FURP.ORG / PUBLIC DATA EXPLORER

MOUNTAIN PARK HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MOUNTAIN PARK HEALTH CENTER (EIN 86-0498020)
Tax period
2011-12-01 to 2012-11-30
Filed
2013-10-02
IRS object ID
201302759349300810
Schema version
2011v1.5
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)
Timestamp2013-10-02T11:12:41-05:00Timestamp
Tax Period End Date2012-11-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18283 N HAYDEN RD STE 200AddressLine1
CitySCOTTSDALECity
StateAZState
ZIP Code852582456ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-12-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN860498020EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN PARK HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMOUNNameControl
Phone6023233344Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12702 N 3RD STREET SUITE 4020AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code850044608ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHRIS HEWETTName
TitleCFOTitle
Phone6023233344Phone
Date Signed2013-09-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRACHEL R LOCKE CPAName
Phone6022643077Phone
Date Prepared2013-10-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHRIS HEWETT CFONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12702 NORTH 3RD STREET SUITE 4020AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code850044608ZIPCode
FieldValueIRS element (for citing)
Gross Receipts45423818GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteMOUNTAINPARKHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionMOUNTAIN 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 BEHAVIORAL HEALTH CARE. THE CENTER PROVIDED 215,000 MEDICAL, DENTAL, AND BEHAVIORAL 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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees657TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year19688880ContributionsGrantsPriorYear
Contributions Grants Current Year15498136ContributionsGrantsCurrentYear
Program Service Revenue Prior Year26955428ProgramServiceRevenuePriorYear
Program Service Revenue CY29666538ProgramServiceRevenueCY
Investment Income Prior Year522InvestmentIncomePriorYear
Investment Income Current Year216InvestmentIncomeCurrentYear
Other Revenue Prior Year256111OtherRevenuePriorYear
Other Revenue Current Year258928OtherRevenueCurrentYear
Total Revenue Prior Year46900941TotalRevenuePriorYear
Total Revenue Current Year45423818TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year25578774SalariesEtcPriorYear
Salaries Etc Current Year27221282SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year86154TotalFundrsngExpCurrentYear
Other Expense Prior Year14113241OtherExpensePriorYear
Other Expenses Current Year17358600OtherExpensesCurrentYear
Total Expenses Prior Year39692015TotalExpensesPriorYear
Total Expenses Current Year44579882TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7208926RevenuesLessExpensesPriorYear
Revenues Less Expenses CY843936RevenuesLessExpensesCY
Total Assets BOY26378386TotalAssetsBOY
Total Assets EOY28722993TotalAssetsEOY
Total Liabilities BOY7397087TotalLiabilitiesBOY
Total Liabilities EOY8996073TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18981299NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19726920NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMOUNTAIN 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 BEHAVIORAL HEALTH CARE. THE CENTER PROVIDED 215,000 MEDICAL, DENTAL, AND BEHAVIORAL HEALTH VISITS TO 60,000 PATIENTS IN 2012. OUR COMMITMENT TO THE COMMUNITY IS TO KEEP HEALTHCARE AFFORDABLE AND ACCESSIBLE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense31850852Expense
DescriptionMOUNTAIN 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 Expense31850852TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109679NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees657NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTHE CENTERNamePerson
Telephone Number6023233344TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12702 N 3RD STREET SUITE 4020AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code850044608ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CORDELIA FAYE LOVE
DIRECTOR2.00X000
ELIZABETH MCNAMEE
CHAIR2.00X000X
MANNY TARANGO
DIRECTOR2.00X000
MOHAMED ABUKAR
DIRECTOR2.00X000
RICHARD SIEVER
DIRECTOR2.00X000
JOSEPH LOSADA
DIRECTOR2.00X000
KATE HANLEY
DIRECTOR2.00X000
KATHERINE CECALA
SECRETARY/TR2.00X000X
RITA KHALAF
DIRECTOR2.00X000
ARNOLD JACKSON
VICE CHAIR2.00X000X
LINDA HUFF REDMAN
DIRECTOR2.00X000
SCOTT GORMAN
DIRECTOR2.00X000
JOHN SWAGERT
CEO40.00320541024934X
CHRIS HEWETT
CFO40.0013262507343X
RACHEL LAMBERT
COO40.0013112907273X
DAVINDER SINGH
MEDICAL DIRE40.00228231027465X
CONSTANCE TUCKER
MEDICAL DIR40.00200000021873X
GEORGE DAVIDSON
PHYSICIAN40.00272192022181X
DAVID ELDREDGE
PHYSICIAN40.0026500002381X
