WEST YAVAPAI GUIDANCE CLINIC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- WEST YAVAPAI GUIDANCE CLINIC (EIN 86-0206928)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-15
- IRS object ID
- 202411369349313491
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-15T15:28:15-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2055 E WARNER RD STE 101 | AddressLine1Txt |
| City | TEMPE | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85284 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860206928 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST YAVAPAI GUIDANCE CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 9284455211 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3343 WINDSONG DRIVE | AddressLine1Txt |
| City | PRESCOTT VALLEY | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86314 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TAMARA PLAYER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9284455211 | PhoneNum |
| Signature | 2024-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TAMARA | PersonFirstNm |
| Person Last | PLAYER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | COLETTE KAMPS CPA | PreparerPersonNm |
| PTIN | P00367616 | PTIN |
| Phone | 4808394900 | PhoneNum |
| Preparation | 2024-05-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POLARA HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TAMARA PLAYER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3343 WINDSONG DRIVE | AddressLine1Txt |
| City | PRESCOTT VALLEY | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86314 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $39,380,385 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.POLARAHEALTH.COM | WebsiteAddressTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE ACCESSIBLE, COMPASSIONATE HOLISTIC HEALTH CARE THAT STRENGTHENS OUR COMMUNITY. WE ARE AN INTEGRATED BEHAVIORAL HEALTH CARE PROVIDER WITH A WIDE ARRAY OF HOLISTIC PROGRAMS DESIGNED TO MEET OUR CLIENTS WHEREVER THEY ARE ON THEIR JOURNEY TO WELLNESS. WE PROVIDE QUALITY, CLIENT CENTERED BEHAVIORAL HEALTH SERVICES TO RESIDENTS OF YAVAPAI COUNTY, ARIZONA. WE MAINTAIN A COMMITMENT TO HOPE AND HEALING, AND PRIDE OURSELVES ON DELIVERING COMPASSIONATE AND EFFECTIVE TREATMENT TO A MAJORITY LOW-INCOME POPULATION. OUR VISION IS TO BE RECOGNIZED FOR HEALTH CARE THAT EXCEEDS EXPECTATIONS WHILE MAINTAINING OUR UNCOMPROMISING PRINCIPLES AND A SENSE OF COMMUNITY THAT UNITES US IN DRIVING OUT STIGMA AND CELEBRATES HEALTH AND EMPOWERMENT FOR ALL THE WEST YAVAPAI COUNTY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 454 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $7,010 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $101,743 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,076,974 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $41,594,510 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $35,769,966 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$232,592 | PYInvestmentIncomeAmt |
| CY Investment Income | $299,336 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,781,636 | PYOtherRevenueAmt |
| CY Other Revenue | $234,109 | CYOtherRevenueAmt |
| PY Total Revenue | $43,245,297 | PYTotalRevenueAmt |
| CY Total Revenue | $39,380,385 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,786,848 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,552,057 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,900,791 | PYOtherExpensesAmt |
| CY Other Expenses | $14,424,263 | CYOtherExpensesAmt |
| PY Total Expenses | $39,687,639 | PYTotalExpensesAmt |
| CY Total Expenses | $37,976,320 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,557,658 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,404,065 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $36,517,465 | TotalAssetsBOYAmt |
| Total Assets EOY | $46,014,590 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,017,546 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,945,198 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,499,919 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,069,392 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE ACCESSIBLE, COMPASSIONATE HOLISTIC HEALTH CARE THAT STRENGTHENS OUR COMMUNITY. WE ARE AN INTEGRATED BEHAVIORAL HEALTH CARE PROVIDER WITH A WIDE ARRAY OF HOLISTIC PROGRAMS DESIGNED TO MEET OUR CLIENTS WHEREVER THEY ARE ON THEIR JOURNEY TO WELLNESS. WE PROVIDE QUALITY, CLIENT CENTERED BEHAVORIAL HEALTH SERVICES TO RESIDENTS OF YAVAPAI COUNTY, ARIZONA. WE MAINTAIN A COMMITMENT TO HOPE AND HEALING, AND PRIDE OURSELVES ON DELIVERING COMPASSIONATE AND EFFECTIVE TREATMENT TO A MAJORITY LOW-INCOME POPULATION. OUR VISION IS TO BE RECOGNIZED FOR HEALTH CARE THAT EXCEEDS EXPECTATIONS WHILE MAINTAINING OUR UNCOMPROMISING PRINCIPLES AND A SENSE OF COMMUNITY THAT UNITES US IN DRIVING OUT STIGMA AND CELEBRATES HEALTH AND EMPOWERMENT FOR ALL THE WEST YAVAPAI COUNTY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,023,555 | ExpenseAmt |
