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THE GUIDANCE CENTER INC
FLAGSTAFF, AZ · EIN 860223720 · Form 990 · FY2021 · Large ($10M-$50M) · www.tgcaz.org
revenue
$26.2M
expenses
$23.9M
net assets
$21.1M
employees
257
volunteers
3
program ratio
91%
mission · from form 990

THE GUIDANCE CENTER DELIVERS BEHAVIORAL HEALTHCARE SOLUTIONS.

profile · synthesized from sources

The Guidance Center Inc. provides comprehensive behavioral health services, including mental health treatment, substance use treatment, and crisis intervention. They serve adults, children, and families in Northern Arizona, offering both inpatient and outpatient care, as well as specialized programs for serious mental illness and applied behavior analysis.

irs program accomplishments · form 990 part iii · fy2021

what they reported doing

Program narrative the organization filed with the IRS. Ordered by program spending.

  1. #1 primary $4.36M
    PSYCHIATRIC ACUTE CARE UNIT: A 16-BED LEVEL 1 ACCREDITED PSYCHIATRIC HOSPITAL SERVING HIGH-RISK INDIVIDUALS NEEDING INTENSIVE TREATMENT FOR STABILIZATION FROM DANGER AND DYSFUNCTION. SERVICES INCLUDE TITLE 36 PRE-PETITION SCREENING/COURT-ORDERED EVALUATIONS AND TREAMENT, PSYCHIATRIC ACUTE CARE, AND RESTRAINTS/SECLUSIONS CAPABILITY. THE FACILITY ACCOMMODATES INDIVIDUALS WITH MANY TYPES OF DISABILITIES. THE UNIT PROVIDES HOSPITALIZATION, PSYCHIATRIC EVALUATION, MEDICATION STABILIZATION, 24-HOUR NURSING, TELEHEALTH AND EMERGENCY PSYCHIATRIC CARE WHICH INCLUDES VOLUNTARY AND INVOLUNTARY HOSPITALIZATION. 2021 ACCOMPLISHMENTS: ONLY NORTHERN ARIZONA PSYCH FACILITY TO ACCEPT COVID+ PATIENTS THROUGHOUT PANDEMIC, EXPANDED PHYSICAL HEATLH SERVICES FOR INPATIENTS.
  2. #2 $1.39M
    THE SUBSTANCE ABUSE RESIDENTIAL RECOVERY PROGRAM: A 16-BED CO-ED ADULT UNIT SERVING HIGH-RISK INDIVIDUALS NEEDING INTENSIVE TREAMENT WITH RESPITE FROM THEIR LIFE IN THE COMMUNITY. SERVICES ARE PRIORITIZED TO PREGNANT WOMEN, WOMEN WITH DEPENDENT CHILDREN, INTRAVENOUS DRUG USERS AND INDIVIDUALS STRUGGLING WITH OPIOIDS. 2021 ACCOMPLISHMENTS: CONTINUED ENHANCEMENT OF LIFE SKILLS, FOCUSING ON ACCESSING COMMUNITY RESOURCES TO AVOID DISCHARGING HOMELESS AND PREPARING FOR JOB INTERVIEWS AND PLACEMENT.
named programs · 16 · from sources

