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        <PersonNm>Michael Kuzmin</PersonNm>
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        <PersonNm>Shawn Nau</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Teresa Bertsch</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lindsay Miller</PersonNm>
        <TitleTxt>CIO/Chief Business Officer</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Amy Jelliffe</PersonNm>
        <TitleTxt>Children's Medical Administrator</TitleTxt>
        <BaseCompensationFilingOrgAmt>196049</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Header, Line B</FormAndLineReferenceDesc>
        <ExplanationTxt>The NARBHA Institute changed its name from Northern Arizona Regional Behavioral Health Authority, Inc., effective 10/1/2015, and has received a revised determination letter from the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Corporate policies require review of the Form 990 by the chair on behalf of the board of directors prior to filing the organization's 990 return.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>NARBHA's Corporate Bylaws set out a comprehensive conflict of interest policy applicable to all members of the Board of Directors that requires that each director to promptly and fully disclose and declare all material facts of every actual or perceived conflict of interest, duality of interest and financial interest. Disclosure and declaration are monitored and reviewed by the Boards' Conflicts Advisor, appointed by the Board Chair. A board member who has a conflict of interest shall play no part, directly or indirectly, in the deliberations or vote, shall leave he meeting during the discussions of, and the vote on, the matter, contract or transactions and may not participate in the discussions nor vote on any decision in which the member has a conflict of interest or has declared a conflict of interest. Review and determination of conflicts and compliance with the policy is monitored by the Conflicts Advisor and the Board Chair. The Conflicts Advisor and the Governance Committee of the Board may investigate violations. Violations of the requirements set forth in the policy result in sanctions imposed by majority vote of the entire Board, up to and including removal from the Board. In addition, NARBHA prohibits employees/volunteers from participating in any decision to purchase or lease services, goods or property, or in any decision or action to correct, discipline or improve the performance of or terminate the contract of any NARBHA vendor, contractor or service provider in which the employee or volunteer or a relative or close social contact has a conflict of interest. Internal policy is monitored by the General Counsel and enforced through the Chief Executive Officer.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on comparability data for similarly qualified persons in functionally comparable positions at similarly situated organizations, the CEO's compensation was reviewed and approved by the organization's governing body, composed of independent members without conflicts, and contemporaneously documented. Compensation for key employees is established based on review and approval by organization's internal compensation-setting body, composed of independent members without conflicts, basing compensation on such factors as education requirements, license/certifications, experience, training, competencies, level of responsibility required for the job and a review of market factors on a local, state and/or nation level for similarly qualified persons in comparable positions at similar organizations, and contemporaneously documented when changes are made.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 16a</FormAndLineReferenceDesc>
        <ExplanationTxt>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 was formed during the fiscal year ending 9/30/2015 but did not commence operations during it. The joint venture will contract with the State of Arizona to provide comprehensive medical and behavioral services to Medicaid recipients and other indigent populations. The NARBHA Institute has 50% governance control and additional rights to safeguard its exempt status under federal tax law and ensure joint venture operations are substantially related to the organization's exempt purpose.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 16b</FormAndLineReferenceDesc>
        <ExplanationTxt>The NARBHA Institute does not regularly engage in joint ventures. The operating agreement of its joint venture reported on schedule R and on Part VI, Section b, line 16a, serves as the NARBHA Institute joint venture policy and requires the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and it takes steps to safeguard the organization's exempt status with respect to such arrangements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Corporate policies require that corporate records meet transparency standards for tax exempt organizations established by state and federal law. Corporate articles and annual reports/disclosures are published on the state of Arizona's website (Arizona Corporation Commission www.ascc.gov). Corporate 990 returns are published at www.guidestar.org. The corporate 990 return is made available upon request per corporate policies and IRS rules. Other governing documents are not required to be made available to the public and therefore are not published. The audited financial statements are available on request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Program service fees distributed $177,412,526. Professional and Outside Services $828,492.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Well North Communities LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>616 N Beaver Street</AddressLine1Txt>
          <CityNm>Flagstaff</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>86001</ZIPCd>
        </USAddress>
        <EIN>866037149</EIN>
        <PrimaryActivitiesTxt>Property ownership and providing affordable housing to persons with serious mental illness</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
        <TotalIncomeAmt>323170</TotalIncomeAmt>
        <EndOfYearAssetsAmt>2336421</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>The NARBHA Institute</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 S YALE ST</AddressLine1Txt>
          <CityNm>FLAGSTAFF</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>86001</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Medicaid managed care</PrimaryActivitiesTxt>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
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        <OwnershipPct>0.48</OwnershipPct>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WTDG Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>616 N Beaver Street</AddressLine1Txt>
          <CityNm>Flagstaff</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>86001</ZIPCd>
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        <EIN>464393138</EIN>
        <PrimaryActivitiesTxt>Consulting services for preparing a bid</PrimaryActivitiesTxt>
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        <ShareOfEOYAssetsAmt>100</ShareOfEOYAssetsAmt>
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      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
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      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>Health Choice Integrated Care LLC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>b</TransactionTypeTxt>
        <InvolvedAmt>2400000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair market value</MethodOfAmountDeterminationTxt>
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        <FormAndLineReferenceDesc>Schedule R, Part IV</FormAndLineReferenceDesc>
        <ExplanationTxt>Health Choice Integrated Care, LLC: Joint venture with Health Choice Northern Arizona (a subsidiary of IASIS Healthcare). Controlling entities: The NARBHA Institute has 50% governance control with additional rights to safeguard the organization's exempt status under applicable federal tax law. No K-1 information for tax year: Joint venture did not commence operations in the fiscal year ending 9/30/2015. All joint venture operations required by member operating agreement to be substantially related to exempt purpose.</ExplanationTxt>
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    <ReasonableCauseExplanation documentId="R000008" softwareId="14000267" softwareVersionNum="v1.00">
      <ExplanationTxt>The NARBHA Institute changed its name from its prior 990. The former name was "Northern Arizona Regional Behavioral health Authority." Published IRS guidance states that name changes require a paper filing. However, our name change had been previously reported in prior correspondence (revised determination letter) and so we received notice CP254. Any penalty should be waived because we did file timely in paper form, in reliance on the name change rules.</ExplanationTxt>
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