2025-05-16T16:47:36-05:00 2024-06-30 331498605 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2023-07-01 860206928 WEST YAVAPAI GUIDANCE CLINIC INC WEST 9284455211 3343 WINDSONG DR PRESCOTT VALLEY AZ 86314 TAMARA PLAYER CEO 9284455211 2025-05-15 1 1 DORI J EGGETT P00645252 3037409400 2025-05-15 2023 2025-03-06 01:10:19Z POLARA HEALTH TAMARA PLAYER 3343 WINDSONG DR PRESCOTT VALLEY AZ 86314 42249531 0 X WWW. POLARAHEALTH.COM X 1966 AZ TO PROVIDE ACCESSIBLE, COMPASSIONATE WHOLE-PERSON CARE THAT STRENGTHENS THE COMMUNITY. 9 9 490 9 0 0 3076974 2307264 35769966 36469829 299336 505325 234109 189966 39380385 39472384 0 0 0 0 23552057 23082976 0 0 0 14424263 17105692 37976320 40188668 1404065 -716284 46014590 46097376 20945198 20827258 25069392 25270118 X 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. 0 0 10235870 0 6618186 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. 4419738 0 10949836 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. 10311316 0 11991370 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. 6718716 0 6910437 GENERAL CLIENT EXPENSES FOR CLIENTS OF WYGC WHO HAD A NEED FOR SERVICES NOT COVERED BY OTHER PAYOR SERVICES. 6718716 0 6910437 31685640 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 40 0 1 490 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KARA LANGLEY 9284455211 3343 WINDSONG DRIVE PRESCOTT VALLEY AZ 86314 STEPHEN POLK CHAIRMAN 1.00 X X 0 0 0 DANNY BROWN VICE-CHAIRMAN 1.00 X X 0 0 0 GRAYDEN GUILFORD TREASURER 1.00 X X 0 0 0 BRIAN FULLER SECRETARY 1.00 X X 0 0 0 KATHY MCCORMICK BOARD MEMBER 1.00 X 0 0 0 MICHAEL FOGEL BOARD MEMBER 1.00 X 0 0 0 DAVID FERO BOARD MEMBER 1.00 X 0 0 0 ROB ROBBINS BOARD MEMBER 1.00 X 0 0 0 WHITNEY WILLIAMS BOARD MEMBER 1.00 X 0 0 0 TAMARA PLAYER PRESIDENT & CEO 40.00 X 295376 0 16432 PETER FABIAN CHIEF TECHNOLOGY OFFICER 40.00 X 124519 0 0 KARA LANGLEY CHIEF FINANCIAL OFFICER 40.00 X 169965 0 12913 ERIN KANTOR CHIEF CLINICAL OPERATIONS OFFICER 40.00 X 157894 0 10692 ROBERT THOMPSON CHIEF PHYSICIAN EXECUTIVE 40.00 X 120646 0 3878 COURTNEY ROUTSON ASSISTANT MEDICAL DIRECTOR 40.00 X 171032 0 2898 EDWARD KUHNLEY PSYCHIATRIST 25.00 X 176248 0 5287 CHERIE WILCHER MEDICAL PROVIDER 40.00 X 263000 0 15624 KIMBER WRIGHT MEDICAL PROVIDER 40.00 X 186954 0 0 PATRICIA WHITE MEDICAL PROVIDER 40.00 X 181863 0 5606 1847497 0 73330 19 0 1 0 SHC SERVICES INC PO BOX 677896 DALLAS TX 75267 HEALTHCARE STAFFING 1437387 NETSMART TECHNOLOGIES PO BOX 713519 PHILADELPHIA PA 19171 IT SERVICES 668334 A&B STAFFING SOLUTIONS 3451 S MERCY RD STE 102 GILBERT AZ 85297 STAFFING SERVICES 473628 BARTON ASSOCIATES INC 119 GARDEN ST PRESCOTT AZ 86305 STAFFING SERVICES 353620 COGNITIVE FUNCTION DEVELOPMENT 6895 E LYNX WAGON RD PRESCOTT VALLEY AZ 86314 CONSULTING 321124 15 1874576 432688 2307264 GENERAL MENTAL HEALTH 621330 11991370 11991370 CHILDREN SERVICES 621330 10949836 10949836 OTHER SERVICES 621330 6706261 6706261 SERIOUSLY MENTALLY ILL 621330 6618186 6618186 RENTAL INCOME 531120 204176 204176 36469829 281722 281722 3000000 750 2777147 0 222853 750 223603 223603 MISCELLANEOUS INCOME 900099 185354 185354 MEDICAL RECORDS 900099 4612 4612 189966 39472384 36469829 0 695291 X 634004 634004 19014851 17713397 1301454 271281 244559 26722 1758538 1543352 215186 1404302 1265975 138327 289341 289341 117290 117290 26044 26044 85119 85119 5198627 5198627 100471 32903 67568 137631 137631 2292014 1567964 724050 1078219 995531 82688 605171 522436 82735 518042 408541 109501 1425843 1045095 380748 286999 24668 262331 CREDIT LOSS EXPENSE 3822289 3822289 CLIENT