2020-07-11T12:12:09-05:00 2019-09-30 341884125 CBIZ MHM LLC 4722 N 24TH ST STE 300 PHOENIX AZ 85016 990 2018-10-01 860223720 THE GUIDANCE CENTER INC GUID 9287146407 2187 N VICKEY STREET FLAGSTAFF AZ 86004 MICHAEL KUZMIN CHIEF FINANCIAL OFFICER 9287146407 2020-07-07 1 AMY A O'LOUGHLIN P00869687 6022646835 2020-07-07 12.221.96.220 2020-07-07 11:00:19 MS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 1212D86953DF9911D4E957E54162B84DD93DFAA7 2018 2021-01-29 14:40:06Z LAUREN LAUDER 2187 N VICKEY STREET FLAGSTAFF AZ 86004 23361309 0 X WWW.TGCAZ.ORG X 1969 AZ THE GUIDANCE CENTER DELIVERS BEHAVIORAL HEALTH SOLUTIONS. 6 2 298 6 0 0 87045 2366968 21028568 20962800 2436 2734 32789 28807 21150838 23361309 0 0 0 0 11245510 12431280 0 0 0 10426790 9072522 21672300 21503802 -521462 1857507 15713456 17034037 8492560 7955634 7220896 9078403 X TO IMPROVE THE BEHAVIORAL HEALTH OF THE PEOPLE OF OUR COMMUNITY. TO BE THE PROVIDER OF CHOICE FOR BEHAVIORAL HEALTH IN NORTHERN ARIZONA, OFFERING A FULL RANGE OF HIGH-QUALITY, COST-EFFECTIVE SERVICES. 0 0 12111345 13928126 ADULT OUTPATIENT SERVICES: SCOPE OF PRACTICE IS MEDICATION SERVICES, BEHAVIORAL HEALTH, CRISIS, PRE-PETITION SCREENING, AND COUNSELING. THE PROGRAM DEPARTMENTS INCLUDE SERVICES FOR SERIOUS MENTAL ILLNESS, ASSERTIVE COMMUNITY TREATMENT, GENERAL MENTAL HEALTH SUBSTANCE ABUSE, CRISIS AND 23-HOUR CRISIS STABILIZATION, MEDICATION CLINIC AND OUTPATIENT NURSING, AND CLINICS OFFERED IN WILLIAMS, TUBA CITY AND HAVASUPAI. THE OVERALL GOAL IS TO IMPROVE THE BEHAVIORAL HEALTH OF ADULTS WITH SERIOUS MENTAL ILLNESSES OR OTHER MENTAL HEALTH PROBLEMS THROUGH THE PROVISION OF HIGH-QUALITY, COST EFFECTIVE OUTPATIENT SERVICES. COUNSELING IS OFFERED TO CONSUMERS IN ORDER TO ASSIST WITH THE IDENTIFICATION OF PROBLEMS OR CONFLICTS, TO PROVIDE SUPPORT, EDUCATION, AND UNDERSTANDING FOR THE CONSUMER, GROUP OF CONSUMERS OR FAMILY IN ORDER TO RESOLVE OR MANAGE FUTURE PROBLEMS OR CONFLICTS LIVING SKILLS TRAINING AND CASE MANAGEMENT SERVICES ARE PROVIDED TO ASSIST THE CONSUMER IN MAXIMIZING HIS/HER ABILITY TO LIVE AND PARTICIPATE IN THE COMMUNITY AND TO FUNCTION INDEPENDENTLY BY TEACHING INDEPENDENT LIVING, SOCIAL AND COMMUNICATION SKILLS TO CONSUMERS AND FAMILIES.FY2019 ACCOMPLISHMENTS: ADULT OUTPATIENT SERVICES INCREASED GROUP THERAPY OFFERINGS TO MORE THAN 20 GROUPS OFFERED WEEKLY IN FLAGSTAFF. TOPICS RANGE FROM MATRIX SUBSTANCE USE (INTENSIVE OUTPATIENT PROGRAM, OR IOP) TO ANGER MANAGEMENT, TRAUMA & RECOVERY, BUILDING HEALTH AND WELLNESS, ANXIETY MANAGEMENT, MINDFULNESS, AND CONTINUATION OF THE BUILDING OF DIALECTICAL BEHAVIOR THERAPY (DBT) FOR WHICH TGC SERVES AS A STATEWIDE CENTER OF EXCELLENCE. THE ASSERTIVE COMMUNITY TREATMENT (ACT) TEAM REMAINS THE ONLY ACT TEAM IN NORTHERN ARIZONA, SERVING DURING THIS FISCAL YEAR 35-40 INDIVIDUALS WITH HIGH-RISK