2017-08-14T18:12:22-05:00 2016-09-30 420714325 RSM US LLP 501 NORTH 44TH STREET SUITE 300 PHOENIX AZ 850086586 990 2015-10-01 860966400 SOUTHWEST NETWORK INC SOUT 6022668402 2700 N CENTRAL AVE SUITE 1050 PHOENIX AZ 85004 MICHELLE FORNOFF CFO 6022668402 2017-08-14 1 BROOKE WILSON P01359686 6026366000 2015 2021-01-29 14:40:06Z AMY B HENNING 2700 N CENTRAL AVE SUITE 1050 PHOENIX AZ 85004 43018002 0 X HTTP://WWW.SOUTHWESTNETWORK.ORG X 1999 AZ PROVIDING BEHAVIORAL HEALTH SERVICES TO CHILDREN, ADULTS AND FAMILIES IN THE COMMUNITY. 7 6 874 6 0 0 0 0 50835173 42050063 2258 2268 1324874 965671 52162305 43018002 0 0 0 0 33395950 33541393 0 0 0 20997126 12244894 54393076 45786287 -2230771 -2768285 18332600 10930177 12254110 7619972 6078490 3310205 CREATING PARTNERSHIPS, INSPIRING HOPE, CHANGING LIVES. 0 0 7962226 8401211 PROVIDED CHILD AND ADOLESCENT BEHAVIORAL HEALTH OUTPATIENT SERVICES, INCLUDING CASE MANAGEMENT, PSYCHIATRIC SERVICES AND COUNSELING FOR INDIVIDUALS ELIGIBLE FOR SERVICES THROUGH THE COUNTY REGIONAL BEHAVIORAL HEALTH AUTHORITIES. 32733523 34580391 PROVIDED ADULT BEHAVIORAL HEALTH OUTPATIENT SERVICES, INCLUDING CASE MANAGEMENT, PSYCHIATRIC SERVICES AND COUNSELING FOR INDIVIDUALS ELIGIBLE FOR SERVICES THROUGH THE COUNTY REGIONAL BEHAVIORAL HEALTH AUTHORITIES. 40695749 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 101 0 1 874 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 0 0 AZ X MICHELLE FORNOFF 6022854342 2700 N CENTRAL AVE STE 1050 PHOENIX AZ 85004 JEFF JORDE BOARD CHAIRMAN 1.00 X 0 0 0 KRISTINA SABETTA BOARD MEMBER 1.00 X 0 0 0 TIM DUNST BOARD MEMBER 1.00 X 0 0 0 PHIL SAWYER BOARD MEMBER 1.00 X 0 0 0 HELGA WILSON BOARD MEMBER 1.00 X 0 0 0 GAYE TOLMAN BOARD MEMBER 1.00 X 0 0 0 AMY HENNING CEO 40.00 X 236538 0 21057 MICHELLE FORNOFF CFO 40.00 X 147904 0 27627 KENT ELLER CMO 40.00 X 311282 0 23548 SUHAILA AL HADDAD PSYCHIATRIST 40.00 X 290716 0 24010 ANDREW MEBANE PSYCHIATRIST 40.00 X 270179 0 10401 PHILIP CREPS PSYCHIATRIST 40.00 X 252870 0 11498 SABA ARCE PSYCHIATRIST 40.00 X 272099 0 23200 MONICA BENAVIDEZ PSYCHIATRIST 40.00 X 249845 0 16631 2031433 0 157972 33 0 1 0 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 30384 STAFFING 813205 STAFFING FIRST 2211 E HIGHLAND AVE SUITE 200 PHOENIX AZ 85016 STAFFING 689646 CONCENTRIC HEALTHCARE SOLUTIONS 4250 N DRINKWATER BLVD SUITE 100 SCOTTSDALE AZ 85251 STAFFING 401385 HEALTH INFORMATION MANAGEMENT SYSTEMS 82 S STONE AVE TUCSON AZ 85701 MEDICAL RECORD SUPPORT 400000 VERIZON WIRELESS PO BOX 4005 ACHWORTH GA 30101 CELLULAR 323315 16 ADULT CONTRACT REVENUE 624100 33648852 33648852 CHILD CONTRACT REVENUE 624100 8401211 8401211 42050063 2268 2268 34132 0 34132 34132 34132 OTHER INCOME 900099 931539 931539 931539 43018002 42981602 0 36400 X 413157 413157 25802268 23906818 1895450 231753 199896 31857 5143216 4508772 634444 1950999 1771796 179203 193409 151530 41879 72438 72438 5322135 4450650 871485 28765 990 27775 1113092 988070 125022 2647170 2255447 391723 1477612 1442638 34974 7901 165 7736 70690 65108 5582 411410 343157 68253 AGENCY INSURANCE 530321 348410 181911 EQUIPMENT 176433 147457 28976 OTHER EXPENSES 78571 30067 48504 DUES, FEES, & LICENSES 58277 28108 30169 56670 56670 45786287 40695749 5090538 0 3900 3900 11491324 4641898 2447031 1922351 758238 754964 4341163 1527252 3113470 2813911 518637 793153 18332600 10930177 989889 2988745 6920946 