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NORTHEASTERN RURAL HEALTH CLINICS: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
NORTHEASTERN RURAL HEALTH CLINICS (EIN 94-2492609)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-05-15
IRS object ID
202031369349305108
Schema version
2018v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-05-15T18:02:38-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13121 W MARCH LN STE 200AddressLine1Txt
CitySTOCKTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP952192367ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942492609EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHEASTERN RURAL HEALTH CLINICS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone5302515000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11850 SPRING RIDGE DRIVEAddressLine1Txt
CitySUSANVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP96130ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL SCHAUBPersonNm
Person TitleCEOPersonTitleTxt
Phone5302515000PhoneNum
Signature2020-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTRACY S PAGLIAPreparerPersonNm
PTINP00366884PTIN
Phone2099556100PhoneNum
Preparation2020-05-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address73.220.15.136IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-14IPDt
IP Tm10:38:31IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdCEB76944B4F8F8BF159484E9A3451FE58A163647AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-19 02:30:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL SCHAUBPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11850 SPRING RIDGE DRIVEAddressLine1Txt
CitySUSANVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP96130ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,622,537GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHEASTERNHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES TO SOCIALLY/ECONOMICALLY DEPRESSED IN LASSEN CTY, CA.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee140TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,516,916PYContributionsGrantsAmt
CY Contributions Grants$3,188,692CYContributionsGrantsAmt
PY Program Service Revenue$9,393,052PYProgramServiceRevenueAmt
CY Program Service Revenue$10,405,794CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$3,624CYInvestmentIncomeAmt
PY Other Revenue$62,596PYOtherRevenueAmt
CY Other Revenue$1,645CYOtherRevenueAmt
PY Total Revenue$11,972,564PYTotalRevenueAmt
CY Total Revenue$13,599,755CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,197,050PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,290,342CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,215,256PYOtherExpensesAmt
CY Other Expenses$6,079,093CYOtherExpensesAmt
PY Total Expenses$12,412,306PYTotalExpensesAmt
CY Total Expenses$14,369,435CYTotalExpensesAmt
PY Revenues Less Expenses-$439,742PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$769,680CYRevenuesLessExpensesAmt
Total Assets BOY$5,653,143TotalAssetsBOYAmt
Total Assets EOY$5,414,407TotalAssetsEOYAmt
Total Liabilities BOY$7,752,594TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,283,538TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$2,099,451NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$2,869,131NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES TO SOCIALLY AND ECONOMICALLY DEPRESSED SECTORS OF LASSEN COUNTY IN NORTHEASTERN CALIFORNIA. THE CENTER IS COMMITTED TO ADDRESSING THE SPECIAL NEEDS OF THE COMMUNITY'S MEDICALLY UNDER SERVED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,299,689ExpenseAmt
Revenue$10,405,794RevenueAmt
DescPROVIDE QUALITY HEALTH CARE TO RURAL AND LOW INCOME POPULATION REGARDLESS OF ABILITY TO PAY SERVICES INCLUDE PRIMARY CARE, OB, DIAGNOSTIC LAB TESTING, PHARMACY SERVICES, EDUCATION AND BEHAVIORAL HEALTH 49,498 PATIENT VISITS ARE RECORDED FOR FISCAL YEAR ENDED JUNE 30, 2019.Desc
Total Program Service Expenses$10,299,689TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document20IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee140EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LACEY LIVELYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5302515000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11850 SPRING RIDGE DRIVEAddressLine1Txt
CitySUSANVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP96130ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARGE GARROD
CHAIRMAN OF BOARD2.00Yes (X)Yes (X)$0$0$0
EULA JOHNSON
BOARD MEMBER2.00Yes (X)$0$0$0
SANDY RAFFLESON
BOARD MEMBER2.00Yes (X)$0$0$0
ROSS STEVENSON
SECRETARY2.00Yes (X)Yes (X)$0$0$0
MIKE O' KELLY
TREASURER2.00Yes (X)Yes (X)$0$0$0
CARROL CURRY
BOARD MEMBER2.00Yes (X)$0$0$0
SOPHIA WAGES
BOARD MEMBER2.00Yes (X)$0$0$0
KATIE ANDERSON
BOARD MEMBER2.00Yes (X)$0$0$0
SETH ANDERSON
BOARD MEMBER (THRU 11/1/18)2.00Yes (X)$0$0$0
MARIA NYE
TREASURER (THRU 3/11/19)2.00Yes (X)Yes (X)$0$0$0
NAOMI REA
MEDICAL DIRECTOR40.00Yes (X)$179,176$0$9,482
LYNN HUDGENS
CEO40.00Yes (X)$205,000$0$9,004
DANIEL KAZAKOS
CFO40.00Yes (X)$145,000$0$8,704
MIKE SCHWAB
COO40.00Yes (X)$144,000$0$7,615
MARYAM BAHADORI
DENTAL DIRECTOR (THRU 9/10/18)40.00Yes (X)$107,466$0$3,800
JOHN DOZIER
PHYSICIAN40.00$208,321$0$16,091Yes (X)
RACHEL PETERSON
PHYSICIAN OB GYN40.00$268,775$0$23,515Yes (X)
STEVEN BRAATZ
PHYSICIAN OB GYN40.00$301,519$0$20,372Yes (X)
SAMUEL CARLTON
PHYSICIAN40.00$228,490$0$15,937Yes (X)