SERIOUS MENTAL ILLNESSES, OFTEN WITH CO-OCCURRING SUBSTANCE USE ISSUES. ACT'S GOALS REMAIN HELPING THOSE THEY SERVE STAY HOUSED, SAFE FROM LAW ENFORCEMENT INVOLVEMENT AND HAPPY IN HOME AND COMMUNITY-BASED RELATIONSHIPS.CHILD & FAMILY SERVICES - A WIDE CONTINUUM OF SERVICES DESIGNED TO SUPPORT A FAMILY-CENTERED SERVICE DELIVERY MODEL, OFFERING PROGRAMS TO CHILDREN FROM BIRTH TO 18 YEARS OLD. THE OVERALL GOAL IS TO PROVIDE SERVICES FOR CHILDREN AND FAMILIES IN NEED OF BEHAVIORAL HEALTH SUPPORT IN AN EASILY ACCESSIBLE MANNER AND IN A SAFE, SECURE, AND CONFIDENTIAL ENVIRONMENT. CHILDREN'S OUTPATIENT PRIMARY SERVICES PROVIDE INCLUDE: INDIVIDUAL, FAMILY AND GROUP THERAPY, CARE MANAGEMENT, SKILLS TRAINING, AND FAMILY SUPPORT.FY2019 ACCOMPLISHMENTS: CHILD & FAMILY SERVICES OVERCAME STAFFING DIFFICULTIES TO FORM A STRONG TEAM OF PASSIONATE SERVICE PROVIDERS. IN THIS FISCAL YEAR, GROUNDWORK WAS LAID TO BEGIN A PARTNERSHIP WITH MOUNTAIN VIEW PEDIATRICS FOR SMOOTHER TRANSITIONS OF CARE AND IMPROVED COORDINATION FOR FAMILIES. ADDITIONALLY, TGC BEGAN RECEIVING REFERRALS TO SERVE BIRTH-TO-FIVE MEMBERS & FAMILIES FROM NAVAJO COUNTY SINCE THAT SPECIALTY OF SERVICES IS NOT AVAILABLE IN THE AREAS SERVED BY ONE OF TGC'S SISTER AGENCIES. FINALLY, SERVICES PROVIDED WITHIN SCHOOLS INCREASED SUBSTANTIALLY OVER PREVIOUS YEARS AS IN-SCHOOL BEHAVIORAL HEALTH HAS BEEN MORE NEEDED THAN EVER FOR CRISIS INTERVENTION AND INDIVIDUAL STUDENT SUPPORT.CRISIS & INTAKE SERVICES - TIED TO THE STATEWIDE CRISIS LINE AND PARTNERED WITH ANOTHER PROVIDER FOR MOBILE CRISIS SERVICES, TGC'S CRISIS SERVICES IS STAFFED 24/7 WITH MASTER'S LEVEL CLINICIANS AND BACHELOR'S LEVEL CARE MANAGERS WHO HELP INDIVIDUALS STRUGGLING WITH COMPLEX ISSUES WITH AN ASSESSMENT AND DIRECT REFERRAL INTO THE CRISIS STABILIZATION UNIT (CSU) OR PSYCHIATRIC ACUTE CARE (PAC). CRISIS CLINICIANS ALSO PROVIDE ASSESSMENTS IN THE COCONINO COUNTY DETENTION FACILITY. CRISIS CLINICIANS EVALUATE INDIVIDUALS WHO MAY BE REFERRED FOR POSSIBLE INVOLUNTARY COMMITMENT SHOULD THEIR RISK LEVEL DEMAND IT AND THEY ARE NOT WILLING TO ACCEPT TREATMENT. FY2019 ACCOMPLISHMENTS: CRISIS SERVICES REMAINS FULLY AVAILABLE ON-SITE 24/7 AND THIS YEAR, THE INTAKE PROCESS FOR INDIVIDUALS SEEKING INITIAL SERVICES HAD A SYSTEMIC MAKEOVER. ALL CRISIS CLINICIANS WERE TRAINED TO PROVIDE INTAKES. TGC BEGAN WALK-IN INTAKES IN SUMMER 2019, AVAILABLE 7 DAYS A WEEK. THE TIME FROM INITIAL CALL OR REFERRAL TO INTAKE COMPLETION WAS REDUCED, ON AVERAGE, FROM ABOUT 20 DAYS TO LESS THAN 2 DAYS. IN RESPONSE TO FEEDBACK THAT WALK-IN ONLY OPTIONS WERE NOT WORKING FOR ALL COMMUNITY MEMBERS, APPOINTMENTS WERE AGAIN OFFERED; HOWEVER, NO APPOINTMENT IS SCHEDULED MORE THAN SEVEN DAYS FROM FIRST CONTACT AND MOST ARE NEXT-DAY APPOINTMENTS. INTAKES WERE ALSO SHORTENED BY HALF TO ABOUT 75 MINUTES TO REDUCE LIFE