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OPEN SKIES HEALTHCARE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
OPEN SKIES HEALTHCARE INC (EIN 46-3192208)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-15
IRS object ID
201802279349301935
Schema version
2016v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-08-15T12:56:25-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12375 EAST CAMELBACK ROAD SUITE 300AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85016ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN463192208EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OPEN SKIES HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlOPENBusinessNameControlTxt
Phone6022854342PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 N CENTRAL AVE STE 1050AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85004ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELLE FORNOFFPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6022854342PhoneNum
Signature2018-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBROOKE WILSONPreparerPersonNm
PTINP01359686PTIN
Phone6026366000PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRISTINE ROMERO-DEBELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 N CENTRAL AVE STE 1050AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85004ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,619,891GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressOPENSKIESHEALTHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateNMLegalDomicileStateCd
Activity Or MissionPROVIDING BEHAVIORAL HEALTH SERVICES TO CHILDREN, ADULTS, AND FAMILIES IN THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee214TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$7,147,735PYProgramServiceRevenueAmt
CY Program Service Revenue$7,575,757CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$118,835PYOtherRevenueAmt
CY Other Revenue$44,134CYOtherRevenueAmt
PY Total Revenue$7,266,570PYTotalRevenueAmt
CY Total Revenue$7,619,891CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,707,604PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,801,522CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,568,180PYOtherExpensesAmt
CY Other Expenses$2,242,834CYOtherExpensesAmt
PY Total Expenses$7,275,784PYTotalExpensesAmt
CY Total Expenses$7,044,356CYTotalExpensesAmt
PY Revenues Less Expenses-$9,214PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$575,535CYRevenuesLessExpensesAmt
Total Assets BOY$1,796,791TotalAssetsBOYAmt
Total Assets EOY$1,987,973TotalAssetsEOYAmt
Total Liabilities BOY$2,322,903TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,938,550TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$526,112NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$49,423NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE EXCEPTIONAL BEHAVIORAL HEALTH SERVICES THAT EMPOWER INDIVIDUALS AND FAMILIES TO REALIZE WELLBEING, RECOVERY, RESILIENCE, AND INDEPENDENCE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,542,582ExpenseAmt
Revenue$7,619,891RevenueAmt
DescSHAPING POSITIVE LIFESTYLES AND A BRIGHTER TOMORROW FOR OUR COMMUNITY.Desc
Total Program Service Expenses$5,542,582TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document29IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee214EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHELLE FORNOFFBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6022854342PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 N CENTRAL AVE STE 1050AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85004ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
AMY HENNING
PRESIDENT, CHAIR2.0040.00Yes (X)Yes (X)$0$230,413$21,468
DENISE ENSDORFF
BOARD MEMBER1.00Yes (X)$0$0$0
TIM DUNST
BOARD MEMBER1.00Yes (X)$0$0$0
FRANK SCARPATI
BOARD MEMBER1.00Yes (X)$0$0$0
MICHELLE FORNOFF
TREASURER2.0040.00Yes (X)$0$137,386$28,208
CHRISTINE ROMERO-DEBELL
EXECUTIVE DIRECTOR40.00Yes (X)$100,045$0$1,072
FieldValueIRS element (for citing)
Total Reportable Comp From Org$100,045TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$367,799TotReportableCompRltdOrgAmt
Total Other Compensation$50,748TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEALTH INFORMATION MANAGEMENT LLC
85 W FRANKLIN STTUCSONAZ85701MEDICAL RECORDS$135,417
LOCUMTENENSCOM
PO BOX 405547ATLANTAGA30384STAFFING AGENCY$124,747
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCLAIMSDesc
Business624100BusinessCd
Total Revenue Column$7,575,757TotalRevenueColumnAmt
Related Or Exempt Func Income$7,575,757RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$7,575,757TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business624100BusinessCd
Total Revenue Column$44,134TotalRevenueColumnAmt
Related Or Exempt Func Income$44,134RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$44,134OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,619,891TotalRevenueColumnAmt
Related Or Exempt Func Income$7,619,891RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$101,898TotalAmt
Management And General$101,898ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,697,380TotalAmt
Program Services$3,000,459ProgramServicesAmt
Management And General$696,921ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,245TotalAmt
Program Services$3,457ProgramServicesAmt
Management And General$1,788ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$672,420TotalAmt
Program Services$485,598ProgramServicesAmt
Management And General$186,822ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$324,579TotalAmt
Program Services$254,892ProgramServicesAmt
Management And General$69,687ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$12,973TotalAmt
Management And General$12,973ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,490TotalAmt
Management And General$14,490ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$490,829TotalAmt
Program Services$316,120ProgramServicesAmt
Management And General$174,709ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,441TotalAmt
Program Services$134ProgramServicesAmt
Management And General$7,307ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$168,496TotalAmt
Program Services$141,075ProgramServicesAmt
