WEST YAVAPAI GUIDANCE CLINIC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- WEST YAVAPAI GUIDANCE CLINIC (EIN 86-0206928)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-16
- IRS object ID
- 202541369349302554
- Schema version
- 2023v6.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-16T16:47:36-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 331498605 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8181 E TUFTS AVE SUITE 600 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | 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 INC | 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 DR | 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 | 2025-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DORI J EGGETT | PreparerPersonNm |
| PTIN | P00645252 | PTIN |
| Phone | 3037409400 | PhoneNum |
| Preparation | 2025-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | 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 DR | AddressLine1Txt |
| City | PRESCOTT VALLEY | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86314 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $42,249,531 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW. POLARAHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1966 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE ACCESSIBLE, COMPASSIONATE WHOLE-PERSON CARE THAT STRENGTHENS THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 490 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,076,974 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,307,264 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $35,769,966 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $36,469,829 | CYProgramServiceRevenueAmt |
| PY Investment Income | $299,336 | PYInvestmentIncomeAmt |
| CY Investment Income | $505,325 | CYInvestmentIncomeAmt |
| PY Other Revenue | $234,109 | PYOtherRevenueAmt |
| CY Other Revenue | $189,966 | CYOtherRevenueAmt |
| PY Total Revenue | $39,380,385 | PYTotalRevenueAmt |
| CY Total Revenue | $39,472,384 | 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 | $23,552,057 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,082,976 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,424,263 | PYOtherExpensesAmt |
| CY Other Expenses | $17,105,692 | CYOtherExpensesAmt |
| PY Total Expenses | $37,976,320 | PYTotalExpensesAmt |
| CY Total Expenses | $40,188,668 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,404,065 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$716,284 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $46,014,590 | TotalAssetsBOYAmt |
| Total Assets EOY | $46,097,376 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,945,198 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,827,258 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $25,069,392 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,270,118 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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 LOW-INCOME POPULATION. OUR VISION IS TO BE RECOGNIZED FOR HEALTHCARE THAT EXCEEDS EXPECTATIONS WHILE MAINTAINING OUR UNCOMPROMISING PRINCIPLES AND A SENSE OF COMMUNITY THAT UNITES US IN DRIVIING OUT STIGMA AND CELEBRATES HEALTH AND EMPOWERMENT FOR ALL. WE ARE THE LARGEST LOCAL NONPROFIT PROVIER OF BEHAVIORAL HEALTH AND CRISIS INTERVENTION SERVICES IN YAVAPAI COUNTY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,235,870 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $6,618,186 | RevenueAmt |
| Desc | SERIOUSLY MENTALLY ILL - PYSCHIATRIC SERVICES, CASE MANAGEMENT, MEDICATION MANAGEMENT, CASE MANAGEMENT, CRISIS SERVICES, INDIVIDUAL AND GROUP 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 | $4,419,738 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $10,949,836 | 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 | $10,311,316 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $11,991,370 | 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 | $6,718,716 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $6,910,437 | RevenueAmt |
| Desc | GENERAL CLIENT EXPENSES FOR CLIENTS OF WYGC WHO HAD A NEED FOR SERVICES NOT COVERED BY OTHER PAYOR SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $6,718,716 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $6,910,437 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $31,685,640 | 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 | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | 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 | 40 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 490 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | KARA LANGLEY | 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 (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| STEPHEN POLK | |||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DANNY BROWN | |||||||
