2021-08-13T18:04:33-05:00 2020-09-30 341884125 CBIZ MHM LLC 4722 N 24TH ST STE 300 PHOENIX AZ 85016 990 2019-10-01 860290033 SOUTHWEST BEHAVIORAL HEALTH SERVICES INC SOUT 6022854279 3450 N 3RD STREET PHOENIX AZ 85012 MICHAEL FETT CFO 6022854279 2021-08-13 1 AMY A O'LOUGHLIN P00869687 6022646835 2021-08-13 2019 2022-09-23 18:48:47Z STEVEN SHEETS 3450 N 3RD STREET PHOENIX AZ 85012 88925028 0 X WWW.SBHSERVICES.ORG X 1970 AZ DELIVERING COMPASSIONATE CARE TO ENHANCE LIVES AND IMPROVE COMMUNITIES. 9 9 1333 11 0 0 78538674 55892796 2186256 32791639 74091 54437 66314 186156 80865335 88925028 137061 240402 0 0 51734167 54430318 0 0 0 27253623 29383775 79124851 84054495 1740484 4870533 36272893 42482809 13482283 14821666 22790610 27661143 WE INSPIRE PEOPLE TO FEEL BETTER AND REACH THEIR POTENTIAL, THROUGH HELPING PEOPLE DISCOVER THEIR STRENGTHS, WE IMPROVE OUR COMMUNITIES. 0 0 70112028 240402 32956158 SOUTHWEST BEHAVIORAL HEALTH SERVICES PROVIDES SERVICES IN PREVENTION, OUTREACH SERVICES, COMMUNITY INTEGRATION, HOME-BASED COUNSELING, CASE MANAGEMENT, METHADONE MAINTENANCE, CRISIS RECOVERY, COMMUNITY HOUSING, RESIDENTIAL SERVICES AND OUTPATIENT COUNSELING FOR CHILDREN AND ADULTS SUFFERING FROM VARIOUS BEHAVIORAL AND SUBSTANCE ABUSE PROBLEMS. 70112028 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 240 0 1 1333 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 1 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 0 0 X MICHAEL FETT 6022854279 3450 N 3RD STREET PHOENIX AZ 85012 JOSHUA BURGETT PSYCH NURSE PRACTITIONER 40.00 X 400658 0 9371 SCOTT MCCALL PSYCHIATRIST 40.00 X 356796 0 0 STEVEN SHEETS PRESIDENT/CEO 40.00 X 298282 0 10803 AARON GOLDMAN REGIONAL MEDICAL DIRECTOR 36.00 X 285896 0 14424 RITA MARTINEZ VP HUMAN RESOURCES 40.00 X 253017 0 2159 SHALINI THARANI PSYCHIATRIST 40.00 X 253160 0 2003 MICHAEL FETT CFO/CAO 40.00 X 226595 0 16052 DEBORAH WOODARD VP COMMUNITY RESILIENCE 40.00 X 123082 0 3912 MATT HATFIELD CHAIR 0.30 X X 0 0 0 ADRIENNE SCHECK PHD SECRETARY 0.30 X X 0 0 0 KEVIN LAWSON DIRECTOR 0.30 X 0 0 0 RICHARD HEROLD DIRECTOR 0.30 X 0 0 0 LUCY TREIMAN PHD DIRECTOR 0.30 X 0 0 0 PATRICIA VALADEZ DIRECTOR 0.30 X 0 0 0 STEVE THOMPSON DIRECTOR 0.30 X 0 0 0 KAREN EVERS DIRECTOR 0.30 X 0 0 0 J BLOUNT SWAIN DIRECTOR 0.30 X 0 0 0 KURT BRAATZ DIRECTOR (LEFT 12/2019) 0.30 X 0 0 0 MICHELLE QUINTANILLA DIRECTOR (LEFT 9/2020) 0.30 X 0 0 0 2197486 0 58724 27 0 1 0 HEALTH INFORMATION MANAGEMENT 233 N MICHIGAN AVENUE 21ST FLOOR CHICAGO IL 60601 SYSTEM MAINTENANCE/SUBSCRIPTION 572449 CONCENTRIC PERSONNEL SOLUTIONS 4250 N DRINKWATER BLVD STE 100 SCOTTSDALE AZ 85251 PERSONNEL SERVICES 511968 WEST IP COMMUNICATIONS P O BOX 74007080 CHICAGO IL 