| Revenue | $11,510,513 | RevenueAmt |
| Desc | SERIOUSLY MENTALLY ILL- PSYCHIATRIC SERVICES, MEDICATION MANAGEMENT, CASE MANAGEMENT, CRISIS SERVICES, INDIVIDUAL AND GROUP COUNSELING AND THERAPY, PEER SUPPORT SERVICES, SKILLS DEVELOPMENT, ADULT RESPITE SERVICES, VOCATIONAL SERVICES, AND WORK ADJUSTMENT TRAINING. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,514,084 | ExpenseAmt |
| Revenue | $7,910,128 | RevenueAmt |
| Desc | CHILDREN SERVICES - PSYCHIATRIC SERVICES, MEDICATION MANAGEMENT, CASE MANAGEMENT, CRISIS SERVICES, CHILD & FAMILY TEAMS, FAMILY, INDIVIDUAL AND GROUP COUNSELING AND THERAPY, IN-HOME SERVICES, SKILLS DEVELOPMENT, AND RESPITE SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,908,868 | ExpenseAmt |
| Revenue | $12,356,221 | RevenueAmt |
| Desc | GENERAL MENTAL HEALTH & SUBSTANCE ABUSE - PSYCHIATRIC SERVICES, MEDICATION MANAGEMENT, CASE MANAGEMENT, CRISIS SERVICES, INDIVIDUAL AND GROUP COUNSELING AND THERAPY, INTENSIVE OUTPATIENT PROGRAM, ENHANCED OUTPATIENT PROGRAM, MEDICATION ASSISTED TREATMENT PROGRAM, PEER SUPPORT PROGRAM, VOCATIONAL SERVICES, WORK ADJUSTMENT TRAINING, AND SKILLS DEVELOPMENT. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,141,350 | ExpenseAmt |
| Revenue | $3,804,178 | RevenueAmt |
| Desc | GENERAL CLIENT EXPENSES FOR CLIENTS OF WYGC WHO HAD A NEED FOR SERVICES NOT COVERED BY OTHER PAYER SOURCES | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $5,141,350 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $3,804,178 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $31,587,857 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 35 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 454 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9284455211 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3343 WINDSONG DRIVE | AddressLine1Txt |
| City | PRESCOTT VALLEY | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86314 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| STEPHEN POLK | ||||||||
| CHAIRPERSON | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DANNY BROWN | ||||||||
| VICE CHAIR | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KATHY MCCORMICK | ||||||||
| SECRETARY | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MEREDITH PEABODY | ||||||||
| TREASURER | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SUSAN BELL | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID FERO | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL FOGEL | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GRAYDEN GUILFORD | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LORA LEE NYE | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID PARRACK | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROB ROBBINS | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| TAMARA LYNN PLAYER | ||||||||
| PRESIDENT AND CEO | 40.00 | Yes (X) | $250,560 | $0 | $25,488 | |||
| ERIN KANTOR | ||||||||
| CHIEF CLINICAL OPERATIONS OFFICER | 40.00 | Yes (X) | $67,819 | $0 | $5,564 | |||
| KARA LANGLEY | ||||||||
| CHIEF FINANCIAL ADMINISTRATOR OFFICER | 40.00 | Yes (X) | $141,570 | $0 | $5,127 | |||
| STEVEN CALABRESE | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $171,819 | $0 | $24,018 | |||
| DAVID A WOLKOFF | ||||||||
| DIRECTOR | 40.00 | $350,356 | $0 | $8,508 | Yes (X) | |||
| COURTNEY K ROUTSON | ||||||||
| MEDICAL DIRECTOR | 40.00 | $174,441 | $0 | $0 | Yes (X) | |||
| CHERIE F WILCHER | ||||||||
| MEDICAL PROVIDER | 40.00 | $294,479 | $0 | $8,121 | Yes (X) | |||
| RACQUEL BALDERAS | ||||||||
| MEDICAL PROVIDER | 40.00 | $283,205 | $0 | $31,744 | Yes (X) | |||
| EDWARD J KUHNLEY | ||||||||
| MEDICAL PROVIDER | 40.00 | $235,353 | $0 | $6,494 | Yes (X) | |||
| PATRICIA A WHITE | ||||||||
| MEDICAL PROVIDER | 40.00 | $174,855 | $0 | $4,882 | Yes (X) | |||
| JAMI A REMIEN | ||||||||
| MEDICAL PROVIDER | 40.00 | $173,240 | $0 | $12,237 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,317,697 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $132,183 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NETSMART TECHNOLOGIES INC | |||||
| WELLS FARGO BANK LOCKBOX | PHILADELPHIA | PA | 19171 | IT SERVICES | $577,254 |
| SHC SERVICES INC | |||||
| PO BOX 677896 | DALLAS | TX | 75267 | HEALTHCARE STAFFING | $467,503 |
