| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
| Calendar year (or fiscal year beginning in) | (a) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") | 80,254 | 80,254 | 80,254 | 151,315 | 75,018 | 467,095 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 21,524,585 | 22,223,497 | 22,983,654 | 22,032,907 | 27,988,965 | 116,753,608 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 21,604,839 | 22,303,751 | 23,063,908 | 22,184,222 | 28,063,983 | 117,220,703 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 117,220,703 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6 | 21,604,839 | 22,303,751 | 23,063,908 | 22,184,222 | 28,063,983 | 117,220,703 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources | 58,690 | 100,609 | 407,071 | 466,570 | 485,896 | 1,518,836 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 | ||||||
| c | Add lines 10a and 10b | 58,690 | 100,609 | 407,071 | 466,570 | 485,896 | 1,518,836 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 5,538 | 5,538 | ||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 21,663,529 | 22,404,360 | 23,470,979 | 22,650,792 | 28,555,417 | 118,745,077 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6Total annual distributions. Add lines 1 through 5. | 6 | |
|
7
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
7 | |
| 8 Distributable amount for 2025 from Section C, line 6 | 8 | |
| 9 Line 7 amount divided by Line 8 amount | 9 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2025 |
(iii) Distributable Amount for 2025 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2025 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2025 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2025: | ||||
| a From 2020....... | ||||
| b From 2021....... | ||||
| c From 2022....... | ||||
| d From 2023....... | ||||
| e From 2024....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2025 distributable amount | ||||
|
i
Carryover from 2020 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2025 from Section D, line 6: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2025 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2025, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2025. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2026. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2021..... | ||||
| b Excess from 2022..... | ||||
| c Excess from 2023..... | ||||
| d Excess from 2024..... | ||||
| e Excess from 2025..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | OTHER INCOME |
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 4A: | SPECTRUM MEDICAL CARE CENTER (SMCC) ADVANCES THE HEALTH AND WELL-BEING OF ARIZONA'S LGBTQ+ COMMUNITY AND THOSE LIVING WITH HIV BY PROVIDING PREMIUM, PERSONALIZED CARE ROOTED IN DEEP CULTURAL UNDERSTANDING AND HEALTH EQUITY. HISTORICALLY, HEALTHCARE HAS FOLLOWED A ONE-SIZE-FITS-ALL MODEL THAT HAS NOT CENTERED THE UNIQUE NEEDS OR LIVED EXPERIENCES OF THE LGBTQ+ COMMUNITY AND INDIVIDUALS LIVING WITH HIV. AS A RESULT, MANY HAVE BEEN FORCED INTO SYSTEMS THAT DO NOT REFLECT OR SUPPORT THEM. SPECTRUM MEDICAL EXISTS TO CHANGE THAT BY PLACING THESE COMMUNITIES AT THE CENTER OF CARE AND ADVANCING AWARENESS, ADVOCACY, EDUCATION, TREATMENT, AND CULTURALLY RESPONSIVE SERVICES ACROSS THE ENTIRE PATIENT JOURNEY. SMCC SPECIALIZES IN LGBTQ+ HEALTHCARE, WITH A FOCUS ON THE TREATMENT AND PREVENTION OF SEXUALLY TRANSMITTED INFECTIONS (STIS), INCLUDING HIV AND HEPATITIS C (HCV). THE ORGANIZATION DELIVERS A COMPREHENSIVE CONTINUUM OF CARE FOR INDIVIDUALS AND FAMILIES LIVING WITH OR AFFECTED BY HIV, HCV, AND OTHER COMMUNICABLE DISEASES, SUPPORTED BY COORDINATED, INTERDISCIPLINARY TREATMENT PLANS TAILORED TO EACH PATIENT. OUR PATIENT NAVIGATION TEAM SUPPORTS