2016-08-12T18:06:56-05:00 2015-09-30 341884125 CBIZ MHM LLC 3101 N CENTRAL AVE STE 300 PHOENIX AZ 85012 990 2014-10-01 208609578 CHOICES NETWORK OF ARIZONA INC CHOI 6025122960 3003 N CENTRAL AVENUE SUITE 200 PHOENIX AZ 85012 JOHN STEPHENS BOARD CHAIR 6025122960 2016-08-12 1 AMY A O'LOUGHLIN P00869687 6022646835 2014 2016-09-27 15:27:22Z JOHN STEPHENS 3003 N CENTRAL AVENUE SUITE 200 PHOENIX AZ 85012 28424741 0 X WWW.CHOICESNETWORK.ORG X 2007 AZ TO OFFER QUALITY CHOICES AND PROMOTE RECOVERY FOR PEOPLE NEEDING BEHAVIORAL HEALTH SERVICES... TO OFFER QUALITY CHOICES AND PROMOTE RECOVERY FOR PEOPLE NEEDING BEHAVIORAL HEALTH SERVICES THROUGH A COLLABORATIVE PROVIDER NETWORK ORGANIZATION. 7 7 519 9 0 0 100 620891 36929123 28133093 2635 1554 0 -366367 36931858 28389171 0 0 0 0 25020857 19897289 0 0 0 12301071 11430579 37321928 31327868 -390070 -2938697 3975880 2823278 2961145 4747240 1014735 -1923962 X TO OFFER QUALITY CHOICES AND PROMOTE RECOVERY FOR PEOPLE NEEDING BEHAVIORAL HEALTH SERVICES THROUGH A COLLABORATIVE PROVIDER NETWORK ORGANIZATION. 0 1 28988624 27766726 CHOICES NETWORKS OF ARIZONA PROVIDES BEHAVIORAL HEALTH SERVICES TO OVER 7,300 INDIVIDUALS WHO HAVE BEEN DIAGNOSED WITH A SERIOUS MENTAL ILLNESS. CHOICES OVERSEES THE OPERATIONS OF 6 ADULT DIRECT CARE CLINICS PROVIDING OUTPATIENT PSYCHIATRIC AND CASE MANAGEMENT SERVICES. 28988624 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 34 0 1 519 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 1 1 1 0 AZ X CONNIE SVALENG 6026856000 3003 N CENTRAL AVENUE SUITE 200 PHOENIX AZ 85012 TOM MCKELVEY TREASURER/INTERIUM CEO 0.80 X X 0 0 0 PEGGY CHASE BOARD VICE CHAIR 0.80 X X 0 0 0 JOHN STEPHENS BOARD CHAIR 0.80 X X 0 0 0 SUZANNE LEGANDER NETWORK AGENCY BOARD MBR 0.50 X 0 0 0 DORA JACKSON NETWORK AGENCY BOARD MBR 0.50 X 0 0 0 DAVID ADAME BOARD MEMBER 0.80 X 0 0 0 BRENDA HANSARD NETWORK AGENCY BOARD MBR 0.50 X 0 0 0 RONALD SMITH CEO 40.00 X 142681 0 7746 JOHN COWAN FINANCE DIRECTOR 40.00 X 0 0 0 AIMEE SCHWARTZ CHIEF PSYCHIATRIST 40.00 X 260826 0 5942 CESAR VILLARREAL CHIEF PSYCHIATRIST 40.00 X 268902 0 9854 BEATRIZ MATEUS MEDICAL DIRECTOR 40.00 X 271300 0 11649 JOSE AGOSTO CHIEF PSYCHIATRIST 40.00 X 236664 0 9854 SANDRA FIGUEROA CHIEF PSYCHIATRIST 40.00 X 233026 0 10408 1413399 0 55453 9 0 1 1 COMPHEALTH PO BOX 972651 DALLAS TX 75397 TEMPORARY STAFFING 2092712 CONCENTRIC HEALTHCARE SOLUTIONS 4250 N DRINKWATER BLVD SUITE 165 SCOTTSDALE AZ 85251 TEMPORARY STAFFING 499234 LOCUMTENENSCOM LLC PO BOX 405547 ATLANTA GA 303845547 TEMPORARY STAFFING 291270 STAFF CAREINC 5001 