| COGNITIVE FUNCTION DEVELOPMENT | |||||
| 6895 E LYNX WAGON RD | PRESCOTT VALLEY | AZ | 86314 | CONSULTING | $362,145 |
| BARTON ASSOCIATES INC | |||||
| 119 GARDEN ST | PRESCOTT | AZ | 86305 | STAFFING SERVICES | $281,193 |
| A&B STAFFING SOLUTIONS | |||||
| 3451 S MERCY RD STE 102 | GILBERT | AZ | 85297 | STAFFING SERVICES | $254,530 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $3,076,974 | AllOtherContributionsAmt |
| Noncash Contributions | $438,902 | NoncashContributionsAmt |
| Total Contributions | $3,076,974 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| GENERAL MENTAL HEALTH | $12,356,221 | $12,356,221 |
| SERIOUSLY MENTALLY ILL | $11,510,513 | $11,510,513 |
| CHILDREN SERVICE | $7,910,128 | $7,910,128 |
| OTHER SERVICES | $3,804,178 | $3,804,178 |
| RENTAL INCOME | $188,926 | $188,926 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $35,769,966 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $299,336 | TotalRevenueColumnAmt |
| Exclusion | $299,336 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Total Revenue Column | $234,109 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $234,109 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $234,109 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,380,385 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,004,075 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $299,336 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,321,591 | TotalAmt |
| Program Services | $533,305 | ProgramServicesAmt |
| Management And General | $788,286 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,575,114 | TotalAmt |
| Program Services | $16,548,894 | ProgramServicesAmt |
| Management And General | $2,026,220 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,326 | TotalAmt |
| Program Services | $238,326 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,002,246 | TotalAmt |
| Program Services | $1,696,417 | ProgramServicesAmt |
| Management And General | $305,829 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,414,780 | TotalAmt |
| Program Services | $1,217,665 | ProgramServicesAmt |
| Management And General | $197,115 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,744 | TotalAmt |
| Management And General | $80,744 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,500 | TotalAmt |
| Management And General | $41,500 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,667 | TotalAmt |
| Management And General | $61,667 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,078,814 | TotalAmt |
| Program Services | $7,416,682 | ProgramServicesAmt |
| Management And General | $662,132 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,912 | TotalAmt |
| Program Services | $14,915 | ProgramServicesAmt |
| Management And General | $35,997 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,376 | TotalAmt |
| Program Services | $12,707 | ProgramServicesAmt |
| Management And General | $30,669 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $860,093 | TotalAmt |
| Program Services | $251,968 | ProgramServicesAmt |
| Management And General | $608,125 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,119,798 | TotalAmt |
| Program Services | $837,490 | ProgramServicesAmt |
| Management And General | $282,308 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $555,970 | TotalAmt |
| Program Services | $277,959 | ProgramServicesAmt |
| Management And General | $278,011 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,435 | TotalAmt |
| Program Services | $34,989 | ProgramServicesAmt |
| Management And General | $84,446 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $443,279 | TotalAmt |
| Program Services | $381,974 | ProgramServicesAmt |
| Management And General | $61,305 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,259,352 | TotalAmt |
| Program Services | $1,085,189 | ProgramServicesAmt |
| Management And General | $174,163 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,207 | TotalAmt |
| Program Services | $72,713 | ProgramServicesAmt |
| Management And General | $175,494 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CLIENT EXPENSES | $498,245 | $498,245 | |
| OTHER EXPENSES | $306,547 | $306,547 | |
| TELEPHONE EXPENSES | $265,761 | $77,856 | $187,905 |
| RECRUITING AND TRAINING | $163,068 | $163,068 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $227,495 | TotalAmt |
| Program Services | $227,495 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,976,320 | TotalAmt |
| Program Services | $31,587,857 | ProgramServicesAmt |
