TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) REGINA M GAVLAK...................................................................... PRESIDENT/CE	50.00 .................	X	X	93,499
(2) JOHN GRIFFITHS...................................................................... BOARD CHAIR	.................	X	X	0
(3) KEITH VANDERBURG...................................................................... VICE CHAIR	.................	X	X	0
(4) JAY R CARSON ESQ...................................................................... SECRETARY	.................	X	X	0
(5) LAWRENCE E YUNASKA...................................................................... TREASURER	.................	X	X	0
(6) THOMAS GABLE...................................................................... DIRECTOR	.................	X		0
(7) KURT RAICEVICH...................................................................... DIRECTOR	.................	X		0
(8) MICHAEL MITCHELL...................................................................... DIRECTOR	.................	X		0
(9) GEORGE W QUIL...................................................................... DIRECTOR	.................	X		0
(10) LAURA JAISSLE...................................................................... DIRECTOR	.................	X		0
(11) MARK GETSAY...................................................................... DIRECTOR	.................	X		0
(12) NEIL P SMITH DO...................................................................... DIRECTOR	.................	X		0
(13) JUSTIN SCHMEIDEL...................................................................... DIRECTOR	.................	X		0
(14) JOHN MEYERHOFFER...................................................................... DIRECTOR	.................	X		0
(15) DAN SCALABRINO...................................................................... DIRECTOR	.................	X		0
(16) FRED DEGRANDIS...................................................................... DIRECTOR	.................	X		0
(17) JANICE MURPHY...................................................................... DIRECTOR	.................	X		0

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

NORTH COAST HEALTH

Employer identification number

34-1536257

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	4,399,584	2,633,681	1,969,859	1,427,123	1,468,836	11,899,083
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose	107,006	154,936	334,140	385,794	466,820	1,448,696
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5	4,506,590	2,788,617	2,303,999	1,812,917	1,935,656	13,347,779
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)						13,347,779

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...	4,506,590	2,788,617	2,303,999	1,812,917	1,935,656	13,347,779
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	648	224	238	232	214	1,556
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.	648	224	238	232	214	1,556
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..	4,507,238	2,788,841	2,304,237	1,813,149	1,935,870	13,349,335

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

99.990 %

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

99.990 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

0 %

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

0 %

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

NORTH COAST HEALTH

Employer identification number

34-1536257

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	39,000		39,000
b	Buildings ....
c	Leasehold improvements
d	Equipment ....
e	Other .....	754,727	468,200	286,527
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				325,527

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1	1,935,870
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3	1,935,870
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5	1,935,870

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1	2,162,459
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3	2,162,459
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5	2,162,459

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

NORTH COAST HEALTH

Employer identification number

34-1536257

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .	X	1	362,925
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )	X	1	271,867
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which is not required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2018)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation

