MOUNTAIN PARK HEALTH.PDF

Gila River Indian Community Grant Application
Municipality Information
Date of Application: May 7, 2013
Name of City, Town or County: Maricopa County
Mayor or Board of Supervisor’s Chairman: Andrew Kunasek
Mailing Address: 301 W. Jefferson, 10th Floor
City: Phoenix State: AZ Zip Code: 85003
Department/Non-Profit Information
Department or Organization Name: Mountain Park Health Center
Mailing Address: 2702 N. Third Street, Suite 4020 City: Phoenix State: AZ Zip Code: 85004
Contact Person*: 1. Essen Otu, Title: Diversity & Community Affairs Director
2. Shannon Weigand Title: Grant Manager
Phone Number: (602) 323-3285 E-mail Address: eotu@mphc-az.org
(602) 323-3432 E-mail Address: sweigand@mphc-az.org
*The individual listed here will be our direct point of contact for grant-related questions or requests for information.
Duplicates of all grant correspondence will be sent to the contact person.
Grant Information
Program or Project Name: Mountain Park Health Center - Gateway Clinic Construction Project
Purpose of Grant: Support for the construction and renovation of the new Moutain Park Healht
Center -Gateway Clinic
Beginning and ending dates of Program or Project:6/1/2013 to 6/30/2014
Amount Requested: $200,000.00 Total Project Cost: $12,855,290.00
Multi-year Request – If checked, # of years requested: Amount/year:
Priority Funding Area:
Economic Development Education Healthcare Public Safety Transportation
Geographic Area Served:Maricopa County
Signature:
Mayor OR Chairman BOS: Date:
Typed Name and Title: Andrew Kunasek, District 3 Supervisor and Chairman
Rev. 2/2012

MOUNTAIN PARK
HEALTH CENTER
www.mountainparkhealth org
May 7, 2013
Cheryl Pablo, Program Administrator
Gila River Indian Community State Shared Revenue Program
P.O. Box 2172
Sacaton, Arizona 85147
Dear Ms. Pablo:
Mountain Park Health Center appreciates this opportunity to request the support of the
Gila River Indian Community with this application through the Maricopa County Board of
Supervisors. We are seeking $200,000 to assist with the construction and renovation of
our new Gateway Clinic, planned for opening in June 2014. This new, larger clinic at
3838 E. Van Buren in Phoenix - nearly three times the size of our current East Phoenix
clinic just across from Cofco Center - will help us better serve the community with more
space for patients' clinic visits and a greater number of providers to serve them.
Since 1980, Mountain Park Health Center has delivered comprehensive, culturally
competent, quality primary health care services to the Phoenix metropolitan area's
medically underserved communities and vulnerable populations. Our mission is to work
with the communities we serve to sustain and improve health by providing affordable
primary care. Through five strategically located "one-stop-shop" clinics across the
Phoenix metropolitan area, we bring adult, pediatric and women's health services,
dental and pharmaceutical care, as well as transportation and financial eligibility
assistance to medically underserved communities.
Last summer, we completed an innovative visioning process with Gateway residents
and representatives of the academic, business, and human service organizations for the
new clinic campus and services. We have taken this input and turned it into an
actionable set of architecture and design plans, with construction expected to start in
July 2013. When the community visits our Gateway clinic in 2014, they will know that we
truly listened to them about what they wanted. However, we still need the support of the
broader community through grants and charitable contributions to make this vision a
reality. We believe that the Gila River Indian Community will find this project aligned
with the priorities of its State Shared Revenue Program and look forward to hearing
from you about a favourable decision regarding this proposal.
CORPORATE OFFICE • 2702 North Third Street • Suite 4020 • Phoenix. Arizona 85004 (602) 323-3242 Fax (602) 323-3496