| Management And General | $6,388,463 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,642,019 | BOYAmt |
| EOY | $5,146,420 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,898,195 | BOYAmt |
| EOY | $38,413 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,396,397 | BOYAmt |
| EOY | $5,705,572 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,821 | BOYAmt |
| EOY | $417,960 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,094,993 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,551,123 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,137,079 | BOYAmt |
| EOY | $13,543,870 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $13,967,106 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,113,954 | BOYAmt |
| EOY | $7,195,249 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,517,465 | BOYAmt |
| EOY | $46,014,590 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,562,146 | BOYAmt |
| EOY | $2,005,109 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,423,405 | BOYAmt |
| EOY | $1,062,494 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,126,596 | BOYAmt |
| EOY | $10,217,106 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $905,399 | BOYAmt |
| EOY | $369,314 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $7,291,175 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,017,546 | BOYAmt |
| EOY | $20,945,198 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,499,919 | BOYAmt |
| EOY | $24,869,173 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $200,219 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,499,919 | BOYAmt |
| EOY | $25,069,392 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,517,465 | BOYAmt |
| EOY | $46,014,590 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,404,065 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $489,278 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,676,130 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,012 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43,244 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $48,651 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $101,743 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,076,974 | CurrentTaxYearAmt |
| Total | $3,287,624 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $38,225,306 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $41,199,235 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43,490,548 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,120,899 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,769,966 | CurrentTaxYearAmt |
| Total | $201,805,954 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $38,242,318 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $41,242,479 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43,539,199 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,222,642 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,846,940 | CurrentTaxYearAmt |
| Total | $205,093,578 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $205,093,578 | PublicSupportTotal509Amt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,794 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,078 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $833 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,584 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,245 | CurrentTaxYearAmt |
| Total | $14,534 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $1,781,636 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $234,109 | CurrentTaxYearAmt |
| Total | $2,015,745 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $38,245,112 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $41,248,557 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43,540,032 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $45,006,862 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,083,294 | CurrentTaxYearAmt |
| Total | $207,123,857 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99020 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,572,789 | BeginningYearBalanceAmt |
| Contributions | $10,896,663 | ContributionsAmt |
| Investment Earnings Or Losses | $711,575 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$61,667 | AdministrativeExpensesAmt |
| End Year Balance | $13,119,360 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,352,476 | BeginningYearBalanceAmt |
| Contributions | $322,719 | ContributionsAmt |
| Investment Earnings Or Losses | -$90,719 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$11,687 | AdministrativeExpensesAmt |
| End Year Balance | $1,572,789 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $208,924 | BeginningYearBalanceAmt |
