2020-08-03T11:11:05-05:00 2020-01-31 450310328 BRADY MARTZ AND ASSOCIATES PC PO BOX 14296 GRAND FORKS ND 582084296 990 2019-02-01 331029318 NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER NORT 7014482054 PO BOX 535 TURTLE LAKE ND 58575 RACHEL THOMAS CFO 7014482054 2020-07-31 1 NICOLE HELDSTAB P01220683 7017754685 2020-07-29 24.111.23.187 2020-07-31 11:33:53 CD P B9303B9D082645F0E9C5F4109FC0868A6B9608B2 BB89669E34CA8B3ED290EF35870AD605063D0810 2019 2020-09-23 17:36:50Z RACHEL THOMAS 104 MAIN STREET TURTLE LAKE ND 58575 7995394 0 X WWW.NORTHLANDCHC.ORG X 2002 ND DELIVERING PATIENT CENTERED, ACCESSIBLE, QUALITY-DRIVEN, MEDICAL, DENTAL, AND BEHAVIORAL HEALTHCARE, TO ALL GENERATIONS TO STRENGTHEN THE HEALTH STATUS IN THE COMMUNITIES WE SERVE, REGARDLESS OF THE ABILITY TO PAY 10 10 115 0 0 0 4097597 4444184 3620686 3396520 2165 2888 92214 151802 7812662 7995394 0 0 0 0 4939685 4957981 0 0 0 3450335 3127084 8390020 8085065 -577358 -89671 4647290 4420616 1298678 1161676 3348612 3258940 NORTHLAND COMMUNITY HEALTH CENTER IS COMMITTED TO PROVIDING ACCESS TO AFFORDABLE AND QUALITY HEALTH SERVICES. 0 0 3806033 2103795 PROVIDING PRIMARY MEDICAL CARE TO PATIENTS OF OUR HEALTH CENTER. 1164289 1011159 PROVIDING PRIMARY ORAL HEALTH CARE TO PATIENTS OF OUR HEALTH CENTER. 635090 433368 PROVIDING BEHAVIORAL / MENTAL HEALTH SERVICES TO PATIENTS OF OUR HEALTH CENTER. 5605412 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 1 0 0 0 0 0 0 0 0 1 10 0 1 115 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X THE ORGANIZATION 7014482054 104 MAIN STREET TURTLE LAKE ND 58575 DAN FOLSKE PRESIDENT 1.00 X X 0 0 0 BEN MACK VICE PRESIDENT 1.00 X X 0 0 0 BRENT JOHNSTON DIRECTOR 1.00 X 0 0 0 DALEN SCHAEFER SECRETARY 1.00 X X 0 0 0 JEFFREY MARTWICK DIRECTOR 1.00 X 0 0 0 WALTER LIPP DIRECTOR 1.00 X 0 0 0 CHRIS LAMOUREUX DIRECTOR 1.00 X 0 0 0 BRENDA BERSGRUD DIRECTOR 1.00 X 0 0 0 BRENDA FYLLING DIRECTOR 1.00 X 0 0 0 JENNIFER DOCKTER DIRECTOR 1.00 X 0 0 0 WES LONG FEATHER DIRECTOR 1.00 X 0 0 0 NADINE BOE CEO 40.00 X 140617 0 27144 SANDRA BOHRER CFO 40.00 X 101789 0 7726 RACHEL THOMAS CFO 40.00 X 61091 0 6659 NATHAN BURBACH DENTIST 40.00 X 105758 0 11031 NICHOLAS FAURE DENTIST 40.00 X 147234 0 15827 BRENNA HUDSON MEDICAL PROVIDER SUPERVISOR 40.00 X 152190 0 11475 708679 0 79862 5 0 1 0 GREENWAY HEALTH LLC 4301 W BOY SCOUT BLVD SUITE 800 TAMPA FL 33607 SERVICES 244469 NEXTGEN HEALTHCARE 18111 VON KARMAN AVE IRVINE CA 92612 SERVICES 223932 2 3700938 743246 721829 4444184 FEE INCOME/PROGRAM INC 623990 2947569 2947569 340B INCOME 623990 448951 448951 3396520 2888 2888 MISC REVENUE 623990 151802 151802 151802 7995394 3548322 0 2888 351142 351142 3690740 2873230 817510 615276 450044 165232 300823 210505 90318 5300 5300 52714 52714 23756 23756 27648 11376 16272 191246 62994 128252 390016 390016 418537 385204 33333 116312 34126 82186 41052 41052 229606 177459 52147 39081 39081 CLINICAL SUPPLIES 874822 866559 