A. NARRATIVE
I. Purpose of Grant
Mountain Park Health Center (MPHC) is seeking support of $200,000 from the Gila River Indian
Community State Shared Revenue program for the renovation and construction of its new
Gateway clinic in East Phoenix. The current MPHC-East Phoenix clinic operates out of leased
space in a medical building at 690 North Cofco Center Court, across from the Chinese Cultural
Center. This space has been too small to offer all the services our patient community needs
and wants since it opened. Renovating the existing structure and lot at 3838 E. Van Buren into a
new, welcoming medical home is expected to cost nearly $13,000,000 by completion. The new
clinic, Mountain Park Health Center - Gateway, will enable the health center to hire additional
providers and triple the number of patient visits. In addition, the larger clinic campus at the
new site will allow the health center to offer health education events and community activities
at the site in partnership with other organizations.
a. Project Description
In early 2012, Mountain Park Health Center purchased 4.5 acres and two vacant buildings of
27,000 square feet each to be the new home of its Gateway Clinic. The Gateway Clinic site is
less than one mile south of the current MPHC-East Phoenix Clinic site. Unlike the current clinic,
the new Gateway Clinic will be highly visible from the street and convenient to public
transportation, including the Phoenix Light Rail and several bus lines. The building immediately
adjacent to Van Buren will house patient services.
The Visioning Process: During the summer of 2012, the health center partnered with Arizona
State University’s Institute of Global Sustainability to conduct an innovative visioning process
with the community for the new clinic and grounds. The first step was to gather information
from key MPHC health professional informants and blend it with local health and economic
data to assess the current state of health in the community. Using this health assessment as
background, community residents and local health and education professionals participated in
workshops and neighborhood walking audits to envision the layout of the new Gateway clinic
campus and the services it could offer. The last step of the visioning process brought all
participants together to develop strategies to achieve and sustain the vision with the help of
local partnerships.
Clinic Campus Plan: The concrete result of the community visioning process is a clinic campus
design and layout that offers better coordinated and expanded medical services as well as
integrated financial screening and wellness services. These services will be augmented by
partnerships with area health professions training programs, such as those at Gateway
Community College across the street, as well as Arizona State University. The clinic campus
Mountain Park Health Center – Gateway Clinic Construction Project 1

itself will be a wellness attribute with a tree-shaded community greenspace, benches, a walking
path along the nearby Grand Canal, and eventually, a community garden. Community residents
will be able to make full use of the campus with the improved public transportation links and
pedestrian safety strategies foreseen in the City of Phoenix’s Transportation Oriented
Development (TOD) Plan. A playground for the clinic’s youngest patients, as well as children
from the nearby community, is being planned for the central corridor of the clinic campus in
collaboration with a local school district.
b. Priority Area
The renovation and construction of the new MPHC Gateway Clinic directly supports the Gila
River Indian Community’s priority of Health Care Services. The new clinic will dramatically
increase the number of people that can receive quality, affordable health services. We also
believe that the project will ultimately address the Gila River Indian Community’s priority area
of economic development as more people are employed during construction and at the health
center when it opens. A new, vibrant health center in the community is expected to eventually
increase local businesses interest in the area.
c. Needs Addressed By the Project
Needs Addressed By The Project: MPHC’s Gateway Clinic construction renovation project
addresses longstanding needs of both MPHC clinic staff and residents of the surrounding
communities. The current East Phoenix clinic has a busy WIC program, a large prenatal and
pediatric patient population, and one of the highest percentages of seniors seen among MPHC
clinics. All of these groups now mingle in a too small general reception area and the wait to see
a provider or WIC counselor can be noisy. Despite its location in the heart of the Phoenix urban
area, the East clinic has a small medical staff due to limited exam room space - one Pediatrician,
2.5 Family Practitioners, one Obstetrician/Gynecologist, two Nurse Practitioners, a part-time
dietitian and one behavioral health consultant/psychologist. There is little space for clinical
support staff to operate. Until very recently, there was no space for a Financial Eligibility
Specialist, and all patients were referred to a different clinic for assistance in applying for public
insurance programs like Arizona’s Medicaid or MPHC’s medical discount program. There is one
small conference room that seats 12 for patient education events and staff trainings. The most
urgent health-related needs of the surrounding community identified during the health
assessment portion of the community visioning process - obesity, hypertension, diabetes and
cardiovascular disease – need to be supported by individual and group education for self-
management and support. These educational needs cannot be met within the current clinic
space. In fact, many of the services prioritized by community residents for the new clinic are
not available at the current clinic because of the lack of space. The highly desired services were
Mountain Park Health Center – Gateway Clinic Construction Project 2