| VICE-CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GRAYDEN GUILFORD | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRIAN FULLER | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KATHY MCCORMICK | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL FOGEL | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID FERO | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROB ROBBINS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WHITNEY WILLIAMS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TAMARA PLAYER | |||||||
| PRESIDENT & CEO | 40.00 | Yes (X) | $295,376 | $0 | $16,432 | ||
| PETER FABIAN | |||||||
| CHIEF TECHNOLOGY OFFICER | 40.00 | Yes (X) | $124,519 | $0 | $0 | ||
| KARA LANGLEY | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $169,965 | $0 | $12,913 | ||
| ERIN KANTOR | |||||||
| CHIEF CLINICAL OPERATIONS OFFICER | 40.00 | Yes (X) | $157,894 | $0 | $10,692 | ||
| ROBERT THOMPSON | |||||||
| CHIEF PHYSICIAN EXECUTIVE | 40.00 | Yes (X) | $120,646 | $0 | $3,878 | ||
| COURTNEY ROUTSON | |||||||
| ASSISTANT MEDICAL DIRECTOR | 40.00 | $171,032 | $0 | $2,898 | Yes (X) | ||
| EDWARD KUHNLEY | |||||||
| PSYCHIATRIST | 25.00 | $176,248 | $0 | $5,287 | Yes (X) | ||
| CHERIE WILCHER | |||||||
| MEDICAL PROVIDER | 40.00 | $263,000 | $0 | $15,624 | Yes (X) | ||
| KIMBER WRIGHT | |||||||
| MEDICAL PROVIDER | 40.00 | $186,954 | $0 | $0 | Yes (X) | ||
| PATRICIA WHITE | |||||||
| MEDICAL PROVIDER | 40.00 | $181,863 | $0 | $5,606 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,847,497 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $73,330 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 19 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| SHC SERVICES INC | |||||
| PO BOX 677896 | DALLAS | TX | 75267 | HEALTHCARE STAFFING | $1,437,387 |
| NETSMART TECHNOLOGIES | |||||
| PO BOX 713519 | PHILADELPHIA | PA | 19171 | IT SERVICES | $668,334 |
| A&B STAFFING SOLUTIONS | |||||
| 3451 S MERCY RD STE 102 | GILBERT | AZ | 85297 | STAFFING SERVICES | $473,628 |
| BARTON ASSOCIATES INC | |||||
| 119 GARDEN ST | PRESCOTT | AZ | 86305 | STAFFING SERVICES | $353,620 |
| COGNITIVE FUNCTION DEVELOPMENT | |||||
| 6895 E LYNX WAGON RD | PRESCOTT VALLEY | AZ | 86314 | CONSULTING | $321,124 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,874,576 | GovernmentGrantsAmt |
| All Other Contributions | $432,688 | AllOtherContributionsAmt |
| Total Contributions | $2,307,264 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| GENERAL MENTAL HEALTH | 621330 | $11,991,370 | $11,991,370 |
| CHILDREN SERVICES | 621330 | $10,949,836 | $10,949,836 |
| OTHER SERVICES | 621330 | $6,706,261 | $6,706,261 |
| SERIOUSLY MENTALLY ILL | 621330 | $6,618,186 | $6,618,186 |
| RENTAL INCOME | 531120 | $204,176 | $204,176 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $36,469,829 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $281,722 | TotalRevenueColumnAmt |
| Exclusion | $281,722 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,000,000 | SecuritiesAmt |
| Other | $750 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,777,147 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $222,853 | SecuritiesAmt |
| Other | $750 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $223,603 | TotalRevenueColumnAmt |
| Exclusion | $223,603 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | $185,354 | $185,354 |
| MEDICAL RECORDS | 900099 | $4,612 | $4,612 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $189,966 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,472,384 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,469,829 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $695,291 | 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 | $634,004 | TotalAmt |
| Management And General | $634,004 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,014,851 | TotalAmt |
| Program Services | $17,713,397 | ProgramServicesAmt |
| Management And General | $1,301,454 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,281 | TotalAmt |
| Program Services | $244,559 | ProgramServicesAmt |
| Management And General | $26,722 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,758,538 | TotalAmt |
| Program Services | $1,543,352 | ProgramServicesAmt |
| Management And General | $215,186 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,404,302 | TotalAmt |
| Program Services | $1,265,975 | ProgramServicesAmt |
| Management And General | $138,327 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $289,341 | TotalAmt |