8263 340B SUPPLIES 290299 290299 CONTRACT SERVICES 111739 109465 2274 REPAIRS AND MAINTENANCE 103648 72103 31545 211308 62048 149260 8085065 5605412 2479653 0 914860 768695 60000 60000 548560 412626 285557 564660 99662 105591 4006285 1497241 2738651 2509044 4647290 4420616 440941 400044 707517 586785 150220 174847 1298678 1161676 X 3348612 3258940 3348612 3258940 4647290 4420616 -89671 0 X 0 1 X 1 1 1 X 2515281 1007001 4093403 4097597 4444184 16157466 2515281 1007001 4093403 4097597 4444184 16157466 907032 15250434 1026 326 1492 2165 2888 7897 16165363 18225387 0.94340 0.95870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1062486 125047 937439 1535964 395681 1140283 1407835 976513 431322 2509044 ACCRUED COMPENSATED ABSENCES 159409 CAPITAL LEASE PAYABLE 15438 174847 X 7995394 0 7995394 0 7995394 8085066 1 1 8085065 0 8085065 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS NOT A PRIVATE FOUNDATION UNDER CODE SECTION 501(A)(1). THEREFORE, THE ORGANIZATION IS NOT SUBJECT TO INCOME TAX. THE ORGANIZATION'S POLICY IS TO EVALUATE THE LIKELIHOOD THAT ITS UNCERTAIN TAX POSITIONS WILL PREVAIL UPON EXAMINATION BASED ON THE EXTENT TO WHICH THOSE POSITIONS HAVE SUBSTANTIAL SUPPORT WITHIN THE INTERNAL REVENUE CODE AND REGULATIONS, REVENUE RULINGS, COURT DECISIONS, AND OTHER EVIDENCE. IT IS THE OPINION OF MANAGEMENT THAT THE ORGANIZATION HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. THE FEDERAL INCOME TAX RETURNS OF THE ORGANIZATION ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. ALL FILINGS ARE CURRENT. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 1. X 0 0 0 0 0 0 0 0 0 NADINE BOE CEO 140617 0 0 0 0 0 8829 0 19286 0 168732 0 0 0 NICHOLAS FAURE DENTIST 145434 0 1800 0 0 0 8917 0 7882 0 164033 0 0 0 BRENNA HUDSON MEDICAL PROVIDER SUPERVISOR 150190 0 2000 0 0 0 0 0 12208 0 164398 0 0 0 PART I, LINE 3 THE BOARD OF DIRECTORS REVIEWS PAST COMPENSATION LEVELS WITHIN NORTHLAND COMMUNITY HEALTH CENTER AND COMPARES THIS WITH NACHC AND CHAMPS HEALTH CENTER SALARY SURVEYS FOR REGION VIII. X 279 721829 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL. IF THERE ARE ANY REVISIONS, IT IS PRESENTED AGAIN BEFORE THE BOARD OF DIRECTORS FOR FINAL APPROVAL AND SUBMITTAL. FORM 990, PART VI, SECTION B, LINE 12C ALL KEY STAFF AND MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO COMPLETE CONFLICT OF INTEREST ACKNOWLEDGEMENT/DISCLOSURE FORMS ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEWS PAST COMPENSATION LEVELS WITHIN NORTHLAND COMMUNITY HEALTH CENTER AND COMPARES THIS WITH NACHC AND CHAMPS HEALTH CENTER SALARY SURVEYS FOR THE APPROPRIATE REGION. THE CEO, CFO AND HR DIRECTOR REVIEW PAST COMPENSATION LEVELS WITHIN NORTHLAND COMMUNITY HEALTH CENTER AND COMPARES THIS WITH NACHC AND CHAMPS HEALTH CENTER SALARY SURVEYS FOR THE APPROPRIATE REGION. FORM 990, PART VI, SECTION C, LINE 18 AVAILABLE UPON REQUEST FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST