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WEST YAVAPAI GUIDANCE CLINIC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
WEST YAVAPAI GUIDANCE CLINIC (EIN 86-0206928)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-04-15
IRS object ID
201931069349300343
Schema version
2017v2.3
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

FieldValueIRS element (for citing)
Return2019-04-15T12:16:34-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN860206928EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WEST YAVAPAI GUIDANCE CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWESTBusinessNameControlTxt
Phone9284455211PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13343 WINDSONG DRAddressLine1Txt
CityPRESCOTT VALLEYCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86314ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN CALABRESEPersonNm
Person TitleCFOPersonTitleTxt
Phone9284455211PhoneNum
Signature2019-04-10SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.148.101.242IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-04-15IPDt
IP Tm10:15:49IPTm
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6466880185F3F6703814422BAE61CDCA9775E4D5AtSubmissionCreationDeviceId
At Submission Filing Device Id6466880185F3F6703814422BAE61CDCA9775E4D5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLARRY D GREEN JRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13343 WINDSONG DRIVEAddressLine1Txt
CityPRESCOTT VALLEYCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86314ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$43,582,704GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.WYGC.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1966FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionWEST YAVAPAI GUIDANCE CLINICS MISSION & VISION THE MISSION OF WEST YAVAPAI GUIDANCE CLINIC (WYGC) IS TO PROVIDE HIGH- QUALITY, CLIENT-CENTERED MENTAL HEALTH SERVICES TO RESIDENTS OF YAVAPAI COUNTY, ARIZONA. WE MAINTAIN A COMMITMENT TO HOPE AND HEALING, AND PRIDE OURSELVES ON DELIVERING COMPASSIONATE AND EFFECTIVE TREATMENT TO A MAJORITY LOW-INCOME POPULATION. WE ENVISION A COMMUNITY WHERE THE HEALTHCARE NEEDS OF ALL ARE MET. TOWARD THIS END, WE OFFER A VAST ARRAY OF SERVICES FOR ADULTS, FAMILIES AND CHILDREN LIVING WITH MENTAL AND BEHAVIORAL HEALTH DISORDERS, FROM CASE MANAGEMENT AND COUNSELING TO SUPPORTIVE HOUSING AND VOCATIONAL REHABILITATION. THE WEST YAVAPAI GUIDANCE CLINIC IS THE LARGEST LOCAL NON-PROFIT PROVIDER OF BEHAVIORAL HEALTH AND CRISIS INTERVENTION SERVICES IN YAVAPAI COUNTY, AND SERVES APPROXIMATELY 7,000 PEOPLE ANNUALLY.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee426TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$21,412TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$5,289NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$60,554PYContributionsGrantsAmt
CY Contributions Grants$74,537CYContributionsGrantsAmt
PY Program Service Revenue$41,092,769PYProgramServiceRevenueAmt
CY Program Service Revenue$43,280,423CYProgramServiceRevenueAmt
PY Investment Income$19,447PYInvestmentIncomeAmt
CY Investment Income$4,889CYInvestmentIncomeAmt
PY Other Revenue$242,944PYOtherRevenueAmt
CY Other Revenue$222,855CYOtherRevenueAmt
PY Total Revenue$41,415,714PYTotalRevenueAmt
CY Total Revenue$43,582,704CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$20,818,533PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$21,796,845CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$20,263,299PYOtherExpensesAmt
CY Other Expenses$20,936,423CYOtherExpensesAmt
PY Total Expenses$41,081,832PYTotalExpensesAmt
CY Total Expenses$42,733,268CYTotalExpensesAmt
PY Revenues Less Expenses$333,882PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$849,436CYRevenuesLessExpensesAmt
Total Assets BOY$22,706,126TotalAssetsBOYAmt
Total Assets EOY$23,140,524TotalAssetsEOYAmt
Total Liabilities BOY$12,248,347TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,833,309TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,457,779NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,307,215NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$9,629,797ExpenseAmt
Revenue$10,228,557RevenueAmt
DescSERIOUSLY MENTALLY ILL - PSYCHIATRIC SERVICES, MEDS. MANAGEMENT, CASE MANAGEMENT, CRISIS SERVICES AND INDIVIDUAL & GROUP THERAPYDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$9,692,579ExpenseAmt
Revenue$13,511,687RevenueAmt
DescCHILDREN SERVICES - PSYCHIATRIC SERVICES, MEDS MANAGEMENT, CASE MANAGEMENT, CRISIS SERVICES, CHILD & FAMILY TEAMS, FAMILY & GROUP THERAPY, IN-HOME SERVICES AND ACUTE RESIDENTIAL CAREDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$6,764,977ExpenseAmt
Revenue$10,228,557RevenueAmt