| Management And General | $289,341 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,290 | TotalAmt |
| Management And General | $117,290 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,044 | TotalAmt |
| Management And General | $26,044 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,119 | TotalAmt |
| Management And General | $85,119 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,198,627 | TotalAmt |
| Program Services | $5,198,627 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,471 | TotalAmt |
| Program Services | $32,903 | ProgramServicesAmt |
| Management And General | $67,568 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,631 | TotalAmt |
| Management And General | $137,631 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,292,014 | TotalAmt |
| Program Services | $1,567,964 | ProgramServicesAmt |
| Management And General | $724,050 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,078,219 | TotalAmt |
| Program Services | $995,531 | ProgramServicesAmt |
| Management And General | $82,688 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $605,171 | TotalAmt |
| Program Services | $522,436 | ProgramServicesAmt |
| Management And General | $82,735 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $518,042 | TotalAmt |
| Program Services | $408,541 | ProgramServicesAmt |
| Management And General | $109,501 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,425,843 | TotalAmt |
| Program Services | $1,045,095 | ProgramServicesAmt |
| Management And General | $380,748 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,999 | TotalAmt |
| Program Services | $24,668 | ProgramServicesAmt |
| Management And General | $262,331 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| CREDIT LOSS EXPENSE | $3,822,289 | $3,822,289 | |
| CLIENT ACTIVITY | $721,811 | $721,811 | |
| RECRUITING & TRAINING | $170,554 | $170,554 | |
| DUES & LICENSES | $129,901 | $129,901 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,326 | TotalAmt |
| Program Services | $100,326 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,188,668 | TotalAmt |
| Program Services | $31,685,640 | ProgramServicesAmt |
| Management And General | $8,503,028 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,146,420 | BOYAmt |
| EOY | $3,120,405 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,413 | BOYAmt |
| EOY | $40,198 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,705,572 | BOYAmt |
| EOY | $8,180,437 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $417,960 | BOYAmt |
| EOY | $457,391 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $30,780,427 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,460,806 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,543,870 | BOYAmt |
| EOY | $15,319,621 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,967,106 | BOYAmt |
| EOY | $12,323,032 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,195,249 | BOYAmt |
| EOY | $6,656,292 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,014,590 | BOYAmt |
| EOY | $46,097,376 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,005,109 | BOYAmt |
| EOY | $2,701,745 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,062,494 | BOYAmt |
| EOY | $1,072,524 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,217,106 | BOYAmt |
| EOY | $9,764,808 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $369,314 | BOYAmt |
| EOY | $369,314 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,291,175 | BOYAmt |
| EOY | $6,918,867 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,945,198 | BOYAmt |
| EOY | $20,827,258 | 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 | $24,869,173 | BOYAmt |
| EOY | $24,965,336 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,219 | BOYAmt |
| EOY | $304,782 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,069,392 | BOYAmt |
| EOY | $25,270,118 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,014,590 | BOYAmt |
| EOY | $46,097,376 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$716,284 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $917,010 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 | $43,244 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $48,651 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $101,743 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,076,974 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,307,264 | CurrentTaxYearAmt |
| Total | $5,577,876 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,199,235 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43,490,548 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43,120,899 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,769,966 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36,469,829 | CurrentTaxYearAmt |
