2024-08-08T11:58:14-05:00 2023-09-30 341884125 CBIZ MHM LLC 4722 N 24TH ST STE 300 PHOENIX AZ 85016 990 2022-10-01 860223720 THE GUIDANCE CENTER INC GUID 9287146407 2187 N VICKEY STREET FLAGSTAFF AZ 86004 DEVON FORREST CEO 9287146407 2024-08-07 1 1 AMY A O'LOUGHLIN P00869687 6022646835 2024-08-07 2022 2024-08-08 14:25:15Z DEVON FORREST 2187 N VICKEY STREET FLAGSTAFF AZ 86004 20973452 0 X WWW.TGCAZ.ORG X 1969 AZ THE GUIDANCE CENTER DELIVERS BEHAVIORAL HEALTHCARE SOLUTIONS. 6 2 281 3 0 0 5861488 2778280 20273937 18137100 -280 774 19789 57298 26154934 20973452 0 0 0 0 13515849 14737294 0 0 0 10351292 6803369 23867141 21540663 2287793 -567211 26991751 22177882 5910906 5147819 21080845 17030063 X TO IMPROVE THE BEHAVIORAL HEALTH OF THE PEOPLE OF OUR COMMUNITY. TO BE THE PROVIDER OF CHOICE FOR BEHAVIORAL HEALTH IN NORTHERN ARIZONA, OFFERING A FULL RANGE OF HIGH-QUALITY, COST-EFFECTIVE SERVICES. 0 0 10475622 9044482 ADULT OUTPATIENT SERVICES: TGC PROGRAMS IN OUTPATIENT SERVICES OFFER A SCOPE OF PRACTICE THAT INCLUDES: PSYCHIATRY, NURSING AND MEDICATION SERVICES, BEHVIORAL HEALTH CRISIS, PRE-PETITION SCREENIG, CARE/CASE MANAGEMENT, PEER SUPPORT, VOCATIONAL REHABILITATION, AND COUNSELING IN BOTH INDIVIDUAL AND GROUP FORMATS. THE OVERALL GOAL IS TO IMPROVE THE BEHAVIORAL HEALTH OF ADULTS WITH SERIOUS MENTAL ILLNESSES OR OTHER MENTAL AND/OR SUBSTANCE USE CONITIONS THROUGH THE PROVISION OF HIGH-QUALITY, COST EFFECTIVE OUTPATIENT SERVICES. TREATMENT IMPLEMENTS EVIDENCE-BASED THERAPY AND SERVICE MODELS. STAFF ARE CLINICALLY SUPERIVSED BY LICENSED BEHAVIORAL HEALTH PROFESSIONALS AND INTERNAL QUALITY MANAGEMENT ENSURES EXCELLENCE IN THE PROVISION OF CARE. 2022 ACCOMPLISHMENTS: IN 2022 TGC CREATED 2 NEW THERAPIST ROLES AND ONE NEW PSYCHIATRIEST ROLE TO BETTER SERVE THE NEEDS OF THE COMMUNITY 5050072 5534999 PSYCHIATRIC ACUTE CARE UNIT: A 16-BED LEVEL 1 ACCREDITED PSYCHIATRIC HOSPITAL SERVING HIGH-RISK INDIVIDUALS NEEDING INTENSIVE TREATMENT FOR STABILIZATION FROM DANGER AND DYSFUNCTION. SERVICES INCLUDE TITLE 36 PRE-PETITION SCREENING/COURT-ORDERED EVALUATIONS AND TREAMENT, PSYCHIATRIC ACUTE CARE, AND RESTRAINTS/SECLUSIONS CAPABILITY. THE FACILITY ACCOMMODATES INDIVIDUALS WITH MANY TYPES OF DISABILITIES. THE UNIT PROVIDES HOSPITALIZATION, PSYCHIATRIC EVALUATION, MEDICATION STABILIZATION, 24-HOUR NURSING, TELEHEALTH AND EMERGENCY PSYCHIATRIC CARE WHICH INCLUDES VOLUNTARY AND INVOLUNTARY HOSPITALIZATION. 2022 ACCOMPLISHMENTS: THE PAC UNIT SERVICED 124 MORE COMMUNITY MEMBERS THAN IN THE PREVIOUS YEAR. 1615546 1413003 THE SUBSTANCE ABUSE RESIDENTIAL RECOVERY PROGRAM: A 16-BED CO-ED ADULT UNIT SERVING HIGH-RISK INDIVIDUALS NEEDING INTENSIVE TREAMENT WITH RESPITE FROM THEIR LIFE IN THE COMMUNITY. SERVICES ARE PRIORITIZED TO PREGNANT WOMEN, WOMEN WITH DEPENDENT CHILDREN, INTRAVENOUS DRUG USERS AND INDIVIDUALS STRUGGLING WITH OPIOIDS. 2022 ACCOMPLISHMENTS: MORE EFFICIENT MANAGEMENT OF THE RECOVERY UNIT HAS RESULTED IN MORE COMMUNITY MEMBERS BEING REHABILITATED IN 2022 THAN PREVIOUS YEARS. 