2026-03-06T10:47:23-06:00 2025-06-30 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2024-07-01 261689193 Northland PACE Program NORT 7012500709 2223 East Rosser Avenue Bismarck ND 58501 Lynn Grimm CEO 7012500709 2026-03-05 1 1 Lisa Chaffee CPA P00193453 7012551091 2026-03-05 2024 2025-03-06 01:10:19Z Lynn Grimm 2223 East Rosser Avenue Bismarck ND 58501 23723197 0 X www.northlandpace.com X 2008 ND Northland PACE Program promotes independence through coordination of health services. 7 7 127 7 0 0 294 0 22988900 23491837 151503 185188 72618 46172 23213315 23723197 0 0 0 0 7856034 7814858 0 0 0 16606049 15611123 24462083 23425981 -1248768 297216 13786403 16039382 4327123 5941435 9459280 10097947 X Northland PACE Senior Care Services promotes independence through coordination of all health services allowing participants to continue living safely and with dignity at home. 0 0 20529157 23491837 Northland PACE program was incorporated January 4, 2008, to engage in the business of providing all-inclusive care for the elderly (PACE) services in accordance with the PACE program agreement. The PACE services is an all-inclusive set of services to meet the healthcare needs of the frail elderly as defined by CMS (Centers for Medicare and Medicaid Services) in the PACE regulations. Those services include but are not limited to primary and preventive care, specialty care, vision and dental care, pharmaceuticals, nutrition, mental and social health, physical, occupational and speech therapies and other services to maintain the health of the plan participants. The project target population is the frail elderly over 55 population, which averages 15-35% of the service area's population. The project is designed to develop a network-based PACE program in seven rural areas in three phases over a period of three years. While PACE has mostly been implemented in urban communities nationally, this PACE project will use a sophisticated telehealth conferencing system and an electronic medical record system to launch this rural health project in coordination with local providers to deliver a full spectrum of health care services to this frail elderly population in the seven rural areas. 20529157 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 106 0 1 127 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 0 0 0 0 0 X Lynn Grimm 7012500709 2223 East Rosser Avenue Bismarck ND 58501 Reed Reyman President 1.00 1.00 X X 0 0 0 Dan Kelly Vice President (Until Aug 2024) 1.00 1.00 X X 0 0 0 Taylar Hack Director 1.00 1.00 X 0 0 0 Ron Frei Director 1.00 1.00 X 0 0 0 Carol Enderle Director 1.00 1.00 X 0 0 0 Edward Heise Director 1.00 1.00 X 0 0 0 Darold Bertsch Director 1.00 1.00 X 0 0 0 Raumi Kudrna Director 1.00 1.00 X 0 0 0 Lynn Grimm CEO 34.00 6.00 X 162436 28665 20360 Kurt Datz Medical Director 40.00 0.00 X 304091 0 25228 Huyen Buegel - Nurse Practitioner/Primary Care Provider 0.00 40.00 X 143042 0 23346 Jeff Vasicek Information Tech Director 0.00 40.00 X 111253 0 29305 Patricia Bower Home Health Nurse 0.00 40.00 X 103814 0 0 824636 28665 98239 5 0 1 0 0 Participant Service Revenue 623990 23469206 23469206 Other Revenue 623990 22631 22631 23491837 184938 184938 46172 0 46172 46172 46172 250 0 250 250 250 23723197 23491837 0 231360 X 199745 199745 6290703 4762899 1527804 855709 635731 219978 468701 338167 130534 34277 34277 8911977 8850156 61821 224800 224800 430662 93743 336919 171693 171693 356495 322515 33980 462921 315486 147435 16565 16565 549822 463530 86292 51447 51447 Pharmacy and Drug Costs 3721094 3721094 Medical Supplies 489226 489226 Meals 115568 115568 74576 7984 66592 23425981 20529157 2896824 0 1636119 2684051 650759 531965 63392 62291 11721903 3094999 6279760 8626904 5149026 4129641 7347 4530 13786403 16039382 2344156 2021718 2000000 1982967 1919717 4327123 5941435 X 9459280 10097947 9459280 10097947 13786403 16039382 297216 341451 0 X 0 1 X 0 0 X 214 400 200 294 1108 17804094 18969800 21514823 22988900 23491837 104769454 17804308 18970200 21515023 22989194 23491837 104770562 0 33302 67805 18311 144096 263514 33302 67805 18311 144096 263514 104507048 163152 254762 236166 211490 231110 1096680 163152 254762 236166 211490 231110 1096680 17967460 19224962 21751189 23200684 23722947 105867242 0.98720 0.98880 0.01040 0.00990 X 1936734 1936734 5911106 760341 5150765 2044443 1130342 914101 1829620 1204316 625304 8626904 Due to Related Party NHA 1915186 Lease Liabilities 4531 1919717 X 24030371 341451 341451 23688920 34277 34277 23723197 23391704 0 23391704 34277 34277 23425981 Part X, Line 2: PACE believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. PACE