Schedule M (Form 990) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

NORTH COAST HEALTH

Employer identification number

34-1536257

Return Reference	Explanation
FORM 990 - ORGANIZATION'S MISSION	A FAITH BASED CHARITABLE CLINIC PROVIDING QUALITY MEDICAL CARE AND HEALING TO THOSE MOST IN NEED, REGARDLESS OF ABILITY TO PAY. WE BELIEVE HEALTH CARE IS A BASIC HUMAN RIGHT AND THE INABILITY TO PAY SHOULD NEVER BE A BARRIER TO CARE FOR ANYONE. NORTH COAST HEALTH (NCH) OPENED OUR DOORS IN 1986 TO HELP UNINSURED INVIDIVUALS ACCESS MEDICAL CARE, REGARDLESS OF THEIR ABILITY TO PAY. SINCE 2013, NCH HAS RECEIVED THE HIGHEST LEVEL OF RECOGNITION BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) AS A PATIENT CENTERED MEDICAL HOME (PCMH), LEVEL 3. IN 2014, IN RESPONSE TO THE AFFORDABLE CARE ACT AND MEDICAID EXPANSION, NCH TRANSITIONED TO A CHARITABLE CLINIC TO BE ABLE TO EXPAND ACCESS TO CARE TO THE UNINSURED, UNDERINSURED AND INDIVIDUALS WITH MEDICAID AND MEDICAIRE. IN 2018, A TOTAL OF 7,654 SERVICES WERE PROVIDED TO 1,598 UNDUPLICATED PATIENTS. AS A PCMH, NCH PROVIDES PRIMARY CARE INCLUDING PREVENTION AND WELLNESS, CHRONIC DISEASE MANAGEMENT AND THE CARE OF MINOR ILLNESS AND INJURY TO INDIVIDUALS AGES 14 AND OLDER. OUR GOAL IS TO END HEALTH DISPARITIES AND INEQUITY BY PROVIDING ACCESS TO MEDICAL CARE THAT IS COMPARABLE TO THE CARE RECEIVED BY INDIVIDUALS OF HIGHER SOCIOECONOMIC STATUS. HEALTH CARE COVERAGE AND DELIVERY CONTINUES TO CHANGE. NAVIGATING THIS SYSTEM IS COMPLICATED. NORTH COAST HEALTH REMAINS DILIGENT IN IDENTIFYING GAPS THAT HAVE CLOSED AS WELL AS NEW GAPS THAT HAVE OPENED AS A RESULT OF CHANGES IN HEALTH CARE AND THE HEALTH CARE DELIVERY SYSTEM. THE INDIVIDUALS WE SERVE CONTINUE TO HAVE UNMET NEEDS DESPITE IMPLEMENTATION OF THE AFFORDABLE CARE ACT AND MEDICAID EXPANSION, AS WELL AS THE TRANSITION OF HEALTH CARE DELIVERY IN THE CITY OF LAKEWOOD, OHIO, PEOPLE STILL STRUGGLE WITH AFFORDABILITY OF CARE. SIXTY SIX PERCENT OF PATIENTS HAVE A HOUSEHOLD INCOME OF LESS THAN 20,000 ANNUALLY. MANY REMAIN UNINSURED AND OTHERS SIMPLY CANNOT AFFORD THE EXPENSIVE PREMIUMS AND DEDUCTIBLES WHICH CAN BE AS HIGH AS TWO THIRDS OF THEIR ANNUAL HOUSEHOLD INCOME. AS A SAFETY NET PROVIDER, NCH REMAINS POSITIONED TO HELP BRIDGE THE GAPS, EXPAND SERVICES, AND BE THE NEEDED MEDICAL HOME TO THE THOUSANDS OF INDIVIDUALS WHO COME TO US FOR CARE EACH YEAR. FORM 990, PART VI, LINE 15A - COMPENSATION PROCESS FOR TOP OFFICIAL: EXECUTIVE COMMITTEE RECOMMENDS SALARY OF THE PRESIDENT AND CEO DURING AN EXECUTIVE SESSION OF THE ANNUAL MEETING OF THE BOARD. SALARY COMPARABILITY DATA IS COLLECTED FROM APPROPRIATE SOURCES FOR THE BOARD'S REVIEW. FORM 990, PART VI, LINE 15B - COMPENSATION PROCESS FOR OFFICERS: OFFICERS OF THE NCH BOARD OF DIRECTORS DO NOT RECEIVE COMPENSATION. FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION: DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PAGE 2, PART III, LINE 4D	FOR 32 YEARS, NCH HAS WORKED TO MEET THE MEDICAL NEEDS OF THE ECONOMICALLY VULNERABLE AND MEDICALLY UNDERSERVED IN OUR COMMUNITY AND BEYOND. IN 2018, NCH SERVED 1,598 UNDUPLICATED PATIENTS, INCLUDING 555 NEW PATIENTS. 