WEST YAVAPAI GUIDANCE CLINIC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- WEST YAVAPAI GUIDANCE CLINIC (EIN 86-0206928)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-11
- IRS object ID
- 202321319349305572
- Schema version
- 2021v4.0
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-11T16:51:51-04:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860206928 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST YAVAPAI GUIDANCE CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 9284455211 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3343 WINDSONG DR | AddressLine1Txt |
| City | PRESCOTT VALLEY | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86314 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TAMARA PLAYER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9284455211 | PhoneNum |
| Signature | 2023-05-10 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TAMARA | PersonFirstNm |
| Person Last | PLAYER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POLARA HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TAMARA PLAYER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3343 WINDSONG DR | AddressLine1Txt |
| City | PRESCOTT VALLEY | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86314 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $43,245,297 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://WWW.POLARAHEALTH.COM/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1966 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | WEST YAVAPAI GUIDANCE CLINICS DBA POLARA HEALTH MISSION & VISION THE MISSION OF POLARA HEALTH IS TO PROVIDE ACCESSIBLE, COMPASSIONATE HOLISTIC HEALTHCARE THAT STRENGTHENS OUR COMMUNITY. WE ARE AN INTEGRATED BEHAVIORAL HEALTHCARE PROVIDER WITH A WIDE ARRAY OF HOLISTIC PROGRAMS DESIGNED TO MEET OUR CLIENTS WHEREVER THEY ARE ON THEIR JOURNEY TO WELLNESS. WE PROVIDEQUALITY, CLIENT-CENTERED BEHAVORIAL 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. OUR VISION IS TO BE RECOGNIZED FOR HEALTHCARE THAT EXCEEDS EXPECTATIONS WHILE MAINTAINING OUR UNCOMPROMISING PRINCIPLES AND A SENSE OF COMMUNITY THAT UNITES US IN DRIVING OUT STIGMA AND CELEBRATES HEALTH AND EMPOWERMENT FOR ALL THE WEST YAVAPAI GUIDANCE CLINIC DBA POLARA HEALTH IS THE LARGEST LOCAL NON-PROFIT PROVIDER OF BEHAVIORAL HEALTH AND CRISIS INTERVENTION SERVICES IN YAVAPAI COU | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 414 | TotalEmployeeCnt |
| Total Volunteers | 22 | TotalVolunteersCnt |
| Total Gross UBI | $22,655 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,584 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $48,651 | PYContributionsGrantsAmt |
| CY Contributions Grants | $101,743 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $41,455,462 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $41,594,510 | CYProgramServiceRevenueAmt |
| PY Investment Income | $186,593 | PYInvestmentIncomeAmt |
| CY Investment Income | -$232,592 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,867,662 | PYOtherRevenueAmt |
| CY Other Revenue | $1,781,636 | CYOtherRevenueAmt |
| PY Total Revenue | $43,558,368 | PYTotalRevenueAmt |
| CY Total Revenue | $43,245,297 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,451,583 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,786,848 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,832,073 | PYOtherExpensesAmt |
| CY Other Expenses | $17,900,791 | CYOtherExpensesAmt |
| PY Total Expenses | $39,283,656 | PYTotalExpensesAmt |
| CY Total Expenses | $39,687,639 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,274,712 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,557,658 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $29,278,591 | TotalAssetsBOYAmt |
| Total Assets EOY | $36,517,465 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,336,330 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,017,546 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,942,261 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $21,499,919 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,956,254 | ExpenseAmt |
| Revenue | $13,357,620 | RevenueAmt |
| Desc | SERIOUSLY MENTALLY ILL - PSYCHIATRIC SERVICES, MEDS. MANAGEMENT, CASE MANAGEMENT, CRISIS SERVICES AND INDIVIDUAL & GROUP THERAPY | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,341,755 | ExpenseAmt |
| Revenue | $9,743,365 | RevenueAmt |
| Desc | CHILDREN SERVICES - PSYCHIATRIC SERVICES, MEDS MANAGEMENT, CASE MANAGEMENT, CRISIS SERVICES, CHILD & FAMILY TEAMS, FAMILY & GROUP THERAPY, IN-HOME SERVICES AND ACUTE RESIDENTIAL CARE | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,389,534 | ExpenseAmt |
| Revenue | $13,562,434 | RevenueAmt |
| Desc | GENERAL MENTAL HEALTH & SUBSTANCE ABUSE - PSYCHIATRIC SRVICES, MEDS MANAGEMENT, CASE MANAGEMENT, CRISIS SERVICES AND INDIVIDUAL & GROUP THERAPY | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,409,599 | ExpenseAmt |
| Revenue | $4,908,436 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICES | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $9,409,599 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $4,908,436 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $31,097,142 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 32 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 414 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVEN CALABRESE | PersonNm |
