2021-08-09T13:12:38-05:00 2020-09-30 341884125 CBIZ MHM LLC 4722 N 24TH ST STE 300 PHOENIX AZ 85016 990 2019-10-01 866037149 THE NARBHA INSTITUTE INC NARB 9282338667 616 N BEAVER STREET FLAGSTAFF AZ 86001 MARY JO GREGORY CHIEF EXECUTIVE OFFICER 9282338667 2021-08-06 1 AMY A O'LOUGHLIN P00869687 6022646835 2021-08-06 2019 2022-09-23 18:48:47Z MARY JO GREGORY 616 N BEAVER STREET FLAGSTAFF AZ 86001 13196171 0 X WWW.NARBHAINSTITUTE.ORG X 1967 AZ MEDICAID MANAGED CARE SUBCONTRACTOR, SUPPORTED HOUSING, BEHAVIORAL CARE VIA AFFILIATE 3 2 13 2 0 0 3376329 4830876 4223491 6379202 799570 883223 31973 -442 8431363 12092859 3959973 5010616 0 0 1783883 1947389 0 0 0 2479758 1822169 8223614 8780174 207749 3312685 66174390 69675321 613750 679135 65560640 68996186 X SERVE MEDICAID MANAGED CARE SUBCONTRACT, SUPPORTED HOUSING FOR MENTALLY ILL, CONVENER/SUPPORTER IN HEALTH/SOCIAL DETERMINANTS. DRIVE IMPROVED MENTAL HEALTH OUTCOMES FOR VULNERABLE POPULATIONS VIA AFFILIATED AGENCY PROVIDING OUTPATIENT, INPATIENT & RESIDENTIAL SVS. 0 0 3526977 2621322 THE NARBHA INSTITUTE'S LARGEST PROGRAM IS ITS PROVISION OF SERVICES, SUPPORT AND GRANTS TO HEALTHCARE PROVIDERS WHO SERVE PRIMARILY MEDICAID BENEFICIARIES AND INDIGENT POPULATIONS. THIS INCLUDES GRANTS TO SUCH ORGANIZATIONS TO ACHIEVE HEALTH AND HEALTH RELATED SOCIAL OUTCOMES SUCH AS EMPLOYMENT, MEDICAID ELIGIBILITY COMPLIANCE, TIMELY MENTAL HEALTH ASSESSMENTS, PATIENT SATISFACTION, HOUSING, CRIMINAL JUSTICE COORDINATION AND CULTURALLY-COMPETENT SERVICES. DUE TO THE COVID-19 PANDEMIC GRANTS IN THE AMOUNT OF $250,600 FOR TESTING & AID TO COMMUNITY MEMBERS WERE GIVEN OUT AS WELL AS APPROXIMATELY $9,000 IN SUPPLIES TO THE RESERVATION COMMUNITIES. 2730593 2276294 4623147 EFFECTIVE AUGUST 27, 2018, THE NARBHA INSTITUTE ENTERED INTO AN AFFILIATION AGREEMENT WITH THE GUIDANCE CENTER (TGC), A SEPARATE 501(C)(3) ORGANIZATION, IN WHICH THE NARBHA INSTITUTE BECAME ITS SOLE MEMBER. THERE IS A SEPARATE BOARD TO OVERSEE MANAGEMENT OF TGC. THE GUIDANCE CENTER PROVIDES INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES IN THE FLAGSTAFF REGION. UNDER THE AFFILIATION AGREEMENTS, THE NARBHA INSTITUTE PROVIDES SUBSTANTIAL FINANCIAL AND IN-KIND SUPPORT AND APPOINTS A MAJORITY OF ITS GOVERNING BOARD. 398759 1655082 THE NARBHA INSTITUTE'S JOINT VENTURE WAS SUB-CONTRACTED WITH THE ARIZONA MEDICAID PROGRAM AS AN INTEGRATED REGIONAL BEHAVIORAL HEALTH AUTHORITY (RBHA) WHICH IS A MANAGED CARE ORGANIZATION SERVING MEDICAID COVERED LIVES IN NORTHERN ARIZONA. THE NARBHA INSTITUTE PROVIDES A VARIETY OF SERVICES IN ADDITION TO GOVERNANCE OVERSIGHT OF THE VENTURE, SUCH AS MAINTENANCE OF CERTAIN HEALTHCARE FACILITIES IN REMOTE AREAS, HOUSING FOR PATIENTS LIVING WITH SERIOUS MENTAL ILLNESS AND PROVISION OF OFFICE SPACE TO THE JV. EFFECTIVE DECEMBER 30, 2019, THE JOINT VENTURE WAS CONCLUDED AND THE RELATIONSHIP WITH THE STATE MEDICAID CONTRACTOR BECAME CONTRACTUAL, BUT WITH THE SERVICES IDENTICAL AND MEMBERSHIP ON A GOVERNANCE COMMITTEE STRUCTURED SIMILARLY TO THE FORMER JOINT VENTURE'S GOVERNING BOARD. 