2024-08-15T16:42:25-05:00 2023-09-30 341884125 CBIZ MHM LLC 4722 N 24TH ST STE 300 PHOENIX AZ 85016 990 2022-10-01 860250938 LITTLE COLORADO BEHAVIORAL HEALTH CENTERS INC LITT 9283332683 PO BOX 699 50 N HOPI ST SPRINGERVILLE AZ 85938 JOHN HOGEBOOM CBI CEO 9283332683 2024-08-15 1 1 AMY A O'LOUGHLIN P00869687 6022646835 2024-08-12 2022 2024-08-08 14:25:15Z JOHN HOGEBOOM PO BOX 699 50 N HOPI ST SPRINGERVILLE AZ 85938 3004857 0 X WWW.LCBHC.ORG X 1969 AZ TO PROMOTE EFFECTIVE AND EFFICIENT BEHAVORIAL HEALTH SERVICE TO AS MANY CLIENTS AS POSSIBLE WITHIN OUR SERVICE AREA WHILE MAINTAINING FINANCIAL STABILITY. 8 5 0 5 0 0 2771257 2985908 0 0 0 3 69686 18946 2840943 3004857 0 0 0 0 73746 0 0 0 0 3913202 3788740 3986948 3788740 -1146005 -783883 1637933 1349587 1466521 1962058 171412 -612471 TO PROMOTE AND PROVIDE THE MOST EFFECTIVE AND EFFICIENT BEHAVORIAL HEALTH SERVICE POSSIBLE TO AS MANY CLIENTS AS POSSIBLE WITHIN OUR SERVICE AREA WHILE MAINTAINING FINANCIAL STABILITY. 0 0 3788089 18946 OUTPATIENT- PROVIDING BEHAVORIAL HEALTH SERVICES TO RESIDENTS IN APACHE COUNTY INCLUDING PSYCHIATRY, OUTPATIENT THERAPY, CASE MANAGEMENT, AND ALCOHOL AND DRUG TREATMENT. 3788089 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 5 0 1 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X THE ORGANIZATION 9283332683 PO BOX 699 50 HOPI ST SPRINGERVILLE AZ 85938 JOHN HOGEBOOM SECRETARY AND CBI CEO 2.00 40.00 X X 0 508953 37648 RAMON DOMINGUEZ DIRECTOR 2.00 40.00 X 0 467001 30895 SCOTT HATLEN DIRECTOR 2.00 40.00 X 0 384745 38768 JOSH ANDERSON PRESIDENT 2.00 X X 0 0 0 KAREN HOGAN TREASURER 2.00 X X 0 0 0 MARY CAMELI DIRECTOR 2.00 2.00 X 0 0 0 DAVID SHUMWAY DIRECTOR 2.00 2.00 X 0 0 0 MICHAEL LATHAM DIRECTOR 2.00 X 0 0 0 MICHAEL CIRIVELLO DIRECTOR 2.00 X 0 0 0 RODNEY POCHE LCBH CEO 40.00 X 0 143480 34399 0 1504179 141710 0 0 1 0 COMMUNITY BRIDGES INC 1855 W BASELINE RD STE 101 MESA AZ 85202 MANAGEMENT 3750000 1 2985908 2985908 3 3 18946 0 18946 18946 18946 3004857 18946 0 3 3750000 3750000 3349 3349 34740 34740 BANK FEES 651 651 3788740 3788089 651 0 356726 60131 604543 647532 1299639 657715 676664 641924 1637933 1349587 91576 91576 47140 72317 1327805 1798165 1466521 1962058 X 171412 -612471 171412 -612471 1637933 1349587 -783883 0 X 0 0 0 X 3745613 4129542 2643116 2771258 2985908 16275437 3745613 4129542 2643116 2771258 2985908 16275437 16275437 2245 24195 70 3 26513 1490701 69686 18946 1579333 17881283 0.91020 0.91450 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FEE FOR SERVICE AND RENT INCOME FOR RELATED ACTIVITIES - 2020 AMOUNT: $ 1,490,701. 2021 AMOUNT: $ 69,686. 2022 AMOUNT: $ 18,946. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 77931 77931 808038 319403 488635 248484 173126 75358 165186 165186 0 641924 DUE FROM RELATED PARTIES 1798165 1798165 0 0 0 0 0 0 0 1 0 JOHN HOGEBOOM SECRETARY AND CBI CEO 0 477213 0 12000 0 19740 0 12200 0 25448 0 546601 0 0 RAMON DOMINGUEZ DIRECTOR 0 432092 0 17569 0 17340 0 12200 0 18695 0 497896 0 0 SCOTT HATLEN DIRECTOR 0 352311 0 15094 0 17340 0 10581 0 28187 0 423513 0 0 RODNEY POCHE LCBH CEO 0 136601 0 6339 0 540 0 6387 0 28012 0 177879 0 0 PART I, LINE 7 NONFIXED BONUS PAYMENTS ARE PROVIDED AT MANAGEMENT'S DISCRETION AND THE APPROVAL OF THE BOARD OF DIRECTORS TO ITS EMPLOYEES. FORM 990, PART VI, SECTION A, LINE 3 AS OF JANUARY 1, 2021, THE ORGANIZATION ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH THE SOLE MEMBER, COMMUNITY BRIDGES, INC., WHERE CERTAIN MANAGEMENT SERVICES ARE PROVIDED BY COMMUNITY BRIDGES, INC. FORM 990, PART VI, SECTION A, LINE 6 AS OF OCTOBER 27, 2020, COMMUNITY BRIDGES, INC. BECAME THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ALL DIRECTORS ARE APPOINTED BY THE SOLE MEMBER, COMMUNITY BRIDGES, INC. THE BOARD IS REQUIRED TO BE COMPOSED OF THE CEO, CFO AND COO OF THE SOLE MEMBER AND AT LEAST TWO MEMBERS OF THE SOLE MEMBER'S BOARD OF DIRECTORS. IN ADDITION, AT LEAST TWO DIRECTORS MUST BE RESIDENTS OF APACHE COUNTRY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE CPA FIRM AND IS REVIEWED BY TWO BOARD MEMBERS AS WELL AS STAFF MEMBERS OF THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 12C CBI ANNUALLY REQUESTS ALL OFFICERS, BOARD MEMBERS, AND APPLICABLE EMPLOYEES TO COMPLETE THE FORM. COMPLETED FORMS GO TO THE COMPLIANCE COMMITTEE FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 15A LCBH EMPLOYEES ARE PAID BY CBI AS OF 01/01/2021. THE CEO'S SALARY IS DETERMINED BY THE CBI BOARD OF DIRECTORS USING SALARY INFORMATION, CPI INDEX, ETC. AND APPROVED BY THE CBI BOARD AND ENTERED INTO THE MINUTES OF THE MEETING. OTHER OFFICERS/KEY EMPLOYEE'S SALARIES OF THE ORGANIZATION RECEIVE AN ANNUAL REVIEW, APPROPRIATE SALARY SURVEY INFORMATION IS USED TO DETERMINE IF A MARKET INCREASE IS DUE, OTHERWISE THE ANNUAL PERCENTAGE INCREASE IS DETERMINED BY CBI'S PRESIDENT/CEO. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST. COMMUNITY BRIDGES INC 1855 W BASELINE RD STE 101 MESA AZ 85202 942880847 HEALTH AZ 501(C)(3) LINE 7 YES 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 COMMUNITY BRIDGES INC M 3750000 AS STATED IN MGT AGREEMENT