IMPACT ON INDIVIDUALS SEEKING SERVICES.WILLIAMS CLINIC: AN OUTPATIENT CLINIC PROVIDING INTAKES, PSYCHIATRIC OUTPATIENT SERVICES, CARE MANAGEMENT AND THERAPY SERVICES TO OVER 210 INDIVIDUALS. WHILE MOST SERVICES ARE PROVIDED IN-PERSON, ADDITIONAL SERVICES AVAILABLE IN FLAGSTAFF CAN BE CONNECTED TO THE WILLIAMS CLINIC VIA TELEMEDICINE.FY2019 ACCOMPLISHMENTS: WILLIAMS CLINIC NOW OFFERS VOCATIONAL REHABILITATION SERVICES AND GROUP THERAPY FOR ADULTS WITH SUBSTANCE USE NEEDS; ADULTS NEEDING STRUCTURED COPING SKILLS TO GET THROUGH TRAUMA AND LIFE CHALLENGES; AND, SOCIALIZATION WITH MINDFULNESS SKILL DEVELOPMENT. 1241222 1271471 THE SUBSTANCE ABUSE RESIDENTIAL RECOVERY PROGRAM: A 16-BED, CO-ED ADULT UNIT SERVING HIGH-RISK INDIVIDUALS NEEDING INTENSIVE TREATMENT WITH RESPITE FROM THEIR LIFE IN THE COMMUNITY. SERVICES ARE PRIORITIZED TO PREGNANT WOMEN, WOMEN WITH DEPENDENT CHILDREN, INTRAVENOUS DRUG USERS AND INDIVIDUALS STRUGGLING WITH OPIOIDS. FY2019 ACCOMPLISHMENTS: SARRP SERVED 167 ADULTS WITH MODERATE TO SEVERE SUBSTANCE USE DISORDERS AND OFTEN CO-OCCURRING MENTAL AND PHYSICAL HEALTH CONDITIONS AS WELL. PROGRAMMING HAS BEEN SUBSTANTIALLY MODIFIED THIS YEAR TO REFLECT MORE CURRENT, EVIDENCE-BASED SKILLS TRAINING AND PSYCHOTHERAPY. PSYCHOTHERAPY AVAILABILITY WAS ENHANCED THROUGHOUT THE YEAR. PARTNERSHIPS FOR EXPEDITED PROBATION, COURT AND DETENTION REFERRALS WERE DEVELOPED TO BETTER SERVE INDIVIDUALS ENCOUNTERING THE JUSTICE SYSTEM WHILE STRUGGLING WITH SUBSTANCE USE. 4141411 4405723 PSYCHIATRIC ACUTE CARE UNIT: A 16-BED LEVEL I ACCREDITED PSYCHIATRIC HOSPITAL SERVING HIGH-RISK INDIVIDUALS NEEDING INTENSIVE TREATMENT FOR STABILIZATION FROM DANGER AND DYSFUNCTION. SERVICES INCLUDE TITLE 36 PRE-PETITION SCREENING/ COURT-ORDERED EVALUATIONS AND TREATMENT, PSYCHIATRIC ACUTE CARE, AND RESTRAINTS/ SECLUSIONS CAPABILITY. THE FACILITY ACCOMMODATES INDIVIDUALS WITH MANY TYPES OF DISABILITIES. THE UNIT PROVIDES HOSPITALIZATION, PSYCHIATRIC EVALUATION, MEDICATION STABILIZATION, 24-HOUR NURSING, TELEHEALTH AND EMERGENCY PSYCHIATRIC CARE WHICH INCLUDES VOLUNTARY AND INVOLUNTARY HOSPITALIZATION.FY2019 ACCOMPLISHMENTS: PEER SUPPORT WAS ENHANCED AT THE HOSPITAL SO INDIVIDUALS WITH LIVED EXPERIENCE COULD HELP HOSPITALIZED INDIVIDUALS GAIN INSIGHT INTO THEIR HEALTH CONDITIONS AND NEED TO ADHERE TO PRESCRIBED MEDICATIONS. SIGNIFICANT IMPROVEMENTS IN THE ASSESSMENT AND TREATMENT OF INVOLUNTARILY COMMITTED INDIVIDUALS LAUNCHED THIS FISCAL YEAR WITH A GROWING PARTNERSHIP WITH THE COCONINO COUNTY ATTORNEY'S OFFICES. 