387257 100973 THROUGH A DISREGARDED ENTITY (WELL NORTH COMMUNITIES LLC), THE NARBHA INSTITUTE PROVIDES PERMANENT SUPPORTED HOUSING TO APPROXIMATELY 40 INDIVIDUALS AND FAMILIES LIVING WITH SERIOUS MENTAL ILLNESS IN NORTHERN ARIZONA. TENANTS PAY AN INCOME-ADJUSTED PORTION OF RENT (WHICH IF OFTEN ZERO) AND RESIDE IN APARTMENTS PURCHASED WITH FUNDING FROM THE ARIZONA DEPARTMENT OF HEALTH SERVICES. WHILE NOT LISTED ON THE FINANCIAL STATEMENTS AS AN EXPENSE, THE OPPORTUNITY COST OF THESE HEAVILY DISCOUNTED RENTS IS OVER $218,000 PER YEAR EXCLUDING UTILITIES, BASED ON HUD AND SURVEY DATA. 157943 113000 THE SUSTAINABLE ECONOMIC DEVELOPMENT INITIATIVE (SEDI) IS A RELATED ORGANIZATION THAT FILES A SEPARATE FORM 990. SEDI PROVIDES ECONOMIC DEVELOPMENT SERVICES RELATED TO THE NARBHA INSTITUTE'S MISSION TO PROMOTE EMPLOYMENT AS A KEY SOCIAL DETERMINANT OF HEALTH. 545200 113000 100973 7201529 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 25 0 1 13 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 X JUDITH MARFECHUK CPA 9282338667 616 N BEAVER STREET FLAGSTAFF AZ 86001 MARY JO GREGORY PRESIDENT & CEO 47.00 X X 471568 0 17706 MARK CARROLL CHIEF HEALTH OFFICER 40.00 1.00 X 294095 0 27469 TERESA BERTSCH VP MEDICAL AFFAIRS 16.00 24.00 X 295111 0 19250 LAUREN LAUDER VP PATIENT SVCS 4.00 40.00 X 258136 0 24652 MICHAEL KUZMIN CFO 20.00 20.00 X 226796 0 16159 NATHAN JONES GENERAL COUNSEL 20.00 20.00 X 179492 0 12400 JUDITH MARFECHUK CHIEF ACCOUNTING OFFICER 34.00 1.00 X 142119 0 14169 ERIC MARCUS CHIEF OPERATING OFFICER 26.00 14.00 X 133193 0 20333 JIM DYKES VICE-PRESIDENT 4.00 6.00 X X 18000 0 0 JAMES WURGLER VICE-PRESIDENT (THRU 11/2019) 6.00 X X 0 0 0 CELESTE IRONS SECRETARY 4.00 X X 0 0 0 2018510 0 152138 9 0 1 0 STRATEGIC HEALTH ADVISORS INC 90 DORNOCH WAY COTO DE CAZA CA 92679 CONSULTING 153157 OSBORN MALEDON PA 2929 N CENTRAL AVE 21ST FLOOR PHOENIX AZ 85012 LEGAL FEES 127325 2 4830876 4830876 GUIDANCE CENTER INC 621400 4623147 4623147 CONSULTING INCOME 541610 1012500 1012500 RENTAL REVENUE 531110 743555 743555 6379202 683144 683144 6277 6803 -526 -526 -526 1296588 1096509 200079 200079 200079 MISCELLANEOUS 900099 84 84 84 12092859 6379202 0 882781 5010616 5010616 1074227 337245 736982 704220 556746 147474 85678 68887 16791 83264 51072 32192 31928 31928 25652 21772 3880 