would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 0 0 0 0 0 0 0 0 0 Kurt Datz Medical Director 304091 0 0 0 0 0 15693 0 10383 0 330167 0 0 0 Lynn Grimm CEO 162011 28590 0 0 425 75 8374 1478 9720 1715 180530 31858 0 0 Huyen Buegel - Nurse Practitioner/Primary Care Provider 143042 0 0 0 0 0 7533 0 15813 0 166388 0 0 0 Part V, Line 2a: Northland Healthcare Alliance acts as the common paymaster for Northland Management Services and PACE. The number of employees reported here represent the total W-2s issued by Northland Healthcare Alliance for PACE employees. Form 990, Part VI, Section A, line 1a The organization has an Executive Committee that consists of the Board President, Vice President, Secretary/Treasurer and one Board Director. The Executive Committee has the following roles and responsibilities: -Represent and act on behalf of the corporation and to make recommendations to the board of directors for its approval; -Coordinate, receive and act upon the activities and general policies of the various functions of the corporation and to make appropriate recommendations to the board of directors; -To receive and act upon reports and make recommendations from other committees of the corporation; -To implement the policies adopted by the board of directors of the corporation; -To make recommendations on the corporation management matters to the board of directors; -To act as a nominating committee for the corporation if so directed by the board of directors; -Conduct such other functions delegated by the board of directors; Form 990, Part VI, Section A, line 2 Lynn Grimm has a business relationship with all the board members. She is employed by a related organization in which these individuals are associated as a Director or Officer. Form 990, Part VI, Section A, line 6 The sole member of the Northland PACE Program is Northland Healthcare Alliance. Form 990, Part VI, Section A, line 7a The sole member, Northland Healthcare Alliance, is responsible for selecting the governing body of the organization. Form 990, Part VI, Section A, line 7b The Member, Northland Healthcare Alliance, reserves consent to the following: -The purchase or sale of assets over $20,000; -The entry into any business line not expressly stated in the PACE application; -Any contract for services or contract to provide service exceeding $25,000 in consideration; -The admission of any additional Members; -The merger or combination of the Corporation; -The dissolution of the Corporation. Form 990, Part VI, Section B, line 11b Northland Healthcare Alliance's Chief Executive Oicer and Director of Finance (or other authorized personnel) shall review and approve a draft of the Form 990 prior to filing. The Form 990 will be filed with the IRS upon completion of this review and approval. Form 990, Part VI, Section B, line 12c All employees, directors, principal officers, or members of a committee are required to disclose any potential conflicts of interest. The potential conflicts are reviewed by the remaining board members that are not involved in the conflict. If a conflict exists the individual will abstain from voting on issues related to the conflict. Form 990, Part VI, Section B, line 15 The Northland Board President conducts a performance evaluation and solicits feedback from the rest of the Board Members utilizing the same performance evaluation tool used to evaluate all staff at Northland. There is a "potential" wage increase built into the budget and the Board President determines the % of increase based on the evaluation. Form 990, Part VI, Section C, line 19 Governing documents, financials, and conflict of interest policy are not made available to the public. Form 990, Part IX, line 11g Ancillary Services: Program service expenses 788,066. Management and general expenses 0. Fundraising expenses 0. Total expenses 788,066. Hospital & Clinic Services: Program service expenses 4,125,726. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,125,726. Nursing Home Services: Program service expenses 3,537,411. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,537,411. Professional Fees: Program service expenses 398,953. Management and general expenses 61,821. Fundraising expenses 0. Total expenses 460,774. Northland Healthcare Alliance 2223 East Rosser Avenue Bismarck ND 58501 911845296 Imaging Services ND 501(c)(3) Line 7 Northland Healthcare Alliance 0 Northland Management Services 2223 East Rosser Avenue Bismarck ND 58501 450452840 Healthcare Facility Services ND N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 1 1 1