2015-05-04T13:37:32-07:00 2014-09-30 990 2013-10-01 866037149 NORTHERN ARIZONA REGIONAL BEHAVIORAL HEALTH AUTHORITY INC NORT 9287747128 1300 S Yale St Flagstaff AZ 86001 Michael Kuzmin CFO 9287747128 2015-05-04 2013 2016-04-25 22:37:26Z Mary Jo Gregory 1300 S Yale St Flagstaff AZ 86001 159964258 0 X www.narbha.org X 1967 AZ NARBHA is a community-based, non-profit organization managing behavioral health services to meet the needs of eligible individuals and support their recovery and resilience. 10 10 119 25 0 0 37002214 159285096 0 78395 25590 58057 110454 542710 37138258 159964258 0 0 0 0 2423021 9304713 0 0 0 34502095 147041160 36925116 156345873 213142 3618385 46718834 47741751 7314758 4719290 39404076 43022461 Provide, develop, and manage the best system of behavioral health care for multicultural consumers in a rural environment. 0 0 143435884 0 605692 NARBHA is a community-based, non-profit organization managing behavioral health services to meet the needs of eligible individuals and families and support their recovery and resilience. Through a contract with the state of Arizona, NARBHA provides a comprehensive behavioral health care delivery system for members within its geographic service area, with direct services provided by a network of contracted service providers. NARBHA funds a multitude of projects involving consumers, families, and providers through community reinvestment initiatives. NARBHA is operated for charitable and educational purposes in all areas and locations of its operation. NARBHA's services in this fiscal year encompassed 17,408 persons enrolled as behavioral health recipients as of September 30, 2014. Approximately 5.8 million units of behavioral health service encounters were provided to eligible persons through NARBHA's network, in addition to funding and programs for supportive housing and behavioral health crisis services. 0 0 0 143435884 1 1 0 1 0 0 0 0 0 0 1 0 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 1 1 1 0 0 0 1 175 0 1 119 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 AZ X Judy Marfechuk 9287747128 1300 S Yale St Flagstaff AZ 86001 Barbara Bartell Board Member-Secretary 1 X X 0 0 0 Dennis Bigelow Board Member-Vice-Chair 2 X X 0 0 0 Marriner Cardon Board Member 5 X 0 0 0 Harvey Grady Board Member-2nd Vice Chair 1 X X 0 0 0 Karen Kuebler Board Member 1 X 0 0 0 Susan Ramsey Board Member 1 X 0 0 0 Mark Sippel Board Member 2 X 0 0 0 Lina Wallen Board Member-Treasurer 2 X X 0 0 0 James Wurgler Board Member-Board Chair 6 X X 0 0 0 Shawn Nau Board Member 12 X 0 0 0 Celeste Irons Board Member 2 X 0 0 0 Mary Jo Gregory President and CEO 51 X 179273 0 9725 Michael Pattinson Former CEO 53 X 284987 0 32467 Michael Kuzmin CFO 42 X 118236 0 15371 Douglas Zimmerman Former CFO 48 X 184790 0 26244 Teresa Bertsch Chief Medical Officer 46 X 267346 0 59310 Lindsay Miller CIO/Chief Business Officer 49 X 166566 0 28883 Amy Jelliffe Children's Medical Administrator 36 X 161679 0 38008 Jill Kennedy Contract Compliance Administrator/Legal Counsel 64 X 165349 0 21843 Judith Marfechuk Controller 48 X 106208 0 34929 Laura Hartgroves Director of Network & System Development 45 X 109585 0 18709 1744019 0 285489 13 0 1 0 Mohave Mental Health Clinic 1743 Sycamore Ave Kingman AZ 86409 Mental Health Services 19336826 West Yavapai Guidance Clinic 1055 Ruth St Ste 6 Prescott AZ 86301 Mental Health Services 20228739 Community Partnership of Southern Arizona 535 N Wilmot Ste 201 Tucson AZ 85711 Pharmacy Benefits Manager 13053658 The Guidance Center 2187 N Vickey St Flagstaff AZ 86004 Mental Health Services 11730160 Verde Valley Guidance Clinic 8 E Cottonwood St Cottonwood AZ 86326 Mental Health Services 9707360 56 0 0 0 0 159285096 0 0 159285096 Rental Income for SMI Housing 532000 78395 78395 0 0 0 0 0 0 78395 58057 0 0 58057 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Provider Service Fees 900099 506164 506164 0 0 Other Services 900099 21133 21133 0 0 Miscellaneous 900099 15413 0 0 15413 0 0 0 0 542710 159964258 605692 0 73470 X 1005718 3838 1001880 0 6454812 99360 6355452 0 434952 6770 428182 0 897301 13966 883335 0 511930 7968 503962 0 294463 23910 270553 0 234800 19066 215734 0 143305056 142534201 770855 0 51320 20049 31271 0 387043 151203 235840 0 648586 2312 646274 0 265480 947 264533 0 175066 2442 172624 0 65138 25447 39691 0 659834 31360 628474 0 146036 57051 88985 0 Recruiting Expenses 24727 9660 15067 0 Training 24285 9487 14798 0 Other Operating Expenses 562053 219574 342479 0 SMI Housing Expenses 197273 197273 0 0 156345873 143435884 