38500 38500 131093 131093 595476 300376 295100 67070 54989 12081 38739 30509 8230 249753 228584 21169 39416 32446 6970 72015 55338 16677 409936 396324 13612 93104 93104 DUES, FEES & LICENSES 21783 17445 4338 MISCELLANEOUS EXPENSES 5597 5571 26 DUES & SUBSCRIPTIONS 2107 1681 426 8780174 7201529 1578645 0 1409408 3477025 12408547 10511328 2956181 1100639 99068 98295 11950643 4199310 8164420 7751333 23497323 25835151 17639443 20901550 66174390 69675321 613750 679135 613750 679135 X 65560640 68671586 0 324600 65560640 68996186 66174390 69675321 X 3312685 1688479 -1565618 X 0 1 X 1 0 X 6454150 5953979 4276240 3376329 4830876 24891574 6454150 5953979 4276240 3376329 4830876 24891574 24891574 94657 357451 589759 772792 689421 2504080 10200 510611 672 30956 84 552523 27948177 13476709 0.89060 0.98870 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2015 AMOUNT: $ 10,200. 2016 AMOUNT: $ 8,902. 2017 AMOUNT: $ 672. 2018 AMOUNT: $ 30,956. 2019 AMOUNT: $ 84. AHIP REFUND - 2016 AMOUNT: $ 501,709. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2160465 2160465 9588035 4011185 5576850 202143 188125 14018 7751333 INVESTMENT IN HEALTH CHOICE INTEGRATED CARE, LLC 7200000 INVESTMENT IN THE GUIDANCE CENTER 13701550 20901550 X 33359971 1688479 24326070 26014549 7345422 131093 4616344 4747437 12092859 28355984 19706903 19706903 8649081 131093 131093 8780174 PART X, LINE 2: THE NARBHA INSTITUTE 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 THE FINANCIAL STATEMENTS. IN ADDITION, THE NARBHA INSTITUTE 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 THE NARBHA INSTITUTE HAS ANY UBTI FOR THE YEAR ENDED SEPTEMBER 30, 2020. THE NARBHA INSTITUTE 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. THE NARBHA INSTITUTE'S FEDERAL RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAX (FORM 990) FOR FISCAL 2019, 2018, AND 2017 ARE SUBJECT TO EXAMINATION BY THE IRS GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE FROM SUSTAINABLE ECONOMIC DEVELOPMENT INITIATIVE (RELATED ENTITY) 115,136. REVENUE FROM THE GUIDANCE CENTER (RELATED ENTITY) 26,600,228. ELIMINATIONS -2,389,294. PART XI, LINE 4B - OTHER ADJUSTMENTS: INCOME FROM INVESTMENT IN TGC 4,623,147. RENTAL EXPENSES INCLUDED IN REVENUE -6,803. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES INCLUDED IN REVENUE 6,803. EXPENSES FROM SUSTAINABLE ECONOMIC DEVELOPMENT INITIATIVE (RELATED ENTITY) 112,313. EXPENSES FROM THE GUIDANCE CENTER (RELATED ENTITY) 21,977,081. ELIMINATIONS -2,389,294. 