NORTHEASTERN RURAL HEALTH CLINICS: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: NORTHEASTERN RURAL HEALTH CLINICS (EIN 94-2492609)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-01-28
IRS object ID: 201320299349301117
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-01-28T15:00:27-07:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	202707086	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TCA Partners LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1111 East Herndon Ave Suite 211	AddressLine1
City	Fresno	City
State	CA	State
ZIP Code	93720	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	942492609	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Northeastern Rural Health Clinics Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NORT	NameControl
Phone	5302515000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1850 Spring Ridge Drive	AddressLine1
City	Susanville	City
State	CA	State
ZIP Code	96130	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Pierce Leavell	Name
Title	CEO	Title
Phone	5302515000	Phone
Date Signed	2013-01-10	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Jeremy Ware	Name
PTIN	P00642659	PTIN
Phone	5594317708	Phone
Date Prepared	2013-01-10	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Phillip Nowak CFO	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1850 Spring Ridge Drive	AddressLine1
City	Susanville	City
State	CA	State
ZIP Code	96130	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	8421664	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.northeasternhealth.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1977	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	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. A total of 49,905 visits were provided in the last year to the population served.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	132	TotalNbrEmployees
Total Nbr Volunteers	11	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1633607	ContributionsGrantsPriorYear
Contributions Grants Current Year	1743734	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	5500480	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6256828	ProgramServiceRevenueCY
Investment Income Prior Year	623	InvestmentIncomePriorYear
Investment Income Current Year	1266	InvestmentIncomeCurrentYear
Other Revenue Prior Year	58163	OtherRevenuePriorYear
Other Revenue Current Year	419836	OtherRevenueCurrentYear
Total Revenue Prior Year	7192873	TotalRevenuePriorYear
Total Revenue Current Year	8421664	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	5484236	SalariesEtcPriorYear
Salaries Etc Current Year	5510782	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	3251710	OtherExpensePriorYear
Other Expenses Current Year	2739270	OtherExpensesCurrentYear
Total Expenses Prior Year	8735946	TotalExpensesPriorYear
Total Expenses Current Year	8250052	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-1543073	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	171612	RevenuesLessExpensesCY
Total Assets BOY	5924441	TotalAssetsBOY
Total Assets EOY	5707814	TotalAssetsEOY
Total Liabilities BOY	5868907	TotalLiabilitiesBOY
Total Liabilities EOY	5480668	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	55534	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	227146	NetAssetsOrFundBalancesEOY
Mission Description	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. A total of 49,905 visits were provided in the last year to the population served.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	6093645	Expense
Grants	0	Grants
Revenue	6256828	Revenue
Description	The Clinic provided care to over 12,400 patients. Services included primary care, pediatrics, family planning, dental and pharmacy services.	Description
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	6093645	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	55	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	132	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	0	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Pierce Leavell CEO	NamePerson
Telephone Number	5302515000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1850 Spring Ridge Rd	AddressLine1
City	Susanville	City
State	CA	State
ZIP Code	96130	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
Karen Grosz
Chair	2	X	0	0	0
Pam Robbins
Vice Chair	2	X	0	0	0
Richard Hrezo
Treasurer	2	X	0	0	0
Carol Montgomery
Board Member	2	X	0	0	0
Stephen Taylor
Board Member	2	X	0	0	0
Mary Hasselwander
Board Member	2	X	0	0	0
Eula Johnson
Board Member	2	X	0	0	0
JoAnn Villalovos
Board Member	2	X	0	0	0
Mike Stark
Board Member	2	X	0	0	0
Jean Coye
Board Member	2	X	0	0	0
Tamara Mallery
Board Member	2	X	0	0	0
Janet Lasick
CEO	40		124400	0	0	X
Phil Nowak
CFO	40		54333	0	0	X
Janice Brinkman
COO	40		57071	0	8447	X
Naomi Rea FNP
Medical Director	40		163805	0	9047	X
Paul Holmes MD
Physican	40		197236	0	18250		X
John Dozier MD
Physican	40		152119	0	26098		X
Paul Davainis MD
Physican	40		180639	0	26098		X
Steven Braatz MD
Physician	40		243258	0	26098		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1172861	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	114038	TotalOtherCompensation
Number Individuals GT100 K	10	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Infinite Consulting Services	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3943 Walnut Drive	AddressLine1
City	Eureka	City
State	CA	State
ZIP Code	95503	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	IT Consulting	DescriptionOfServices
Compensation	159761	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	0	FundraisingEvents
Related Organizations	0	RelatedOrganizations
Government Grants	1616794	GovernmentGrants
All Other Contributions	126940	AllOtherContributions
Noncash Contributions	0	NoncashContributions
Total Contributions	1743734	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Net Patient Service Revenue	Description
Business Code	621400	BusinessCode
Total Revenue Column	6256828	TotalRevenueColumn
Related Or Exempt Function Income	6256828	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	6256828	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1266	TotalRevenueColumn
Related Or Exempt Function Income	1266	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	12000	Real
Personal	0	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	12000	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	12000	TotalRevenueColumn
Related Or Exempt Function Income	12000	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	0	Other

Field	Value	IRS element (for citing)
Cntrbtns Rprtd Fundraising Events	0	CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Other Revenue	Description
Business Code	621400	BusinessCode
Total Revenue Column	405569	TotalRevenueColumn
