2020-06-30T18:59:59-05:00 2019-09-30 420714325 RSM US LLP 9801 WASHINGTONIAN BLVD STE 500 GAITHERSBURG MD 20878 990 2018-10-01 860966400 SOUTHWEST NETWORK INC SOUT 6022668402 2700 N CENTRAL AVE SUITE 1050 PHOENIX AZ 85004 MICHELLE FORNOFF CFO 6022668402 2020-06-29 1 WILLIAM E TURCO CPA P00369217 3012963600 66.98.98.8 2020-06-29 09:12:54 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 00BFBB601F26E6691F3C42FDB75EEBE807206D5E 2018 2020-09-23 17:36:50Z AMY B HENNING 2700 N CENTRAL AVE SUITE 1050 PHOENIX AZ 85004 35467181 0 X WWW.SOUTHWESTNETWORK.ORG X 1999 AZ PROVIDING BEHAVIORAL HEALTH SERVICES TO CHILDREN, ADULTS AND FAMILIES IN MARICOPA COUNTY. 5 4 725 6 0 0 3350 2584 40137160 32177282 57681 36065 2191222 3251250 42389413 35467181 0 0 0 0 33879408 27110309 0 0 0 10880885 7946510 44760293 35056819 -2370880 410362 13329687 14191107 17440896 17891954 -4111209 -3700847 CREATING PARTNERSHIPS, INSPIRING HOPE, CHANGING LIVES. 0 0 22139595 24882155 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. 8173704 7295127 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. 30313299 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 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 78 0 1 725 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 X MICHELLE FORNOFF 6022668402 2700 N CENTRAL AVE SUITE 1050 PHOENIX AZ 85004 HELGA WILSON BOARD CHAIR 1.00 X 0 0 0 PHIL SAWYER BOARD MEMBER 1.00 X 0 0 0 GAYE TOLMAN BOARD MEMBER 1.00 X 0 0 0 DOUG METZGER BOARD MEMBER 1.00 X 0 0 0 TIM DUNST BOARD MEMBER THRU 03/18/19 1.00 X 0 0 0 HOLLY MONTGOMERY BOARD MEMBER THRU 12/10/18 1.00 X 0 0 0 AMY HENNING PRESIDENT & CEO 40.00 X X 227643 0 20858 MICHELLE FORNOFF CFO 40.00 X 144879 0 29967 ANDREW MEBANE CMO 40.00 X 315703 0 9800 DIVYA SINGH PSYCHIATRIST 40.00 X 264571 0 15751 SUHAILA AL HADDAD PSYCHIATRIST 40.00 X 250209 0 28428 HENRY BROWN PSYCHIATRIST 40.00 X 251016 0 30790 BEATRIZ MATEUS PSYCHIATRIST 40.00 X 245537 0 26515 SABA ARCE PSYCHIATRIST 40.00 X 247936 0 6572 1947494 0 168681 28 0 1 0 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 30384 STAFFING 1231021 HEALTH INFORMATION MANAGEMENT SYSTEMS 82 S STONE AVE TUCSON AZ 85701 IT SUPPORT 400000 STAFF CARE INC PO BOX 281923 PHOENIX AZ 85016 STAFFING 378302 COMPHEALTH PO BOX 972651 DALLAS TX 75397 STAFFING 251946 VENICOM INC 14650-A NORTH 78TH WAY SCOTTSDALE AZ 85260 IT SUPPORT 233807 12 2584 2584 ADULT CONTRACT REVENUE 624100 24867110 24867110 CHILD CONTRACT REVENUE 624100 7310172 7310172 32177282 36065 36065 257938 0 257938 257938 257938 INCENTIVE REVENUE 900099 2064927 2064927 3RD PARTY INSURANCE 900099 770529 770529 ADMINISTRATIVE FEE 900099 108000 108000 49856 49856 2993312 35467181 32177282 0 3287315 750886 750886 20176519 18462725 1713794 211482 178010 33472 4435258 3855700 579558 1536164 1362706 173458 162387 143235 19152 67042 67042 2531494 1835958 695536 27745 6000 21745 839706 693144 146562 2251161 1926191 324970 989448 973866 15582 9878 6213 3665 17898 16003 1895 444824 432266 12558 474952 325102 149850 CLIENT LIVING EXPENSES 53382 53382 DUES, FEES, & LICENSES 48332 24047 24285 OTHER EXPENSES 28261 18751 9510 35056819 30313299 4743520 0 2400 2950 7162968 7824733 7743 569308 1323332 1023580 698813 936348 5192227 2212466 3231203 2979761 797323 742329 105905 112098 13329687 14191107 2899663 2766690 13079094 13798454 1462139 1326810 17440896 17891954 X -4111209 -3700847 -4111209 -3700847 13329687 14191107 410362 0 X 0 1 X 1 0 X 3350 2584 5934 52120083 42981602 44443455 42255942 35170594 216971676 52120083 42981602 44443455 42259292 35173178 216977610 0 0 0 216977610 42222 36400 40743 121430 294003 534798 42222 36400 40743 121430 294003 534798 52162305 43018002 44484198 42380722 35467181 217512408 0.99750 0.99900 0.00250 0.00100 X 475000 475000 2023472 1081217 942255 2035955 677928 1358027 266728 241552 25176 391072 211769 179303 2979761 INVESTMENT IN AFFILIATE 742329 C 742329 CAPITAL LEASE OBLIGATION 66164 DEFERRED RENT AND LEASE INCENTIVE OBLIGATION 1260646 1326810 X 35467181 0 35467181 0 35467181 35056819 0 35056819 0 35056819 PART X, LINE 2: THE ORGANIZATION IS GENERALLY EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, THE ORGANIZATION IS SUBJECT TO INCOME TAXES ON UNRELATED BUSINESS INCOME, AS DEFINED BY THE INTERNAL REVENUE SERVICE. THE ORGANIZATION HAS ADOPTED THE ACCOUNTING STANDARDS ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE ORGANIZATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. 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 2015. AS OF SEPTEMBER 30, 2019, 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 PRESIDENT & CEO 227560 0 0 0 83 0 7400 0 14246 0 249289 0 0 0 MICHELLE FORNOFF CFO 144752 0 0 0 127 0 6041 0 25669 0 176589 0 0 0 ANDREW MEBANE CMO 315000 0 0 0 703 0 9800 0 2488 0 327991 0 0 0 DIVYA SINGH PSYCHIATRIST 264521 0 0 0 50 0 0 0 16126 0 280697 0 0 0 SUHAILA AL HADDAD PSYCHIATRIST 249971 0 0 0 238 0 9800 0 19137 0 279146 0 0 0 HENRY BROWN PSYCHIATRIST 250961 0 0 0 55 0 7400 0 23767 0 282183 0 0 0 BEATRIZ MATEUS PSYCHIATRIST 245299 0 0 0 238 0 11445 0 15447 0 272429 0 0 0 SABA ARCE PSYCHIATRIST 247698 0 0 0 238 0 0 0 6949 0 254885 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B 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 15 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. OPEN SKIES HEALTHCARE 2700 N CENTRAL AVE STE 1050 PHOENIX AZ 85004 463192208 BEHAVIORAL HEALTHCARE NM 501(C)(3) LINE 10 SOUTHWEST NETWORK INC 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 OPEN SKIES HEALTHCARE A 36054 FMV OPEN SKIES HEALTHCARE D 1023580 FMV OPEN SKIES HEALTHCARE L 108000 FMV OPEN SKIES HEALTHCARE S 299752 FMV