| Total | $200,050,477 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,242,479 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43,539,199 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43,222,642 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,846,940 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,777,093 | CurrentTaxYearAmt |
| Total | $205,628,353 | 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 | $205,628,353 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $158,048 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $299,336 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $281,722 | CurrentTaxYearAmt |
| Total | $739,106 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $158,048 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $299,336 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $281,722 | CurrentTaxYearAmt |
| Total | $739,106 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,078 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $833 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,584 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,245 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $11,740 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $1,781,636 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $234,109 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $189,966 | CurrentTaxYearAmt |
| Total | $2,205,711 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,248,557 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43,698,080 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $45,006,862 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,382,630 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,248,781 | CurrentTaxYearAmt |
| Total | $208,584,910 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98580 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99020 | PublicSupportPY509Pct |
| Investment Income CY | 0.00350 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME - 2021 AMOUNT: $ 1,781,636. 2022 AMOUNT: $ 234,109. 2023 AMOUNT: $ 189,966. | ExplanationTxt |
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 | $13,119,360 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,416,553 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,000,000 | OtherExpendituresAmt |
| Administrative Expenses | $66,814 | AdministrativeExpensesAmt |
| End Year Balance | $11,469,099 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| 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 |
| 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 | $1,826,120 | OtherCostOrOtherBasisAmt |
| Book Value | $1,826,120 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,540,132 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,715,872 | DepreciationAmt |
| Book Value | $9,824,260 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,553,306 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,026,743 | DepreciationAmt |
| Book Value | $526,563 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,860,869 | OtherCostOrOtherBasisAmt |
| Depreciation | $718,191 | DepreciationAmt |
| Book Value | $3,142,678 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,319,621 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENTS HELD IN ARIZONA COMMUNITY FOUNDATION | $11,469,099 | C |
| INVESTMENT IN COMPLETE CARE PARTNERS, LLC | $1,962 | C |
| INVESTMENT IN ARIZONA HEALTH RECIPROCAL INSURANCE COMPANY | $851,971 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $12,323,032 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OPERATING LEASE RIGHT OF USE ASSETS | $6,640,223 |
| DEPOSITS | $16,069 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,656,292 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITY | $6,848,046 |
| FINANCE LEASE LIABILITY | $70,821 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,918,867 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $40,318,332 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $917,010 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $917,010 | RevenueNotReportedAmt |
| Revenue Subtotal | $39,401,322 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $71,062 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $71,062 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $39,472,384 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $40,117,606 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $40,117,606 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $71,062 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $71,062 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $40,188,668 | 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 INVESMENT INCOME. |
