2018-08-14T14:41:19-05:00 2017-09-30 341884125 CBIZ MHM LLC 4722 N 24th St Ste 300 Phoenix AZ 85016 990 2016-10-01 860290033 Southwest Behavioral Health Services INC SOUT 6022854279 3450 N 3rd Street Phoenix AZ 85012 JEFF JORDE VP FINANCE 6022854279 2018-08-13 1 Amy A O'Loughlin P00869687 6022646835 2018-08-07 2016 2022-09-23 18:48:47Z MICHAEL FETT 3450 N 3RD STREET Phoenix AZ 85012 88045629 0 X WWW.SBHSERVICES.ORG X 1970 AZ WE INSPIRE PEOPLE TO FEEL BETTER AND REACH THEIR POTENTIAL, THROUGH HELPING PEOPLE DISCOVER THEIR STRENGTHS, WE IMPROVE OUR COMMUNITIES. 9 9 1351 12 0 0 65573053 72075982 1866153 2138648 72600 75047 118531 141686 67630337 74431363 102687 118837 0 0 45695607 48898341 0 0 0 23024840 26638102 68823134 75655280 -1192797 -1223917 34467521 34615154 12411424 13782974 22056097 20832180 WE INSPIRE PEOPLE TO FEEL BETTER AND REACH THEIR POTENTIAL, THROUGH HELPING PEOPLE DISCOVER THEIR STRENGTHS, WE IMPROVE OUR COMMUNITIES. 0 0 63802047 118837 2138648 SBH PROVIDES SERVICES IN PREVENTION, OUTREACH SERVICES,COMMUNITY INTEGRATION, HOME-BASED COUNSELING, CASEMANAGEMENT, METHADONE MAINTENANCE, CRISIS RECOVERY,COMMUNITY HOUSING, RESIDENTIAL SERVICES AND OUTPATIENTCOUNSELING FOR CHILDREN AND ADULTS SUFFERING FROM VARIOUSBEHAVIORAL AND SUBSTANCE ABUSE PROBLEMS. 63802047 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 1 1 0 0 0 0 1 0 0 0 1 216 0 1 1351 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 1 1 0 1 0 1 1 1 1 0 0 AZ X MICHAEL FETT 6022854279 3450 N 3RD STREET Phoenix AZ 85012 richard herold direCTOR 0.30 X 0 0 0 DONALD LOGUE DIRECTOR 0.30 X 0 0 0 MATT HATFIELD chair 0.30 X X 0 0 0 KURT BRAATZ DIRECTOR 0.30 X 0 0 0 LUCY TREIMAN DIRECTOR 0.30 X 0 0 0 MICHAEL CYLKOWSKI DIRECTOR 0.30 X 0 0 0 MICHAEL HARRIS DIRECTOR 0.30 X 0 0 0 PATRICIA VALADEZ DIRECTOR 0.30 X 0 0 0 ADRIENNE SCHECK PHD direCTOR 0.30 X 0 0 0 MICHAEL FETT VP OF FINANCE/TREASURER 40.00 X 174696 0 4187 JEFFREY JORDE PRESIDENT/CEO 40.00 X 240904 0 17902 DEBORAH WOODARD vP commuNICATIONS/secretary 40.00 X 114415 0 13484 RAQUEL BALDERAS Regional medical director 36.00 X 275524 0 15864 arash zamanian PSYCHIATRIST 32.00 X 266720 0 0 ramiro guillen chief medical officer 40.00 X 246417 0 14761 john garofalo psYCHIATRIST 40.00 X 205898 0 13622 andrea pupillo psych nurse practitioner 40.00 X 208203 0 9481 1732777 0 89301 37 0 1 0 AXIOM CONSTRUCTION 1219 WUNSCHE LOOP SPRING TX 77373 CONSTRUCTION 1154237 AUGUST BUILDING COMPANY 7375 E 6TH AVE STE 4 SCOTTSDALE AZ 85251 CONSTRUCTION 171296 MEDICAL SOLUTIONS LLC 1010 N 102ND ST STE 300 OMAHA NE 68114 HEALTHCARE STAFFING 166427 RELIANCE MAINTENANCE SERVICES LLC 1730 W TONTO ST PHOENIX AZ 85007 MAINTENANCE 124358 TRI CITY TRANSPORT LLC 624 HOLLY SPRINGS RD STE 317 HOLLY SPRINGS NC 27540 MEDICAL TRANSPORTATION 106283 5 71375014 700968 331372 72075982 Client fees 