| Phone | 9284455211 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3343 WINDSONG DRIVE | AddressLine1Txt |
| City | PRESCOTT VALLEY | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86314 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| STEPHEN POLK | |||||||
| PRESIDENT | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROBERT THOMPSON DR | |||||||
| VICE PRESIDE | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DANNY BROWN | |||||||
| SECRETARY | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MEREDITH PEABODY | |||||||
| TREASURER | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SUSAN BELL | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| ROBERT CARTIA | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| DAVID FERO DR | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL FOGEL | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| KATHY MCCORMICK | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| LORA LEE NYE | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| DAVID PARRACK DR | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| TAMARA PLAYER | |||||||
| CEO | $238,577 | $0 | $9,390 | Yes (X) | |||
| STEVEN CALABRESE | |||||||
| CFO | $160,595 | $0 | $8,000 | Yes (X) | |||
| DAVID WOLKOFF | |||||||
| CMO | $355,623 | $0 | $0 | Yes (X) | |||
| RAQUEL BALDERAS | |||||||
| PHSYCHIATRIS | $271,448 | $0 | $0 | Yes (X) | |||
| CHERIE WILCHER | |||||||
| PMHNP | $311,300 | $0 | $0 | Yes (X) | |||
| PATRICIA WHITE | |||||||
| PMHNP | $186,613 | $0 | $9,391 | Yes (X) | |||
| EDWARD KUHNLEY | |||||||
| PSYCHIATRIST | $242,233 | $0 | $0 | Yes (X) | |||
| SUSAN FROST | |||||||
| PMHNP | $174,974 | $0 | $18,175 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,941,363 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $44,956 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 20 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AZ HEALTH RECIPROCAL INS | |||||
| 1765 E SYLINE DR | TUCSON | AZ | 85718 | HEALTH INS | $1,869,909 |
| NETSMART | |||||
| POBOX 823519 | PHILADELPHIA | PA | 19182 | IT | $573,675 |
| LOCUMTENENSCOM LLC | |||||
| 2655 NORTHWINDS PARKWAY | ALPHARETTA | GA | 30009 | PHYSICIANS | $484,393 |
| BUSS STOP SERVICES | |||||
| 4101 N TONTO WAY | PRESCOTT VALLEY | AZ | 86314 | JANITORIAL SERV | $385,971 |
| COGNITIVE FUNCTION DEVELOPMENT INST | |||||
| 6895 E LYNX WAGON RD | PRESCOTT VALLEY | AZ | 86314 | COGNITIVE DEV | $336,274 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $101,743 | AllOtherContributionsAmt |
| Total Contributions | $101,743 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | BusinessBusinessCd | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| GENERAL MENTAL HEALTH & SUB | $13,562,434 | $13,562,434 | ||
| SERIOUSLY MENTALLY ILL | $13,357,620 | $13,357,620 | ||
| CHILDREN SERVICES | $9,743,365 | $9,743,365 | ||
| OTHER SERVICES | $4,908,436 | $4,908,436 | ||
| PHARMACY RENTAL INCOME | $22,655 | 531190 | $22,655 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $41,594,510 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$232,592 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$232,592 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| MISC | $793,797 | $793,797 |
| ARPA | $720,420 | $720,420 |
| RENTAL INCOME | $267,419 | $267,419 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,781,636 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,245,297 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,120,899 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $22,655 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,495,786 | TotalAmt |
| Program Services | $13,460,536 | ProgramServicesAmt |
| Management And General | $5,035,250 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,879 | TotalAmt |
| Program Services | $204,413 | ProgramServicesAmt |
| Management And General | $76,466 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,724,777 | TotalAmt |
| Program Services | $1,255,228 | ProgramServicesAmt |
| Management And General | $469,549 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,285,406 | TotalAmt |
| Program Services | $935,470 | ProgramServicesAmt |
| Management And General | $349,936 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,092 | TotalAmt |
| Management And General | $80,092 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,150 | TotalAmt |
| Management And General | $59,150 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,857,140 | TotalAmt |
| Program Services | $12,397,998 | ProgramServicesAmt |
| Management And General | $459,142 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,958 | TotalAmt |
| Program Services | $29,906 | ProgramServicesAmt |
| Management And General | $41,052 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,020 | TotalAmt |
| Management And General | $128,020 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $964,350 | TotalAmt |
| Program Services | $190,868 | ProgramServicesAmt |
