Civic Intelligence

Arizona Health Insurance Pool

EIN 20-8081700 • 501(c)9 • Phoenix, AZ

View Organization Page

Profile

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.

333 E Osborn Road No 300Phoenix, AZ 85012

www.ahipaz.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2016

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2016

Net Margin

100th percentile

4347%

Higher net margin than 100% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

86th percentile

$201,690

Higher top officer pay than 86% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Source year 2016

Asset Growth

14th percentile

-100%

Faster asset growth than 14% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2015 to 2016

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $4,112,405 (-100%) from 2015

Liabilities

Down

$0

Down $1,145,466 (-100%) from 2015

Net Assets

Down

$0

Down $2,966,939 (-100%) from 2015

Operations
Liabilities / RevenueScore unavailableNet Margin100th percentile

Revenue

Down

-$10,497

Down $3,603,090 (-100%) from 2015

Expenses

Down

$445,831

Down $5,102,655 (-92%) from 2015

Net Income

Up

-$456,328

Up $1,499,565 (+77%) from 2015

Trend Graphs

Balance Sheet Trend

Asset Growth14th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$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

2016

Assets$0
Liabilities$0
Net Assets$0
Open 2016 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income by year, with the latest 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

2016

Revenue-$10,497
Expenses$445,831
Net Income-$456,328
Open 2016 Filing

Filings

Most recent year

2016 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
-$10,497
Expenses
$445,831
Net income
-$456,328
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.01$0.45$0.46
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.11$1.15$2.97$3.59$5.55$1.96
2014Detailed filing. Detailed filing data is available for this year.$5.92$0.85$5.07$5.22$5.08$0.14
2013XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.70$0.70$5.00$4.85$4.68$0.17
2012Summary only. Only limited summary data is available for this year.$5.41$0.60$4.81$4.63$4.02$0.61
2010Summary only. Only limited summary data is available for this year.$3.93$0.71$3.22$5.33$4.27$1.07
2009Summary only. Only limited summary data is available for this year.$2.83$0.68$2.16$5.27$4.23$1.05
2008Summary only. Only limited summary data is available for this year.$1.74$0.62$1.11$4.47$3.68$0.79
Latest Detailed Filing

The latest 2016 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2014 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
May 26, 2015
Return Version
2014v5.0
Gross Receipts
$6,270,443
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$4,996,728$5,072,224▲ $75,496
Investments Other Securities$4,574,729$4,740,709▲ $165,980
Cash and Non-Interest-Bearing Accounts$731,673$796,365▲ $64,692
Accounts Receivable$389,336$357,181▼ $32,155
Prepaid Expenses and Deferred Charges$5,773$27,077▲ $21,304
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$5,701,511$5,921,332▲ $219,821
Liabilities
Other Liabilities$673,426$814,286▲ $140,860
Accounts Payable and Accrued Expenses$31,357$34,822▲ $3,465
Total Liabilities$704,783$849,108▲ $144,325
Net Assets / Fund Balance
Total Net Assets Fund Balance$4,996,728$5,072,224▲ $75,496
Total Liabilities and Net Assets / Fund Balance$5,701,511$5,921,332▲ $219,821

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$129,394--
Compensation and Service Providers
Top Officer Pay86th percentile

Employees

NameTitleOtherTotal
Jeffrey OakesTreasurer$138,852$138,852
Susan HelmsSecretary$115,645$115,645
Mary MontesTrustee$95,988$95,988
Janet RettmanPresident$94,007$94,007
Robert PoseyTrustee$90,447$90,447
Greg BilliTrustee$46,093$46,093
Deborah MurchisonTrustee (resigned 2/10/14)$42,888$42,888

Board Members and Trustees

NameTitle
Roberta HowardVice President
Lindsay MillerTrustee

Highest Paid Contractors

ContractorServicesLocationCompensation
Ashton Tiffany LLCPool Administration333 E OSBORN ROAD SUITE 300, Phoenix, AZ 85012$254,408
Ameriben Iec GroupAdministering Medical ClaimsPO BOX 7186, Boise, ID 83707$192,962
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$5,002,289
Investment Income
$222,660
Other Revenue
$0
Change in Net Assets
$143,336

Audited Revenue Reconciliation

Revenue per Audited Statements
$5,217,858
Revenue Not Reported on Financial Statements
$7,091
Revenue Not Reported on Form 990
$-67,840
Other Revenue Adjustments
$7,091
Total Revenue per Audited Statements
$5,150,018
Total Revenue per Form 990
$5,224,949
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,321,571
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---$3,760,042
Insurance---$537,919
Fees for Services Other---$462,531
Fees for Services Management---$254,408
Office Expenses---$20,120
Fees for Services Accounting---$20,036
Fees for Services Legal---$19,466
Fees for Service Investment Mgmnt Fees---$7,091
Total Functional Expenses$0$0$0$5,081,613

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$5,081,613
Expenses per Audited Statements$4,933,662
Total Expenses per Audited Statements$4,933,662
Expenses Not Reported on Financial Statements$147,951
Other Expense Adjustments$147,951
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$814,286
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
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 A, Line 8B

“Since there were no committee meetings held, the answer above is no.”