42% OF PATIENTS WERE UNINSURED AND 58% WERE INSURED. OF THE INSURED, 66% WERE INSURED THROUGH MEDICAID AND MEDICAID MANAGED CARE PLANS, 10% MEDICARE AND 24% MARKETPLACE OR OTHER COVERAGE. UNINSURED AND INSURED EXCEED 100% AS PATIENTS MOVE FROM HAVING INSURANCE AND BEING UNINSURED. WHEN THIS OCCURS, INDIVIDUALS ARE CAPTURED ONCE IN UNINSURED AND INSURED CATEGORY. NCH PROVIDED 7,654 SERVICES INCLUDING: 4,618 PRIMARY CARE VISITS 536 BEHAVIORAL HEALTH COUNSELING VISITS OVER 2500 SERVICES WHICH INCLUDE NURSE VISITS, LABORATORY TESTING, ASSISTANCE WITH PRESCRIPTION ASSISTANCE FORMS, AND APPOINTMENTS FOR MARKETPLACE AND MEDICAID ENROLLMENT WERE PROVIDED. IN ADDITION, 199 FOOD CARDS, BUS PASSES AND CAB VOUCHERS WERE PROVIDED TO NCH PATIENTS. NCH DISPENSED NEARLY 390,000 IN PRESCRIPTION MEDICATION TO UNINSURED INDIVIDUALS. WITH THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT AND MEDICAID EXPANSION, NCH CONTINUES TO SEE A DECREASE IN THE AMOUNT OF DISPENSED PRESCRIPTION MEDICATIONS AS A RESULT OF MORE PATIENTS HAVING COVERAGE OFTHEIR MEDICATIONS THROUGH MEDICAID AND OTHER NSURANCE COVERAGE. THIS HIGHLIGHTS AN IMPORTANT ROLE NCH CONTINUES TO PLAY AS A SAFETY NET PROVIDER- FILLING THE GAPS TO PROVIDE CARE AND MEDICATIONS UNTIL ADDITIONAL RESOURCES BECOME AFFORDABLE AND AVAILABLE. NORTH COAST HEALTH'S EFFORTS ARE HELPING TO IMPROVE HEALTH OUTCOMES; PREVENTING DISEASE AND COMPLICATIONS, CONNECTING PATIENTS TO OTHER COMMUNITY RESOURCES TO ASSIST WITH FOOD, HOUSING, UTILITIES, SUBSTANCE ABUSE AND OTHER NEEDS. WORKING TO END HEALTH DISPARITIES BY PROVIDING THE UNDERSERVED ACCESS TO QUALITY, COMPREHENSIVE AND COORDINATED HEALTH CARE NOT ONLY BENEFITS THE INDIVIDUAL BUT ALSO THEIR FAMILY, EMPLOYERS, THE HEALTHCARE SYSTEM AND TAXPAYERS. THESE EFFORTS REDUCE HEALTH CARE COSTS AND IMPROVE THE HEALTH OF OUR COMMUNITY AND WORKFORCE. PRIMARY CARE SERVICES ARE PROVIDED FIVE DAYS PER WEEK, WITH EVENING AND WEEKEND HOURS AVAILABLE. A TRIPLE AIM APPROACH OF BETTER HEALTH-BETTER CARE-LOWER COST IS USED TO ENSURE THE RIGHT PATIENT RECEIVES THE RIGHT CARE AT THE RIGHT PLACE AND TIME. OUR SERVICES INCLUDE: 1) CHRONIC DISEASE MANAGEMENT- INDIVIDUALIZED CARE TO MEET EACH PATIENT'S UNIQUE NEEDS. INCREASED UNDERSTANDING OF CONDITIONS AND PATIENT ENGAGEMENT, IMPROVED HEALTH STATUS AND PREVENTION OF COMPLICATIONS. 2) WOMEN'S HEALTH - PREVENTIVE BREAST HEALTH AND GYNECOLOGICAL SCREENINGS AND CARE. 3) PRESCRIPTION ASSISTANCE PROGRAM - FREE, OR LOW COST, MEDICATIONS TO MANAGE CHRONIC DISEASE AND ACUTE CONDITIONS; INCLUDES IMMUNIZATIONS AND HOME HEALTH SUPPLIES. 4) SPECIALTY REFERRALS - SPECIALTY CARE DONATED BY VOLUNTEER REFERRALPHYSICIAN NETWORK AND THROUGH CUYAHOGA HEALTH ACCESS PARTNERSHIP (CHAP). 5) BEHAVIORAL HEALTH COUNSELING - ONSITE COUNSELING SERVICES, FOR PATIENTS WITH DEPRESSION, GRIEF, ANXIETY AND OTHER MENTAL HEALTH CONDITIONS. 6) PATIENT CRITICAL NEEDS ASSISTANCE (PCNA) - SUPPORTS SHORT TERM CRITICAL NEEDS FOR GROCERIES, TRANSPORTATION, MEDICAL SUPPLIES (I.E. NEBULIZERS, ORTHOPEDIC EQUIPMENT INCLUDING BRACES, PROSTHETICS, WALKERS, WHEELCHAIRS, SUPPORT STOCKINGS/SOCKS, AND DIABETES TESTING SUPPLIES), TRANSLATION SERVICES AND PRESCRIPTION MEDICATIONS. 7) ONSITE LABORATORY AND MEDICAL TESTING - POINT OF CARE LABORATORY AND MEDICAL TESTING, ALLOWING FOR IMMEDIATE RESULTS AND AN OPPORTUNITY TOREVIEW, ADDRESS, MANAGE AND EDUCATE PATIENTS ON DISEASE MANAGEMENT AND PREVENTION DURING CLINIC VISIT. TO REMOVE A BARRIER TO LABORATORY SERVICES, NCH WORKS WITH QUEST LABORATORIES MAKING IT POSSIBLE FOR PATIENTS TO HAVE ANY ORDERED BLOOD TESTS DRAWN AT NCH INSTEAD OF NEEDING TO GO TO ANOTHER LOCATION. 8) CERTIFIED APPLICATION COUNSELORS/NAVIGATOR - ASSIST IN ENROLLING INDIVIDUALS- NCH PATIENTS AND OTHERS- INTO MEDICAID, MARKETPLACE, BENEFITS BANK AND OTHER PROGRAMS. 