2024-05-13T17:45:16-05:00 2023-06-30 910189318 MOSS ADAMS LLP 2882 PROSPECT PARK DR STE 300 RANCHO CORDOVA CA 95670 990 2022-07-01 942492609 NORTHEASTERN RURAL HEALTH CLINICS INC NORT 5302515000 1850 SPRING RIDGE DRIVE SUSANVILLE CA 96130 RYAN NOWLING CEO 5302515000 2024-05-08 1 RYAN NOWLING 999009999 0 QI WEN LIANG P01270238 9165038100 2024-05-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z RYAN NOWLING 1850 SPRING RIDGE DRIVE SUSANVILLE CA 96130 15844288 0 X WWW.NORTHEASTERNHEALTH.ORG X 1977 CA PROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES TO SOCIALLY/ECONOMICALLY DEPRESSED IN LASSEN CTY, CA. 8 8 165 8 0 0 6959875 5908869 10392369 9935419 -831 0 0 0 17351413 15844288 0 0 0 0 9170949 9017591 0 0 0 5405294 5775833 14576243 14793424 2775170 1050864 6325100 6562037 6888456 6074529 -563356 487508 OUR MISSION IS TO PROVIDE QUALITY, COMPREHENSIVE, PREVENTIVE, AND ACCESSIBLE HEALTH CARE SERVICES, REGARDLESS OF ABILITY TO PAY; AND TO MEET THE CHANGING NEEDS OF OUR COMMUNITIES WITH CREATIVITY AND INNOVATION. 0 0 10941847 0 9935419 PROVIDE QUALITY HEALTH CARE TO RURAL AND LOW INCOME POPULATION REGARDLESS OF ABILITY TO PAY SERVICES INCLUDE PRIMARY CARE, OB, DIAGNOSTIC LAB TESTING, PHARMACY SERVICES, EDUCATION AND BEHAVIORAL HEALTH 50,067 PATIENT VISITS ARE RECORDED FOR FISCAL YEAR ENDED JUNE 30, 2023. 10941847 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 24 0 1 165 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X LACEY LIVELY 5302515000 1850 SPRING RIDGE DRIVE SUSANVILLE CA 96130 RACHEL PETERSEN PHYSICIAN 40.00 X 285850 0 31019 KIMBERLY CLINITE PHYSICIAN 40.00 X 284125 0 31019 STEVEN BRAATZ PHYSICIAN 40.00 X 262628 0 21103 SAMUEL CARLTON PHYSICIAN 40.00 X 228457 0 31019 MICHAEL SCHAUB CEO (THRU 04/23) 40.00 X 189000 0 17970 DAVID MCCANN DENTIST 40.00 X 170001 0 30268 NAOMI REA CMO 40.00 X 177660 0 10895 LACEY LIVELY - INTERIM CEO (AS OF 04/23 THRU 06/23)/CFO 40.00 X 165138 0 11331 RYAN NOWLING - HR MANAGER THRU 06/23)/INTERIM CEO AS OF 06/23 40.00 X 109808 0 10548 MARGE GARROD CHAIRMAN OF BOARD 2.00 X X 0 0 0 EULA JOHNSON VICE CHAIR 2.00 X X 0 0 0 CAROL CURRY SECRETARY 2.00 X X 0 0 0 KATIE ANDERSON - TREASURER (THRU 06/23) 2.00 X X 0 0 0 FRANKIE LUALLEN TREASURER (AS OF 06/23) 2.00 X X 0 0 0 JOLANDA INGRAM-OBIE BOARD MEMBER (THRU 03/23) 2.00 X 0 0 0 LINDSEY MARTIN BOARD MEMBER 2.00 X 0 0 0 PAM PANZANI BOARD MEMBER 2.00 X 0 0 0 TERRI PERKINS BOARD MEMBER 2.00 X 0 0 0 MARK SOLOMON BOARD MEMBER (AS OF 05/23) 2.00 X 0 0 0 1872667 0 195172 17 0 1 0 KELLY MALDONADO 391 S ARROYO AVENUE FRESNO CA 93727 BILLING SERVICES 669807 LOCUMTENENSCOM PO BOX 405547 ALANTA GA 30384 MEDICAL PROVIDERS 317728 INTERGRATIVE HEALTH CENTERS INC 3022 VANDERBILT PLACE NASHVILLE TN 37212 BEHAVIORAL HEALTH PROVIDER 267665 MOSS ADAMS LLP 2882 PROSPECT PARK SUITE 300 RANCHO CORDOVA CA 95670 EXTERNAL AUDITS 210442 CAREHARMONY INC 783 OLD HICKORY BOULEVARD SUITE 25 BRENTWOOD TN 37027 CHRONIC CARE MANAGEMENT PROVIDERS 187623 6 5490967 417902 5908869 NET PATIENT SERVICE REVENUE 621400 8293000 8293000 PHARMACY REVENUE 621400 1642419 1642419 9935419 15844288 9935419 0 0 X 600632 144288 456344 6879359 5565580 1313779 23190 18951 4239 984641 737574 247067 529769 396871 132898 39982 39982 75897 75897 2071128 1273085 798043 17016 8156 8860 317920 127150 190770 13238 3483 9755 245727 204719 41008 4158 3400 758 13241 3360 9881 234682 234682 365722 338151 27571 72161 27096 45065 SUPPLIES 516832 514923 1909 340B SUPPLIES 372451 372451 EQUIPMENT 300343 300343 LICENSE/REGISTRATIONS/D 147135 49439 97696 968200 852827 115373 14793424 10941847 3851577 0 1909909 504804 0 221007 74106 2135987 1463833 924839 86727 106276 329272 241719 8321124 6058414 2461253 2262710 0 164695 6325100 6562037 1651028 1904680 3146316 2831003 2091112 1338846 6888456 6074529 X -587118 462246 23762 25262 -563356 487508 6325100 6562037 1050864 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 288555 288555 6396868 5030734 1366134 361344 272219 89125 1274357 755461 518896 2262710 FINANCE LEASE LIABILITY 91641 OPERATING LEASE LIABILITY 55898 ESTIMATED THIRD PARTY SETTLEMENTS 1191307 1338846 X 15325372 -518916 -518916 15844288 0 15844288 14274508 0 