900009 1629828 1629828 RENTAL INCOME 531120 365217 365217 consulting 900009 31667 31667 MEDICAL RECORDS 900009 18056 18056 TRAINING 900009 14422 14422 79458 79458 2138648 75047 75047 13614266 13614266 0 0 INSURANCE REFUND 900099 61714 61714 SNACK BAR/VENDING 900099 28939 28939 amex rewards 900099 23942 23942 27091 27091 141686 74431363 2138648 0 216733 118837 118837 437689 437689 39678085 32568111 7109974 189827 125219 64608 5731585 4852616 878969 2861155 2349711 511444 60115 34459 25656 80527 80527 19411 11650 7761 187383 2220 185163 223434 102329 121105 460160 340117 120043 3817105 3585802 231303 2037753 1767713 270040 45289 23200 22089 1562 1562 2026551 1807176 219375 244402 138311 106091 SUPPLIES 12281930 12177594 104336 NURSING & PHYSICIAN SVS 2054928 1642404 412524 BAD DEBT 881561 429068 452493 TELEPHONE 842238 674075 168163 1373753 1049873 323880 75655280 63802047 11853233 0 1953267 1727078 2033383 2040507 3294788 3686159 16815 29405 300704 200943 41317824 18701040 20715757 22616784 5837068 4170749 315739 143529 34467521 34615154 6127078 6476362 2283 684482 5954424 5379411 319709 1242719 7930 0 12411424 13782974 X 19326961 17748027 2729136 3084153 22056097 20832180 34467521 34615154 -1223917 0 X 0 1 X 1 1 1 X 12857129 53296732 60121436 65573053 72075982 263924332 12857129 53296732 60121436 65573053 72075982 263924332 263924332 862 9978 39265 72600 75047 197752 44680 132410 123144 118531 141686 560451 264682535 10970852 0.99710 0.99670 X Schedule A, Part II, Line 10, Explanation of Other Income: Miscellaneous income - 2012 Amount: $ 146. 2013 Amount: $ 1,943. 2014 Amount: $ 511. 2015 Amount: $ 37,065. 2016 Amount: $ 27,091. INSURANCE REFUND - 2012 Amount: $ 39,462. 2013 Amount: $ 109,820. 2014 Amount: $ 89,926. 2015 Amount: $ 55,074. 2016 Amount: $ 61,714. SNACK BAR/VENDING - 2012 Amount: $ 5,072. 2013 Amount: $ 20,647. 2014 Amount: $ 32,707. 2015 Amount: $ 26,392. 2016 Amount: $ 28,939. AMEX REWARDS - 2012 Amount: $ 0. 2013 Amount: $ 0. 2014 Amount: $ 0. 2015 Amount: $ 0. 2016 Amount: $ 23,942. SCHEDULE A, SECTION A AND B, COLUMN B THE 2012 COLUMN REPRESENTS THE SHORT YEAR FROM 7/1/2013 TO 9/30/2013, RESULTING FROM A CHANGE IN THE ORGANIZATION'S FISCAL YEAR END FROM JUNE 30 TO SEPTEMBER 30. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4424714 4424714 27667021 11615415 16051606 1553566 1099330 454236 7268386 5986295 1282091 404137 404137 22616784 X 75548964 20666 1230042 1250708 74298256 133107 133107 74431363 76611745 20666 1704497 1725163 74886582 768698 768698 75655280 Part X, Line 2: THE ORGANIZATION EVALUATES ITS UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS THROUGH REVIEW OF THEIR POLICIES AND PROCEDURES AND DISCUSSIONS WITH OUTSIDE EXPERTS. Part XI, Line 2d - Other Adjustments: REVENUE FROM RELATED ENTITIES 1,230,042. Part XI, Line 4b - Other Adjustments: ELIMINATING ENTRY 121,457. MEDICARE EXPENSE INCLUDED IN REVENUES 11,650. Part XII, Line 2d - Other Adjustments: EXPENSES FROM RELATED ENTITIES 1,704,497. Part XII, Line 4b - Other Adjustments: ELIMINATING ENTRY 757,048. Medicare 11,650. 