Form 990, Part VI, Section B, Line 11

“The executive director and board president will review before 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

“Each year, the board approved the compensation for ashton tiffany. This is all documented in the board materials. Ahip (the veba) does not have any employees. Each contract is presented to the board on an annual basis.”

Form 990, Part VI, Section C, Line 19

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

Form 990, Part VII

“Roberta howard - 599 white spar drive, prescott, az 86303. Janet rettman - 1743 sycamore ave., kingman, az 86409. Mary montes - 105 north 5th avenue, holbrook, az 86025. Jeffrey oakes - 2500 show low lake rd. Bldg b, show low, az 85901. Deborah murchison - 1743 sycamore ave., kingman, az 86409. Susan helms - 1300 south yale street, flagstaff, az 86001. Lindsay miller - 1300 south yale street, flagstaff, az 86001. Greg billi - 599 white spar drive, prescott, az 86303. Robert posey - 1743 sycamore ave., kingman, az 86409.”

Filing and Contact Details

Filer

Filer Name
Arizona Health Insurance Pool
EIN
20-8081700
Phone
8007188328
Address
333 E OSBORN ROAD NO 300, PHOENIX, AZ 85012

Signing Officer

Name
John Ashton
Title
Executive Director
Phone
8007188328
Signed
2015-05-26
Discuss with paid preparer
Yes

Organization Details

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

Preparer

Firm
Cliftonlarsonallen Llp
Address
20 E THOMAS RD STE 2300, PHOENIX, AZ 85012
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 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. As of the date of filing this return, the plan had not yet received a formal response.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Investment management fees 7,091.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Investment management fees 7,091. Difference between claims approved and paid 140,860.”

Raw XML AppendixShowing 400 of 488 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.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt031357
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt034822
IRS990/AccountsReceivableGrp/BOYAmt0389336
IRS990/AccountsReceivableGrp/EOYAmt0357181
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0ARIZONA 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.
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/AuditCommitteeInd01
IRS990/BackupWthldComplianceInd01
IRS990/BenefitsToMembersGrp/TotalAmt03760042
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0ASHTON TIFFANY LLC
IRS990/BooksInCareOfDetail/PhoneNum06022579119
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0333 E OSBORN ROAD NO 300
IRS990/BooksInCareOfDetail/USAddress/CityNm0PHOENIX
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0AZ
IRS990/BooksInCareOfDetail/USAddress/ZIPCd085012
IRS990/BusinessRlnWithFamMemInd00
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IRS990/BusinessRlnWithOrgMemInd00
IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt00
IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt00
IRS990/CashNonInterestBearingGrp/BOYAmt0731673
IRS990/CashNonInterestBearingGrp/EOYAmt0796365
IRS990/ChangeToOrgDocumentsInd00
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IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/ContractorCompensationGrp/CompensationAmt0254408
IRS990/ContractorCompensationGrp/CompensationAmt1192962
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt1PO BOX 7186
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd1ID
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd085012
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd183707
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0ASHTON TIFFANY LLC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1AMERIBEN IEC GROUP
IRS990/ContractorCompensationGrp/ServicesDesc0POOL ADMINISTRATION
IRS990/ContractorCompensationGrp/ServicesDesc1ADMINISTERING MEDICAL CLAIMS
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt03760042
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt0222660
IRS990/CYOtherExpensesAmt01321571
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt05002289
IRS990/CYRevenuesLessExpensesAmt0143336
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt05081613
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt05224949
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd01
IRS990/Desc0OFFERING A COMPREHENSIVE HEALTH BENEFITS PROGRAM.
IRS990/DescribedInSection501c3Ind00
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd01
IRS990/EmployeeCnt00
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesAccountingGrp/TotalAmt020036
IRS990/FeesForServicesLegalGrp/TotalAmt019466
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IRS990/Form990PartVIISectionAGrp/PersonNm0ROBERTA HOWARD
IRS990/Form990PartVIISectionAGrp/PersonNm1JANET RETTMAN
IRS990/Form990PartVIISectionAGrp/PersonNm2MARY MONTES
IRS990/Form990PartVIISectionAGrp/PersonNm3JEFFREY OAKES
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IRS990/Form990PartVIISectionAGrp/PersonNm5SUSAN HELMS
IRS990/Form990PartVIISectionAGrp/PersonNm6LINDSAY MILLER
IRS990/Form990PartVIISectionAGrp/PersonNm7GREG BILLI
IRS990/Form990PartVIISectionAGrp/PersonNm8ROBERT POSEY
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IRS990/Form990PartVIISectionAGrp/TitleTxt0VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt3TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt4TRUSTEE (RESIGNED 2/10/14)
IRS990/Form990PartVIISectionAGrp/TitleTxt5SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt6TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt7TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt8TRUSTEE
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IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InsuranceGrp/TotalAmt0537919
IRS990/InvestmentIncomeGrp/ExclusionAmt0178609
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0178609
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt04574729
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt04740709
IRS990/IRPDocumentCnt0212
IRS990/IRPDocumentW2GCnt00
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IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt01045494
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0ARIZONA 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.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt04996728
IRS990/NetAssetsOrFundBalancesEOYAmt05072224
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt044051
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt044051
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-67840
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/TotalAmt020120
IRS990/OfficerMailingAddressInd01
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherLiabilitiesGrp/BOYAmt0673426
IRS990/OtherLiabilitiesGrp/EOYAmt0814286
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt05773
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt027077
IRS990/PrincipalOfficerNm0JANET RETTMANN
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0525100
IRS990/ProgramServiceRevenueGrp/BusinessCd1525100
IRS990/ProgramServiceRevenueGrp/Desc0EMPLOYER CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/Desc1EMPLOYEE CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt04379948
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1622341
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt04379948
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1622341
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt03577866
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0165637
IRS990/PYOtherExpensesAmt01105871
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt04685987
IRS990/PYRevenuesLessExpensesAmt0167887
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt04683737
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt04851624
IRS990/ReconcilationRevenueExpnssAmt0143336
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd01
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt04996728
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt05072224
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt0147951
IRS990ScheduleD/ExpensesSubtotalAmt04933662
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0-67840
IRS990ScheduleD/OtherExpensesNotIncludedAmt0147951
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0814286
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0BENEFIT OBLIGATIONS
IRS990ScheduleD/OtherRevenuesNotIncludedAmt07091
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt01417649
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt13142969
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt250697
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt3129394
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/RevenueNotReportedAmt0-67840
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt07091
IRS990ScheduleD/RevenueSubtotalAmt05217858
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE 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. AS OF THE DATE OF FILING THIS RETURN, THE PLAN HAD NOT YET RECEIVED A FORMAL RESPONSE.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1INVESTMENT MANAGEMENT FEES 7,091.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2INVESTMENT MANAGEMENT FEES 7,091. DIFFERENCE BETWEEN CLAIMS APPROVED AND PAID 140,860.
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/TotalBookValueSecuritiesAmt04740709
IRS990ScheduleD/TotalExpensesPerForm990Amt05081613
IRS990ScheduleD/TotalLiabilityAmt0814286
IRS990ScheduleD/TotalRevenuePerForm990Amt05224949
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt05150018
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt04933662
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0150000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1172558
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt19742
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt010197
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt119141
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt0394
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt13362
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0ROBERTA HOWARD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1LINDSAY MILLER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0VICE PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1TRUSTEE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0160591
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1204803
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/ExplanationTxt3SINCE THERE WERE NO COMMITTEE MEETINGS HELD, THE ANSWER ABOVE IS NO.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE EXECUTIVE DIRECTOR AND BOARD PRESIDENT WILL REVIEW BEFORE FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5EACH YEAR THE BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6EACH YEAR, THE BOARD APPROVED THE COMPENSATION FOR ASHTON TIFFANY. THIS IS ALL DOCUMENTED IN THE BOARD MATERIALS. AHIP (THE VEBA) DOES NOT HAVE ANY EMPLOYEES. EACH CONTRACT IS PRESENTED TO THE BOARD ON AN ANNUAL BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8ROBERTA HOWARD - 599 WHITE SPAR DRIVE, PRESCOTT, AZ 86303. JANET RETTMAN - 1743 SYCAMORE AVE., KINGMAN, AZ 86409. MARY MONTES - 105 NORTH 5TH AVENUE, HOLBROOK, AZ 86025. JEFFREY OAKES - 2500 SHOW LOW LAKE RD. BLDG B, SHOW LOW, AZ 85901. DEBORAH MURCHISON - 1743 SYCAMORE AVE., KINGMAN, AZ 86409. SUSAN HELMS - 1300 SOUTH YALE STREET, FLAGSTAFF, AZ 86001. LINDSAY MILLER - 1300 SOUTH YALE STREET, FLAGSTAFF, AZ 86001. GREG BILLI - 599 WHITE SPAR DRIVE, PRESCOTT, AZ 86303. ROBERT POSEY - 1743 SYCAMORE AVE., KINGMAN, AZ 86409.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9THERE 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 A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART VII
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 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/BusinessNameLine1Txt0COMMUNITY COUNSELING CENTERS INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1MOHAVE MENTAL HEALTH CLINIC INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2NARBHA INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt3NAZCARE 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/AddressLine1Txt02500 SHOW LOW LAKE ROAD BUILDING B
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt11743 SYCAMORE AVENUE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt21300 S YALE STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt3599 WHITE SPAR ROAD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0SHOW LOW
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm1KINGMAN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm2FLAGSTAFF
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm3PRESCOTT
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0AZ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd1AZ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd2AZ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd3AZ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd085901
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd186409
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd286001

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