2019-06-10T17:26:45-05:00 2018-11-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2017-12-01 860498020 MOUNTAIN PARK HEALTH CENTER % KYLE MUNSON MOUN 6023233344 3003 NORTH CENTRAL AVENUE Suite 160 PHOENIX AZ 85012 KYLE MUNSON CFO 6023233344 2019-05-01 true Krystal K Creach P01248198 4178658701 167.68.126.162 43032920191615000004 2019-06-10 P AECC51588B8B05B8A6088E029F5570AF8FA04FA6 39CBA67CBDC84C24964593991C1F330368A3BFFE 2017 2019-02-21 02:37:17Z JOHN SWAGERT MD 3003 NORTH CENTRAL AVENUE PHOENIX AZ 85012 92917810 false X WWW.MOUNTAINPARKHEALTH.ORG X 1984 AZ PROVIDE AFFORDABLE PRIMARY CARE TO THE NEEDY AND UNINSURED IN THE GREATER PHOENIX AREA. 16 16 1040 20 0 69918 18978625 18746986 59893647 73532521 90862 61558 2704020 205947 81667154 92547012 689641 135000 0 0 53113509 55873072 0 0 20181 31193165 33735193 84996315 89743265 -3329161 2803747 87815705 86767780 46139655 42395709 41676050 44372071 X MOUNTAIN PARK SUSTAINS AND IMPROVES HEALTH BY PROVIDING AFFORDABLE PRIMARY CARE TO THE NEEDY AND UNINSURED IN THE GREATER PHOENIX AREA. OUR COMMITMENT TO THE COMMUNITY IS TO KEEP HEALTHCARE AFFORDABLE AND ACCESSIBLE. false true 74575846 135000 73532521 MOUNTAIN PARK HEALTH CENTER PROVIDES ENCOUNTERS TO UNINSURED PATIENTS IN CARRYING OUT ITS TAX-EXEMPT PURPOSE AS A PRIMARY CARE FACILITY. IN 1984, MOUNTAIN PARK HEALTH CENTER BEGAN SERVING THE COMMUNITY WITH ONE DOCTOR AND ONE CLINIC LOCATION. TODAY, OUR COMMUNITY HEALTH CENTER HAS EIGHT CLINICS IN DIVERSE NEIGHBORHOODS ACROSS THE VALLEY, INCLUDING PRIMARY MEDICAL, DENTAL, PHARMACEUTICAL, AND INTEGRATED HEALTH CARE. 74575846 true true true true false false false false true false true false false false false false false true false false false false false false false false false true false true true false false false false false false false false false false true false false false true true true true true false true 85 0 true 1040 true true true false false false false false false false false false X 16 16 false false false false false false false true true false true true true true true true true true true true false AZ X KYLE MUNSON 6023233344 3003 NORTH CENTRAL AVENUE SUITE 16 PHOENIX AZ 85012 ANIELKA CONTRERAS CHAIR BEG 03/18 2.0 0.0 X X 0 0 0 KEITH LINDOR MD VICE CHAIR BEG 04/18 2.0 0.0 X X 0 0 0 KEVIN CAMBERG CPA TREASURER 2.0 0.1 X X 0 0 0 KRISTIN GUBSER CHAIR END 02/18/DIRECTOR 2.0 0.0 X X 0 0 0 DARREN VINER VICE CHAIR BEG 07/18 2.0 0.0 X X 0 0 0 JARRETT SHARP VICE CHAIR/DIRECTOR END 06/18 2.0 0.0 X X 0 0 0 DULCE RUELAS DIRECTOR BEG 03/18 2.0 0.0 X 0 0 0 ELIZABETH MCNAMEE DIRECTOR BEG 03/18 2.0 0.0 X 0 0 0 LORI ROBINSON DIRECTOR 2.0 1.0 X 0 0 0 MARTIN PEREZ DIRECTOR 2.0 0.0 X 0 0 0 PAGE UNDERWOOD DIRECTOR BEG 03/18 2.0 0.0 X 0 0 0 ROGER GRANCORVITZ DIRECTOR 2.0 