60674 NETWORK SERVICES 483682 ENTERPRISE FLEET 4100 W GALVESTON ST STE 1 CHANDLER AZ 85226 FLEET RENTALS/MAINT 362551 MEDICAL SOLUTIONS LLC 1010 N 102ND STREET SUITE 300 OMAHA NE 68114 PERSONNEL SERVICES 302276 39 53363261 2529535 2509918 55892796 CONTRACTED SERVICES 624100 30400175 30400175 CLIENT FEES 624100 1445042 1445042 RENTAL INCOME 531120 932841 932841 MEDICAL RECORDS 624100 13581 13581 32791639 52363 52363 2074 0 2074 2074 2074 OTHER REVENUES 900099 166317 164519 1798 SNACK BAR/VENDING 900099 19839 19839 186156 88925028 32956158 0 76074 240402 240402 732952 732952 44565673 38048256 6517417 467256 336662 130594 5443345 4493441 949904 3221092 2732650 488442 382892 828 382064 99700 99700 3050325 2503667 546658 72288 1471 70817 735711 171291 564420 266896 119034 147862 4283354 3770996 512358 1145369 966216 179153 44676 36497 8179 2236110 1623697 612413 294030 202154 91876 SUPPLIES 12760419 12710702 49717 EQUIPMENT RENTAL/MAINT. 1834381 1347555 486826 BAD DEBTS 1212666 1212666 TELEPHONE 819515 700144 119371 145443 106365 39078 84054495 70112028 13942467 0 6841412 11742673 2751185 2573411 6411862 7233814 16992 13168 47903 309958 45380561 24773501 20049900 20607060 153639 2725 36272893 42482809 7458333 9241929 421100 457150 4679265 4298181 923585 824406 13482283 14821666 X 19535247 24405780 3255363 3255363 22790610 27661143 36272893 42482809 4870533 0 X 0 1 X 1 1 1 X 65573053 72075982 78560709 78538674 55892796 350641214 65573053 72075982 78560709 78538674 55892796 350641214 350641214 72600 75047 33441 71091 52363 304542 118531 141686 249388 66314 21637 597556 351543312 42436008 0.99740 0.99720 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2015 AMOUNT: $ 37,065. 2016 AMOUNT: $ 27,091. 2017 AMOUNT: $ 92,936. 2018 AMOUNT: $ 33,007. 2019 AMOUNT: $ 1,798. INSURANCE REFUND - 2015 AMOUNT: $ 55,074. 2016 AMOUNT: $ 61,714. SNACK BAR/VENDING - 2015 AMOUNT: $ 26,392. 2016 AMOUNT: $ 28,939. 2017 AMOUNT: $ 30,290. 2018 AMOUNT: $ 33,307. 2019 AMOUNT: $ 19,839. AMEX REWARDS - 2016 AMOUNT: $ 23,942. 2017 AMOUNT: $ 19,912. EHR INCETIVES - 2017 AMOUNT: $ 106,250. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5092392 5092392 22326878 9067215 13259663 10204307 8387731 1816576 6688160 6436143 252017 1068824 882412 186412 20607060 X 88949568 20666 1361490 1382156 87567412 1357616 1357616 88925028 84032255 20666 1314710 1335376 82696879 1357616 1357616 84054495 PART X, LINE 2: SBH HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE AND ARIZONA DEPARTMENT OF REVENUE STATING THAT IT IS EXEMPT FROM FEDERAL AND ARIZONA INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE BASED ON THE INFORMATION SUBMITTED. SBH WILL MAINTAIN THEIR EXEMPT