PIMA COMMUNITY ACCESS PROGRAM: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PIMA COMMUNITY ACCESS PROGRAM (EIN 86-1014012)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-09-12
IRS object ID
201142559349300719
Schema version
2010v3.4
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)
Timestamp2011-09-12T13:20:00-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN861014012EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PIMA COMMUNITY ACCESS PROGRAM INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPIMANameControl
Phone5203092428Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13480 E BRITANNIA DRIVEAddressLine1
Address Line2ROOM/SUITE 120AddressLine2
CityTUCSONCity
StateAZState
ZIP Code85706ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAL GOFORTHName
TitleCEOTitle
Phone5203092428Phone
Date Signed2011-09-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM F CHAPMANName
Phone6022643077Phone
Date Prepared2011-09-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAL GOFORTHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12501 E ELM STREETAddressLine1
CityTUCSONCity
StateAZState
ZIP Code85716ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1094986GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MYPCAP.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionPCAP PROVIDES AND EFFECTIVE, COORDINATED SYSTEM FOR ACCESSING COMPREHENSIVE HEALTH CARE AT HIGHLY DISCOUNTED RATES FOR ALL LOW INCOME, UNINSURED RESIDENTS OF PIMA AND SANTA CRUZ COUNTIES. THE GOAL IS TO IMPROVE HEALTH CARE OUTCOMES, TO REDUCE UNCOMPENSATED CARE AND TO FACILITATE EQUITABLE DISTRIBUTION OF CARE FOR FOR OUR TARGETED POPULATION AMONG PROVIDERS IN OUR COMMUNITY. PCAP'S MISSION IS TO PROMOTE THE HEALTH OF MEDICALLY UNDERSERVED INDIVIDUALS AND FAMILIES BY ENROLLING ALL WHO ARE ELIGIBLE IN EITHER PCAP OR PUBLIC HEALTH PROGRAMS, TO FACILITATE PRIMARY CARE AND SPECIALTY SERVICES AND TO HELP REDUCE THE NUMBER OF AVOIDABLE HOSPITAL ADMISSIONS AND INAPPROPRIATE USE OF COMMUNITY EMERGENCY DEPARTMENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees11TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year388015ContributionsGrantsPriorYear
Contributions Grants Current Year746554ContributionsGrantsCurrentYear
Program Service Revenue Prior Year258240ProgramServiceRevenuePriorYear
Program Service Revenue CY298335ProgramServiceRevenueCY
Investment Income Prior Year3463InvestmentIncomePriorYear
Investment Income Current Year1542InvestmentIncomeCurrentYear
Other Revenue Prior Year68448OtherRevenuePriorYear
Other Revenue Current Year48555OtherRevenueCurrentYear
Total Revenue Prior Year718166TotalRevenuePriorYear
Total Revenue Current Year1094986TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year534062SalariesEtcPriorYear
Salaries Etc Current Year537682SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year614595OtherExpensePriorYear
Other Expenses Current Year466377OtherExpensesCurrentYear
Total Expenses Prior Year1148657TotalExpensesPriorYear
Total Expenses Current Year1004059TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-430491RevenuesLessExpensesPriorYear
Revenues Less Expenses CY90927RevenuesLessExpensesCY
Total Assets BOY633209TotalAssetsBOY
Total Assets EOY622961TotalAssetsEOY
Total Liabilities BOY168132TotalLiabilitiesBOY
Total Liabilities EOY66957TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY465077NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY556004NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPCAP PROVIDES AND EFFECTIVE, COORDINATED SYSTEM FOR ACCESSING COMPREHENSIVE HEALTH CARE AT HIGHLY DISCOUNTED RATES FOR ALL LOW INCOME, UNINSURED RESIDENTS OF PIMA AND SANTA CRUZ COUNTIES. THE GOAL IS TO IMPROVE HEALTH CARE OUTCOMES, TO REDUCE UNCOMPENSATED CARE AND TO FACILITATE EQUITABLE DISTRIBUTION OF CARE FOR FOR OUR TARGETED POPULATION AMONG PROVIDERS IN OUR COMMUNITY. PCAP'S MISSION IS TO PROMOTE THE HEALTH OF MEDICALLY UNDERSERVED INDIVIDUALS AND FAMILIES BY ENROLLING ALL WHO ARE ELIGIBLE IN EITHER PCAP OR PUBLIC HEALTH PROGRAMS, TO FACILITATE PRIMARY CARE AND SPECIALTY SERVICES AND TO HELP REDUCE THE NUMBER OF AVOIDABLE HOSPITAL ADMISSIONS AND INAPPROPRIATE USE OF COMMUNITY EMERGENCY DEPARTMENTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense886171Expense
DescriptionTO LINK LOW INCOME, UNINSURED RESIDENTS OF PIMA COUNTY WITH AN AFFORDABLE, COMPREHENSIVE AND COORDINATED NETWORK OF HEALTHCARE PROVIDERS.Description
Total Program Service Expense886171TotalProgramServiceExpense
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 EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
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 RequiredfalseScheduleJRequired
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 ContributionsfalseDeductibleNonCashContributions
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 With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees11NumberOfEmployees
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 Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
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 ORGANIZATIONNamePerson
Telephone Number5203092928TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13480 E BRITANNIA DR SUITE 120AddressLine1
CityTUCSONCity
StateAZState
ZIP Code85706ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
KIM BURTON
DIRECTOR2.00X000
KATHY BYRNE
DIRECTOR2.00X000
ANDREA CHIASSON