0.0 X 0 0 0 JORDAN YOUNG DIRECTOR 2.0 0.0 X 0 0 0 RITA KHALAF DIRECTOR 2.0 0.0 X 0 0 0 SIMAN QAASIM DIRECTOR 2.0 0.1 X 0 0 0 ANTHONY TREMONTO DIRECTOR 2.0 0.0 X 0 0 0 LINDA KNUTSON DIRECTOR END 05/18 2.0 0.0 X 0 0 0 RICHARD SIEVER DIRECTOR END 02/18 2.0 1.1 X 0 0 0 DR SCOTT GORMAN DIRECTOR END 02/18 2.0 0.0 X 0 0 0 LINDA REDMAN DIRECTOR 2.0 0.0 X 0 0 0 DR JOHN SWAGERT CHIEF EXECUTIVE OFFICER 45.9 4.1 X 427587 0 77371 DR DAVINDER SINGH CHIEF MEDICAL DIRECTOR 50.0 0.0 X 332201 0 25140 RACHEL LAMBERT CHIEF OPERATING OFFICER 50.0 0.0 X 199763 0 21060 CHRISTOPHER HEWETT CFO END 12/17 49.9 0.1 X 180140 0 20921 ALANA PODWIKA RPH CHIEF INFORMATION OFFICER 50.0 0.0 X 173030 0 16611 STELLA XENAKIS CHIEF COMPLIANCE OFFICER 50.0 0.0 X 130340 0 3858 KYLE MUNSON CFO BEG 05/18 49.9 0.1 X 0 0 0 TROY FOSTER GENERAL COUNSEL END 10/18 45.9 4.1 X 208743 0 25775 MARY SOTO ASSOCIATE DIRECTOR OF PHARMACY 50.0 0.0 X 158847 0 600 NEIL TRACHTENBERG OBSTETRICIAN / GYNECOLOGIST 40.0 0.0 X 273873 0 1452 MOHAMMAD AHMAD OBSTETRICIAN / GYNECOLOGIST 40.0 0.0 X 270912 0 8622 DENISE GENTLES-FORD WOMEN'S HEALTH CHAIR 40.0 0.0 X 234322 0 7019 DONALD CARTER PEDIATRICS CHAIR 40.0 0.0 X 228528 0 16755 FAIZ NAIOOM INTERNAL MEDICINE CHAIR 40.0 0.0 X 223526 0 16821 3041812 0 242005 101 false true false COSMOPOLITAN MEDICAL COMMUNICATIONS 5665 W BEVERLY LANE GLENDALE AZ 85306 OUTSIDE CALL CENTER 3264810 ALLTRAN HEALTH SERVICES INC PO BOX 46150 HOUSTON TX 772106150 BILLING PARTNERS 1434651 SONORA QUEST LABORATORIES 1255 W WASHINGTON ST TEMPE AZ 85281 MEDICAL SERVICES 1125909 ECLINICAL WORKS PO BOX 847950 BOSTON MA 022847950 PATIENT ACCOUNTING 951016 VARSITY FACILITY SERVICES PO BOX 1692 POCATELO ID 83204 JANITORIAL SERVICES 743512 23 17616518 1130468 4129302 18746986 NET PATIENT SERVICE REVENUE 621400 65543052 65543052 PHARMACY REVENUE 446110 5044723 5044723 INCENTIVE REVENUE 621400 2763987 2763987 OTHER REVENUE 621400 87259 87259 E.H.R. REVENUE 621400 93500 93500 73532521 127588 127588 0 0 136947 136947 0 136947 136947 304768 262898 107900 41870 -107900 -66030 -66030 0 0 0 0 0 0 0 0 0 Legal Settlement 900099 69000 69000 69000 92547012 73532521 267505 X 135000 135000 0 0 0 1950814 650986 1299828 0 45702244 40006430 5692002 3812 444453 382822 61631 4494284 3774289 719614 381 3281277 2809061 472216 0 197674 197674 41042 41042 0 0 18221 6142 12079 10149132 8055722 2093410 20576 530 20046 1369364 1017146 336230 15988 2041006 180529 1860477 0 3962453 3354734 607719 163664 88755 74909 0 471806 308389 163417 1691075 1356070 335005 0 2915382 2337840 577542 181998 13780 168218 MEDICAL SUPPLIES & DRUGS 8999962 8999962 REPAIRS AND MAINTENANCE 677028 630830 46198 RECRUITING AND RETENTION 439494 177350 262144 BAD DEBT 200000 200000 195316 89479 105837 89743265 74575846 