| Management And General | $773,482 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $961,469 | TotalAmt |
| Program Services | $692,474 | ProgramServicesAmt |
| Management And General | $268,995 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $517,528 | TotalAmt |
| Program Services | $259,154 | ProgramServicesAmt |
| Management And General | $258,374 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,619 | TotalAmt |
| Program Services | $286,461 | ProgramServicesAmt |
| Management And General | $107,158 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $920,798 | TotalAmt |
| Program Services | $670,122 | ProgramServicesAmt |
| Management And General | $250,676 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,269 | TotalAmt |
| Program Services | $16,114 | ProgramServicesAmt |
| Management And General | $233,155 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| RECRUITING & TRAINING | $357,769 | $357,769 |
| MEDICAL SUPPLIES | $205,394 | $205,394 |
| DUES, FEES & LICENSES | $135,235 | $135,235 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,687,639 | TotalAmt |
| Program Services | $31,097,142 | ProgramServicesAmt |
| Management And General | $8,590,497 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,655,769 | BOYAmt |
| EOY | $12,642,019 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,170,787 | BOYAmt |
| EOY | $5,898,195 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,040,684 | BOYAmt |
| EOY | $3,396,397 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $309,118 | BOYAmt |
| EOY | $329,821 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,123,315 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,986,236 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,407,640 | BOYAmt |
| EOY | $13,137,079 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $694,593 | BOYAmt |
| EOY | $1,113,954 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,278,591 | BOYAmt |
| EOY | $36,517,465 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,294,468 | BOYAmt |
| EOY | $2,562,146 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,261 | BOYAmt |
| EOY | $1,423,405 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,876,477 | BOYAmt |
| EOY | $10,126,596 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $874,124 | BOYAmt |
| EOY | $905,399 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,336,330 | BOYAmt |
| EOY | $15,017,546 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,942,261 | BOYAmt |
| EOY | $21,499,919 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,942,261 | BOYAmt |
| EOY | $21,499,919 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,278,591 | BOYAmt |
| EOY | $36,517,465 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,557,658 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $74,537 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,012 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43,244 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $48,651 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $101,743 | CurrentTaxYearAmt |
| Total | $285,187 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,259,011 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,225,306 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,199,235 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,490,548 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43,120,899 | CurrentTaxYearAmt |
| Total | $209,294,999 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $222,855 | CurrentTaxYearMinus4YearsAmt |
| Total | $222,855 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,556,403 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,242,318 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,242,479 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,539,199 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43,222,642 | CurrentTaxYearAmt |
| Total | $209,803,041 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $209,803,041 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,889 | CurrentTaxYearMinus4YearsAmt |
| Total | $4,889 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,889 | CurrentTaxYearMinus4YearsAmt |
| Total | $4,889 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,289 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,794 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,078 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $833 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,584 | CurrentTaxYearAmt |
| Total | $17,578 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,566,581 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,245,112 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,248,557 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,540,032 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43,225,226 | CurrentTaxYearAmt |
| Total | $209,825,508 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | MISC REVENUE 0 | ExplanationTxt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $3,418 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $3,418 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $310,303 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$5,091 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $2,000 | AdministrativeExpensesAmt |