what they call their work

Adult Mental Health
Provides counseling, case management, and therapy for various mental health disorders including depression, anxiety, trauma, and PTSD, utilizing evidence-based practices like EMDR, CBT, and ACT.
Adult Mental Health Services
Outpatient therapy and case management for adults 18+ with mental health conditions including depression, anxiety, trauma, and PTSD using evidence-based practices such as CBT, ACT, EMDR, and mindfulness
Applied Behavior Analysis (ABA)
Behavior intervention services based on the science of behavior, delivered collaboratively with members, families, and treatment teams
Assertive Community Treatment (ACT)
Provides intensive wrap-around treatment for individuals with serious mental illness who do not benefit from traditional outpatient services, focusing on areas like work, social relationships, and physical health.
Assertive Community Treatment (ACT) Team
Intensive wrap-around treatment for individuals with Serious Mental Illness who do not benefit from traditional outpatient services; includes nursing, therapy, care management, vocational support, and peer specialists providing services in the community
Children & Families Services
Behavioral health services for youth birth to 21 years and their families using evidence-based interventions
Children & Their Families Services (CFS)
Provides a wide range of evidence-based services for members from birth to 21 years of age to help overcome challenging situations.
Crisis Services
24-hour crisis hotline and emergency evaluation services for individuals experiencing psychiatric crises, suicidal ideation, or danger to self/others
Dialectical Behavioral Therapy (DBT) Program
DBT Skills Groups and therapy for emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness; led by staff trained by Dr. Marsha Linehan’s Behavioral Tech Team
Inpatient Psychiatric Services (PAC Unit)
16-bed emergency psychiatric hospital for adults needing evaluation, medication stabilization, and crisis intervention including involuntary hospitalization under Title 36; average stay 3-5 days
Inpatient Psychiatric Services (Psychiatric Acute Care Unit - PAC)
A 16-bed emergency psychiatric hospital offering evaluation, medication stabilization, and emergency psychiatric care for adults, including involuntary hospitalization.
Integrated Care
On-site pharmacy services through Genoa, a QoL Healthcare Company, to support medication access and adherence for members
Outpatient Psychiatric Services
Psychiatric evaluation, medication management, and monitoring by psychiatric providers working in coordination with therapy and care management teams
Peer Support Services
Support provided by certified Peer Support Specialists with lived experience of mental illness and recovery; includes Peer Support Training program for community members
Serious Mental Illness (SMI) Services
Offers specialized services for individuals with Serious Mental Illness, including diagnosis determination, assertive community treatment, and dialectical behavioral therapy groups.
Substance Use Treatment
Residential and outpatient treatment for substance use disorders using evidence-based models including the Matrix Model and Acceptance and Commitment Therapy; includes case management and continuing care planning
activities · 13 groups

