Civic Intelligence

Arizona Health Insurance Pool

990 • Fiscal year 2013 • EIN 20-8081700

Jan 01, 2013 to Dec 31, 2013 • Filed on Sep 08, 2014

333 E Osborn Road No 30085012

(800) 718-8328

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

65th percentile

0.12x

Higher debt load relative to assets than 65% of similar nonprofits.

2013 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2013

Liabilities / Revenue

72nd percentile

0.15x

Higher debt load relative to revenue than 72% of similar nonprofits.

2013 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2013

Net Margin

51st percentile

3.5%

Higher net margin than 51% of similar nonprofits.

2013 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2013

Top Officer Pay

92nd percentile

$317,454

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 6.5% of source-year revenue.

2013 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2013

Asset Growth

52nd percentile

5.5%

Faster asset growth than 52% of similar nonprofits.

2013 filings • 501(c)9 • $5M-$10M nonprofits • Annualized from 2012 to 2013

Revenue Growth

55th percentile

4.8%

Faster revenue growth than 55% of similar nonprofits.

2013 filings • 501(c)9 • $5M-$10M nonprofits • Annualized from 2012 to 2013

Assets

Up

$5,701,511

Up $294,994 (+5.5%) from 2012

Net Assets

Up

$4,996,728

Up $191,442 (+4.0%) from 2012

Liabilities

Up

$704,783

Up $103,552 (+17%) from 2012

Revenue

Up

$4,851,624

Up $222,218 (+4.8%) from 2012

Expenses

Up

$4,683,737

Up $664,407 (+17%) from 2012

Net Income

Down

$167,887

Down $442,189 (-72%) from 2012

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$6.0M$4.0M$2.0M$0Assets 2008: $1,736,744Liabilities 2008: $624,205Net Assets 2008: $1,112,5392008Assets 2009: $2,833,998Liabilities 2009: $676,013Net Assets 2009: $2,157,9852009Assets 2010: $3,929,508Liabilities 2010: $706,484Net Assets 2010: $3,223,0242010Assets 2012: $5,406,517Liabilities 2012: $601,231Net Assets 2012: $4,805,2862012Assets 2013: $5,701,511Liabilities 2013: $704,783Net Assets 2013: $4,996,7282013Assets 2014: $5,921,332Liabilities 2014: $849,108Net Assets 2014: $5,072,2242014Assets 2015: $4,112,405Liabilities 2015: $1,145,466Net Assets 2015: $2,966,9392015Assets 2016: $0Liabilities 2016: $0Net Assets 2016: $02016

Highlighted filing

2013

Assets$5,701,511
Liabilities$704,783
Net Assets$4,996,728

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MRevenue 2008: $4,468,433Expenses 2008: $3,682,358Net Income 2008: $786,0752008Revenue 2009: $5,271,782Expenses 2009: $4,226,336Net Income 2009: $1,045,4462009Revenue 2010: $5,330,598Expenses 2010: $4,265,559Net Income 2010: $1,065,0392010Revenue 2012: $4,629,406Expenses 2012: $4,019,330Net Income 2012: $610,0762012Revenue 2013: $4,851,624Expenses 2013: $4,683,737Net Income 2013: $167,8872013Revenue 2014: $5,224,949Expenses 2014: $5,081,613Net Income 2014: $143,3362014Revenue 2015: $3,592,593Expenses 2015: $5,548,486Net Income 2015: -$1,955,8932015Revenue 2016: -$10,497Expenses 2016: $445,831Net Income 2016: -$456,3282016

Highlighted filing

2013

Revenue$4,851,624
Expenses$4,683,737
Net Income$167,887
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Sep 8, 2014
Return Version
2013v3.0
Gross Receipts
$5,148,524
Mission and Program Overview

Mission

Arizona health insurance pool (ahip) was formed in 2006 and is a self-insured employee benefits pool established pursuant to ars 41-621.01 that provides health benefits and services to not-for-profits, contractors and subcontractors licensed to do work for the state of arizona or political subdivision of the state of arizona. The pool offers a comprehensive health benefits program, including medical, dental, prescription, basic and supplemental life, long-term disability and a voluntary vision plan. In addition, the pool offers supplemental programs such as flexible spending accounts (fsa), health savings accounts (hsa) and pharmacy benefit programs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$4,805,286$4,996,728▲ $191,442
Investments Other Securities$4,478,389$4,574,729▲ $96,340
Cash and Non-Interest-Bearing Accounts$524,753$731,673▲ $206,920
Accounts Receivable$397,850$389,336▼ $8,514
Prepaid Expenses and Deferred Charges$5,525$5,773▲ $248
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$5,406,517$5,701,511▲ $294,994
Liabilities
Other Liabilities$578,207$673,426▲ $95,219
Accounts Payable and Accrued Expenses$23,024$31,357▲ $8,333
Total Liabilities$601,231$704,783▲ $103,552
Net Assets / Fund Balance
Total Net Assets Fund Balance$4,805,286$4,996,728▲ $191,442
Total Liabilities and Net Assets / Fund Balance$5,406,517$5,701,511▲ $294,994

