2012-03-14T11:59:46-07:00 2011-06-30 990 2010-07-01 866037149 NORTHERN ARIZONA REGIONAL BEHAVIORAL HEALTH AUTHORITY INC NORT 9287747128 1300 S Yale St Flagstaff AZ 86001 Douglas Zimmerman 9287747128 2012-03-19 2010 2016-02-24 21:20:13Z Douglas Zimmerman 1300 S Yale St Flagstaff AZ 86001 149224815 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. 12 12 139 25 0 0 146238220 148614025 0 0 130391 61668 485670 525274 146854281 149200967 62021 775772 0 0 9130226 8651495 0 0 0 135594519 138705027 144786766 148132294 2067515 1068673 34105530 36881378 7861578 9568753 26243952 27312625 Provide, develop, and manage the best system of behavioral health care for multicultural consumers in a rural environment. 0 0 136673345 0 0 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 17,663 persons enrolled as behavioral health recipients as of June 30, 2011. Approximately 6 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 136673345 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 185 0 1 139 1 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AZ X Doug Zimmerman 9287747128 1300 S Yale St Flagstaff AZ 86001 Barbara Bartell 2.5 X 0 0 0 Dennis Bigelow 5.5 X X 0 0 0 Marriner Cardon 5.5 X 0 0 0 Jennifer Dufresne 1 X 0 0 0 Harvey Grady 2.25 X 0 0 0 Stephen Kahne 4 X 0 0 0 Clay Overson 4.25 X X 0 0 0 Susan Ramsey 1.5 X 0 0 0 Lupe Rocha 2.5 X 0 0 0 Mark Sippel 2.5 X 0 0 0 Lina Wallen 2.5 X X 0 0 0 James Wurgler 3.75 X X 0 0 0 Michael Pattinson 49 X 233441 0 22291 Douglas Zimmerman 47 X 153040 0 42286 Teresa Bertsch 43 X 251960 0 45714 Susan Morley 46 X 147893 0 37598 Raymond Johnson 40 X 143218 0 10011 John McKever 50 X 137591 0 16874 Susan Rathjen 47 X 131432 0 27335 Amy Jelliffe 46 X 111243 0 15845 1309818 0 217954 9 0 1 0 Community Partnership of Southern Arizona 535 N Wilmot Ste 201 Tucson AZ 85711 Pharmacy Benefits Manager 20135257 Mohave Mental Health Clinic 1743 Sycamore Ave Kingman AZ 86409 Mental Health Services 18913444 West Yavapai Guidance Clinic 1055 Ruth St Ste 6 Prescott AZ 86301 Mental Health Services 17932908 The Guidance Center 2187 N Vickey St Flagstaff AZ 86004 Mental Health Services 11595303 Community Counseling Centers Inc 105 N 5th Ave Holbrook AZ 86025 Mental Health Services 9884951 43 0 0 0 0 148614025 0 0 148614025 0 85516 0 0 85516 0 0 0 0 0 0 0 0 0 0 0 0 0 23848 0 -23848 -23848 -23848 0 0 0 Provider Service Fees 900099 459618 0 0 459618 Other Services 900099 48432 0 0 48432 Miscellaneous 900099 17224 0 0 17224 0 0 0 0 525274 149200967 -23848 0 610790 775772 775772 0 0 0 0 0 0 781755 0 781755 0 0 0 0 0 5965690 183983 5781707 0 396745 10387 386358 0 993719 26016 967703 0 513586 13446 500140 0 0 0 0 0 50009 4061 45948 0 202500 16443 186057 0 0 0 0 0 0 0 0 0 136201381 135529637 671744 0 26026 1914 24112 0 363874 26765 337109 0 315155 6316 308839 0 0 0 0 0 381969 7655 374314 0 182661 12502 170159 0 0 0 0 0 42641 3137 39504 0 840 17 823 0 0 0 0 0 510819 23874 486945 0 248154 18254 229900 0 Recruiting Expenses 54004 3972 50032 0 Training 26581 1955 24626 0 Other Operating Expenses 98413 7239 91174 0 148132294 136673345 11458949 0 1269628 3900000 25492034 15672392 1306245 11327447 36321 10450 0 355295 342707 9155350 3526968 5646007 5628382 34105530 36881378 1267480 1104672 6566072 8226575 4561 226753 23465 10753 7861578 9568753 X 26243952 27312625 0 0 0 0 26243952 27312625 34105530 36881378 1068673 0 X 0 1 1 X 1 1 X 104765567 121623660 140775619 146238220 148614025 662017091 104765567 121623660 140775619 146238220 148614025 662017091 662017091 806811 638104 288221 130391 85516 1949043 635893 539905 515198 485670 525274 2701940 666668074 0.99302 0.99145 X Other Income includes income from provider service fees, use of telemed equipment, sanctions of providers and other miscellaneous income. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 0 0 SchC_P2B_S00_L01 Schedule C, Part II-B, Line 1 NARBHA's CEO engages in activities involving state agency and legislative communicatons which entail: 1) communications which provide nonpartisan anlysis, 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 compensaton, travel, filing fees, and office expenses, in carrying out the above activities. (ARS 41-1232.02) 0 1245492 1245492 0 4521660 1085234 3436426 0 0 0 0 0 3242981 2379284 863697 0 145217 62450 82767 5628382 Capital Lease Obligations 10753 10753 149200967 148132294 1068673 0 0 0 0 0 0 1068673 149224815 0 0 0 23848 23848 149200967 0 0 0 149200967 148156142 0 0 0 23848 23848 148132294 0 0 0 148132294 SchD_P10_S00_L02 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 years ended June 30, 2011 and 2010. 