what they do

  • 24/7 Crisis Hotline Operations 5 activities
    • 24/7 Crisis Intervention Services
      Operates a 24/7 crisis department available by phone or walk-in, including a Crisis Stabilization Unit offering up to 23 hours and 59 minutes of intensive support, and provides safety planning post-crisis by coordinating with natural support systems.
    • 24/7 Crisis Services
      Operates a 24/7 crisis department available by phone or walk-in for individuals experiencing mental health crises, and a 24/7 Crisis Stabilization Unit providing intensive support for up to 23 hours and 59 minutes.
    • Crisis Intervention and Stabilization
      Operates a 24/7 crisis department available by phone or walk-in for individuals experiencing mental health crises, and a 24/7 Crisis Stabilization Unit providing intensive support and safety planning.
    • Crisis Intervention and Stabilization
      Operates a 24/7 crisis department available by phone or walk-in and a 24/7 Crisis Stabilization Unit for individuals experiencing mental health crises, providing intensive support and creating safety plans post-crisis.
    • Crisis Intervention and Stabilization
      Operates a 24/7 crisis department available by phone or walk-in for individuals experiencing mental health crises, and a 24/7 Crisis Stabilization Unit providing intensive support and safety planning.
  • Short-Term Psychiatric Crisis Stabilization 5 activities
    • Emergency Psychiatric Hospital Services
      Operates a 16-bed emergency psychiatric hospital for adults requiring evaluation, medication stabilization, or emergency psychiatric care, providing short-term stabilization with provider assessments within 24 hours and follow-up care coordination.
    • Emergency Psychiatric Hospital Services
      Operates a 16-bed emergency psychiatric hospital for adults requiring evaluation, medication stabilization, or emergency psychiatric care, providing short-term stabilization with an average length of stay of 3 to 5 days and ensuring follow-up care within one week of discharge.
    • Emergency Psychiatric Hospital Services
      Operates a 16-bed emergency psychiatric hospital for adults requiring evaluation, medication stabilization, or emergency psychiatric care, providing short-term stabilization with provider assessments within 24 hours and follow-up care coordination.
    • Emergency Psychiatric Hospital Services
      Operates a 16-bed emergency psychiatric hospital for adults requiring evaluation, medication stabilization, or emergency psychiatric care, providing short-term stabilization with an average length of stay of 3 to 5 days.
    • Emergency Psychiatric Hospitalization
      Operates a 16-bed emergency psychiatric hospital for adults requiring evaluation, medication stabilization, or emergency care, with an average length of stay of 3 to 5 days; conducts provider assessments within 24 hours of admission and schedules follow-up care within one week of discharge.
  • Applied Behavior Analysis (ABA) Therapy 4 activities
    • Behavioral Assessment and Intervention
      Conducts Functional Behavior Assessments and develops Behavior Treatment Plans for members with high behavioral needs, provides brief behavioral consultation for low behavioral needs, and delivers caregiver training on behavioral strategies.
    • Behavioral Consultation and Caregiver Training
      Provides brief behavioral consultation for members with low behavioral needs, delivers caregiver training on behavioral strategies, and offers one-on-one skill development training to improve social, safety, independent living, self-management, conflict resolution, and problem-solving skills.
    • Behavioral Consultation and Skill Development
      Conducts Functional Behavior Assessments, develops Behavior Treatment Plans, provides brief behavioral consultation, delivers caregiver training on behavioral strategies, and offers one-on-one skill development training to members.
    • Behavioral Consultation and Skill Development
      Conducts Functional Behavior Assessments and develops Behavior Treatment Plans, provides brief behavioral consultation, delivers caregiver training on behavioral strategies, and offers one-on-one skill development training to members.
  • Transitional Housing for Recovery 4 activities
    • Residential and Outpatient Substance Use Treatment
      Provides individualized residential rehabilitation and outpatient substance use treatment for adults, including evening group therapy using the Matrix Model and community outings to support recovery.
    • Substance Use Disorder Treatment
      Provides individualized residential rehabilitation and evening outpatient group therapy sessions using the Matrix Model for adults diagnosed with substance use disorders, including community outings to support healthy and sober engagement.
    • Substance Use Disorder Treatment
      Provides individualized residential rehabilitation and evening outpatient group therapy sessions using the Matrix Model for adults with substance use disorders, including community outings to support healthy and sober engagement.
    • Substance Use Disorder Treatment
      Provides individualized residential rehabilitation and evening outpatient group therapy sessions using the Matrix Model for adults with substance use disorders, including community outings to support healthy and sober engagement.
  • Youth Foster Care Transition Support 4 activities
    • Youth Transition-to-Adulthood Support
      Provides transition-to-adulthood support for youth aged 16 to 21, including skills training, vocational rehabilitation, therapy, and therapeutic groups focused on healthy engagement and development.
    • Youth Transition-to-Adulthood Support
      Offers transition-to-adulthood support for youth aged 16 to 21, including skills training, vocational rehabilitation, therapy, and therapeutic and skills-based groups.
    • Youth Transition-to-Adulthood Support
      Offers transition-to-adulthood support for youth aged 16 to 21, including skills training, vocational rehabilitation, therapy, and therapeutic and skills-based groups.
    • Youth Transition-to-Adulthood Support
      Provides transition-to-adulthood support for youth aged 16 to 21, including skills training, vocational rehabilitation, and therapy.
  • Peer Support Certification Training 3 activities
    • Peer Support Specialist Training
      Offers a 48-hour Peer Support Training curriculum to train and prepare individuals for state certification as Peer Support Specialists in Arizona.
    • Peer Support Specialist Training
      Offers a 48-hour Peer Support Training curriculum to train and prepare individuals for state certification as Peer Support Specialists in Arizona.
    • Peer Support Specialist Training
      Offers a 48-hour Peer Support Training curriculum to prepare individuals for state certification as Peer Support Specialists in Arizona.
  • School-Based Behavioral & Psychological Consultation 3 activities
    • School Behavioral Consultation
      Provides school consultation services, including behavioral needs assessments, environmental evaluations, and training on behavioral principles, upon request from schools or school districts.