STATESMAN DRIVE IRVING TX 75063 TEMPORARY STAFFING 252041 UNIVERSAL SECURITY SYSTEMS PO BOX 101034 PASADENA CA 911891034 SECURITY GUARD SERVICES 192900 8 620891 620891 CLINICAL SERVICES 621300 28109460 28109460 OTHER-MAGELLAN HEALTH 621300 23633 23633 28133093 1554 1554 35570 35570 0 0 LOSS ON DISPOSAL 900099 -366367 -366367 -366367 28389171 27766726 0 1554 X 16431552 16408414 23138 45238 45174 64 2181101 2178030 3071 1239398 1237653 1745 206482 206482 39600 39600 45000 45000 5040826 3303555 1737271 801817 708819 92998 2200873 2152602 48271 486816 464903 21913 231157 208781 22376 CLIENT SUPPORT 1325414 1312173 13241 OTHER OPERATING EXPENSE 811969 729002 82967 FACILITY EQUIPMENT 240625 239518 1107 31327868 28988624 2339244 0 1942861 2023070 545693 547246 325764 195482 288620 37255 0 0 630582 0 34218 0 208142 20225 3975880 2823278 2834535 275380 126610 4471860 2961145 4747240 X 1014735 -1923962 1014735 -1923962 3975880 2823278 -2938697 0 X 0 0 0 X 30615 100 620891 651606 36037984 38597940 8576112 36929123 27766726 147907885 36068599 38597940 8576112 36929223 28387617 148559491 0 0 0 148559491 21966 18207 2267 2635 1554 46629 21966 18207 2267 2635 1554 46629 36090565 38616147 8578379 36931858 28389171 148606120 0.99970 0.99970 0.00030 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 45000 0 0 45000 0 PART II-B, LINE 1: THROUGH OUR OUTSIDE LOBBYIST, WE MEET WITH ELECTED OFFICIALS TO EDUCATE THEM ON OUR WORK AND OBLIGATIONS TO THE STATE, THE CLINICS' FUNCTIONS AND LOCATIONS, AND OTHER ASPECTS OF OUR PROGRAMS AND OUR CLIENTS' NEEDS. 0 ESTIMATED MAXIMUM PAYABLE TO FUNDING SOURCE 4471860 4471860 X X X 0 0 0 0 0 0 0 0 0 RONALD SMITH CEO 142059 0 0 0 622 0 258 0 7488 0 150427 0 0 0 AIMEE SCHWARTZ CHIEF PSYCHIATRIST 259495 0 0 0 1331 0 1000 0 4942 0 266768 0 0 0 CESAR VILLARREAL CHIEF PSYCHIATRIST 268645 0 0 0 257 0 0 0 9854 0 278756 0 0 0 BEATRIZ MATEUS MEDICAL DIRECTOR 270445 0 0 0 855 0 1000 0 10649 0 282949 0 0 0 JOSE AGOSTO CHIEF PSYCHIATRIST 236206 0 0 0 458 0 0 0 9854 0 246518 0 0 0 SANDRA FIGUEROA CHIEF PSYCHIATRIST 232200 0 0 0 826 0 1000 0 9408 0 243434 0 0 0 PROPERTY AND EQUIPMENT 2015-08-01 33771 BOOK VALUE 860252067 TERROS INC 3003 N CENTRAL AVE SUITE 20 PHOENIX AZ 85012 501(C)(3) DEPOSITS 2015-08-01 59636 BOOK VALUE 860252067 TERROS INC 3003 N CENTRAL AVE SUITE 20 PHOENIX AZ 85012 501(C)(3) PROPERTY AND EQUIPMENT 2015-08-01 19458 BOOK VALUE 860292390 LIFEWELL BEHAVIORAL WELLNESS 202 E EARLL DR STE 200 PHOENIX AZ 85012 501(C)(3) DEPOSITS 2015-08-01 77088 BOOK VALUE 860292390 LIFEWELL BEHAVIORAL WELLNESS 