2884323 1249417 784117 3093858 962787 12254110 7619972 X 6078490 3310205 6078490 3310205 18332600 10930177 -2768285 0 X X 0 1 X 1 1 1 X 84361861 22817220 83068514 50835173 42050063 283132831 84361861 22817220 83068514 50835173 42050063 283132831 0 0 0 283132831 24991 2229 40015 42222 36400 145857 24991 2229 40015 42222 36400 145857 634277 253084 2974697 1284910 931539 6078507 85021129 23072533 86083226 52162305 43018002 289357195 0.97850 0.98440 0.00050 0.00030 X 475000 475000 2000000 790061 1209939 1156562 456877 699685 322275 127308 194967 387326 153006 234320 2813911 OTHER NON-CURRENT ASSETS 106224 INVESTMENT IN AFFILIATE 686929 793153 CAPITAL LEASE OBLIGATION 312562 DEFERRED RENT 650225 962787 X 43018002 0 43018002 0 43018002 45786287 0 45786287 0 45786287 PART X, LINE 2: MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH PROVISIONS OF THE APPLICABLE ACCOUNTING GUIDANCE. GENERALLY, THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL, OR STATE AND LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2012. AS OF SEPTEMBER 30, 2016, THE ORGANIZATION HAS ADDRESSED UNCERTAINTY IN ITS INCOME TAX POSITIONS UNDER THE APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THERE ARE NO UNRECOGNIZED/DERECOGNIZED TAX BENEFITS REQUIRING AN ACCRUAL. X 0 0 0 0 0 0 0 0 0 AMY HENNING CEO 236445 0 0 0 93 0 7200 0 13857 0 257595 0 0 0 MICHELLE FORNOFF CFO 147811 0 0 0 93 0 5776 0 21851 0 175531 0 0 0 KENT ELLER CMO 311139 0 0 0 143 0 9138 0 14410 0 334830 0 0 0 SUHAILA AL HADDAD PSYCHIATRIST 290448 0 0 0 268 0 9600 0 14410 0 314726 0 0 0 ANDREW MEBANE PSYCHIATRIST 269359 0 0 0 820 0 9438 0 963 0 280580 0 0 0 PHILIP CREPS PSYCHIATRIST 252459 0 0 0 411 0 692 0 10806 0 264368 0 0 0 SABA ARCE PSYCHIATRIST 271956 0 0 0 143 0 4016 0 19184 0 295299 0 0 0 MONICA BENAVIDEZ PSYCHIATRIST 249789 0 0 0 56 0 4700 0 11931 0 266476 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO THE BYLAWS INCLUDED: REMOVED "PROVIDERS" AS BOARD MEMBERS AND REPLACED THEM WITH INDIVIDUALS; THE CEO WAS ADDED AS AN EX-OFFICIO DIRECTOR WITH VOTING RIGHTS. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S CHIEF FINANCIAL OFFICER AND DIRECTOR OF ACCOUNTING REVIEW THE 990 AND ALL QUESTIONS AND CONCERNS ARE ADDRESSED BEFORE THE FORM 990 IS FILED. THE 990 IS ALSO SENT TO THE BOARD OF DIRECTORS AND CEO PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION INFORMS EMPLOYEES OF THE CONFLICT OF INTEREST POLICY AT THE TIME OF EMPLOYMENT AND EACH EMPLOYEE IS REQUIRED TO REPORT ANY CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST TO THE ORGANIZATION AT THE TIME OF EMPLOYMENT OR WHENEVER THEY MAY ARISE THEREAFTER. OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER'S COMPENSATION IS APPROVED BY THE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL AND OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 4,450,650. MANAGEMENT AND GENERAL EXPENSES 871,485. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,322,135. FORM 990, PART XII, LINE 2C: THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. OPEN SKIES HEALTHCARE 2700 N CENTRAL AVE STE 1050 PHOENIX AZ 85004 463192208 BEHAVIORAL HEALTHCARE NM 501(C)(3) LINE 9 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 OPEN SKIES HEALTHCARE INC A 22500 FMV OPEN SKIES HEALTHCARE INC D 750000 NOTE PAYABLE OPEN SKIES HEALTHCARE INC L 108000 FMV OPEN SKIES HEALTHCARE INC S 524680 FMV