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
2012
Open to Public Inspection
Name of the organization
CODAC BEHAVIORAL HEALTH SERVICES OF PIMA COUNTY INC
Employer identification number
23-7086112
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 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 monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
38,425,906
34,163,613
35,538,272
33,510,190
32,699,169
174,337,150
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
38,425,906
34,163,613
35,538,272
33,510,190
32,699,169
174,337,150
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.
174,337,150
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
38,425,906
34,163,613
35,538,272
33,510,190
32,699,169
174,337,150
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
3,675
9,803
8,949
5,398
6,171
33,996
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
62,405
49,741
49,041
161,187
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
174,532,333
12
Gross receipts from related activities, etc. (see instructions)
..................
12
437,678
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 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
99.890 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
99.910 %
16a
33 1/3% support test—2012.
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—2011.
If the organization did not check a 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—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012
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
2012
Open to Public Inspection
Name of the organization
CODAC BEHAVIORAL HEALTH SERVICES OF PIMA COUNTY INC
Employer identification number
23-7086112
Identifier
Return Reference
Explanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS
FORM 990, PAGE 1, PART I, LINE 6
CODAC VOLUNTEERS PROVIDED ASSISTANCE IN THE FOLLOWING SERVICES/LOCATIONS: -METHADONE SERVICES -MOTHER'S OASIS -MEMBER SERVICES AT EAST SITE -MEMBER SERVICES AT MCAS -PREVENTION SERVICES AT SANTA ROSA -MEMBER SERVICES AT FIRST AVENUE -MEMBER SERVICES -COMIN' HOME VETERAN'S PROGRAM
ANY SIGNIFICANT NEW PROGRAM SERVICES NOT LISTED ON A PRIOR RETURN
FORM 990, PAGE 2, PART III, LINE 2
EFFECTIVE JANUARY 31, 2013, CODAC ENTERED INTO A PLAN OF MERGER AND MEMBERSHIP EXCHANGE WITH COMIN' HOME, A NONPROFIT ENTITY THAT PROVIDES HOUSING AND FACILITIES A CONTINUUM OF SERVICES FOR HOMELESS VETERANS IN TUCSON AND PIMA COUNTY, ARIZONA.
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
PARENTING, PROVIDE RELAXATION AND ANGER MANAGEMENT TECHNIQUES, AND MUCH MORE. PSYCHIATRIC MEDICATION MANAGEMENT IS PROVIDED BY PSYCHIATRISTS, NURSE PRACTITIONERS AND BEHAVIORAL HEALTH NURSES WHERE CLINICALLY APPROPRIATE. DURING FISCAL YEAR 2013, CODAC PROVIDED 8,861 PERSONS OUTPATIENT SERVICES. CODAC ALSO OFFERS THE FOLLOWING SPECIALIZED OUTPATIENT SERVICES: CASE MANAGEMENT AND INDIVIDUAL AND GROUP THERAPY SPECIFICALLY DESIGNED FOR YOUNG ADULTS AGES 18-21. YOUNG ADULTS WITH SUBSTANCE USE DISORDERS, GENERAL MENTAL HEALTH DISORDERS AND SERIOUS MENTAL ILLNESSES CAN RECEIVE TREATMENT WHILE LEARNING TO FORM HEALTHY RELATIONSHIPS WITH INDIVIDUALS IN A SIMILAR LIFE STAGE. METHADONE MAINTENANCE, DRUG TREATMENT AND COUNSELING SERVICES ARE AVAILABLE FOR OPIATE USERS AND THEIR FAMILIES. INTENSIVE CARE MANAGEMENT AND TREATMENT FOR MEMBERS EXPERIENCING ACUTE SYMPTOMS OF MENTAL HEALTH DISORDERS WITH OR WITHOUT CO-OCCURING SUBSTANCE USE DISORDERS. THE PROGRAM PROVIDES MORE FREQUENT MEDICAL AND CASE MANAGEMENT AS WELL AS INTENSIVE OUTPATIENT THERAPY SERVICES UNTIL THE MEMBER'S CONDITION STABILIZES. RECOVERY BRIDGE - AN INTENSIVE OUTPATIENT PROGRAM FOR INDIVIDUALS WITH SUBSTANCE USE DISORDERS AND/OR CO-OCCURING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. GROUP THERAPY AND HEALTH EDUCATION FOCUSES ON ADDICTION RECOVERY AND IS OFFERED FOR 20 HOURS EACH WEEK. INDIVIDUALIZED TREATMENT OPTIONS ARE OFFERED AS WELL. PSYCHIATRIC CARE IS COORDINATED WITH INTEGRATED SERVICE SITES. MOTHERS CARING ABOUT SELF (MCAS) - AN INTENSIVE OUTPATIENT, OUTREACH AND CASE MANAGEMENT PROGRAM THAT SERVES THE VERY SPECIFIC NEEDS OF PREGNANT AND POSTPARTUM WOMEN WITH SUBSTANCE USE DISORDERS. DROP-IN CENTERS WHERE CODAC MEMBERS CAN RECEIVE INFORMATION AND EDUCATION TO BUILD SKILLS LEADING TO INDEPENDENCE IN MANAGING THEIR OWN RECOVERY OR RECEIVE ADDITIONAL AFTER-HOURS SUPPORT IN THEIR RECOVERY.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
COMMUNITY BASED SERVICES, CHILDREN AND ADOLESCENT SERVICES, AND HOUSING AND RESIDENTIAL.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ARE GIVEN A COPY OF THE FORM 990 FOR REVIEW PRIOR TO FILING WITH TAXING AUTHORITIES.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
CONFLICT OF INTEREST POLICY IS COVERED UNDER CODAC'S CODE OF CONDUCT.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
THE PROCESS FOR DETERMINING THE COMPENSATION FOR THE CEO IS CONTROLLED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. DURING JANUARY 2010, CODAC ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE CEO AND VP'S COMPENSATION. THIS INCLUDED A REVIEW OF COMPARABLE DATA FROM REGIONAL SALARY SURVEYS AND 990 FORMS FROM SIMILAR ORGANIZATIONS IN THE REGION AND THE ORGANIZATIONAL PERFORMANCE AGAINST KEY METRICS.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
COMPENSATION OF OTHER KEY OFFICIALS IS BASED UPON THEIR PERFORMANCE AS MEASURED IN THEIR ANNUAL EVALUATIONS. THE SALARY RANGES OF THESE POSITIONS ARE PERIODICALLY REVIEWED AGAINST SALARY SURVEYS AND 990 FORMS FROM SIMILAR ORGANIZATIONS IN THE REGION.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
THE ORGANIZATION MAKES THEIR CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER FEES FOR SERVICES
FORM 990, PART IX, LINE 11G
OTHER PROFESSIONAL FEES 12,164,858 2,419 81
RECONCILIATION OF CHANGES - OTHER
FORM 990, PART XI, LINE 9
EXCESS CONSIDERATION OVER NET ASSETS ACQUIRED -53,820
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.