Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
COMMUNITY PARTNERSHIP OF SOUTHERN ARIZONA INC
Employer identification number
86-0792518
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
223,195,636
257,275,546
278,815,952
303,326,883
280,005,395
1,342,619,412
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
223,195,636
257,275,546
278,815,952
303,326,883
280,005,395
1,342,619,412
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
1,342,619,412
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
223,195,636
257,275,546
278,815,952
303,326,883
280,005,395
1,342,619,412
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
1,856,305
1,405,232
942,623
442,143
935,044
5,581,347
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
1,348,200,759
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
99.590 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
99.550 %
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
COMMUNITY PARTNERSHIP OF SOUTHERN ARIZONA INC
Employer identification number
86-0792518
Identifier
Return Reference
Explanation
GSA 3 CONTRACT NOT RENEWED
THROUGH A CONTRACT WITH ADHS, CPSA HAD BEEN DESIGNATED THE RBHA FOR THE GEOGRAPHIC SERVICE AREA OF THE FOUR SOUTHEASTERN ARIZONA COUNTIES OF COCHISE, GRAHAM, GREENLEE AND SANTA CRUZ (GSA 3). THIS CONTRACT EXPIRED ON JUNE 30, 2010 AND WAS NOT RENEWED BY ADHS. CPSA APPEALED THIS DECISION WITH THE STATE OF ARIZONA. A STAY WAS ORDERED THAT ALLOWED CPSA, THROUGH A CONTRACT AMENDMENT WITH ADHS EFFECTIVE JULY 1, 2010, TO CONTINUE TO PROVIDE SERVICES IN GSA 3 UNTIL THE OUTCOME OF THE APPEAL WAS DETERMINED. CPSA VOLUNTARILY WITHDREW ITS APPEAL ON SEPTEMBER 10, 2010. CPSA SERVED AS THE RBHA FOR GSA 3 THROUGH MIDNIGHT ON NOVEMBER 30, 2010.
FORM 990, PART VI, SECTION A, LINE 6
CPSA IS A NONPROFIT ORGANIZATION WITH MEMBERS. CPSA'S MEMBERS HAVE THE RIGHT TO PARTICIPATE INDIRECTLY IN THE CORPORATION'S GOVERNANCE THROUGH APPOINTMENT OF THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7A
CPSA HAS FOUR MEMBERS WHO APPOINT THE BOARD OF DIRECTORS. MEMBERSHIP IS COMPOSED OF BANNER HEALTH ARIZONA (BANNER), TMC HEALTHCARE (TMC), SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES (SEABHS), AND THE BEHAVIORAL HEALTH COALITION OF SOUTHERN ARIZONA, INC (BHC). THE BOARD OF DIRECTORS IS DIVIDED INTO THREE CLASSES, EACH OF WHICH CONSISTS OF 1/3 OF THE TOTAL NUMBER OF DIRECTORS. BANNER/TMC HEALTHCARE DIRECTORS (APPOINTED BY BANNER/TMC HEALTHCARE), SEABHS DIRECTORS (APPOINTED BY THE CHAIR OF THE SEABHS BOARD OF DIRECTORS), AND BHC DIRECTORS (APPOINTED BY BHC).
FORM 990, PART VI, SECTION A, LINE 7B
SOME OF THE DECISIONS OF THE BOARD ARE SUBJECT TO MEMBER APPROVAL.
FORM 990, PART VI, SECTION B, LINE 11
THE CHIEF FINANCIAL OFFICER ANNUALLY PRESENTS THE FORM 990 TO THE AUDIT/FINANCE COMMITTEE FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY AS PART OF ITS HUMAN RESOURCES POLICIES AND PROCEDURES HANDBOOK THAT COVERS ALL EMPLOYEES. EMPLOYEES ARE RESPONSIBLE FOR FILING A WRITTEN DISCLOSURE OF ANY INTERESTS AND FOR ABIDING BY THE DECISION OF THE CEO OR DESIGNEE REGARDING THE EXISTENCE OF ANY CONFLICT OF INTEREST. A POTENTIAL CONFLICT OF INTEREST INVOLVING THE CEO WILL BE REFERRED TO THE BOARD OF DIRECTORS FOR RESOLUTION. THE BYLAWS ALSO CONTAIN A CONFLICT OF INTEREST POLICY THAT COVERS ALL DIRECTORS AND PERSONNEL. UPON LEARNING THAT THE BOARD OF DIRECTORS IS INVOLVED IN A MATTER IN WHICH A DIRECTOR IS NOT A DISINTERESTED DIRECTOR BECAUSE SUCH DIRECTOR OR A RELATIVE OF THAT DIRECTOR HAS AN INTEREST IN SUCH MATTER, THE DIRECTOR SHALL NOTIFY THE BOARD OF DIRECTORS CHAIRPERSON AND SHALL IMMEDIATELY WITHDRAW FROM ANY FURTHER CONSIDERATION OR DISCUSSION WITH THE DIRECTORS OR OTHER OFFICERS OR EMPLOYEES OF THE CORPORATION WITH RESPECT THERETO. EACH DIRECTOR SHALL SUBMIT AN ANNUAL DISCLOSURE STATEMENT THAT CONTAINS ACCURATE AND COMPLETE INFORMATION REGARDING ANY DIRECT OR INDIRECT TRANSACTIONS OR RELATIONSHIPS BETWEEN THE DIRECTOR AND THE CORPORATION AND ANY PROVIDER THAT PROVIDES SERVICES TO THE CORPORATION. NO DIRECTOR SHALL PARTICIPATE IN ANY DELIBERATION OR VOTE OF THE BOARD OF DIRECTORS REGARDING A TRANSACTION OR ISSUE IN WHICH THE DIRECTOR HAS A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION CONDUCTS A GENERAL COMPENSATION STUDY EVERY 3 OR 4 YEARS. IF A NEW POSITION IS CREATED BETWEEN STUDIES, OR IF DUTIES CHANGE WITHIN AN EXISTING POSITION, A SPECIAL STUDY WILL BE CONDUCTED FOR THAT POSITION. IN RESPECT TO THE POSITION OF CEO, A STUDY WAS LAST CONDUCTED JULY 22, 2010 BY A CERTIFIED COMPENSATION PROFESSIONAL. THE STUDY INCLUDED A REVIEW OF COMPARABLE COMPENSATION AND BENEFITS DATA FROM 8 PUBLISHED SURVEY SOURCES. FACTORS CONSIDERED INCLUDE EXPERIENCE, EMPLOYMENT SITE, INDUSTRY, ORGANIZATION SIZE AND BUDGET.
FORM 990, PART VI, SECTION C, LINE 19
ANNUAL AUDITED FINANCIAL STATEMENTS ARE POSTED ON THE ORGANIZATION'S WEBSITE FOR PUBLIC INSPECTION. GOVERNING DOCUMENTS AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE NOT MADE DIRECTLY AVAILABLE BY THE ORGANIZATION. HOWEVER, THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE THROUGH THE ARIZONA CORPORATION COMMISSION.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 8,847.
OVERSIGHT PROCESS
FORM 990, PART XII, LINE 2C
THERE HAS BEEN NO CHANGE IN THE OVERSIGHT PROCESS FOR THE AUDIT OF THE FINANCIAL STATEMENTS OR THE SELECTION OF THE INDEPENDENT AUDITOR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.