1 AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 10000 PROGRAM SUPPORT ARIZONA COALITION FOR MILITARY FAMILIES 2929 N CENTRAL AVENUE SUITE 1550 PHOENIX AZ 85012 260647049 501(C)(3) 15000 PROGRAM SUPPORT CANCER SUPPORT COMMUNITY ARIZONA 360 EAST PALM LANE PHOENIX AZ 85004 860897810 501(C)(3) 12500 PROGRAM SUPPORT CATHOLIC CHARITIES COMMUNITY SERVICES INC 4747 N 7TH AVE PHOENIX AZ 85013 860223999 501(C)(3) 10000 PROGRAM SUPPORT CHANGEPOINT INTEGRATED HEALTH 1801 W DEUCE OF CLUBS 100 SHOW LOW AZ 85901 860215065 501(C)(3) 6000 PROGRAM SUPPORT CHILD AND FAMILY SUPPORT SERVICES INC 10439 S 51ST STREET PHOENIX AZ 85044 770601535 N/A 8384 PROGRAM SUPPORT COCONINO COALITION FOR CHILDREN AND YOUTH 2625 N KING ST FLAGSTAFF AZ 86004 510204513 501(C)(3) 26835 PROGRAM SUPPORT COCONINO COMMUNITY COLLEGE FOUNDATION 2800 S LONE TREE RD FLAGSTAFF AZ 86005 860717956 501(C)(3) 10500 PROGRAM SUPPORT COCONINO COUNTY 219 E CHERRY AVE FLAGSTAFF AZ 86001 866000441 GOVERNMENT 179047 PROGRAM SUPPORT COCONINO COUNTY SUSTAINABLE ECONOMIC DEVELOPMENT INITIATIVE 616 N BEAVER STREET FLAGSTAFF AZ 86001 261077054 501(C)(3) 53862 59138 CASH REIMBURSEMENT WAGES, EMPLOYEE RELATED EXPENSES PROGRAM SUPPORT COUNTY OF YAVAPAI 255 E GURLEY STREET PRESCOTT AZ 86301 866000561 GOVERNMENT 58000 PROGRAM SUPPORT FLAGSTAFF FAMILY FOOD CENTER PO BOX P FLAGSTAFF AZ 86002 860754044 501(C)(3) 10000 PROGRAM SUPPORT FLAGSTAFF SHELTER SERVICES PO BOX 1808 FLAGSTAFF AZ 86002 204921369 501(C)(3) 22500 PROGRAM SUPPORT HELPING FAMILIES IN NEED 3010 S 92ND DR TOLLESON AZ 85353 800744034 501(C)(3) 10000 PROGRAM SUPPORT HOPE LIVES-VIVE LA EXPERANZA 1551 W VAN BUREN STREET PHOENIX AZ 85007 452300190 501(C)(3) 10600 PROGRAM SUPPORT HUSHABYE NURSERY 3003 EAST MCDOWELL RD PHOENIX AZ 85008 822737849 501(C)(3) 100000 PROGRAM SUPPORT LITTLE COLORADO BEHAVIORAL HEALTH CENTERS PO BOX 579 ST JOHNS AZ 85936 860250938 501(C)(3) 20778 PROGRAM SUPPORT LOCAL INITIATIVES SUPPORT CORPORATION 28 LIBERTY STR 34TH FLOOR NEW YORK NY 10005 133030229 501(C)(3) 100000 PROGRAM SUPPORT MENTAL HEALTH COALITION VERDE VALLEY PO BOX 654 SEDONA AZ 86339 812882235 501(C)(3) 15000 PROGRAM SUPPORT MINDFULNESS FIRST PO BOX 26045 SCOTTSDALE AZ 85255 464253699 501(C)(3) 9000 PROGRAM SUPPORT NAMI ARIZONA 5025 E WASHINGLON ST STE 112 PHOENIX AZ 85034 860464872 501(C)(3) 15000 PROGRAM SUPPORT NAMI YAVAPAI COUNTY PO BOX 11962 PRESCOTT AZ 863041962 352358813 501(C)(3) 14000 PROGRAM SUPPORT NORTH COUNTRY HEALTHCARE PO BOX 3630 FLAGSTAFF AZ 86003 860663432 501(C)(3) 600000 PROGRAM SUPPORT NORTHERN ARIZONA HEALTHCARE FOUNDATION INC 1030 N SAN FRANCISCO ST 130 FLAGSTAFF AZ 86005 860110232 501(C)(3) 7500 PROGRAM SUPPORT NORTHERN ARIZONA UNIVERSITY PO BOX 4080 FLAGSTAFF AZ 86011 742579628 GOVERNMENT 124428 PROGRAM SUPPORT NORTHERN ARIZONA UNIVERSITY FOUNDATION PO BOX 4094 FLAGSTAFF AZ 86011 860193726 501(C)(3) 202200 PROGRAM