1 Flex Funds & HOPWA Emergency Assistance 174 118837 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. 0 0 0 0 0 0 0 1 0 MICHAEL FETT VP OF FINANCE/TREASURER 156606 0 18000 0 90 0 3017 0 1170 0 178883 0 0 0 JEFFREY JORDE PRESIDENT/CEO 232508 0 0 0 8396 0 3600 0 14302 0 258806 0 0 0 RAQUEL BALDERAS Regional medical director 275248 0 0 0 276 0 2880 0 12984 0 291388 0 0 0 arash zamanian PSYCHIATRIST 266720 0 0 0 0 0 0 0 0 0 266720 0 0 0 ramiro guillen chief medical officer 246159 0 0 0 258 0 459 0 14302 0 261178 0 0 0 john garofalo psYCHIATRIST 204750 0 1000 0 148 0 4220 0 9402 0 219520 0 0 0 andrea pupillo psych nurse practitioner 162667 0 6000 0 39536 0 0 0 9481 0 217684 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 MICHAEL HARRIS DIRECTOR 5859 MARKETING AND LEADERSHIP SERVICES PAID TO MICHAEL HARRIS GROUP, INC. 0 X 17484 THRIFT SHOP VALUE X 1 293536 FAIR MARKET VALUE X SUPPLIES 1 20352 FAIR MARKET VALUE 0 0 0 0 Form 990, Part VI, Section B, line 11b THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND IS REVIEWED BY THE ACCOUNTING MANAGER, THE CONTROLLER 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 2018. 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 7439 S 7th St PHOENIX AZ 85042 942902649 HOUSING AZ 501(c)(3) Line 7 N/A 0 Mihalic's Project 1408 E HIGHLAND AVE PHOENIX AZ 85014 860667653 Housing AZ 501(c)(3) Line 10 N/A 0 Villa De Confianza 2060 N 35th Ave PHOENIX AZ 85009 742537585 HOUSING AZ 501(c)(3) Line 10 N/A 0 TOBY HOUSE II 3450 NORTH THIRD STREET PHOENIX AZ 85012 742420528 HOUSING AZ 501(c)(3) Line 10 N/A 0 TOBY HOUSE III 3450 NORTH THIRD STREET PHOENIX AZ 85012 860742062 HOUSING AZ 501(c)(3) Line 10 N/A 0 TOBY HOUSE IV 3450 NORTH THIRD STREET PHOENIX AZ 85012 860897449 HOUSING AZ 501(c)(3) Line 10 N/A 0 TOBY HOUSE V 3450 NORTH THIRD STREET PHOENIX AZ 85012 860950586 HOUSING AZ 501(c)(3) Line 10 N/A 0 TOBY HOUSE VI 3450 NORTH THIRD STREET PHOENIX AZ 85012 860981650 HOUSING AZ 501(c)(3) Line 7 N/A 0 TOBY HOUSE VII 3450 NORTH THIRD STREET PHOENIX AZ 85012 861025879 HOUSING AZ 501(c)(3) Line 10 N/A 0 TOBY HOUSE VIII 3450 NORTH THIRD STREET PHOENIX AZ 85012 710931900 HOUSING AZ 501(c)(3) Line 7 N/A 0 AGAVE HEALTH INC PO BOX 22489 SANTA FE NM 875022489 462971316 ADULT AND CHILDREN BEHAVIORAL HEALTH SERVICES NM 501(c)(3) Line 10 SOUTHWEST BEHAVIORAL HEALTH SERVICES 0 THE SOUTHWEST NETWORK 2700 N CENTRAL AVE SUITE 1050 PHOENIX AZ 85004 860966400 CHILDREN BEHAVIORAL HEALTH SERVICES AZ 501(c)(3) Line 10 SOUTHWEST BEHAVIORAL HEALTH SERVICES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0