JOHN HARPENAU
PHYSICIAN40.00262200021928X
MOHAMMAD AHMAD
PHYSICIAN40.00248135028204X
ROBERT RIBGY
PHYSICIAN40.00245000023689X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2305053TotalReportableCompFromOrg
Total Other Compensation187271TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
COSMOPOLITAN MEDICAL COMMUNICATIONS
5665 W BEVERLY LANEGLENDALEAZ85306ANSWERING SVC1518616
ONENECK IT SERVICES CORP
5301 NORTH PIMA ROAD STE 100SCOTTSDALEAZ85250IT SERVICES1173199
ECLINICAL WORKS
2 TECHNOLOGY DRIVEWESTBOROUGHMA01581MEDICAL RECORDS894060
KB PROPERTY MAINTENANCE
JANITORIALGLENDALEAZ85308JANITORIAL7650815903 W MICHIGAN AVENUE
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants14945016GovernmentGrants
All Other Contributions553120AllOtherContributions
Noncash Contributions2194060NoncashContributions
Total Contributions15498136TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE2778878027788780
PHARMACY REVENUE18777581877758
FieldValueIRS element (for citing)
Total Program Service Revenue29666538TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column216TotalRevenueColumn
Exclusion$216ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME197363197363
DEBT FORGIVENESS6156561565
FieldValueIRS element (for citing)
Total Other Revenue258928TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column45423818TotalRevenueColumn
Related Or Exempt Function Income29925466RelatedOrExemptFunctionIncome
Exclusion$216ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1101414Total
Program Services881130ProgramServices
Management And General218081ManagementAndGeneral
Fundraising2203Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total22539029Total
Program Services18025759ProgramServices
Management And General4468358ManagementAndGeneral
Fundraising44912Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total343951Total
Program Services244260ProgramServices
Management And General99691ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1660053Total
Program Services1178902ProgramServices
Management And General481151ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1576835Total
Program Services1116201ProgramServices
Management And General457031ManagementAndGeneral
Fundraising3603Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total68956Total
Program Services68956ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total57854Total
Program Services57854ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1410520Total
Program Services1410520ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total389931Total
Program Services389931ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1042571Total
Program Services1042571ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total62703Total
Program Services62703ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CONTRACTUAL SERVICES63277051269166503261325926
MEDICAL SUPPLIES24233912052869369990532
GENERAL & ADMINISTRATIVE223463113927638328908978
IN-KIND21940602194060

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1146278Total
Program Services463207ProgramServices
Management And General683071ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total44579882Total
Program Services31850852ProgramServices
Management And General12642876ManagementAndGeneral
Fundraising86154Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5428314BOY
EOY2937085EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY5727631BOY
EOY7691686EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1559019BOY
EOY1722991EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY122451BOY
EOY97602EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY62194BOY
EOY65695EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY131481BOY
EOY164006EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis23186364LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7320368LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12959763BOY
EOY15865996EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY387533BOY
EOY177932EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY26378386BOY
EOY28722993EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2629332BOY
EOY1883811EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4711162BOY
EOY6298375EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY684403EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY56593BOY
EOY129484EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7397087BOY
EOY8996073EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18981299BOY
EOY19726920EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18981299BOY
EOY19726920EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26378386BOY
EOY28722993EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses843936ReconcilationRevenueExpenses
