2019-08-13T12:36:06-05:00 2018-09-30 341884125 CBIZ MHM LLC 4722 N 24TH ST STE 300 PHOENIX AZ 85016 990 2017-10-01 860223720 THE GUIDANCE CENTER INC GUID 9287146407 2187 N VICKEY STREET FLAGSTAFF AZ 86004 MICHAEL KUZMIN CHIEF FINANCIAL OFFICER 9287146407 2019-08-09 1 AMY A O'LOUGHLIN P00869687 6022646835 2019-08-07 12.221.96.220 2019-08-09 12:12:10 MS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 1212D86953DF9911D4E957E54162B84DD93DFAA7 2017 2019-02-21 02:37:17Z LAUREN LAUDER 2187 N VICKEY STREET FLAGSTAFF AZ 86004 21150838 0 X WWW.TGCAZ.ORG X 1969 AZ THE GUIDANCE CENTER DELIVERS BEHAVIORAL HEALTH SOLUTIONS. 7 7 314 8 0 0 64410 87045 23281345 21028568 160724 2436 62396 32789 23568875 21150838 0 0 0 0 12058964 11245510 0 0 0 10077281 10426790 22136245 21672300 1432630 -521462 13067732 15713456 9393135 8492560 3674597 7220896 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. 1 0 13143996 15311866 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 THE CONSUMER AND HIS/HER FAMILY. THESE SERVICES ARE OFFERED INDIVIDUALLY, IN A GROUP OR WITH FAMILIES WITH THE CONSUMER PRESENT THE GUIDANCE CENTER (TCG) ALSO PROVIDES SERVICES FOR THE TREATMENT OF SUBSTANCE ABUSE DISORDERS. THE PROGRAM SERVES THOSE ADULTS 18 AND OVER WITH A DIAGNOSIS OF SUBSTANCE ABUSE OR DEPENDENCE. THE PROGRAM OFFERS INDIVIDUAL COUNSELING AND GROUP COUNSELING DURING DAY AND EVENING HOURS. THE CRISIS SERVICES DEPARTMENT PROVIDES CRISIS SERVICES 24 HOURS A DAY, 365 DAYS A YEAR, WHICH INCLUDES A CALL-IN NUMBER AND A CRISIS WALK-IN CLINIC. CHILDREN OUTPATIENT SERVICES: SCOPE OF PRACTICE IS 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 WHO ARE IN NEED OF BEHAVIORAL HEALTH SUPPORT IN AN EASILY ACCESSIBLE MANNER AND IN A SAFE, SECURE, AND CONFIDENTIAL ENVIRONMENT CHILDREN OUTPATIENT PRIMARY SERVICES PROVIDE INCLUDE COUNSELING INDIVIDUAL, FAMILY AND GROUP-CASE MANAGEMENT, PROVIDING HIGHLY INDIVIDUALIZED CARE-LIFE SKILLS. INDIVIDUAL AND GROUP SESSIONS-CHILDREN'S PSYCHOLOGICAL SERVICES-BIRTH-TO-FIVE TEAMS SPECIALIZING IN HEALTHY EARLY CHILDHOOD DEVELOPMENT. 1846858 848695 THE SUBSTANCE ABUSE RESIDENTIAL RECOVERY PROGRAM: SCOPE OF SERVICE FOR THE SUBSTANCE ABUSE RESIDENTIAL RECOVERY PROGRAM IS FOR CO-OCCURRING/ SUBSTANCE ABUSING ADULTS, INDIVIDUAL/ GROUP COUNSELING, AND ASSISTANCE WITH SELF-ADMINISTRATION OF MEDICATIONS FOR THE SUBSTANCE ABUSE RESIDENTIAL RECOVERY PROGRAMS, THE SUBSTANCE ABUSE STABILIZATION AND TRANSITION SERVICES IS CLASSIFIED (PER ADHS/OBHL GUIDELINES) AS A LEVEL IV SUBSTANCE ABUSE TRANSITIONAL AGENCY. THE SUBSTANCE ABUSE RESIDENTIAL RECOVERY PROGRAM HAS A 16-BED SUBSTANCE ABUSE RESIDENCE RECOVERY PROGRAM THAT SERVES MALES AND FEMALES, AGES 18 AND OVER, WITH A SIGNIFICANT AND RECENT HISTORY OF SUBSTANCE ABUSE OR DEPENDENCE. 4542052 3585762 PSYCHIATRIC ACUTE CARE UNIT: SCOPE OF PRACTICE FOR THE PSYCHIATRIC ACUTE CARE UNIT, A 16-BED PSYCHIATRIC HOSPITAL, IS FOR TITLE 36 PRE-PETITION SCREENING/ COURT-ORDERED EVALUATIONS AND TREATMENT, PSYCHIATRIC ACUTE CARE, AND RESTRAINT AND SECLUSION. THE FACILITY IS ABLE TO ACCOMMODATE INDIVIDUALS WITH MANY TYPES OF DISABILITIES. THE PSYCHIATRIC ACUTE CARE UNIT (PAC UNIT) IS A 16-BED PSYCHIATRIC HOSPITAL THAT PROVIDES 24-HOUR CARE IN A SAFE, STRUCTURED ENVIRONMENT. THE UNIT OFFERS SUPPORT FOR ADULTS WHO ARE IN NEED OF EVALUATION, MEDICATION STABILIZATION, AND/OR EMERGENCY PSYCHIATRIC CARE WHICH INCLUDES VOLUNTARY AND INVOLUNTARY HOSPITALIZATION. 