| PART X, LINE 2: | POLARA IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY POLARA AND RECOGNIZE A TAX LIABILITY IF POLARA HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY POLARA AND HAS CONCLUDED THAT, AS OF JUNE 30, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. POLARA IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. |
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 | $1,282,954 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,282,954 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03190 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,014,404 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,014,404 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,297,358 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,297,358 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08200 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,297,358 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,297,358 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08200 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $327,766 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $537,365 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $890,517 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$353,152 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 0 | WrittenDebtCollectionPolicyInd |
| 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) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| 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/RESOURCECENTER | 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/RESOURCECENTER | 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 |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| 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 UTILISING VARIOUS THIRD PARTIES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION OF THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTH RANKINGS.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 PRIORITZED 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 ADDERESSING THIS PROBLEM (3) THE IMPACT OF THE ISSUE ON VULERABLE POPULATIONS(4) WHETHER OR NOT POLARA HASEXISTING PROGRAMS TO RESPOND TO THE IDENTIFIED NEED. AS A RESULT OF THE ANAYSIS DESCRIBED ABOVE, THE FOLLOWING HEALTH NEEDS WERE IDENTIFIED AS THE MOST SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY: (1) NEED FOR INCREASED INTERGRATION 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: 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 GOVERMENT 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: PART V, SECTION B, LINE 16J: THE FAP HAS BEEN PUBLISHED ON THE WEBSITE OF THE CLINIC. |
Supplemental Information Detail SupplementalInformationDetail (9 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 4: | SEE FOOTNOTE #2 ON PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS. |
| 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 REQUIRED 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. |
| PART VI, LINE 2: | THE FOLLOWING STEPS WERE CONDUCTED AS PART OF THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT: AN EVALUATION OF THE IMPACT OF ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED TO UNDERSTAND THE EFFECTIVENESS OF THE HOSPITAL'S CURRENT STRATEGIES AND PROGRAMS. THE "COMMUNITY" SERVED BY THE HOSPITAL WAS DEFINED BY UTILIZING INPATIENT DISCHARGE DATA REGARDING PATIENT ORIGIN. THIS PROCESS IS FURTHER DESCRIBED IN COMMUNITY SERVED BY THE HOSPITAL SECTION. POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE 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. COMMUNITY INPUT WAS PROVIDED THROUGH KEY STAKEHOLDER INTERVIEWS. RESULTS AND FINDINGS ARE DESCRIBED IN THE KEY STAKEHOLDER SECTION OF THIS REPORT. INFORMATION GATHERED IN THE STEPS ABOVE WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, MINORITY GROUPS, AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE RANKED UTILIZING A METHOD THAT WEIGHS: 1) THE SIZE OF THE PROBLEM, 2) THE SERIOUSNESS OF THE PROBLEM, 3) THE PREVALENCE OF THE PROBLEMS, AND 4) ALIGMNENT OF THE PROBLEM WITH THE HOSPITAL'S GOALS AND RESOURCES (THE HOSPITAL'S ABILITY TO ADDRESS THE ISSUES). AN INVENTORY OF HEALTH CARE FACILITIES AND OTHER COMMUNITY RESOURCES POTENTIALLY AVAILABLE TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA WAS PREPARED AND COLLABORATIVE EFFORTS WERE IDENTIFIED. |
| PART VI, LINE 3: | THE PATIENT FINANCIAL ASSISTANCE APPLICATION IS PROVIDED TO PATIENTS THAT MAY REQUIRE FINANCIAL ASSISTANCE. A COPY OF THE APPLICATION IS AVAILABLE ON THE ORGANIZATION'S WEBSITE OR BY CALLING THE POLAR HEALTH BILLING DEPARTMENT. |