9) PREVENT BLINDNESS - REFERRAL FOR FREE/REDUCED COST EYE EXAMS, GLASSES. 10) SMOKING CESSATION- GROUP AND INDIVIDUAL COUNSELING ON SMOKING CESSATION AND PREVENTION. 11) CREATIVE ARTS THERAPY SCHOLARSHIP PROGRAM (CATS) - CREATIVE ARTS INTERVENTION IN SUPPORT OF PATIENT HEALTH AND WELL-BEING PROGRAMS WITH ART THERAPY STUDIO. 12) WORKFORCE DEVELOPMENT - CLINICAL SITE FOR NURSING, NURSE PRACTITIONER, MEDICAL STUDENTS, RESIDENTS, AND HIGH SCHOOL STUDENTS FROM WESTSHORE CAREER TECH. 13) COMMUNITY OUTREACH - OUTREACH AND HEALTH EDUCATION TO SCHOOLS,COMMUNITY, AND OTHER SOCIAL SERVICE NETWORKS. PARTICIPATION AND LEADERSHIPROLES IN AREA COMMUNITY COLLABORATIVE. IN 2018, WITH CONSIDERATION OF THE RAPIDLY CHANGING HEALTH CARE LANDSCAPE, ANTICIPATED SHIRTS IN FUNDING, AND THE ONGOING NEED FOR OUR SERVICES, NCH'S BOARD OF DIRECTORS EXPLORED OPPORTUNITY TO LINK WITH AN ORGANIZATION WHO SHARED A SIMILAR MISSION. AFTER EXTENSIVE PLANNING AND DUE DILIGENCE, NCH AND NEIGHBORHOOD HEALTHCARE INC - D.B.A. NEIGHBORHOOD FAMILY PRACTICE (NFP) - ENTERED A STRATEGIC ALLIANCE THROUGH ACQUISITION, BRINGING TOGETHER THE LEADERSHIP, BOARDS AND STAFF OF BOTH ORGANIZATIONS TO BENEFIT PATIENTS AND THE COMMUNITY. NCH'S LAST DAY OF OPERATIONS AND EXISTENCE WAS DECEMBER 31, 2018. ON JANUARY 1, 2019 NCH AND NFP WILL COMBINE OPERATIONS, AND THE NCH CLINIC WIL JOIN NFP'S NETWORK OF FIVE COMMUNITY HEALTH CENTERS AS NEIGHBORHOOD FAMILY PRACTICE NORTH COAST COMMUNITY HEALTH CENTER. THE ACQUISITION WAS A PROACTIVE EFFORT TO ENHANCE NCH'S ORGANIZATIONAL INFRASTRUCTURE, STRENGTHEN NCH FINANCIAL FOOTING, AND EXPAND PRIMARY CARE SERVICES THROUGH THE ADDITION OF PEDIATRIC CARE. MOVING FORWARD, PATIENTS WILL ALSO HAVE EASY ACCESS TO ADDITIONAL SERVICES, INCLUDING MIDWIFERY, DENTAL, AND PSYCHIATRY OFFERED AT OTHER NFP LOCATIONS IN CLEVELAND'S WEST SIDE NEIGHBORHOODS. FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990 COPY OF COMPLETE 990 E-MAILED TO FORMER CHAIR AND TREASURER OF THE NCH BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY THE CONFLICT OF INTEREST DISCLOSURE STATEMENT IS DISTRIBUTED ANNUALLY TO EACH BOARD MEMBER FOR SIGNATURE. THE STATEMENTS ARE KEPT ON FILE AT THE OFFICE OF THE PRESIDENT AND CEO OF NORTH COAST HEALTH
FORM 990, PAGE 6, PART VI, LINE 11B	COPY OF COMPLETE 990 E-MAILED TO NCH FINANCE COMMITTEE AND THEN FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING
FORM 990, PAGE 6, PART VI, LINE 12C	THE CONFLICT OF INTEREST DISCLOSURE STATEMENT IS DISTRIBUTED ANNUALLY TO EACH BOARD MEMBER FOR SIGNATURE. THE STATEMENTS ARE KEPT ON FILE AT THE OFFICE OF THE PRESIDENT AND CEO OF NORTH COAST HEALTH .
FORM 990, PAGE 6, PART VI, LINE 15A	EXECUTIVE COMMITTEE RECOMMENDS SALARY OF THE EXECUTIVE DIRECTOR DURING AN EXECUTIVE SESSION OF THE ANNUAL MEETING OF THE BOARD. SALARY COMPARABILITY DATA IS COLLECTED FROM APPROPRIATE SOURCES FOR THE BOARD'S REVIEW.
FORM 990, PAGE 6, PART VI, LINE 15B	ANNUAL STAFF REVIEWS ARE CONDUCTED BY IMMEDIATE SUPERVISOR AND PRESIDENT AND CEO. THE BOARD OF DIRECTORS CONDUCTS AN ANNUAL REVIEW OF THE PRESIDENT AND CEO. THE PRESIDENT AND CEO SUBMITS STAFF SALARY RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE FOR REVIEW AND APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 19	DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9	INCREASE IN NET ASSETS WITH DONOR RESTRICTIONS 323,080