    • School Behavioral Consultation
      Provides school consultation services including behavioral needs assessments, environmental evaluations, and training on behavioral principles upon request from schools or school districts.
    • School-Based Behavioral Consultation
      Provides school consultation services, including behavioral needs assessments, environmental evaluations, and training on behavioral principles, upon request from schools or school districts.
  • Outpatient Behavioral Health Services 2 activities
    • Dialectical Behavioral Therapy (DBT) Program
      Implements a Dialectical Behavioral Therapy (DBT) Program facilitated by staff trained through a two-year intensive program with the Dr. Marsha Linehan Behavioral Tech Team; offers DBT groups for enrolled youth.
    • Outpatient Psychiatric Services
      Provides outpatient psychiatric services including regular appointments and medication management for adults and children.
  • Assertive Community Treatment (ACT) Programs 1 activity
    • Assertive Community Treatment (ACT) Team
      Operates an Assertive Community Treatment (ACT) team composed of a registered nurse, therapist, care manager, vocational specialist, and peer support specialists to support adults with serious mental illness.
  • On-Site Pharmacy Services 1 activity
    • On-Site Pharmacy Services
      Offers on-site pharmacy services through a partnership with Genoa to fulfill members' medication needs.
  • Independent Living Skills Training 1 activity
    • Skill Development Training
      Provides one-on-one skill development training to members to improve social, safety, independent living, self-management, conflict resolution, and problem-solving skills.
  • Youth Social Skills & Support Groups 1 activity
    • Therapeutic and Skills-Based Youth Groups
      Offers therapeutic and skills-based groups for enrolled youth, covering topics such as DBT, gardening, mindfulness, kinship support, anime, dance, hiking, and sustainability.
  • Uncategorized 17 activities
    • Adult Behavioral Health Services
      Provides individualized behavioral health treatment planning for adults aged 18 and over, including outpatient mental health counseling, and operates an Assertive Community Treatment (ACT) team and a Dialectical Behavioral Therapy (DBT) Program.
    • Adult Behavioral Health Services
      Provides individualized behavioral health treatment planning for adults aged 18 and over, including outpatient mental health counseling and an Assertive Community Treatment (ACT) team.
    • Adult Behavioral Health Services
      Provides individualized behavioral health treatment planning for adults aged 18 and over, including outpatient mental health counseling, and operates an Assertive Community Treatment (ACT) team and a Dialectical Behavioral Therapy (DBT) Program.
    • Child and Family Behavioral Health Services
      Provides comprehensive behavioral healthcare services to individuals from birth through adulthood, with specialized services for children from birth to 5 years of age (family support, developmental assessments, therapy, care coordination) and children ages 6–18 (skill development, healthy decision-making in home, school, and office settings).
    • Child and Family Behavioral Health Services
      Provides comprehensive behavioral health services to children from birth through adulthood (up to age 21), including family support, developmental assessments, therapy, care coordination, and skill development in home, school, and office settings.
    • Child and Family Behavioral Health Services
      Provides comprehensive behavioral health services to children from birth through adulthood (up to age 21), including family support, developmental assessments, therapy, care coordination, and skill development in home, school, and office settings.
    • Community Mental Health Center Operations
      Operates as a licensed and accredited community mental health center providing a full range of behavioral health services in Flagstaff and surrounding Northern Arizona communities, including outpatient counseling and inpatient psychiatric hospitalization.
    • Comprehensive Behavioral Health Services for Children and Families
      Provides behavioral health services to individuals from birth through age 21, including family support, developmental assessments, therapy, care coordination, and school consultation services; has served children and families continuously since 1977.
    • Dialectical Behavioral Therapy (DBT) Program
      Implements a Dialectical Behavioral Therapy (DBT) Program facilitated by staff who completed intensive training with the Dr. Marsha Linehan Behavioral Tech Team.
    • Individualized Behavioral Health Treatment Planning
      Provides individualized behavioral health treatment planning for adults aged 18 and over, including Functional Behavior Assessments and Behavior Treatment Plans for those with high behavioral needs.
    • Integrated Primary Care Services
      Provides primary care medical services through an Integrated Care Clinic staffed by licensed Primary Care Nurse Practitioners.
    • Integrated Primary and Behavioral Healthcare
      Provides integrated primary care medical services through an Integrated Care Clinic staffed by licensed Primary Care Nurse Practitioners, alongside outpatient psychiatric services including regular appointments and medication management, and on-site pharmacy services.
    • Integrated Primary and Behavioral Healthcare
      Provides integrated primary care medical services through an Integrated Care Clinic staffed by licensed Primary Care Nurse Practitioners, alongside outpatient psychiatric services including regular appointments and medication management, and on-site pharmacy services.
    • Outpatient Nursing Clinic
      Operates an outpatient nursing clinic that monitors vital signs, blood pressure, and conducts lab draws for medication monitoring, including a walk-in clinic twice a week.
    • Outpatient Nursing Clinic Services
      Operates an outpatient nursing clinic that monitors vital signs, blood pressure, conducts lab draws for medication monitoring, and hosts a walk-in clinic twice a week to support medication management.
    • Outpatient Nursing Clinic Services
      Operates an outpatient nursing clinic that monitors vital signs, blood pressure, conducts lab draws for medication monitoring, and hosts a walk-in clinic twice a week to support medication management.
    • Post-Crisis Safety Planning
      Creates safety plans post-crisis by identifying natural support systems and coordinating with family and friends.
financials · form 990 · fy2021
revenue
Total revenue$26.15M
Contributions & grants$5.86M22%
Program service revenue$20.27M78%
Investment income$-2800%
Other revenue$20K
expenses
Total expenses$23.87M
Program expenses91%
Admin / overhead9%
Fundraising0%
Salaries & benefits$13.52M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$26.99M
Cash$6.60M
Investments$0
Liabilities$5.91M
Net assets$21.08M
Liquid reserves3.3 mo
3 years on record · 2019–2021 · YoY revenue -5.4%
leadership · form 990 part vii · fy2021