| Contributions | $1,000,000 | ContributionsAmt |
| Investment Earnings Or Losses | $147,541 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$3,989 | AdministrativeExpensesAmt |
| End Year Balance | $1,352,476 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $212,872 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,798 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$2,150 | AdministrativeExpensesAmt |
| End Year Balance | $208,924 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $209,068 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,963 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$2,159 | AdministrativeExpensesAmt |
| End Year Balance | $212,872 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,480,167 | OtherCostOrOtherBasisAmt |
| Book Value | $1,480,167 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,270,902 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,128,849 | DepreciationAmt |
| Book Value | $11,142,053 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,401,019 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,744,607 | DepreciationAmt |
| Book Value | $656,412 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $942,905 | OtherCostOrOtherBasisAmt |
| Depreciation | $677,667 | DepreciationAmt |
| Book Value | $265,238 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,543,870 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENTS HELD WITH ARIZONA COMMUNITY FOUNDATION | $13,119,360 | C |
| INVESTMENT IN COMPLETE CARE PARTNERS, LLC | $32,256 | C |
| INVESTMENT IN ARIZONA HEALTH RECIPROCAL INSURANCE COMPANY | $815,490 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $13,967,106 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OPERATING LEASE RIGHT OF USE ASSETS | $6,993,465 |
| DEPOSITS | $25,069 |
| BOND COSTS | $176,715 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,195,249 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITY | $7,179,217 |
| FINANCE LEASE LIABILITY | $111,958 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,291,175 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $39,807,996 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $489,278 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $489,278 | RevenueNotReportedAmt |
| Revenue Subtotal | $39,318,718 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $61,667 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $61,667 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $39,380,385 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $37,914,653 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $37,914,653 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $61,667 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $61,667 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $37,976,320 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE FUNDS HELD BY THE ARIZONA COMMUNITY FOUNDATION AS A BOARD-DESIGNATED ENDOWMENT EXIST TO BENEFIT PROGRAMS AND SERVICES OF THE ORGANIZATION, WITH A VISION OF FUTURE GROWTH AND PERPETUAL MAINTENANCE WHILE UTILIZING THE INVESTMENT INCOME. |
| PART X, LINE 2: | THE ORGANIZATION RECOGNIZES UNCERTAIN TAX POSITIONS IN THE FINANCIAL STATEMENTS WHEN IT IS MORE LIKELY-THAN-NOT THAT THE POSITIONS WILL NOT BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. AS OF JUNE 30, 2023, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $326,980 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $326,980 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00860 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,125,824 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,125,824 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08230 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,452,804 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,452,804 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09090 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,452,804 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,452,804 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09090 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $455,120 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $385,980 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $852,725 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$466,745 | MedicareSurplusOrShortfallAmt |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST YAVAPAI GUIDANCE CLINIC DBA POLARA HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3347 WINDSONG DR | AddressLine1Txt |