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,427,123	1,468,836
9	Program service revenue (Part VIII, line 2g) .........	385,794	466,820
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	232	214
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)		0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,813,149	1,935,870
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	883,785	870,538
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 195,542
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,204,527	1,291,921
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,088,312	2,162,459
19	Revenue less expenses. Subtract line 18 from line 12.......	-275,163	-226,589
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	707,266	740,845
21	Total liabilities (Part X, line 26).............	93,251	30,339
22	Net assets or fund balances. Subtract line 21 from line 20.....	614,015	710,506

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 58,130 including grants of $ ) (Revenue $ )
	NORTH COAST HEALTH'S HEALING MINISTRY EXISTS TO EXTEND A HAND TO HELP THOSE STRUGGLING WITH AFFORDABILITY OF, AND ACCESS TO, NEEDED HEALTH CARE SERVICES INCLUDING PRIMARY CARE AND BEHAVIORAL HEALTH CARE. NCH SERVICES- INCLUDING PREVENTION, WELLNESS, DIAGNOSIS, TREATMENT, CHRONIC DISEASE MANAGEMENT, SPECIALTY REFERRAL, COUNSELING, PRESCRIPTION ASSISTANCE- AND COLLABORATIVE EFFORTS WITH COMMUNITY HEALTH AND HUMAN SERVICE ORGANIZATIONS MAKES IT POSSIBLE FOR ALL PEOPLE TO RECEIVE THE CARE THEY NEED, REGARDLESS OF THEIR ABILITY TO PAY. PROVIDING THESE SERVICES TO THE MOST ECONOMICALLY VULNERABLE AND MEDICALLY UNDERSERVED, IMPROVES THE HEALTH OF THE INDIVIDUAL, HIS/HER FAMILY, THE WORKFORCE AND THE COMMUNITY- WHILE LOWERING HEALTH CARE COSTS. (SEE SECTION O FOR FURTHER DETAILS)