| End Year Balance | $303,212 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $246,495 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $65,913 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $2,105 | AdministrativeExpensesAmt |
| End Year Balance | $310,303 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $251,221 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$2,337 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $2,389 | AdministrativeExpensesAmt |
| End Year Balance | $246,495 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $246,688 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $6,939 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $2,406 | AdministrativeExpensesAmt |
| End Year Balance | $251,221 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $243,684 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $15,588 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $10,200 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $2,348 | AdministrativeExpensesAmt |
| End Year Balance | $246,688 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,480,167 | OtherCostOrOtherBasisAmt |
| Book Value | $1,480,167 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,587,291 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,558,004 | DepreciationAmt |
| Book Value | $11,029,287 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,055,857 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,428,232 | DepreciationAmt |
| Book Value | $627,625 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,137,079 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 2, PART V, LINE 4 | FormAndLineReferenceDesc |
| Explanation | THE 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. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $94,489 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $94,489 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $94,489 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $94,489 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $94,489 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $94,489 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $451,031 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $252,341 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $573,096 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$320,755 | MedicareSurplusOrShortfallAmt |
| Written Debt Collection Policy | false | WrittenDebtCollectionPolicyInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDHAVEN PSYCHIATRIC HOSPITAL | BusinessNameLine1Txt |
| Business Name Line2 | WINDHAVEN PSYCHIATRIC HOSPITAL | BusinessNameLine2Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3347 WINDSONG DR | AddressLine1Txt |
| City | PRESCOTT VALLEY | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86314 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.POLARAHEALTH.COM | WebsiteAddressTxt |
| State License | SH4435 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDHAVEN PSYCHIATRIC HOSPITAL | BusinessNameLine1Txt |
| Business Name Line2 | WINDHAVEN PSYCHIATRIC HOSPITAL | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.POLARAHEALTH.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.POLARAHEALTH.COM | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.POLARAHEALTH.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.POLARAHEALTH.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.POLARAHEALTH.COM | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | false | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, WINDHAVEN PSYCHIATRIC HOSPITAL - PART V, LINE 5 | A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FROM JANUARY 2022 TO JUNE 2022. COMMUNITY INPUT WAS PROVIDED THROUGH THREE KEY INFORMANT INTERVIEWS, INCLUDING REPRESENTATIVES FROM: LOCAL CITY AND COUNTY GOVERNMENT PUBLIC HEALTH AGENCIES MEDICAL PROVIDERS POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE ALSO GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTIES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG AND OTHER THIRD PARTIES. THIS DATA WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS, AND THE COMMUNITY AS A WHOLE. THE CLINIC ENGAGED A CONSULTANT TO REVIEW THE HEALTH NEEDS AND PRIORITY AREAS WERE DETERMINED BASED ON ASSESSMENT OF THE QUALITATIVE AND QUANTITATIVE DATA. IDENTIFIED NEEDS WERE PRIORITIZED BASED ON THE FOLLOWING CRITERIA: 1)HOW MANY PEOPLE ARE AFFECTED BY THE ISSUE OR SIZE OF THE ISSUE 2)WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THIS PROBLEM 3)THE IMPACT OF THE ISSUE ON VULNERABLE POPULATIONS 4)WHETHER OR NOT WYGC HAS EXISTING PROGRAMS TO RESPOND TO THE IDENTIFIED NEED AS A RESULT OF THE ANALYSIS DESCRIBED ABOVE, THE FOLLOWING HEALTH NEEDS WERE IDENTIFIED AS THE MOST SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY: NEED FOR INCREASED INTEGRATION BETWEEN PRIMARY CARE AND MENTAL HEALTH SERVICES COORDINATION WITH OTHER SYSTEMS OF CARE (E.G. SCHOOL) SUBSTANCE ABUSE |