DescGENERAL MENTAL HEALTH & SUBSTANCE ABUSE - PSYCHIATRIC SRVICES, MEDS MANAGEMENT, CAS MANAGEMENT, CRISIS SERVICES AND INDIVIDUAL & GROUP THERAPYDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$10,145,036ExpenseAmt
Revenue$8,614,910RevenueAmt
DescOTHER PROGRAM SERVICESDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$10,145,036TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$8,614,910TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$36,232,389TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document34IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee426EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldAZStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTEVEN CALABRESEPersonNm
Phone9284455211PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13343 WINDSONG DRIVEAddressLine1Txt
CityPRESCOTT VALLEYCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86314ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DANNY BROWN
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
JOHN COOMER
VICE PRESIDEYes (X)Yes (X)$0$0$0
DIANA DALSASS
SECRETARY1.00Yes (X)Yes (X)$0$0$0
LOUIE GOMEZ
DIRECTOR1.00Yes (X)$0$0$0
ED LUTZ
TREASURER1.00Yes (X)Yes (X)$0$0$0
KATHY MCCORMICK
DIRECTOR1.00Yes (X)$0$0$0
LORA LEE NYE
DIRECTOR1.00Yes (X)$0$0$0
BONNIE WATERER
DIRECTOR1.00Yes (X)$0$0$0
STEPHEN POLK
DIRECTOR1.00Yes (X)$0$0$0
LARRY D GREEN JR
CEO60.00$348,736$0$71,794Yes (X)
SHANE B RUSSELL- JENKINS
CCO50.00$255,757$0$26,134Yes (X)
PAMELA K PIECE
DEPUTY CEO60.00$178,755$0$24,078Yes (X)
THOMAS D GAZDA
PSYCHIATRIST40.00$260,405$0$29,160Yes (X)
NADER GANIM
PHSYCHIATRIS40.00$259,123$0$5,474Yes (X)
VALERIE GUERNSEY
PSYCHIATRIST40.00$244,606$0$12,665Yes (X)
GAYLE GREGORY
PSYCHIATRIST40.00$222,752$0$16,706Yes (X)
JENNIFER FORAN
PSYCHIATRIST40.00$215,783$0$5,474Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,985,917TotalReportableCompFromOrgAmt
Total Other Compensation$191,485TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K17IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BARTON ASSOCIATES INC
PO BOX 417844BOSTONMA02241PHYSICIANS$608,668
CANYON MOBIL SERVICES LLC
2880 W GLENN HAVEN DRIVEPRESCOTT VALLEYAZ86305TAXI$606,122
LOCUMTENENSCOM LLC
2655 NORTHWINDS PARKWAYALPHARETTAGA30009PHYSICIANS$455,852
ALL CITY KOKOPELLI TRANSPORTATION
2820 GLASSFORD HILL RDPRESCOTT VALLEYAZ86314TAXI$176,180
BLACKWELL HEALTHCARE
2201 BROOKHOLLOW PLAZA DRIVEARLINGTONTX76006NURSES$146,368
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
All Other Contributions$74,537AllOtherContributionsAmt
Total Contributions$74,537TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtBusinessBusinessCdUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CHILDREN SERVICES$13,511,687$13,511,687
GENERAL MENTAL HEALTH & SUB$10,903,857$10,903,857
SERIOUSLY MENTALLY ILL$10,228,557$10,228,557
OTHER SERVICES$8,614,910$8,614,910
PHARMACY RENTAL INCOME$21,412531190$21,412
FieldValueIRS element (for citing)
Total Program Service Revenue$43,280,423TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,889TotalRevenueColumnAmt
Related Or Exempt Func Income$4,889RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RENTAL INCOME$132,137$132,137
MISC$90,718$90,718
FieldValueIRS element (for citing)
Other Revenue Total$222,855OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,582,704TotalRevenueColumnAmt
Related Or Exempt Func Income$43,486,755RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$21,412UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,917,551TotalAmt
Program Services$13,629,612ProgramServicesAmt
Management And General$4,287,939ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$979,686TotalAmt
Program Services$745,232ProgramServicesAmt
Management And General$234,454ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,656,726TotalAmt
Program Services$1,260,247ProgramServicesAmt
Management And General$396,479ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,242,882TotalAmt
Program Services$945,442ProgramServicesAmt
Management And General$297,440ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$63,398TotalAmt
Management And General$63,398ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,944,056TotalAmt
Program Services$15,809,863ProgramServicesAmt
Management And General$134,193ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$9,788TotalAmt
Program Services$521ProgramServicesAmt
Management And General$9,267ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$90,952TotalAmt
Program Services$70,439ProgramServicesAmt
Management And General$20,513ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$713,627TotalAmt
Program Services$568,222ProgramServicesAmt
Management And General$145,405ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$729,063TotalAmt
Program Services$612,594ProgramServicesAmt
