2018-07-17T17:48:23-05:00 2017-09-30 341884125 CBIZ MHM LLC 4722 N 24th St Ste 300 Phoenix AZ 85016 990 2016-10-01 866037149 THE NARBHA INSTITUTE INC NARB 9282338667 616 N Beaver Street Flagstaff AZ 86001 MARY JO GREGORY CHIEF EXECUTIVE OFFICER 9282338667 2018-07-12 1 Amy A O'Loughlin P00869687 6022646835 2018-07-10 2016 2022-09-23 18:48:47Z MARY JO GREGORY 616 N Beaver Street FLAGSTAFF AZ 86001 28227267 0 X www.narbhainstitute.org X 1967 AZ OVERSEES MEDICAID MANAGED CARE PLAN, PERMANENT SUPPORTED HOUSING AND POPULATION HEALTH. 4 3 8 9 0 0 6454150 5953979 703037 705200 374845 407252 153405 510611 7685437 7577042 1576225 2091478 0 0 855819 1259732 0 0 0 1334616 1371448 3766660 4722658 3918777 2854384 52571185 55695505 683776 225181 51887409 55470324 X THE INSTITUTE OVERSEES A MEDICAID MANAGED CARE PLAN, PROVIDES PERMANENT SUPPORTED HOUSING FOR PERSONS LIVING WITH SERIOUS MENTAL ILLNESS, AND WORKS TO ADDRESS POPULATION HEALTH AND THE SOCIAL DETERMINANTS OF HEALTH AS A CONVENER AND SUPPORTER. 0 0 2596163 1773392 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. In addition to grants made directly by the NARBHA Institute, the organization made an additional $754,546 in grants through its joint venture. In 2017, a $1.5M endowed professorship was created at an university that will focus on the intersection of criminal justice and behavioral health. 315662 642582 The NARBHA Institute's Joint Venture is contracted with the Arizona Medicaid program as an integrated regional behavioral health authority (RBHA) which is a managed care organization serving over 166,000 covered lives in northern Arizona. NARBHA 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. 402704 62618 Through a disregarded entity (Well North Communities LLC), we provide permanent supported housing to approximately 40 families living with serious mental illness in Northern Arizona. Tenants pay an income-adjusted portion of rent (which is often zero) and reside in apartments purchased with funding from the Arizona Department of Health Services. While not listed on financial statements as an expense, the opportunity cost of these heavily discounted rents is over $351,000 per year excluding utilities, based on HUD & survey data. 358018 191774 We commissioned a comprehensive study of community health needs and health equity gaps through the Northern Arizona University (NAU) Center for Health Equity. NAU is a public research university and the study will be used to prioritize future interventions, identify opportunities and leverage partnerships with entities such as local hospitals, healthcare providers and community based organizations. 175687 126312 SEDI - Sustainable Economic Development Initiative (related organization, files separate 990, provides economic development services, related to NARBHA Institute's mission to promote employment as a key social determinant of health). 98467 The Justice Summit hosted with Coconino County brought together leaders from across the nation to elevate awareness of criminal justice issues, drive discussion and catalyze innovative thinking. 11895 The NARBHA Atlas was launched to be an online resource of "visualizations" that will enable collaborators, influencers, and program developers to interact with data in new and engaging ways. The goal is to make health-related data more understandable, usable and accessible. 