financial eligibility screening, pharmacy, dental care, health education and nutrition classes and
patient navigators for a variety of health conditions and concerns.
Community residents are eager to have a safe place in their neighborhood for recreation for
themselves and their children, as there are few options available now. Residents’ safety
concern extend beyond recreation to just walking through the neighborhood. The eastern edge
of the Gateway area is mostly businesses and light industry and deserted at night. Residents
find the western portion of the neighborhood dangerous, with many adult entertainment
facilities, rundown motels and criminal activity. Motor vehicle traffic is constant. The new
MPHC-Gateway clinic will be a safe oasis in the neighborhood.
Target Population: Mountain Park Health Center’s East Phoenix geographic service area
extends east from Seventh Street to 44th Street and the Loop 202, and south from Indian School
Road to Van Buren Street. There are approximately 103,000 residents of the area, one third of
whom are under age 19. Residents are ethnically, racially and culturally diverse. Nearly 60% of
the service area population is Hispanic, with 59% White, 7% Black/African American , 4%
American Indian, 2% Asian/Pacific Islander and 28% “Other” (Arizona Department of Health
Services, 2013 Service Area Profiles). The area has long been one of initial refugee resettlement
and successive waves of East African and recently Southeast Asian refugees have made roots in
the community. Most have poverty in common – 62% of the service area population lives at or
below 200% Federal Poverty Level. Fifty-two percent of children age 12 or younger live in
poverty – twice the percentage of children in poverty in other parts of Maricopa County.
Although there are several large hospitals with affiliated outpatient facilities in the Phoenix
urban core, as well as private practices, few offer an affordable sliding fee scale discount
program for the uninsured, and most are not prepared to assist patients to access public
insurance programs. According to the Health Resources and Services Administration (HRSA)’s
UDS Mapper, only about 10% of the low-income population of the area is served by community
health centers, which are required to have a sliding fee scale discount schedule for uninsured
persons.
Patient Profile: While the current MPHC-East clinic is open to all who seek services, most clinic
patients come from the core of the service area – zip code 85008. However, people travel from
midtown and west Phoenix, as well as Tempe, to visit the clinic. The current East clinic serves
over 5,700 patients. As a family-oriented primary care clinic, a substantial percentage (34%) of
patients are children and adolescents. Over 51% of patients are White, 27% are Black/African
American, just over 2% are Asian, 1% is Pacific Islander and 1% is American Indian. The high
percentage of Black/African-American patients includes a large number of persons originally
from East African countries who have settled in the area. Over half of patients are of Hispanic
ethnicity.
Mountain Park Health Center – Gateway Clinic Construction Project 3

Numbers Served: With a larger clinic, the health center will be able to accommodate more
patients with the current medical staff, and over time, increase both the number of providers
and the hours that they are available to see patients. The move to the new clinic site is
expected to triple the number of clinic visits from 12,000 to 36,000 annually, and double the
number of patients seen. The new Gateway Clinic will be invaluable in addressing the unmet
health needs of the low-income population in the area. In addition, all residents of the area,
MPHC patients or not, will be able to enjoy the greenspace surrounding the clinic.
d. Project Goals and Objectives
Goal: The goal of MPHC’s Gateway clinic project is to construct a medical home that can serve
more residents of the area in partnership with the community. Upon completion, the clinic
building will offer 32,000 square feet of usable space directed at enhancing the health of the
Gateway community.
Objectives: MPHC’s Gateway Clinic construction objectives are outlined below.
1. By October 2013, renovate the first basement floor of the existing structure closest to Van
Buren to house the Financial Eligibility Department and the WIC program.
2. By February 2014, renovate the second and main floor of the structure to provide a
welcoming clinic space with 21 exam rooms to provide medical and integrated health services.
3. By April 2014, frame and prepare the top and third floor of the building for the delivery of
additional medical and integrated health services.
4. By May 2014, develop the adjacent clinic campus to include a playground for community use,
shaded walking paths and covered parking space for patients and staff.
5. By May 2014, furnish, equip and stock the new Gateway Clinic.
6. Open the new Gateway Clinic in June 2014.
e. New Project
The renovation of the structure at 3838 E. Van Buren and relocation of the MPHC-East clinic is a
new project. While all existing health and supportive services will be relocated when the clinic
moves, we will be able to reach more people with quality, affordable health services and
consistently offer integrated health services, such as behavioral health, nutrition education and
patient navigation. Ultimately, new services will be offered such as healthy cooking
demonstrations and community physical activity events.
Mountain Park Health Center – Gateway Clinic Construction Project 4