1355155 1315034 ADDITIONALLY, IN 2016 THE GUIDANCE CENTER CREATED A CRISIS STABILIZATION UNIT (CSU), PROVIDING STABILIZATION TO INDIVIDUALS 18 AND OVER IN A CRISIS. THE CSU HAS A CAPACITY OF 7 CHAIRS, WHERE ADULT INDIVIDUALS CAN BE ADMITTED IN ANY STATE OF CRISIS AND STAY FOR UP TO 23 HOURS AND 59 MINUTES. 1355155 1315034 20888061 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 1 0 0 0 0 1 0 0 0 1 29 0 1 314 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 1 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 AZ X NICOLE ELLMAN 9287146407 2187 N VICKEY STREET FLAGSTAFF AZ 86004 BETH OTTERSTEIN PRESIDENT 1.00 X X 0 0 0 DEANNA PRIDA DIRECTOR 1.00 X 0 0 0 KEITH HAYDEN SECRETARY 1.00 X X 0 0 0 BETH HEERDING DIRECTOR 1.00 X 0 0 0 JOANNE LESCOE DIRECTOR 1.00 X 0 0 0 PAUL LESIEWICKI DIRECTOR 1.00 X 0 0 0 DINA GILLETTE DIRECTOR 1.00 X 0 0 0 JOHN KOLODY TREASURER 1.00 X X 0 0 0 LAUREN LAUDER ACTING/INTERIM CEO 16.00 X 0 0 0 AMY SIMONDS-TAYLOR INTERIM CEO (4/17 - 9/17) 40.00 X 132485 0 8676 STEVE FINCH CFO (THRU 11/15/2017) 40.00 X 82434 0 452 KELLY DONOHUE CHIEF CLINICAL OFFICER (9/17-9/18) 40.00 X 116415 0 10793 JOHN NAGEL PSYCHIATRIST 40.00 X 207094 0 14727 LISA BAEZA JOHNSON PSYCHIATRIST 40.00 X 152840 0 9194 MATTHEW BARKMAN NP/ASSOCIATE MD 40.00 X 145926 0 14853 MICHAEL GURNEY PHYSICIANS ASSISTANT 40.00 X 125693 0 8962 ADAM GENO NURSE PRACTIONER 40.00 X 124500 0 11279 1087387 0 78936 11 0 1 0 SOUTHWEST BEHAVIORAL SERVICES 3450 N 3RD ST PHOENIX AZ 85012 MANAGEMENT CONTRACT 1146146 BARTON ASSOCIATES PO BOX 417844 BOSTON MA 02241 TEMP PSYCHIATRISTS 619810 MEDICUS HEALTHCARE SOLUTIONS LLC 22 ROULSTON RD WINDHAM NH 03087 TEMP PSYCHIATRISTS 327629 LOCUMTENENS HOLDINGS LLC PO BOX 405547 ATLANTA GA 30384 TEMP PSYCHIATRISTS 283314 NURSEFINDERS LLC 8687 W VIA DE VENTURA STE 310 SCOTTSDALE AZ 85258 TEMP NURSES 268165 6 16272 56973 13800 56973 87045 CONTRACT REVENUE 900099 19264325 19264325 CLIENT FEES & INS 621400 1686191 1686191 RENTAL INCOME 721310 63684 63684 MEAL INCOME 722210 14368 14368 21028568 2436 2436 OTHER INCOME 621300 32789 32789 32789 21150838 21061357 0 2436 X 351254 341381 9873 9112516 8863952 248564 163535 157745 5790 890849 848931 41918 727356 700852 26504 8329 6219 2110 6021240 5761781 259459 6019 5938 81 167603 144298 23305 259796 229850 29946 524798 496520 28278 161464 146747 14717 27535 23368 4167 221256 200090 21166 659600 622927 36673 173570 167102 6468 CLIENT FOOD/SUNDRIES 1747427 1747427 RECRUITING 156589 149465 7124 PROCESSING FEES 62852 57757 5095 DUES, FEES, & LICENSES 53149 49746 3403 175563 165965 9598 21672300 20888061 784239 0 3143467 1604752 455194 1341411 953237 760170 16116 24783 11825299 44286 8266179 11781013 233539 201327 13067732 15713456 1639668 1430249 114873 256 6910722 6458819 616980 603236 110892 9393135 8492560 X 3674597 7220896 3674597 7220896 13067732 15713456 X -521462 4067761 X 0 1 X 1 1 1 X 18216814 31683 26625 64410 87045 18426577 1484068 21278089 22173471 23281345 21028568 89245541 19700882 21309772 22200096 23345755 21115613 107672118 0 0 0 107672118 201 163 44 1427 2436 4271 201 163 44 1427 2436 4271 14967 48189 81467 62396 32789 239808 19716050 21358124 22281607 23409578 21150838 107916197 0.99770 0.99760 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2013 AMOUNT: $ 14,967. 2014 AMOUNT: $ 48,189. 2015 AMOUNT: $ 81,467. 2016 AMOUNT: $ 62,396. 2017 AMOUNT: $ 32,789. 