644067 318086 3958596 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 77 0 1 8 1 0 0 0 0 0 0 0 0 0 0 X 4 3 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 AZ X JUDY MARFECHUK 9282338672 616 N Beaver Street FLAGSTAFF AZ 86001 JAMES WURGLER VICE-PRESIDENT 6.00 X X 0 0 0 MARRINER CARDON SECRETARY 5.00 X X 0 0 0 JIM DYKES DIRECTOR 4.00 X 0 0 0 MARY JO GREGORY PRESIDENT & CEO 47.00 X X 433058 0 19058 JAMES COOK CFO 40.00 X 192011 0 9680 NATHAN JONES LEGAL COUNSEL 45.00 X 142968 0 9827 JUDITH MARFECHUK CONTROLLER 35.00 X 135827 0 9725 903864 0 48290 4 0 1 0 Child and family support 10439 s 52st street 100 phoenix AZ 85004 mental HEALTH SERVICES 777779 WEST YAVAPAI GUIDANCE CLINIC INC 3343 N WINDSONG DRIVE PRESCOTT AZ 86314 MENTAL HEALTH SERVICES 366117 Northern Arizona University po box 4080 FlagstaFF AZ 86011 Community Needs assessment 322977 Strategic Health Advisors Inc 90 Dornoch way Coto de Caza CA 92679 Consulting 180000 MOHAVE MENTAL HEALTH CLINIC INC 1743 SYCAMORE AVENUE KINGMAN AZ 86409 MENTAL HEALTH SERVICES 159909 7 5953979 5953979 RENTAL INC JOINT VENTU 531120 642582 642582 RENTAL INC SMI HOUSING 531110 62618 62618 705200 357451 357451 20700026 20650225 49801 49801 49801 AHIP REFUND 900099 501709 501709 miscellaneous 900099 8902 8902 510611 7577042 705200 0 917863 2091478 2091478 861871 559354 302517 321552 231753 89799 12965 9650 3315 63344 42875 20469 6859 6859 33500 33500 69290 69290 335080 286494 48586 525 414 111 44144 28674 15470 41665 25506 16159 189209 171594 17615 37937 24593 13344 116092 92360 23732 372239 361307 10932 82953 82953 Other operating expense 22650 13866 8784 DUES AND SUBSCRIPTIONS 19305 11819 7486 4722658 3958596 764062 0 6308296 1475909 23794373 11667525 28411 0 145474 5723 93044 78009 10540971 3029961 7714564 7511010 6545419 21061746 7941604 13895583 52571185 55695505 683776 225181 683776 225181 X 51887409 55470324 51887409 55470324 52571185 55695505 2854384 728531 0 X 0 1 X 1 0 X 37002214 159284926 197900920 6454150 5953979 406596189 37002214 159284926 197900920 6454150 5953979 406596189 406596189 18440 58057 102136 94657 357451 630741 5702 15413 11107 10200 510611 553033 407779963 2788284 0.99710 0.99920 X Schedule A, Part II, Line 10, Explanation of Other Income: rebates other misc - 2012 Amount: $ 5,702. 2013 Amount: $ 15,413. 2014 Amount: $ 11,107. miscellaneous income - 2015 Amount: $ 10,200. 2016 Amount: $ 8,902. AHIP Refund - 2016 Amount: $ 501,709. SCHEDULE A, PART II, LINE 1 THE HEADINGS FOR THE YEARS SHOULD BE 2013 (SHORT YEAR OF 3 MONTHS), 2013 (12 MONTHS), 2014, 2015, and 2016. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2003909 2003909 8313767 2876706 5437061 223295 153255 70040 7511010 INVESTMENT IN HEALTH CHOICE INTEGRATED CARE, LLC 13895583 13895583 X 8345895 728531 166634 895165 7450730 126312 126312 7577042 4689278 92932 92932 4596346 126312 126312 4722658 Part X, Line 2: NARBHA 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, NARBHA 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 NARBHA HAS ANY UBTI FOR THE YEAR ENDED SEPTEMBER 30, 2017. NARBHA 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. Part XI, Line 2d - Other Adjustments: INCOME FROM sustainable economic development initiative (RELATED) entity 166,634. Part XI, Line 4b - Other Adjustments: Eliminations 126,312. Part XII, Line 2d - Other Adjustments: EXPENSES FROM sustainable economic development initiative (RELATED) entity 92,932. Part XII, Line 4b - Other Adjustments: eliminations 126,312. 