f. Project Partners and Funders
As part of the innovative community visioning process, over 40 community organizations,
neighborhood associations, local school personnel, representatives from other healthcare
systems, area residents as well as MPHC employees participated in prioritizing the services
offered through the clinic and strategies for developing sustainable partnerships. Many have
stayed on as members of the MPHC-East clinic site council, providing input into the current and
future services offered through the clinic. Some organizations and associations have already
begun partnering with Mountain Park to enhance health awareness in the community, such as
the Arizona State University School of Sustainability. The Balsz and Wilson Elementary School
Districts and will continue to partner with MPHC on the design of the playground. Others, such
as the City of Phoenix Office of Planning, continue the partnership begun with Mountain Park
through the Transit Oriented Development Plan for the area, under the umbrella of a
workgroup led by St. Luke’s Health Initiatives, a local philanthropic foundation. MPHC has been
appointed to the Gateway TOD Steering Committee as it works to realize the larger vision of
neighborhood development along the light rail lines. Finally, other organizations, like Maricopa
County Community College District’s Gateway Community College, will be more active partners
as the clinic nears its grand opening in June 2014 by promoting services and technical training
projects for students.
The project will principally be funded through a new issue of bond financing. This financing will
complete the essential structural elements of a functioning primary care clinic. However,
$2,900,000 needs to be raised from fundraising, contributions and grants to fully complete the
clinic expansion and the community-desired campus features. Bond financing will enable the
health center to complete the initial core clinic construction as it attracts grants, donations and
private gifts. The health center has been in conversations with several local philanthropic
foundations about support for the project since 2013 started. The Mountain Park Health Center
Foundation also holds several fundraising events throughout the year and some of the
proceeds from these events will be used to support construction of the new Gateway clinic as
well as the Foundation’s traditional patient assistance programs. The current funding strategy is
included as Attachment 3.
g. Other Tribal Applications or Awards
Mountain Park Health Center has not approached or applied to any other Tribe for State Shared
Revenue Program funding.
Mountain Park Health Center – Gateway Clinic Construction Project 5

h. Project Timetable
In early 2013, MPHC released a competitive bid for architectural design services for the new
clinic. The architectural group SmithGroupJJR /Kellogg & Associates was awarded the contract
in April. An RFP for a construction group will be released during May 2013 and a construction
contract awarded in early June. The permitting process has already begun and site preparation
for construction, including security set-up, will begin in June 2013. The planned renovation and
construction timeline is below.
2013
1. Site Work: July 1 to August 15, 2013
This includes the construction of a site perimeter fence for security, and the assessment of any
needed demolition, relocation or replacement of any utilities, electrical and plumbing
components and lines.
2. Demolition: August 2013
Demolition work will include gutting the interior framing and cabinetry on all floors and
excavating the basement level for reinforced concrete slabs and flooring.
3. Construction/Rebuilding: September 2013 to April 2014
This portion of the project includes the core rebuilding of the new clinic structure: running
plumbing lines, installing the steel interior frame for the new structural layout, pouring the
concrete flooring for the basement level. A new glass fronting will be placed on the building.
 Roofing Demolition and Repair: Mid October - Mid-November 2013
A new roof will be installed on the structure.
 Main Level – Drywall and Finishing: Mid-November to December 2013
The visible interior of the basement and main clinical level will be completed with
drywall and flooring.
 Exterior and Grounds Renovation: Late November through December 2013
The exterior facing will be renovated and enhanced for energy efficiency and a contemporary
look. Immediately afterwards, the existing parking lot will be demolished to begin the
development of the campus surrounding the main clinic building.
Mountain Park Health Center – Gateway Clinic Construction Project 6