TIMOTHY ECKFORD
PHYSICIAN40.00$222,675$0$9,858Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,010,422TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$124,378TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K13IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BARTON ASSOCIATES INC
PO BOX 417844BOSTONMA02241LOCUM TENENS$922,471
ATHENA HEALTH
800 W CESAR CHAVEZ STAUSTINTX78701ELECTRONIC HEALTH RECORDS SYSTEM$623,556
NORTH AMERICAN MENTAL HEALTH SERVICES
1742 OREGON STREDDINGCA96001TELEMEDICINE PROVIDER$410,535
WEATHERBY LOCUMS
6451 NORTH FEDERAL HIGHWAY 700FORT LAUDERDALEFL33308LOCUM TENENS$269,704
PROVIDER HEALTH CARE
2455 E PARLEYS WAY 310SALT LAKE CITYUT84109LOCUM TENENS$195,733
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$2,609,711GovernmentGrantsAmt
All Other Contributions$578,981AllOtherContributionsAmt
Total Contributions$3,188,692TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621400$7,685,671$7,685,671
PHARMACY REVENUE621400$2,720,123$2,720,123
FieldValueIRS element (for citing)
Total Program Service Revenue$10,405,794TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$7,550RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$13,006RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$5,456RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,456TotalRevenueColumnAmt
Exclusion-$5,456ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$13,400OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$9,776OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$3,624OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,624TotalRevenueColumnAmt
Exclusion$3,624ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$7,101TotalRevenueColumnAmt
Exclusion$7,101ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,101OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,599,755TotalRevenueColumnAmt
Related Or Exempt Func Income$10,405,794RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,269ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$618,704TotalAmt
Program Services$190,257ProgramServicesAmt
Management And General$428,447ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,175,839TotalAmt
Program Services$4,963,396ProgramServicesAmt
Management And General$1,212,443ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$27,455TotalAmt
Program Services$19,132ProgramServicesAmt
Management And General$8,323ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$951,159TotalAmt
Program Services$716,136ProgramServicesAmt
Management And General$235,023ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$517,185TotalAmt
Program Services$351,314ProgramServicesAmt
Management And General$165,871ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,143TotalAmt
Management And General$5,143ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$111,089TotalAmt
Management And General$111,089ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,001,453TotalAmt
Program Services$2,755,225ProgramServicesAmt
Management And General$246,228ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$31,027TotalAmt
Management And General$31,027ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$252,079TotalAmt
Program Services$9,113ProgramServicesAmt
Management And General$242,966ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$235,463TotalAmt
Program Services$37,990ProgramServicesAmt
Management And General$197,473ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$31,500TotalAmt
Program Services$23,267ProgramServicesAmt
Management And General$8,233ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$75,267TotalAmt
Program Services$17,787ProgramServicesAmt
Management And General$57,480ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$176,202TotalAmt
Management And General$176,202ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$383,506TotalAmt
Management And General$383,506ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$61,508TotalAmt
Program Services$32,704ProgramServicesAmt
Management And General$28,804ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUG$1,368,810$1,092,624$276,186
EQUIPMENT$160,516$36,687$123,829
COMMUNICATIONS$144,513$26,654$117,859
LICENSES AND REGISTRATI$37,663$27,403$10,260

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,354TotalAmt
Management And General$3,354ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,369,435TotalAmt
Program Services$10,299,689ProgramServicesAmt
Management And General$4,069,746ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,615,374BOYAmt
EOY$1,379,544EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$967,597BOYAmt
EOY$1,116,987EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$146,552BOYAmt
EOY$154,625EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,167,259LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,404,008LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,923,620BOYAmt
EOY$2,763,251EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,653,143BOYAmt
EOY$5,414,407EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$911,758BOYAmt
EOY$1,592,950EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,823,702BOYAmt
EOY$3,494,013EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$3,017,134BOYAmt
EOY$3,196,575EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,752,594BOYAmt
EOY$8,283,538EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,166,056BOYAmt