DIRECTOR2.00X000
MIKE CODY
DIRECTOR2.00X000
DAWN DANIEL
DIRECTOR2.00X000
WALTER HARDESTY
DIRECTOR2.00X000
GAIL WINTERKORN
DIRECTOR2.00X000
MARY KAEHLER
DIRECTOR2.00X000
LIBBY LONERGAN
DIRECTOR2.00X000
JUDE MAGERS
DIRECTOR2.00X000
FAITMA MCCASLAND
DIRECTOR2.00X000
STEVE NASH
DIRECTOR2.00X000
SUSIE NASH
SECRETARY/TR2.00X000
DANA PEPPER
DIRECTOR2.00X000
ED SICURELLO
VICE PRESIDE2.00X000
JUANITA SIMMONS
DIRECTOR2.00X000
LIZ TEMPLE
DIRECTOR2.00X000
CLARENCE VATNE
PRESIDENT2.00X000
DAVID YARGER
DIRECTOR2.00X000
CHRIS TUCCI
DIRECTOR2.00X000
MICHAL GOFORTH
CEO40.0085150500021032X
FieldValueIRS element (for citing)
Total Reportable Comp From Org85150TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5000TotalReportableCompFrmRltdOrgs
Total Other Compensation21032TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CARONDELET FOUNDATIONBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1120 N TUCSON BLVDAddressLine1
CityTUCSONCity
StateAZState
ZIP Code85716ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesOUTREACHDescriptionOfServices
Compensation133744Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants746554GovernmentGrants
Total Contributions746554TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Total Revenue Column298335TotalRevenueColumn
Related Or Exempt Function Income298335RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue298335TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1542TotalRevenueColumn
Exclusion$1,542ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHERDescription
Total Revenue Column48555TotalRevenueColumn
Related Or Exempt Function Income48555RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue48555TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1094986TotalRevenueColumn
Related Or Exempt Function Income346890RelatedOrExemptFunctionIncome
Exclusion$1,542ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total111182Total
Program Services89369ProgramServices
Management And General21813ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total323318Total
Program Services259884ProgramServices
Management And General63434ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total17090Total
Program Services11231ProgramServices
Management And General5859ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total86092Total
Program Services77509ProgramServices
Management And General8583ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1266Total
Program Services1266ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11300Total
Program Services9850ProgramServices
Management And General1450ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total82Total
Program Services82ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1813Total
Program Services1813ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total28991Total
Program Services24844ProgramServices
Management And General4147ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total640Total
Program Services640ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACTUAL SERVICES3808233790731750
SUPPLIES1505914249810
UTILITIES775856622096
MARKETING60006000
TELEPHONE499835591439

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7647Total
Program Services7140ProgramServices
Management And General507ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1004059Total
Program Services886171ProgramServices
Management And General117888ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY421114BOY
EOY432493EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY209002BOY
EOY184332EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3093BOY
EOY6136EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY633209BOY
EOY622961EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY162763BOY
EOY66957EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY5369BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY168132BOY
EOY66957EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY465077BOY
EOY556004EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY465077BOY
EOY556004EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY633209BOY
EOY622961EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses90927ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years460674CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years697465CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years552589CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year388015CurrentTaxYearMinus1Year
Current Tax Year746554CurrentTaxYear
Total2845297Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years314672CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years277621CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years239748CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year326688CurrentTaxYearMinus1Year
Current Tax Year346890CurrentTaxYear
Total1505619Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years775346CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years975086CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years792337CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year714703CurrentTaxYearMinus1Year
Current Tax Year1093444CurrentTaxYear
Total4350916Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years306768CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years267567CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years231666CurrentTaxYearMinus2Years