ACTIVITY 721811 721811 RECRUITING & TRAINING 170554 170554 DUES & LICENSES 129901 129901 100326 100326 40188668 31685640 8503028 0 5146420 3120405 38413 40198 5705572 8180437 417960 457391 30780427 15460806 13543870 15319621 13967106 12323032 7195249 6656292 46014590 46097376 2005109 2701745 1062494 1072524 10217106 9764808 369314 369314 7291175 6918867 20945198 20827258 X 24869173 24965336 200219 304782 25069392 25270118 46014590 46097376 -716284 917010 0 X 0 1 X 1 1 1 X 43244 48651 101743 3076974 2307264 5577876 41199235 43490548 43120899 35769966 36469829 200050477 41242479 43539199 43222642 38846940 38777093 205628353 0 0 0 205628353 158048 299336 281722 739106 158048 299336 281722 739106 6078 833 2584 2245 0 11740 1781636 234109 189966 2205711 41248557 43698080 45006862 39382630 39248781 208584910 0.98580 0.99020 0.00350 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2021 AMOUNT: $ 1,781,636. 2022 AMOUNT: $ 234,109. 2023 AMOUNT: $ 189,966. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13119360 1416553 3000000 66814 11469099 1572789 10896663 711575 61667 13119360 1352476 322719 -90719 11687 1572789 208924 1000000 147541 3989 1352476 212872 -1798 2150 208924 1.00000 1 0 1826120 1826120 19540132 9715872 9824260 5553306 5026743 526563 3860869 718191 3142678 15319621 INVESTMENTS HELD IN ARIZONA COMMUNITY FOUNDATION 11469099 C INVESTMENT IN COMPLETE CARE PARTNERS, LLC 1962 C INVESTMENT IN ARIZONA HEALTH RECIPROCAL INSURANCE COMPANY 851971 C 12323032 OPERATING LEASE RIGHT OF USE ASSETS 6640223 DEPOSITS 16069 6656292 OPERATING LEASE LIABILITY 6848046 FINANCE LEASE LIABILITY 70821 6918867 X 40318332 917010 917010 39401322 71062 71062 39472384 40117606 0 40117606 71062 71062 40188668 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. 1 1 1 X 1 X 1 0 1 1 1282954 1282954 0.03190 2014404 2014404 0.05010 3297358 3297358 0.08200 3297358 3297358 0.08200 0 327766 537365 890517 -353152 X 0 1 1 WEST YAVAPAI GUIDANCE CLINIC DBA POLARA HEALTH 3347 WINDSONG DR PRESCOTT VALLEY AZ 86314 WWW.POLARHEALTH.COM SH4435 X WINDHAVEN PSYCHIATRIC HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X WWW.POLARAHEALTH.COM/RESOURCECENTER X 1 22 1 WWW.POLARAHEALTH.COM/RESOURCECENTER 0 1 X 100.000000000000 200.000000000000 1 1 X X X X 1 X WWW.POLARAHEALTH.COM X WWW.POLARAHEALTH.COM X WWW.POLARAHEALTH.COM X X X X X X X 1 X 0 0 X X 0 0 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. 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 X X 0 0 0 0 0 0 0 1 0 TAMARA PLAYER PRESIDENT & CEO 281718 0 13658 0 0 0 8571 0 7861 0 311808 0 0 0 CHERIE WILCHER MEDICAL PROVIDER 263000 0 0 0 0 0 7719 0 7905 0 278624 0 0 0 PATRICIA WHITE MEDICAL PROVIDER 181863 0 0 0 0 0 5606 0 0 0 187469 0 0 0 KIMBER WRIGHT MEDICAL PROVIDER 186954 0 0 0 0 0 0 0 0 0 186954 0 0 0 KARA LANGLEY CHIEF FINANCIAL OFFICER 169965 0 0 0 0 0 5169 0 7744 0 182878 0 0 0 EDWARD KUHNLEY PSYCHIATRIST 176248 0 0 0 0 0 5287 0 0 0 181535 0 0 0 COURTNEY ROUTSON ASSISTANT MEDICAL DIRECTOR 171032 0 0 0 0 0 2898 0 0 0 173930 0 0 0 ERIN KANTOR CHIEF CLINICAL OPERATIONS OFFICER 157894 0 0 0 0 0 2787 0 7905 0 168586 0 0 0 PART I, LINE 7 THE BOARD OF DIRECTORS DETERMINES WHETHER A BONUS PAYMENT IS PAID FOR THE CEO, AND THE EXECUTIVE COMMITTEE DECIDES THE AMOUNT OF THE BONUS. A INDUSTRIAL DEVELOPMENT AUTHORITY 866093423 2022-01-27 10310500 TO REFUND 2016 BOND DEBT AND TO PURCHASE AND RENOVATE 2 BUILDINGS. 0 0 0 A 10310500 178390 4292402 5839708 2022 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 0 A 1 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.