2014
 Mechanical, Electrical, Fire Suppression Systems Installed: Late December 2013 through
January 2014
All needed wiring and cabling for the main clinic operating system, excluding the wireless
information technology system, will be installed. The clinic will have energy efficient sensor
lighting and maximize natural sunlight. An alarm system with motion detectors and closed
circuit cameras will be installed for additional security.
 Painting, Finishes and Millwork: January to February 2014
The interior walls will be completed and cabinetry and countertops attached in the exam
rooms and in clinical staff workstations. Doors, trim and decorative flooring will be installed,
completing the usable area of the clinic.
 Preparation of Third Floor: January to April 2014
The third floor will be framed and utility ports added but the area will not be finished.
4. Final Building Inspection: Late March 2014
The final inspection of the building by City of Phoenix departments and the certificate of
occupancy are expected to be completed by the end of March 2014.
5. Equipment and Furnishings: April to May 2014
New medical equipment, exam room equipment, pharmacy shelving and furniture for the
entire clinic will be installed during the spring of 2014. Some medical equipment, like exam
tables in good condition, will be relocated to the clinic. Usable staff furniture – desks, office
chairs, shelving – will be also be relocated.
6. Development of the Immediate Clinic Campus: February – March 2014
New asphalt will be laid in the parking lot, and covered parking spaces will be constructed in
part of the lot. A playground will be developed on the west side of the clinic building, near the
main clinic entrance. The playground and lot will have several different varieties of play
“stations” including accessible play equipment.
7. Clinic Grand Opening: June 2014
The clinic will be fully outfitted and the campus prepared for community use by mid- May 2014.
The Arizona Department of Health Services survey to license the clinic as an ambulatory care
Mountain Park Health Center – Gateway Clinic Construction Project 7

facility is expected to be completed by the end of May. However, the completion of the survey
may be delayed by up to two weeks depending on the schedules of ADHS staff.
i. Long-term Funding and Sustainability
Mountain Park Health Center’s annual operating budget is approximately $34 million. The
health center receives $6.7 million annually in federal funds from the Health Resources and
Services Administration to provide integrated care to low-income patients. An additional $4
million is received from the State of Arizona for contracted services. The bulk of the health
center’s revenue and operating budget is obtained by providing clinical care to patients through
a small number of commercial insurers, Arizona’s Medicaid program, Medicare and the health
center’s sliding fee scale/ medical discount program. Grants from federal, state and local
philanthropic foundations make up the rest of revenue. Despite the recent economic downturn
and Arizona Medicaid cuts, the health center remained strong through planned, conscientious
management of its resources and investments.
With a more spacious 21-exam room main clinical floor to house existing providers and clinical
support staff, and an additional 21 exam rooms to accommodate 8 additional providers when
the top floor is completed, the health center expects to double the number of patients served
and triple patient visits at its clinic in the Gateway neighborhood. With upcoming changes
under the Affordable Care Act, the number of publicly insured patients is expected to increase.
This will enable MPHC to continue to leverage funds to provide care for all who seek care,
regardless of insurance status or their ability to pay. The health center will remain financially
solid with the new Gateway Clinic project by balancing growth with increased patient revenue.
II. Reports
Mountain Park Health Center staff are proficient in providing a variety of narrative, pictorial and
financial reports. The health center will submit reports in any format desired by the Gila River
Indian Community Office of Special Funding. At a minimum, the health center will complete a
final report in September 2014. However, MPHC also would be happy to provide update reports
with photographs at the groundbreaking ceremony, during construction and at the Gateway
Clinic grand opening.
Mountain Park Health Center – Gateway Clinic Construction Project 8

B. ATTACHMENTS
Attachment 1 -Maricopa County Board of Supervisors Resolution
Attachment 2 – Project Budget and Budget Narrative
Attachment 3 – Project Funding Strategy
Attachment 4 – Letters of Support and Gateway Materials
Mountain Park Health Center – Gateway Clinic Construction Project 9

Attachment 1
Maricopa County Board of Supervisors Resolution

Attachment 2
Mountain Park Health Center - Gateway Clinic
Project Budget and Budget Detail