1124175 1357480 CRISIS STABILIZATION UNIT (CSU): AN OUTPATIENT STABILIZATION SERVICE TO INDIVIDUALS 18 AND OVER IN A CRISIS. THE CSU HAS A CAPACITY OF 7 CHAIRS, WHERE INDIVIDUALS CAN BE ADMITTED IN ANY STATE OF CRISIS AND STAY FOR UP TO 23 HOURS AND 59 MINUTES, RECEIVING NURSING ASSESSMENTS, CONTINUOUS NURSING SERVICES, PSYCHIATRIC SERVICES AND CASE MANAGEMENT.FY2019 ACCOMPLISHMENTS: SERVICES WERE ENHANCED THIS FISCAL YEAR TO ADD PSYCHIATRIC SERVICES FOR THOSE MOST AT-RISK AND NEEDING SERVICE PRIOR TO ANY UPCOMING OUTPATIENT APPOINTMENT. NURSING ON THE UNIT SUBSTANTIALLY IMPROVED CRISIS PREVENTION PLANNING EFFORTS, PROVIDED INCREASED CARE MANAGEMENT TO HELP THOSE NEEDING COMMUNITY RESOURCE CONNECTIONS OR ADDITIONAL TREATMENT GET EXPEDITED TO RECEIVE THOSE. 1124175 1357480 18618153 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 1 0 0 0 1 21 0 1 298 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 2 0 1 0 0 1 0 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X NICOLE ELLMAN 9287146407 2187 N VICKEY STREET FLAGSTAFF AZ 86004 JAMES DYKES BOARD CHAIR 6.00 4.00 X X 0 32475 0 MARK CARROL VICE PRESIDENT 2.00 40.00 X X 0 310671 49782 NATHAN JONES SECRETARY/CHIEF COMPLIANCE OFFCR 20.00 20.00 X X 0 170689 13996 JUDY MARFECHUK TREASURER 1.00 40.00 X X 0 149452 14675 KERRY BLUME DIRECTOR 1.00 X 0 0 0 BETH OTTERSTEIN DIRECTOR 1.00 X 0 0 0 LAUREN LAUDER CEO 36.00 4.00 X 0 77690 15644 MICHAEL KUZMIN CFO 24.00 16.00 X 0 48141 5855 DEVON FORREST COO 36.00 4.00 X 0 32308 0 TREVER DAVIS CHIEF CLINICAL OFFICER 40.00 X 40517 0 0 TERESA BERTSCH MD CMO 24.00 16.00 X 0 36950 4731 JOHN NAGEL PSYCHIATRIST 40.00 X 224450 0 21507 WILLIAM SUMMERS PSYCHIATRIST 40.00 X 164354 0 3162 MATTHEW BARKMAN NP/ASSOCIATE MED DIRECTOR 40.00 X 161595 0 14097 MICHAEL GURNEY PHYSICIANS ASSISTANT 40.00 X 128253 0 10181 WALT HUTTON PSYCHIATRIC NP 40.00 X 121153 0 9929 840322 858376 163559 7 0 1 0 BARTON ASSOCIATES PO BOX 417844 BOSTON MA 02241 TEMP PSYCHIATRISTS 112946 1 3649 2354775 8544 2366968 CONTRACT REVENUE 900099 17184991 17184991 CLIENT FEES & INS 621400 3686420 3686420 RENTAL INCOME 721310 80056 80056 MEAL INCOME 722210 11333 11333 20962800 2734 2734 OTHER INCOME 621300 28807 28807 28807 23361309 20962800 0 31541 X 274266 232568 41698 10362862 8771238 1591624 183850 158470 25380 827763 713491 114272 782539 674510 108029 70000 70000 4424095 4352754 71341 10124 10022 102 30787 29857 930 233175 226883 6292 1079077 815802 263275 176065 125407 50658 68805 40036 28769 203014 130855 72159 410094 312061 98033 237373 234287 3086 CLIENT FOOD/SUNDRIES 1587830 1587830 DUES, FEES, & LICENSES 92015 71778 20237 BAD DEBT EXPENSE 84579 84579 PROCESSING FEES 29603 29603 335886 130304 205582 21503802 18618153 2885649 0 1604752 1616428 1341411 1344079 760170 1510822 24783 14997 12832976 454380 11781013 12378596 201327 169115 15713456 17034037 1430249 1523601 256 17632 6458819 5860313 603236 554088 8492560 7955634 X 7220896 9078403 7220896 9078403 15713456 17034037 1857507 0 X 0 1 X 1 0 X 31683 26625 64410 87045 2366968 2576731 21278089 22173471 23281345 21028568 20962800 108724273 21309772 22200096 23345755 21115613 23329768 111301004 0 0 0 111301004 163 44 1427 2436 2734 6804 163 44 1427 2436 2734 6804 48189 81467 62396 32789 28807 253648 21358124 22281607 23409578 21150838 23361309 111561456 0.99770 0.99770 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2014 AMOUNT: $ 48,189. 