1305522 1997506 CRISIS & INTAKE SERVICES: TIED TO THE STATEWIDE CRISIS LINE AND PARTNERED WITH ANOTHER PROVIDER FOR MOBILE CRISIS SERVICES, TGC'S CRISIS SERVICES IS STAFFED 24/7 WITH MASTER'S LEVEL CLINICIANS AND BACHELOR'S LEVEL CARE MANAGERS WHO HELP INDIVIDUALS STRUGGLING WITH COMPLEX ISSUES WITH AN ASSESSMENT AND DIRECT REFERRAL INTO THE CRISIS STABILIZATION UNIT (CSU) OR PSYCHIATRIC ACUTE CARE (PAC). CRISIS CLINICIANS ALSO PROVIDE ASSESSMENTS IN THE COCONINO COUNTY DETENTION FACILITY. CRISIS CLINICIANS EVALUATE INDIVIDUALS WHO MAY BE REFERRED FOR POSSIBLE INVOLUNTARY COMMITMENT SHOULD THEIR RISK LEVEL DEMAND IT AND THEY ARE NOT WILLING TO ACCEPT TREATMENT. 1061568 147110 BEHAVIORAL HEALTH RESIDENTIAL FACILITY 2367090 2144616 19508330 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 28 0 1 281 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 2 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X MICHAEL KUZMIN 9286790116 2187 N VICKEY STREET FLAGSTAFF AZ 86004 JON PEREZ BOARD CHAIR 2.00 40.00 X X 0 209768 1352 NATHAN JONES SECRETARY/COMPLIANCE OFFIC 20.00 20.00 X X 0 248911 19494 JUDY MARFECHUK TREASURER 1.00 34.00 X X 0 88125 96 KERRY BLUME DIRECTOR 1.00 X 0 54000 0 CELESTE IRONS DIRECTOR 1.00 X 0 0 0 BETH OTTERSTEIN DIRECTOR 1.00 X 0 0 0 MICHAEL KUZMIN CFO 20.00 20.00 X 0 287978 19903 LAUREN LAUDER CEO 40.00 4.00 X 0 102199 15661 DEVON FORREST CEO 39.00 1.00 X 0 249549 8724 TREVER DAVIS CHIEF CLINICAL OFFICER 40.00 X 0 173410 22941 TERESA BERTSCH MD CMO 28.00 12.00 X 0 413486 55147 BOHDAN HRECZNYJ PSYCHIATRIST 40.00 X 0 261840 15246 CHIRANJI NARINE MEDICAL DIRECTOR 40.00 X 0 176377 14453 WALTER STANDRIDGE PSYCHIATRIST 40.00 X 0 273840 12705 MICHAEL GURNEY PHYSICIAN ASSISTANT 40.00 X 0 144831 14977 SUDHA DUNN NURSE PRACTITIONER 40.00 X 0 134128 6764 0 2818442 207463 0 0 1 0 0 638349 2139931 2778280 PATIENT SERVICE 621400 17898232 17898232 HCA CONTRACT 624110 153316 153316 RENTAL INCOME 721310 77130 77130 MEAL INCOME 624200 8422 8422 18137100 774 774 OTHER INCOME 621300 57298 57298 57298 20973452 18137100 0 58072 1915244 1705484 209760 10850670 9647808 1202862 225944 204927 21017 845585 766927 78658 899851 816147 83704 45717 13255 32462 12329 12329 1108204 1070557 37647 10544 10544 187854 163802 24052 410251 387512 22739 588626 495258 93368 123597 104599 18998 3449 1897 1552 179887 153192 26695 858087 828242 29845 140229 128635 11594 BAD DEBTS 2643348 2643348 EMPLOYMENT EXPENSES 345329 246720 98609 TELEPHONE 114642 107649 6993 OPERATING 23355 17134 6221 7921 5237 2684 21540663 19508330 2032333 0 4554005 2676665 2046906 797650 3558908 2368424 92564 48710 19109974 3164023 16498756 15945951 240612 340482 26991751 22177882 1432222 1137264 434 0 4029058 3472000 449192 414395 0 124160 5910906 5147819 X 21080845 17030063 21080845 17030063 26991751 22177882 X -567211 16429 -3500000 X 0 0 0 X 2366968 4833842 4897381 5861488 2778280 20737959 20962800 21796987 23395296 20273937 18137100 104566120 23329768 26630829 28292677 26135425 20915380 125304079 0 0 0 125304079 2734 812 1022 1788 774 7130 2734 812 1022 1788 774 7130 28807 24762 40856 19789 57298 171512 23361309 26656403 28334555 26157002 20973452 125482721 0.99860 0.99880 0.00010 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2018 AMOUNT: $ 28,807. 