STATUS AS LONG AS OPERATIONS CONTINUE TO COMPLY WITH THE INTERNAL REVENUE CODE AND ARIZONA REVISED STATUTES. INCOME DETERMINED TO BE UNRELATED BUSINESS INCOME ("UBI") WOULD BE TAXABLE. MANAGEMENT DOES NOT BELIEVE SBH HAS ANY UBI FOR THE YEAR ENDED SEPTEMBER 30, 2020. THE ORGANIZATION EVALUATES THEIR UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS THROUGH REVIEW OF THEIR POLICIES AND PROCEDURES AND DISCUSSIONS WITH OUTSIDE EXPERTS. THE FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990) FOR 2017. 2018 AND 2019 OF SBH ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE FROM RELATED ENTITIES 1,361,490. PART XI, LINE 4B - OTHER ADJUSTMENTS: ELIMINATING ENTRY 144,950. BAD DEBTS MOVED TO EXPENSES 1,212,666. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES FROM RELATED ENTITIES 1,314,710. PART XII, LINE 4B - OTHER ADJUSTMENTS: ELIMINATING ENTRY 144,950. BAD DEBTS MOVED FROM REVENUE 1,212,666. 1 FLEX FUNDS & HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS EMERGENCY ASSISTANCE 225 240402 PART I, LINE 2: THE ORGANIZATION CONFIRMS THAT RECIPIENTS ARE ELIGIBLE TO RECEIVE ASSISTANCE AND THAT THEY DO NOT EXCEED THE MAXIMUM BENEFITS ALLOWANCE. CHECKS ARE WRITTEN DIRECTLY TO SERVICE VENDORS TO PAY FOR RECIPIENTS' EXPENSES. X X X 0 0 0 0 0 0 0 1 0 JOSHUA BURGETT PSYCH NURSE PRACTITIONER 400658 0 0 0 0 0 3800 0 5571 0 410029 0 0 0 SCOTT MCCALL PSYCHIATRIST 356796 0 0 0 0 0 0 0 0 0 356796 0 0 0 STEVEN SHEETS PRESIDENT/CEO 273282 0 25000 0 0 0 3037 0 7766 0 309085 0 0 0 AARON GOLDMAN REGIONAL MEDICAL DIRECTOR 285896 0 0 0 0 0 3206 0 11218 0 300320 0 0 0 RITA MARTINEZ VP HUMAN RESOURCES 245517 0 7500 0 0 0 300 0 1859 0 255176 0 0 0 SHALINI THARANI PSYCHIATRIST 250160 0 3000 0 0 0 0 0 2003 0 255163 0 0 0 MICHAEL FETT CFO/CAO 196595 0 30000 0 0 0 2878 0 13174 0 242647 0 0 0 PART I, LINE 7 ANNUALLY THE BOARD CREATES AN AD HOC COMMITTEE IN CHARGE OF REVIEWING THE CEO'S AND CFO'S PERFORMANCE AND MAKING A RECOMMENDATION TO THE FULL BOARD REGARDING BONUS AND PAY INCREASE. A THE ARIZONA HEALTH FACILITIES AUTHORITY (2015 A) 860453292 040507EM3 2015-03-10 4600000 FINANCING ADMIN/OUTPATIENT BUILDING 0 0 0 B THE ARIZONA HEALTH FACILITIES AUTHORITY (2015 B) 860453292 2015-12-01 1800000 OFFICE BUILDING 0 0 0 A 4600000 150609 4600000 2015 1 0 1 1 B 1800000 41012 1800000 2016 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 1 B 0 0 0 0 1 0 0 0 1 A 0 B 1 X 7487 THRIFT SHOP VALUE X 2 55890 FAIR VALUE X 4 1705000 APPRAISAL X 1 705000 APPRAISAL X EQUIP/SUPPLIES 50 36541 FAIR VALUE 0 0 1 0 PART I, LINE 32B: THE ORGANIZATION RECEIVED TWO VEHICLES FROM THE PHOENIX SHANTI GROUP (PSG). THE VEHICLES WILL BE USED IN PROGRAM RELATED ACTIVITIES AND PSG TERMINATED OPERATIONS SO THE FILING OF FORM 1098-C WAS NOT CONSIDERED NECESSARY. