2018-03-14T14:48:38-07:00 2017-06-30 821455657 FESTER & CHAPMAN PLLC 9019 E BAHIA DR STE 100 SCOTTSDALE AZ 85260 990 2016-07-01 860663432 NORTH COUNTRY HEALTHCARE INC NORT 9285229400 2920 N 4TH ST FLAGSTAFF AZ 860041816 GREG KUZMA CFO 9285229400 2018-03-14 RACHEL R LOCKE CPA P00450405 6022643077 2018-03-14 A6BC1764D5B8681CF7712E66D97C28E73D5D8591 809B6D88A1FA15D5C95C60BC66B77CE8A0606362 2016 2021-01-29 14:40:06Z GREG KUZMA 2920 N 4TH ST FLAGSTAFF AZ 86004 47309909 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. 11 11 592 8 -22940 14678742 14555777 23703419 24168434 126623 77545 4109381 4395765 42618165 43197521 0 0 29288089 30133070 0 104624 13109441 12790041 42397530 42923111 220635 274410 28572488 29070925 9704757 9720478 18867731 19350447 TO PROVIDE ACCESSIBLE, AFFORDABLE, COMPREHENSIVE, QUALITY PRIMARY HEALTHCARE IN AN ATMOSPHERE OF RESPECT, DIGNITY, AND CULTURAL SENSITIVITY. false false 30903835 24168434 HEALTH CARE WAS PROVIDED TO MEDICALLY UNDERSERVED IN HEALTH PROFESSIONAL SHORTAGE AREAS. PROVIDE TRAINING AND CONTINUING EDUCATION TO HEALTH CARE PROFESSIONALS. 30903835 true true false false false false false false false true true false false false true false true false false false false false false false true false false false false true false false false false false false false true true false false false false false false false false true 234 0 592 true true true false false false false true true false false false false X 11 11 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 GREG SAMPSON PRESIDENT 2.00 X X 0 0 0 CHERYL BLUME PRESIDENT EL 2.00 X X 0 0 0 PAUL FERRIS SECRETARY 2.00 X X 0 0 0 SERA BENATAR TREASURER 2.00 X X 0 0 0 AARON SECAKUKU DIRECTOR 2.00 X 0 0 0 CHRIS FETZER DIRECTOR 2.00 X 0 0 0 GEORGE GLEN DIRECTOR 2.00 X 0 0 0 JOE GUTIERREZ DIRECTOR 2.00 X 0 0 0 MONICA BAKER DIRECTOR 2.00 X 0 0 0 PATRICIA CROFFORD DIRECTOR 2.00 X 0 0 0 SCOTT POCHE DIRECTOR 2.00 X 0 0 0 CYNTHIA MARTIN CMO 40.00 X 219291 0 10774 ANNE NEWLAND CEO 40.00 X 204097 0 21354 MARTI NEFF COO 40.00 X 91945 0 11779 JENNIFER YOUNGBERG CFO 40.00 X 56470 0 5949 GREG KUZMA CFO 40.00 X 35967 0 4025 NIZAR OLABI PHYSICIAN OB 40.00 X 230241 0 0 BEVERLY TEW PHYSICIAN OB 40.00 X 205727 0 0 KATHRYN FICK PHYSICIAN OB 40.00 X 205517 0 0 ELIZABETH CLAXTON PHYSICIAN OB 40.00 X 201898 0 0 FREDERICK STONE JR PROGRAM DIRE 40.00 X 175492 0 0 1626645 53881 7 false true false ALLIANCE OF CHICAGO 215 W OHIO STREET CHICAGO IL 60654 EHR SUPPORT 958652 COMPHEALTH 6440 SOUTH MILLROCK DRIVE STE 175 SALT LAKE CITY UT 84121 LOCUM PROVIDER 838328 ACC BUSINESS 1300 W WASHINGTON STREET PHOENIX AZ 85007 PHONE/NET SRVC 592628 LOCUMTENENSCOM LLC 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 LOCUM PROVIDER 222741 4 110206 12865897 1579674 428214 14555777 PATIENT REVENUE 621400 24168434 24168434 24168434 74516 74516 60003 82943 -22940 -22940 -22940 110883 107854 3029 3029 3029 110206 7855219 3921591 3933628 3933628 OTHER REVENUE 621400 485077 485077 485077 43197521 28590168 -22940 74516 661650 562402 99248 24766646 