SUPPORT OLD CONCHO COMMUNITY ASSISTANCE CENTER INC PO BOX 50 CONCHO AZ 85924 860907044 501(C)(3) 40000 PROGRAM SUPPORT PREVENT CHILD ABUSE ARIZONA PO BOX 26495 PRESCOTT AZ 86312 860832901 501(C)(3) 31500 PROGRAM SUPPORT SPECTRUM HEALTH CARE INC 8 E COTTONWOOD STREET COTTONWOOD AZ 86326 860207499 501(C)(3) 22500 PROGRAM SUPPORT STEPS TO RECOVERY HOMES 516 E STATE RT 89A STE 108 COTTONWOOD AZ 86326 463225513 501(C)(3) 5800 PROGRAM SUPPORT STEWARDS OF CHANGE INSTITUTE 100 CENTERSHORE ROAD CENTERPORT NY 11721 201647503 501(C)(3) 10000 PROGRAM SUPPORT TERROS INC 3003 N CENTRAL AVE SUITE 400 PHOENIX AZ 85012 860252067 501(C)(3) 11000 PROGRAM SUPPORT THE GUIDANCE CENTER INC 2187 N VICKEY STREET FLAGSTAFF AZ 86004 860223720 501(C)(3) 10000 2276294 CASH REIMBURSEMENT WAGES, EMPLOYEE RELATED EXPENSES, RENOVATIONS PROGRAM SUPPORT THE TRANSLATIONAL GENOMICS RESEARCH INSTITUTE 445 N 5TH STREET SUITE 600 PHOENIX AZ 85004 753065445 501(C)(3) 600000 PROGRAM SUPPORT UNITED WAY OF NORTHERN ARIZONA 1515 E CEDAR AVE STE D-1 FLAGSTAFF AZ 86004 860211666 501(C)(3) 110000 PROGRAM SUPPORT WEST YAVAPAI GUIDANCE CENTER 3343 N WINDSONG DRIVE PRESCOTT AZ 86314 860206928 501(C)(3) 13000 PROGRAM SUPPORT WESTCARE ARIZONA I INC 720 HANCOCK RD BULLHEAD CITY AZ 86442 860968493 501(C)(3) 59000 PROGRAM SUPPORT WILLIAMS UNIFIED SCHOOL DISTRICT 636 SOUTH 7TH STREET WILLIAMS AZ 86046 860592836 GOVERNMENT 30685 PROGRAM SUPPORT YAVAPAI COUNTY EDUCATION SERIVCE AGENCY 2970 CENTERPOINTE EAST DRIVE PRESCOTT AZ 86301 861018326 GOVERNMENT 50000 PROGRAM SUPPORT 38 1 PART I, LINE 2: THE NARBHA INSTITUTE BOARD APPROVES A BUDGET THAT INCLUDES GRANTS AND SPONSORSHIPS. STAFF REVIEW GRANT APPLICATIONS FOR CONSISTENCY WITH THE NARBHA INSTITUTE'S MISSION AND CHARITABLE PURPOSE, SCREEN FOR CONFLICTS OF INTEREST, ASCERTAIN WHETHER THE GRANTEE IS A PUBLIC CHARITY OR GOVERNMENTAL ENTITY, AND MAKE A FINAL RECOMMENDATION TO THE BOARD OR CHIEF EXECUTIVE AS APPROPRIATE. IF AN AWARD IS MADE, THE REPRESENTATIONS MADE IN THE APPLICATION ARE MADE CONTRACTUALLY BINDING AND FUNDING IS RESTRICTED TO THE PURPOSE DESCRIBED IN THE GRANT. SOME SMALLER GRANTS (PRIMARILY EVENT SPONSORSHIPS) DO NOT FOLLOW THE FORMAL APPLICATION PROCESS BUT ARE MONITORED BY HAVING STAFF VERIFY THE PUBLIC CHARITY STATUS OF THE COMPANY HOSTING THE EVENT, HAVING STAFF ATTEND THE EVENT, AND REVIEWING EVENT INFORMATION AND MATERIALS. THE NARBHA INSTITUTE MAY RELY ON THE PUBLIC CHARITY STATUS OF THE GRANTEE TO ENSURE THAT THE GRANT IS CONSISTENT WITH CHARITABLE PURPOSES, OR IT MAY REQUIRE (OR IN THE RARE CASE OF A GRANT TO AN ENTITY WHICH IS NOT A PUBLIC CHARITY OR GOVERNMENTAL UNIT, WILL REQUIRE) REPORTS AND MEASURED OUTCOMES