Related Or Exempt Function Income	405569	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2267	TotalRevenueColumn
Related Or Exempt Function Income	2267	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	407836	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	8421664	TotalRevenueColumn
Related Or Exempt Function Income	6677930	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	295517	Total
Management And General	295517	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4030334	Total
Program Services	3389769	ProgramServices
Management And General	640565	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	31732	Total
Program Services	25332	ProgramServices
Management And General	6400	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	836271	Total
Program Services	623570	ProgramServices
Management And General	212701	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	316928	Total
Program Services	246355	ProgramServices
Management And General	70573	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	14643	Total
Management And General	14643	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	92779	Total
Management And General	92779	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	373954	Total
Program Services	168258	ProgramServices
Management And General	205696	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	13906	Total
Program Services	11414	ProgramServices
Management And General	2492	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	96561	Total
Program Services	54607	ProgramServices
Management And General	41954	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	389551	Total
Program Services	282945	ProgramServices
Management And General	106606	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	23097	Total
Program Services	19266	ProgramServices
Management And General	3831	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2358	Total
Program Services	830	ProgramServices
Management And General	1528	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	210555	Total
Program Services	4845	ProgramServices
Management And General	205710	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	609785	Total
Program Services	423534	ProgramServices
Management And General	186251	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	45393	Total
Program Services	44013	ProgramServices
Management And General	1380	ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Medical Supplies	551847	551373	474	0
Professional Fees	181407	180468	939	0

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	133434	Total
Program Services	67066	ProgramServices
Management And General	66368	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	8250052	Total
Program Services	6093645	ProgramServices
Management And General	2156407	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	150851	BOY
EOY	130949	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	123611	BOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	180520	BOY
EOY	288574	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	238924	BOY
EOY	493216	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	76383	BOY
EOY	57010	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	38159	BOY
EOY	57203	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	8446197	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3924219	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	5115993	BOY
EOY	4521978	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	158884	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	5924441	BOY
EOY	5707814	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1296941	BOY
EOY	858431	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	5000	BOY
EOY	3333	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	4566966	BOY
EOY	4618904	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	5868907	BOY
EOY	5480668	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	33700	BOY
EOY	202939	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	21834	BOY
EOY	24207	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	55534	BOY
EOY	227146	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5924441	BOY
EOY	5707814	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	171612	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	23068	OtherCostOrOtherBasis
Book Value	23068	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	6791748	OtherCostOrOtherBasis
Depreciation	2575142	Depreciation
Book Value	4216606	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	1631381	OtherCostOrOtherBasis
Depreciation	1349077	Depreciation
Book Value	282304	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	0	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	4521978	TotalOfBookValueLandBuildings
Total Revenue	8421664	TotalRevenue
Total Expenses	8250052	TotalExpenses
Excess Or Deficit For Year	171612	ExcessOrDeficitForYear
Net Unrealized GL On Investments	0	NetUnrealizedGLOnInvestments
Donated Services And Facilities	0	DonatedServicesAndFacilities
Investment Expenses	0	InvestmentExpenses
Prior Period Adjustments	0	PriorPeriodAdjustments
Other	$0	OtherAmount
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	171612	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	8421664	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	0	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	0	DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants	0	RecoveriesOfPriorYearGrants
Other Revenues	0	OtherRevenues
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	8421664	RevenueSubtotal
Investment Expenses Not Included	0	InvestmentExpensesNotIncluded
Other Revenues Not Included	0	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	8421664	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	8250052	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	0	DonatedServicesUseOfFacilities
Prior Year Adjustments	0	PriorYearAdjustments
Losses Reported	0	LossesReported
Other Expenses Included	0	OtherExpensesIncluded
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	8250052	ExpensesSubtotal
Investment Expenses Not Included2	0	InvestmentExpensesNotIncluded2
Other Expenses Not Included	0	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	8250052	TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Naomi Rea FNP
163805	0	0	0	0	0	0	0	9047	0	172852	0	0	0
Steven Braatz MD
243258	0	0	0	0	0	0	0	26098	0	269356	0	0	0
Paul Davainis MD
180639	0	0	0	0	0	0	0	26098	0	206737	0	0	0
John Dozier MD
152119	0	0	0	0	0	0	0	26098	0	178217	0	0	0
Paul Holmes MD
197236	0	0	0	0	0	0	0	18251	0	215487	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P06_S0B_L11b	Form 990, Part VI, Section B, Line 11b	The CFO prepares and presents 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.