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












	(Code: ) (Expenses $ 1,688,673 including grants of $ ) (Revenue $ )
	FOR 32 YEARS, NCH HAS WORKED TO MEET THE MEDICAL NEEDS OF THE ECONOMICALLY VULNERABLE AND MEDICALLY UNDERSERVED IN OUR COMMUNITY AND BEYOND. IN 2018, NCH SERVED 1,598 UNDUPLICATED PATIENTS, INCLUDING 555 NEW PATIENTS. 42% OF PATIENTS WERE UNINSURED AND 58% WERE INSURED. OF THE INSURED, 66% WERE INSURED THROUGH MEDICAID AND MEDICAID MANAGED CARE PLANS, 10% MEDICARE AND 24% MARKETPLACE OR OTHER COVERAGE. UNINSURED AND INSURED EXCEED 100% AS PATIENTS MOVE FROM HAVING INSURANCE AND BEING UNINSURED. WHEN THIS OCCURS, INDIVIDUALS ARE CAPTURED ONCE IN UNINSURED AND INSURED CATEGORY. NCH PROVIDED 7,654 SERVICES INCLUDING: 4,618 PRIMARY CARE VISITS 536 BEHAVIORAL HEALTH COUNSELING VISITS OVER 2500 SERVICES WHICH INCLUDE NURSE VISITS, LABORATORY TESTING, ASSISTANCE WITH PRESCRIPTION ASSISTANCE FORMS, AND APPOINTMENTS FOR MARKETPLACE AND MEDICAID ENROLLMENT WERE PROVIDED. IN ADDITION, 199 FOOD CARDS, BUS PASSES AND CAB VOUCHERS WERE PROVIDED TO NCH PATIENTS. NCH DISPENSED NEARLY 390,000 IN PRESCRIPTION MEDICATION TO UNINSURED INDIVIDUALS. WITH THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT AND MEDICAID EXPANSION, NCH CONTINUES TO SEE A DECREASE IN THE AMOUNT OF DISPENSED PRESCRIPTION MEDICATIONS AS A RESULT OF MORE PATIENTS HAVING COVERAGE OFTHEIR MEDICATIONS THROUGH MEDICAID AND OTHER NSURANCE COVERAGE. THIS HIGHLIGHTS AN IMPORTANT ROLE NCH CONTINUES TO PLAY AS A SAFETY NET PROVIDER- FILLING THE GAPS TO PROVIDE CARE AND MEDICATIONS UNTIL ADDITIONAL RESOURCES BECOME AFFORDABLE AND AVAILABLE. NORTH COAST HEALTH'S EFFORTS ARE HELPING TO IMPROVE HEALTH OUTCOMES; PREVENTING DISEASE AND COMPLICATIONS, CONNECTING PATIENTS TO OTHER COMMUNITY RESOURCES TO ASSIST WITH FOOD, HOUSING, UTILITIES, SUBSTANCE ABUSE AND OTHER NEEDS. WORKING TO END HEALTH DISPARITIES BY PROVIDING THE UNDERSERVED ACCESS TO QUALITY, COMPREHENSIVE AND COORDINATED HEALTH CARE NOT ONLY BENEFITS THE INDIVIDUAL BUT ALSO THEIR FAMILY, EMPLOYERS, THE HEALTHCARE SYSTEM AND TAXPAYERS. THESE EFFORTS REDUCE HEALTH CARE COSTS AND IMPROVE THE HEALTH OF OUR COMMUNITY AND WORKFORCE. PRIMARY CARE SERVICES ARE PROVIDED FIVE DAYS PER WEEK, WITH EVENING AND WEEKEND HOURS AVAILABLE. A TRIPLE AIM APPROACH OF BETTER HEALTH-BETTER CARE-LOWER COST IS USED TO ENSURE THE RIGHT PATIENT RECEIVES THE RIGHT CARE AT THE RIGHT PLACE AND TIME. OUR SERVICES INCLUDE: 1) CHRONIC DISEASE MANAGEMENT- INDIVIDUALIZED CARE TO MEET EACH PATIENT'S UNIQUE NEEDS. INCREASED UNDERSTANDING OF CONDITIONS AND PATIENT ENGAGEMENT, IMPROVED HEALTH STATUS AND PREVENTION OF COMPLICATIONS. 2) WOMEN'S HEALTH - PREVENTIVE BREAST HEALTH AND GYNECOLOGICAL SCREENINGS AND CARE. 3) PRESCRIPTION ASSISTANCE PROGRAM - FREE, OR LOW COST, MEDICATIONS TO MANAGE CHRONIC DISEASE AND ACUTE CONDITIONS; INCLUDES IMMUNIZATIONS AND HOME HEALTH SUPPLIES. 4) SPECIALTY REFERRALS - SPECIALTY CARE DONATED BY VOLUNTEER REFERRALPHYSICIAN NETWORK AND THROUGH CUYAHOGA HEALTH ACCESS PARTNERSHIP (CHAP). 5) BEHAVIORAL HEALTH COUNSELING - ONSITE COUNSELING SERVICES, FOR PATIENTS WITH DEPRESSION, GRIEF, ANXIETY AND OTHER MENTAL HEALTH CONDITIONS. 