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$116,444--
Compensation and Service Providers

Employees

NameTitleOtherTotal
Jeffrey OakesTreasurer$132,220$132,220
Roberta HowardVice President$130,871$130,871
Susan HelmsSecretary$105,665$105,665
Janet RettmanPresident$97,529$97,529
Mary MontesTrustee$88,721$88,721
Deborah MurchisonTrustee (resigned 2/10/14)$41,357$41,357
Greg BilliTrustee$39,593$39,593
Mark PolleyTrustee (resigned 10/30/13)$37,204$37,204

Board Members and Trustees

NameTitle
Mick PattinsonPresident (resigned 6/19/13)
Lindsay MillerTrustee

Highest Paid Contractors

ContractorServicesLocationCompensation
Ashton Tiffany LLCManagement Of The Veba-$130,492
Ameriben Iec GroupAdministering Medical Claims-$124,127
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$4,685,987
Investment Income
$165,637
Other Revenue
$0
Change in Net Assets
$167,887

Audited Revenue Reconciliation

Revenue per Audited Statements
$4,844,841
Revenue Not Reported on Financial Statements
$6,783
Revenue Not Reported on Form 990
$23,555
Other Revenue Adjustments
$6,783
Total Revenue per Audited Statements
$4,868,396
Total Revenue per Form 990
$4,851,624
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,105,871
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$3,577,866
Insurance---$467,176
Fees for Services Other---$446,463
Fees for Services Management---$130,000
Fees for Services Accounting---$22,700
Office Expenses---$21,833
Fees for Services Legal---$10,916
Fees for Service Investment Mgmnt Fees---$6,783
Total Functional Expenses$0$0$0$4,683,737

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$4,683,737
Expenses per Audited Statements$4,581,735
Total Expenses per Audited Statements$4,581,735
Expenses Not Reported on Financial Statements$102,002
Other Expense Adjustments$102,002
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Benefit Obligations$673,426
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

ASHTON TIFFANY, LLC

Form 990, Part VI, Section A, Line 6

Members include contractors or sub-contractors that provide behavioral health services to the state of arizona or any other political subdivision of the state.

Form 990, Part VI, Section A, Line 7A

Each member has equal voting rights.

Form 990, Part VI, Section B, Line 11

Executive director and board president will review before filing, and board will review after filing.

Form 990, Part VI, Section B, Line 12C

Each year the board members are required to complete a conflict of interest form.

Form 990, Part VI, Section B, Line 15

Ahip (the veba) does not have any employees.

Form 990, Part VI, Section C, Line 19

The organization's governing documents, conflict of interest policy, and financial statements are available upon request.

Filing and Contact Details

Filer

EIN
20-8081700
Phone
8007188328

Signing Officer

Name
John Ashton
Title
Executive Director
Phone
8007188328
Signed
2014-09-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Janet Rettmann
Formed
2006
Legal Domicile
Az
Voting Board Members
8
Independent Board Members
0
Employees
6
Volunteers
0

Preparer

Preparer
Phil Mccollum CPA
Phone
6022662248
Supplemental Narrative

Additional Explanations

FORM 990, PG 12, PART XII, LINE 2C:

There have been no changes in either the oversight process or the selection process during the tax year.

Financial Statement Notes

PART X, LINE 2:

The plan has submitted a request for a letter of determination of not-for-profits status as a voluntary employees beneficiary association (veba) under irc section 501(c)(9) to the irs. As of april 23, 2014, the plan had not yet received a response. It is the belief of management that the not-for-profit status will be granted to the plan back to the date of inception. In the event not-for-profits status is not granted, the plan might be subject to federal income taxes for the three prior years. Subsequent to the completion of the audit and the issuance of the financial statements, the organization received a favorable determination letter from the irs that the organization is exempt from federal income tax under section 501(c)(9) of the internal revenue code effective november 9, 2011. The organization has submitted a request to the irs that they retroactively grant this exempt status back to the inception of the organization.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Investment management fees 6,783.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Investment management fees 6,783. Difference between claims approved and paid 95,219.

