MIHS IGA ATTACHMENT 3.PDF

SECTION V
Attachment 3
RYAN WHITE PART A PROGRAM
This Attachment consists of the Maricopa Integrated Health System Response to the Maricopa County Ryan White Part A
Program Request for Proposal 11068-RFP for provision of Oral Health Services. This portion of the Intergovernmental
Agreement will be reimbursed based on the current Delta Dental Fee Schedule, plus 10% of direct charges for dental
coordination. Any conflict between the terms and conditions of this contract and the IGA, General and Special
Provisions, the General and Special Provisions shall comply.
Index of Attachments
Attachment 3 consists of the following original documents:
Attachment 3-A Service Provider Application and Narrative/Scope of Work
Attachment 3-B: Budget for Oral Health Services
Attachment 3-C: MIHS Staff Licenses and Resumes
Attachment 3-D: MIHS References
Attachment 3-E: MIHS Indirect Cost Agreement
Attachment 3-F: MIHS Org Chart

Attachment 3-A
SERVICE PROVIDER APPLICATION
Organization: Maricopa Integrated Health System
Address: 2601 E. Roosevelt Street
City: Phoenix State: AZ Zip: 85008
Telephone: 602-344-2629
Executive Director/CEO: Betsey Bayless, President and Chief Executive Officer
Person completing this form: Gary Lishinski Contact Telephone: 602-344-1102
Legal Status: Non profit 501-C3 Corporation LLC Partnership X Other: Maricopa County Special Health Care
District
Years in Business: 133 years as an organization; over 20 years as an 141V clinic
Maricopa County Vendor Registration Complete: X Yes No Vendor Number: W000007745-9
Number of paid staff (fte) in your entire organization: In FY11, the number of paid staff (FTE) averaged 4,067.
Number of volunteer staff in your entire organization: 300
Do you meet the insurance requirements as described in Section 4 .10 of this proposal: X Yes No
MIHS is self-insured. A copy of our current insurance certificate will be provided if funding is received.
If no, will you be able to meet the requirements upon contract approval: Yes No
Audit Requirements as described in Section 4.22:
In compliance with OMB Circular A-102 Yes No X N/A
In compliance with OMB Circular A-I10 X Yes No N/A
In compliance with OMB Circular A-122 Yes No X N/A
In compliance with OMB Circular A-87 X Yes No N/A
In compliance with OMB Circular A-2I Yes No X N/A
In compliance with OMB Circular A-133 X Yes No N/A
If N/A on any please explain: A-102: MIHS is not an Indian Tribe; A-122: Pertains to cost sharing and matching;
A-2 I: Pertains to an educational facility
In compliance with the records retention policies as described in Section 4.31? X Yes No
If no, describe how you will meet this contract requirement:
Do you have a written Equal Opportunity Employment Policy Section 4.45? X Yes No
If no, describe how you will meet this contract requirement:
In compliance with cultural competency as described in Section 4.52? X Yes No
If no, describe how you will meet this contract requirement:
Understand the requirements for using the CAREW are central database system as described in Section 4.53 X Yes
No
If no, describe how you will meet this contract requirement:
In compliance with confidentiality policies as described in Section 4.57? X Yes No
If no, describe how you will meet this contract requirement:
Page 1 of 4

Do you receive grant funds for your programs: X Yes No
If yes, please list who you receive the grants from and how long:
Grant Fund 1: Ryan White Part A Since: 1994
Grant Fund 2: Ryan White Part C Since: 1991
Grant Fund 3: Ryan White Part D Since: 1998
Grant Fund 4: National Libraries of Medicine From: 2008 —2010
Do you have a financial system in place that will allow you to separate income and expenditures related to each
grant and general funds: X Yes No
If yes, Describe system: MIHS creates grant cost centers to track income and expenses separately.
If no, describe how you would be able to implement a system:
Do you have a financial system in place that will allow you to perform third party billing to ensure that funds used
under this contract are the payer of last resort? X Yes No
If no, describe how you would be able to implement a system for this:
Executive Summary
Please respond with brief descriptions in each of these areas (i.e., your response should be a few
paragraphs, not pages).
1. Describe the nature of your organization
• Provide your mission and vision statements
The mission of the Maricopa Integrated Health System (MIHS) is: "To provide a full spectrum
of high quality, wellness oriented healthcare in an organized, cost sensitive and customer
oriented academic environment." Furthermore, the vision of MIHS is: "To dramatically enhance
the health and wellness of the community we serve." Mil-IS is a voter-approved independent
healthcare district governed by a five-member Board of Directors.
• Describe what type of services your organization provides
MIHS is the largest health care safety net for citizens of Maricopa County, having provided
primary and specialty health care services to thousands of low-income and at-risk individuals for
over 133 years. MIHS is uniquely positioned to improve both the system of care and the health
status of our community.
MIHS includes, but is not limited to, the Maricopa Medical Center, the Arizona Burn Center
(second largest in the U.S.), 11 ambulatory outpatient clinics located throughout Maricopa
County, the Refugee Women's Health Center (one of only two in the nation), and the
Comprehensive Healthcare Center (CHC) which encompasses the Arizona Children's Center.
The Level One Adult Trauma Department and Level II Pediatric Trauma Department each
received verification from the American College of Surgeons (ACS), making MIHS the only
hospital in Arizona to hold such ACS verification in both our Adult and Pediatric Trauma
Centers. The Maricopa Medical Center, a premier training center for the nation's physicians, is
the largest medical teaching facility in Maricopa County, training more than 400 physicians annually.
District Medical Group (DMG), MIHS' provider affiliation, is a not-for-profit entity consisting
Page 2 of 4

of over 350 physicians representing all major medical and surgical specialties and sub-
specialties. MIHS experiences 19,000 inpatient admissions and 300,000 outpatient admissions
annually.
In addition to the primary and specialty care services provided at MIHS facilities, the MIHS
Dental Department has provided a full spectrum of dental care to economically disadvantaged
children and adults of Maricopa County for over 30 years. The majority of families served by the
Dental Departments live below poverty level, and many have limited English proficiency. MIHS
is positioned to improve oral health status in the community through its community-based clinics
and community-oriented providers.
• Describe the type of clients your organization serves, include demographic makeup if
available
Seventy-four percent of all MIHS patients are ethnic minority who come from diverse cultures
and speak a wide variety of languages. Many patients face major challenges such as lack of
health insurance, complex medical problems and difficult socioeconomic situations. MIHS
provides medical care to everyone who comes through its doors for critical care services,
including those from other states and countries. In 2010, the total patient population at MIHS
consisted of the following ethnicities:
• Asian — 1.2%;
• Black — 10.7%;
• Caucasian —21.0%;
• Hispanic — 59.4%;
• Native American — 1.4%; and
• Other / Unknown — 6.3%.
2. Provide an organizational chart
Please see attached MIHS Organizational Chart for the RWPA Direct Dental program.
Proposal — isn't this covered in the body of the solicitation?
This section should specifically address the respondent's qualifications to perform services and familiarity of
government grant fiscal requirements. Please respond with brief descriptions in each of these areas (i.e., your
response should be a few paragraphs, not pages).
I. Organization Qualifications — Provide copies of current licensure to comply with the contractor
license agreement portion of this request for proposal.
Please see attached copies of current MIHS licensure.
2. Staffing Qualifications — Provide the qualifications of the personnel whom are qualified to
perform the services of this contract. A profile of each individual including a professional resume
demonstrating appropriate education and professional experience. Provide copies of current
licensure/certification that each staff member has attained.
Page 3 of 4

Please see attached copies of licensures and resumes/CVs for the following dental staff:
• Christopher Brendemuhl, DMD; • John M. Mann, DDS:
• Sonja Ann Carl, DMD; • Craig W. Pool, DDS;
• John J. Chen, DDS; • Kirk Allen Speicher, DDS;
• Abrak Etemad, DMD; • Melissa F. Villamor, DDS; and
• Gene M. Garsha, DMD; • Roscoe C. Williams, DDS.
3. Describe your organization's ability to attain qualified personnel to fulfill the needs of this request
for proposal.
The existing staff of dentists at MIHS is sufficient to provide the services outlined in this request
for proposal. We are creating capacity by building blocks into the providers' schedules to reserve
slots between September and February for patients who will be covered by this grant. We will be
able to create further capacity by adding weekday evening and Saturday morning appointments
to the schedules of our providers, if needed, to meet the demands for services. Although we are
proposing a core group of dentists and clinics to provide the services under this proposal, we
have the ability to utilize our entire staff of ten dentists and seven dental clinics to provide
services as needed.
If additional recruitment is necessary to fulfill the obligations of this grant, the professional
recruiters from the MIHS Human Resources Department, which fills employee vacancies within
our 4,000 plus employee organization, will initiate a national search utilizing our web site, job
boards and journals for sourcing candidates. Our Dental Division works with dental schools and
residency programs to provide clinical experiences for dentists in training. We will reach out to
our contacts within these programs to identify viable candidates. Because of our Federally
Qualified Health Center- Look Alike status, we have the ability to serve as a site for National
Health Service Corp dentists, who would be eligible for loan forgiveness by virtue of working
with our organization to provide services to those with limited economic resources. We will
subcontract with community dentists, if needed, to further increase capacity to serve those
covered by the grant.
4. Describe your organization's marketing plans to ensure that the community is informed about the
services you provide.
Informing the community about the available services is a critical component in meeting our
contract objectives. To this end, we plan to implement and/or enhance current marketing
strategies that include but are not limited to the following:
• Develop and distribute flyers describing available services throughout our clinics, RW
Partners, and RW meetings;
• Inform all HIV medical providers of the services available and encourage them to discuss
the importance of oral health with their patients, and make referrals as appropriate;
• Include information about available services in our appointment reminder call procedures
at the McDowell Clinic; and
• Encourage all RWPA service providers to refer potential clients through CARE Ware's
referral system.
Page 4 of 4

Attachment 3-B
Maricopa County
Ryan White Part A - Budget Documentation
NAME OF ORGANIZATION: Mancopa Integraged Health System
Fed. Employee ID #
(FEIN) 86-0830701
ADDRESS: 2601 E. Roosevelt Street
Phoenix, AZ 85008
AUTHORIZED
CONTACT Cheri Tomlinson
TELEPHONE 602-344-2629 FAX 602-344-2633
E-MAIL ,d_ieri.torr ..___iiison rrghl.mg
PRIMARY CONTACT
Cheri Tomlinson
TELEPHONE 602-344-2629 FAX 602-344-2633
EMAIL cheri.torlinson mihurg.
SERVICE CATEGORY Oral Health
GRANT PERIOD: 9/1212011 2/2912012
Start Date End Date
AMOUNT $600,009.52
4

Maricopa County Health Care
Ryan White Part A Grant,
Contract Budget Summary
(Section I)
Organization WM:op. Incegniged Health System Contsti Number
Service Category Oral Heath
Grant Period Septernleer-11 Through Febniery42
Narrative of Giant
(Section II) Budget Requested: $ 600,009.52
61.1
Atintirdstartive DirectService Total Budget
Operating Expenses Budget
Personnel: Salaries S - $ - $ - .
Personnel: Personnel: Fringe/Benefits - .
Subtotal: Personnel _
Other Direct Costs
-,
Travel . - -
Supplies _ -
Equipment
Contractual - 60013.80 , 60,013.80 '
Program Support -
Other Professional Serv cent - 539,995.72 539,995.72
I Subtotal: Other Direct Costs 1 600,009.52 600,009.52
Total Operating Expenses 600,009.52 I 600,009.52
(Personnel and Other Direct Costs)
Indirect Costs
orimimm
'Indirect Rate
(Rrcviders claiming an indirect cost must submit their most cumtnt negotiated
Indirect cost rata Issued bV the coonizant federal aoen
Total Costa of Grant (Percent of Total) 600,009.52 $ 600,009.52
(Total Operating Expenses plus
Indirect Costs) 0% 0%
GRANT BALANCE (Grant Revenue ins Total Coats of Grant)
The Grant bei.enoe must equal zeta
FALSE
Finance Approval Date: 10-Aug-11
Date: 10-Aug-11
10-Aug-11
Budget Summary a
Budget Ternplete 2-27-PB