| City | PRESCOTT VALLEY | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86314 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.POLARHEALTH.COM | WebsiteAddressTxt |
| State License | SH4435 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDHAVEN PSYCHIATRIC HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.POLARAHEALTH.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.POLARAHEALTH.COM | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.POLARAHEALTH.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.POLARAHEALTH.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.POLARAHEALTH.COM | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | 0 | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| WINDHAVEN PSYCHIATRIC HOSPITAL | PART V, SECTION B, LINE 5: A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FROM JANUARY 2022 THROUGH JUNE 2022. COMMUNITY INPUT WAS PROVIDED THROUGH THREE KEY INFORMANT INTERVIEWS, INCLUDING REPRESENTATIVES FROM: PUBLIC HEALTH AGENICES, LOCAL CITY AND COUNTY GOVERNMENT, AND MEDICAL PROVIDERS. POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE ALSO GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTIES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG AND OTHER THIRD PARTIES.THIS DATA WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS, AND THE COMMUNITY AS A WHOLE. THE CLINIC ENGAGED A CONSULTANT TO REVIEW THE HEALTH NEEDS AND PRIORITY AREAS WERE DETERMINED BASED ON AN ASSESSMENT OF THE QUALITATIVE AND QUANTITATIVE DATA. IDENTIFIED NEEDS WERE PRIORITIZED BASED ON THE FOLLOWING CRITERIA: (1) HOW MANY PEOPLE ARE AFFECTED BY THE ISSUE OR SIZE OF THE ISSUE (2) WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THIS PROBLEM(3) THE IMPACT OF THE ISSUE ON VULNERABLE POPULATIONS(4) WHETHER OR NOT POLARA HAS EXISTING PROGRAMS TO RESPOND TO THE IDENTIFIED NEED.AS A RESULT OF THE ANALYSIS DESCRIBED ABOVE, THE FOLLOWING HEALTH NEEDS WERE IDENTIFIED AS THE MOST SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY:(1) NEED FOR INCREASED INTEGRATION BETWEEN PRIMARY CARE AND MENTAL HEALTH SERVICES, (2) COORDINATION WITH OTHER SYSTEMS OF CARE (E.G., SCHOOLS), AND (3) SUBSTANCE ABUSE. |
| WINDHAVEN PSYCHIATRIC HOSPITAL | PART V, SECTION B, LINE 11: THIS DATA WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS, AND THE COMMUNITY AS A WHOLE. THE CLINIC ENGAGED A LEADERSHIP TEAM TO REVIEW THE HEALTH NEEDS AND PRIORITY AREAS WERE DETERMINED BASED ON AN ASSESSMENT OF THE QUALITATIVE AND QUANTITATIVE DATA. IDENTIFIED NEEDS WERE PRIORITIZED BASED ON THE FOLLOWING CRITERIA: (1) HOW MANY PEOPLE ARE AFFECTED BY THE ISSUE OR SIZE OF THE ISSUE (2) WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THIS PROBLEM(3) THE IMPACT OF THE ISSUE ON VULNERABLE POPULATIONS(4) WHETHER OR NOT POLARA HAS EXISTING PROGRAMS TO RESPOND TO THE IDENTIFIED NEED.AS A RESULT OF THE ANALYSIS DESCRIBED ABOVE, THE FOLLOWING HEALTH NEEDS WERE IDENTIFIED AS THE MOST SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY:(1) NEED FOR INCREASED INTEGRATION BETWEEN PRIMARY CARE AND MENTAL HEALTH SERVICES, (2) COORDINATION WITH OTHER SYSTEMS OF CARE (E.G., SCHOOLS), AND (3) SUBSTANCE ABUSE. |
| WINDHAVEN PSYCHIATRIC HOSPITAL | PART V, SECTION B, LINE 15E: ELIGIBILITIY AND ENROLLMENT STAFF MEET WITH PATIENTS TO GATHER FINANCIAL INFORMATION TO SEE IF THE PATIENT IS ELIGIBLE FOR MEDICAID, MEDICARE OR HAVE INSURANCE. IF NOT, AND THE PATIENT CANNOT BE ENROLLED IN THE GOVERNMENT PROGRAMS, THE STAFF PROVIDE THE PATIENT WITH OUR PLAIN LANGUAGE FAP SUMMARY AND APPLICATION. THE APPLICATION AND SUPPORTING DOCUMENTS ARE REVIEWED BY A MEMBER OF THE BILLING TEAM. A DECISION FOR ELIGIBILITY IS MADE WITHIN 30 DAYS AND A LETTER OF DECISION IS THEN SENT TO THE PATIENT. IF A PATIENT QUALIFIES FOR ASSISTANCE AND IS GRANTED A FREE OR DISCOUNTED RATE, THE REMAINING BALANCE IS REDUCED AS CHARITY CARE. |
| WINDHAVEN PSYCHIATRIC HOSPITAL | PART V, SECTION B, LINE 16J: THE FAP HAS BEEN PUBLISHED ON THE WEBSITE OF THE CLINIC. |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | ASIDE FROM FPG, CLIENTS HAVE THE OPTION TO SELECT ONE OF OUR SUBSCRIPTION PLANS THAT ALIGNS TO THE SERVICES/TREATMENT THE CLIENT IS SEEKING. THE FEES CHARGED ARE BASED ON A PERCENTAGE OF OUR USUAL AND CUSTOMARY RATES; CLIENTS HAVE A MONTHLY PAYMENT DUE FOR SERVICES PROVIDED. FOR INPATIENT SERVICES NOT COVERED BY INSURANCE, WE REDUCE THE TOTAL BALANCE BY 50%. |
| PART III, LINE 2: | THESE ARE ACTUAL ACCOUNT BALANCES WRITTEN OFF DURING THE YEAR. |
