2016-01-25T11:31:20-06:00 2015-06-30 860494040 FESTER & CHAPMAN PC 4001 N 3RD ST STE 275 PHOENIX AZ 850122086 990 2014-07-01 860663432 NORTH COUNTRY HEALTHCARE INC NORT 9285229400 2920 N 4TH ST FLAGSTAFF AZ 860041816 JENNIFER YOUNGBERG CFO 9285229400 2016-01-21 RACHEL R LOCKE CPA P00450405 6022643077 2016-01-25 2014 2016-04-25 22:37:26Z JENNIFER YOUNGBERG JENNIFER YOUNGBERG 2920 N 4TH STREET FLAGSTAFF AZ 86004 41360802 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 12 571 7242 6242 19144720 12297868 12221465 22554457 89611 169596 2482576 3377904 33938372 38399825 0 0 23923961 26026977 0 88596 9416689 11592924 33340650 37619901 597722 779924 28896863 30937419 10726124 12127023 18170739 18810396 TO PROVIDE ACCESSIBLE, AFFORDABLE, COMPREHENSIVE, QUALITY PRIMARY HEALTHCARE IN AN ATMOSPHERE OF RESPECT, DIGNITY, AND CULTURAL SENSITIVITY. false false 28093697 HEALTH CARE WAS PROVIDED TO MEDICALLY UNDERSERVED IN HEALTH PROFESSIONAL SHORTAGE AREAS. PROVIDE TRAINING AND CONTINUING EDUCATION TO HEALTH CARE PROFESSIONALS. 28093697 true true false false false false false false false true true false false false true false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 271 0 571 true true true false false false false false false false false false X 12 12 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 KAY DYSON PRESIDENT 2.00 X X 0 0 0 GREG SAMPSON PRESIDENT EL 2.00 X X 0 0 0 DAWN ABBOTT SECRETARY 2.00 X X 0 0 0 ED HILTNER MD DIRECTOR 2.00 X 0 0 0 AARON SECAKUKU DIRECTOR 2.00 X 0 0 0 MONICA BAKER DIRECTOR 2.00 X 0 0 0 PAUL FERRIS DIRECTOR 2.00 X 0 0 0 SYBIL SMITH DIRECTOR 2.00 X X 0 0 0 JERONIMO VASQUEZ DIRECTOR 2.00 X 0 0 0 LINDA RUSSELL DIRECTOR 2.00 X 0 0 0 CELIA BAROTZ DIRECTOR 2.00 X 0 0 0 CHERYL BLUME DIRECTOR 2.00 X 0 0 0 ANN ROGGENBUCK CEO 40.00 X 226262 0 10475 ANNE NEWLAND CMO 40.00 X 187564 0 14697 JENNIFER YOUNGBERG CFO 40.00 X 108653 0 16042 MARTI NEFF COO 40.00 X 77561 0 10124 ELIZABETH CLAXTON PHYSICIAN 40.00 X 215363 0 0 BEVERLY TEW OB-GYN 40.00 X 202944 0 0 CLAIR HERRICK PHYSICIAN OB 40.00 X 169152 0 0 JAMES SIELSKI PHYSICIAN 40.00 X 156586 0 0 JAMES PICKETT FAMILY MEDIC 40.00 X 153175 0 0 1497260 51338 8 false true false ALLIANCE OF CHICAGO 215 W OHIO STREET CHICAGO IL 60654 EHR SUPPORT 619684 COMPHEALTH 6440 SOUTH MILLROCK DRIVE STE 175 SALT LAKE CITY UT 84121 LOCUM PROVIDER 547789 ALLIED HEALTH SEARCH LLC 71 EAST WADSWORTH PARK DRIVE DRAPER UT 84020 LOCUM PROVIDER 411891 ACC BUSINESS 1300 W WASHINGTON STREET PHOENIX AZ 85007 PHONE/NET SRVC 382434 CENTURYLINK COMMUNICATIONS LLC 100 CENTURYLINK DRIVE MONROE LA 71203 PHONE/NET SRVC 171692 5 7542529 4755339 833558 12297868 PATIENT REVENUE 621400 15482277 15482277 AHCCCS PROSPECTIVE PAYMENTS 621400 7072180 7072180 22554457 118584 118584 92143 84901 7242 7242 7242 332031 281019 51012 51012 32526 18486 5047951 2595057 2452894 2452894 OTHER REVENUE 621400 917768 917768 917768 38399825 25957645 7242 137070 651378 553671 97707 21348466 18039677 3308789 456507 366796 89711 1857561 1664968 192593 1713065 1388211 324854 31649 31649 39452 39452 2745321 2417843 327478 363776 150055 193165 20556 975482 20890 954592 1046480 23701 1022779 348611 234764 113810 37 211828 2543 209285 1117489 7358 1110131 SUPPLIES 1238223 961604 208646 67973 IN-KIND 837176 837176 REPAIRS AND MAINTENANCE 699870 287119 412751 PATIENT SCREENING 596251 587635 8616 1341316 549686 791600 30 37619901 28093697 9437608 88596 2476799 6323417 677854 900249 4456134 2842932 396484 423069 336999 278904 26022426 8114983 18334203 17907443 2218390 2261405 28896863 30937419 3052409 3094393 1985020 6550704 6069787 1123011 977823 10726124 12127023 X 17858452 18470124 41605 60964 270682 279308 18170739 18810396 28896863 30937419 779924 -140267 X false true X true true true X 20837285 18561558 18036057 19144720 12297868 88877488 20837285 18561558 18036057 19144720 12297868 88877488 88877488 39799 45326 38125 64531 118584 306365 17778 6242 24020 796239 314836 606223 1717298 90925171 28520176 0.97750 0.97470 X PART II, LINE 10 OTHER-TOTAL FOR 5 YEARS 1,717,298 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 126879 77177 6149 210196 false false 2061430 2061430 17809903 3467261 14342642 6151093 4647722 1503371 17907443 REFUNDABLE ADVANCES 784370 CAPITAL LEASES 193453 977823 40939516 -140267 2679958 2539691 38399825 38399825 40299859 2679958 2679958 37619901 37619901 SCHEDULE D, PAGE 4, PART XI, LINE 2D COST OF GOODS SOLD 2,595,057 EXPENSES REPORTED ON 990-T 84,901 SCHEDULE D, PAGE 4, PART XII, LINE 2D COST OF GOODS SOLD 2,595,057 EXPENSES REPORTED ON 990-T 84,901 X X X X X false false false false false false false false false ANN ROGGENBUCK CEO 226262 10475 236737 ANNE NEWLAND CMO 187564 14697 202261 ELIZABETH CLAXTON PHYSICIAN 215363 215363 BEVERLY TEW OB-GYN 202944 202944 CLAIR HERRICK PHYSICIAN OB-GYN 169152 169152 JAMES SIELSKI PHYSICIAN 156586 156586 JAMES PICKETT FAMILY MEDICINE 153175 153175 X 532837 FMV X SERVICES 300721 FMV false false false 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 2,595,057 EXPENSES REPORTED ON 990-T 84,901 COST OF GOODS SOLD -2,595,057 EXPENSES REPORTED ON 990-T -84,901