Management And General$116,469ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,177,367TotalAmt
Program Services$1,067,133ProgramServicesAmt
Management And General$110,234ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$256,048TotalAmt
Program Services$210,533ProgramServicesAmt
Management And General$45,515ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,041,363TotalAmt
Program Services$802,100ProgramServicesAmt
Management And General$239,263ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$172,283TotalAmt
Program Services$4,998ProgramServicesAmt
Management And General$167,285ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CLIENT ACTIVITY EXPENSES$381,415$380,937$478
RECRUITING & TRAINING$171,939$24,164$147,775
DUES, FEES & LICENSES$114,016$76,808$37,208
OTHER$65,066$23,544$41,522

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,042TotalAmt
Management And General$6,042ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$42,733,268TotalAmt
Program Services$36,232,389ProgramServicesAmt
Management And General$6,500,879ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$586,848BOYAmt
EOY$422,301EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,305,089BOYAmt
EOY$7,963,490EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,189,510BOYAmt
EOY$3,056,634EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$409,648BOYAmt
EOY$238,378EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$21,722,755LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,961,310LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,621,085BOYAmt
EOY$10,761,445EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$593,946BOYAmt
EOY$698,276EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,706,126BOYAmt
EOY$23,140,524EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,835,167BOYAmt
EOY$3,775,074EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,037,928BOYAmt
EOY$6,761,613EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,187,571BOYAmt
EOY$1,062,407EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$187,681BOYAmt
EOY$234,215EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,248,347BOYAmt
EOY$11,833,309EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,457,779BOYAmt
EOY$11,307,215EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,457,779BOYAmt
EOY$11,307,215EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,706,126BOYAmt
EOY$23,140,524EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$849,436ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,246CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,332CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,867CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$60,554CurrentTaxYearMinus1YearAmt
Current Tax Year$74,537CurrentTaxYearAmt
Total$171,536TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,127,164CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$34,321,404CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,142,945CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,334,248CurrentTaxYearMinus1YearAmt
Current Tax Year$43,259,011CurrentTaxYearAmt
Total$186,184,772TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$910,448CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$543,049CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$212,350CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$242,944CurrentTaxYearMinus1YearAmt
Current Tax Year$222,855CurrentTaxYearAmt
Total$2,131,646TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30,050,858CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$34,866,785CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,376,162CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,637,746CurrentTaxYearMinus1YearAmt
Current Tax Year$43,556,403CurrentTaxYearAmt
Total$188,487,954TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$188,487,954PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,569CurrentTaxYearMinus3YearsAmt
Current Tax Year$4,889CurrentTaxYearAmt
Total$16,958TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,569CurrentTaxYearMinus3YearsAmt
Current Tax Year$4,889CurrentTaxYearAmt
Total$16,958TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$5,186CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,261CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,687CurrentTaxYearMinus1YearAmt
Current Tax Year$5,289CurrentTaxYearAmt
Total$18,423TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30,055,358CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$34,879,540CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,380,423CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,641,433CurrentTaxYearMinus1YearAmt
Current Tax Year$43,566,581CurrentTaxYearAmt