Maricopa County
This page left blank.
The following tabs are to be used to update the Budget Cover Sheet.
All backup is required with each grant.
These cells indicate provider required entry.
05 Budget Summary
Budget Template 11-23-04 6

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TRAVEL
Travel can be budgeted for the cost of staff mileage and other [revel associated with
Ryan Vibila CARE ACI Title I funds.
1 Mileage Mileage will be budgeted utilizing the standard calculation of annual rntles for a full time staff persons
the rate determined by your organization per mile x the number of FIE(s) budgeted to
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At Hs rime, Mancopa County Health Care Mandates, has determined that costs
included In this section are Administrative Coats.
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8

Mar'cops County
The supplies line item Is used to budget funds for supphes used
in the operations of the budget This category can include general Office
supplies and program/medical suppfies.
General Office Supplies Includes (Apply at FTE Ratio)
1 pens, paper, toner, etc,
(A) (E)
5-abl.im• MI0'; op In,.;ragn4 Man S em Orii MARI,
Annual Avirnin Mrect Total Narrative
Item Budget MAA
1
2
3
4
5
TOTAL TOTAL
2 Program Supplies
Program Supplies *save been deemed Direct Sevince
Oeseription Annual ArialIn
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2
3
4
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Equipment less than $1,000 inck.37.; (Apply M FTE Ratio)
computers, fax machines, shredders -aria
adding machines to be used in the
3 operations of 11118 grant.
21 ,
Luipment less than $1,1110 Maricopa intetireged Health System Oral Health
Description Allocated ! 01tect Total Ndrilltiu
__ Budget Service
1
2
3
4
5
- lTOTAL. IS
Summary
Suppliel B05-SU-1
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Maricopa County
The equipment line item is budgeted for equipment purchased or leased
in conjunction with operations of the grant.
1 Equipment greater than $1000- Include large equipment necessary to be used in
the operations of this grant. Please note that there are more requirements for approval.
(A) 10)
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1
TOTAL
Suppbag 1305-E04
Budget Tempi' la 2-27-06 SD

Maricopa County
The Contractual line item is used for consulting and contracting to be utilized
in conjunction with operations of the grant
This budget category includes payments to outside consultants and temporary services.
Use this section for both professional and clerical support.
1 Consulting - include any payments anticipated for consulting and capacity building services
Consultrng Marianna 1ntegragsd Heath System Oral Health
I -
Consultant Hours Quoted I ,4111s1 Admin Cates or Service-
Budgeted Rate j ,. Illud§Let , Budget %
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Narrative VIII1
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I Licenses /
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Narrative
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2 Include any payments for subcontracts to provide services under this grant
Backup is required for each subcontract listed in this section. Maricopa County Department of Public Health
MI enforce this 10% administrakve Cost Cap established by HRSA for first-Me enutles morning Trite I funds
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Budget Template 2•27-08
11

Other Program Support rvvicler Entry lAuto Calculation
Date Prepared
Use this form to budget for other support necessary lo provide services under this grant. In the Narrative Justification
describe how the program support will be used and also the methodology used to allocate the total or a portion of the total co:
to the grant.
CoMmunIcalIon&fTe're phoneilittemat mar ICOISU intexrac d Flealtri=em Media Case Management
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Section 1-3. These sections apply the FTE ratio for the expenditures including: telephone, postage, copying, and utilities.
Section 4 - Other Program Support allows you to use your own calculation method to allocate costs between Admin and Direct
Enter the Admin Amount and Direct Amount to calculate the Total Budget and provide adequate justification of the methodolor
to allocate the costs; the methodology must be in line with your agency's cost allocation policy. Final determination resides wit
Maricopa County Ryan While Part A Program.

Maricopa County
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,

Attachment 3-C
Roscoe C. Williams ; DDS
South Central Dental Clinic
33 West Tamarisk Street
Phoenix, AZ 85041
602-344-6442
A. Education
Certificate 2000
General Practice Residency
Dental Clinic Naval Station, San Diego, CA
DDS Howard University 1983
Washington, DC
BA Occidental College 1978
Los Angeles, CA
B. Denial Licensure/Certificatlon of Past 5 Years
State of Arizona Dental License 114422
Basic Life Support (BLS)
C. Professional Experience of Past 5 Years
Staff Dentist with Maricopa integrated Health System
D. Appointments in Past 5 Years
Vice Chairman of Dental Department
E. Department Head of McDowell Dental Clinic
Providing dental care only to HIV/AIDS patients (2007 —2009)
Coursework taken while at McDowell Clinic:
Clinical Preceptorship for Dentists Treating Patients with HIV LSU 11/12/2007
identifying Health Hazards in HIV/Aids Patients U5C 03/05/2008
Modeling Risk Assessment with HIV-infected Patients USC 09/02/2009

Christopher S. Brendemuhi. D1VLD
1937 E Harvard Drive, Tempe AZ 85283
(602) 295 -6003
cbtend©.grnail.com
gingi I
Boston University Goldman School of Dental Medicine, Boston MA
Doctor of Dental Medicine, September 2007
Arizona State University, Tempe AZ
B.S. Human Nutrition, May 2002
Professiena Experience
Dentist
Maricopa Integrated Health Systems, McDowell Dental Clinic, Phoenix AZ:
August 2009 — present. Provide comprehensive dental care for patients in a clinic
dedicated for patients with HIV/AIDS. Experience with restorative, minor oral
surgery, endodontics, fixed and removable prosthodontics.
Dentist
Thompson Peak Family Dental, Scottsdale AZ: September 2008 — present
Provide comprehensive dental care to patients of all ages. Experience with
restorative, fixed and removable prosthodontics. Currently working part time, 2
Saturdays per month.
Dentist
Loving Family Dental, Fountain Hills AZ: October 2007 — July 2009
Provide comprehensive dental care to patients of all ages. Experience with digital
radiograph's, Dentrix computer systems, Gendex intra-oral cameras. Experience
with restorative work, minor oral surgery, fixed and removable prosthodontics
and implant restoration.
Dentist
OnSite Mobile Dentistry — Maricopa Project, Phoenix AZ: March 2008 — January
2009
Provide dental care to employees of Maricopa County and their dependents.
Experience with digital radiographs, Dentrix computer systems. Experience with
restorative, fixed and removable prosthodontics, some endodontics and minor oral
surgery.

Dentist
Premier Dental Care, Glendale AZ: November 2007 — February 2008
Provide dental care to patients of all ages. Significant experience in pediatric and
restorative dentistry and minor oral surgery. Some experience with
fixed/removable prosthodonlics.
Dental Extern
Family Health Centers of Fort Myers, Ft Myers FL: January March 2007
Provided dental care to patients of all ages. Significant experiorme in pediatric
and restorative dentistry and minor oral surgery. Some expetiezee in
fixed/removable prosthodontics and endodontics.
igembershins in Professional Olganizations
American Dental Association, August 2003-present
Massachusetts Dental Society, August 2003-2008
Arizona Dental Association, September 2008 — present
Central Arizona Dental Society September 2008 - present
Arizona Craniomandibular Group, 2010-present
Professiongi s Attended
Yankee Dental Conference, Boston MA, January 2005, 2006, 2007
Boston University Implantology Symposium, Boston MA, May 2006
Arizona Dental Association, Fall Conference — September 2010
Western Regional Dental Conference, Phoenix AZ March 2010, March 2011
Certifications & Licensure
Current Arizona Dental License
Current DEA license
Basic Life Support for Healthcare Providers, AZ (expires Feb 2012)
Western Regional Examining Board, April 2007
Invisalign, 2007
apssialLas
Proficient in basic computer systems — Windows, Microsoft Office
Proficient in Dentrix Dental Software and associated digital radiograph functions.
Basic training/experience with intra-oral photography.
Basic conversational Spanish and associated dental terminology,
"Professional/Dental and Personal References available upon request

CURRICULUM VITAE
JOHN J. CHEN, D.D.S.
PERSONAL WA
Home Address: 7921 South Kenwood Lane
Tempe, Arizona 85284
Home Phone: (480) 831-7637
Office Phone: (602) 344-1010/344-1005
DENTAL 1.3CENSIJRE
Texa3lccnse# 11061 1976 -present
Oregon License #D6010 1982 - present
Arizona License #2980 1983- present
EDUCATION
1968- 1972 University of Texas at Austin
BA 1972 (Major Biology)
1972-1976 University of Texas Dental Branch at Houston
D.D.S, 1976
1980 - 1982 Oregon Health Sciences University School of Dentistry
Certificate Pediatric Denthrby 1982
CIMIZIEWSMIN
1994 -present Chair, Department of Dentistry
Maricopa 'Integrated Health System
2004 - present Adjunct fazuhy Arizona School of Dentistry and Oral Health
2009 - present Adjunct faculty Lutheran Medical Center
engfagliffVca li
1991- present Director, Dental Health Scrvice/Chair MIHS Department of Dentistry
1983 - 1991 Pediatric Detitbt
Dental Health Service
Department of Ambulatory Care
Merit:lope County Health Services Agency
1983 - 1984 Part-time private practice in Tempe. Arizona
1982 - 1983 Dental Training Dilutor
Crippled Children's Division
Oregon Health Scierbcas University
Joint appointment Oregon Health Sciences University
School of Dentistry
1976 - 1980 Tema Department of Health
Title XIX E.P.S,D.T. Dental Program

Curriculum vitae Jonn J, uteri. u.L.r.a. •III•
PROFESSIONAL ORGAN1ZTIQ
American Academy of Pediatric Dentistry
American Dental Association
Arizona Academy of Pediatric Dentists
Arizona Dental Association
Central Arizona Dental Association
Q_ZB, T1
1994 -present M.I.H.S. Medical Staff Executive Committee
1994- present M.I,H.S. infection Control Committee
1996 - present M.1.H,S, Special Action Committee
2009 - present Adjunct faculty Lutheran Medical Center
2002 - 2004 Member, Admissions Interview Committee
Arizona School of Dentistry and Oral Health
2005 - present Adjunct faculty Arizona School of Dentistry and Orel Health
1992 - present Expert witness and consultant to the Arizona Board of Dental Examiners
for Pediatric Dentistry
1989 - present Member, Advisory Committee
Phoenix Community College
Dental Assisting Pmgram
1997- 2008 Health Advisory Committee, Human Services Department
Maricopa County
1997 -1998 AHCCCS Dental Task Force
1993 - 1994 Member, Advocates of Oral Health Care for Arizonans
Office of Dental Health
Arizona Department of Health Service
1992 ,-1997 Member, Children's Primary Cafe Task Force
Division of Family Services
Arizona Department of Health Services
1991 -1995 Member, Board of Directors
Maricopa Area Health Education Center, Inc.
1990 - 1997 Member, Health Mother, Healthy Babies Oral Health Subcontrnhtee
Arizona Department of Health Services
1987 -1989 President. Arizona Academy of Pediatric Dentists
1984-1905 Member. Sedation and General Anesthesia Guidelines Subcommittee
Arizona State Board of Denial Examiners

Curriculum Vitae John J. Chen, D.D.S. Page 3
Spring of 1988, Pro bono dental screening of homeless children in conjunction with the
1989, and 1990 Annum State University School of Nursing and St Vincent dc Pani

CURRICULUM VITAE
KIRK A. SPEICRER, DDS
!sty 16, 2011
8490 S. N101 Avenue
Tempe, AZ 85284
Home: 480-839-1441
Cell: 480416-5511
Emsdl: kupeichergeoLnet
EDUCATION
Undergraduate
• Buckneli University, Lewisburg, PA. 1967-71. BA, Animal Behavior. Lab
teaching assistant for introductory biology, 1968-1969. NIB grant in
physiological psychology, Department of Psychology, summer 1970.
Graduate
• Attended Union Theological Seminary, New York, NY, 1971-1972.
• Temple University Dental School, Philadelphia, PA. 1972-76. DDS.
NTH summer grant in Public Health, Department of Community Dentistry
American Society of Dentistry for Children Award of Merit
Mosby Scholarship Book Award for Academic Excellence
Student Council all four years, vice-president 1974-75
Junior Class President
Oral Surgery Honor Society
Pediatric Datal Honor Society
Periodontal Honor Society
Postgraduate
• University of California at Los Angeles, 1976-78. Certificate in Pediatric
Dentistry. NIH grant in Developmental Disabilities, 1977-78. Neuropsyebiatric
Institute, 1977-78, Certificate in Developmental Disabilities.
• University of Minnesota, 1980-82, Certificate in Orthodontiai.
TEACHING EXPERIENCE
• Teaching Assistant, Pediatric Dentistry, University of California at Los Angeles,
1977-78.
• Assistant Profeaeor, Pediatric Dentistry, university of Kentucky College of
Dentistry, Lexington, KY. 1978-1880. Acting Director Pediatric Dental
Residency, 1979-80.