2933500 2933500 8539500 30884 8508616 206782 9830 196952 145517 3572 141945 11781013 X 21127827 0 21127827 23011 23011 21150838 21649289 0 21649289 23011 23011 21672300 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 2017, 2016 AND 2015 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 23,011. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 23,011. 1 1 0 1 X 0 0 1 1 2417490 329658 2087832 0.09640 2417490 329658 2087832 0.09640 2417490 329658 2087832 0.09640 1 23011 491710 432705 59005 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 14 1 0 1 1 X HTTPS://WWW.TGCAZ.ORG/IMAGES/DOWNLOAD/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X 1 15 1 HTTP://WWW.TGC.ORG/BEHAVIORAL-HEALTH-RESOURCES 0 1 X 200.000000000000 1 1 X X X X 1 X WWW.TGCAZ.ORG/FILES/FINANCIAL-ASSISTANCE-POLICIES-7.18.PDF X HTTPS://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 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. 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. PART V, SECTION B, LINE 11 SUBSTANCE ABUSE TGC PARTICIPATED 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 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 PROVISIONS OF MEDICALLY MONITORED DETOXIFICATION IN THE PSYCHIATRIC ACUTE CARE UNIT SUICIDE PREVENTION. TGC PROVIDES MENTAL HEALTH FIRST AID TRAINING. 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. TCG 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 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, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 23,011. 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 3: THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $23,011. PART III, LINE 4: THE FOOTNOTE THAT DESCRIBES THE ORGANIZATION'S BAD DEBT EXPENSE IS CONTAINED WITHIN FOOTNOTE 1 ON PAGE 9 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 JOHN NAGEL PSYCHIATRIST 204309 0 0 0 2785 0 8375 0 6352 0 221821 0 0 0 LISA BAEZA JOHNSON PSYCHIATRIST 134197 0 0 0 18643 0 5737 0 3457 0 162034 0 0 0 MATTHEW BARKMAN NP/ASSOCIATE MD 145722 0 0 0 204 0 5863 0 8990 0 160779 0 0 0 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 1 0 1 0 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 X LANDSCAPING 1 56973 FMV 0 0 0 FORM 990, PART III, LINE 2 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 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 4 THE ORGANIZATION SHALL HAVE A SOLE CORPORATE MEMBER, THE NARBHA INSTITUTE, INC. AN ARIZONA NONPROFIT CORPORATION WHOSE RIGHTS SHALL BE SPECIFIED IN THE BYLAWS. 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. FORM 990, PART VI, SECTION B, LINE 11B 990 WILL BE REVIEWED AND APPROVED BY THE CFO, BOARD TREASURER, AND BOARD PRESIDENT. AT THE NEXT MEETING OF THE BOARD THE CFO/COO WILL PRESENT THE 990 FOR THE BOARD TO REVIEW. 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 944,051. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 944,051. LAB PROGRAM SERVICES: PROGRAM SERVICE EXPENSES 39,414. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,414. OUT OF HOME MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 3,155,544. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,155,544. OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,622,772. MANAGEMENT AND GENERAL EXPENSES 259,459. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,882,231. FORM 990, PART XI, LINE 9: FAIR VALUE ADJUSTMENT RELATED TO ACQUISITION 4,067,761. 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