202 E EARLL DR STE 200 PHOENIX AZ 85012 501(C)(3) 0 0 0 0 SCHEDULE N, PART II THE ORGANIZATION HELD A CONTRACT WITH THE MARICOPA COUNTY REGIONAL BEHAVIORAL HEALTH AUTHORITY, MERCY MARICOPA, MERCY MARICOPA INTEGRATED CARE WHICH REPRESENTED APPROXIMATELY 98% OF THE ORGANIZATION'S TOTAL REVENUE FOR THE YEAR ENDED SEPTEMBER 30, 2015. THE ORGANIZATION'S CONTRACT WITH MERCY MARICOPA ENDED JULY 31, 2015 AND WAS NOT RENEWED. CERTAIN ASSETS AND LIABILITIES WERE TRANSFERRED TO TWO BEHAVIORAL HEALTH ORGANIZATIONS WITH SIMILAR PURPOSES AND MISSION VIA AN ASSET PURCHASE AGREEMENT. FORM 990, PART III, LINE 3 THE ORGANIZATION HELD A CONTRACT WITH THE MARICOPA COUNTY REGIONAL BEHAVIORAL HEALTH AUTHORITY, MERCY MARICOPA, MERCY MARICOPA INTEGRATED CARE WHICH REPRESENTED APPROXIMATELY 98% OF THE ORGANIZATION'S TOTAL REVENUE FOR THE YEAR ENDED SEPTEMBER 30, 2015. THE ORGANIZATION'S CONTRACT WITH MERCY MARICOPA ENDED JULY 31, 2015 AND WAS NOT RENEWED. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND WAS REVIEWED BY THE ASO CONTROLLER, ASO CHIEF FINANCIAL OFFICER, AND CHIEF EXECUTIVE OFFICER PRIOR TO BEING FILED. AFTER BEING FILED WITH THE IRS, THE BOARD OF DIRECTORS WILL REVIEW THE 990 AT THE NEXT REGULAR BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS REVIEWED AND APPROVED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THEY CONSIDER THE INDIVIDUAL'S PERFORMANCE BASED ON ESTABLISHED GOALS, AGENCY PERFORMANCE, GENERAL MARKET CONDITIONS AND COMPENSATION PAID FOR SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS TO DETERMINE ANY NECESSARY ADJUSTMENTS IN COMPENSATION. DECISIONS ARE DOCUMENTED BY THE EXECUTIVE COMMITTEE. ALL OTHER COMPENSATION DECISIONS HAVE BEEN DELEGATED TO THE CEO FROM THE BOARD OF DIRECTORS AND FOLLOW A SIMILAR PROCESS TO THE CEO'S. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS ARTICLES OF INCORPORATION, BY-LAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER CONSULTING FEES: PROGRAM SERVICE EXPENSES 272,002. MANAGEMENT AND GENERAL EXPENSES 101,743. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 373,745. ASO FEES: PROGRAM SERVICE EXPENSES 886,642. MANAGEMENT AND GENERAL EXPENSES 478,345. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,364,987. PROFESSIONAL MEDICAL PROVIDERS: PROGRAM SERVICE EXPENSES 1,973,611. MANAGEMENT AND GENERAL EXPENSES 1,064,767. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,038,378. TEMPORARY PERSONNEL: PROGRAM SERVICE EXPENSES 171,300. MANAGEMENT AND GENERAL EXPENSES 92,416. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 263,716.