| PART VI, LINE 4: | POLARA HEALTH IS IN YAVAPAI COUNTY, WHICH IS LOCATED NEAR THE CENTER OF ARIZONA AND COVERS MORE THAN 8,000 SQUARE MILES. POLARA HEALTH'S PRIMARY SERVICE AREA IS THE WESTERN PORTION OF YAVAPAI COUNTY, FROM SELIGMAN IN THE NORTH AND BLACK CANYON IN THE SOUTH, THE CITY OF BAGDAD IN THE WEST, AND CORDES LAKE IN THE EAST. SEVERAL POLARA HEALTH PROGRAMS, SUCH AS WINDHAVEN PSYCHIATRIC HOSPITAL, DO SERVE PEOPLE BEYOND THESE BORDERS. |
| PART VI, LINE 5: | POLARA HEALTH IS UNIQUELY ABLE TO OFFER OUR COMMUNITY A COMPREHENSIVE CONTINUUM OF CARE, ENCOMPASSING PRIMARY MEDICAL CARE, PREVENTION OUTREACH AND EDUCATION, OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT, SUPPORTIVE TRANSITIONAL AND PERMANENT SUBSIDIZED HOUSING PROGRAMS, A RESIDENTIAL SUBSTANCE USE TREATMENT CENTER, INPATIENT PSYCHIATRIC CARE, PEER SUPPORT SERVICES, VOCATIONAL REHABILITATION, A CRISIS STABILIZATION UNIT, AND MORE, ALL THROUGH ONE INTEGRATED AGENCY. POLARA HEALTH SPECIALIZED TREATMENT SERVICES INCLUDE: OUTPATIENT COUNSELING AND CASE MANAGEMENT FOR CHILDREN AND ADULTS OUTPATIENT PSYCHIATRIC SERVICES, INCLUDING MEDICATION MONITORING, FOR CHILDREN AND ADULTS OUTPATIENT SUBSTANCE ABUSE TREATMENT FOR ADULTS AND ADOLESCENTS RESIDENTIAL SUBSTANCE ABUSE TREATMENT IN A 23-BED PROGRAM ON SITE, FOR ADULTS EIGHT-BED SUPERVISED TRANSITIONAL LIVING PROGRAM FOR ADULTS WITH SERIOUS MENTAL ILLNESS JOB TRAINING AND COACHING 24-HOUR CRISIS INTERVENTION SYSTEM INTEGRATED CARE INCLUDING PRIMARY CARE SERVICES 10 CHAIR AND 8 BED CRISIS STABILIZATION UNIT 16 BED ADULT INPATIENT PSYCHIATRIC UNIT PREVENTION SERVICES FOCUSED ON OLDER ADULTS WHO ARE IN NEED OF EMOTIONAL SUPPORT |
| PART VI, LINE 7, REPORTS FILED WITH STATES | AZ |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TAMARA PLAYER | ||||||||||||||
| PRESIDENT & CEO | $281,718 | $0 | $13,658 | $0 | $0 | $0 | $8,571 | $0 | $7,861 | $0 | $311,808 | $0 | $0 | $0 |
| CHERIE WILCHER | ||||||||||||||
| MEDICAL PROVIDER | $263,000 | $0 | $0 | $0 | $0 | $0 | $7,719 | $0 | $7,905 | $0 | $278,624 | $0 | $0 | $0 |
| PATRICIA WHITE | ||||||||||||||
| MEDICAL PROVIDER | $181,863 | $0 | $0 | $0 | $0 | $0 | $5,606 | $0 | $0 | $0 | $187,469 | $0 | $0 | $0 |
| KIMBER WRIGHT | ||||||||||||||
| MEDICAL PROVIDER | $186,954 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $186,954 | $0 | $0 | $0 |
| KARA LANGLEY | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $169,965 | $0 | $0 | $0 | $0 | $0 | $5,169 | $0 | $7,744 | $0 | $182,878 | $0 | $0 | $0 |
| EDWARD KUHNLEY | ||||||||||||||
| PSYCHIATRIST | $176,248 | $0 | $0 | $0 | $0 | $0 | $5,287 | $0 | $0 | $0 | $181,535 | $0 | $0 | $0 |
| COURTNEY ROUTSON | ||||||||||||||
| ASSISTANT MEDICAL DIRECTOR | $171,032 | $0 | $0 | $0 | $0 | $0 | $2,898 | $0 | $0 | $0 | $173,930 | $0 | $0 | $0 |
| ERIN KANTOR | ||||||||||||||
| CHIEF CLINICAL OPERATIONS OFFICER | $157,894 | $0 | $0 | $0 | $0 | $0 | $2,787 | $0 | $7,905 | $0 | $168,586 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | THE BOARD OF DIRECTORS DETERMINES WHETHER A BONUS PAYMENT IS PAID FOR THE CEO, AND THE EXECUTIVE COMMITTEE DECIDES THE AMOUNT OF THE BONUS. | ExplanationTxt |
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 | 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 |
| Total Proceeds | $10,310,500 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $178,390 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $4,292,402 | CapitalExpendituresAmt |
| Other Spent Proceeds | $5,839,708 | OtherSpentProceedsAmt |
| Substantial Completion | 2022 | SubstantialCompletionYr |
| 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 Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | 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 |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED INTERNALLY BY THE SENIOR LEADERSHIP OF THE ORGANIZATION. THE CHIEF FINANCIAL ADMINSTRATIVE OFFICER THEN PRESENTS THE FORM 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 THEIR 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 CONFLICTS 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 | TEMPORARY AGENCY: PROGRAM SERVICE EXPENSES 2,109,813. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,109,813. PHYSICIANS: PROGRAM SERVICE EXPENSES 1,001,329. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,001,329. OTHER PROVIDERS: PROGRAM SERVICE EXPENSES 1,424,771. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,424,771. RESPITE SERVICE PROVIDERS: PROGRAM SERVICE EXPENSES 333,397. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 333,397. CONTRACT SERVICES - MEALS: PROGRAM SERVICE EXPENSES 329,317. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 329,317. |