THE NARBHA INSTITUTE INC

Programs

1. The northern arizona regional behavioral health alliance medicaid aco is a collaborative venture that advances wellbeing by creating strategic partnerships across the behavioral health provider network. Using targeted solutions to improve care outcomes, providers and their members can advance health, reduce costs, create best practice models and move to an enhanced inclusive and equity-based solution for behavioral health services.

   $4,996,518 spentof which $4,019,743 as grants$5,616,508 earned by the program
   43% of program spending

2. The narbha institute's second largest program is its provision of services, support and grants to healthcare providers who serve primarily medicaid benificiaries and indigent populations. This includes grants to such organizations to achieve health and health related social outcomes such as employment, medicaid eligibility compliance, timely mental health assessments, paitient satisfaction, housing, criminial justice coordination and culturally-competent services. Revenue included in the contributions on part viii, line 1e is $1,319,841.

   $3,462,538 spentof which $1,622,265 as grants$1,375,458 earned by the program
   30% of program spending

3. Effective august 27, 2018, the narbha institute entered into an affiliation agreement with the guidance center (tgc), a separate 501(c)(3) organization, in which narbha became its sole member. There is a separate board to oversee management of tgc. The guidance center provides inpatient and outpatient behavioral health services in the flagstaff region. Under the affiliation agreements, narbha provides substantial financial and in-kind support and appoints a majority of its governing board.

   $2,228,273 spentof which $1,445,522 as grants$-466,241 earned by the program
   19% of program spending

4. Through a disregarded entity (well north communities llc), the narbha intitute provides permanent supported housing to approximately 40 individuals and famililes living with serious mental illness in northern arizona. Tenants pay an income-adjusted portion of rent (which is often zero) and reside in apartments purchsed with funding from the arizona department of health serivces. While not listed on the financial statements as an expense, the opportunity cost of these heavily discounted rents is over $375,000 per year excluding utilities, based on hud and survey data.

   $916,492 spent$178,576 earned by the program
   8% of program spending

5. The narbha institute supports sedi, the sustainable economic development initiative of northern arizona. Sedi is a leading economic development organization in the region that enables, facilitates, and partners with businesses, educational institutions, and government to increase social equity, ecological heath, and promote a resilient economy.

   $74,615 spentof which $33,751 as grants
   1% of program spending

The 5 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $11,678,436.