EOY-$2,936,786EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$66,605BOYAmt
EOY$67,655EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$2,099,451BOYAmt
EOY-$2,869,131EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,653,143BOYAmt
EOY$5,414,407EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$769,680ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$288,555OtherCostOrOtherBasisAmt
Book Value$288,555BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,394,545OtherCostOrOtherBasisAmt
Depreciation$4,164,394DepreciationAmt
Book Value$2,230,151BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$358,842OtherCostOrOtherBasisAmt
Depreciation$129,542DepreciationAmt
Book Value$229,300BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,125,317OtherCostOrOtherBasisAmt
Depreciation$1,110,072DepreciationAmt
Book Value$15,245BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,763,251TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,612,761TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$13,612,761RevenueSubtotalAmt
Other Revenues Not Included-$13,006OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$13,006RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,599,755TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,382,441TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$13,006OtherExpensesIncludedAmt
Expenses Not Reported$13,006ExpensesNotReportedAmt
Expenses Subtotal$14,369,435ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,369,435TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE CENTER IS A NONPROFIT CORPORATION UNDER SECTION 501(C)(3) AND HAVE BEEN GRANTED TAX-EXEMPT STATUSES BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2019 AND 2018, THE CENTER HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES -13,006.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 13,006.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
NAOMI REA
MEDICAL DIRECTOR$146,078$0$33,098$0$0$0$550$0$8,932$0$188,658$0$0$0
LYNN HUDGENS
CEO$205,000$0$0$0$0$0$300$0$8,704$0$214,004$0$0$0
DANIEL KAZAKOS
CFO$145,000$0$0$0$0$0$0$0$8,704$0$153,704$0$0$0
MIKE SCHWAB
COO$144,000$0$0$0$0$0$0$0$7,615$0$151,615$0$0$0
JOHN DOZIER
PHYSICIAN$196,000$0$12,321$0$0$0$0$0$16,091$0$224,412$0$0$0
RACHEL PETERSON
PHYSICIAN OB GYN$240,000$0$28,775$0$0$0$550$0$22,965$0$292,290$0$0$0
STEVEN BRAATZ
PHYSICIAN OB GYN$245,000$0$56,519$0$0$0$550$0$19,822$0$321,891$0$0$0
SAMUEL CARLTON
PHYSICIAN$215,500$0$12,990$0$0$0$550$0$15,387$0$244,427$0$0$0
TIMOTHY ECKFORD
PHYSICIAN$208,000$0$14,675$0$0$0$550$0$9,308$0$232,533$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 RETURN IS SENT TO THE BOARD CHAIR, THE BOARD CHAIR THEN SENDS IT OUT TO THE OTHER MEMBERS AND AN EMAIL VOTE TAKES PLACE.
FORM 990, PART VI, SECTION B, LINE 12CDUTY TO DISCLOSE - IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OR EXECUTIVE COMMITTEE. RECUSAL TO SELF - ANY DIRECTOR MAY RECUSE HIM OR HER AT ANY TIME FROM INVOLVEMENT IN ANY DECISION OR DISCUSSION IN WHICH THE DIRECTOR BELIEVES HE OR SHE HAS OR MAY HAVE A CONFLICT OF INTEREST, WITHOUT GOING THROUGH THE PROCESS FOR DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS - AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR EXECUTIVE COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR EXECUTIVE COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. ADDRESSING THE CONFLICT OF INTEREST A. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR EXECUTIVE COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. B. THE CHAIRPERSON OF THE BOARD OR EXECUTIVE COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR EXECUTIVE COMMITTEE SHALL DETERMINE WHETHER NRHC CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. D. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR EXECUTIVE COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN NRHC'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION FOR CEO IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD USES COMPARISON DATA CATALOGS RELATED TO THE FQHC INDUSTRY. THESE CATALOGS ARE ISSUED ANNUALLY BY MULTIPLE INDUSTRY LEADERS SUCH AS NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NATIONAL OVERVIEW), CALIFORNIA PRIMARY CARE ASSOCIATION (STATE OVERVIEW), HEALTH ALLIANCE OF NORTHERN CALIFORNIA, (REGIONAL OVERVIEW). GEOGRAPHICAL LOCATION AND COMPETITIVE LOCAL MARKET RATES ARE ALSO CONSIDERED AS WELL AS RELATED JOB EXPERIENCE OF THE SELECTED PERSON. THIS INFORMATION IS DISCUSSED DURING CLOSED SESSION AT THE BOARD OF DIRECTORS MEETING AND IS VOTED ON. ONCE PASSED IT IS THEN RECORDED IN BOARD MINUTES AND IS MEMORIALIZED IN THE EMPLOYMENT CONTRACT BETWEEN NORTHEASTERN'S BOD AND SELECTED PERSON. THE BOD ANNUALLY REVIEWS AND APPROVES A SALARY SCALE FOR ALL EMPLOYMENT POSITIONS AT THE CLINIC. THE POSITION OF CEO IS ALSO INCLUDED IN THE SCALE. THE SAME DATA CATALOGS LISTED ABOVE ARE USED TO CREATE, ADJUST AND APPROVE THE SALARY SCALE.
FORM 990, PART VI, SECTION C, LINE 19SOME OF THESE ITEMS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GMEDICAL CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 2,754,052. MANAGEMENT AND GENERAL EXPENSES 129,511. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,883,563. RECRUITMENT & PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,173. MANAGEMENT AND GENERAL EXPENSES 116,717. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 117,890.