2019 AMOUNT: $ 24,762. 2020 AMOUNT: $ 40,856. 2021 AMOUNT: $ 19,789. 2022 AMOUNT: $ 57,298. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3279881 3279881 14918562 2652349 12266213 553881 374898 178983 357650 136776 220874 15945951 LEASE LIABILITY 124160 124160 X 18346532 16429 16429 18330103 2643349 2643349 20973452 18897314 0 18897314 2643349 2643349 21540663 PART X, LINE 2: TGC 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 ADDITION, TGC 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 TGC HAS ANY UBTI FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022. TGC 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 TGC'S FEDERAL RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAX (FORM 990) FOR FISCAL 2022, 2021 AND 2020 ARE SUBJECT TO EXAMINATION BY THE IRS GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. AS OF THE DATE OF THIS REPORT, THE FISCAL 2023 TAX RETURN HAD NOT YET BEEN FILED. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 2,643,349. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 2,643,349. 1 1 1 X 1 X 1 0 0 18897314 18346532 550782 0.02910 18897314 18346532 550782 0.02910 18897314 18346532 550782 0.02910 1 2643348 416839 498299 -81460 X 1 1 1 1 THE GUIDANCE CENTER 2187 N VICKY ST FLAGSTAFF AZ 86004 X THE GUIDANCE CENTER 1 0 0 1 X X X X X X X X X X 21 1 0 1 1 X HTTPS://TGCAZ.ORG/RESOURCES.PHP X 1 23 1 HTTPS://TGCAZ.ORG/RESOURCES.PHP 0 1 X 100.000000000000 400.000000000000 1 1 X X X X 1 X HTTPS://TGCAZ.ORG/RESOURCES.PHP X HTTPS://TGCAZ.ORG/RESOURCES.PHP X HTTPS://TGCAZ.ORG/RESOURCES.PHP X X X X X X 1 X 0 X X X 1 X 0 0 THE GUIDANCE CENTER PART V, SECTION B, LINE 3J: INJURY ASSOCIATED WITH ALCOHOL CONSUMPTION WAS IDENTIFIED AS THE PRIMARY HEALTH NEED THAT IMPACTED TGC WITH RESPECT TO THIS ISSUE. THE FOLLOWING GOALS WERE ESTABLISHED: COORDINATE SERVICE PROVIDERS, OFFER SERVICES AT LOCAL SHELTERS AND THE JAIL TO ENGAGE SUBSTANCE USING ADULTS FASTER AND MAKE THE FLAGSTAFF COMMUNITY AWARE OF PREVENTION AND TREATMENT OPPORTUNITIES. THE GUIDANCE CENTER PART V, SECTION B, LINE 5: THE GUIDANCE CENTER CHNA TEAM REVIEWED RECENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS PERFORMED SEPARATELY BY BOTH THE NORTHERN ARIZONA UNIVERSITY CENTER FOR HEALTH EQUITY RESEARCH AND COCONINO COUNTY PUBLIC HEALTH SERVICES. THE DATA REPORTED BY THESE TWO ENTITIES WAS THEN INCORPORATED WITHIN AND UTILIZED IN THE CHNA CONDUCTED BY THE GUIDANCE CENTER. TGC ALSO LAUNCHED A COLLABORATION WITH THE FLAGSTAFF POLICE DEPARTMENT TO OFFER MENTAL HEALTH AND SUBSTANCE USE RESOURCES TO INDIVIDUALS