NORTH DAKOTA PROFESSIONAL HEALTH PROGRAM INC

Address
919 S 7TH STREET NO 305
BISMARCK, ND 58504
Contact
Website: http://www.ndphp.org
Phone: +1 (701) 751-5090
Nonprofit
EIN: 47-1836448
Year formed: 2014

Mission

FACILITATE THE REHABILITATION OF HEALTHCARE PROVIDERS WHO HAVE PHUSCIAL OR MENTAL CONDITIONS THAT COULD COMPROMISE PUBLIC SAFETY AND TO MONITOR THEIR RECOVERY.
 201720162015
Basic features of the organization
Year of formation2014
Subsection code03
PF filing required0  
Form of organization
CorporationTrue
Human resources, including compensation
Summary compensation info
Total compensation of current key personnel$70,000.00  
Sum of reportable (W2/1099) compensation$70,000.00  
Number of employees2  
Number of people compensated >$100k0  
Number of volunteers9  
Number of highly compensated contractors0  
Personnel
Blehm, Julie
TitleDIRECTORDIRETOR 
Name of key/compensated personJULIE ANN BLEHM MDJULIE ANN BLEHM MD 
Position of compensated person
Current individual trustee or directorTrue  
Officer, director, trustee, or key employee True 
Average hours per week working for org1.00  
Reportable compensation from org$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00  
Delmore, Lois
TitleDIRECTORDIRETOR 
Name of key/compensated personLOIS DELMORELOIS DELMORE 
Position of compensated person
Current individual trustee or directorTrue  
Officer, director, trustee, or key employee True 
Average hours per week working for org1.00  
Reportable compensation from org$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00  
King, Tammy
TitleEXECUTIVE DIRECTOREXECUTIVE DIRECTOR 
Name of key/compensated personTAMMY KINGTAMMY KING 
Position of compensated person
Officer, director, trustee, or key employee True 
Average hours per week working for org40.00  
Reportable compensation from org$70,000.00$70,000.00 
Other comp, non-reportable, from org and related orgs$16,636.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00  
McLean, Andrew
TitlePRESIDENTPRESIDENT 
Name of key/compensated personANDREW MCLEAN MDANDREW MCLEAN MD 
Position of compensated person
Current individual trustee or directorTrue  
Officer, director, trustee, or key employee True 
Average hours per week working for org1.00  
Reportable compensation from org$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00  
Olson, John
TitleSECRETARYSECRETARY 
Name of key/compensated personJOHN OLSONJOHN OLSON 
Position of compensated person
Current individual trustee or directorTrue  
Officer, director, trustee, or key employee True 
Average hours per week working for org1.00  
Reportable compensation from org$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00  
Perkins, Randy
TitleDIRECTORDIRETOR 
Name of key/compensated personRANDY PERKINSRANDY PERKINS 
Position of compensated person
Current individual trustee or directorTrue  
Officer, director, trustee, or key employee True 
Average hours per week working for org1.00  
Reportable compensation from org$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00  
Price, Clara
TitleDIRECTORDIRETOR 
Name of key/compensated personCLARA SUE PRICECLARA SUE PRICE 
Position of compensated person
Current individual trustee or directorTrue  
Officer, director, trustee, or key employee True 
Average hours per week working for org1.00  
Reportable compensation from org$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00  
Schreiner, Lance
TitleTREASURERTREASURER 
Name of key/compensated personLANCE SCHREINERLANCE SCHREINER 
Position of compensated person
Current individual trustee or directorTrue  
Officer, director, trustee, or key employee True 
Average hours per week working for org1.00  
Reportable compensation from org$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00  
Wolf, Dennis
TitleDIRECTORDIRETOR 
Name of key/compensated personDENNIS WOLF MDDENNIS WOLF MD 
Position of compensated person
Current individual trustee or directorTrue  
Officer, director, trustee, or key employee True 
Average hours per week working for org1.00  
Reportable compensation from org$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00  
Purpose: mission, activities, & accomplishments
Mission or significant activitiesTO FACILITATE THE REHABILITATION OF HEALTHCARE PROVIDES WHO HAVE PHYSICAL OR MENTAL CONDITIONS THAT COULD COMPROMISE PUBLIC SAFETY AND TO MONITOR THEIR RECOVERY.  
Primary exempt purpose TO FACILITATE THE REHABILITATION OF HEALTHCARE PROVIDERS WHO HAVE PHYSICAL OR MENTAL CONDITIONS THAT COULD COMPROMISE PUBLIC SAFETY AND TO MONITOR THEIR RECOVERY. 
Program service expenses, total$206,022.00$208,630.00 
Programs, including revenue & expenses
FACILITATING THE REHABILITATION OF HEALTHCARE PROVIDERS WHO HAVE PHYSICAL OR MENTAL CONDITIONS THAT COULD COMPROMISE PUBLIC SAFETY AND TO MONITOR THEIR RECOVERY.
Program expenses$206,022.00  
Program revenue$245,104.00  
Program descriptionFACILITATING THE REHABILITATION OF HEALTHCARE PROVIDERS WHO HAVE PHYSICAL OR MENTAL CONDITIONS THAT COULD COMPROMISE PUBLIC SAFETY AND TO MONITOR THEIR RECOVERY.  
Financial data
Revenue
Total revenue$255,845.00$154,750.00 
Revenue from contributions (total)$10,380.00 $0.00
Investment income, current yr$0.00  
Total revenue from grants, etc., current yr$10,380.00  
Total unrelated business revenue$0.00  
Other revenue, current yr$361.00  
Net unrelated business taxable revenue$0.00  
Program service revenue (total)$245,104.00 $331,250.00
Gross receipts$255,845.00  
Sources of contributions
Revenue from gov't grants$10,380.00  
Other types of revenue
Miscellaneous revenue (total)$361.00  
Net rental income  $0.00
Expense categories (totals)
Total functional expenses: sum of all$294,223.00  
Total functional expenses: program service $206,022.00  
Total functional expenses: management and general$88,201.00  
Total functional expenses: fundraising$0.00  
Fees for services
Legal fees (total)$1,550.00  
Fundraising service fees (total)$0.00  
Assets and liabilities
Total assets$13,172.00$51,872.00$162,656.00
Total assets, beginning of year$51,872.00$162,656.00 
Total liabilities$477.00$799.00$649.00
Total liabilities, beginning of year$799.00$649.00 
Unrestricted net assets, end of yr$12,695.00  
Net assets$12,695.00$51,073.00 
Net assets, beginning of year$51,073.00  
Cash: non-interest bearing$13,172.00  
Cash: non-interest bearing, beginning of year$51,872.00  
Other financial variables
Revenue less expenses-$38,378.00  
Accounts payable & accrued expenses$477.00  
Total net assets or fund balances$12,695.00  
Governance and accountability
Number of voting members8  
Number of independent voting members8  
Cash accountingTrueTrue 
Tax year start date2016-07-012015-07-01 
Tax year end date2017-06-012016-06-012015-06-01
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990EZ 
Date e-filing submitted2018-05-302017-08-10 
IRS schema version2016v3.02015v3.0 
Filing identifier201801319349301505201740729349200604 
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