Raw XML AppendixShowing 400 of 493 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0VICE PRESIDENT
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IRS990/NetAssetsOrFundBalancesEOYAmt04996728
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt011560
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt011560
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt023555
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/TotalAmt021833
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherLiabilitiesGrp/BOYAmt0578207
IRS990/OtherLiabilitiesGrp/EOYAmt0673426
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt05525
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt05773
IRS990/PrincipalOfficerNm0JANET RETTMANN
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0525100
IRS990/ProgramServiceRevenueGrp/BusinessCd1525100
IRS990/ProgramServiceRevenueGrp/Desc0EMPLOYER CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/Desc1EMPLOYEE CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt04096581
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1589406
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt04096581
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1589406
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt03083645
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0183875
IRS990/PYOtherExpensesAmt0935685
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt04445531
IRS990/PYRevenuesLessExpensesAmt0610076
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt04019330
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt04629406
IRS990/ReconcilationRevenueExpnssAmt0167887
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd01
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt04805286
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt04996728
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt0102002
IRS990ScheduleD/ExpensesSubtotalAmt04581735
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/NetUnrealizedGainsInvstAmt023555
IRS990ScheduleD/OtherExpensesNotIncludedAmt0102002
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0673426
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0BENEFIT OBLIGATIONS
IRS990ScheduleD/OtherRevenuesNotIncludedAmt06783
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt01468903
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt12948505
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt240877
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt3116444
IRS990ScheduleD/OtherSecuritiesGrp/Desc0EQUITY INVESTMENTS
IRS990ScheduleD/OtherSecuritiesGrp/Desc1FIXED INCOME
IRS990ScheduleD/OtherSecuritiesGrp/Desc2REAL ESTATE
IRS990ScheduleD/OtherSecuritiesGrp/Desc3COMMODITIES
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd1F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd2F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd3F
IRS990ScheduleD/RevenueNotReportedAmt023555
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt06783
IRS990ScheduleD/RevenueSubtotalAmt04844841
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE PLAN HAS SUBMITTED A REQUEST FOR A LETTER OF DETERMINATION OF NOT-FOR-PROFITS STATUS AS A VOLUNTARY EMPLOYEES BENEFICIARY ASSOCIATION (VEBA) UNDER IRC SECTION 501(C)(9) TO THE IRS. AS OF APRIL 23, 2014, THE PLAN HAD NOT YET RECEIVED A RESPONSE. IT IS THE BELIEF OF MANAGEMENT THAT THE NOT-FOR-PROFIT STATUS WILL BE GRANTED TO THE PLAN BACK TO THE DATE OF INCEPTION. IN THE EVENT NOT-FOR-PROFITS STATUS IS NOT GRANTED, THE PLAN MIGHT BE SUBJECT TO FEDERAL INCOME TAXES FOR THE THREE PRIOR YEARS. SUBSEQUENT TO THE COMPLETION OF THE AUDIT AND THE ISSUANCE OF THE FINANCIAL STATEMENTS, THE ORGANIZATION RECEIVED A FAVORABLE DETERMINATION LETTER FROM THE IRS THAT THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE EFFECTIVE NOVEMBER 9, 2011. THE ORGANIZATION HAS SUBMITTED A REQUEST TO THE IRS THAT THEY RETROACTIVELY GRANT THIS EXEMPT STATUS BACK TO THE INCEPTION OF THE ORGANIZATION.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1INVESTMENT MANAGEMENT FEES 6,783.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2INVESTMENT MANAGEMENT FEES 6,783. DIFFERENCE BETWEEN CLAIMS APPROVED AND PAID 95,219.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueSecuritiesAmt04574729
IRS990ScheduleD/TotalExpensesPerForm990Amt04683737
IRS990ScheduleD/TotalLiabilityAmt0673426
IRS990ScheduleD/TotalRevenuePerForm990Amt04851624
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt04868396
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt04581735
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0163205
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1215881
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt08770
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt117850
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt019046
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt114617
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt03361
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt169106
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0LINDSAY MILLER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1MICK PATTINSON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0TRUSTEE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1PRESIDENT (RESIGNED 6/19/13)
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0194382
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1317454
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ASHTON TIFFANY, LLC
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1MEMBERS INCLUDE CONTRACTORS OR SUB-CONTRACTORS THAT PROVIDE BEHAVIORAL HEALTH SERVICES TO THE STATE OF ARIZONA OR ANY OTHER POLITICAL SUBDIVISION OF THE STATE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2EACH MEMBER HAS EQUAL VOTING RIGHTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3EXECUTIVE DIRECTOR AND BOARD PRESIDENT WILL REVIEW BEFORE FILING, AND BOARD WILL REVIEW AFTER FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4EACH YEAR THE BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5AHIP (THE VEBA) DOES NOT HAVE ANY EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THERE HAVE BEEN NO CHANGES IN EITHER THE OVERSIGHT PROCESS OR THE SELECTION PROCESS DURING THE TAX YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PG 12, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd20
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd30
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine10COMMUNITY COUNSELING CENTERS INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine11MOHAVE MENTAL HEALTH CLINIC INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine12NARBHA INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine13NAZCARE INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0860215065
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1860214457
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN2866037149
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN3050533759
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt2501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt3501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0AZ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1AZ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd2AZ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd3AZ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES SERVICES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1MENTAL HEALTH, CRISIS INTERVENTION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2BEHAVORIAL HEALTH SERVICES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt3BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES SERVICES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 7
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt1LINE 7
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt2LINE 7
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt3LINE 7
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine102500 SHOW LOW LAKE ROAD BUILDING B
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine111743 SYCAMORE AVENUE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine121300 S YALE STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine13599 WHITE SPAR ROAD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City0SHOW LOW
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City1KINGMAN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City2FLAGSTAFF
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City3PRESCOTT

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