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 | |||||
| (A)
COMMUNITY PARTNERSHIP OF SOUTHERN ARIZONA INC |
860792518 | Yes | 8,918,043 | 0 | ||
| (B)
MENTAL HEALTH RESOURCES INC |
860277999 | Yes | 565,061 | 0 | ||
Total 2
|
9,483,104 | |||||
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 | 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 | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 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. | ||||||
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 |
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| Return Reference | Explanation |
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| 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, PART I, LINE 1 | INTEGRATED HEALTH CARE SYSTEM STRUCTURE THE FORMATION OF COMMUNITY PARTNERS, INC. (CPI), AND OTHER RELATED ENTITIES, PROVIDES AN EXPANDED CORPORATE STRUCTURE IN WHICH CPSA WILL HAVE CONTINUITY OF MANAGEMENT, WHILE CPI IS PREPARED TO PROMOTE A COMPLEMENT OF BEHAVIORAL HEALTH SERVICES IN SOUTHERN ARIZONA WITH BROADER SCOPE AND IMPACT THAN CPSA'S FOCUS ON RBHA SERVICES WHOSE CONTRACT EXPIRED ON 9/30/2015. HISTORICALLY, CPSA HAS NOT BEEN A BEHAVIORAL HEALTH SERVICE PROVIDER INSTEAD COORDINATING AND ADMINISTERING THE STATE PUBLIC BEHAVIORAL HEALTH SYSTEM IN THIS REGION. CPSA HAS INSTITUTIONAL EXPERTISE AND RESOURCES TO EXPAND INTO PROVIDING BEHAVIORAL HEALTH SERVICES AND HAS ESTABLISHED A MULTIPLE-ENTITY CORPORATE STRUCTURE IN WHICH IT CAN DELIVER PREVENTION, INTERVENTION, TREATMENT, REHABILITATIVE, AND OR BEHAVIORAL HEALTH TRAINING SERVICES. THE MEMBERS OF CPI ARE BEHAVIORAL HEALTH COALITION OF SOUTHERN ARIZONA, INC., BANNER HEALTH, AND TMC HEALTHCARE. ALL THREE ORGANIZATIONS ARE EXEMPT UNDER SECTION 501(C)(3) AND WERE FORMERLY THE ONLY MEMBERS OF COMMUNITY PARTNERSHIP OF SOUTHERN ARIZONA (CPSA). THE MEMBERS TRANSFERRED AND ASSIGNED THEIR MEMBERSHIP INTERESTS IN CPSA TO CPI, EFFECTIVE OCTOBER 1, 2013, MAKING CPI THE SOLE MEMBER OF CPSA. THIS RESTRUCTURING WAS INTENDED TO ENABLE THE CPI SYSTEM TO TAKE ADVANTAGE OF NEW OPPORTUNITIES AND MEET NEW CHALLENGES IN THE HEALTHCARE INDUSTRY. CPI WAS FORMED TO BE THE TAX EXEMPT "PARENT ORGANIZATION TO RELATED HEALTH 501(C)(3) ORGANIZATIONS, INCLUDING CPSA. CPI'S SPECIFIC PURPOSE IS TO PROVIDE CORPORATE SERVICES AND MANAGEMENT TO RELATED TAX EXEMPT ENTITIES. THE SUPPORTED ENTITIES ARE NAMED IN THE ARTICLES OF INCORPORATION: COMMUNITY PARTNERSHIP OF SOUTHERN ARIZONA INC. (CPSA), MENTAL HEALTH RESOURCES, INC. (MHRI), AND COMMUNITY PARTNERS IN INTEGRATED HEALTH, INC. (CPIH). THE CORPORATE SERVICES AND MANAGEMENT WHICH CPI PROVIDES ARE ALL SERVICES THAT THE RELATED EXEMPT ORGANIZATIONS WOULD OTHERWISE HAVE TO PERFORM THEMSELVES IN CARRYING OUT THEIR EXEMPT FUNCTIONS. TO THAT END THE BROADLY STATED PURPOSE FOR WHICH CPI WAS FORMED IS TO PROMOTE, SUPPORT, AND COORDINATE AN INTEGRATED SYSTEM FOR THE DELIVERY OF QUALITY HEALTH CARE SERVICES TO INDIGENT AND OTHER PERSONS WHO ARE SERIOUSLY MENTALLY ILL, CHILDREN WHO ARE AT RISK OF OR EXPERIENCING BEHAVIORAL HEALTH PROBLEMS, AND INDIVIDUALS WHO ARE AT RISK OF OR SUFFERING FROM DRUG ABUSE, ALCOHOL ABUSE, MENTAL HEALTH DISORDER, OR DOMESTIC VIOLENCE. |
| FORM 990, PART VI, SECTION A, LINE 6 | CPI IS A NONPROFIT ORGANIZATION WITH MEMBERS. CPI'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 | CPI HAS THREE MEMBERS WHO APPOINT THE BOARD OF DIRECTORS. MEMBERSHIP IS COMPOSED OF BANNER HEALTH ARIZONA (BANNER), TMC HEALTHCARE (TMC), AND THE BEHAVIORAL HEALTH COALITION OF ARIZONA, INC. (BHC). THE BOARD OF DIRECTORS IS DIVIDED INTO TWO CLASSES, EACH OF WHICH CONSISTS OF 1/2 OF THE TOTAL NUMBER OF DIRECTORS. BANNER/TMC HEALTHCARE DIRECTORS (APPOINTED BY BANNER/TMC HEALTHCARE), AND BHC DIRECTORS (APPOINTED BY BHC). TMC/BANNER HAVE 1/2 VOTE EACH AND BHC HAS 1 VOTE. |
| 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 COMMITTEE FOR REVIEW PRIOR TO FILING. AFTER REVIEW BY THE AUDIT COMMITTEE, THE BOARD IS PROVIDED WITH A COPY OF THE FORM 990 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 15A | 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 JANUARY, 2015 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 | THE ANNUAL AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF COMMUNITY PARTNERSHIP INC. (CPI), WHICH INCLUDES MENTAL HEALTH RESOURCES, INC. (MHRI) AND COMMUNITY PARTNERS IN INTEGRATED HEALTH, INC. (CPIH), ARE POSTED ON COMMUNITY PARTNERSHIP OF SOUTHERN ARIZONA INC. (CPSA'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. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL/CONSULTING (EMPHASIS IT/IS): PROGRAM SERVICE EXPENSES 359,099. MANAGEMENT AND GENERAL EXPENSES 233,572. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 592,671. IT 3RD PARTY HOSTING: PROGRAM SERVICE EXPENSES 64,854. MANAGEMENT AND GENERAL EXPENSES 5,183. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,037. TEMP HELP/RECRUITMENT (EMPHASIS IT/IS): PROGRAM SERVICE EXPENSES 130,063. MANAGEMENT AND GENERAL EXPENSES 616,608. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 746,671. |
| FORM 990, PART XII, LINE 2C: | THERE HAS BEEN NO CHANGE IN EITHER THE OVERSIGHT PROCESS OR THE SELECTION PROCESS FOR THE CONSOLIDATED GROUP. |
| Software ID: | |
| Software Version: |