| PART III, LINE 8: | ALL OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT AS WE ARE THE ONLY MEDICARE A PSYCHIATRIC HOSPITAL IN THE COMMUNITY. THE HOSPITAL IS REQURED TO BE MEDICARE A CERTIFIED AS IT RECEIVES MEDICARE FUNDING. THE COSTS THAT ARE IDENTIFIED WITH MEDICARE REVENUE ARE BASED ON THE NUMBER OF BED DAYS OCCUPIED, AS REPORTED BY THE PS&R REPORT. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID A WOLKOFF | ||||||||||||||
| DIRECTOR | $349,333 | $0 | $1,023 | $0 | $0 | $0 | $8,508 | $0 | $0 | $0 | $358,864 | $0 | $0 | $0 |
| RACQUEL BALDERAS | ||||||||||||||
| MEDICAL PROVIDER | $281,672 | $0 | $1,533 | $0 | $0 | $0 | $14,400 | $0 | $17,344 | $0 | $314,949 | $0 | $0 | $0 |
| CHERIE F WILCHER | ||||||||||||||
| MEDICAL PROVIDER | $293,080 | $0 | $1,399 | $0 | $0 | $0 | $8,121 | $0 | $0 | $0 | $302,600 | $0 | $0 | $0 |
| TAMARA LYNN PLAYER | ||||||||||||||
| PRESIDENT AND CEO | $241,751 | $0 | $8,809 | $0 | $0 | $0 | $13,542 | $0 | $11,946 | $0 | $276,048 | $0 | $0 | $0 |
| EDWARD J KUHNLEY | ||||||||||||||
| MEDICAL PROVIDER | $233,805 | $0 | $1,548 | $0 | $0 | $0 | $6,494 | $0 | $0 | $0 | $241,847 | $0 | $0 | $0 |
| STEVEN CALABRESE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $169,721 | $0 | $2,098 | $0 | $0 | $0 | $12,581 | $0 | $11,437 | $0 | $195,837 | $0 | $0 | $0 |
| JAMI A REMIEN | ||||||||||||||
| MEDICAL PROVIDER | $171,392 | $0 | $1,848 | $0 | $0 | $0 | $4,774 | $0 | $7,463 | $0 | $185,477 | $0 | $0 | $0 |
| PATRICIA A WHITE | ||||||||||||||
| MEDICAL PROVIDER | $173,434 | $0 | $1,421 | $0 | $0 | $0 | $4,882 | $0 | $0 | $0 | $179,737 | $0 | $0 | $0 |
| COURTNEY K ROUTSON | ||||||||||||||
| MEDICAL DIRECTOR | $172,929 | $0 | $1,512 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $174,441 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF YAVAPAI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 866093423 | BondIssuerEIN |
| Bond Issued | 2022-01-27 | BondIssuedDt |
| Issue Price | $10,310,500 | IssuePriceAmt |
| Purpose | TO REFUND 2016 BOND DEBT AND TO PURCHASE AND RENOVATE 2 BUILDINGS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $5,839,708 | RetiredAmt |
| Total Proceeds | $10,310,500 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $178,390 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $4,292,402 | CapitalExpendituresAmt |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Schedule M IRS990ScheduleM
Cars And Other Vehicles CarsAndOtherVehiclesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $38,902 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | LOAN FORGIVENESS | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $400,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | LOAN BALANCE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE NUMBER IN PART I, COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS REVIWED INTERNALLY BY THE SENIOR LEADERSHIP OF THE ORGANIZATION. THE CHIEF FINANCIAL ADMINISTRATIVE OFFICER THEN PRESENTS THE 990 TO THE BOARD OF DIRECTORS FINANCE COMMITTEE IN DETAIL FOR APPROVAL. THE FINANCE COMMITEE THEN PRESENTS A COPY OF THE FORM 990 TO THE ENTIRE BOARD FOR THIER ACCEPTANCE. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANUALLY THE BOARD OF DIRECTORS RECEIVES TRAINING ON THE CONFLICT OF INTEREST POLICY, EACH MEMBER COMPLETES A QUESTIONNAIRE ABOUT CONFLICT OF INTEREST AND SIGNS AN ATTESTATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION USES SALARY SURVEYS FROM THE AZ COUNCIL OF NONPROFIT ORGANIZATIONS AND MHCA AS A GUIDELINE FOR SALARIES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER PROVIDERS: PROGRAM SERVICE EXPENSES 4,441,540. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,441,540. ADMIN/FISCAL CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 662,132. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 662,132. TEMPORARY AGENCY: PROGRAM SERVICE EXPENSES 1,787,292. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,787,292. PHYSICIANS: PROGRAM SERVICE EXPENSES 1,187,850. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,187,850. |
| FORM 990, PART XI, LINE 9: | NET ASSETS TRANSFER FROM FOUNDATION DUE TO MERGER 1,676,130. |
| FORM 990, PART XII, LINE 2C | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST YAVAPAI GUIDANCE CLINIC FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3343 WINDSONG DR | AddressLine1Txt |
| City | PRESCOTT VALLEY | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | FUND RAISING | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMPLETE CARE PARTNERS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3343 WINDSONG DR | AddressLine1Txt |
| City | PRESCOTT VALLEY | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86314 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | BH | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |