2019-12-11T14:34:15-06:00 2019-01-31 450310328 BRADY MARTZ AND ASSOCIATES PC PO BOX 14296 GRAND FORKS ND 582084296 990 2018-02-01 331029318 NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER NORT 7014482054 PO BOX 535 TURTLE LAKE ND 58575 NADINE BOE CEO 7014482054 2019-12-11 1 NICOLE HELDSTAB P01220683 7017754685 2019-12-11 24.111.23.187 2019-12-11 09:31:09 CS P B9303B9D082645F0E9C5F4109FC0868A6B9608B2 6C39C89A0B916563EEFC9C4D81EC75D1023FE21F 2018 2020-04-17 16:48:07Z NADINE BOE 104 MAIN STREET TURTLE LAKE ND 58575 7812662 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 10 109 0 0 0 4093403 4097597 3653666 3620686 -41848 2165 98795 92214 7804016 7812662 0 0 0 0 4500765 4939685 0 0 0 3229625 3450335 7730390 8390020 73626 -577358 5221983 4647290 1296012 1298678 3925971 3348612 X NORTHLAND COMMUNITY HEALTH CENTER IS COMMITTED TO PROVIDING ACCESS TO AFFORDABLE AND QUALITY HEALTH SERVICES. 1 0 3867655 1833274 PROVIDING PRIMARY MEDICAL CARE TO PATIENTS OF OUR HEALTH CENTER. 1347169 1298223 PROVIDING PRIMARY ORAL HEALTH CARE TO PATIENTS OF OUR HEALTH CENTER. 815919 581403 PROVIDING BEHAVIORAL / MENTAL HEALTH SERVICES TO PATIENTS OF OUR HEALTH CENTER. 6030743 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 12 0 1 109 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 1 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 TREASURER 1.00 X 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 WES LONG FEATHER DIRECTOR 1.00 X 0 0 0 JENNIFER DOCKTER DIRECTOR 1.00 X 0 0 0 CHRIS NOORDSY PAST TREASURER 1.00 X X 0 0 0 LANA SIMONS PAST SECRETARY 1.00 X X 0 0 0 MELISSA PINKS DIRECTOR 1.00 X 0 0 0 GAILLORD PELTIER DIRECTOR 1.00 X 0 0 0 PATRICK BUTLER CEO 40.00 X 303131 0 15672 NADINE BOE COO; CEO 40.00 X 103153 0 15382 SANDRA BOHRER CFO 40.00 X 86853 0 3830 NATHAN BURBACH DENTIST 40.00 X 145480 0 10244 NICHOLAS FAURE DENTIST 40.00 X 111500 0 6173 750117 0 51301 4 0 1 0 GREENWAY HEALTH LLC 4301 W BOY SCOUT BLVD SUITE 800 TAMPA FL 33607 SERVICES 348926 1 3599506 498091 464622 4097597 FEE INCOME/PROGRAM INC 623990 3157841 3157841 340B INCOME 623990 462845 462845 3620686 2165 2165 MISC REVENUE 623990 92214 92214 92214 7812662 3712900 0 2165 515549 515549 3579402 3031455 547947 541327 427370 113957 303407 225621 77786 7215 7215 46082 46082 13139 8119 5020 54674 40865 13809 238212 80104 158108 454770 454770 426024 394423 31601 122705 48316 74389 49284 49284 241640 189045 52595 36811 36811 CLINICAL SUPPLIES 845679 847706 -2027 340B SUPPLIES 373071 373071 CONTRACT SERVICES 177695 174945 2750 REPAIRS AND MAINTENANCE 119417 91354 28063 243917 98349 145568 8390020 6030743 2359277 0 1102268 914860 60000 60000 786765 548560 219831 285557 77565 99662 4006285 1267634 2975554 2738651 5221983 4647290 336232 440941 816489 707517 143291 150220 1296012 1298678 X 3925971 3348612 3925971 3348612 5221983 4647290 X -577358 -1 X 0 1 X 1 1 1 X 2211139 2515281 1007001 4093403 4097597 13924421 2211139 2515281 1007001 4093403 4097597 13924421 567762 13356659 2936 1026 326 1492 2165 7945 13932366 19282467 0.95870 0.96990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1062486 82548 979938 1535964 342187 1193777 1407835 842899 564936 2738651 ACCRUED COMPENSATED ABSENCES 129488 CAPITAL LEASE PAYABLE 20732 150220 X 7812662 0 7812662 0 7812662 8390021 1 1 8390020 0 8390020 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 1 0 0 0 0 0 0 0 0 PATRICK BUTLER CEO 212874 0 15000 0 75257 0 9094 0 7593 0 319818 0 0 0 NATHAN BURBACH DENTIST 141238 0 4242 0 0 0 4364 0 6895 0 156739 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. PART I, LINE 4A PATRICK BUTLER $53,750 X 113 464622 FAIR MARKET VALUE 0 0 0 FORM 990, PART III, LINE 2 MEDICATION ASSISTED TREATMENT (MAT), PROVIDING CARE TO THOSE WITH OPIOID ADDICTION AND SUBSTANCE ABUSE DISORDERS. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S BYLAWS WERE UPDATED TO ALLOW BOARD MEMBERS TO SERVE MORE THAN THREE CONSECUTIVE THREE-YEAR TERMS. 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 FORM 990, PART XI, LINE 9: ROUNDING -1.