2024-04-22T13:25:12-05:00 2023-03-31 341884125 CBIZ MHM LLC 4722 N 24TH ST STE 300 PHOENIX AZ 85016 990 2022-04-01 860873658 CHC COLLABORATIVE VENTURES CHCC 4807509024 700 E JEFFERSON ST SUITE 100 PHOENIX AZ 85034 JESSICA YANOW CEO 4807509024 2024-04-15 1 JESSICA YANOW 999009999 1 KRISTEN BASS P01247587 6022646835 2024-04-15 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z COLLABORATIVE VENTURES NETWORK JESSICA YANOW 700 E JEFFERSON ST SUITE 100 PHOENIX AZ 85034 299542 0 X WWW.HEALTHYARIZONA.ORG X 1997 AZ ADVANCING HEALTH INFORMATION EXCHANGE AND TECHNOLOGY-ENABLED QUALITY IMPROVEMENT STRATEGIES... ADVANCING HEALTH INFORMATION EXCHANGE AND TECHNOLOGY-ENABLED QUALITY IMPROVEMENT STRATEGIES FOR EFFECTIVENESS, EFFICIENCY AND VALUE AT COMMUNITY HEALTH CENTERS. 17 17 0 17 0 0 783021 299542 0 0 0 0 0 0 783021 299542 0 0 0 0 7560 152945 0 0 0 773761 145120 781321 298065 1700 1477 233795 153715 131264 49707 102531 104008 TO FOSTER COLLABORATIVE BUSINESS ACTIVITIES WHICH ENHANCE COMMUNITY HEALTH CENTERS' INDIVIDUAL ABILITIES TO SERVE THEIR COMMUNITIES TO MEET THE NEEDS OF ARIZONA'S UNINSURED, UNDERINSURED AND UNDERSERVED. 0 0 245715 FOSTER COLLABORATIVE BUSINESS ACTIVITIES WHICH ENHANCE COMMUNITY HEALTH CENTER'S INDIVIDUAL ABILITIES TO MEET THE NEEDS OF ARIZONA'S UNINSURED, UNDERINSURED AND UNDERSERVED. 245715 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X BRENDA HANSERD 4807509024 700 E JEFFERSON ST SUITE 100 PHOENIX AZ 85034 JONATHAN LEONARD PRESIDENT 0.50 2.00 X X 0 0 0 WALTER MURILLO VICE-PRESIDENT 0.50 2.00 X X 0 0 0 BLAINE BANDI SECRETARY 0.25 2.00 X X 0 0 0 EDDIE ESTRADA TREASURER 0.25 2.00 X X 0 0 0 CHRISTOPHER CJ HANSEN IMMEDIATE PAST PRESIDENT 0.50 2.00 X 0 0 0 CLINT KUNTZ IMMEDIATE PAST PRESIDENT 0.25 2.00 X 0 0 0 DAN BARBARA DIRECTOR 0.25 2.00 X 0 0 0 JOSH CARZOLI DIRECTOR 0.50 2.00 X 0 0 0 PEDRO CONS DIRECTOR 0.25 2.00 X 0 0 0 KIM DESPRES DIRECTOR 0.25 2.00 X 0 0 0 LESLIE HORTON DIRECTOR 0.25 2.00 X 0 0 0 JONATHAN MELK DIRECTOR 0.25 2.00 X 0 0 0 ANNE NEWLAND DIRECTOR 0.25 2.00 X 0 0 0 DAN PREVOST DIRECTOR 0.25 2.00 X 0 0 0 MIKE RENAUD DIRECTOR 0.25 2.00 X 0 0 0 DAVID ROGERS DIRECTOR 0.25 2.00 X 0 0 0 JOHN SWAGERT DIRECTOR 0.50 2.00 X 0 0 0 JESSICA YANOW CEO 4.00 36.00 X 0 222101 22232 LISA NIERI COO 15.00 25.00 X 0 130606 18339 BRENDA HANSERD CFO 4.00 36.00 X 0 102414 8684 DAVID BABANI TAPI HEALTH CARE REVENUE PRG MGR 4.00 36.00 X 0 106910 15688 JENNIFER TINNEY TAPI PROGRAM DIRECTOR 4.00 36.00 X 0 109319 11781 0 671350 76724 0 0 1 0 0 1700 297417 425 299542 299542 0 0 0 X 120648 97043 23605 4235 3415 820 18769 15136 3633 9293 7475 1818 6810 6810 18277 18277 98624 97436 1188 203 163 40 1929 1556 373 9016 7271 1745 4952 4952 740 740 2293 1849 444 LICENSES & FEES 813 688 125 DUES & SUBSCRIPTIONS 550 444 106 PAYROLL COST 425 343 82 POSTAGE 414 334 80 74 60 14 298065 245715 52350 0 157840 97495 75455 51855 500 4365 43833 43833 0 0 233795 153715 24142 17333 107122 32374 131264 49707 X 102531 104008 102531 104008 233795 153715 1477 0 X 0 0 0 X 1179328 1157939 965337 783021 299542 4385167 1179328 1157939 965337 783021 299542 4385167 4385167 4385167 125216 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 43833 43833 0 0 DUE TO RELATED PARTY 32374 32374 0 0 0 0 0 0 0 0 0 JESSICA YANOW CEO 0 222101 0 0 0 0 0 5899 0 16333 0 244333 0 0 SCHEDULE J, PART I AND II THE ORGANIZATION HAS NO EMPLOYEES. COMPENSATION WAS PAID BY ARIZONA ASSOCIATION OF COMMUNITY HEALTH CENTER, INC ("AACHC"), A RELATED ORGANIZATION. CVN LEASES EMPLOYEES FROM AACHC AND REIMBURSES FOR THE ACTUAL