6) PATIENT CRITICAL NEEDS ASSISTANCE (PCNA) - SUPPORTS SHORT TERM CRITICAL NEEDS FOR GROCERIES, TRANSPORTATION, MEDICAL SUPPLIES (I.E. NEBULIZERS, ORTHOPEDIC EQUIPMENT INCLUDING BRACES, PROSTHETICS, WALKERS, WHEELCHAIRS, SUPPORT STOCKINGS/SOCKS, AND DIABETES TESTING SUPPLIES), TRANSLATION SERVICES AND PRESCRIPTION MEDICATIONS. 7) ONSITE LABORATORY AND MEDICAL TESTING - POINT OF CARE LABORATORY AND MEDICAL TESTING, ALLOWING FOR IMMEDIATE RESULTS AND AN OPPORTUNITY TOREVIEW, ADDRESS, MANAGE AND EDUCATE PATIENTS ON DISEASE MANAGEMENT AND PREVENTION DURING CLINIC VISIT. TO REMOVE A BARRIER TO LABORATORY SERVICES, NCH WORKS WITH QUEST LABORATORIES MAKING IT POSSIBLE FOR PATIENTS TO HAVE ANY ORDERED BLOOD TESTS DRAWN AT NCH INSTEAD OF NEEDING TO GO TO ANOTHER LOCATION. 8) CERTIFIED APPLICATION COUNSELORS/NAVIGATOR - ASSIST IN ENROLLING INDIVIDUALS- NCH PATIENTS AND OTHERS- INTO MEDICAID, MARKETPLACE, BENEFITS BANK AND OTHER PROGRAMS. 9) PREVENT BLINDNESS - REFERRAL FOR FREE/REDUCED COST EYE EXAMS, GLASSES. 10) SMOKING CESSATION- GROUP AND INDIVIDUAL COUNSELING ON SMOKING CESSATION AND PREVENTION. 11) CREATIVE ARTS THERAPY SCHOLARSHIP PROGRAM (CATS) - CREATIVE ARTS INTERVENTION IN SUPPORT OF PATIENT HEALTH AND WELL-BEING PROGRAMS WITH ART THERAPY STUDIO. 12) WORKFORCE DEVELOPMENT - CLINICAL SITE FOR NURSING, NURSE PRACTITIONER, MEDICAL STUDENTS, RESIDENTS, AND HIGH SCHOOL STUDENTS FROM WESTSHORE CAREER TECH. 13) COMMUNITY OUTREACH - OUTREACH AND HEALTH EDUCATION TO SCHOOLS,COMMUNITY, AND OTHER SOCIAL SERVICE NETWORKS. PARTICIPATION AND LEADERSHIPROLES IN AREA COMMUNITY COLLABORATIVE. IN 2018, WITH CONSIDERATION OF THE RAPIDLY CHANGING HEALTH CARE LANDSCAPE, ANTICIPATED SHIRTS IN FUNDING, AND THE ONGOING NEED FOR OUR SERVICES, NCH'S BOARD OF DIRECTORS EXPLORED OPPORTUNITY TO LINK WITH AN ORGANIZATION WHO SHARED A SIMILAR MISSION. AFTER EXTENSIVE PLANNING AND DUE DILIGENCE, NCH AND NEIGHBORHOOD HEALTHCARE INC - D.B.A. NEIGHBORHOOD FAMILY PRACTICE (NFP) - ENTERED A STRATEGIC ALLIANCE THROUGH ACQUISITION, BRINGING TOGETHER THE LEADERSHIP, BOARDS AND STAFF OF BOTH ORGANIZATIONS TO BENEFIT PATIENTS AND THE COMMUNITY. NCH'S LAST DAY OF OPERATIONS AND EXISTENCE WAS DECEMBER 31, 2018. ON JANUARY 1, 2019 NCH AND NFP WILL COMBINE OPERATIONS, AND THE NCH CLINIC WIL JOIN NFP'S NETWORK OF FIVE COMMUNITY HEALTH CENTERS AS NEIGHBORHOOD FAMILY PRACTICE NORTH COAST COMMUNITY HEALTH CENTER. THE ACQUISITION WAS A PROACTIVE EFFORT TO ENHANCE NCH'S ORGANIZATIONAL INFRASTRUCTURE, STRENGTHEN NCH FINANCIAL FOOTING, AND EXPAND PRIMARY CARE SERVICES THROUGH THE ADDITION OF PEDIATRIC CARE. MOVING FORWARD, PATIENTS WILL ALSO HAVE EASY ACCESS TO ADDITIONAL SERVICES, INCLUDING MIDWIFERY, DENTAL, AND PSYCHIATRY OFFERED AT OTHER NFP LOCATIONS IN CLEVELAND'S WEST SIDE NEIGHBORHOODS. FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990 COPY OF COMPLETE 990 E-MAILED TO FORMER CHAIR AND TREASURER OF THE NCH BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY THE CONFLICT OF INTEREST DISCLOSURE STATEMENT IS DISTRIBUTED ANNUALLY TO EACH BOARD MEMBER FOR SIGNATURE. THE STATEMENTS ARE KEPT ON FILE AT THE OFFICE OF THE PRESIDENT AND CEO OF NORTH COAST HEALTH

