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
2019
Open to Public
Inspection
Name of the organization
NORTHWEST COMMUNITY HEALTH CARE
 
Employer identification number

05-0258811
Return Reference Explanation
Form 990, Part VI, Section B, Line 11b Form 990, Part VI, Section B, Line 11b - A draft copy of Form 990 is emailed to all board members prior to filing. Members are provided with the opportunity to review the document, to ask questions and to receive answers to their questions.
Form 990, Part VI, Section B, Line 12c Form 990, Part VI, Section B, Line 12c - Board members are required to disclose annually any relationships that could give rise to a conflict of interest. If a related matter arises at the board level, the board will make a determination as to whether or not a conflict exists. If a conflict is deemed to exist, the conflicted board member will be precluded from voting on the matter and may be asked to recuse himself/herself from any board discussions regarding the matter.
Form 990, Part VI, Section B, Line 15 Form 990, Part VI, Section B, Line 15 - The compensation and benefits of the CEO are determined by the board of directors on an annual basis. In order to inform this process, board members are provided with a myriad of comparability data from similar organizations including a review of Form 990s of other community health centers in the region and salary and benefit surveys conducted by independent organizations. The CEO establishes the compensation and benefits of other officers and key employees and utilizes the same independent data to inform this process. The compensation and benefits of other officers is shared with the board on an annual basis. The comparability study was last performed in 2019.
Form 990, Part VI, Section C, Line 19 Form 990, Part VI, Section C, Line 19 - No documents were made available to the public.
Form 990, Part IX, Line 11g Line 11 G includes contract pharmacy dispensing and administrative fees of $1,780,979 and other clinical and administrative contract services of $152,381.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


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