Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 23,515,176 | 20,516,954 | 23,593,758 | 8,393,180 | 24,942,542 | 100,961,610 |
| 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 | 23,515,176 | 20,516,954 | 23,593,758 | 8,393,180 | 24,942,542 | 100,961,610 |
| 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. | 100,961,610 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 23,515,176 | 20,516,954 | 23,593,758 | 8,393,180 | 24,942,542 | 100,961,610 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 5,453 | 2,863 | 2,839 | 1,034 | 4,285 | 16,474 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | 100,978,084 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SUPPLEMENTAL INFORMATION | ORGANIZATION'S FISCAL YEAR END WAS CHANGED FROM JUNE 30TH TO SEPTEMBER 30TH IN 2014. THEREFORE, THE PUBLIC SUPPORT COMPUTATION INCLUDED IN PART II INCLUDES A SHORT YEAR RETURN FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2014. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO PROVIDE BEHAVIORAL HEALTH SERVICES TO PIMA COUNTY CHILDREN, ADOLESCENTS, AND THEIR FAMILIES. THESE SERVICES INCLUDE PSYCHIATRIC ASSESSMENTS, IN-HOME SERVICES, 24 HOUR CRISIS SERVICES, SUBSTANCE ABUSE TREATMENT, BEHAVIORAL MANAGEMENT SERVICES, CASE MANAGEMENT, AND SCHOOL-BASED COUNSELING THROUGH THE USE OF CHILD AND FAMILY TEAMS. RESIDENTIAL SERVICES, INCLUDING THERAPEUTIC FOSTER CARE, GROUP HOME AND INPATIENT SERVICES ARE PROVIDED WHEN INDICATED BY TREATMENT PLAN. SERVICES ARE PROVIDED TO AHCCCS-ENROLLED FAMILIES THAT ARE BELOW POVERTY LEVEL AND CHILDREN UNDER THE CARE OF CHILD PROTECTIVE SERVICES. |
| FORM 990, PAGE 2, PART III, LINE 4A | RESIDENTIAL PLACEMENTS. THE ORGANIZATION CONTINUED ITS ONGOING EMPHASIS ON WORKING WITH THE FAMILIES WITHIN THEIR HOME AND COMMUNITY ENVIRONMENT. AS PART OF THE MEET ME WHERE I AM PROGRAM PANTANO PROVIDED SUPPORT SERVICES, INCLUDING LIVING SKILLS, FAMILY AND PEER SUPPORT AND RESPITE SERVICES TO FAMILIES THROUGHOUT PIMA COUNTY. NEW THERAPY GROUPS WERE ADDED TO DEVELOP LEADERSHIP AND SOCIAL SKILLS FOR TEEN GIRLS AND BOYS. TRADITIONAL INDIVIDUAL AND GROUP COUNSELING CONTINUED TO BE OFFERED TO MEET THE NEEDS OF OUR CLIENTS. |
| FORM 990, PAGE 6, PART VI, LINE 7A | PER THE BYLAWS, ARIZONA'S CHILDREN ASSOCIATION AND INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT, INC. ARE TO ELECT THE CLASS A AND CLASS B DIRECTORS, RESPECTIVELY. |
| FORM 990, PAGE 6, PART VI, LINE 9 | DAVID GILES, PHD P.O. BOX 17749 TUCSON, AZ 85731 DENISE ENSDORFF P.O. BOX 7277 TUCSON, AZ 85725 |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS REVIEWED BY THE CEO, CFO AND MEMBERS OF THE BOARD. ALL CONCERNS AND COMMENTS ARE FORWARDED TO THE PAID PREPARER. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THIS CONFLICT OF INTEREST POLICY, (B) HAS READ AND UNDERSTANDS THE POLICY, (C) HAS AGREED TO COMPLY WITH THE POLICY, AND (D) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE HEALTHCARE ORGANIZATION AND THAT IN ORDER TO MAINTAIN THE CORPORATION'S FEDERAL TAX EXEMPTION THE CORPORATION MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF THE CORPORATION'S TAX-EXEMPT PURPOSES. |
| FORM 990, PAGE 6, PART VI, LINE 15A | EXECUTIVE COMPENSATION REVIEW PRACTICES PANTANO BEHAVIORAL HEALTH SERVICES, INC. (PBHS) 1. COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER (CEO) OF PBHS IS SET BY THE BOARD OF DIRECTORS AND IS TYPICALLY SET TO COINCIDE WITH THE ANNIVERSARY OF HER HIRE DATE (SEPTEMBER 2003). 2. THE BOARD OF DIRECTORS CONDUCTS A REVIEW OF CEO PERFORMANCE ANNUALLY (USUALLY THE MONTH PRIOR TO HER ANNIVERSARY). THE BOARD OF DIRECTORS USE VARIOUS TECHNIQUES AND HAVE ROTATED THEIR EVALUATION METHOD FROM YEAR TO YEAR, INCLUDING A "360-DEGREE EVALUATION METHOD" WHEREBY COMMUNITY STAKEHOLDERS, BUSINESS ASSOCIATES, AND EMPLOYEES WERE SURVEYED ANONYMOUSLY. OTHER PAST METHODS INCLUDE EMPLOYEE SATISFACTION SURVEYS AND PERSONAL EVALUATION BY THE BOARD. 3. AFTER CONSIDERATION OF EVALUATION RESULTS, ON A BI-ANNUALY BASIS, THE BOARD CONSIDERS THE PBHS MISSION, SIZE, AND GEOGRAPHIC LOCATION AS WELL AS THE VALUE THAT WOULD ORDINARILY BE PAID FOR LIKE SERVICES BY SIMILAR ENTERPRISES UNDER SIMILAR CIRCUMSTANCES. 4. THE BOARD OBTAINS AND RELIES UPON DATA COMPARING SIMILAR ORGANIZATIONS CEO COMPENSATION. IN THE PAST, THE BOARD HAS USED CHARITY NAVIGATOR, GUIDESTAR AND THE ARIZONA STATE UNIVERSITY CENTER FOR NONPROFIT LEADERSHIP MANAGEMENT EXECUTIVE COMPENSATION STUDY (AMONG OTHER TOOLS) TO DETERMINE AN APPROPRIATE PAY PACKAGE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE AVAILABLE THROUGH WWW.GUIDESTAR.COM AND UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES 18,017,692 1,101 0 INTERPRETING 182,586 0 0 PAYROLL PROCESSING 20,250 5,259 0 CRISIS LINE 6,962 0 0 EMPLOYEE RECRUITING 439 4,105 0 TEMP SERVICES 0 25,753 0 DE TRANSCRIPTION 820 0 0 ELIGIBILITY VERIFICATION 180 0 0 CONSULTING 151,071 14,305 0 RECORDS MANAGEMENT 0 10,243 0 |
| FORM 990, PAGE 12, PART XII, LINE 3B | THE AUDIT FOR FISCAL YEAR ENDED SEPTEMBER 30, 2015 IS STILL IN PROCESS. |
| Software ID: | |
| Software Version: |