| FACILITY 1, WINDHAVEN PSYCHIATRIC HOSPITAL - PART V, LINE 11 | THIS DATA WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS, AND THE COMMUNITY AS A WHOLE. THE CLINIC ENGAGED A LEADERSHIP TEAM TO REVIEW THE HEALTH NEEDS AND PRIORITY AREAS WERE DETERMINED BASED ON ASSESSMENT OF THE QUALITATIVE AND QUANTITATIVE DATA. IDENTIFIED NEEDS WERE PRIORITIZED BASED ON THE FOLLOWING CRITERIA: 1)HOW MANY PEOPLE ARE AFFECTED BY THE ISSUE OR SIZE OF THE ISSUE 2)WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THIS PROBLEM 3)THE IMPACT OF THE ISSUE ON VULNERABLE POPULATIONS 4)WHETHER OR NOT WYGC HAS EXISTING PROGRAMS TO RESPOND TO THE IDENTIFIED NEED AS A RESULT OF THE ANALYSIS DESCRIBED ABOVE, THE FOLLOWING HEALTH NEEDS WERE IDENTIFIED AS THE MOST SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY: "NEED FOR INCREASED INTEGRATION BETWEEN PRIMARY CARE AND MENTAL HEALTH SERVICES "COORDINATION WITH OTHER SYSTEMS OF CARE (E.G. SCHOOL) "SUBSTANCE ABUSE |
| FACILITY 1, WINDHAVEN PSYCHIATRIC HOSPITAL - PART V, LINE 15E | ELIGIBILY 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. |
| FACILITY 1, WINDHAVEN PSYCHIATRIC HOSPITAL - PART V, LINE 16J | THE FAP HAS BEEN PUBLISHED ON THE WEB SITE OF THE CLINIC. |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART III, LINE 2 | THESE ARE ACTUAL ACCOUNTS WRITTTEN OFF DURING THE YEAR. |
| SCHEDULE H, PART III, LINE 8 | ALL OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT AS WE ARE THE ONLY MEDICARE 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. AS REPORTED BY THE PS&R REPORT. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| TAMARA PLAYER | |||
| CEO | $238,577 | $9,390 | $247,967 |
| STEVEN CALABRESE | |||
| CFO | $160,595 | $8,000 | $168,595 |
| DAVID WOLKOFF | |||
| CMO | $355,623 | $355,623 | |
| RAQUEL BALDERAS | |||
| PHSYCHIATRIST | $271,448 | $271,448 | |
| CHERIE WILCHER | |||
| PMHNP | $311,300 | $311,300 | |
| PATRICIA WHITE | |||
| PMHNP | $186,613 | $9,391 | $196,004 |
| EDWARD KUHNLEY | |||
| PSYCHIATRIST | $242,233 | $242,233 | |
| SUSAN FROST | |||
| PMHNP | $174,974 | $18,175 | $193,149 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDUSTRIAL DEVELOPMENT AUTHORITY | BusinessNameLine1Txt |
| Business Name Line2 | WEST YAVAPAI GUIDANCE CLINIC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 866093423 | BondIssuerEIN |
| Bond Issued | 2022-01-27 | BondIssuedDt |
| Issue Price | $10,310,500 | IssuePriceAmt |
| Purpose | TO PURCHASE ADDITIONAL FACILITIES TO REPLACE FACILITIES THAT HAVE REACHED THE END OF THEIR USEFUL LI | PurposeDesc |
| Defeased | Yes (true) | DefeasedInd |
| On Behalf Of Issuer | Yes (true) | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $5,839,708 | RetiredAmt |
| Total Proceeds | $10,310,500 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $178,390 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $4,292,402 | CapitalExpendituresAmt |
| Substantial Completion | 2022 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (true) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PURPOSE OF ISSUE DESCRIPTION | FormAndLineReferenceDesc |
| Explanation | INDUSTRIAL DEVELOPMENT AUTHORITY TO PURCHASE ADDITIONAL FACILITIES TO REPLACE FACILITIES THAT HAVE REACHED THE END OF THEIR USEFUL LIFE. ALSO TO REFUND 2016 OUTSTANDING BALANCE | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, ITEM C | POLARA HEALTH |
| FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEERS PROVIDE GROUP ACTIVITIES AND CONDUCT GROUP SESSIONS AS PEERS IN OUR SENIOR PEER PROGRAM. |
| FORM 990, PAGE 2, PART III, LINE 4D | OTHER PROGRAM SERVICES |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE 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. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ANNUALLY 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 15A | THE ORGANIZATION USES SALARY SURVEYS FROM THE AZ COUNCIL AND MHCA AS A GUIDELINE FOR SALARIES |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE ORGANIZATION USES SALARY SURVEYS FROM THE AZ COUNCIL AND MHCA AS A GUIDELINE FOR SALARIES |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST |
| FORM 990, PART IX, LINE 11G | OTHER CLINICAL SUPPORT 422,352 0 0 KITCHEN SERVICES 266,350 0 0 PHYSICIAN FEES 292,356 0 0 CONSULTANTS 0 459,142 0 LAB EXPENSE 14,082 0 0 MEDICATION EXPENSE 3,555,767 0 0 KIDS OUT OF HOME 916,916 0 0 ADULT OUT OF HOME 5,605,212 0 0 OTHER CLINICAL SUPPORT 1,324,963 0 0 TOTAL 12,397,998 459,142 0 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST YAVAPAI GID CLINIC FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3343 WINDSONG DR | AddressLine1Txt |
| City | PRESCOTT VALLEY | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860576008 | EIN |
| Primary Activities | FUND RAISI | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Exempt Code Section | 501C 3 | ExemptCodeSectionTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMPLETE CARE PARTNERS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3343 WINDSONG DR | AddressLine1Txt |
| City | PRESCOTT VALLEY | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86314 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850563935 | EIN |
| Primary Activities | BH | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST YAVAPAI GUID CLINIC FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $99,500 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |
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