O Teaching Assistant, University of Minnesota School of Dentistry, Minneapolis,
MN. Department of Orthodontics, 1981-1982.
• Adjunct Clinical Faculty, Department of Orthodontics, Arizona School of Dental
and Oral Health, A T Still University, Mesa, AZ. 2007-2009
• Adjunct Faculty, Community Partnership, Arizona School of Dental and Oral
Health, A T Still University, Mesa, AZ 2009-Present
• Clinical Faculty, ABGD Program, Lutheran Medical Center, MIHS site, Phoenix,
AZ 2009-Present.
• Clinical Faculty, Pediatric Dentistry, Lutheran Medical Center, Tucson site,
Iva/IS site for Operating Room experience, 2010-Present.
BOARD CERTIFICATION
• Diplomate of the American Board of Pediatric Dentistry: November 5,2010
CPR
• Pediatric Advanced Life Support: September 22, 2009-September 2011
PRACTICE
• Pediatric Dentistry, Intramural Practice, University of Kentucky, Lexington, KY.
1978-80.
▪ General Dentistry, Minneapolis, MN, 1979-80.
• Pediatric Dentistry and Orthodontics, Affiliated Children's Dental Specialists,
Phoenix, AZ. 1982-84.
• Orthodontics, Speicher Davis Orthodontics, Chandler, AZ. 1982-84.
• Orthodontics, Morgan W. Davis, Mesa, AZ, 1982-84.
• Orthodontics, Kirk k Speicher, DDS, Ltd. Chandler and Phoenix, AZ 1984-
2008.
• Pediatric Dentist, MtHS CHS Dental Clinic. 2525 E Roosevelt Street, Phoenix,
AZ 85008. 2009-Present.
HOSPITAL PRIVALIGES
• A B Chandler Medical Center, University of Kentucky, Lexington, KY, 1978-60.
• MIMS Hospital, Phoenix, AZ, 2009-Present
PUBLICATIONS
• K. Nieuwe of As sin7 ental Mennower is Rmc LOW 111C01110 Aral (1
Philadelphia, Rosenbaum, J, Speicher, KA, Tannenbaum, KA, Mturiroa, RD.
Public Health Rep. 1975 May-June; 90(3): 257-61.

• half ient cal Fluoride Ar Speicher,
KA, Spalding, RB. ASDC 3 Dent Child. 1980 Sept-Oct; 47(5): 343-5.
PRESENTATIONS:
• Temple University Alumni Association
• Kentucky State Dental Association
• American Association of Dental Schools, Section of Pediatric Dentistry
• Dna:national Association of Dental Research Poster Board Presentation
• Dayton Society of Dentistry for Children
• Minnesota Denial Association
• Arizona Dental Associaiton
PROFESSIONAL ORGANIZATIONS (Current)
• Central Arizona Dental Society
Membership Committee-two terms, one as co-chair
Bylaws Committee-two terms, one as chairman
Dental Health Committerechairman the year Give Kids a Smile was started
Vico-President
President Elect
• Arizona Dental Association
Council on Dental Education-two terms
House of Delegates-25 years
• American Dental Association
• Fellow, World Federation of Orthodontists
• Pierre Fauchard Academy
• Arizona Academy of Pediatric Dentistry
• Western Society of Pediatric Dentistry
• American Academy of Pediatric Dentistry
• Arizona Orthodontic Study Group-Honorary Member
President Elect
President
Secretary
Secretary-Treasurer
Board Member
50th Anniversary Meeting Committee
Chair, 65th Anniversary Meeting Committee

November 18, 2009
Craig W. Pool, D.D.S
13402 North 32" Street
Phoenix, Arizona 85032
(602) 971-3832
Graduate of Moon Valley High School 1974
Phoenix, Arizona
• Top 10% of class,
• National Honor Society.
Graduate of Arizona State University 1978
Tempe, Arizona
• Board of Regents Academic Scholarship.
• Deans List.
• Bachelor of Science Degree Zoology.
Graduate of University of the Pacific School of Dentistry 1981
San Francisco, California
• Doctor of Dental Surgery Degree
Associate of Don T. Manning, D.D.S 1981 — 194
Phoenix, Arizona
Private Practice: Craig W. Pool D.D.S 1984— Present
13402 North 32" Street
Phoenix, Arizona 85032
(602) 971-3832
Clinical Dentist for Maricopa County Department of Health Services
1981 Present
ASDOH Adjunct Faculty 2005 —Present
Member of the Following: ADA 1978 — 2009 (31 years)
ASDA 1981 — 2009 (28 years)
CADS 1981 — 2009 (28 years)

John M. Maim, D.D.S. 4156W. Post Rd.
(480) 8971513 Chandler, AZ 85226
Maricopa County General Dentist
Manaçgie
Marleopa brtegrated Health System
Dental Department
Central Health Clinic
General Dentist 2008-present
Clinical Instructor
AEGD General Practice Residency Program
General Dental Education
Lutheran Medical Center 2008- present
Adjunct Professor
Arizona School of Dentistry and Oral Health 2005-present
Retired from M1HS 2007-2008
Maricopa. Integrated Health System 2002-2007
Dental Department
Central Health Clinic
General Dentist
Children's Dental Specialists Dr. Shashi Kapur 2001-2002
-associate pediatric dental specialist
Cooley Family Dentistry Dr. Michael Cooley 2000-2001
-general dental associate.
John M. Mann, D.D.S., P.C. (Family Dentistry) 1982-2000
-Owned and rnanaged a general dental practice in Chandler. AZ
-Managed a staff of 9 personnel.
Arizona Dental Cart 1981-1982
- pediatric dentist for a large group practice.
General Dentist/Public Health Dentist 1977-1981
-General Dentist for Fulton County Dental Clinics (Atlanta, GA).

-General Dentist, Franklin, GA.
-General Dentist, associate Dr. Hugh Mazzawi Snenville, Ga.
Queen Creek Industrial, L.L.0 1998-2005
Managing partner and chief financial officer.
-Oversee continuing construction of Queen Creek Industrial Complex.
-Oversees finance and leasing of buildings in Queen Creek Industrial Complex.
-Operating Manager of Queen Creek Industrial Complex
Mannsculpture
-figurative and portrait sculpture 1998-present
-charcoal drawings
Education
Certificate in Pediatric Dentistry, Emory University School of Dentistry 1981
Doctor of Dental Surgery, Emory University School of Dentistry 1977
Graduate Study-Analytical Chemistry, University of Massachusetts 1972-1973
Bachelor of Science-Chemistry, Northern Arizona University 1972
Publications
"Ls_le2,1_,Q3,1112gliggkrallasgugispsethIgigain_minfantmitk2em
1Jemoobilia" Journal of Dentistry for Children July-August, 1981.
Pulse Polaroftraphy-Pieloram" Intenudional Journal of
Environmental Analytical Chemistry. 1973,Volume 2,
Schigarships
-Teaching associate (Chemistry Department) University of Massachusetts 1972-1973
-Research grant (Department of Forestry) Northern Arizona University 1971
-Tuition scholarship Mesa Commtmity College 1969-1970

Awards and Honor
-Dean's List- Northern Arizona University 1972
-Outstanding Chemistry Student of the Freshman. Class Award- Mesa Community
College 1969
Presentations
-Table Clinic-"Heat adaptation of Acrylic Veneers" Southeastern Society of Pedodontics
Meeting 1980

07/14/2011 a 7:5 6233446797 GLENDALEDENTAL PAGE 01 /el
L izooe
7 n::`..' ''reP .1.r? I1'
A V r ,S '• r • 1. • • rm. r • r
DENTIST TRIENNIAL CERTIFICATE OF RENEWAL
No. 002768
T111S CERTIFIES !Wine underneted has fulfilled license renewal requirements end is entlbed
prat:lite lathe location below as e licensed Mendel for the years listed game.
D02705
Gans M. Gamtui, DMD
5141 W Lerner Ave
Glendale, AZ 85301
Executive Directs(
• rrj, THIE CERTFICATE MET e 0111PLAWO AT TME ENTRANCE OF PLACE OF PRACTICE
0 r•
knr: 7.1.r.rr", I12.7r.
..1.te IMO 'AL.1 t Ii
Co I
k 2 IJtkk L-. *7
2

Gene M. Garsha, D.M.D. Page 1 of 2
EDUCATION
1976 Bachelor of Science California State University at Long Beach
1980 Doctor of Dental Medicine Oregon Health Sciences University
Employment
2000-present Maricopa Integrated Health System
Department of Dentistry
1997-2000 Solo Private Practice
Scottsdale, AZ
1995-1997 Dental Group Associate
Associated Dental Care Providers
Mesa, AZ
1992-1993 Private Practice
Phoenix, AZ
1989-2992 Denthl Group Associate
Dr. Robert S. Wilke and Associates
Phoenix, AZ
1982-1989 Private Practice
Phoenix, AZ

Page 2 of 2
1982 Group Practice Employee
DenteHealth of Arizona
Phoenix, AZ
1980-1982 Dental Group Associate
Mt. Tabor Dental Group
Portland, OR

T/L3 620/L
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007404 Date issued: June 29, 2011
chrfstopher S, Erendernuiii, DVID
1144 E MoDow$11 St., $te-301
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EXecutiva Director
THIS CaRTIViCATE MUST BE DISPLAYED Al THE NNTRANCa OP PLACE OF PRACTICE
AI 1411.1)CadMOd LIT1 ,0 •N
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DENTIST TRIENNIAL CERTIFICATE OF RENEWAL
THIS CERTIFIES that the endernoted has Wiled license renewal requirements and le entitled to
prectIce al the location below es a licensed Dentist for the years Ousted above,
D02815
Kirk Men Speicher, DOS
811 8. Hamilton
Chandler, AZ 86225
Executive Marla-
'NM OBWITTICAIIE Mr BE DISPLAYED AT 11-E ENTRANCE Or PLACE OF FRACTICS

•'. ' 4 ° s s—trA."1. -S"S'Irsr•rii • s. 0.; 43AF 27 .
. DENTIST TRIENNIAL CERTIFICATE OF RENEWAL
No. D02680
Expires. 06/30/2013
THIS CERTIFIES that the undemoted has fulfilled license renewal requlrentents end is entitled to
practice at the location below u alicensed Dentist tor the years listed above.
D02680 • Date Issued: June 12, 2010
Craig W. Pool, DOS
2525 E Roosevelt
CI-IC Building
Phoenix, AZ 85008 414.-46(...yri-Lerti
Executive Director
THIS 0.1014TIPicATE MUST BE DISPLAYED AT NS EnriltAntee OF PLACE OF PRACTICE
1.111.ro. )1,1

