55834	RevenueNotRptdF990
Revenue Subtotal	47489231	RevenueSubtotal
Total Revenue Per Form990	47489231	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	43444931	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	43444931	ExpensesSubtotal
Total Expenses Per Form990	43444931	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTE	SCHEDULE D, PAGE 3, PART X	INCOME TAXES: THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION'S FORMS 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX ARE GENERALLY SUBJECT TO EXAMINATION FOR THREE YEARS AFTER THEY WERE FILED, AND THE RELATED STATE OF ARIZONA FORMS 99 ARE GENERALLY SUBJECT TO EXAMINATION FOR FOUR YEARS FROM THE LATER OF THE DUE DATE OR THE FILE DATE OF THE TAX RETURN.
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 2D	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 55,834

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
JOHN SWAGERT
CEO	338465	2400	21322	362187
DAVINDER SINGH
MEDICAL DIRECTOR	232477		21143	253620
CONSTANCE TUCKER
MEDICAL DIRECTOR	200000		20453	220453
DAVID ELDREDGE
PHYSICIAN	265000		14222	279222
GEORGE DAVIDSON
PHYSICIAN	264992		21572	286564
JOHN HARPENAU
PHYSICIAN	255001		21103	276104
MOHAMMAD AHMAD
PHYSICIAN	255001		8587	263588
CARL BRONITSKY
PHYSICIAN	252066		8332	260398

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	2306909	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR VALUE	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	EQUIPMENT	Description
Noncash Contribs Rptd F990	85000	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR VALUE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	MOUNTAIN PARK SUSTAINS AND IMPROVES HEALTH BY PROVIDING AFFORDABLE PRIMARY CARE TO THE NEEDY AND UNDERINSURED IN THE GREATER PHOENIX AREA. IN 1983, MOUNTAIN PARK HEALTH CENTER BEGAN SERVING THE COMMUNITY WITH 1 DOCTOR AND 1 CLINIC LOCATION. TODAY, OUR COMMUNITY HEALTH CENTER HAS 5 CLINICS IN DIVERSE NEIGHBORHOODS ACROSS THE VALLEY INCLUDING PRIMARY MEDICAL, DENTAL, PHARMACEUTICAL, AND INTEGRATED HEALTH CARE. THE CENTER PROVIDED 215,000 MEDICAL, DENTAL, AND INTEGRATED HEALTH VISITS TO 60,000 PATIENTS IN 2012. OUR COMMITMENT TO THE COMMUNITY IS TO KEEP HEALTHCARE AFFORDABLE AND ACCESSIBLE.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE ORGANIZATION PREPARES THE INFORMATION IN CONSULTATION WITH ITS CONTRACTED INDEPENDENT AUDIT FIRM. THE FINANCE AND AUDIT COMMITTEE REVIEWS AND APPROVES THE FINAL VERSION BEFORE SUBMISSION. THE BOARD OF DIRECTOR'S APPROVES THE FINAL VERSION BEFORE SUBMISSION.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	BOARD MEMBERS REVIEW AND SIGN THE CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY. EMPLOYEES ARE REQUIRED BY POLICY TO SIGN THE POLICY UPON HIRE AND ANNUALLY TO SELF DISCLOSE POTENTIAL CONFLICTS AT THE TIME THEY ARISE.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	SALARIES ARE DETERMINED BY A COMBINATION OF THE RESULTS OF PERFORMANCE EFFECTIVENESS REVIEWS AND SALARY SURVEY DATA FOR COMPARABLE JOBS COMPILED BY AN INDEPENDENT FIRM. THE CEO SALARY IS SET AND REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND COMPARED TO SURVEY DATA FOR COMPARABLE JOBS.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	SALARIES ARE DETERMINED BY A COMBINATION OF THE RESULTS OF PERFORMANCE EFFECTIVENESS REVIEWS AND SALARY SURVEY DATA FOR COMPARABLE JOBS COMPILED BY AN INDEPENDENT FIRM.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
RECONCILIATION OF CHANGES - OTHER	FORM 990, PART XI, LINE 9	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 55,834

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	MOUNTAIN PARK HEALTH CTR FOUNDATION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2702 N 3RD STREET SUITE 4020	AddressLine1
City	PHOENIX	City
State	AZ	State
ZIP Code	85004	ZIPCode

Field	Value	IRS element (for citing)
EIN	205241918	EIN
Primary Activities	SUPPORTING	PrimaryActivities
Legal Domicile State	AZ	LegalDomicileState
Exempt Code Section	3	ExemptCodeSection
Public Charity Status	7	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	MOUNTAIN PARK HEALTH CTR FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	Q	TransactionType
Amount Involved	65769	AmountInvolved
Method Of Amt Determination	FMV	MethodOfAmtDetermination