14274508 518916 518916 14793424 PART X, LINE 2: THE CENTER IS A NONPROFIT CORPORATION UNDER SECTION 501(C)(3) AND HAS BEEN GRANTED TAX-EXEMPT STATUSES BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2023 AND 2022, THE CENTER HAD NO UNRECOGNIZED INCOME TAX BENEFITS OR LIABILITIES OR UNCERTAIN INCOME TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CONSULTING FEES -518,916. PART XII, LINE 4B - OTHER ADJUSTMENTS: CONSULTING FEES 518,916. X X 0 0 0 0 0 0 0 1 0 RACHEL PETERSEN PHYSICIAN 274350 0 11500 0 0 0 600 0 30419 0 316869 0 0 0 KIMBERLY CLINITE PHYSICIAN 269675 0 14450 0 0 0 600 0 30419 0 315144 0 0 0 STEVEN BRAATZ PHYSICIAN 241028 0 21600 0 0 0 600 0 20503 0 283731 0 0 0 SAMUEL CARLTON PHYSICIAN 228300 0 157 0 0 0 600 0 30419 0 259476 0 0 0 MICHAEL SCHAUB CEO (THRU 04/23) 189000 0 0 0 0 0 0 0 17970 0 206970 0 0 0 DAVID MCCANN DENTIST 169001 0 1000 0 0 0 600 0 29668 0 200269 0 0 0 NAOMI REA CMO 161046 0 16614 0 0 0 600 0 10295 0 188555 0 0 0 LACEY LIVELY - INTERIM CEO (AS OF 04/23 THRU 06/23)/CFO 165138 0 0 0 0 0 600 0 10731 0 176469 0 0 0 PART I, LINE 7 BONUSES ARE NOT A REGULAR EVENT. IF THE CLINIC IS AWARDED UNRESTRICTED FUNDS, THE BOARD OF DIRECTORS WILL DETERMINE IF BONUSES ARE PAID OUT ALONG WITH THE AMOUNTS. FORM 990, PART VI, SECTION B, LINE 11B ONCE THE FORMS ARE COMPLETED, THE CHIEF FINANCIAL OFFICER WILL PRESENT THE DOCUMENTS TO THE BOARD OF DIRECTORS. THE BOARD WILL THEN ACCEPT THE DOCUMENTS THROUGH A RECORDED VOTE. FORM 990 WILL THEN BE SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DUTY TO DISCLOSE - IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OR EXECUTIVE COMMITTEE. RECUSAL TO SELF - ANY DIRECTOR MAY RECUSE HIM OR HER AT ANY TIME FROM INVOLVEMENT IN ANY DECISION OR DISCUSSION IN WHICH THE DIRECTOR BELIEVES HE OR SHE HAS OR MAY HAVE A CONFLICT OF INTEREST, WITHOUT GOING THROUGH THE PROCESS FOR DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS - AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR EXECUTIVE COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR EXECUTIVE COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. ADDRESSING THE CONFLICT OF INTEREST A. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR EXECUTIVE COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. B. THE CHAIRPERSON OF THE BOARD OR EXECUTIVE COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR EXECUTIVE COMMITTEE SHALL DETERMINE WHETHER NRHC CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. D. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR EXECUTIVE COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN NRHC'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR CEO IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD USES COMPARISON DATA CATALOGS RELATED TO THE FQHC INDUSTRY. THESE CATALOGS ARE ISSUED ANNUALLY BY MULTIPLE INDUSTRY LEADERS SUCH AS NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NATIONAL OVERVIEW), CALIFORNIA PRIMARY CARE ASSOCIATION (STATE OVERVIEW), HEALTH ALLIANCE OF NORTHERN CALIFORNIA, (REGIONAL OVERVIEW). GEOGRAPHICAL LOCATION AND COMPETITIVE LOCAL MARKET RATES ARE ALSO CONSIDERED AS WELL AS RELATED JOB EXPERIENCE OF THE SELECTED PERSON. THIS INFORMATION IS DISCUSSED DURING CLOSED SESSION AT THE BOARD OF DIRECTORS MEETING AND IS VOTED ON. ONCE PASSED IT IS THEN RECORDED IN BOARD MINUTES AND IS MEMORIALIZED IN THE EMPLOYMENT CONTRACT BETWEEN NORTHEASTERN'S BOD AND SELECTED PERSON. THE BOD ANNUALLY REVIEWS AND APPROVES A SALARY SCALE FOR ALL EMPLOYMENT POSITIONS AT THE CLINIC. THE POSITION OF CEO IS ALSO INCLUDED IN THE SCALE. THE SAME DATA CATALOGS LISTED ABOVE ARE USED TO CREATE, ADJUST AND APPROVE THE SALARY SCALE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE AVAILABLE TO THE PUBLIC ANY OF THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 518,916. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 518,916. CONTRACT SERVICES/PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,273,085. MANAGEMENT AND GENERAL EXPENSES 279,127. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,552,212. FORM 990, PART XI, LINE 8: $2,075,665 EMPLOYEE RETENTION CREDIT RELATED TO CALENDAR YEAR 2021 PAYROLL EXPENSES