DENTIST TRIENNIAL CERTIFICATE OF RENEWAL
THIS CERTIFIES that the uhdemoted has fulfilled license renewal requirements and la entitled to
practice at the location below as a licensed Dentist for the years listed above.
2342
John M. Mann, DDS
2625 E, Roosevelt
CHC Bldg
Phoenix, AZ 85008

Résumé
DOLORES RETANA
2110 E. Sesame St.
Tempe, Arizona 85283
Business: 480-491-5634
Fax: 480-777-5941
E-mail DRetana@aol.com
EDUCATION
M.A. Ed. Northern Arizona University 1989
Masters of Arts in Education and Counseling with Emphasis on Human Relations.
B.S.W. Arizona State University I 986
Major: Social Work
LANGUAGE SKILLS: Bilingual (English/Spanish)
Experience:
1/95 to present Human Services Consultant
Provide consultative/contract services in the following areas: program development,
administration and evaluation; community needs assessments, organizing and mobilizing
communities; meeting and focus groups facilitation; proposal writing; event planning and
fundraising; cultural competency training; and strategic planning using the Peter Drucker
Method.
4/1/93 to Assistant Director
113/95 Governor's Office for Children
Responsibilities: Act as Director in her absence. Primary responsibility for supervision
of all staff. Liaison between Office for Children and Governor's executive staff.
411/94 to Administrator for Juvenile Justice Programs
1/3/95 Governor's Office for Children
Responsibilities: Administer and assure compliance with the Federal Grant from the
Office of Juvenile Justice Delinquency Prevention. Staff the Governor's Office Juvenile
Justice Advisory Council. Work with community programs, police departments, courts
and jail/lock ups to ensure Arizona's compliance with the OJJDP mandates. Responded
to technical assistance requests submitted by Native American tribes. Worked with tribal
law enforcement in helping tribes move towards compliance of the OJIDP Act. Directed
and supervised OJJDP staff.
7/1/91 to Early Childhood Specialist
1/3/95 Governor's Office For Children
Responsibilities: Administer and assure compliance of the Federal Dependent Care
Grant. Produce and seek sponsorship for various projects including the annual Kid's
Safety Calendar. Coordinate press conferences and other media events that involve the
Governor and First Lady of Arizona. Participate in the planning and implementing of
conferences dealing with issues related to early childhood, health and minority
populations. Coordinate grassroots activities such as parades and community forums.
Work with all media forms to increase awareness of childhood issues and promote the
activities of the GOFC. Participate in multiple coalitions who address maternal and child
health issues. Act as office translator and interpreter.

'i
Retana-Casillas - pg. 2
8/90 - 8/93 Maricopa Medical Center
Pediatric On-call Social Worker
Responsibilities: Provide coverage (as needed) in the pediatrics urgent care clinic and
pediatrics floor. Part of medical team in a medical clinic setting. Coordinate abuse or
neglect cases with police department and child protective services. Provide testimony as
subpoenaed in criminal cases. Provide crisis counseling and referrals for follow-up to
families in crisis.
10/90- Clinician
6/91 Child Abuse Prevention Center
Children's Health Center - St. Joseph's Hospital and Medical Center
Phoenix, Arizona 85013
Responsibilities: Investigative videotaped interviews of children alleging sexual/physical
abuse and/or neglect. Provide testimony if subpoenaed. Multi-disciplinary Team
member in reviewing deaths of children caused by possible non-accidental injury.
Community education and services.
3/89-11/90 Bilingual Case manager/Special Educator
Central Arizona Child Evaluation Center
(CACEC) - St. Joseph's Hospital and Medical Center
Responsibilities: Developmental screening of children 5 years of age and younger.
Coordinated developmental/educational evaluation of all Spanish speaking children (birth
to 21 years). Participated in the development and implementation of the
Transdisciplinary Infant Assessment (TD1A) model for assessing children 2 years and
younger. Coordinated field clinics for CACEC. Center interpreter/translator.
8/88-3/89 Case manager
Maricopa County Long Term Care
Responsibilities: Case management in-home services for elderly and long
term/chronically ill. Assessed clients ability to reside independently and coordinated out
of home residential placement.
11/87-8/88 Vocational Instructor/Case manager
Chicanos Por La Cause/Via de Amistad
Responsibilities: Case management and pre-employment training to pregnant and/or
parenting youth 21 years of age and younger. Individual counseling and facilitated
therapy groups. In-service training to foster grandmothers.
12/86-11/87 Youth and Family Counselor
Chicanos Por La Causa/Centro de la Familia
Responsibilities: Individual and group counseling services to youths (25 years of age and
younger) and their families. Emphasis on dysfunctional family systems, youth issues,
chemical dependency and sexual/physical abuse.
Boards:
1/96 to 1/97 Valle del Sol, Inc. Board of Directors
2/95 to 11/95 Valley of the Sun Association for the Education of Young Children
Violence Prevention Conference Subcommittee
6/94 to 11/95 Arizona Child Care Resources/Advisory Board
1/93 to 2000 John C. Lincoln Hospital Desert Missions - Board of Directors/Secretary/Member at
Large

Retana-Casillas - pg. 3
1993 to 12/00 Vida, Manos Y Salud Advisory Board Member
Az. Healthy Mother's/ Healthy Babies (HivWHB)
Advisory Board member
7/91 to 9/99 Arizona SAFE KIDS - Advisory Board Member
2/92 - 1/95 March for Children of Color Planning Committee
7/92 - 12/94 Mujeres Latinas Pro Salud - National Task Force focusing Hispanic Women and Aids -
Southwest Regional Committee.
1/92- 12/92 West Valley Kiwanis - Board Member
6/00 — 12/01 Arizona Latino Health Association (AZHLA)
11/03 — 9/08 Mountain Park Health Center, Officer for the Board of Directors
3/06 — Present Arizona Family Planning Council, Executive Committee Member
Coalition Member:
1989-1991 Western Maricopa Child Abuse Prevention Regional Council - member at large.
7/91-7/92 Secretary - Maricopa County litvl/HB
1991 -3/94 Central Phoenix Child Abuse Prevention Council - Chair
7/91-3/93 Governor's Council on Developmental Disabilities - member at large
Participated in the multi-cultural and the Goal 6 subcommittee.
8/91 - 1/95 The Arizona Partnership on Infant Immunization (TAPI1) media campaign and advocacy
committees
1992- 1993 Interagency Farm Workers Coalition
1993-1994 Coalition Co-Chair
Maricopa County Healthy Mother's /Healthy Babies
7/95 - 12/96 Proyecto Unidos Coalition - Coordinator
Professional Memberships:
1/93-12/94 National Association of Social Workers
Fellowships:
8/94 to 1/95 Educational Policy Fellowship Program
8/08 Oxford Round Table on Immigration
Oxford, England
Awards: 1996 Arizona SAFEK1DS Coalition Crystal Award - Safety Advocate; 9/9/2000 Valle del Sol Profiles of
Success — Appreciation for Dedicated Services
Credits: Dissertation: Branham, Shirley "Extended Day School-Age Child-Care Programs in Maricopa" 1994
Talent: Channel 12 and Banner Health Arizona— Buddy Check Media Campaign Airing 9/2000 — 2003
References and List of Clients/Contracts: Upon Request

Dolores Retana, M.A. Ed., is an independent human services consultant. She has been a sole
proprietor since January 1995. Before launching an independent career, Dolores was the Assistant
Director and Juvenile Justice Specialist at the Governor's Office for Children (GOFC).
To date, Dolores has worked on multiple and varying needs assessments and evaluation projects
including Arizona's prenatal outreach program - Health Start, the implementation study of the SPRANS
Genetics Project and the ADES Arizona Families First program.
Dolores was the Co-principal investigator in the Chinese and Vietnamese as well as the Korean and
Filipino Community Needs Assessment Study and served as Co-principal investigator on the Chinese and
Vietnamese Mental Health Study. She worked with local Asian community leaders to establish the Asian
Pacific Community in Action (APCA), the only nonprofit organization who dedicates itself solely to
address and meet the needs of Asian and Pacific Islanders in Maricopa County. She currently serves as
evaluator for APCA's Health Through Action Program, an initiative funded by the Kellogg Foundation.
For five years, she served as Principal Evaluator for the Kyrene School District's Demonstration Safe
Schools/Healthy Students Initiative funded by the Department of Health and Human Services, the
Department of Education, and the Justice Department. She also completed a study for ThinkAZ on the
impact Proposition 200 had on service utilization amongst undocumented individuals in Maricopa and
Yuma Counties. In August 2008, during the Oxford Round Table on Immigration at the University of
Oxford, she presented her findings. She was the only non-academician invited to present.
Dolores served as Arizona's Consultant for the Hispanics In Philanthropy Foundation providing technical
assistance to ten grantees, in a variety of service areas. She is also part of a team of professionals
contracted by Cenpatico Regional Behavioral Health to evaluate their prevention programs which are
both community and school based. In a team effort, focusing on underage drinking, she recently work in
the Ak-Chin Tribal Community completing a community needs assessment. This effort was funded by the
Governor's Office via a Strategic Prevention Framework State Incentive Grant (SPF SIG). For the past
five years, Dolores has worked with A Stepping Stone Foundation in evaluating their preschool and family
literacy programs.
As part of health care reform, Dolores served as part of a team that prepared an application for the
Mountain Health and Wellness Center in Apache Junction to be recognized as a Federally Qualified
Health Center. Lastly, Dolores staffs the Children's Action Alliance Health Coalition, an effort funded by
First Things First to enroll families with young children into AHCCCS.

KAREN KURTZ
4236 North 36th Street
Phoenix, Arizona 85018-4717
(602) 955-3611
kakurtz@msn.com
MISSION: Assist non-profit and government organizations to achieve their desired
results through facilitation, mediation, writing, and organizational consulting.
STRONGEST SKILLS:
• Communicate clearly and concisely, orally and in writing. Able to synthesize large
amounts of information and make difficult concepts easy to understand.
• Able to facilitate consensus in a group, focus on what is important for achieving
results and persuade others to take action.
• Able to manage complex and controversial issues sensitively and create unique
approaches to solving problems that are practical, reasonable, and get results.
PROFESSIONAL EXPERIENCE:
FACILITATOR/ORGANIZATIONAL CONSULTANT/WRITER 4/2001 - Present
Independent Consulting Services
4236 North 36th Street
Phoenix, Arizona 85018
Purpose: Assist government and non-profit organizations in achieving their goals through
facilitation, mediation, organizational consulting, and writing (see attached list of facilitation
projects).
Sample of Successful Results:
• Project manager for the development and construction of the Child Crisis Center's
new Family Resource Center. Facilitated the facility development process,
represented the owner in the construction process with the general contractor,
architect, and lenders, served as liaison to government funders and other
contractors, and monitored expenditures against revenues.
• Facilitated the planning process and provided technical assistance to the Northeast
Valley Coalition Against Methamphetamine from its inception in 2006 through 2008.
The coalition created a strategic plan using the strategic prevention framework
planning model with a focus on finding environmental prevention strategies to
address the impacts of methamphetamine on coalition communities.