CALLING DISPATCH FOR NON-EMERGENCY SUPPORT. ALSO, THE TGC CONSUMER ADVISORY BOARD PROVIDED INSIGHT INTO THE PRIMARY CONCERNS FACED BY THE PEOPLE MOST LIKELY TO NEED TGC SERVICES. THE GUIDANCE CENTER PART V, SECTION B, LINE 6B: THE GUIDANCE CENTER PARTICIPATES IN THE DEVELOPMENT OF ALL COCONINO COUNTY'S COMMUNITY HEALTH IMPROVEMENT PLANS (CHIPS), INCLUDING THE 2021 REPORT AND THE CURRENTLY MEETING TEAM FOR THE 2023 REPORT. THIS PROCESS IS LED BY THE COCONINO COUNTY PUBLIC HEALTH SERVICE DISTRICT. THE GUIDANCE CENTER PART V, SECTION B, LINE 11: TGC EXPANDED AND CONTINUES TO BROADEN ACCEPTED INSURANCE PLANS AND HAS DIVERSIFIED SELFPAY OPTIONS FOR A VARIETY OF SERVICES TO ALLOW GREATER ACCESS AND AFFORDABILITY IN HEALTHCARE SERVICES. TGC PROVIDES NO-COST SERVICES TO INDIVIDUALS EXPERIENCING A BEHAVIORAL HEALTH CRISIS AND NEEDING STABILIZATION OR TO INDIVIDUALS WHO: ARE PREGNANT OR WOMEN WHO HAVE DEPENDENT CHILDREN AND NEEDING SUBSTANCE USE SUPPORT, USE DRUGS INTRAVENOUSLY OR HAVE A DIAGNOSED DISORDER FOR OPIOID USE. TREATMENT STAFF REGULARLY VISIT LOCAL SHELTERS TO OFFER HOUSING AND FINANCIAL RESOURCES. TGC'S CRISIS STABILIZATION UNIT COMPLETES SCREENINGS ON SOCIAL DETERMINANTS OF HEALTH TO BETTER INFORM DISCHARGE PLANS AND ONGOING CARE NEEDS. TGC PROVIDES INTENSIVE, DEDICATED CARE MANAGEMENT, THERAPY, SKILLS TRAINING, PSYCHOLOGICAL EVALUATION AND TESTING, FAMILY SUPPORT, BEHAVIORAL ANALYSIS AND CRISIS SERVICES TO CHILDREN AND ADOLESCENTS IN A VARIETY OF SETTINGS. TGC COLLABORATES WITH ALL LOCAL SCHOOL DISTRICTS TO PROVIDE PREVENTION EDUCATION, SUICIDE RISK SCREENINGS, AND A DIRECT REFERRAL PROCESS THAT INVOLVES SCHOOLS REFERRING STUDENTS TO SERVICES AND TGC OUTREACHING THE FAMILY FOR SUPPORT AND CARE. TGC CONTINUALLY EXPANDS CHILDREN'S SERVICES, HAVING ADDED MORE PSYCHOLOGICAL TESTING AND BEHAVIORAL ANALYSIS IN THE PAST 18 MONTHS AND WITH PLANS TO IMPROVE CRISIS STABILIZATION SERVICE OFFERINGS OVER THE COMING YEARS.TGC IMPLEMENTS COMMUNITY EDUCATION AND TRAINING INITIATIVES INCLUDING MENTAL HEALTH FIRST AID, A PROGRAM THAT EDUCATES THE GENERAL PUBLIC, LAW ENFORCEMENT OFFICIALS, HIGHER EDUCATION AFFILIATED FACULTY AND STAFF, AND YOUTH. THE PROGRAM OFFERS STIGMA REDUCTION EFFORTS BY EDUCATING AND IMPROVING COMFORT LEVELS FOR PEOPLE TO "IDENTIFY, UNDERSTAND AND RESPOND" TO CRISES OR ANY SITUATION WHERE A PERSON IS EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE PROBLEM. TGC PARTICIPATES IN A LOCAL INSTRUCTOR COLLABORATIVE TO PROVIDE TRAININGS COUNTY-WIDE WITH AN EMPHASIS ON SCHOOL-BASED TRAININGS. TGC WILL CONTINUE TO ENHANCE ITS COMMUNITY LEADERSHIP IN MHFA INITIATIVES AS IT TAKES THE ENTIRE COMMUNITY TO MOST EFFECTIVELY HELP INDIVIDUALS STRUGGLING WITH THOUGHTS OF SUICIDE OR SUFFERING THE EFFECTS OF MENTAL HEALTH CONDITIONS AND/OR SUBSTANCE USE. THE GUIDANCE CENTER PART V, SECTION B, LINE 21C: THE FACILITY PROVIDED CARE FOR PSYCHIATRIC EMERGENCIES. PART V, SECTION B, LINE 3J INJURY ASSOCIATED