2019-05-02T16:14:00-05:00 2018-06-30 821455657 FESTER & CHAPMAN PLLC 9019 E BAHIA DR STE 100 SCOTTSDALE AZ 85260 990 2017-07-01 860663432 NORTH COUNTRY HEALTHCARE INC NORT 9285229400 2920 N 4TH ST FLAGSTAFF AZ 860041816 ANNE NEWLAND CEO 9285229400 2019-05-01 RACHEL R LOCKE CPA P00450405 6022643077 2019-05-01 52.37.240.203 2019-05-01 12:03:35 P DF0EA5206D48450F037FD57DFE906C118EC0AE80 A7D14FB925E4A23D42CFCABCFD39DFF9B6966A90 2017 2019-02-21 02:37:17Z ANNE NEWLAND 2920 N 4TH STREET FLAGSTAFF AZ 86004 50466994 false X WWW.NORTHCOUNTRYHEALTHCARE.ORG X 1991 AZ TO PROVIDE ACCESSIBLE, AFFORDABLE, COMPREHENSIVE, QUALITY PRIMARY HEALTHCARE IN AN ATMOSPHERE OF RESPECT, DIGNITY, AND CULTURAL SENSITIVITY. 12 11 610 7 0 14555777 14443694 24168434 27053270 77545 124616 4395765 4755642 43197521 46377222 0 0 30133070 31454163 87546 191902 12790041 14690504 42923111 46232213 274410 145009 29070925 28900170 9720478 9400133 19350447 19500037 TO PROVIDE ACCESSIBLE, AFFORDABLE, COMPREHENSIVE, QUALITY PRIMARY HEALTHCARE IN AN ATMOSPHERE OF RESPECT, DIGNITY, AND CULTURAL SENSITIVITY. false false 33582289 27053270 HEALTH CARE WAS PROVIDED TO MEDICALLY UNDERSERVED IN HEALTH PROFESSIONAL SHORTAGE AREAS. PROVIDE TRAINING AND CONTINUING EDUCATION TO HEALTH CARE PROFESSIONALS. 33582289 true true false false false false false false false true true false false false true false true true false false false false false true true false false false false true false false false false false true false true true false false false false false false false false true X 260 0 610 true false false false false false true true false false false false X 12 11 false false false false false false false true true false false true true true true true true true true false AZ X NORTH COUNTRY HEALTHCARE INC 9285229400 2920 N 4TH STREET FLAGSTAFF AZ 86004 PATRICIA CROFFORD BEGIN 62017 DIRECTOR 2.00 X 0 1788 0 MARY JO GREGORY DIRECTOR 2.00 X 0 0 0 CHERYL BLUME PRESIDENT 2.00 X X 0 0 0 PAUL FERRIS SECRETARY 2.00 X X 0 0 0 SARAH BENATAR TREASURER 2.00 X X 0 0 0 AARON SECAKUKU PRESIDENT EL 2.00 X X 0 0 0 CHRIS FETZER DIRECTOR 2.00 X 0 0 0 GEORGE GLEN DIRECTOR 2.00 X 0 0 0 TOM SALERNO THROUGH 92018 DIRECTOR 2.00 X 0 0 0 MONICA BAKER DIRECTOR 2.00 X 0 0 0 SCOTT POCHE DIRECTOR 2.00 X 0 0 0 DAVID CHAVEZ DIRECTOR 2.00 X 0 0 0 ANNE NEWLAND CEO 40.00 X 217238 0 9010 CYNTHIA MARTIN CMO 40.00 X 207846 0 6632 GREG KUZMA CFO 40.00 X 156316 0 3131 MARTI NEFF COO 40.00 X 112849 0 4946 ANDREA KELLAR BLAZIC PHYSICIAN OB 40.00 X 277579 0 0 BEVERLY TEW PHYSICIAN OB 40.00 X 242322 0 0 ELIZABETH CLAXTON PHYSICIAN OB 40.00 X 232771 0 0 KATHRYN FICK PHYSICIAN OB 40.00 X 213015 0 0 NIZAR OLABI PHYSICIAN OB 40.00 X 206154 0 0 1866090 1788 23719 9 false true false COMPHEALTH 6440 SOUTH MILLROCK DRIVE STE 175 SALT LAKE CITY UT 84121 LOCUM PROVIDER 1438743 ALLIANCE OF CHICAGO 215 W OHIO STREET CHICAGO IL 60654 EHR SUPPORT 980837 BARTON ASSOCIATES INC 1050 WEST WASHINGTON ST TEMPE AZ 85281 LOCUM PROVIDER 936509 FRONTIER COMMUNICATIONS PO BOX 5156 TAMPA FL 33675 PHONE & INTERNE 852832 ACC BUSINESS 1300 W WASHINGTON STREET PHOENIX AZ 85007 PHONE/NET SRVC 289906 75481 11878649 2489564 667649 14443694 PATIENT REVENUE 621400 27053270 27053270 27053270 114631 114631 121315 111330 9985 9985 9985 75481 8529677 3978442 4551235 4551235 OTHER REVENUE 621400 204407 204407 204407 46377222 31818897 114631 717967 610273 107694 25863491 21921101 3942390 600990 463051 137939 2424712 1991180 433532 1847003 1509400 337603 51518 51518 87546 87546 4360813 3521501 839031 281 535516 200169 309853 25494 1399948 8219 1391729 1521547 55841 1465706 886115 600171 284262 1682 204502 204502 1049505 1049505 SUPPLIES 1147217 862921 241607 42689 TELEPHONE 917122 86764 830358 REPAIRS AND MAINTENANCE 897335 294273 603062 IN-KIND IMMUNIZATIONS 667649 667649 1051717 789776 227731 34210 46232213 33582289 12458022 191902 2752701 1228345 101278 119757 1008950 985109 4734615 6458448 417004 484443 296248 307660 26423667 9759511 17277453 16664156 2482676 2652252 29070925 28900170 3271318 3433330 5527572 5288366 921588 678437 9720478 9400133 X 18945885 19067533 101278 119757 303284 312747 19350447 19500037 29070925 28900170 145009 4581 X false true X true true true X 19144720 12297868 14678742 14696609 14443694 75261633 19144720 12297868 14678742 14696609 14443694 75261633 75261633 64531 118584 57874 74516 114631 430136 6242 6242 713249 917768 649483 485077 2765577 78463588 35787354 0.95920 0.95460 X PART II, LINE 10 OTHER-TOTAL FOR 5 YEARS 2,765,577 404562 140879 14383 -127320 432504 547447 123470 8854 -275209 404562 348234 170488 28725 547447 303425 27985 16824 348234 0.72000 0.28000 false false 2061430 2061430 18013914 4967971 13045943 6348323 4791540 1556783 16664156 REFUNDABLE GRANT ADVANCES 678437 678437 50454598 4581 94353 3978442 4077376 46377222 46377222 50305008 94353 3978442 4072795 46232213 46232213 SCHEDULE D, PAGE 2, PART V, LINE 4 TO PAY FOR OUTSIDE MEDICAL EXPENSES OF PATIENTS WHO CANNOT AFFORD PAYMENT THEMSELVES. SCHEDULE D, PAGE 4, PART XI, LINE 2D COST OF GOODS SOLD 3,978,442 SCHEDULE D, PAGE 4, PART XII, LINE 2D COST OF GOODS SOLD 3,978,442 false OTHER FUNDRAISI 75481 75481 75481 75481 X X X X X false false false false false false false false false ANNE NEWLAND CEO 204286 12952 9010 226248 CYNTHIA MARTIN CMO 186747 21099 6632 214478 GREG KUZMA CFO 156316 3131 159447 ANDREA KELLAR BLAZIC PHYSICIAN OB-GYN 251914 25665 277579 BEVERLY TEW PHYSICIAN OB-GYN 217777 24545 242322 ELIZABETH CLAXTON PHYSICIAN OB-GYN 208225 24546 232771 KATHRYN FICK PHYSICIAN OB-GYN 204277 8738 213015 NIZAR OLABI PHYSICIAN OB-GYN 194940 11214 206154 WILLIAMS HOSPITAL DISTRICT HCIC DIRECTOR 557913 OPERATING SUBSIDY false WILLIAMS HOSPITAL DISTRICT HCIC DIRECTOR 475000 CORPORATE ALLOCATION false PATRICIA CROFFORD DIRECTOR 1788 HR CONSULTING false SCHEDULE L, PART V GEORGE GLEN IS THE BOARD DIRECTOR OF BOTH NCHC AND WILLIAMS HOSPITAL DISTRICT. PER AN MANAGEMENT AND OPERATING AGREEMENT SIGNED IN 2011, AND EFFECTIVE FROM JANUARY 2011 THROUGH JANUARY 2021, NCHC OCCUPIES THE BUILDING THAT IS OWNED BY