• Project manager for the development and construction of Community Bridge's
Center for Hope, a transitional facility for homeless pregnant women with co-
occurring disorders. Facilitated the zoning approval process and the facility design
process with the agency's CEO and the architect. Managed the project's sixteen
funding contracts including communication with funders, financial tracking, and
reporting.
HUMAN SERVICES COORDINATOR 5194 — 4/2001
City of Mesa Community Revitalization Division
P.O. Box 1466
Mesa, Arizona 85211-1466
Purpose: Develop and coordinate a comprehensive social services delivery system for the
City of Mesa. This is accomplished by working with social service providers and other
communities in three roles; planner and policymaker, funder, and collaborator.
Sample of Successful Results:
• Managed the City's annual human services grant process that awarded over $1
million in City grant funds to community-based non-profit organizations.
Responsibilities included issuing the request for proposals, evaluating proposals,
coordinating the volunteer review committee, and managing the 20+ contracts
awarded annually.
• Wrote grant applications and managed the awarded contracts from the Department
of Economic Security Community Services Administration for case management,
community services, and homeless services from 1996-2001.
• In 2000, designed and managed a ten-month problem-solving process with the
Mesa Day Labor Task Force. This resulted in recommendations to the City Council
for the creation of a day labor work center in Mesa. A work center operations study
was presented to the City Council in June 2001.
• In 1996, successfully managed a two-year process to designate the City of Mesa as
a community action agency for the State of Arizona. This change resulted in a
$300,000 annual increase in State and Federal revenue and strategic positioning
with the State to influence statewide policy and program development for community
action agencies. In 2001-2006, assisted Mesa Community Action Network in
obtaining community action agency designation from the City of Mesa.
• In 1995, designed and facilitated a ten-month problem-solving process with the
Mesa Citizen's Task Force on Homelessness. This resulted in the creation of a
homeless policy for the City (adopted by the City Council), a year-round transitional
program for single homeless men in the East Valley (opened in December, 1998),
and the creation of a provider problem-solving network to manage the issue in the

community.
• In 1995 1 re-created a gang prevention program for 300 at-risk junior high-aged teens
called the Summer Positive Alternatives for Youth (PAY) Program. Managed the
program and 30-34 seasonal employees from 1995 through 2000, serving over
1,800 teens.
ORGANIZATIONAL DEVELOPMENT CONSULTANT 1/93 - 5/94
Freelance Consulting Services
4236 North 36th Street
Phoenix, Arizona 85018
Purpose: Guide government and non-profit organizations through change resulting in
increased productivity and operational effectiveness.
Sample of Successful Results:
• Created a two-day workshop called Thriving on Change for a non-profit social
service agency.
• Managed a public-private productivity enhancement team working with Maricopa
County's Correctional Health Services resulting in potential identified savings of
$500,000. (This project was started while working as a Management Analyst for the
County.)
MANAGEMENT ANALYST IV 11/88 - 1/93
Maricopa County Organizational Development
301 West Jefferson Avenue
Phoenix, Arizona 85003
Purpose: Guide organizational units within Maricopa County through change resulting in
increased productivity and operational effectiveness.
Sample of Successful Results:
• Managed a public-private productivity enhancement team working with Maricopa
County's Health Plan resulting in potential identified savings of $1.2 million.
a Created and facilitated the decision-making process used to select the site for the
County's Southwest Regional Service Center. The process saved the County
$775,000 on the cost of the land and avoided a potentially costly lawsuit. The
project was awarded a NaCO Achievement Award in 1991.

ADMINISTRATIVE ANALYST 1186- 11/88
City of Minneapolis Police Department
350 South Fifth Street
Minneapolis, Minnesota 55415
Purpose: Provide administrative support in the Police Department's Research and
Development Unit through grant writing, policy development, and policy analysis.
Sample of Successful Results:
• Wrote grant applications resulting in $400,000 increased revenue for the Police
Department. The Police Department was one of only five cities selected to receive
one of the first crack cocaine enforcement grants from the Department of Justice.
• Redesigned the Police Department policy manual in preparation for the CALEA
accreditation process.
• Redesigned the budget performance measures for each unit within the Police
Department.
• Awarded the Chiefs Award of Merit in 1988 for my achievements in the Police
Department.
BUDGET & EVALUATION ANALYST 4/82 - 1/86
City of Minneapolis Finance Department
350 South Fifth Street
Minneapolis, Minnesota 55415
Purpose: Provide budget analysis for five City departments, assist with the preparation of
the annual City budget, and evaluate and recommend changes for City programs.
Sample of Successful Results:
• Wrote the City's application for the US Conference of Mayor's Financial Leadership
Award. The City of Minneapolis was the first city to receive this award in 1986 and
received a $25,000 stipend for a Mayor's management intern.
• Transitioned the City's animal control operation from a private contractor to a City
operation in the Health Department.
• Recommended and implemented the consolidation of the City's Vital Records
operation with Hennepin County's Vital Records.

EDUCATION:
Master's in Public Administration Awarded: 10/88
Humphrey Institute of Public Affairs
University of Minnesota
Minneapolis, Minnesota 55455
Bachelor of Science in Recreation and Park Administration Awarded: 12/79
Western Illinois University
Macomb, Illinois 61455
REFERENCES:
Available upon request.

Karen Kurtz Facilitation Projects
Workshops. Retreats and Meetings
City of Mesa Office of Special Programs 1995
Tamara's Hope 1995
Americorp Program 1995, 1996
City of Mesa Quality Management Steering Team 1996, 1999
Mesa Community Action Network 1996, 1997, 2002
Mesa Emergency Services Network 1997
Untied Food Bank 1997
Valley Fire Chiefs meeting 1997
Adjunct Faculty Association 1997
City of Mesa City Managers Office planning meetings 1997
Neighborhood Development Committee 1997
East Valley Family Resource Center 1997, 1998
PreHAB team building workshop 1997
Save the Family 1997, 1998,1999, and 2000
City of Mesa Continuous Quality Improvement Team 1997, 1998
City of Mesa Library Administration 1998
Easy Valley Child Crisis Center 1998, 1999, 2001
Post Spring Training Evaluation 1998
East Valley Addiction Council 1999
Mayfield Center 1999
Full Circle Health Care 1999
Unity of Phoenix 2001, 2002
Child Abuse Prevention Arizona 2001, 2002
City of Mesa Employee Advisory and Solutions Team 2001
Mesa Human Relations Advisory Board 2001 - 2007
Mesa Leadership Training and Development 2002
Mesa Alliance Against Drugs 2002
Mesa City Council Retreat 2002
Community Bridges Medical Protocol Development meeting 2002
Tempe Communities In Schools Board Retreat 2002, 2005
Sirrine Add! Day Care Board Retreat 2003
MLK Celebration Planning Committee 2003
Community Services Solutions Team 2005
Southwest Behavioral Health Services staff retreat 2006, 2007
Gila River Community Services Strategic Planning 2006, 2007, 2008, 2009
Project Soar Planning Meeting 2006
MARC staff retreat 2007
Department of Economic Security, Direct Care Workforce Committee 2007
Arizona Supreme Court, Juvenile Court Committee 2007
Wild Horse Pass Development Authority Board meeting 2007
Center for Disability Law staff retreat 2008
NAMI Arizona Board retreat 2008
Saemisch DiBella Architects strategic planning process 2008
Partners In Recovery strategic planning 2009
A Steppingstone Foundation board retreat 2009
Tempe Community Council board retreat and staff retreat 2009
Arizona Indian Head Start Directors Association strategic planning process 2009 (co-faciltiator)/2010

City of Phoenix Head Start Program strategic planning 2010 (co-facilitator)
Projects and Task Forces
Mesa Citizens Task Force on Homelessness 1995-1996
Mesa Halfway House Task Force 1996-1997
Co-facilitated Case Management Training for Community Action Programs 1999
Mesa Day Labor Task Force 2000
City of Mesa Diversity Focus Groups 2001
Community Bridges Center for Hope Project Management 2001-2003
City of Mesa Diversity Awareness Training 2002
Tempe Community for Kids Focus Groups 2002
Mesa Community Action Network - Bridges Out of Poverty Training 2003
City of Mesa Diversity Training for Community Services 2004
Child Crisis Center Family Resource Center Planning and Project Management 2005-2008
Tempe Community Council Kinship Care Focus Groups and Planning Session 2006
Tolleson Senior Services focus groups 2007
Northeast Valley Coalition Against Methamphetamine 2006-2008

KATHLEEN (Candee) A. STANTON
5342 N. 3rd Avenue, Phoenix, Adzona 85013
802-8814606—office
602-234-1205-fax
kastantonCtbattnet
EXPERIENCE
Independent Contractor
Phoenix, Arizona
Provide services to public sector and not for profit organizations. Services include:
• Needs assessment and strategic planning
• program evaluation
• program development and Implementation
• proposal and grant preparation
• project management
• public and organizational policy development
Chief Administrator, County Administrative Office
Maricopa County, Arizona
June 1994- March 1995
• developed and managed County Administrative Office budget
• prepared and/or coordinated the development of countywide policies, maintained County's administrative and procurement policy
manual system
developed special reports for County Administrative Officer and members of the Board of Supervisors, provided support to County
Administrative Officer initiatives
• provided project tracking for information requested by members of the Board of Supervisors and County Administrative Officer
• maintained project management material related to countywide business plan which focuses on the County's financial condition
• managed administrative and professional support staff, assured that support resources were utilized appropriately, developed and
implemented office policies
▪ coordinated critical communication among program staff, County Administrative Officer and members of Board of Supervisors
• researched information concerning critical issues, provided recommendations and developed implementation strategies to resolve
issues
Executive Assistant, Justice, and Law Enforcement Agency
Marl copa County, Arizona
December 1991 - June 1994
• facilitated strategic planning in autonomous and direct report departments within the agency
• facilitated and developed an agency-wide strategic plan
• facilitated a diversion planning process for persons who are seriously mentally ill who interact with the criminal justice system
• administered the agency's involvement In a court case concerned with persons with serious mental Illness. Administration Included
IGA development and negotiation, program planning, and compliance reporting
• developed and negotiated contracts
• developed and monitored office budget, developed office policy and procedures
Management Anatyst, Organizational Development
Maricopa County, Arizona
March 1989 - December 1991
• developed countywide policies
• developed and Implemented countywide program performance-based budgeting system, developed budget procedural manual and
conducted training related to implementation
• developed countywide strategic planning process consisting of three components—corporate planning, departmental planning and
grand strategies(enterprise activities), provided training related to implementation and facilitated implementation In many
departments
• completed management reports related to items presented to the Board of Supervisors for consideration
1

Executive Assistant to the Program Administrator
Department of Economic Security, Phoenix, Arizona
August 1953 - March 1989
• researched, developed and reviewed material for administrations budget, legislation, strategic plan and policies
• negotiated and monitored provider contracts
• developed policies and procedures
• prepared reports
• investigated employee grievances
• conducted overall review of administration's activities, services and programs and prepared report which included
recommendations about changes
coordinated Child Abuse Prevention and Treatment fund programs and activities
Details to special duty:
Operations Manager
September 1986 - January 1987
• supervised five unit managers responsible for budget, planning, contracting, policy development, licensing and administrative
support
Manager, Program and Policy Development Unit
December 1985 -April 1986
• supervised nine program specialists responsible for the development and implementation of policies related to provision of
child protective services and its ancillary functions.
Staff Assistant to the Program Manager
Department of Economic Security, Phoenix, Arizona
August 1982 - August 1983
• provided administrative support to planning service program for Maricopa County
• monitored budget activity
• developed, negotiated and monitored provider contracts
• addressed constituent and citizen issues
Field Training Officer
Department of Economic Security, Phoenix, Arizona
September 1979- July 1982
• planned, organized, and developed training and educational programs for Department of Economic Security and community
agencies' staff.
• performed needs assessment to determine training requirements
• concluded new employee orientation
• developed and negotiated contracts with consultants
• managed Maricopa County's portion of training budget
assisted in the formulation of policies and procedures related to the training function
Advocacy Planner
Arizona Coalition for Persons with Developmental Disabilities, Phoenix, Arizona
November 1977 - August 1979
• provided slaff support to volunteer advisory board
• administered federal grant
• developed funding proposals for member agencies
• assisied in the development of legislation
EDUCATION
Masters Degree, May 1977, Arizona State University, Tempe, Arizona-Interned at AZ State Legislature
Bachelor of Arts, May 1975, University of Kansas, Lawrence, Kansas
2