12909989 0 3900000 3705466 31021719 33378591 1891683 734362 27484 61755 494236 580722 13622127 4391272 9363712 9230855 20000 50000 46718834 47741751 7298953 4469398 15805 28658 0 221234 7314758 4719290 X 39404076 43022461 0 0 0 0 39404076 43022461 46718834 47741751 3618385 0 0 0 0 0 X 0 1 X 1 1 1 X 148614025 147895251 147719605 37002214 159284926 640516021 148614025 147895251 147719605 37002214 159284926 640516021 0 640516021 85516 70405 91535 43150 136622 427228 0 525274 521280 485334 123314 542710 2197912 643141161 0.99592 0.99564 X Schedule A, Part II, Line 1 The headings should be 2010, 2011, 2012, 2013 (short year of 3 months) and 2013 (12 months). Schedule A, Part II, Line 10 Other income includes income from provider service fees, use of telemed equipment, credit card rebates, and other miscellaneous income. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 0 0 Schedule C, Part II-B, Line 1 NARBHA's CEO engages in activities involving state agency and legislative communications which entail: 1) communications which provide nonpartisan analysis, study or research to governmental bodies and members of the public; 2) appearances and communications in response to a governmental body or committee's written request for technical advice and information; 3) communications and appearances before legislative bodies concerning actions by that body that might affect NARBHA's existence, powers and duties. These activities fall within exceptions to the IRS definition of 'direct lobbying' and therefore the expenditure reported is zero. Arizona law also excludes from the definition of 'lobbying expense' those expenditures made by NARBHA for its CEO's compensation, travel, filing fees, and office expenses, in carrying out the above activities. (ARS 41-1232.02) 0 1928650 1928650 0 6427860 1742677 4685183 0 0 0 0 0 5091665 2522888 2568777 0 173952 125707 48245 9230855 Other Payables - Related Parties 221234 221234 X 159964258 0 0 0 0 0 159964258 0 0 0 159964258 156345873 0 0 0 0 0 156345873 0 0 0 156345873 Schedule D, 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 accompanying 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, 2014. 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. X X X X 1 0 0 0 0 0 0 0 0 Mary Jo Gregory CEO 163281 0 0 0 15992 0 0 0 9725 0 188998 0 0 0 Michael Pattinson Former CEO 215882 0 0 0 69106 0 17850 0 14617 0 317455 0 0 0 Douglas Zimmerman Former CFO 71499 0 0 0 113290 0 15304 0 10940 0 211033 0 0 0 Teresa Bertsch Chief Medical Officer 262155 0 0 0 5191 0 38250 0 21060 0 326656 0 0 0 Lindsay Miller CIO/Chief Business Officer 163205 0 0 0 3362 0 9742 0 19142 0 195451 0 0 0 Amy Jelliffe Children's Medical Administrator 161679 0 0 0 0 0 17230 0 20778 0 199687 0 0 0 Jill Kennedy Contract Compliance Administrator/Legal Counsel 165349 0 0 0 0 0 10018 0 11825 0 187192 0 0 0 Michael Kuzmin CFO 114390 0 0 0 3846 0 7094 0 8277 0 133607 0 0 Schedule J, Part I, Line 4 Douglas Zimmerman received $89,384 in severance. Form 990, Part VI, Section B, Line 11b Corporate policies require review of the Form 990 by the finance comittee of the board of directors and distribution to the members of the board of directors prior to filing the organization's 990 return. Form 990, Part VI, Section B, Line 12c 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, and 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 the meeting during the discussions of, and the vote on, the matter, contract or transaction and may not participate in the discussion 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 has a comprehensive conflicts of interest policy applicable to all employees and volunteers working for NARBHA which requires annual disclosure and 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. The internal policy is monitored by the Human Resources and Corporate Compliance officers and enforced through the Chief Executive Officer. Form 990, Part VI, Section B, Line 15 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 national level for similarly qualified persons in comparable positions at similar organizations, and contemporaneously documented when changes are made. Form 990, Part VI, Section C, Line 19 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 website (Arizona Corporation Commission www.azcc.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 published on the company's website. Form 990, Part IX, Line 11g Program service fees distributed $142,404,903. Professional and Outside Services $129,298. 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