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. SchD_P12_S00_L02d Schedule D, Part XII, Line 2d Loss on sales of assets reported on audited financial statements as an expense. SchD_P13_S00_L02d Schedule D, Part XIII, Line 2d Loss on sales of assets reported as an expense on audited financial statements. 1 The Guidance Center Inc 2187 N Vickey St Flagstaff AZ 86004 860223720 55205 To implement an Integration Clinic Expansion Program and to provide funds for transitioning out persons losing benefits. Southwest Behavioral Health Inc 3450 N 3rd St Phoenix AZ 85012 860290033 62066 To provide funds to expand integrated care and for transitional tasks for persons losing benefits. Mohave Mental Health Clinic Inc 1743 Sycamore Ave Kingman AZ 86409 860214457 152379 To modify existing electronic medical record system and to provide funds for transitional tasks for persons losing benefits. Little Colorado Behavioral Health Centers Inc 470 W Cleveland St Johns AZ 85936 860250938 58402 To provide funds for a building addition and for transitional tasks for persons losing benefits. Verde Valley Guidance Clinic Inc 8 E Cottonwood St Cottonwood AZ 86326 860207499 50949 To purchase primary care EMR and provide funds for transitional tasks for persons losing benefits. West Yavapai Guidance Clinic Inc 1055 Ruth St Prescott AZ 86301 860206928 125824 To hire FT program coordinator/health coach and to provide funds for transitional tasks for persons losing benefits. Community Behavioral Health Services Inc PO Box 790 Page AZ 86040 860473221 92366 To purchase health care supplies/lab station for Encompass Medical Center, to provide funds for transitional tasks for persons losing benefits and to provide peer support services to Non-TXIX SMI individuals. Child and Family Support Services 4700 S McClintock Dr Ste 140 Tempe AZ 85282 770601535 45000 Rock It Program Community Counseling Centers Inc 105 N 5th Ave Holbrook AZ 86025 860215065 75581 For Integrated Health Care Model and to provide funds for transitional tasks for persons losing benefits. NAZCARE Inc 599 White Spar Rd Prescott AZ 86303 050533759 58000 To provide peer support services to Non-TXIX SMI individuals. 9 1 SchI_P01_S00_L02 Schedule I, Part I, Line 2 The recipients of the Community Reinvestment awards receive 50% of the monies at the time awards are granted. In order to receive the 2nd installment of 40%, they must submit evidence that the monies they had received in the 1st installment were expended for their intended use. That might be in the form of receipts or a schedule of how the monies were spent. Before the final 10% is paid out the recipients must complete a final report which includes a section on project description and accomplishments and a section for a financial report. They are also requested to return any unused funds more than $100 and to keep original receipts for at least four years. NARBHA may request at any time to see receipts or other documentation that the monies were expended appropriately. Someone at the agency must sign off on this report certifying that the Award funds were spent according to NARBHA's Community Reinvestment Program Agreement and guidelines. X X X X 1 0 0 0 0 0 0 0 0 Michael Pattinson 216941 0 0 0 16500 0 13327 0 8964 0 255732 0 0 0 Douglas Zimmerman 152050 0 0 0 990 0 33322 0 8964 0 195326 0 0 Teresa Bertsch 250874 0 0 0 1086 0 36750 0 8964 0 297674 0 0 Susan Morley 147893 0 0 0 0 0 29978 0 7620 0 185491 0 0 Susan Rathjen 131432 0 0 0 0 0 19715 0 7620 0 158767 0 0 John McKever 77568 0 0 0 60023 0 11645 0 5229 0 154465 0 0 Raymond Johnson 142048 0 0 0 1170 0 1047 0 8964 0 153229 0 0 SchJ_P01_S00_L04 Schedule J, Part I, Line 4 John Mckever received $60,023 in severance. F990_P06_S0B_L11a Form 990, Part VI, Section B, Line 11a Corporate policies require review of the Form 990 by the finance committee of the board of directors and distribution to the members of the board of directors prior to filing the organization's 990 return. F990_P06_S0B_L12c 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 Board's 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 discussion 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 disclosures 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 offices and enforced through the Chief Executive Officer. F990_P06_S0B_L15 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 in 2010. CFO and key employees compensation was reviewed and approved by organization's internal compensation-setting body, composed of independent members without conflicts, basing compensation on 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 in 2009 and 2010. F990_P06_S0C_L19 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.