2017-01-23T14:15:21-07:00 2016-06-30 860494040 FESTER & CHAPMAN PC 9019 E BAHIA DR STE 100 SCOTTSDALE AZ 85260 990 2015-07-01 860663432 NORTH COUNTRY HEALTHCARE INC NORT 9285229400 2920 N 4TH ST FLAGSTAFF AZ 860041816 GREG KUZMA CFO 9285229400 2016-12-20 RACHEL R LOCKE CPA P00450405 6022643077 2017-01-23 2015 2021-01-29 14:40:06Z GREG KUZMA 2920 N 4TH STREET FLAGSTAFF AZ 86004 47631963 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 11 590 13 -3227 12297868 14678742 22554457 23703419 169596 126623 3377904 4109381 38399825 42618165 0 0 26026977 29288089 0 99401 11592924 13109441 37619901 42397530 779924 220635 30937419 28572488 12127023 9687588 18810396 18884900 TO PROVIDE ACCESSIBLE, AFFORDABLE, COMPREHENSIVE, QUALITY PRIMARY HEALTHCARE IN AN ATMOSPHERE OF RESPECT, DIGNITY, AND CULTURAL SENSITIVITY. false false 30417382 23703419 HEALTH CARE WAS PROVIDED TO MEDICALLY UNDERSERVED IN HEALTH PROFESSIONAL SHORTAGE AREAS. PROVIDE TRAINING AND CONTINUING EDUCATION TO HEALTH CARE PROFESSIONALS. 30417382 true true false false false false false false false true true false false false true false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 258 0 590 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 DAWN ABBOTT SECRETARY 2.00 X X 0 0 0 AARON SECAKUKU DIRECTOR 2.00 X 0 0 0 JERONIMO VASQUEZ DIRECTOR 2.00 X 0 0 0 JOE GUTIERREZ DIRECTOR 2.00 X 0 0 0 LINDA RUSSELL DIRECTOR 2.00 X X 0 0 0 MONICA BAKER DIRECTOR 2.00 X X 0 0 0 PAUL FERRIS DIRECTOR 2.00 X 0 0 0 SARAH BENATAR DIRECTOR 2.00 X 0 0 0 SCOTT POCHE DIRECTOR 2.00 X 0 0 0 ANN ROGGENBUCK CEO 40.00 X 307255 0 10686 ANNE NEWLAND CMO 40.00 X 213470 0 19587 JENNIFER YOUNGBERG CFO 40.00 X 111225 0 16577 MARTI NEFF COO 40.00 X 93396 0 10887 NIZAR OLABI PHYSICIAN OB 40.00 X 265993 0 0 ELIZABETH CLAXTON PHYSICIAN OB 40.00 X 208091 0 0 CLAIR HERRICK PHYSICIAN OB 40.00 X 199474 0 0 FREDERICK STONE JR PROGRAM DIRE 40.00 X 192300 0 0 BEVERLY TEW PHYSICIAN OB 40.00 X 188144 0 0 1779348 57737 8 false true false ALLIANCE OF CHICAGO 215 W OHIO STREET CHICAGO IL 60654 EHR SUPPORT 954820 ACC BUSINESS 1300 W WASHINGTON STREET PHOENIX AZ 85007 PHONE/NET SRVC 595834 COMPHEALTH 6440 SOUTH MILLROCK DRIVE STE 175 SALT LAKE CITY UT 84121 LOCUM PROVIDER 591643 BARTON AND ASSOCIATES 300 JUBILEE DRIVE PEABODY MA 01960 LOCUM PROVIDER 430305 BEC SOUTHWEST INC 4355 E INDUSTRIAL DR FLAGSTAFF AZ 86004 CONSTRUCTION 246570 5 8901529 5777213 827570 14678742 PATIENT REVENUE 621400 23703419 23703419 23703419 57874 57874 85055 88282 -3227 -3227 -3227 1016655 947906 68749 68749 68749 7440735 3977610 3463125 3463125 OTHER REVENUE 621400 649483 649483 649483 42618165 27884776 -3227 57874 783082 665620 117462 24071833 19820932 4250901 538286 455929 82357 2103044 1781280 321764 1791844 1517693 274151 54265 54265 44903 44903 2820700 2295586 509159 15955 514799 172313 325890 16596 1290537 9480 1281057 1258774 64601 1194173 498280 334034 163999 247 189234 4 189230 1065998 1498 1064500 SUPPLIES 1643064 1030544 548587 63933 IN-KIND 827570 827570 REPAIRS AND MAINTENANCE 739367 282303 457064 TELEPHONE 705248 76902 628346 1456702 1081093 372939 2670 42397530 30417382 11880747 99401 6323417 3450266 900249 740042 2842932 3808473 423069 416483 278904 268636 26886732 9177780 17907443 17708952 2261405 2179636 30937419 28572488 3094393 3191603 1985020 6069787 5803598 977823 692387 12127023 9687588 X 18470124 18275919 60964 325623 279308 283358 18810396 18884900 30937419 28572488 220635 -146131 X false true X true true true X 18561558 18036057 19144720 12297868 14678742 82718945 18561558 18036057 19144720 12297868 14678742 82718945 82718945 45326 38125 64531 118584 57874 324440 17778 6242 24020 314836 606223 921059 83988464 31793637 0.98490 0.97750 X PART II, LINE 10 OTHER-TOTAL FOR 5 YEARS 921,059 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 348234 170488 28725 547447 303425 27985 16824 348234 false false 2061430 2061430 18062178 3984801 14077377 6763124 5192979 1570145 17708952 REFUNDABLE GRANT ADVANCES 604009 CAPITAL LEASES 88378 692387 46537924 -146131 4065890 3919759 42618165 42618165 46463420 4065890 4065890 42397530 42397530 SCHEDULE D, PAGE 4, PART XI, LINE 2D COST OF GOODS SOLD 3,977,610 EXPENSES REPORTED ON 990-T 88,280 SCHEDULE D, PAGE 4, PART XII, LINE 2D COST OF GOODS SOLD 3,977,610 EXPENSES REPORTED ON 990-T 88,280 X X X X X false false false false false false false false false ANN ROGGENBUCK CEO 280699 26556 10686 317941 ANNE NEWLAND CMO 206970 6500 19587 233057 NIZAR OLABI PHYSICIAN OB-GYN 256893 9100 265993 ELIZABETH CLAXTON PHYSICIAN OB-GYN 207891 200 208091 CLAIR HERRICK PHYSICIAN OB-GYN 197174 2300 199474 FREDERICK STONE JR PROGRAM DIRECTOR 192300 192300 BEVERLY TEW PHYSICIAN OB-GYN 187544 600 188144 X 1 526232 FMV X SERVICES 1 301338 FMV false false false 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 3,977,610 EXPENSES REPORTED ON 990-T 88,280 COST OF GOODS SOLD -3,977,610 EXPENSES REPORTED ON 990-T -88,280