THE DISTRICT IN WILLIAMS, ARIZONA. NCHC OPERATES IN THE BUILDING, AND RECEIVES OPERATING SUBSIDY AND OPERATING EXPENSE REIMBURSEMENT FROM THE DISTRICT. PRIOR TO JOINING THE BOARD IN JUNE 2017, MS. PATRICIA CROFFORD PERFORMED HR CONSULTING SERVICES FOR THE CORPORATION IN FY17 WHERE SHE RECEIVED 1,788 FOR THOSE SERVICES. MARY JO GREGORY IS THE PRESIDENT AND CEO OF THE NARBHA INSTITUTE, INC. NARBHA INSTITUTE IN TURN, OWNS 48% (WITH 50% GOVERNANCE) OF HEALTH CHOICE INTEGRATED CARE, LLC ("HCIC"), A JOINT VENTURE OF THE NARBHA INSTITUTE AND STEWARD HEALTH CHOICE. HCIC HOLDS A DELEGATED GOVERNANCE AGREEMENT WITH STEWARD HEALTH CHOICE ARIZONA OVERSEEING ONE OF THE TWO MANAGED CARE CONTRACTS BETWEEN STEWARD HEALTH CHOICE ARIZONA AND THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ("AHCCCS"), THE STATE MEDICAID AGENCY IN ARIZONA. FROM 10/1/2015 UNTIL 10/1/2018, HCIC HELD THIS CONTRACT DIRECTLY. THE CORPORATION RECEIVES APPROXIMATELY 0.5 MILLION OF ITS REVENUE FROM STEWARD HEALTH CHOICE (OR FROM HCIC FOR DATES OF SERVICE PRIOR TO 10/1/18). IN SEPTEMBER 2017, STEWARD HEALTH CARE SYSTEM, LLC ACQUIRED IASIS HEALTHCARE, LLC, INCLUDING IASIS' INTEREST IN HCIC AND IASIS' SUBSIDIARIES INCLUDING HEALTH CHOICE ARIZONA (NOW STEWARD HEALTH CHOICE ARIZONA). IN AUGUST, 2018, NARBHA INSTITUTE BECAME THE SOLE CORPORATE MEMBER OF ANOTHER 501(C)(3) PUBLIC CHARITY, THE GUIDANCE CENTER INC. ("TGC") WHERE THE CORPORATION HAS AN INTEGRATION CLINIC IN FLAGSTAFF. IN DECEMBER 2017, NARBHA INSTITUTE AGREED, IN PRINCIPAL, TO FUND UP TO 3 MILLION OVER A FIVE YEAR PERIOD, FOR A GRADUATE MEDICAL RESIDENCY PROGRAM FOR THE CORPORATION. IN FY 2018, NO FUNDS WERE REQUESTED OR RECEIVED RELATED TO THIS COMMITMENT. X 1 667649 FMV false false false FORM 990 BEGINNING NET ASSETS CHANGED FROM PRIOR YEAR'S 990 ENDING NET ASSETS DUE TO FOUNDATION FINANCIALS ARE CONSOLIDATED IN CURRENT YEAR. FORM 990, PAGE 5, PART V, LINE 3B RENTAL INCOME ENDED IN FY 18. FORM 990, PAGE 6, PART VI, LINE 11B THE 990 WILL BE PROVIDED AND REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. FORM 990, PAGE 6, PART VI, LINE 12C ISSUES THAT ARE FLAGGED AS POTENTIAL CONFLICTS OF INTEREST ARE BROUGHT TO THE ATTENTION OF THE SENIOR MANAGEMENT TEAM MEMBERS (CEO, CFO, CMO) AND THE HR DIRECTOR. A DECISION IS THEN REACHED REGARDING HOW THESE CONFLICTS SHOULD BE HANDLED. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION SURVEY'S ARE REVIEWED ALONG WITH LOCAL MARKET CONDITIONS IN ORDER TO DETERMINE WHAT COMPENSATION AMOUNTS ARE CONSIDERED REASONABLE. ALSO FACTORED INTO CONSIDERATION IS THE EXPERIENCE, JOB PERFORMANCE AND QUALIFICATIONS OF THESE STAFF. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION SURVEYS ARE REVIEWED ALONG WITH LOCAL MARKET CONDITIONS IN ORDER TO DETERMINE WHAT COMPENSATION AMOUNTS ARE CONSIDERED REASONABLE. ALSO FACTORED INTO CONSIDERATION IS THE EXPERIENCE, JOB PERFORMANCE AND QUALIFICATIONS OF THESE STAFF. FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 COST OF GOODS SOLD 3,978,442 COST OF GOODS SOLD -3,978,442