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 1,688,673 including grants of $ ) (Revenue $ )
4e	Total program service expenses1,746,803

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	93,499

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization

1	Briefly describe the organization’s mission or most significant activities: NORTH COAST HEALTH, IS A FAITH BASED CHARITABLE CLINIC, PROVIDING QUALITY MEDICAL CARE AND HEALING TO THOSE MOST IN NEED, REGARDLESS OF ABILITY TO PAY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	18
6	Total number of volunteers (estimate if necessary) .............	6	68
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) JOE STEWART........................................................................ DIRECTOR	.......................	X	0	0	0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	77,644

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,391,192

g	Noncash contributions included in lines 1a - 1f:$ 634,792
h Total. Add lines 1a-1f.......		1,468,836

		Business Code
2a	PATIENT SERVICES NET		466,820	466,820
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		466,820

3 Investment income (including dividends, interest, and othersimilar amounts) ......			214			214
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss).....
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			1,935,870	466,820		214

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	93,499	37,399	28,050	28,050
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	666,648	611,688	9,350	45,610
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......	70,592	58,130	8,032	4,430
10	Payroll taxes ...........	39,799	31,403	2,804	5,592
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	59,771	36,377	23,394
12	Advertising and promotion ....	29,947			29,947
13	Office expenses .......	29,865		22,146	7,719
14	Information technology ......	81,333	70,773		10,560
15	Royalties ..
16	Occupancy ...........	44,951		44,951
17	Travel ............	2,751		2,751
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	28,058	28,058
23	Insurance ...	20,221	20,221
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PRESCRIPTIONS & PHYSICIAN	520,908	520,908
b	BAD DEBT EXPENSE	283,725	283,725
c	OUTSIDE SERVICES	80,712		17,212	63,500
d	PROF. FEES/CONTRACT SERV.	43,174		43,174
e	All other expenses	66,505	48,121	18,250	134
25	Total functional expenses. Add lines 1 through 24e	2,162,459	1,746,803	220,114	195,542
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			32,835	1	38,577
2	Savings and temporary cash investments .........			63,061	2	35,402
3	Pledges and grants receivable, net ......				3	228,643
4	Accounts receivable, net .............			81,320	4	83,271
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			145,441	8	28,325
9	Prepaid expenses and deferred charges ......			6,530	9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	793,727
b	Less: accumulated depreciation	10b	468,200	376,979	10c	325,527
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			1,100	15	1,100
16	Total assets. Add lines 1 through 15 (must equal line 34)...			707,266	16	740,845

17	Accounts payable and accrued expenses .....	25,902	17	30,339
18	Grants payable ...		18
19	Deferred revenue .........	67,349	19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D		25
26	Total liabilities. Add lines 17 through 25..	93,251	26	30,339

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	614,015	27	387,426
28	Temporarily restricted net assets ...........		28	323,080
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	614,015	33	710,506
34	Total liabilities and net assets/fund balances ........	707,266	34	740,845