Management And General$27,421ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$520,910TotalAmt
Program Services$468,761ProgramServicesAmt
Management And General$52,149ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$76,520TotalAmt
Program Services$72,748ProgramServicesAmt
Management And General$3,772ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,387TotalAmt
Program Services$1,320ProgramServicesAmt
Management And General$2,067ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$48,576TotalAmt
Management And General$48,576ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$71,659TotalAmt
Program Services$30,550ProgramServicesAmt
Management And General$41,109ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$183,816TotalAmt
Program Services$147,971ProgramServicesAmt
Management And General$35,845ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
TFC$526,433$526,433
LEASED SOFTWARE AND EQU$101,536$85,564$15,972
OTHER EXPENSES$10,867$7,210$3,657
DUES, FEES & LICENSES$4,901$290$4,611

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,044,356TotalAmt
Program Services$5,542,582ProgramServicesAmt
Management And General$1,501,774ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$646,631BOYAmt
EOY$578,018EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$664,289BOYAmt
EOY$946,428EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$229,899BOYAmt
EOY$229,121EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$371,866LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$279,837LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$133,957BOYAmt
EOY$92,029EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$122,015BOYAmt
EOY$142,377EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,796,791BOYAmt
EOY$1,987,973EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$343,487BOYAmt
EOY$265,034EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$15,476BOYAmt
EOY$15,476EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,963,940BOYAmt
EOY$1,658,040EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,322,903BOYAmt
EOY$1,938,550EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$526,112BOYAmt
EOY$49,423EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$526,112BOYAmt
EOY$49,423EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,796,791BOYAmt
EOY$1,987,973EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$575,535ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$8,333CurrentTaxYearMinus3YearsAmt
Total$8,333TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,978,153CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,820,659CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,963,061CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,147,735CurrentTaxYearMinus1YearAmt
Current Tax Year$7,575,757CurrentTaxYearAmt
Total$31,485,365TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,978,153CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,828,992CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,963,061CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,147,735CurrentTaxYearMinus1YearAmt
Current Tax Year$7,575,757CurrentTaxYearAmt
Total$31,493,698TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$31,493,698PublicSupportTotal509Amt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$52,555CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,795CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,983CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$118,835CurrentTaxYearMinus1YearAmt
Current Tax Year$44,134CurrentTaxYearAmt
Total$250,302TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,030,708CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,858,787CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,968,044CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,266,570CurrentTaxYearMinus1YearAmt
Current Tax Year$7,619,891CurrentTaxYearAmt
Total$31,744,000TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$66,542OtherCostOrOtherBasisAmt
Depreciation$40,489DepreciationAmt
Book Value$26,053BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$305,324OtherCostOrOtherBasisAmt
Depreciation$239,348DepreciationAmt
Book Value$65,976BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$92,029TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN AFFILIATEDesc
Book Value$142,377BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$142,377TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
NOTE PAYABLE TO RELATED PARTY - SOUTHWEST NETWORK$1,623,332
DEFERRED RENT$34,708
FieldValueIRS element (for citing)
Total Liability$1,658,040TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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 PERCENT 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 SUBJECT TO U.S. FEDERAL, OR STATE AND LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES SINCE THE DATE OF INCEPTION (JULY 9, 2013). AS OF SEPTEMBER 30, 2017, 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
AMY HENNING
PRESIDENT, CHAIR$0$230,323$0$0$0$90$0$7,200$0$14,268$0$251,881$0$0
MICHELLE FORNOFF
TREASURER$0$137,296$0$0$0$90$0$5,835$0$22,373$0$165,594$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S SOLE MEMBER IS SOUTHWEST NETWORK, INC., A NOT-FOR-PROFIT ENTITY.
FORM 990, PART VI, SECTION A, LINE 7ASOUTHWEST NETWORK HAS THE RIGHT TO APPOINT BOARD MEMBERS OF OPEN SKIES HEALTHCARE, INC.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 OT THE BOARD OF DIRECTORS AND EXECUTIVE DIRECTOR PRIOR TO BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15ATHE ORGANIZATION'S EXECUTIVE DIRECTOR'S COMPENSATION IS APPROVED BY THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SOUTHWEST NETWORK INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 N CENTRAL AVE STE 1050AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85004ZIPCd
FieldValueIRS element (for citing)
EIN860966400EIN
Primary ActivitiesBEHAVIORAL HEALTHPrimaryActivitiesTxt
Legal Domicile StateAZLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 10PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTHWEST NETWORK
E$1,623,332NOTE PAYABLE
SOUTHWEST NETWORK
P$8,942FMV
SOUTHWEST NETWORK
M$108,000FMV
SOUTHWEST NETWORK
R$347,632FMV

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