15147238 20181 13199289 3310462 637693 7892864 1266727 2021559 20027820 19548589 0 0 0 0 0 0 38755 38786 521294 900726 64648555 15524850 48624814 49123705 3069341 3318157 57370 0 0 0 18448 0 354154 612932 87815705 86767780 7631102 7881248 0 0 782757 7248 11720906 11827753 9563 6422 0 0 25995327 22673038 0 0 0 0 46139655 42395709 X 41676050 44188179 0 183892 0 0 41676050 44372071 87815705 86767780 X 2803747 -121663 13937 X false true X true true true X 14166057 17033386 17577421 18978625 18746986 86502475 0 0 14166057 17033386 17577421 18978625 18746986 86502475 0 86502475 16998 223056 300784 246660 264535 1052033 0 672783 1987388 1567616 2553953 69000 6850740 94405248 281931538 0.91629 0.91030 X 35000 0 3500 0 true true false false false false false true 90000 false false false 90000 false SCHEDULE C, PART I-A, LINE 1 POLITICAL CAMPAIGN ACTIVITIES: MOUNTAIN PARK HEALTH CENTER (MPHC), A 501(C)(3), FUNDED BUILDING HEALTHY COMMUNITIES (BHC), A 501(C)(4), DURING FYE 11/30/18. DURING THE SAME YEAR, BHC CONTRIBUTED A TOTAL OF $35,000 TO POLITICAL ACTION COMMITTEES AND CANIDATES, WHICH ARE ALLOWABLE AS A 501(C)(4) ORGANIZATION. HOWEVER, SINCE MPHC FUNDED BHC, MPHC INDIRECTLY FUNDED THE POLITICAL CONTRIBUTIONS, WHICH ARE DISALLOWED FOR A 501(C)(3) ORGANIZATION. SCHEDULE C, PART I-B, LINE 4B CORRECTIONS TO POLITICAL CAMPAIGN ACTIVITIES: UPON RECOGNITION OF DISALLOWED POLITICAL CAMPAIGN ACTIVITIES, MPHC REQUESTED AND IMMEDIATELY RECEIVED A REFUND OF THE TOTAL AMOUNT OF CONTRIBUTIONS DEEMED TO BE INDIRECT POLITICAL CAMPAIGN ACTIVITIES. ADDITIONALLY, MPHC PUT INTO MOTION NEW CONTROLS TO PREVENT MPHC'S FUNDS FROM BEING USED IN ANY MANNER FOR POLITICAL ACTIVITIES AND HAS PROCEEDED WITH SUBMISSION OF DISSOLUTION OF BHC ENTITY SO THAT BHC CANNOT MAKE ANY FUTURE POLITICAL CAMPAIGN ACTIVITIES. SCHEDULE C, PART II-B, LINE 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING: MOUNTAIN PARK HEALTH CENTER MADE CONTRIBUTIONS TO BUILDING HEALTHY COMMUNITIES. THESE FUNDS WERE USED FOR LOBBYING PURPOSES. SCHEDULE C, PART II-B, LINE 1I OTHER LOBBYING ACTIVITIES: IN ADDITION, MPHC PAYS DUES TO THE ARIZONA ALLIANCE FOR COMMUNITY CENTERS, A PORTION OF WHICH MAY BE USED TO LOBBY ON BEHALF OF THEIR MEMBERS. THE SPECIFIC AMOUNT IS UNKNOWN BUT IS INSIGNIFICANT. false true X 8638311 8638311 37984001 9014288 28969713 9386582 2462381 6924201 8559392 4048181 4511211 80269 80269 49123705 SCHEDULE D, PART IV, LINE 2B CUSTODIAL ARRANGEMENTS: THE ORGANIZATION HOLDS SECURITY DEPOSITS FOR TENANTS WHO LEASE SPACE IN A BUILDING. THE FUNDS ARE HELD IN A BANK ACCOUNT UNTIL RETURNED TO THE TENANT. FUNDS ARE REFUNDED TO TENANTS UPON TERMINATION OF THE LEASE. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true BUILDING HEALTHY COMMUNITIES INC 3003 N CENTRAL AVE PHOENIX AZ 85012 815108903 501(C)(4) 125000 TO FUND OPERATIONS MAYA CINEMAS EDUCATION FUND 4730 SW MACADAM AVE PORTLAND OR 97239 473931778 501(C)(3) 10000 SUPPORT 1 1 SCHEDULE I, PART I, LINE 2 MONITORING GRANT FUNDS: BEFORE GIVING A CONTRIBUTION TO A LOCAL CHARITY, MOUNTAIN PARK HEALTH CENTER CONFIRMS THAT THE RECIPIENT IS A QUALIFIED CHARITY OR GOVERNMENT AGENCY. ASIDE FROM THIS CONFIRMATION, MOUNTAIN PARK HEALTH CENTER DOES NOT MONITOR FOR USE OF FUNDS. X X X false true false false false false false false false DR JOHN SWAGERT CHIEF EXECUTIVE OFFICER 426759 0 0 0 828 0 57058 0 20313 0 504958 0 0 0 DR DAVINDER SINGH CHIEF MEDICAL DIRECTOR 331373 0 0 0 828 0 8100 0 17040 0 357341 0 0 0 RACHEL LAMBERT CHIEF OPERATING OFFICER 199223 0 0 0 540 0 5455 0 15605 0 220823 0 0 0 CHRISTOPHER HEWETT CFO END 12/17 179780 0 0 0 360 0 2887 0 18034 0 201061 0 0 0 ALANA PODWIKA RPH CHIEF INFORMATION OFFICER 172681 0 0 0 349 0 2676 0 13935 0 189641 0 0 0 NEIL TRACHTENBERG OBSTETRICIAN / GYNECOLOGIST 271808 0 0 0 2065 0 0 0 1452 0 275325 0 0 0 MOHAMMAD AHMAD OBSTETRICIAN / GYNECOLOGIST 268860 0 0 0 2052 0 7761 0 861 0 279534 0 0 0 DENISE GENTLES-FORD WOMEN'S HEALTH CHAIR 233962 0 0 0 360 0 7019 0 0 0 241341 0 0 0 DONALD CARTER PEDIATRICS CHAIR 227700 0 0 0 828 0 6938 0 9817 0 245283 0 0 0 FAIZ NAIOOM INTERNAL MEDICINE CHAIR 203150 0 0 0 20376 0 6778 0 10043 0 240347 0 0 0 TROY FOSTER GENERAL COUNSEL END 10/18 208203 0 0 0 540 0 5590 0 20185 0 234518 0 0 0 MARY SOTO ASSOCIATE DIRECTOR OF PHARMACY 158527 0 0 0 320 0 600 0 0 0 159447 0 0 0 SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: A 457(F) PLAN WAS ESTABLISHED BEGINNING JANUARY 1, 2017, FOR JOHN SWAGERT, MD, WITH $51,173 DEFERRED DURING THE YEAR. A ARIZONA HEALTH FACILITIES AUTHORITY 860453292 2014-02-27 12225000 SEE PART VI false false false A 0 0 12225000 0 0 0 235913 0 0 7000000 4989087 0 2015 false false true true A false false false false 0 false false false true A false true false false false false 0 false 0 false true A true PART I, COLUMN F PURPOSE OF BOND: TO FINANCE THE CONSTRUCTION, IMPROVEMENT, AND EQUIPPING OF HEALTH CARE FACILITIES FOR USE BY THE BORROWER; TO REFINANCE CERTAIN OF THE BORROWER'S OUTSTANDING OBLIGATIONS FOR THE ACQUISITION AND CONSTRUCTION OF PRIOR HEALTH CARE FACILITIES AND OPERATING EXPENSES; AND TO PAY THE COSTS OF ISSUANCES OF THE SERIES 2014 BONDS. X 195 4129302 FMV false true false SCHEDULE D, PART X, LINE 2 NUMBER OF CONTRIBUTIONS: THE NUMBER ENTERED IN COLUMN B REPRESENTS THE COUNT OF SEPERATE DONATIONS FROM ONE DONOR DURING THE YEAR. FORM 990, PART III, LINE 3 SIGNIFICANT CHANGES TO PROGRAM SERVICES: MOUNTAIN PARK HEALTH CENTER CEASED OPERATIONS AT ITS SUNRISE SCHOOL CLINIC IN MAY 2018. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE FORM 990 IS REVIEWED BY THE FINANCE AND AUDIT COMMITTEES. ONCE THEY HAVE APPROVED THE DRAFT, A FINAL DRAFT IS PRESENTED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: BOARD MEMBERS ANNUALLY REVIEW AND SIGN A CONFLICT OF INTEREST STATEMENT. POTENTIAL CONFLICTS ARE BROUGHT TO THE FULL BOARD FOR A DETERMINATION OF WHETHER A CONFLICTS EXISTS. EMPLOYEES ARE REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT TO DISCLOSE POTENTIAL CONFLICTS. IF THE SITUATION IS UNCLEAR, THE CEO DETERMINES WHETHER A CONFLICT EXISTS. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION REVIEW POLICY: SALARIES ARE DETERMINED BY A COMBINATION OF PERFORMANCE EFFECTIVENESS REVIEWS AND SALARY SURVEY DATA FOR COMPARABLE JOBS COMPILED BY AN INDEPENDENT FIRM. THE SALARIES OF THE CEO AND OTHER OFFICERS ARE SET UP AND REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND COMPARED TO SURVEY DATA FOR COMPARABLE JOBS. THE LAST COMPENSATION REVIEW OCCURRED IN JUNE OF 2018. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ 13,937 CHANGE IN INTEREST RATE SWAP FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE CALL CENTER TOTAL FEES:3133513 FORM 990 PART IX LINE 11G DESCRIPTION:ECW & BILLING CLAIMS PROCESS TOTAL FEES:2683134 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE LAB SERVICES TOTAL FEES:980681 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANTS TOTAL FEES:963267 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY HELP - CONTRACT TOTAL FEES:848005 FORM 990 PART IX LINE 11G DESCRIPTION:ADMIN EXP FOR CONTRACT 340B TOTAL FEES:417454 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:395167 FORM 990 PART IX LINE 11G DESCRIPTION:LANGUAGE INTERPRETATION SRVCS TOTAL FEES:288167 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE PAYROLL SERVICES TOTAL FEES:149878 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION AGENCY EXPENSE TOTAL FEES:146183 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:143683 MOUNTAIN PARK HEALTH CENTER TEMPE BLDG 3003 N CENTRAL AVE STE 1600 PHOENIX AZ 85012 813099857 HOLD PROPERTY AZ 0 11731206 MPHC BASELINE MEDICAL HOLDINGS LLC 3003 N CENTRAL AVE STE 1600 PHOENIX AZ 85012 821688846 OPR ARM OF BL AZ 1201 11352374 MPHC MOUNTAIN PARK HEALTH CENTER FOUNDATION 3003 N CENTRAL AVE STE 1600 PHOENIX AZ 85012 205241918 SUPPORT MPHC AZ 501(C)(3) 12 B II MPHC true BUILDING HEALTHY COMMUNITIES INC 3003 N CENTRAL AVE STE 1600 PHOENIX AZ 85012 815108903 ADVOCACY AZ 501(C)(4) MPHC true BASELINE MEDICAL PROPERTIES INC 3003 N CENTRAL AVE STE 1600 PHOENIX AZ 85012 821671826 TAX CREDITS AZ 501(C)(3) 12 A I MPHC true false true false false false false false false false false false true true true true false false false false BUILDING HEALTHY COMMUNITIES INC B 125000 FMV