WITH ALCOHOL CONSUMPTION WAS IDENTIFIED AS THE PRIMARY HEALTH NEED THAT IMPACTED TGC. WITH RESPECT TO THIS ISSUE, THE FOLLOWING GOALS WERE ESTABLISHED; COORDINATE SERVICE PROVIDERS AND MAKE THE FLAGSTAFF COMMUNITY AWARE OF PREVENTION AND TREATMENT OPPORTUNITIES. TGC ALSO IDENTIFIED THE ELEMENTS OF THE COCONINO COUNTY PUBLIC HEALTH DEPARTMENT'S STRATEGIC PLAN THAT ARE RELEVANT TO TGC'S MISSION, WHICH INCLUDES STREAMLINING THE TITLE 36 PROCESS TO INCREASE ACCESS TO CARE. PART I, LINE 3C: TGC RECEIVES CRISIS STATE FUNDING, WHICH IS USED TO PROVIDE FREE-OF-CHARGE SERVICES FOR CRISIS SERVICES FOR UP TO 72 HOURS. SUBSTANCE ABUSE BLOCK GRANT FUNDING PROVIDES SUBSTANCE ABUSE PREVENTION SERVICES FREE OF CHARGE. PART I, LN 7 COL(F): THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS ASSOCIATED WITH CLIENT FEES AND INSURANCE REVENUE IS PRESENTED ON A SEPARATE LINE ITEM AS A REDUCTION TO REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) IN THE STATEMENTS OF OPERATIONS AND CHANGE IN NET ASSETS. ANY PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO OTHER GRANTS AND CONTRACTS, WHERE PAYMENT IS GUARANTEED, IS PRESENTED AS AN EXPENSE. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO CLIENT FEES AND INSURANCE RECEIVABLES. PART III, LINE 2: MANAGEMENT PROVIDES FOR PROBABLE, UNCOLLECTABLE AMOUNTS THROUGH A CHARGE TO EARNINGS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF THE CURRENT STATUS OF INDIVIDUAL CONTRACTS. TGC ANALYZES ITS PAST COLLECTION HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR RECEIVABLES DUE FROM SELF-PAY PATIENTS (WHICH INCLUDES PATIENTS WITHOUT INSURANCE, AND PATIENTS WITH INSURANCE WHERE DEDUCTIBLE AND COPAYMENT BALANCES ARE DUE), TGC RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND CREDIT TO ACCOUNTS RECEIVABLE. PART III, LINE 4: THE FOOTNOTE THAT DESCRIBES THE ORGANIZATION'S BAD DEBT EXPENSE IS CONTAINED WITHIN FOOTNOTE 1 ON PAGE 11 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE ENTIRE LOSS ON LINE 7 SHOULD BE REPORTED AS COMMUNITY BENEFIT GIVEN THE LACK OF PSYCHIATRIC HOSPITAL BEDS AVAILABLE TO MEDICARE AND DUALLY ELIGIBLE PATIENTS. PART III, LINE 9B: PROVISIONS IN THE POLICY EXPLAIN AVAILABLE FINANCIAL ASSISTANCE REMAINING BALANCES THAT THE PATIENT WILL BE RESPONSIBLE FOR. COLLECTION PRACTICES ARE FOLLOWED ONLY ON OUTSTANDING BALANCES AFTER FINANCIAL ASSISTANCE HAS BEEN APPLIED. X X X 0 1 0 0 0 0 0 1 0 TERESA BERTSCH MD CMO 0 413486 0 0 0 0 0 0 0 55147 0 468633 0 0 MICHAEL KUZMIN CFO 0 287978 0 0 0 0 0 0 0 19903 0 307881 0 0 WALTER STANDRIDGE PSYCHIATRIST 0 260840 0 13000 0 0 0 0 0 12705 0 286545 0 0 BOHDAN HRECZNYJ PSYCHIATRIST 0 261090 0 750 0 0 0 0 0 15246 0 277086 0 0 NATHAN JONES SECRETARY/COMPLIANCE OFFIC 0 248911 0 0 0 0 0 0 0 19494 0 268405 0 0 DEVON FORREST CEO 0 249549 0 0 0 0 0 0 0 8724 0 258273 0 0 JON PEREZ BOARD CHAIR 0 209768 0 0 0 0 0 0 0 1352 0 211120 0 0 TREVER DAVIS CHIEF CLINICAL OFFICER 0 171910 0 1500 0 0 0 0 0 22941 