20393533 4373113 552235 442440 109795 2331700 1895202 436498 1820839 1494616 326223 28115 28115 54650 54650 3064286 2370234 689254 4798 533014 478173 25982 28859 1341073 11459 1329614 1269753 42378 1227375 831437 547945 281010 2482 180250 180250 1012757 1012757 SUPPLIES 1336436 1027328 257116 51992 TELEPHONE 835096 73132 761964 REPAIRS AND MAINTENANCE 800502 296843 503659 PATIENT SCREENING 625837 609647 28 16162 876835 658503 218001 331 42923111 30903835 11914652 104624 3450266 2853979 740042 1008950 3808473 4734615 416483 417004 268636 296248 26539402 9261949 17708952 17277453 2179636 2482676 28572488 29070925 3208772 3271318 5803598 5527572 692387 921588 9704757 9720478 X 18258750 18945885 325623 101278 283358 303284 18867731 19350447 28572488 29070925 274410 208306 X false true X true true true X 18036057 19144720 12297868 14678742 14696609 78853996 18036057 19144720 12297868 14678742 14696609 78853996 78853996 38125 64531 118584 57874 74516 353630 17778 6242 24020 606223 713249 917768 649483 485077 3371800 82603446 32508730 0.95460 0.98490 X PART II, LINE 10 OTHER-TOTAL FOR 5 YEARS 3,371,800 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 547447 123470 8854 -275209 404562 348234 170488 28725 547447 303425 27985 16824 348234 false false 2061430 2061430 18004523 4446326 13558197 6473449 4815623 1657826 17277453 REFUNDABLE GRANT ADVANCES 909961 CAPITAL LEASES 11627 921588 47551193 208306 140832 4004534 4353672 43197521 43197521 47068477 140832 4004534 4145366 42923111 42923111 SCHEDULE D, PAGE 4, PART XI, LINE 2D COST OF GOODS SOLD 3,921,591 EXPENSES REPORTED ON 990-T 82,943 SCHEDULE D, PAGE 4, PART XII, LINE 2D COST OF GOODS SOLD 3,921,591 EXPENSES REPORTED ON 990-T 82,943 OTHER FUNDRAISI 110206 110206 110206 110206 X X X X X false false false false false false false false false CYNTHIA MARTIN CMO 193041 26250 10774 230065 ANNE NEWLAND CEO 201347 2750 21354 225451 NIZAR OLABI PHYSICIAN OB-GYN 226603 3638 230241 BEVERLY TEW PHYSICIAN OB-GYN 200352 5375 205727 KATHRYN FICK PHYSICIAN OB-GYN 202829 2688 205517 ELIZABETH CLAXTON PHYSICIAN OB-GYN 196552 5346 201898 FREDERICK STONE JR PROGRAM DIRECTOR 175492 175492 WILLIAMS HOSPITAL DISTRICT DIRECTOR 633490 OPERATING SUBSIDY false WILLIAMS HOSPITAL DISTRICT DIRECTOR 475000 CORPORATE ALLOCATION false SCHEDULE L, PART V GREG GLEN IS THE BOARD DIRECTOR OF BOTH NCHC AND WILLIAMS HOSPITAL DISTRICT. PER AN MANAGEMENT AND OPERATING AGREEMENT SIGNED IN 2011, AND EFFECTIVE FROM JANUARY 2011 THROUGH JANUARY 2021, NCHC OCCUPIES THE BUILDING THAT IS OWNED BY THE DISTRICT IN WILLIAMS, ARIZONA. NCHC OPERATES IN THE BUILDING, AND RECEIVES OPERATING SUBSIDY AND OPERATING EXPENSE REIMBURSEMENT FROM THE DISTRICT. X 1 428214 FMV false false false FORM 990 BEGINNING NET ASSETS CHANGED FROM PRIOR YEAR'S 990 ENDING NET ASSETS DUE TO FOUNDATION FINANCIALS ARE CONSOLIDATED IN CURRENT YEAR. 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 3,921,591 EXPENSES REPORTED ON 990-T 82,943 COST OF GOODS SOLD -3,921,591 EXPENSES REPORTED ON 990-T -82,943