KATHLEEN A. STANTON
SYNOPSIS OF PROJECTS COMPLETED
Central Arizona Shelter Services, Phoenix, Arizona (1995) Through subcontract provided operations and administrative support during a
transition in management staff. Specific activities included the development of job descriptions, contract administration, and training all
employees related to new performance management/evaluation process.
Arizona Supreme Court Administrative Office of the Courts, Adult Services Division, Phoenix, Arizona (1995) Through subcontract,
facilitated work sessions related to organization assessment, reorganization, and redeployment of staff Process included: staff assessment of
individual work style preferences., work design--reorganization of work activities to increase productivity and more fully utilize staff strengths
related to work preferences development of reorganization alternatives to increase productivity and improve organizational functioning.
• HOPE Family Services, Bradenton, Florida (1996) Facilitated a strategic planning process that included participation from advisory board
members and all staff within the organization. Process resulted In the establishment of an organizational vision and mission as well as the
development of operational goals and objectives.
• Central Arizona Shelter Services (1996) Provided technical assistance and support in the development of a 60-unit permanent-housing
apartment complex for individuals with very low incomes. Activities Included: project support related to development of affordable housing
units, proposal development (Housing Trust Fund, Department of Commerce, Federal Home Loan Bank, Affordable Housing Program,
Industrial Development Authority, Maricopa County), completion of application for nonprofit exemption (501(c)(3)) for new organization,
completion of research and development of reports related to funding source requirements. Project had approximately 14 funding sources,
Development of comprehensive Request for Proposal for property management services. Coordination of information dissemination and
updates among key stakeholders (i.e. Agency. Corporation for Supportive Housing, city representatives).
• Arizona City/County Manager Association, Phoenix, Arizona (1996) Through subcontract, developed resumes for managers in transition.
• Homeward Bound, Phoenix, Arizona (1996) Through subcontract, developed funding proposals for a transitional housing project.
Proposals were developed for the AL Department of Commerce, Housing Trust Fund and the Federal Home Loan Bank, Affordable Housing
Program.
• Training by Design, Phoenix, Arizona (1996-199T) Developed proposal for The Department of Transportation. The proposal was for
technical policy and procedure manual development and training activities.
• Arizona Governmental Training Services (AGTS), Phoenix, Arizona (1996-2000) Developed several proposals for funding. Proposals
were developed for organizations such as: The State of Arizona, City of Yuma, Department of Economic Security, and Maricopa County.
Conducted organizational assessment concerning facility needs.
• Maricopa County Community Development Department, Phoenix, Arizona (1996) Through subcontract, facilitated a process that provided
for a workstyie assessment of all staff within the department and a redesign of work activities and processes to improve overall organizational
and program effectiveness. Specific activities included: facilitation of the Work Style Patterns Inventory nA process that provides for an
assessment of individual staff preferences concerning their approach to work activities, conducting an inventory of all processes, tasks, and
activities completed by the organization. development of implementation strategies to facilitate the organization's transition to more effective
organizational processes.
• Homebuilders Association, Phoenix, Arizona (1996) Through subcontract, drafted reports related to development fees.
• Arizona Superior Court In Pima County, Pima County Juvenile Court, Tucson, Arizona (1996-1997) Through subcontract facilitated a
strategic planning process that included involvement of management supervisory and line staff. Specific activities Included: development of a
vision, mission, strategic issues, goats, and objectives, assessment of current organizational activities related to the principles of restorative
justice, identification and dlagramming of all court processes for assessing possible areas for program enhancement and Improved efficiency,
• Presbyterian Services Agency, Phoenix, Arizona (1997, 2001) Prepared a proposal to the Department of Economic Security for the
provision of family support services. provided technical assistance related to a proposal to ValueOptions.
• Marloopa County Public Health Department (1997-2004) Supported a team effort to develop a proposal for services funded under the Ryan
White Care Act Amendment, Activities Included editing and formatting proposal. In 2001, prepared a proposal for funding for the health dinic
that provides health care for the homeless.
• Department of Economic Security, Phoenix, Arizona (1997) Through subcontract, reorganized statistical information about child abuse
reports into user-friendly formal
• New Focus, Tucson, Arizona (1997-1998)—Provided program evaluation and technical assistance to Tobacco Education Prevention
Programs so that projects can provide services al an optimal level. Assistance was provided to the following sites: Scottsdale School District,
the Mesa Partnership (a collaboration of the Mesa Community College, Mesa United Way, and Mesa School District), Mohave County, Yavapai
County, Coconino County, Apache County, and Navajo County. Specific activities included: [raining local project staff in the use of the
evaluation tool (Results Mapping). review of periodic data reports that provide feedback about results achieved to local projects, facilitation of
development of strategies to enhance the effectiveness of the program and provide for higher-level program outcomes.
3

Mar!cope County Head Start, Phoenix, Arizona (1997-1999) Through subcontract, facilitated discussion with key management staff about
key organizational strategies to improve program effectiveness. Conducted needs assessment related to organizational policies and
procedures, developed policies and procedures.
Corporation for Supportive Housing, Phoenix, Arizona (1997 - 1998) Conducted needs assessment among organizations that receive
HUD-Supportive Housing Program funding, The process provided information about the need for technical assistance In a variety of areas
including: management, operations, finance, accounting, and general organizational capacity. Coordinated and managed all aspecLs of fund-
raising event that took place in November 1997 at the Phoenix Art Museum. Coordinated all aspects of the delivery of technical assistance
training to more than 40 community-based agencies.
Lincoln House/Lincoln Hospital, Phoenix, Arizona (1997-1998). Responsible for the administration of a needs assessment related to
childcare in the Sunnyslope area. Specific activities included: facilitation of steering committee meetings, development of needs assessment
instruments and coordination of the administration, compilation of needs assessment data, and development of final report and plan.
Cannon and Associates, Inc., Phoenix, Arizona (1998-current) Developed database and provided analysis about programs for foster
children. Developed database for hospital survey. Conducted policy research. Revised funding worksheet related to tobacco settlement funds.
Developed interdisciplinary Drug Endangered Children Protocol for the protection of children that are found at meth labs. Developed meeting
documentation from statewide methamphelamine conference. Developed database and date report for community survey. Conduct research
in specific program areas. Provide support to community needs assessment related to substance abuse for Sunnyslope, a community Within
Phoenix. Provide support related to FTF assessment. Provide support related to Head Start needs assessment at county and state level.
Provide support to SLHI report related to health care. Manage project related to asset mapping for Arizona Department of Health Services.
• Drugs Don't Work In Arizona, Phoenix, Arizona (1998) Prepared proposal for funding for programs related to educating individuals through
workplace programs about the harmful effects of drugs and strategies for communicating with their children about the issue.
• Jane Killion Irvine, ACSW, Phoenlx, Arizona (1998, 1999. 2000, 2001, 2002) Conducted surveys about the Interagency Case Management
Project for program evaluation effort. Provided data entry for related database. Conducted review of case files. Assisted In the development of
collaborative proposal to provide services to homeless youth. Conducted focus groups with homeless youth. Conducted interviews and
participated In development of a business plan for a family advocacy center. Participating in statewide evaluation for AZ Families First
Substance Abuse Program. As a part of the evaluation, conduct site visits, interview key stakeholders. and develop site reports. Develop
database for alter school program provided by Tumbleweed.
• Casilies Consulting, Phoenix, Arizona (1998) Edited tobacco prevention curriculum materials.
• Kyrene School District, Tempe, Arizona (1998) Providing support to the District's involvement in the local tobacco coalition. Support
includes: coordination of survey distribution, representing the District at coalition meetings and developing appropriate portions of a service
plan.
• City of Chandler, Chandler, Arizona (1998-1999) Coordinating citywide training activities. Developed 3-year action plan for training activities.
• Stardust Foundation, Scottsdale, Arizona (1999) Provided support to strategic planning process for Homeowner's Association at South
Ranch, a Habitat for Humanity community.
• Harris Consulting, Litchfield Park, Arizona (1998-1999) Provided support to the development of funding applications for affordable housing
projects. Applications have Included: Federal Home Loan Bank-Affordable Housing Program and Department of Commerce. Provided
coordination for one-day conference on affordable housing,
• Native American Connections, Inc., Phoenix, Arizona (1998-2000, 2002, 2009, 2010) Provided support to organizational strategic planning
process, developing funding applications for NACI programs. Applications have included Continuum of Care , Department of Commerce, and
Federal Home Loan Bank-Affordable Housing Program. Developed funding proposals to private foundations. Developed SAMHSA application
for substance abuse treatment services for persons who are homeless. Developed SAMHSA funding application related to Successor of
Interest.
• Mesa Partnership, Mesa, Arizona (1998-2001) Conducted program evaluation of tobacco use prevention and cessation activities. Activities
included survey development, database development, data analysis, and annual and ad hoc report development.
• Arizona State University West (1999) Developed program proposal for U.S. Department of Education Gear Up Project that prepared youth
for college attendance.
• Tobacco Lifelong Challenge Project (1999) Conducted evaluation needs assessment and provided evaluation review report.
• Apache County Health Department, Springerville, Arizona (1999-2001) Conducted program evaluation of tobacco use prevention and
cessation activities. Activities included survey development, database development, data analysis, and annual and ad hoc report development.
• Navajo County Health Department, Holbrook, Arizona (1999-2000) Conducted program evaluation of tobacco use prevention and cessation
activities, Activities included survey development, database development, data analysis, and annual and ad hoc report development.
• Mohave County Health Department, Kingman, Arizona (1999-2008) Conducting program evaluation of tobacco use prevention and
cessation activities. Activities included survey development, database development, data analysis, and annual and ad hoc report development.
Conduct local Youth Tobacco Use Survey in 1999 and 2001. Survey activities included database development, data management, and
4