2015 AMOUNT: $ 81,467. 2016 AMOUNT: $ 62,396. 2017 AMOUNT: $ 32,789. 2018 AMOUNT: $ 28,807. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2949222 2949222 8539500 347818 8191682 438150 4534 433616 256962 61538 195424 649142 40490 608652 12378596 X 23276730 0 23276730 84579 84579 23361309 21419223 0 21419223 84579 84579 21503802 PART X, LINE 2: TGC QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND, THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. IN ADDITION, TGC QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170 OF THE CODE AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. INCOME DETERMINED TO BE UNRELATED BUSINESS TAXABLE INCOME ("UBTI") WOULD BE TAXABLE. MANAGEMENT DOES NOT BELIEVE TGC HAS ANY UBTI FOR THE YEARS ENDED SEPTEMBER 30, 2018. TGC EVALUATES ITS UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS THROUGH REVIEW OF ITS POLICIES AND PROCEDURES, REVIEW OF ITS REGULAR TAX FILINGS, AND DISCUSSIONS WITH OUTSIDE EXPERTS. TGC'S FEDERAL RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAX (FORM 990) FOR FISCAL 2018, 2017 AND 2016 ARE SUBJECT TO EXAMINATION BY THE IRS GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 84,579. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 84,579. 1 1 0 1 X 0 0 1 1 420421 65126 355295 0.01660 420421 65126 355295 0.01660 420421 65126 355295 0.01660 1 84579 611370 599143 12227 X 1 1 1 1 THE GUIDANCE CENTER 2187 N VICKY ST FLAGSTAFF AZ 86004 X THE GUIDANCE CENTER 1 0 0 1 X X X X X X X X X X 15 1 0 1 1 X HTTPS://WWW.COCONINO.AZ.GOV/DOCUMENTCENTER/VIEW/12548/CHA-UPDATE-REPORT-FIN X 1 15 1 HTTP://WWW.TGCAZ.ORG/FILES/IMPLEMENTATION-STRATEGY.PDF 0 1 X 200.000000000000 1 1 X X X X 1 X HTTP://WWW.TGCAZ.ORG/FILES/FINANCIAL-ASSISTANCE-POLICIES-7.18.PDF X HTTP://WWW.TGCAZ.ORG/FILES/FINANCIAL-ASSISTANCE-APPLICATION.PDF X X X 1 0 X 0 X X 0 0 THE GUIDANCE CENTER PART V, SECTION B, LINE 3J: INJURY ASSOCIATED WITH ALCOHOL CONSUMPTION WAS IDENTIFIED AS THE PRIMARY HEALTH NEED THAT IMPACTED TGC WITH RESPECT TO THIS ISSUE. THE FOLLOWING GOALS WERE ESTABLISHED COORDINATE SERVICE PROVIDERS AND MAKE THE FLAGSTAFF COMMUNITY AWARE OF PREVENTION AND TREATMENT OPPORTUNITIES. TGC ALSO IDENTIFIED THE ELEMENTS OF THE COCONINO COUNTY PUBLIC HEALTH DEPARTMENT'S STRATEGIC PLAN THAT ARE RELEVANT TO TGC'S MISSION, WHICH INCLUDES STREAMLINING THE TITLE 36 PROCESS TO INCREASE ACCESS TO CARE. THE GUIDANCE CENTER PART V, SECTION B, LINE 5: THE GUIDANCE CENTER CHNA TEAM REVIEWED RECENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS PERFORMED SEPARATELY