Total$188,523,335TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99980PublicSupportCY509Pct
Public Support PY5090.99380PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 12FormAndLineReferenceDesc
ExplanationMISC REVENUE 0ExplanationTxt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$2,919GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$2,919TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$243,684BeginningYearBalanceAmt
Investment Earnings Or Losses$15,588InvestmentEarningsOrLossesAmt
Grants Or Scholarships$10,200GrantsOrScholarshipsAmt
Administrative Expenses$2,348AdministrativeExpensesAmt
End Year Balance$246,688EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$233,443BeginningYearBalanceAmt
Investment Earnings Or Losses$32,248InvestmentEarningsOrLossesAmt
Grants Or Scholarships$20,000GrantsOrScholarshipsAmt
Administrative Expenses$2,043AdministrativeExpensesAmt
End Year Balance$243,648EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$201,809BeginningYearBalanceAmt
Contributions$40,000ContributionsAmt
Investment Earnings Or Losses-$6,823InvestmentEarningsOrLossesAmt
Administrative Expenses$1,543AdministrativeExpensesAmt
End Year Balance$233,443EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$153,975BeginningYearBalanceAmt
Contributions$43,000ContributionsAmt
Investment Earnings Or Losses$6,086InvestmentEarningsOrLossesAmt
Administrative Expenses$1,252AdministrativeExpensesAmt
End Year Balance$201,809EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$126,093BeginningYearBalanceAmt
Contributions$7,000ContributionsAmt
Investment Earnings Or Losses$21,917InvestmentEarningsOrLossesAmt
Administrative Expenses$1,035AdministrativeExpensesAmt
End Year Balance$153,975EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,418,806OtherCostOrOtherBasisAmt
Book Value$1,418,806BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,558,684OtherCostOrOtherBasisAmt
Depreciation$6,751,305DepreciationAmt
Book Value$7,807,379BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,745,265OtherCostOrOtherBasisAmt
Depreciation$4,210,005DepreciationAmt
Book Value$1,535,260BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,761,445TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED COMPENSATIONPAYABLEDesc
Amt$234,215Amt
FieldValueIRS element (for citing)
Total Liability$234,215TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 2, PART V, LINE 4FormAndLineReferenceDesc
ExplanationTHE FUNDS HELD BY ARIZONA COMMUNITY FOUNDATION FOR WYGC FOUNDATION EXIST TO BENEFIT PROGRAMS AND SERVICES OF WYGC INC, WITH A VISION OF FUTURE GROWTH AND PERPETUAL MAINTENANCE WHILE UTILIZING THE INVESTMENT INCOME. WITHIN THE LARGER FUNDS EXISTS A SMALLER FUND CREATED IN 2014 AND DESIGNATED FOR PROFESSIONAL STAFF DEVELOPMENT PROGRAMS, TO BE EXPENDED IN FULL OVER 11 YEARS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetfalseFinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$118,540TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$118,540NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$118,540TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$118,540NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$118,540TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$118,540NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$78,336BadDebtExpenseAmt
Reimbursed By Medicare$899,195ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$1,740,377CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$841,182MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WINDHAVEN PSYCHIATRIC HOSPITALBusinessNameLine1Txt
Business Name Line2WINDHAVEN PSYCHIATRIC HOSPITALBusinessNameLine2Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13347 WINDSONG DRAddressLine1Txt
CityPRESCOTT VALLEYCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86314ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.WYGC.ORGWebsiteAddressTxt
State LicenseSH4435StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WINDHAVEN PSYCHIATRIC HOSPITALBusinessNameLine1Txt
Business Name Line2WINDHAVEN PSYCHIATRIC HOSPITALBusinessNameLine2Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.WYGC.ORGOwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.WYGC.ORGStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.WYGC.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.WYGC.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.WYGC.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyfalseNondisEmergencyCarePolicyInd
No Emergency CareYes (X)NoEmergencyCareInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, WINDHAVEN PSYCHIATRIC HOSPITAL - PART V, LINE 5A COMPREHENSIVE NEEDS ASSESSMENT WAS CONDUCTED BY THE ONLY ACUTE CARE HOSPITAL IN OUR SERVICE AREA, YAVAPAI REGIONAL MEDICAL CENTER.