0 196351 0 0 CHIRANJI NARINE MEDICAL DIRECTOR 0 166377 0 10000 0 0 0 10946 0 3507 0 190830 0 0 MICHAEL GURNEY PHYSICIAN ASSISTANT 0 141831 0 3000 0 0 0 4720 0 10257 0 159808 0 0 FORM 990 PART VII AND SCHEDULE J THROUGH AN AFFILIATION AGREEMENT, A RELATED PUBLIC CHARITY, THE NARBHA INSTITUTE, PAYS THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER AND CHIEF MEDICAL OFFICER OF THE GUIDANCE CENTER. THESE STAFF MEMBERS ARE EMPLOYEES OF THE NARBHA INSTITUTE AND THE PAYMENTS ARE CONSIDERED A CONTRIBUTION FROM THE INSTITUTE ON THE FINANCIAL STATEMENTS OF THE GUIDANCE CENTER. BONUS PAYMENTS WERE MADE BASED ON MEETING ORGANIZATIONAL GOALS THAT WERE APPROVED BY THE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE BOARD CHAIR PROVIDES CONSULTING SERVICES TO THE NARBHA INSTITUTE AND IS COMPENSATED BY THE INSTITUTE FOR THIS WORK. THE VICE CHAIR WAS EMPLOYED AS THE CHIEF MEDICAL OFFICER OF THE INSTITUTE AND WAS COMPENSATED BY THE INSTITUTE FOR HIS WORK. THE WORK OF THE BOARD MEMBERS FOR THE INSTITUTE IS UNRELATED TO THEIR POSITIONS ON THE GUIDANCE CENTER BOARD OF DIRECTORS. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF COCONINO COUNTY 860375099 2014-12-23 8750000 CONSOLIDATE DEBT, NEW FACILITY, SOFTWARE 0 0 0 A 8750000 322123 7738108 689769 2016 1 0 1 1 A 0 1 0 0 0.01030 0.01030 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION SHALL HAVE A SOLE CORPORATE MEMBER, "THE NARBHA INSTITUTE, INC." AN ARIZONA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE APPROVAL OF THE NARBHA INSTITUTE, THE SOLE MEMBER, IS REQUIRED FOR THE ELECTION AND REMOVAL OF DIRECTORS AND OFFICERS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE ARTICLES OF INCORPORATION MAY BE AMENDED BY THE CORPORATION'S SOLE MEMBER PROVIDED THAT NO AMENDMENT SHALL SUBSTANTIALLY CHANGE THE ORIGINAL PURPOSES OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE APPROVED BY THE CFO AND REVIEWED BY THE CHAIRMAN OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED ANNUALLY BY THE PRESIDENT OF THE BOARD OF DIRECTORS BY SENDING OUT THE POLICY AND A QUESTIONNAIRE TO THE BOARD MEMBERS AND OFFICERS OF THE GUIDANCE CENTER. IF THERE IS A CONFLICT THE MEMBER OR OFFICER MAY NOT PARTICIPATE IN DISCUSSIONS AND VOTING RELATING TO THE CONFLICT AND THIS NON-PARTICIPATION IS NOTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 INFORMATION PROVIDED BY THE HUMAN RESOURCES DEPARTMENT, GATHERED FROM INFORMATION ON WAGES BY AREA AND OCCUPATION AND MARKETABLE WAGES. THIS INFORMATION WAS COMBINED WITH DATA FROM RECRUITING MARKETS. ANNUAL REVIEWS ARE DONE BASED ON DATE OF HIRE. THE BOARD REVIEWS THE CEO COMPENSATION AND THE CEO REVIEWS ALL OTHER OFFICERS COMPENSATION. 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 XI, LINE 9: DISTRIBUTION TO THE NARBHA INSTITUTE -3,500,000. THE NARBHA INSTITUTE 616 N BEAVER ST FLAGSTAFF AZ 86001 866037149 MANAGEMENT SUPPORT AZ 501(C)(3) LINE 7 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0