BY BOTH THE FLAGSTAFF MEDICAL CENTER AND COCONINO COUNTY PUBLIC HEALTH SERVICES THE DATA REPORTED BY THESE TWO ENTITIES WAS THEN INCORPORATED WITHIN AND UTILIZED IN THE CHNA CONDUCTED BY THE GUIDANCE CENTER. TGC ALSO CONTACTED THE FLAGSTAFF POLICE DEPARTMENT TO OBTAIN THEIR EXPERIENCE IN DEALING WITH INDIVIDUALS WITH MENTAL ILLNESS THIS HELPED TO IDENTIFY FURTHER NEEDS WITHIN THE COMMUNITY. IN ADDITION, TGC DISCUSSED THE ISSUE OF DOMESTIC VIOLENCE WITH THE COCONINO COUNTY SHERIFF'S OFFICE THAT OFFICE IS IN THE PROCESS OF COMPILING DATA. ALSO, THE TGC CONSUMER ADVISORY BOARD PROVIDED INSIGHT INTO THE PRIMARY CONCERNS FACED BY THE PEOPLE MOST LIKELY TO NEED TGC SERVICES. THE GUIDANCE CENTER PART V, SECTION B, LINE 6B: THE GUIDANCE CENTER PARTICIPATED IN THE DEVELOPMENT OF COCONINO COUNTY'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) THIS PROCESS WAS LED BY THE COCONINO COUNTY PUBLIC HEALTH SERVICE DISTRICT. THE GUIDANCE CENTER PART V, SECTION B, LINE 11: SUBSTANCE ABUSE TGC PARTICIPATES IN "CLOSING THE GAP", WHICH IS A COALITION OF COMMUNITY PARTNERS ADDRESSING CHRONIC ALCOHOLISM TGC PROVIDES A CONTINUUM OF CARE FOR SUBSTANCE ABUSE SERVICES INCLUDING THE ALCOHOL STABILIZATION UNIT, THE RESIDENTIAL UNIT AND THE OUTPATIENT SERVICES. TGC HAS PROVIDED MEDICALLY MONITORED DETOXIFICATION ON A CASE BY CASE BASIS. TGC IS IN THE EARLY STAGES OF IMPLEMENTING THE PROVISION OF MEDICALLY MONITORED DETOXIFICATION IN THE PSYCHIATRIC ACUTE CARE UNIT SUICIDE PREVENTION. TGC PROVIDES MENTAL HEALTH FIRST AID TRAINING. TGC PARTICIPATES ON THE NACA SUICIDE PREVENTION TEAM. TGC PLANS TO INCREASE THE AMOUNT OF MENTAL HEALTH FIRST AID TRAINING PROVIDED TO THE COMMUNITY VIOLENT CRIME PREVENTION. TGC PARTICIPATES ON THE CJCC COMMITTEE AND SUB-COMMITTEES AS A COMMUNITY PARTNER ADDRESSING THE INVOLVEMENT OF THE SERIOUSLY MENTALLY ILL IN THE CRIMINAL JUSTICE SYSTEM. TGC PLAYS A KEY ROLE IN DIVERTING THE SERIOUSLY MENTALLY ILL WHO HAVE BEEN ARRESTED INTO MENTAL HEALTH COURT. TGC HOLDS THE COCONINO COUNTY CONTRACT FOR ADMINISTERING THE T-36 INVOLUNTARY COMMITMENT STATUTES. TGC'S CURRENT PREVENTION RESOURCES ARE FOCUSED ON ADDRESSING UNDERAGE DRINKING. PART V, SECTION B, LINE 3J INJURY ASSOCIATED WITH ALCOHOL CONSUMPTION WAS IDENTIFIED AS THE PRIMARY HEALTH NEED THAT IMPACTED TGC. WITH RESPECT TO THIS ISSUE, THE FOLLOWING GOALS WERE ESTABLISHED; COORDINATE SERVICE PROVIDERS AND MAKE THE FLAGSTAFF COMMUNITY AWARE OF PREVENTION AND TREATMENT OPPORTUNITIES. TGC ALSO IDENTIFIED THE ELEMENTS OF THE COCONINO COUNTY PUBLIC HEALTH DEPARTMENT'S STRATEGIC PLAN THAT ARE RELEVANT TO TGC'S MISSION, WHICH INCLUDES STREAMLINING THE TITLE 36 PROCESS TO INCREASE ACCESS TO CARE. PART I, LINE 3C: TGC RECEIVES CRISIS STATE FUNDING, WHICH IS USED TO PROVIDE FREE-OF-CHARGE SERVICES FOR CRISIS SERVICES FOR UP TO 72 HOURS. SUBSTANCE ABUSE BLOCK GRANT FUNDING PROVIDES SUBSTANCE ABUSE PREVENTION SERVICES FREE OF CHARGE. PART I, LN 7 COL(F): THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS ASSOCIATED WITH CLIENT FEES AND INSURANCE REVENUE IS PRESENTED ON A SEPARATE LINE ITEM AS A REDUCTION TO REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) IN THE STATEMENTS OF OPERATIONS AND CHANGE IN NET ASSETS. ANY PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO OTHER GRANTS AND CONTRACTS, WHERE PAYMENT IS GUARANTEED, IS PRESENTED AS AN EXPENSE. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO CLIENT FEES AND INSURANCE RECEIVABLES. PART III, LINE 2: MANAGEMENT PROVIDES FOR PROBABLE, UNCOLLECTABLE AMOUNTS THROUGH A CHARGE TO EARNINGS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF THE CURRENT STATUS OF INDIVIDUAL CONTRACTS. TGC ANALYZES ITS PAST COLLECTION HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR RECEIVABLES DUE FROM SELF-PAY PATIENTS (WHICH INCLUDES PATIENTS WITHOUT INSURANCE, AND PATIENTS WITH INSURANCE WHERE DEDUCTIBLE AND COPAYMENT BALANCES ARE DUE), TGC RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND CREDIT TO ACCOUNTS RECEIVABLE. PART III, LINE 4: THE FOOTNOTE THAT DESCRIBES THE ORGANIZATION'S BAD DEBT EXPENSE IS CONTAINED WITHIN FOOTNOTE 1 ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE MEDICARE COSTS WAS CALCULATED BASED ON THE MEDICARE COST REPORT. PART III, LINE 9B: PROVISIONS IN THE POLICY EXPLAIN AVAILABLE FINANCIAL ASSISTANCE REMAINING BALANCES THAT THE PATIENT WILL BE RESPONSIBLE FOR. COLLECTION PRACTICES ARE FOLLOWED ONLY ON OUTSTANDING BALANCES AFTER FINANCIAL ASSISTANCE HAS BEEN APPLIED. X X X 0 0 0 0 0 0 0 0 0 MARK CARROL VICE PRESIDENT 0 310671 0 0 0 0 0 0 0 49782 0 360453 0 0 NATHAN JONES SECRETARY/CHIEF COMPLIANCE OFFCR 0 164560 0 0 0 6129 0 0 0 13996 0 184685 0 0 JUDY MARFECHUK TREASURER 0 145956 0 0 0 3496 0 0 0 14675 0 164127 0 0 JOHN NAGEL PSYCHIATRIST 217946 0 0 0 6504 0 9243 0 12264 0 245957 0 0 0 WILLIAM SUMMERS PSYCHIATRIST 162964 0 0 0 1390 0 0 0 3162 0 167516 0 0 0 MATTHEW BARKMAN NP/ASSOCIATE MED DIRECTOR 160167 0 0 0 1428 0 6523 0 7574 0 175692 0 0 0 FORM 990 PART VII AND SCHEDULE J THROUGH AN AFFILIATION AGREEMENT, A RELATED PUBLIC CHARITY, THE NARBHA INSTITUTE, PAYS THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER AND CHIEF MEDICAL OFFICER OF THE GUIDANCE CENTER. THESE STAFF MEMBERS ARE EMPLOYEES OF THE NARBHA INSTITUTE AND THE PAYMENTS ARE CONSIDERED A CONTRIBUTION FROM THE INSTITUTE ON THE FINANCIAL STATEMENTS OF THE GUIDANCE CENTER. THE BOARD CHAIR PROVIDES CONSULTING SERVICES TO THE NARBHA INSTITUTE AND IS COMPENSATED BY THE INSTITUTE FOR THIS WORK. THE VICE CHAIR WAS EMPLOYED AS THE CHIEF MEDICAL OFFICER OF THE INSTITUTE AND WAS COMPENSATED BY THE INSTITUTE FOR HIS WORK. THE WORK OF THE BOARD MEMBERS FOR THE INSTITUTE IS UNRELATED TO THEIR POSITIONS ON THE GUIDANCE CENTER BOARD OF DIRECTORS. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF COCONINO COUNTY 860375099 2014-12-23 8750000 CONSOLIDATE DEBT, NEW FACILITY, SOFTWARE 0 0 0 A 8750000 322123 7738108 689769 2016 1 0 1 1 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE AUGUST 27, 2018, TGC ENTERED INTO AN AFFILIATION AGREEMENT WITH NARBHA IN WHICH NARBHA BECAME TGC'S SOLE MEMBER. NARBHA HAS APPOINTED A NEW BOARD AND WILL ASSIST WITH MANAGEMENT OF TGC AND POTENTIAL FUTURE FUNDING AS NEEDED. TGC WILL CONTINUE TO OPERATE AS AN INDEPENDENT ORGANIZATION CONSISTENT WITH ITS OPERATIONS BEFORE THE AFFILIATION. FORM 990, PART VI, SECTION A, LINE 6 1. THE CORPORATION SHALL HAVE A SOLE CORPORATE MEMBER, "THE NARBHA INSTITUTE, INC." AN ARIZONA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE ARTICLES OF INCORPORATION MAY BE AMENDED BY THE CORPORATION'S SOLE MEMBER PROVIDED THAT NO AMENDMENT SHALL SUBSTANTIALLY CHANGE THE ORIGINAL PURPOSES OF THE CORPORATION.S OF THE COPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE APPROVED BY THE CFO AND REVIEWED BY THE CHAIRMAN OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED ANNUALLY BY THE PRESIDENT OF THE BOARD OF DIRECTORS BY SENDING OUT THE POLICY AND A QUESTIONNAIRE TO THE BOARD MEMBERS AND OFFICERS OF THE GUIDANCE CENTER. IF THERE IS A CONFLICT THE MEMBER OR OFFICER MAY NOT PARTICIPATE IN DISCUSSIONS AND VOTING RELATING TO THE CONFLICT AND THIS NON-PARTICIPATION IS NOTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 INFORMATION PROVIDED BY THE HUMAN RESOURCES DEPARTMENT, GATHERED FROM INFORMATION ON WAGES BY AREA AND OCCUPATION AND MARKETABLE WAGES. THIS INFORMATION WAS COMBINED WITH DATA FROM RECRUITING MARKETS. ANNUAL REVIEWS ARE DONE BASED ON DATE OF HIRE. THE BOARD REVIEWS THE CEO COMPENSATION AND THE CEO REVIEWS ALL OTHER OFFICERS COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION, BY-LAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PSYCHIATRY PROGRAM SERVICES: PROGRAM SERVICE EXPENSES 203,946. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 203,946. LAB PROGRAM SERVICES: PROGRAM SERVICE EXPENSES 40,017. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,017. OUT OF HOME MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 3,571,254. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,571,254. OTHER SERVICES: PROGRAM SERVICE EXPENSES 537,537. MANAGEMENT AND GENERAL EXPENSES 71,341. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 608,878. THE GUIDANCE CENTER FOUNDATION 2187 N VICKEY ST FLAGSTAFF AZ 86004 473267762 FUNDRAISING AZ 501(C)(3) LINE 7 THE GUIDANCE CENTER 0 THE NARBHA INSTITUTE 616 N BEAVER ST FLAGSTAFF AZ 86001 863037149 MANAGEMENT SUPPORT AZ 501(C)(3) LINE 7 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0