CEO

2013-01-28T15:00:27-07:00 2012-06-30 202707086 TCA Partners LLP 1111 East Herndon Ave Suite 211 Fresno CA 93720 990 2011-07-01 942492609 Northeastern Rural Health Clinics Inc NORT 5302515000 1850 Spring Ridge Drive Susanville CA 96130 Pierce Leavell CEO 5302515000 2013-01-10 1 Jeremy Ware P00642659 5594317708 2013-01-10 2011 2016-02-25 16:41:14Z Phillip Nowak CFO 1850 Spring Ridge Drive Susanville CA 96130 8421664 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. A total of 49,905 visits were provided in the last year to the population served. 11 11 132 11 0 0 1633607 1743734 5500480 6256828 623 1266 58163 419836 7192873 8421664 0 0 0 0 5484236 5510782 0 0 0 3251710 2739270 8735946 8250052 -1543073 171612 5924441 5707814 5868907 5480668 55534 227146 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. 0 0 6093645 0 6256828 The Clinic provided care to over 12,400 patients. Services included primary care, pediatrics, family planning, dental and pharmacy services. 0 0 0 6093645 1 0 0 0 0 0 0 0 0 0 1 0 0 0 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 0 1 55 0 1 132 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 0 1 1 0 CA X X Pierce Leavell CEO 5302515000 1850 Spring Ridge Rd Susanville CA 96130 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 X 124400 0 0 Phil Nowak CFO 40 X 54333 0 0 Janice Brinkman COO 40 X 57071 0 8447 Naomi Rea FNP Medical Director 40 X 163805 0 9047 Paul Holmes MD Physican 40 X 197236 0 18250 John Dozier MD Physican 40 X 152119 0 26098 Paul Davainis MD Physican 40 X 180639 0 26098 Steven Braatz MD Physician 40 X 243258 0 26098 1172861 0 114038 10 0 1 0 Infinite Consulting Services 3943 Walnut Drive Eureka CA 95503 IT Consulting 159761 1 0 0 0 0 1616794 126940 0 1743734 Net Patient Service Revenue 621400 6256828 6256828 0 0 0 0 0 0 6256828 1266 1266 0 0 0 0 0 0 0 0 0 0 12000 0 0 0 12000 0 12000 12000 0 0 0 0 0 Other Revenue 621400 405569 405569 0 0 2267 2267 0 0 407836 8421664 6677930 0 0 295517 295517 4030334 3389769 640565 31732 25332 6400 836271 623570 212701 316928 246355 70573 14643 14643 92779 92779 373954 168258 205696 13906 11414 2492 96561 54607 41954 389551 282945 106606 23097 19266 3831 2358 830 1528 210555 4845 205710 609785 423534 186251 45393 44013 1380 Medical Supplies 551847 551373 474 0 Professional Fees 181407 180468 939 0 133434 67066 66368 0 8250052 6093645 2156407 0 150851 130949 123611 180520 288574 238924 493216 76383 57010 38159 57203 8446197 3924219 5115993 4521978 158884 5924441 5707814 1296941 858431 5000 3333 4566966 4618904 5868907 5480668 X 33700 202939 21834 24207 0 0 55534 227146 5924441 5707814 171612 X 0 1 1 X 1 1 X 0 23068 23068 0 6791748 2575142 4216606 0 0 0 0 0 1631381 1349077 282304 0 0 0 0 4521978 8421664 8250052 171612 0 0 0 0 0 0 171612 8421664 0 0 0 0 0 8421664 0 0 0 8421664 8250052 0 0 0 0 0 8250052 0 0 0 8250052 X X 0 0 0 0 0 0 0 0 0 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 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.