ATTACHMENT 2
Mountain Park Health Center – Gateway Clinic Construction Project
PROJECT BUDGET
A. BUDGET PERIOD: 6/1/2013 TO 6/30/2014
B. EXPENSES
Amount Amount
Requested Secured In-kind Total
Budget Item from GRIC From Other Expense* Budget
Funders
Administrative Expenses $149,500 $149,500
 Preconstruction Services - - $25,000 $25,000
 Security Services - - $65,000 $65,000
 Pre-cast - - $3,000 $3,000
Repair/Reinforcement
 Legal Services - - $13,000 $13,000
(Reimbursables)
 Permitting - - $40,000 $40,000
 Inspections - - $3,500 $3,500
Architectural Fees $237,400 $237,400
 Design and Engineering Costs - - $237,400 $237,400
Construction $8,965,824 $11,465,824
 Site Work/Shells - - $2,428,000 $2,428,000
 Construction Improvements $200,000 $2,300,000 $6,500,000 $9,000,000
still needed
 Signage - - $37,824 $37,824
Furniture & Equipment $776,811 $776,811
 Patient and Staff Furniture - - $172,833 $172,833
 Medical Equipment - - $568,928 $568,928
 Security & Alarm System - - $35,000 $35,000
IT / Communications $205,000 $205,000
 Wireless Infrastructure - - $30,000 $30,000
 Servers - - $65,000 $65,000
 Cabling - - $30,000 $30,000
 Phones/Desktop Computers - - $50,000 $50,000
 Audiovisual / Computer - - $30,000 $30,000
Technology
Supplies $20,755 $20,755
TOTAL PROJECT $200,000 - $12,655,290 $12,855,290
* Mountain Park Health Center has raised in-kind capital of $9,955,000 for the project through a new issue of bond financing.
$2,900,000 is still needed through grants, contributions and fundraising to complete the clinic expansion.
Mountain Park Health Center – Gateway Clinic Construction Project Budget 1

C. BUDGET DETAIL
The anticipated budget to complete the new Gateway Clinic medical services building totals
$12,855,290. In support of this initiative, Mountain Park Health Center has raised in-kind capital
of $9,955,290 for the project through a new issue of bond financing. This leaves a fundraising
goal of $2,900,000 to fully complete the clinic expansion and to expand services for the
community. Once completed, the new, expanded Gateway Clinic will support 8 additional
providers and provide 25,000 additional clinical visits. $200,000 is requested from the Gila River
Indian Community to help construct the expanded clinical space.
Administrative Expenses: $149,500
This budget category includes the cost of:
Preconstruction Services: $25,000
Environmental and structural assessments, site perimeter fencing and removing debris.
Security Services: $65,000
For a guard and limited monitoring equipment throughout the construction and renovation
period.
Pre-cast repair and reinforcement: $3,000
To stabilize the existing structure prior to gutting the building interior.
Legal services: $13,000
For titling, bonding and insurances for any and all liability surrounding the renovation of the
new MPHC-Gateway Clinic site.
Permitting: $40,000
For demolition, construction, electrical, plumbing, mechanical and fire system permits as
needed during the project.
Inspection Fees: $3,500
To cover the cost of inspections by various municipal inspectors for compliance with building
codes and safety.
Architectural Fees: $237,400
This budget category encompasses the cost of the contracted architectural group for
completing the design and drawings for the renovation project and overseeing mechanical and
electrical engineering contractors.
Construction: $11,465,824
The largest budget category includes the cost of:
Site Work and Shells: $2,428,000
Mountain Park Health Center – Gateway Clinic Construction Project Budget 2

C. BUDGET DETAIL (continued)
This includes the preparation of land surrounding the clinic building, running utility and
plumbing lines and building platforms / temporary walkways for the construction project and
renovating the building exterior and entranceway.
Construction Improvements: $9,000,000
This includes all activities of the interior renovation of the basement and first main floor of the
new clinic, including framing, insulation, installing the doors, windows and cabinetry, laying
new flooring and painting and preparing the third and top floor for future services. This
category also includes the landscaping of the clinic grounds and installation of a multi-station
playground. Mountain Park Health Center requires a total of $2,900,000 in fundraising to
complete the project and seeks $200,000 in support from the Gila River Indian Community for
these much needed construction improvements.
Signage: $37,824
Signage includes both the street-side block exterior sign, lettering on the building and interior
signage with graphics and English/Spanish text.
Furniture & Equipment: $776,811
This category encompasses patient furniture for reception areas and exam rooms, office
furniture for staff workstations, as well as the fire and security systems.
Patient and Staff Furniture: $172,833
Most staff furniture (desks, office chairs) will be relocated from the current MPHC-East Clinic.
However, very little of the furniture now used in the patient reception area will be relocated to
the new clinic. The health center will purchase new, comfortable furniture for the reception
areas and exam rooms.
Medical Equipment: $568,928
All usable furniture and equipment from the current clinic will be transferred to the new
Gateway Clinic. New exam tables, provider chairs, wall-mounted blood pressure cuffs and
otoscopes and mobile vital sign stands will be purchased for the increased number of exam
rooms at the larger Gateway Clinic.
Security and Alarm System: $35,000
A closed circuit TV system, motion detectors and standard commercial security alarm and fire
alarm systems will be installed.
IT/Telecommunications Systems: $205,000
This category includes the installation of the data technology infrastructure as well as end user
products, such as phones and desktops.
Mountain Park Health Center – Gateway Clinic Construction Project Budget 3

