CEO

2014-02-06T18:27:56-07:00 2013-06-30 202707086 TCA Partners LLP 1111 E Herndon Avenue Suite 211 Fresno CA 93720 990 2012-07-01 942492609 Northeastern Rural Health Clinics Inc NORT 5302515000 1850 Spring Ridge Drive Susanville CA 96130 Phillip Nowak CEO 5302515000 2014-01-17 1 Jeremy Ware P00642659 5594317708 2014-01-07 2012 2015-11-30 17:44:51Z Phillip Nowak 1850 Spring Ridge Drive Susanville CA 96130 8726473 0 X www.northeasternhealth.org X 1977 CA To provide quality health care to rural and low income population regardless of ability to pay. Services include, primary care, pediatric, OB, diagnostic lab testing, pharmacy services and educational services. 48,374 patient visits were recorded for fiscal year ended June 30, 2013. 11 11 120 0 0 0 1743734 1676170 6256828 6828169 1266 1757 419836 220377 8421664 8726473 0 0 0 0 5510782 5054977 0 0 0 2739270 3207115 8250052 8262092 171612 464381 5707814 5950922 5480668 5259395 227146 691527 To provide quality health care to rural and low income population regardless of ability to pay. Services include, primary care, pediatric, OB, diagnostic lab testing, pharmacy services and educational services. 0 0 5618882 0 8726473 To provide quality health care to rural and low income population regardless of ability to pay. Services include primary care, pediatric, OB, diagnostic lab testing, pharmacy services, education and behavioral health. 48,374 patient visits were recorded for fiscal year ended June 30, 2013. 0 0 0 5618882 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 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 47 0 1 120 1 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Pierce Leavell CEO 5302515000 1850 Spring Ridge Rd Susanville CA 96130 Karen Grosz Vice Chair 2 0 X 0 0 0 Pam Robbins Secretary 2 0 X 0 0 0 Richard Hrezo Treasurer 2 0 X 0 0 0 Carol Montgomery Board Member 2 0 X 0 0 0 Stephen Taylor Board Member 2 0 X 0 0 0 Mary Hasselwander Board Member 2 0 X 0 0 0 Eula Johnson Board Member 2 0 X 0 0 0 Kay White Board Member 2 0 X 0 0 0 Mike Stark Board Member 2 0 X 0 0 0 Jean Coye Board Member 2 0 X 0 0 0 Shelby Diedre Chair 2 0 X 0 0 0 Phil Nowak CFO 40 0 X 87808 0 617 Janice Brinkman COO 40 0 X 68875 0 9539 Naomi Rea FNP Medical Director 40 0 X 151173 0 9728 Paul Holmes MD Physican 33 0 X 190618 0 19245 Evan Lomen Dental Director 40 0 X 116250 0 9692 Paul Davainis MD Physican 30 0 X 182734 0 27308 Steven Braatz MD Physician 40 0 X 244715 0 27308 1042173 0 103437 7 0 1 0 Infinite Consulting Services 313 Boeing Avenue McKinleyville CA 95519 IT Consulting 128686 1 0 0 0 0 1508268 167902 0 1676170 Net Patient Service Revenue 621400 6828169 6828169 0 0 0 0 0 0 6828169 1757 1757 0 0 0 0 0 0 0 0 0 0 13175 0 0 0 13175 0 13175 13175 0 0 0 0 0 207202 207202 0 0 207202 8726473 7050303 0 0 296256 296256 3775957 2856301 919656 30999 20449 10550 669289 437743 231546 282476 190979 91497 7911 7911 79169 79169 310566 197727 112839 15815 9638 6177 24232 10468 13764 145631 24324 121307 405585 286449 119136 43533 30943 12590 5422 300 5122 206450 333 206117 484051 224117 259934 47825 38949 8876 Supplies 828676 828676 0 0 Professional Fees 392688 392503 185 0 Postage and Shipping 21311 726 20585 0 Equipment rental and maintenance 87410 41593 45817 0 100840 26664 74176 8262092 5618882 2643210 0 130949 237454 288574 110580 493216 717980 57010 48680 57203 67257 8070613 4032686 4521978 4037927 158884 731044 5707814 5950922 858431 811072 3333 3333 4618904 4444990 0 5480668 5259395 X 202939 666945 24207 24582 0 0 227146 691527 5707814 5950922 464381 X 0 1 X 1 1 1 X 0 23068 23068 0 6791748 2885613 3906135 0 0 0 0 0 1255797 1147073 108724 0 0 0 0 4037927 Third Party Settlements 500635 Assets limited as to use 230409 731044 8726473 0 0 0 0 0 8726473 0 0 0 8726473 8262092 0 0 0 0 0 8262092 0 0 0 8262092 0 0 0 0 0 0 0 0 0 Paul Holmes MD Physican 160308 0 2100 0 28210 0 575 0 18670 0 209863 0 0 0 Paul Davainis MD Physican 146834 0 6600 0 29300 0 575 0 26733 0 210042 0 0 0 Naomi Rea FNP Medical Director 147023 0 4150 0 0 0 575 0 9153 0 160901 0 0 0 Steven Braatz MD Physician 185000 0 2200 0 57515 0 575 0 26733 0 272023 0 0 0 F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The CFO, with the assistance of the independent audit firm, prepares and presents the 990 to the board of directors at monthly meeting. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c Disclosure completed annually by officers and directors. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 Salary and compensation schedules of similar organizations are consulted for comparable wage scales. CEO salary is established in a written contract signed by governing board. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Available upon request.