who runs it

paid leadership · 13
NameTitleHours/wkCompensation
TERESA BERTSCH MD CMO 28 $393K
LAUREN LAUDER CEO 40 $369K
MICHAEL KUZMIN CFO 20 $299K
BOHDAN HRECZNYJ PSYCHIATRIST 40 $274K
NATHAN JONES SECRETARY/COMPLIANCE OFFICER 20 $246K
JON PEREZ BOARD CHAIR 2 $222K
JUDY MARFECHUK TREASURER 1 $209K
P CASEY DUBRAVCIC PSYCHIATRIC NP 40 $155K
TREVER DAVIS CCO 40 $152K
JOSEPH TRIS PSYCHIATRIC NP 40 $151K
COURTNEY KEKICH PSYCHIATRIST 10 $150K
FRANCIS GAGLIARDI PSYCHIATRIST 20 $144K
DEVON FORREST COO 39 $140K
board members · 3
  • BETH OTTERSTEIN — DIRECTOR
  • CELESTE IRONS — DIRECTOR
  • KERRY BLUME — DIRECTOR
relationships · 31

who they work with

  • A.R.S. Title 36 Government — Follows Arizona state law for involuntary psychiatric evaluation and commitment procedures.
  • AA (Alcoholics Anonymous) Partner — Coordinates residential treatment outings to AA meetings as part of recovery programming.
  • AHCCCS Government — Provides coverage for services offered by The Guidance Center.
  • Arizona Department of Health Services Government — Licenses The Guidance Center through its Office of Behavioral Health Licensure and Department of Health Services.
  • Arizona Early Intervention Program Partner — Works with AzEIP to support infants and toddlers with developmental needs.
  • Beth Otterstein, NP Partner — Director on the Board of The Guidance Center
  • CFT/ART teams Partner — Collaborates with CFT/ART teams in the delivery of ABA services.
  • Christopher Linskey, MD Partner — Medical Director at The Guidance Center
  • Coconino County Detention Facility Partner — Collaborates with The Guidance Center's Crisis Department in responding to mental health crises.
  • Department of Child Safety Partner — Collaborates with DCS to meet the needs of children and families.
  • Department of Developmental Disabilities Partner — Partners with DDD to coordinate care for children with developmental disabilities.
  • Devon Forrest, MBA, MA Partner — Chief Executive Officer of The Guidance Center
  • Dr. Marsha Linehan Behavioral Tech Team Partner — Provided two-year intensive training in Dialectical Behavioral Therapy to Guidance Center staff.
  • Flagstaff Medical Center Partner — Collaborates with The Guidance Center's Crisis Department in responding to mental health crises.
  • Genoa Partner — Partnership to provide on-site pharmacy services for members.
  • Genoa, a QoL Healthcare Company Partner — On-site pharmacy partner that fulfills all medication needs for The Guidance Center's members.
  • Guardian Partner — Collaborates with The Guidance Center's Crisis Department in responding to mental health crises.
  • Jon Perez, Ph.D. Partner — Board President of The Guidance Center
  • Judy Marfechuk Partner — Board Treasurer of The Guidance Center
  • Kerry Blume Partner — Director on the Board of The Guidance Center
  • Law Enforcement Partner — Collaborates with The Guidance Center's Crisis Department in responding to mental health crises.
  • Michael Kuzmin, MPA Partner — Chief Financial Officer of The Guidance Center
  • Nathan Jones, J.D., C.H.C., MBA Partner — Board Secretary and Chief Compliance Officer of The Guidance Center
  • Sabina Bomba, RN Partner — Director of Nursing at The Guidance Center
  • Stephanie Babbitt, Ph.D. Partner — Chief Clinical Officer of The Guidance Center
  • Substance Abuse Prevention and Treatment (SAPT) Block Grant Government — Funds services provided by The Guidance Center.
  • Terros Partner — Collaborates with The Guidance Center's Crisis Department in responding to mental health crises.
  • The Joint Commission Government — Licenses and accredits The Guidance Center for behavioral health services.
  • juvenile Probation Partner — Collaborates with JPO to serve youth involved in the juvenile justice system.
  • pediatrician offices Partner — Coordinates with pediatricians to support child health and development.
+ 1 more