COSTS OF EMPLOYEES' ALLOCATED PAYROLL AND PAYROLL-RELATED EXPENSES BASED ON TIME SPENT ON ACTIVITIES DIRECTLY RELATED TO CVN. FORM 990, PART VI, SECTION A, LINE 3 ARIZONA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC ("AACHC"), A RELATED 501(C)(3) ORGANIZATION, PROVIDES MANAGEMENT AND FINANCIAL OVERSIGT SERVICES TO COLLABORATIVE VENTURES NETWORK ("CVN"). THE ORGANIZATION HAS NO EMPLOYEES. AACHC LEASES EMPLOYEES TO CVN AND MANAGES ITS PAYROLL. CVN REIMBURSES AACHC FOR ACTUAL COSTS OF EMPLOYEES' ALLOCATED PAYROLL AND PAYROLL-RELATED EXPENSES BASED ON AN ALLOCATION OF TIME SPENT ON ACTIVITIES DIRECTLY RELATED TO CVN. COMPENSATION REPORTED ON LINES 7 - 10 OF PART IX IS FOR REIMBURSED ALLOCATED PAYROLL COSTS FOR EMPLOYEES PAID BY THE RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED ITS BYLAWS TO UPDATE THE STRUCTURE OF ITS BOARD OF DIRECTORS AND EXECUTIVE COMMITTEE, AS SUMMARIZED BELOW. IN ADDITION, THE ELECTED OFFICERS OF THE CORPORATION SHALL NOW SERVE FOR TWO YEAR TERMS. THE NUMBER OF DIRECTORS SHALL BE EQUAL TO THE NUMBER OF MEMBERS OF THE CORPORATION PLUS TWO (2) EX OFFICIO MEMBERS. THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF SEVEN (7) PERSONS, CONSISTING OF THE AACHC PRESIDENT AND CHIEF EXECUTIVE OFFICER/PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION, WHO SHALL SERVE WITHOUT VOTE; THE CHAIR OF THE AACHC BOARD OF DIRECTORS (OR OTHER APPOINTED AACHC REPRESENTATIVE IF THE CHAIR IS NOT ELIGIBLE), AND THE CHAIR, VICE CHAIR, SECRETARY, TREASURER, AND IMMEDIATE PAST CHAIR OF THE CORPORATION. THE CHAIR OF THE AACHC BOARD OF DIRECTORS MAY NOT SERVE AS AN OFFICER OF THE CORPORATION WHILE SERVING AS THE AACHC CHAIR ROLE. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION SHALL HAVE ONE (1) CLASS OF MEMBERS. HEALTH CENTER PROGRAM GRANTEES, LOOK-ALIKES, AND OTHER FEDERALLY QUALIFIED HEALTH CENTERS OPERATING WITHIN ARIZONA MAY BECOME A FULL MEMBER OF THE CORPORATION UPON APPLICATION FOR MEMBERSHIP AND APPROVAL BY THE BOARD OF DIRECTORS OF THE CORPORATION AND UPON RECEIPT OF ASSESSED DUES. AT LEAST 51% OF THE CORPORATION'S MEMBERSHIP SHALL BE COMPRISED OF HEALTH CENTER PROGRAM GRANTEES. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER SHALL HAVE THE RIGHT TO APPOINT ONE DIRECTOR TO THE BOARD OF DIRECTORS WHO SHALL BE THE CHIEF EXECUTIVE OFFICER OF THE MEMBER ORGANIZATION, UNLESS ANOTHER REPRESENTATIVE OF THE MEMBER IS APPROVED BY THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MAY ONLY BE TAKEN UPON THE APPROVAL OF THE MEMBERS: A) DISSOLUTION OF THE CORPORATION; AND B) AMENDMENT OF THE ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION PROVIDES A COPY OF THE 990, VIA EMAIL, TO THE GOVERNING BODY BEFORE IT IS FILED. ANY QUESTIONS AND COMMENTS ARE RESOLVED PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C A COPY OF THE POLICY IS SENT FOR REVIEW BY ALL BOARD MEMBER, EMPLOYEES, CONTRACTORS, AND AGENTS REQUESTING WRITTEN ATTESTATION THAT NO CONFLICT OF INTEREST EXISTS. THE POLICY INCLUDES ACTION TO ADDRESS ANY CONFLICT. NO CONFLICTS WERE NOTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS ARTICLES OF INCORPORATION, BY-LAWS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING & CONTRACTS: PROGRAM SERVICE EXPENSES 97,436. MANAGEMENT AND GENERAL EXPENSES 1,188. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 98,624. ARIZONA ASSOCIATION OF COMMUNITY HEALTH CENTER INC (AACHC) 700 E JEFFERSON ST 100 PHOENIX AZ 85034 860494702 HEALTH SERVICES AZ 501(C)(3) LINE 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0