analysis and report development. Developed database to track tobacco use among clients of the VAC program. -Completed project related to
position responsibilities analysis and comparability.
City of Chandler, Chandler, Arizona (1999) Developed training outline for training related to city's conversion to new payroll system.
Mercy Housing, Southwest (2000) Prepared funding proposals for housing projects to the Federal Home Loan Bank.
Scottsdale and Fountain Hills Tobacco Use Prevention Program, Scottsdale, Arizona (2000-2001) Conducted program evaluation of
tobacco use prevention and cessation activities. Activities included survey development, database development and data analysis, and annual
and ad hoc report development.
House of Refuge East, Mesa, Arizona (2000-current) Conducted strategic planning process with board and staff. Developed funding proposals
for various program at:Ali/ales. Proposals have been developed for U.S. Department of Housing and Urban Development, Department of Economic
Security, Kaboom, AZ Behavioral, and Health Foundation. Developed databases for the management of volunteers and donor information as wet
as a database for management of repair and maintenance Information for the 85 transitional housing units.
House of Refuge Sunnyslope, Phoenix, Arizona (2000, 2001, 2003) Developed funding proposals for the City of Phoenix Community
Development Block Grant Program and the Arizona Department of Housing.
▪ Community Bridges, (2000-current) Developed funding proposals for transitional housing program. Proposals have been written for the
U.S. Department of Housing and Urban Development, Mesa-Community Development Block Grant, Tempe-Community Development Block
Grant, Maricopa County-Community Development Block Grant, Federal Home Loan Bank, Affordable Housing Program, and Virginia Piper
Charitable Trust. Other proposals included: proposal to the U.S. Substance Abuse and Menial Health Services Agency, ValueOptions for the
Local Alcohol Reception Center, ValueOptions for prevention programming, U.S. Department of Justice for Drug Free Communities Support
Program and cities throughout Marlcopa County. Developed and implemented grants management process.
• Triple R Behavioral Health, Phoenix, Arizona (2001) Provided support to efforts to identify properties for residential program services.
Assisted in the development of a proposal to the City of Mesa.
• Community Bridges Prevention Partnership, (2001-current) Provide program evaluation for substance abuse prevention programs
including ValueOptions and U.S. Drug Free Communities. Evaluation activities Include survey development, database development, data
management, and analysis and report development. Developed comprehensive database for the collection of information about program
activities to be utilized for activity reports and process evaluation. Conducted strategic planning process.
• Salvation Army, Bradenton, Florida (2002) Developed database to manage volunteer information and fund raising.
• Coconino County Tobacco Use Prevention Program, Flagstaff, Arizona (2002) Developed a database for staff to utilize to report
activities.
• Governor's Office of Housing Development, Phoenix, Arizona (2002) Through subcontract, coordinated the development of an annual
performance and evaluation report for submittal to the U.S. Department of Housing and Urban Development. Prepared a summary annual
report.
• Marlcopa County Integrated Health Systems (2003-2004, 2008109) Developed funding applications with some emphasis on Title IV or the
Ryan White Care Act. Provided overall management support for dental services program for persons with HIV/AIDS.
• Next Step and Associates, Sarasota, Florida (2003) Database development for training needs assessment conducted for the City of
Sarasota Florida.
• Presbyterian Services Agency, Phoenix, Arizona (2003-2005) Provide evaluation for school-based prevention program. Evaluation includes
database and survey development, data management, and report development. Draft funding proposals.
• Tumbleweed, Phoenix, Arizona (2003, 2004) Developed U.S. Department of Housing and Urban Development Continuum of Care
applications for program services.
• Goodwill Industries of Central Arizona, Inc., Phoenix Arizona (2003, 2005) Developed funding proposal to the U.S. Department of Labor
to enhance employment opportunities for persons that are disabled.
• Casey Family Foundation, Denver Colorado (2004) Provided organizational support related to programmatic changes taking place within
the organization.
• Arizona Women In Education and Employment, Phoenix, Arizona (2004) Developed funding proposals.
• City of Tempe, Tempe, Arizona (2004, 2005) Developed funding proposals of which one resulted in the development of the Connections
Cafe, a life options center to meet the needs of baby boomers as they transition from full time employment.
• EMPACT-SPC, Tempe, Arizona (2004-current) Provide program evaluation for prevention activities that include database development, data
analysis and report development. Support coalition effort around suicide prevention.
• Cave Creek Unified School District, Cave Creek, Arizona (2004, 2005) Develop funding proposals for prevention program activities.
• John C. Lincoln Health care, Desert mission, Phoenix, Arizona (2005-2008) Developed logic models for program areas within Desert
Mission (Children's Health Care, Food Bank, Dental Clinic, and social services (Marley House). Providing support to development of final
report for Weed and Seed initiative. Provided program evaluation for Title II program activities Including survey and database development.
5

Developed applicalion for prevention services through community coalition.
Tempe Community Action Agency, Tempe, Arizona (2005-current) Develop funding proposals including city , county. and state
applications as well as the Valley of the Sun United Way.
Youth Etc., Phoenix, Arizona (2005) Developed funding proposal for AZ Department of Economic Security.
Valley of the Sun United Way, Phoenix, Arizona (2005-2007) Manage data and develop reports for Early Literacy Initiative
Friendly House, Phoenix, Arizona (2005-2008) Provide program evaluation for prevention programs.
AZ Department of Housing, Phoenix, Arizona (2006-2010) Developed meeting documentation for the Governor's Task Force on Affordable
Housing and its related subcornmittees. Final report with recommendations to be developed, Developed HUD continuum of care application for
rural counties, support rural continuum of care coalitions In rural counties of Arizona.
▪ Partnership for Drug-Free America, AZ Chapter (2008-current) Phoenix and Yuma, AZ Developed funding proposals for substance abuse
prevention activities, provide evaluation support. Provide evaluation support for SPF SIG Project Yuma. Program Evaluation for AZ Parents'
Connect Program (current).
• Family Involvement Center, Phoenix AZ (2007-current) Develop funding proposals for family involvement In behavioral health system.
Provide additional support such as logic model development and database development. Manage database thal captures monthly program
activities. Develop monthly and annual reports.
• CV Lore and Associates (2008, 2010) Phoenix, AZ -Developed funding application to the U.S Department of Education for multiple program
supports for youth in middle school. Develop dale for First Things First Needs Assessment
• Maricopa Integrated Health Systems, Phoenix AZ 2008-2009, 2009-2010, managed dental services case management program for persons
with HiV/AIDS
• Molera, Alvarez, Phoenix AZ (2009) Developed applications related stimulus funding to support neighborhoods.
• UMOM, Phoenix, AZ (2010) Developed funding applications for family homeless shelter, and veteran families housing.
• Valley of the Sun United Way (2010, 2011) developed youth summer employment applications and applications for services for young youth
including early literacy, oral health arid family resource centers.
• Scottsdale Health Care, Scottsdale AZ (2010) develop funding proposals.
• East Valley Institute of Technology, Mesa AZ (2010) develop funding proposals.
• TERROS, Phoenix AZ (current) Develop grants applications to HRSA, CDC, Arizona Department of Economic Security, Arizona Department of
Corrections
Gila River Indian Health Care Corporation, Sacaion, AZ (2011) Develop funding application to Governor's Office for Children.
John C. Lincoln Health Foundation, Phoenix, AZ (current Develop funding applications for HRSA.
6

Beverly D. Hancock, MS
6920 26th Street W
Bradenton, FL 34207
941-758-6824
nextstep@prodigy.net
RESUME
Owner, Hancock Consulting, Inc. (formerly NEXT STEP & ASSOCIATES) 1998-
present.
HANCOCK CONSULTING, INC. is an organizational development, performance
improvement, and employee training firm based in Florida. We work with public
and private business to help them improve operations and productivity. Primary
services include: management and leadership development; organizational
development; design, development and delivery of customized employee training
programs and workshops; team building; conflict resolution and mediation
services; meeting facilitation; design, development and administration of
customized 360 degree assessments and needs analysis; executive and
management coaching,
Adjunct Faculty, 2000-present
• St. Petersburg College, Corporate Training and Business Development
• State College of Florida, Workforce Solutions
Past Work Experiences:
Manager, Organizational and Employee Development, Sarasota County
Government, Florida, 1996-2000.
Responsible for organizational development activities directed at improving
organizational performance. Major achievements included: design and
development of a 360 degree assessment tool for executive leadership; design of
an electronic performance appraisal tool for the County Manager and executive
leadership team; design and implementation of an employee satisfaction survey;
establishment of a training tracking system to record and monitor employee
development activities and ensure compliance with professional certifications,
licenses, etc.; development of new employee orientation manual and orientation
program; establishment of a Professional Customer Service Certification
Program that included design and development of a 5-level training program;
and, implementation of a Continuous Quality Improvement (CQI) program and
selection, training, advising and monitoring of a cadre of Internal CQ1
Consultants.

Also responsible for all duties associated with administration of the organization's
employee training and development function including: conducting a variety of
needs assessments and surveys; designing and developing training
programs/classes; developing and maintaining professional relationships and
partnerships with a variety of educational institutions, community organizations
and area businesses to support cooperative efforts aimed at achieving
organizational goals; identifying, hiring, training and evaluating performance of
staff and adjunct instructors; preparing and administering budget; publishing the
bi-annual training catalog and schedule; management coaching.
Manager, Staff Development and Training, Maricopa County, Arizona,
Major responsibilities included: establishment of the corporate-wide employee
training and development department; assessment of workforce development
needs based on identification of critical competencies associated with
accomplishment of the organization's mission and job-specific requirements;
design, development and implementation of training and development programs
for approximately 14,000 employees; involved in developing the plan for a major
organizational restructuring which including facilitating department restructuring
workshops, training supervisory personnel on how to appropriately lay-off staff,
and establishing and administrating three career centers to assist terminated
workers with their job searches, as well as accessing needed social service and
unemployment assistance.
Education:
Master's Degree in Education, University of Nevada-Las Vegas (Graduate Assistant)
Bachelor of Arts, University of Nevada-Las Vegas
Completion of advanced studies in adult learning theory, curriculum design, creative
training techniques, organizational development, work process improvement, and
business continuity planning
Certifications:
Certified Birkman Method Consultant
Certified Zenger-Miller/Achieve-Global Instructor
Certified DDI Instructor
Authorized to administer the Myers-Briggs Type Indicator (MBTI)

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PROPERTY DEPARTMENT East • Arizona Arizona Guadalupe, Arizona 4, 1 of IN DISPLAYED
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County MARICOPA 2601 Avondale, Chandler, El West Phoenix, 38, UPON REMAIN AND
33 Thunderbird, 5141 Guadalupe, Avenue, Title location To: Certificate I (A), WILL
- as a ICU/CCU' Buren, Hamilton, ServIc.es, Calle Slat of the 1092.1 FRAMED
Maricopa operate East Van South West fast North authority only for §41 - LICENSE BE
ARIZONA = 37 950 811 12428 Dialysis 5825 4011 the valid 201C1 2010 A.R.S. TO
to Unit & Center, under Is 1, 29, THIS
licensed Burn Center, Center, Center, Center Center, Issued and TO
is 133 515 Health Health Health Health Health Health been transferable October September H3673 PURSUANT
facility = Capacity: OFFICES: Family Family Family Family Family Family has Effective:
This Services: Medlcal/Surplcal Total SATELLITE Avondale Chandler Mirage Glendale Guadalupe Maryvaie license Rules, Is not License From: Issued: Number:
El This
AV:i--P.7,7 et02)
Veig TAIR 26 /I 11: rogi vxt 'C>) . 'keg plkt <C vY1. 11 411 ADHS (Rev.

Health
of rector
Department By: sIstan APPLICATION
SERVICES
to
dba pursuant Recommended By:
issued SUFFICIENT REVOKED
District, and 'PLACE
HEALTH statutes AND OR
Care CENTER Street 85008 Revised TIMELY REISSUED CONSPICUOUS
THE OF Health HOSPITAL 85007 Arizona above. 2013 A UNTIL
OF MEDICAL Roosevelt Arizona 85008 85007 Arizona 85041 85021 identified PF IN A
Arizona Arizona 4, 30, 2 EFFECT
PROPERTY Spedir Arizona Phoenix, Arizona Chapter location of SUBMITTAL DISPLAYED
DEPARTMENT East Phoenix, GENERAL Phoenix, 85210 85007 Phoenix, Phoenix, 36, the September 2 IN
County MARICOPA 2601 Road, Arizona Arizona Avenue, Phoenix, Road, Title for UPON REMAIN AND
a Mesa, Avenue, 7th Tamarisk, of only To: Certificate WILL
as McDowell Phoenix, 7th South hatcher authority valid *41-1092.11(A). FRAMED
Maricopa operate East Hibbert, South 1205 33 West West the and is 2010 LICENSE BE
ARIZONA to 1144 South Avenue, 1201 Center, Center, 934 under 2010 29, A.R.S. THIS TO
Center, 59 7th Clinic, Health Center, issued transferable 1, TO
licensed Health Center, 1201 South in Family Health Health been not JIctober September H3673
Is OFFICES: Health Walk Family Family has is PURSUANT
facility Family Family Radiology, Avenue Avenue Central license Rules, Effective:
This Services; SATELLITE McDowell Mesa MINS Seventh Seventh South Sunnysiope This Services' License Issued: Number: :G.
8/02)
tin KZ') XVI grq. 11 ffla tin 5931 z C10110/' AOHS (Rev.