1 Northern Arizona Technology & Business Incubator Inc (N) 2225 NGemini Drive Flagstaff AZ 86001 861019180 501(c)(3) 5000 Program Support Navajo County Government (N 68500 and JV 66474) PO Box 668 Holbrook AZ 86025 866000541 Government 134974 Program Support United Way of Northern Arizona (N) 1515 E Cedar Ave Ste D-1 Flagstaff AZ 86004 860211666 501(c)(3) 12000 Program Support NAMI Arizona Inc (N 24000 and JV 29582) 5025 E Washington Street Ste 112 Phoenix AZ 85034 860464872 501(c)(3) 53582 Program Support Flagstaff Family Food Center (N) PO Box P Flagstaff AZ 86002 860754044 501(c)(3) 75100 Program Support Flagstaff Unified School District (N) 3285 E Sparrow Avenue Flagstaff AZ 86004 860593041 Government 16000 Program Support City of Flagstaff (N) 211 W Aspen Ave Flagstaff AZ 86001 866000244 Government 43138 Program Support Northern Arizona University (N) PO Box 4080 Flagstaff AZ 86011 742579628 Government 196774 Program Support Northern Arizona University Foundation (N) PO Box 4094 Flagstaff AZ 86011 860193726 501(c)(3) 1500000 Program Support Northern Arizona Healthcare Foundation Inc (N 5000 AND JV 2500) 1200 N Beaver Street Flagstaff AZ 86001 860110232 501(c)(3) 7500 Program Support coconino county sustainable economic development initiative (N) 616 n beaver street flagstaff AZ 86001 261077054 501(c)(3) 51705 74607 cash reimbursement wages, employee related expenses program support Little Colorado Behavioral Health Centers Inc (JV) PO Box 699 SPRINGERVILLE AZ 85938 860250938 501(c)(3) 5323 program support Southwest Behavioral Health Services Inc (JV) 3450 N 3rd Street Phoenix AZ 85012 860290033 501(c)(3) 86493 Program Support Spectrum Health Care Inc (JV) 8 east cottonwood street cottonwood AZ 86326 860207499 501(c)(3) 8330 Program Support The Guidance Center Inc (JV) 2187 North Vickey Street Flagstaff AZ 86004 860223720 501(c)(3) 20219 Program Support West Yavapai Guidance Center Inc (N 807 JV 23213) 3343 N Windsong Drive Prescott AZ 86314 860206928 501(c)(3) 24020 Program Support Matforce (JV) 8056 East Valley Road Suite B Prescor Valley AZ 86314 860900106 501(c)(3) 32179 Program Support Canyonlands Community Health Center (JV) PO Box 1625 page AZ 86040 860350153 501(c)(3) 33683 Program Support Changepoint Integrated Health Inc (JV) 1801 W Deuce of Clubs Suite 100 show low AZ 85901 860215065 501(c)(3) 72369 Program Support Mohave Mental Health Clinics Inc (JV) 1743 Sycamore Ave Kingman AZ 86409 860214457 501(c)(3) 15000 Program Support Victim Witness Services for Coconino County (JV) 2101 E Birch Ave Suite 4 flagstaff AZ 86001 860481748 501(c)(3) 25000 Program Support Northland Family Help Center (JV) 2532 N 4th Street Flagstaff AZ 86004 860351566 501(c)(3) 40000 Program Support Flagstaff shelter services (N 2500 Jv 50000) po box 1808 flagstaff AZ 86002 204921369 501(c)(3) 52500 Program Support Old Concho Community Assistance Center Inc (JV) po box 50 concho AZ 85924 860907044 501(c)(3) 8545 Program Support MIKID - Mentally Ill Kids in Distress Inc (JV) 7816 N 19th Ave Phoenix AZ 85021 860673994 501(c)(3) 5500 Program Support Northern Arizona Pride Association (JV) PO Box 1604 Flagstaff AZ 86002 860974341 501(c)(3) 6000 Program Support arizona suicide prevention coalition (JV) po box 10745 phoenix AZ 85064 860971507 501(c)(3) 5000 Program Support terros inc (JV) 3003 n central ave suite 200 phoenix AZ 85012 860252067 501(c)(3) 5000 Program Support American Heart Association (JV) 7272 Greenville Ave Dallas TX 75231 135613797 501(c)(3) 5000 Program Support Catholic Charities Community Services Inc (JV) 4747 N 7th Avenue phoenix AZ 85013 860223999 501(c)(3) 50000 Program Support family involvement center (JV) 5333 north 7th street no a-100 phoenix AZ 85014 710890534 