C. BUDGET DETAIL (continued)
Wireless Infrastructure: $30,000
Infrastructure includes items such as base stations at different points in the clinic, the
distribution network and access controllers.
Servers: $65,000
MPHC outsources most IT services to One Neck, although hardware set-up and troubleshooting
is performed by a small in-house IT staff. For the Gateway Clinic project, One Neck will provide
new servers for Gateway clinic data management.
Cabling: $30,000
This includes connectivity into the building and to data ports at end user stations.
Telephones/Desktop Computers: $50,000
Much of the telecommunications equipment and computers will be relocated from the current
clinic. MPHC uses a linked digital telephone and computer system and some end user products
will need to be upgraded.
Audiovisual/Computer Training Technology: $30,000
The health center uses an electronic health records system. All employees have required
periodic training and all new hires must be reasonably proficient in EHR use within the first
week of hire. As the Affordable Care Act begins full implementation, group education about the
health insurance marketplace and changing public insurance programs will also be needed. Flat
screen monitors and “open access” desktop computers will be purchased for both types of
educational efforts.
Supplies: $20,755
Disposable and/ or reusable medical supplies will be stocked throughout the clinic prior to the
clinic opening.
TOTAL PROJECT COST: $12,855,290
The cost to completely renovate, expand, landscape and outfit the new Gateway Clinic is
expected to be $12,855,290.
Mountain Park Health Center – Gateway Clinic Construction Project Budget 4

Attachment 3
Project Funding Strategy
(List of Potential Funders)

ATTACHMENT 3
Project Funding Strategy
AMOUNT AMOUNT
FUNDER REQUESTED RECEIVED
Tax-Exempt Bond Issue $9,955,290 In progress
Mountain Park Health Center Foundation $500,000 $500,000
(fundraising and special events)
Virginia G. Piper Charitable Trust $2,000,000 Pending
Bruce T. Halle Family Foundation $1,000,000 Pending
Gila River Indian Community $200,000 Pending
Thunderbird Charities $100,000 Pending
Phoenix Suns Charities $100,000 Pending
Arizona Diamondbacks Charities $100,000 Pending
BHHS Legacy Foundation $75,000 Pending

Attachment 4
 Letters of Support
 Gateway Clinic Materials

April 29, 2013
Dr. John Swagert
Chief Executive Officer
Mountain Park Health Center
2702 N. Third Street, Suite 4020
Phoenix, Arizona 85004
Dear Dr. Swagert:
It is my pleasure to write this letter in support of your proposal to the Gila River Indian
Community for the Mountain Park Health Center – Gateway Clinic construction project. The
Balsz School District as part of the Balsz Promise Neighborhood support the health related
development efforts of Mountain Park and we are excited to see this project’s continued
momentum!
The Balsz Elementary School District serves approximately 2,700 children in pre-kindergarten
through 8th grade residing in the Phoenix urban core. The District is responsible for five
elementary schools in the area: Balsz, Brunson-Lee, Orangedale, Griffith and Crockett. Crockett
Elementary is adjacent to your new clinic site. Our student population is extremely diverse with
most families struggling to provide their families with the basics, and must rely on the
community for assistance to enrich their children’s early educational experiences. A majority of
our families live below the Federal Poverty Level, 99% qualify for free or reduced cost lunches
and half are learning English as their second language. To better support our families, the
District has extended the school year to increase students’ academic success and potential.
The health and wellness resources that will become available to the community such as health
and nutrition education, the playground and the safe green space, are highly valued by our
families and desperately needed. I look forward to hearing more about the outcome of the
proposal and our continued work with Mountain Park Health Center to strengthen the Balsz
Promise Neighborhood community.
Cordially,
Jeffrey J. Smith
Superintendent
Dr. Jeffrey J. Smith, Superintendent
4825 East Roosevelt Street, Phoenix, Arizona 85008 | 602.629.6400 phone | 602.629.6470 fax