ADHERENCE AND RETENTION IN CARE FOR INDIVIDUALS ACCESSING PREP, PEP, AND DOXYPEP. OUR STATEWIDE OUTREACH PROGRAM MEETS PATIENTS WHERE THEY ARE BY OFFERING FREE, CONFIDENTIAL FULL-PANEL STI TESTING, WELLNESS EXAMS, AND SAME-DAY ACCESS TO PREVENTIVE SERVICES. THE OUTREACH PROGRAM ALSO PROVIDES COMMUNITY EDUCATION TO ENSURE UNDERSERVED POPULATIONS HAVE ACCESS TO ACCURATE INFORMATION AND AVAILABLE RESOURCES TO SUPPORT INFORMED HEALTH DECISIONS. USING A STATUS-NEUTRAL APPROACH, SMCC PROVIDES HIV TREATMENT (U=U) AND PREVENTION SERVICES (PREP AND PEP) IN A STIGMA-FREE ENVIRONMENT FOR ALL INDIVIDUALS, REGARDLESS OF RACE, GENDER, GENDER IDENTITY, OR SEXUAL ORIENTATION. IN 2025, SMCC CONTINUED EXPANDING COMMUNITY OUTREACH SERVICES TO INCREASE ACCESS TO CARE, INCLUDING FREE WELLNESS EXAMS, HIV/STI/HCV TESTING, AND INTEGRATION OF SEXUAL HEALTH INTO PRIMARY CARE. OUR MOBILE CLINIC PROGRAM FURTHER ENHANCED ACCESS BY OFFERING SAME-DAY PREP CONSULTATIONS AND LINKAGE TO ONGOING MEDICAL CARE. THROUGH THESE EFFORTS, SMCC ENGAGED MORE THAN 4,200 INDIVIDUALS AND PROVIDED HIV TESTING TO 1,069 ARIZONANS. LOOKING AHEAD TO 2026, SMCC AIMS TO EXPAND SERVICES TO WOMEN WHO IDENTIFY AS PART OF THE LGBTQ+ COMMUNITY TO ADDRESS HEALTH DISPARITIES AND TO CONTINUE INCREASING PREP UPTAKE IN COMMUNITIES DISPROPORTIONATELY AFFECTED BY HIV IN ORDER TO REDUCE NEW HIV INFECTIONS IN ARIZONA. IN 2026, SMCC WILL TRANSITION INTO A NEW FACILITY WITH INCREASED CAPACITY TO SERVE LGBTQ+ INDIVIDUALS AND THOSE AFFECTED BY HIV/AIDS. THE ORGANIZATION WILL CONTINUE TO FOSTER TRUST IN VULNERABLE COMMUNITIES, REDUCE STIGMA RELATED TO SEXUAL HEALTH, AND PROMOTE CULTURALLY RESPONSIVE MESSAGING. ADDITIONALLY, THE GLEN SPENCER ENDING THE EPIDEMIC FUND, SMCC'S PHILANTHROPIC INITIATIVE, CONCLUDED ITS FOUR-YEAR GRANT CYCLE, DURING WHICH $1 MILLION IN GRANTS WAS AWARDED TO LOCAL NONPROFITS TO SUPPORT HIV PREVENTION EDUCATION AND OUTREACH EFFORTS FOR YOUTH, COMMUNITIES OF COLOR, AND OTHER PRIORITY POPULATIONS, PROMOTING PREP AS PART OF ROUTINE HEALTHCARE. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD. THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE ALL OF THE BOARD'S POWERS IN THE MANAGEMENT OF THE ORGANIZATION'S BUSINESS AND AFFAIRS WHEN THE BOARD IS NOT IN SESSION, EXCEPT THAT THE EXECUTIVE COMMITTEE MAY NOT (A} FILL VACANCIES ON THE BOARD OR ANY COMMITTEE WITH BOARD-DELEGATED POWERS, (B} ADOPT, AMEND OR REPEAL THE BYLAWS, (C} FIX DIRECTOR COMPENSATION; (D} AMEND OR REPEAL ANY BOARD RESOLUTION, OR (E} TAKE ACTION ON A MATTER COMMITTED BY THE BYLAWS OR BY BOARD RESOLUTION TO ANOTHER COMMITTEE. ALL ACTIONS OF THE EXECUTIVE COMMITTEE ARE PRESENTED AT THE NEXT BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE CFO AND THE CEO, THEN IT WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, (B) HAS READ AND UNDERSTANDS THE POLICY, (C) AGREES TO COMPLY WITH THE POLICY, AND (D) UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. WHEN A CONFLICT OF INTEREST ARISES, THE INDIVIDUAL IS REQUIRED TO DISCLOSE THE CONFLICT TO THE BOARD OF DIRECTORS. THE CONFLICTED INDIVIDUAL IS PROHIBITED FROM VOTING ON THE MATTER, ASSIGNING A PROXY, OR USING PERSONAL INFLUENCE TO AFFECT THE DECISION. ALL CONFLICTS OF INTEREST ARE RECORDED IN THE BOARD MEETING MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD OF DIRECTORS ANNUALLY REVIEWS ALL EXECUTIVE COMPENSATION BASED ON THE FORMS 990 OF PEER ORGANIZATIONS IN THE REGION. THE BOARD APPROVES THE CEO'S COMPENSATION. THE CEO APPROVES THE OTHER EXECUTIVES' COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE AUTHORITY AND PROCESS FOR SELECTING THE FINANCIAL STATEMENT AUDITOR AND FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE YEAR. |
| Software ID: | |
| Software Version: |