501(c)(3) 36792 Program Support hope lives - vive le esperanza (JV) 1016 E Buckeye Rd phoenix AZ 85034 452300190 501(c)(3) 17978 Program Support Asu Center for Applied Behavioral Health Policy (JV) 500 n 3rd street suite 200 phoenix AZ 85004 860196696 Government Agency 6000 Program Support Mental Health Coalition Verde Valley (N 1250 JV 5750) po box 1341 sedona AZ 86339 812882235 501(c)(3) 7000 Program Support technical assistance partnership of arizona (JV) 2929 n central avenue suite 1550 phoenix AZ 85012 860975231 501(c)(3) 7500 Program Support child and family support services inc (JV) 10439 s 51st street phoenix AZ 85044 770601535 N/A 9920 Program Support arizona forward Association (N) 3800 N Central Ave phoenix AZ 85012 237154678 501(c)(3) 5800 program support 37 Part I, Line 2: THE NARBHA INSTITUTE MAKES GRANTS ITSELF AND THROUGH ITS JOINT VENTURE, HEALTH CHOICE INTEGRATED CARE. GRANTS MADE DIRECTLY BY THE NARBHA INSTITUTE ARE REPORTED WITH A (N) IN THE NAME. GRANTS MADE THROUGH THE JOINT VENTURE ARE REPORTED WITH A (JV) IN THE NAME. GRANTS MADE THROUGH THE JOINT VENTURE AMOUNT TO $754,546. BOTH ENTITIES REQUIRE MOST PROSPECTIVE GRANTEES TO FILE A REQUEST FOR FUNDING ON A STANDARD FORM. THE BOARD OF THE GRANT-MAKING ENTITY APPROVES A GRANT-MAKING BUDGET AND ANY GRANTS OUTSIDE THE BUDGETED AMOUNTS. STAFF COMMITTEES 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. NARBHA 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 NARBHA'S CHARITABLE PURPOSE AND MISSION. X X X X X 0 0 0 0 0 0 0 0 0 MARY JO GREGORY PRESIDENT & CEO 428058 0 0 0 5000 0 0 0 19058 0 452116 0 0 0 JAMES COOK CFO 192011 0 0 0 0 0 0 0 9680 0 201691 0 0 0 NATHAN JONES LEGAL COUNSEL 137819 0 0 0 5149 0 0 0 9827 0 152795 0 0 0 Part I, Line 7 BASED ON COMPARABILITY DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATIONED 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 SPECFICALLY CONTRACTED TO ENSURE THAT COMPENSATION IS NOT EXCESSIVE IN LIGHT OF A COMPLEX HEALTHCARE ORGANIZATION OVERSEEING A JOINT VENTURE WHICH PROVIDES PHYSICAL AND BEHAVIORAL HEALTH SERVICES TO OVER 166,000 COVERED MEDICAID LIVES. 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 VI, SECTION B, LINE 16A HEALTH CHOICE INTEGRATED CARE, LLC IS A JOINT VENTURE OF THE NARBHA INSTITUTE AND HEALTH CHOICE NORTHERN ARIZONA, LLC (A SUBSIDIARY OF IASIS HEALTHCARE). THE JOINT VENTURE HAS A CONTRACT/GRANT WITH THE ARIZONA HEALTHCARE COST CONTAINMENT SYSTEM (AHCCCS - ARIZONA'S MEDICAID PROGRAM) TO PROVIDE COMPREHENSIVE MEDICAL AND BEHAVIORAL HEALTH SERVICES TO MEDICAID RECIPIENTS AND OTHER INDIGENT POPULATIONS. THE JOINT VENTURE IS TAXED AS A PARTNERSHIP AND IN GENERAL, PURSUANT TO FORM 990 INSTRUCTIONS, THE NARBHA INSTITUTE TREATS THE ACTIVITIES OF THE JOINT VENTURE AS ITS OWN, TO THE EXTENT OF ITS PROPORTIONATE INTEREST IN THE JOINT VENTURE, WHICH COMMENCED OPERATIONS ON OCTOBER 1, 2015 AND PERFORMS SUBSTANTIALLY THE SAME FUNCTIONS AS THIS ORGANIZATION HAS REPORTED ON PRIOR FORMS 990. WELL NORTH COMMUNITIES LLC 616 N BEAVER STREET FLAGSTAFF AZ 86001 866037149 PROPERTY OWNERSHIP AND PROVIDING AFFORDABLE HOUSING AZ 114918 2452051 THE NARBHA INSTITUTE COCONINO COUNTY SUSTAINABLE ECONOMIC DEVELOPMENT INITIATIVE 616 N BEAVER STREET FLAGSTAFF AZ 86001 261077054 MICRO-LOANS AZ 501(c)(3) Line 7 THE NARBHA INSTITUTE 1 HEALTH CHOICES INTEGRATED CARE LLC 1300 s yale st flagstaff AZ 86001 471961438 medicaid managed care AZ health choice integrated care llc related 5953979 13895583 0 1 0.48000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0