G a t &Way
Community College
108 N. 40th Street • Phoenix, AZ 85034 • www.gatewaycc.edu • (602) 286-8000
Office of the President
April 30, 2013
Dr. John Swagert
Chief Executive Officer
Mountain Park Health Center
2702 N. Third Street, Suite 4020
Phoenix, Arizona 85004
Dear Dr. Swagert:
I am pleased to send this letter in support of Mountain Park Health Center's grant application to
the Gila River Indian Community for construction of the new Mountain Park Health Center —
Gateway Clinic, We have talked for several years about ways to increase the collaboration
between Gate Way Community College and Mountain Park Health Center, and this new, spacious
clinic offers the opportunity to realize these strategies. As the Gateway Clinic's neighbor, we
look forward to numerous potential collaborations with you to improve the health of Phoenix
residents.
A part of the Maricopa County Community Colleges District, Gateway Community College is
the largest provider of nursing and healthcare education in the state. Like Mountain Park, we are
intent on improving the diversity and reach of the area's healthcare workforce. We look forward
to developing partnerships and affiliations in the near future that will provide our students with
clinical training options, and your patients with access to allied health services that they are
currently unable to access. In addition, because your clinic will be just across Van Buren from
our campus, it will be an invaluable healthcare resource for our students from across the Phoenix
metropolitan area,
I wish you all possible success with your proposal.
Sincerely,
A Maricopa Community College

April 30, 2013
Dr. John Swagert
Chief Executive Officer
Mountain Park Health Center
2702 N. Third Street, Suite 4020
Phoenix, Arizona 85004
Dear Dr. Swagert:
I am pleased to provide this letter in support of Mountain Park Health Center’s proposal to the Gila River
Indian Community’s State Shared Revenue Program for support of construction of the new Mountain
Park Health Center – Gateway Clinic.
The Discovery Triangle is a multi-­‐city urban redevelopment and investment initiative led by the
Discovery Triangle Development Corporation (DTDC). The DTDC has brought together education,
business and community stakeholders and leadership from a 25-­‐mile square area of Phoenix and Tempe
to create an economically and environmentally sustainable plan for the next quarter century. Our goal is
a strategic plan that will stimulate high-­‐value projects while promoting and marketing the assets that
already exist in the region. The Mountain Park-­‐ Gateway Clinic visioning process and planned clinic
campus is an example of the type of project we are seeking to reinvigorate and inspire the Discovery
Triangle. The clinic campus visioning process has examined and incorporated the assets of the
community into the campus design plan. Moving forward, the health center is developing partnerships
with organizations and businesses within the area that will improve the local economy, while
simultaneously attracting patients and addressing critical health issues. This approach is entirely in-­‐line
with DTDC’s efforts on a broader scale.
As always, we appreciate your efforts in revitalizing the Gateway community and look forward to
hearing about the success of your proposal.
Sincerely,
Don Keuth
CEO, Discovery Triangle Development Corporation


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.
Person to Contact:
• EP/E0 Correspondence Examiner
• • Mountain Park Health Center Telephone •
.• 635 E. Baseline" . Number:
Phoenix, AZ. • .85040-6551 (214)767,1681 • •
Refer Reply to:
EP/ED:NC:4940 DAL
Date:
April 30, 1993
EIN:
86-0498020
Dear Sir or t1adam4.
'. Our is exempt rev:$(..0 show that • Nouhtp4n Park Heatth Center
Revenue Code.. froK,Federal This exemption Income was Tax under section 501(c)(3) of the Internal
•.•remains in full force.and effect. granted Contributions ... I.Aortl 1985. • and
-•deductible in the manner. and to the extent provided to .your by section .organization are -
. • Code. • • 170 of the
. We • . have classified your . . • • • . . . .
tion Within the meaning organization-as of section 509(a) one of that is not a private founda-
. because yet! are'ap organization'described in section. theVnternal.Revenue 1 Code
• 0(b)(1)(A)Ivi) , .
• If we may be of further ass/Stance, please contact the person.whoie .
. telephone number are shown above. V name:end
. AP . • . 4. . .
• a:. • yr...a ammom.... incerelv.. Ynyrp y'7\ *
Nary A. mith . _
EP/E0 Correspondence Examiner.