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED TO ALLOW FOR THE TERMS OF THE DIRECTORS TO BE STAGGERED SO THAT APPROXIMATELY ONE-THIRD OF THE TERMS EXPIRE EACH YEAR. TERM LIMIT RESTRICTIONS CAN BE WAIVED BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE INCUMBENT DIRECTORS THEN SERVING. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND IS REVIEWED BY THE DIRECTOR OF FINANCE AND CFO BEFORE BEING SIGNED BY THE CEO. FORM 990, PART VI, SECTION B, LINE 12C THE MEMBERS OF THE SBH BOARD OF DIRECTORS AND SBH EXECUTIVE PERSONNEL ACKNOWLEDGE THE NEED FOR DISCLOSURE OF INTEREST(S). ANY SITUATION IN WHICH A POSSIBLE CONFLICT OF INTEREST MIGHT ARISE WILL BE REPORTED PROMPTLY IN WRITING TO THE CORPORATION. ALL PERSONNEL ARE REQUIRED TO REPORT A REAL OR POTENTIAL CONFLICT OF INTEREST TO THEIR IMMEDIATE SUPERVISOR PRIOR TO ENGAGING IN ANY TRANSACTION THAT MAY BE PERCEIVED AS A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A ANNUALLY THE BOARD CREATES AN AD HOC COMMITTEE IN CHARGE OF REVIEWING THE CEO'S PERFORMANCE AND MAKING A RECOMMENDATION TO THE FULL BOARD REGARDING BONUS AND ANY PAY INCREASE. THE CEO'S EVALUATION IS BASED ON 20 MEASURABLE OBJECTIVES THAT ARE WEIGHTED AND TALLIED FOR A TOTAL SCORE. THE CEO'S SALARY IS COMPARED WITH SALARIES OF NOT-FOR-PROFIT COMPANIES NATIONWIDE - MEMBERS OF THE MENTAL HEALTH CORPORATION OF AMERICA. THE RECOMMENDATIONS OF THE AD HOC COMMITTEE ARE FORWARDED TO ALL BOARD MEMBERS FOR DISCUSSION AND FINAL RECOMMENDATION. REVIEWS WERE LAST PERFORMED JANUARY 2020. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION, BY-LAWS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. VILLA AGAVE CORPORATION 3450 N 3RD ST PHOENIX AZ 85012 942902649 HOUSING AZ 501(C)(3) LINE 7 N/A 0 MIHALIC'S PROJECT 3450 N 3RD ST PHOENIX AZ 85012 860667653 HOUSING AZ 501(C)(3) LINE 11 N/A 0 VILLA DE CONFIANZA 3450 N 3RD ST PHOENIX AZ 85012 742537585 HOUSING AZ 501(C)(3) LINE 11 N/A 0 TOBY HOUSE II 3450 N 3RD ST PHOENIX AZ 85012 742420528 HOUSING AZ 501(C)(3) LINE 11 N/A 0 TOBY HOUSE III 3450 N 3RD ST PHOENIX AZ 85012 860742062 HOUSING AZ 501(C)(3) LINE 11 N/A 0 TOBY HOUSE IV 3450 N 3RD ST PHOENIX AZ 85012 860897449 HOUSING AZ 501(C)(3) LINE 11 N/A 0 TOBY HOUSE V 3450 N 3RD ST PHOENIX AZ 85012 860950586 HOUSING AZ 501(C)(3) LINE 11 N/A 0 TOBY HOUSE VI 3450 N 3RD ST PHOENIX AZ 85012 860981650 HOUSING AZ 501(C)(3) LINE 7 N/A 0 TOBY HOUSE VII 3450 N 3RD ST PHOENIX AZ 85012 861025879 HOUSING AZ 501(C)(3) LINE 11 N/A 0 TOBY HOUSE VIII 3450 N 3RD ST PHOENIX AZ 85012 710931900 HOUSING AZ 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0