Serial 11068- RFP
Attachment 3-D
RESPONDENT'S REFERENCES
RESPONDENT SUBMITTING PROPOSAL: Maricona Inteerated Health System
I. COMPANY NAME: Maricopa County Office of Oral Health
ADDRESS: 4041 N. Central. Phoenix AZ 85012
CONTACT PERSON: Toby Urvater
TELEPHONE: 602506-6767 E-MAIL ADDRESS: tobv.urvater@,mail.maricopa.goy
2. COMPANY NAME: ADA Foundation Samuel D. Harris Fund
ADDRESS: 211 E. Chicago Ave., Chicago, IL 60611
CONTACT PERSON: Rose Famularo
TELEPHONE: 312-440-2763 E-MAIL ADDRESS: famularor@ada,org
3. COMPANY NAME: The Southwest Center for HIV/AIDS
ADDRESS: 1144 E. McDowell Road, Suite 200, Phoenix, AZ 85006
CONTACT PERSON: Carol Poore
TELEPHONE: 602-307-5330 E-MA1L ADDRESS: cpoore@swhiv.org
4. COMPANY NAME: Care Directions 0, Area Agency on Aging
ADDRESS: 1366 E. Thomas Road., Suite 200, Phoenix, AZ 85014
CONTACT PERSON: Debby Elliott
TELEPHONE: 602-241-6123 E-MAIL ADDRESS: debby.elliotaamphx.org
5. COMPANY NAME: Phoenix Children's Hospital
ADDRESS: 1919 E. Thomas Road, Phoenix, AZ 85016
CONTACT PERSON: Jan Platt, MD
TELEPHONE: 602-202-1260 E-MAIL ADDRESS: ipiattAphoenixchildrens.org

Attachment 3-E
4 00194,u,,
14,DEPARTM&NT OF HEALTH AND HUMAN SERVICES Program Support Center
Coy Financial Division Management of Cost A/location Service
DCA Western Field Office
90 7th Street, Suite 4400
San Francisco, CA 94103
PHONE: (415) 437-7820
JUL 29 2013 FAX: (415) 437-7823
cicasf@psc.htle.gov
Kathleen Benaqulsta
Controller
Marioopa Integrated Health System
2619 East Fierce St,, let Ff.
Phoenix, AZ 85008
Dear Ms. Benaquista:
A copy of an Indirect cost Negotiation Agreement Is attached. This Agreement reflects
an understanding reached between your organization and a member of my staff
concerning the rate(s) that may be used to support your claim for Indirect costs on .
grants and contracts with the Federal Government. Please have the Agreement signed
by a duty authorized representative of yourorgantzation end return It to me BY EMAIL
OR FAX, retaining the copy for your flies, We will reproduce and distribute the
Agreement to the appropriate awarding organizations of the Federal Government for
their use.
An indirect cost proposal together with required supporting Information must be
submitted to this office for each fiscal year in which your organization claims Indirect
costs under grants and contracts awarded by the Federal Government Thus, your next
proposal based on your fiscal year ending 06/30/13 Is due In our office by 12/31/13,
Sincemly,
Ant prim, Director
Division of Cost Allocation
Attachment
PLEASE SIGN AND RETURN THE NEGOTIATION AGREEMENT BY EMAIL. OR FAX

HOSPITALS RATE AGREEMENT
EIN:
DATE:07/22/2013
ORGANIZATION: FILING REF.: The preceding
Maricopa Integrated Health System agreement was dated
2619 East Pierce St., 1St Fl, 06/23/2010
Phoenix, AZ 85008
The agreements rates approved with the in this agreement are for use on grants, contracts and other
Federal Government, subject to the conditions in Section III.
SECT/ON I: INDIRECT COST RATES
RATE TYPES: FIXED FINAL PROV. (PROVISIONAL) PRED. (PREDETERMINED)
EFFECTIVE PERIOD
ECU FROM 22 RATE (%) ,LogivrioN APPLICABLE TO
FRED. 07/01/2012 06/30/2014 25.00 All Other Sponsored
PRED. 07/ 01/2012 06/30/2014 63.00 All Activities
Research
PROV. 07101/2014 06/30/2015 25.00 All Other Sponsored
Activities
PROV. 07/01/2014 06/30/2015 63.00 All Research
Total direct costs excluding capital expenditures (buildings, individual items
of equipment; alterations, and renovations); subawards; hospitalization and
an other owned, fees associated with patient care whether the services are Obtained from
related or third party hospital or other medical facility;
rental/maintenance of off-site activities; student tuition remission and
student support costs (e.g., student aid, stipends, dependency allowances,
scholarships, fellowships).
Page 1 of 3 H33022

ORGANIZATION: Maricopa Integrated Health ystem
AGREEMENT DATE: 7/22/2013
SECTION II: SPECIAL REMARKS
TILEATIMILSZ—ZEMME—BlEanial.
The fringe benefits are specifically identified to each employee and are
charged individually as direct costs. The directly claimed fringe benefits are
listed below.
ZEFfilatila--Q2—EMILAREDICaa
Vacation, holiday, sick leave pay and other paid absences are included in
salaries and wages and are claimed on grants, contracts and other agreements
as part of the normal cost for salaries and wages. Separate claims are not
made for the cost of these paid absences.
DEFINITION OF EQUIPMENT
Equipment is defined as tangible nonexpendable personal property having a
useful life of more than one year and an acquisition cost of $5,000 or more
per unit.
The following fringe benefits are treated as direct costs!
FICA, HEALTH/LIFE INSURANCE, AND RETIREMENT.
Page 2 of 3

ORGANIZATION1 Maricopa Integrated Heaith System
AGREEMENT DATE: 7/22/2013
SUCTION III: GENERAL
h. , 011.1212ZIMIL
The setae in this agroment an subject to elm/ statatory or admioistrative limitations Mi apoly to a given grant,
contmat or other agreaMent only to the extent that fund., ors eveilablo. Aoceptenon of the reteo is nubjaet to the
follo:oing oonditionel (11 Only oolgta incurred by the organization yam included in ito indirect coot pool et finally
adoepted3 such comte,ore legal obligation" of the organization and ore allOWahle under the governing cart principleel
(I) The sem costs that hays bean troated u indirect Ooeta are Oct Oleimed direct =Le/ 0) Givilor types of mete
have beim eccorded atmeiotent aaaminting treatmont/ end Cal The information provided by the coannieetion which UOVI OVad to
aarebileh tbe rates is oot later found to he notarially incomlato or inaccurately the rodarol Gmedrimot. In such
eituatious the rate(a1 maldba eutdsat to renegotiation it to diworetion of the Federal Otvernmont.
• 11,121=CILLIBMILI.
Thus Agyearriont is booed an the amounting system purported by the organization to he in effMt during the Agree:met
period, change° to the method of acCoUnting for carts which affect the enoaot of reinhorsommt resulting froa the Mao of
this Agreement roguizr prior approver of the authorised repreanntativa of the degniosnt wgetey. goat clanged Luanda , but
art hot limited to, anneal' is thu obaredm of it portiooler type of omit &toe inatoOt to direct, palm, te aptaig
oppravol ref moult in met dimaloweneee,
C , j=a1LIATILL
If a fixed rote is in this Agraaannt r it la Memel on an mitigate of the 000t0 COT Ma period coverml py the rats, Nhon the
edtual colts far this period are determined, on adjustment will be 'MAW to a rate of a future gam(n) to motemote for
tte !aircrew:* tntSeen the mete used to establish the fixed rots and actual meta.
0, naii-ir-CLINCE-11MILKIMEalia
The rates in thio Amement WIWI approved io retriorthwe with the met principloe OrmagetodbY tte twirteent of Rwelth
and Malan 40Xeiose, and eheuld be appliod to the "rent", contreote and other agreements covered by those renditions
rabject to any limitation' in,. Move. The homitel any provide copier of the Amement to otter Poderol Agentdos to give
U he early notification of the Agrommant.
• =fa
If any Pedaral contract, great Cl' otter ogroonont ill reimbursing ineireot mote ty o memo otter then tto approval rote's)
in this 3.91.1oagerat, tha oweamiratioo 0044 V.0 credit auah OFNMII to the alialiedFcogualt, and (u) apply the epproved
rate (a) to the appropriate bus to identify tbo proper 'mount of Indirect oasts allemblO to these programs,
rf 143u Imrritn70g, Off MALY OW 17ff 111313142, 00V1133413124
Madcap& Integrated Health. glum
III•=d1
131311hTLE
Arif Xit-141
(11)4411
'c'rai\tt-fa---- nixrugr, Vaeiaio0 of CDPIt A4.000a100
(1=45) Crlaur)
7123/201.1
(13/231) 3022
wes garszsamerpoi Helen Yung
Thloptcrusi (415) 437-7820
Page 3 of 3 .

i MD MC
Behavioral Licensed Professional Counselor Lankton, 2013
Chair Psychiatry OrmkOlsoirLM of Health Shpilaink, Julie 12,
Director Manna
November
ANP FNP
Providers
MPH Medidne Director MD Arey, Williams, Updated
President Officer MD, Chair QatiAtigosa3D '<balsa, Medical Brian Carol
Vice Medical Jr., Internal Medical Mn I I
Fromm.
Senior Chief E Manager D Brown Coordination Skeen
Robert Pad Loamy Achrocate Coordinator atigraItifidsevl Concise
Program White Boni Family Lorraine i[Lat Dental
Administration HIV Ryan I
1 Din9dcr _Stligrj_trfmlfgm_ I
Grants Maim Part C Speaa:.fist Guerrero Valdez Patient Fahnbulleh Vyamungu
White Moore Entry Carmen Navi Hector Cultural Navigators
Program Eric -at Patient Massa Variant
District IV Ryan
3-F Health Care Officer Specialist Garay Jaime Sernsto Ledesma Lopez
Special of Directors President Executive Purves Office Ojeda Eligibility Maria SchedulersiClerks Susanna Afice Elizabeth Martha Vacant
Attachment Board Stephen Front Supervisor Veronica
County Chef
Maricopa Assistants 13ell Smiley
Director Nursing Lab Miami Elizabeth
eculive Ambulatory Assistants Ortiz Wei Practo
Roxanne Jose Ann Vacant
Merkel Mary
Services RN RN RN
President Officer Vanaskie President Physician Registered Nurses Miller, Rdand, Dunn,
System Vice Operating and LaurisWood Martha Katie Hope
Health Chart Executive Chief VAIliarn We
Program Ambulatory Dentistry ODS er DMD Hygienist Hamp Assistant Turner
Integrated Care Organizational of Chen, 1 Dentist risto ph Brendemuhl, Dental John Dental Jarnia
HIV Operaticris Patel Director John Ch _1
Maricopa Director Shashrkala
Ambulatory Alvarado
Services Jones Dental Receptionist
Manager Lou Patricia
Dental Mary

1
Page
Lowney Coordinator D
7 i Boni Part
MD Grants RWPD
Fromm, Tomlinson
CMO of
Robert Cheri Director , DDS ! DDSi
Moore Program C FHC Williams.
Coordinator Part Chandler Speicker,
II Eric RWPC •••
Kirk Roscoe
Middleton Compliance r •
Officer 1 1 ..e
John Chief FHC DMD
Glendale 1 Garsha,
..._.
Gene --
Jones 1
Administrative Services 1 l , I
System Services Marshal VP Rhodes Nursing DOS DEB DOS DMD DDS
of IL CHC Chen, Speicher, Pool, Etemad, Mann,
t Dental Kathleen Director John Craig John
Ftea Kirk Abrak
tec. Direct Dodo Strategic
A Healthcare Susan VP Planning seam
rntpgr Directors Bayless & CEO Sr. DOS Dentistry. DMD +.11.•
Plf Special District of MIHS Chen, of -1 MHCC Christopher
Board Betsey President John Director Brendemuhl,
Maricopa lAniit•= Marlcopa Care
ii Vanaskie Birmingham —
R COO Ambulatory -1 t , I
William Barry Director care FHC DDSi
VP Lishinski Mathus Administrative Assistant Central Williams,
11 Gary Ambulatory primary
Talbot Board MaG Gorman Counsel" Kristin South Roscoe
L 1 I
Melanie Dlr. Louis General
Exec. DDS
I FHC DMD
Meinke Benaquista Cad, Villamor,
CFO Finance Avondale Sonia
Kenneth VP [Melissa
Kathleen
IL
Whitney Ext. FHC Hired
Chief Affairs Mesa Be
& T.
Warren VP
Sr.