Reconcilation Other Changes-98315ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10131144CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8812628CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13987747CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19688880CurrentTaxYearMinus1Year
Current Tax Year15498136CurrentTaxYear
Total68118535Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10131144CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8812628CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13987747CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19688880CurrentTaxYearMinus1Year
Current Tax Year15498136CurrentTaxYear
Total68118535Total
FieldValueIRS element (for citing)
Public Support Total17068118535PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years820CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year522CurrentTaxYearMinus1Year
Current Tax Year216CurrentTaxYear
Total1623Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years113626CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years102551CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107580CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year256111CurrentTaxYearMinus1Year
Current Tax Year258928CurrentTaxYear
Total838796Total
FieldValueIRS element (for citing)
Total Support68958954TotalSupport
Gross Receipts From Admissions Etc123106726GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98780PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98930PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1230491OtherCostOrOtherBasis
Book Value1230491BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9277351OtherCostOrOtherBasis
Depreciation3984015Depreciation
Book Value5293336BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6132071OtherCostOrOtherBasis
Depreciation986910Depreciation
Book Value5145161BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3988252OtherCostOrOtherBasis
Depreciation2349443Depreciation
Book Value1638809BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2558199OtherCostOrOtherBasis
Book Value2558199BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15865996TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
OTHER NON-CURRENT LIABILITY$98,315
REFUNDABLE ADVANCES$31,169
FieldValueIRS element (for citing)
Total Of Amounts129484TotalOfAmounts
Total Revenue45423818TotalRevenue
Total Expenses44579882TotalExpenses
Excess Or Deficit For Year843936ExcessOrDeficitForYear
Other-$98,315OtherAmount
Total Adjustments-98315TotalAdjustments
Excess Or Deficit Per FS745621ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt45423818TotRevenueEtcAuditedFinclStmt
Revenue Subtotal45423818RevenueSubtotal
Total Revenue Per Form99045423818TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt44678197TotExpensesEtcAuditedFinclStmt
Other Expenses Included98315OtherExpensesIncluded
Expenses Not Rptd F99098315ExpensesNotRptdF990
Expenses Subtotal44579882ExpensesSubtotal
Total Expenses Per Form99044579882TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -98,315
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DCHANGE IN FAIR VALUE OF INTEREST RATE SWAP 98,315

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
JOHN SWAGERT
313941660024934345475
DAVINDER SINGH
22823127465255696
CONSTANCE TUCKER
20000021873221873
GEORGE DAVIDSON
27219222181294373
DAVID ELDREDGE
2650002381267381
JOHN HARPENAU
26220021928284128
MOHAMMAD AHMAD
24813528204276339
ROBERT RIBGY
24500023689268689

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9902194060NoncashContribsRptdF990
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONMOUNTAIN 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 BEHAVIORAL HEALTH CARE. THE CENTER PROVIDED 215,000 MEDICAL, DENTAL, AND BEHAVIORAL 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 990FORM 990, PAGE 6, PART VI, LINE 11BTHE ORGANIZATION PREPARED THE INFORMATION IN CONSULTATION WITH ITS CONTRACTED INDEPENDENT AUDIT FIRM. THE ORGANIZATION'S FINANCE AND AUDIT COMMITTEE AND BOARD OF DIRECTORS REVIEWS AND APPROVES THE FINAL VERSION BEFORE SUBMISSION.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CBOARD 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 OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ASALARIES 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 OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BSALARIES 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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN PARK HEALTH CTR FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12702 N 3RD STREET SUITE 4020AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85004ZIPCode
FieldValueIRS element (for citing)
EIN205241918EIN
Primary ActivitiesSUPPORTINGPrimaryActivities
Legal Domicile StateAZLegalDomicileState
Exempt Code Section3ExemptCodeSection
Public Charity Status7PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MOUNTAIN PARK HEALTH CTR FOUNDATION
N50718FMV
MOUNTAIN PARK HEALTH CTR FOUNDATION
P20012FMV