DEMONSTRATING THE USE OF FUNDS CONSISTENT WITH THE NARBHA INSTITUTE'S CHARITABLE PURPOSE AND MISSION. X X X X X 0 0 0 0 0 0 0 0 0 MARY JO GREGORY PRESIDENT & CEO 466568 0 0 0 5000 0 0 0 17706 0 489274 0 0 0 MARK CARROLL CHIEF HEALTH OFFICER 294095 0 0 0 0 0 0 0 27469 0 321564 0 0 0 TERESA BERTSCH VP MEDICAL AFFAIRS 292249 0 2862 0 0 0 0 0 19250 0 314361 0 0 0 LAUREN LAUDER VP PATIENT SVCS 255345 0 2791 0 0 0 0 0 24652 0 282788 0 0 0 MICHAEL KUZMIN CFO 223970 0 2826 0 0 0 0 0 16159 0 242955 0 0 0 NATHAN JONES GENERAL COUNSEL 170378 0 2985 0 6129 0 0 0 12400 0 191892 0 0 0 JUDITH MARFECHUK CHIEF ACCOUNTING OFFICER 137457 0 0 0 4662 0 0 0 14169 0 156288 0 0 0 ERIC MARCUS CHIEF OPERATING OFFICER 133193 0 0 0 0 0 0 0 20333 0 153526 0 0 0 PART I, LINE 3 BASED ON COMPARABILITY DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS, THE COMPENSATION OF THE CEO AND KEY EMPLOYEES WAS REVIEWED AND APPROVED BY THE ORGANIZATION'S GOVERNING BODY, COMPOSED OF INDEPENDENT MEMBERS WITHOUT CONFLICTS. THE CEO'S COMPENSATION IS SET BY CONTRACT AND THE APPROVAL OF THE INDEPENDENT DIRECTORS IS BASED ON THE ADVICE OF INDEPENDENT COMPENSATION CONSULTANTS SPECIFICALLY CONTRACTED TO ENSURE THAT COMPENSATION IS NOT EXCESSIVE. COMPENSATION IS REASONABLE IN LIGHT OF HEADING A COMPLEX HEALTHCARE ORGANIZATION OVERSEEING A JOINT VENTURE WHICH PROVIDES PHYSICAL AND BEHAVIORAL HEALTH SERVICES TO OVER 145,000 COVERED MEDICAID LIVES AS WELL AS OTHER COMPLEX AFFILIATIONS. FORM 990, PART VI, SECTION B, LINE 11B CORPORATE PRACTICES REQUIRE REVIEW OF FORM 990 BY THE PRESIDENT AND VICE-PRESIDENT OF THE BOARD OF DIRECTORS ON BEHALF OF THE BOARD OF DIRECTORS PRIOR TO FILING THE ORGANIZATION'S 990 RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS ADOPTED THE IRS MODEL POLICY WHICH PROVIDES FOR ANNUAL DISCLOSURE BY "ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS." THE GENERAL COUNSEL ENSURES ANNUAL COMPLETION OF DISCLOSURES AND ENFORCES THE POLICY, WHICH ENSURES THAT NO INTERESTED PERSON WILL BE INVOLVED IN ANY DISCUSSION OR VOTE ON ANY MATTER ABOUT WHICH THEY HAVE DISCLOSED AN INTEREST. VIOLATIONS OF THE CONFLICTS POLICY MAY RESULT IN SANCTIONS UP TO AND INCLUDING REMOVAL. FORM 990, PART VI, SECTION B, LINE 15 THE NARBHA INSTITUTE HAS ENGAGED THE SERVICES OF INDEPENDENT COMPENSATION CONSULTANTS FOR BOTH THE CEO AND KEY EMPLOYEES, AND HAS ALSO DONE ORGANIZATION-WIDE COMPENSATION STUDIES. COMPENSATION OF THE CEO IS DETERMINED BY INDEPENDENT DIRECTORS BASED ON SUCH COMPENSATION STUDIES. 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 XI, LINE 9: LOSS ON IMPAIRMENT IN INTEREST IN JOINT VENTURE -1,565,618. 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