2020-05-15T18:02:38-05:00 2019-06-30 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2018-07-01 942492609 NORTHEASTERN RURAL HEALTH CLINICS INC NORT 5302515000 1850 SPRING RIDGE DRIVE SUSANVILLE CA 96130 MICHAEL SCHAUB CEO 5302515000 2020-05-14 1 TRACY S PAGLIA P00366884 2099556100 2020-05-10 73.220.15.136 2020-05-14 10:38:31 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 CEB76944B4F8F8BF159484E9A3451FE58A163647 2018 2020-11-19 02:30:22Z MICHAEL SCHAUB 1850 SPRING RIDGE DRIVE SUSANVILLE CA 96130 13622537 0 X WWW.NORTHEASTERNHEALTH.ORG X 1977 CA PROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES TO SOCIALLY/ECONOMICALLY DEPRESSED IN LASSEN CTY, CA. 8 8 140 10 0 0 2516916 3188692 9393052 10405794 0 3624 62596 1645 11972564 13599755 0 0 0 0 7197050 8290342 0 0 0 5215256 6079093 12412306 14369435 -439742 -769680 5653143 5414407 7752594 8283538 -2099451 -2869131 TO PROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES TO SOCIALLY AND ECONOMICALLY DEPRESSED SECTORS OF LASSEN COUNTY IN NORTHEASTERN CALIFORNIA. THE CENTER IS COMMITTED TO ADDRESSING THE SPECIAL NEEDS OF THE COMMUNITY'S MEDICALLY UNDER SERVED. 0 0 10299689 10405794 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 49,498 PATIENT VISITS ARE RECORDED FOR FISCAL YEAR ENDED JUNE 30, 2019. 10299689 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 20 0 1 140 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 MARGE GARROD CHAIRMAN OF BOARD 2.00 X X 0 0 0 EULA JOHNSON BOARD MEMBER 2.00 X 0 0 0 SANDY RAFFLESON BOARD MEMBER 2.00 X 0 0 0 ROSS STEVENSON SECRETARY 2.00 X X 0 0 0 MIKE O' KELLY TREASURER 2.00 X X 0 0 0 CARROL CURRY BOARD MEMBER 2.00 X 0 0 0 SOPHIA WAGES BOARD MEMBER 2.00 X 0 0 0 KATIE ANDERSON BOARD MEMBER 2.00 X 0 0 0 SETH ANDERSON BOARD MEMBER (THRU 11/1/18) 2.00 X 0 0 0 MARIA NYE TREASURER (THRU 3/11/19) 2.00 X X 0 0 0 NAOMI REA MEDICAL DIRECTOR 40.00 X 179176 0 9482 LYNN HUDGENS CEO 40.00 X 205000 0 9004 DANIEL KAZAKOS CFO 40.00 X 145000 0 8704 MIKE SCHWAB COO 40.00 X 144000 0 7615 MARYAM BAHADORI DENTAL DIRECTOR (THRU 9/10/18) 40.00 X 107466 0 3800 JOHN DOZIER PHYSICIAN 40.00 X 208321 0 16091 RACHEL PETERSON PHYSICIAN OB GYN 40.00 X 268775 0 23515 STEVEN BRAATZ PHYSICIAN OB GYN 40.00 X 301519 0 20372 SAMUEL CARLTON PHYSICIAN 40.00 X 228490 0 15937 TIMOTHY ECKFORD PHYSICIAN 40.00 X 222675 0 9858 2010422 0 124378 13 0 1 0 BARTON ASSOCIATES INC PO BOX 417844 BOSTON MA 02241 LOCUM TENENS 922471 ATHENA HEALTH 800 W CESAR CHAVEZ ST AUSTIN TX 78701 ELECTRONIC HEALTH RECORDS SYSTEM 623556 NORTH AMERICAN MENTAL HEALTH SERVICES 1742 OREGON ST REDDING CA 96001 TELEMEDICINE PROVIDER 410535 WEATHERBY LOCUMS 6451 NORTH FEDERAL HIGHWAY 700 FORT LAUDERDALE FL 33308 LOCUM TENENS 269704 PROVIDER HEALTH CARE 2455 E PARLEYS WAY 310 SALT LAKE CITY UT 84109 LOCUM TENENS 195733 6 2609711 578981 3188692 NET PATIENT SERVICE REVENUE 621400 7685671 7685671 PHARMACY REVENUE 621400 2720123 2720123 10405794 7550 13006 -5456 -5456 -5456 13400 9776 3624 3624 3624 MISCELLANEOUS INCOME 900099 7101 7101 7101 13599755 10405794 0 5269 X 618704 190257 428447 6175839 4963396 1212443 27455 19132 8323 951159 716136 235023 517185 351314 165871 5143 5143 111089 111089 3001453 2755225 246228 31027 31027 252079 9113 242966 235463 37990 197473 31500 23267 8233 75267 17787 57480 176202 176202 383506 383506 61508 32704 28804 MEDICAL SUPPLIES & DRUG 1368810 1092624 276186 EQUIPMENT 160516 36687 123829 COMMUNICATIONS 144513 26654 117859 LICENSES AND REGISTRATI 37663 27403 10260 3354 3354 14369435 10299689 4069746 0 1615374 1379544 967597 1116987 146552 154625 8167259 5404008 2923620 2763251 5653143 5414407 911758 1592950 3823702 3494013 3017134 3196575 7752594 8283538 X -2166056 -2936786 66605 67655 -2099451 -2869131 5653143 5414407 -769680 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 288555 288555 6394545 4164394 2230151 358842 129542 229300 1125317 1110072 15245 2763251 X 13612761 0 13612761 -13006 -13006 13599755 14382441 13006 13006 14369435 0 14369435 PART X, LINE 2: THE CENTER IS A NONPROFIT CORPORATION UNDER SECTION 501(C)(3) AND HAVE BEEN GRANTED TAX-EXEMPT STATUSES BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2019 AND 2018, THE CENTER HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -13,006. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 13,006. X 0 0 0 0 0 0 0 0 0 NAOMI REA MEDICAL DIRECTOR 146078 0 33098 0 0 0 550 0 8932 0 188658 0 0 0 LYNN HUDGENS CEO 205000 0 0 0 0 0 300 0 8704 0 214004 0 0 0 DANIEL KAZAKOS CFO 145000 0 0 0 0 0 0 0 8704 0 153704 0 0 0 MIKE SCHWAB COO 144000 0 0 0 0 0 0 0 7615 0 151615 0 0 0 JOHN DOZIER PHYSICIAN 196000 0 12321 0 0 0 0 0 16091 0 224412 0 0 0 RACHEL PETERSON PHYSICIAN OB GYN 240000 0 28775 0 0 0 550 0 22965 0 292290 0 0 0 STEVEN BRAATZ PHYSICIAN OB GYN 245000 0 56519 0 0 0 550 0 19822 0 321891 0 0 0 SAMUEL CARLTON PHYSICIAN 215500 0 12990 0 0 0 550 0 15387 0 244427 0 0 0 TIMOTHY ECKFORD PHYSICIAN 208000 0 14675 0 0 0 550 0 9308 0 232533 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 RETURN IS SENT TO THE BOARD CHAIR, THE BOARD CHAIR THEN SENDS IT OUT TO THE OTHER MEMBERS AND AN EMAIL VOTE TAKES PLACE. 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 SOME OF THESE ITEMS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 2,754,052. MANAGEMENT AND GENERAL EXPENSES 129,511. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,883,563. RECRUITMENT & PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,173. MANAGEMENT AND GENERAL EXPENSES 116,717. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 117,890.