FACILITY 1, WINDHAVEN PSYCHIATRIC HOSPITAL - PART V, LINE 6AYAVAPAI REGIONAL MEDICAL CENTER
FACILITY 1, WINDHAVEN PSYCHIATRIC HOSPITAL - PART V, LINE 6BWYGC PARTICIPATED IN THE 2016 HEALTH NEEDS ASSESSMENT CONDUCTED BY THE YAVAPAI REGIONAL MEDICAL CENTER AND THE YAVAPAI COMMUNITY HEALTH SERVICES. THE RESULTS OF THE ASSESSMENT ARE AVAILABLE TO THE PUBLIC. WYGC AND YRMC HAVE IDENTIFIED AREAS OF NEED FRONM THE ASSESSMENT AND HAVE IMPLEMENTED COLLABORATIONS THAT ADDRESS THE IDENTIFIED NEEDS.
FACILITY 1, WINDHAVEN PSYCHIATRIC HOSPITAL - PART V, LINE 11WYGC IDENTIFIED AND HAS BEGUN OR CONTINUED TO ADDRESS THE FOLLOWING PRORITIES;1. EXPANDED SUICIDE PREVENTATION AND EDUCATION EFFORTS, 2. INCREASED CAPACITY WITHIN WYGC'S SENIOR PEER PREVENTION PROGRAM, 3. INCREASED LONG-TERM AFFORDABLE HOUSING FOR CLIENTS WITH SMI, 4. PROVIDED MORE ACCESSIBLE OUTPATIENT SERVICES FOR THOSE IN RURAL PARTS OF SERVICE AREA, 5. SHORT TERM COUNSELING PROGRAM, KNOW AS JUMP START.
FACILITY 1, WINDHAVEN PSYCHIATRIC HOSPITAL - PART V, LINE 15EELIGIBILY AND ENROLLMENT STAFF MEET WITH PATIENTS TO GATHER FINANCIAL INFORMATION TO SEE IF THE PATIENT IS ELIGIBLE FOR MEDICAID, MEDICARE OR HAVE INSURANCE. IF NOT AND THE PATIENT CANNOT BE ENROLLED IN THE GOVERNMENT PROGRAMS THE STAFF PROVIDE THE PATIENT WITH OUR PLAIN LANGUAGE FAP SUMMARY AND APPLICATION. THE APPLICATION AND SUPPORTING DOCUMENTS ARE REVIEWED BY A MEMBER OF THE BILLING TEAM A DECISION FOR ELIGIBILITY IS MADE WITHIN 30 DAYS AND A LETTER OF DECISION IS THEN SENT TO THE PATIENT. IF A PATIENT QUALIFIES FOR ASSISTANCE AND IS GRANTED A FREE OR DISCOUNTED RATE THE REMAINING BALANCE IS REDUCED AS CHARITY CARE.

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYTHESE ARE ACTUAL ACCOUNTS WRITTTEN OFF DURING THE YEAR.
PART III, LINE 8 - MEDICARE EXPLANATIONALL OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT AS WE ARE THE ONLY MADICARE 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 NUMBER OF BED DAYS OCCUPIED.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
LARRY D GREEN JR
CEO$348,736$71,794$420,530
SHANE B RUSSELL- JENKINS
CCO$255,757$26,134$281,891
PAMELA K PIECE
DEPUTY CEO$178,755$24,078$202,833
THOMAS D GAZDA
PSYCHIATRIST$260,405$29,160$289,565
NADER GANIM
PHSYCHIATRIST$259,123$5,474$264,597
VALERIE GUERNSEY
PSYCHIATRIST$244,606$12,665$257,271
GAYLE GREGORY
PSYCHIATRIST$222,752$16,706$239,458
JENNIFER FORAN
PSYCHIATRIST$215,783$5,474$221,257

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1INDUSTRIAL DEVELOPMENT AUTHORITYBusinessNameLine1Txt
Business Name Line2WEST YAVAPAI GUIDANCE CLINICBusinessNameLine2Txt
FieldValueIRS element (for citing)
Bond Issuer EIN866093423BondIssuerEIN
Bond Issued2016-02-01BondIssuedDt
Issue Price$7,552,000IssuePriceAmt
PurposeTO CONSTRUCT CSU AND ERFUND PREVIOUS ISSUESPurposeDesc
DefeasedYes (true)DefeasedInd
On Behalf Of IssuerYes (true)OnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Substantial Completion2016SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingYes (true)AdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6VOLUNTEERS PROVIDE GROUP ACTIVITIES AND CONDUCT GROUP SESSIONS AS PEERS IN OUR SENIOR PEER PROGRAM.
FORM 990, PAGE 2, PART III, LINE 4DOTHER PROGRAM SERVICES
FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 IS REVIEWED INTERNALLY BY THE SENIOR LEADERSHIP OF THE ORGANIZATION. THE CHIEF FINANCIAL OFFICER THEN PRESENTS THE 990 TO THE BOARD OF DIRECTORS FINANCE COMMITTEE IN DETAIL. THE FINANCE COMMITTEE THEN PRESENTS A COPY OF THE 990 TO THE ENTIRE BOARD FOR THEIR REVIEW FOR APPROVAL BEFORE IT IS FILED.
FORM 990, PAGE 6, PART VI, LINE 12CANNUALLY THE BOARD OF DIRECTORS RECEIVES TRAINING ON THE CONFLICT OF INTEREST POLICY, EACH MEMBER COMPLETES A QUESTIONAIRE ABOUT CONFLICT OF INTEREST AND SIGNS AN ATTESTATION.
FORM 990, PAGE 6, PART VI, LINE 15ATHE ORGANIZATION USES SALARY SURVEYS WHEN AVAILABLE AND GUIDESTAR AS A GUIDELINE FOR SALARIES
FORM 990, PAGE 6, PART VI, LINE 15BTHE ORGAINIZATION USES SALARY SURVEYS WHEN AVAILABLE AND GUIDESTAR AS A GUIDELINE FOR SALARIES.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST
FORM 990, PART IX, LINE 11GCONSULTANTS 73,679 127,186 0 KITCHEN SERVICES 632,787 0 0 PHYSICIAN FEES 928,792 0 0 OTHER CLINICAL SUPPORT 573,909 2,163 0 LAB EXPENSE 162,708 4,844 0 MEDICATION EXPENSE 3,427,325 0 0 KIDS OUT OF HOME 5,623,638 0 0 ADULT OUT OF HOME 4,384,827 0 0 OTHER SUPPORT SERVICES 2,198 0 0 TOTAL 15,809,863 134,193 0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1WEST YAVAPAI GID CLINIC FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13343 WINDSONG DRAddressLine1Txt
CityPRESCOTT VALLEYCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86301ZIPCd
FieldValueIRS element (for citing)
EIN860576008EIN
Primary ActivitiesFUND RAISIPrimaryActivitiesTxt
Legal Domicile StateAZLegalDomicileStateCd
Exempt Code Section501C 3ExemptCodeSectionTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
WEST YAVAPAI GUID CLINIC FOUNDATION
C$54,110CASH
WEST YAVAPAI GUID CLINIC FOUNDATION
O$45,642CASH