Total806001Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years306768CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years267567CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years231666CurrentTaxYearMinus2Years
Total806001Total
FieldValueIRS element (for citing)
Public Support Total5093544915PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15053CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30294CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15836CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3463CurrentTaxYearMinus1Year
Current Tax Year1542CurrentTaxYear
Total66188Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15053CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30294CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15836CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3463CurrentTaxYearMinus1Year
Current Tax Year1542CurrentTaxYear
Total66188Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years790399CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1005380CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years808173CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year718166CurrentTaxYearMinus1Year
Current Tax Year1094986CurrentTaxYear
Total4417104Total
FieldValueIRS element (for citing)
Public Support Percentage5090.80250PublicSupportPercentage509
Prior Year Support Percentage0.63090PriorYearSupportPercentage
Investment Income Percentage0.01000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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
Total Revenue1094986TotalRevenue
Total Expenses1004059TotalExpenses
Excess Or Deficit For Year90927ExcessOrDeficitForYear
Excess Or Deficit Per FS90927ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1094986TotRevenueEtcAuditedFinclStmt
Revenue Subtotal1094986RevenueSubtotal
Total Revenue Per Form9901094986TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1004059TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1004059ExpensesSubtotal
Total Expenses Per Form9901004059TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONPCAP PROVIDES AND EFFECTIVE, COORDINATED SYSTEM FOR ACCESSING COMPREHENSIVE HEALTH CARE AT HIGHLY DISCOUNTED RATES FOR ALL LOW INCOME, UNINSURED RESIDENTS OF PIMA AND SANTA CRUZ COUNTIES. THE GOAL IS TO IMPROVE HEALTH CARE OUTCOMES, TO REDUCE UNCOMPENSATED CARE AND TO FACILITATE EQUITABLE DISTRIBUTION OF CARE FOR FOR OUR TARGETED POPULATION AMONG PROVIDERS IN OUR COMMUNITY. PCAP'S MISSION IS TO PROMOTE THE HEALTH OF MEDICALLY UNDERSERVED INDIVIDUALS AND FAMILIES BY ENROLLING ALL WHO ARE ELIGIBLE IN EITHER PCAP OR PUBLIC HEALTH PROGRAMS, TO FACILITATE PRIMARY CARE AND SPECIALTY SERVICES AND TO HELP REDUCE THE NUMBER OF AVOIDABLE HOSPITAL ADMISSIONS AND INAPPROPRIATE USE OF COMMUNITY EMERGENCY DEPARTMENTS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE CEO WILL REVIEW THE TAX RETURN. THEN THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WILL REVIEW THE TAX RETURN AND MAKE A MOTION TO THE FULL BOARD. THE FULL BOARD WILL APPROVE AT THE BOARD MEETING. IF MEETING IS NOT AVAILABLE, THE TAX RETURN WILL BE SUBMITTED VIA EMAIL TO THE EXECUTIVE COMMITTEE MEMBERS AND THEN REVIEWED AND APPROVED VIA EMAIL.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CVIOLATIONS: IN MATTERS RELATED TO BOARD MEMBERS, REVIEW AND FOLLOW-UP WILL BE THE RESPONSIBILITY OF THE BOARD PRESIDENT. IN MATTERS RELATED TO THE MEDICAL OR DENTAL STAFF, REVIEW AND FOLLOW-UP WILL BE THE RESPONSIBILITY OF THE MEDICAL DIRECTOR. IN MATTERS RELATED TO ALL OTHER EMPLOYEES AND ASSOCIATED PERSONNEL, REVIEW AND FOLLOW-UP WILL BE THE RESPONSIBILITY OF THE CEO. IF REVIEW / INVESTIGATION SHOULD DISCOVER: -REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST; THEY SHALL INFORM THE INDIVIDUAL OF THE BASIS FOR SUCH BELIEF AND AFFORD THE INDIVIDUAL AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. -IF, AFTER HEARING THE RESPONSE OF THE INDIVIDUAL AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, A DETERMINATION SHALL BE MADE THAT THE INDIVIDUAL HAS, IN FACT, FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION SHALL BE TAKEN.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE PROCESS FOR DETERMINING COMPENSATION OF THE KEY EMPLOYEES INCLUDE A REVIEW AND APPROVAL BASED ON COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION SURVEY OR STUDY.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE PROCESS FOR DETERMINING COMPENSATION OF THE KEY EMPLOYEES INCLUDE A REVIEW AND APPROVAL BASED ON COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION SURVEY OR STUDY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19CURRENTLY IT IS AVAILABLE UPON REQUEST- WE DO SHARE WITH ALL OUR CONTRACTORS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1EL RIO SANTA CRUZ NEIGHBORHOODBusinessNameLine1
Business Name Line2HEALTH CENTER INCBusinessNameLine2

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1839 W CONGRESS STREETAddressLine1
CityTUCSONCity
StateAZState
ZIP Code85745ZIPCode
FieldValueIRS element (for citing)
EIN860285857EIN
Primary ActivitiesHEALTHCAREPrimaryActivities
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 OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1EL RIO SANTA CRUZBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeNTransactionType
Amount Involved537682AmountInvolved
Method Of Amt DeterminationACTUAL AMOUNT PAIDMethodOfAmtDetermination

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