2022-09-12T19:08:17-05:00 2021-12-31 946214841 ARMANINO LLP 12657 ALCOSTA BLVD STE 500 SAN RAMON CA 945834600 990 2021-01-01 941722562 NORTH EAST MEDICAL SERVICES NORT 4153919686 2171 JUNIPERO SERRA BLVD 260 DALY CITY CA 94014 JOHNSON WONG CFO 4153919686 2022-09-12 1 JOHNSON WONG 999009999 MATTHEW PETROSKI P00853132 9257902600 2022-09-12 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z EDDIE W CHAN 2171 JUNIPERO SERRA BLVD 260 DALY CITY CA 94014 213790313 0 X WWW.NEMS.ORG X 1971 CA NORTH EAST MEDICAL SERVICES (NEMS) IS A FAMILY-ORIENTED, COMPREHENSIVE HEALTH CENTER WHICH OFFERS A WIDE RANGE OF HEALTH SERVICES TO A PREDOMINANTLY ASIAN AMERICAN POPULATION. 10 10 849 12 -11042 0 14358528 18709259 135125865 181568074 383986 1434799 17915284 11842828 167783663 213554960 0 0 0 0 73346932 84706384 0 0 0 60975930 71424073 134322862 156130457 33460801 57424503 311978932 369488279 65621668 65793382 246357264 303694897 X NORTH EAST MEDICAL SERVICES (NEMS) IS A FAMILY-ORIENTED, COMPREHENSIVE HEALTH CENTER WHICH OFFERS A WIDE RANGE OF HEALTH SERVICES TO A PREDOMINANTLY ASIAN AMERICAN POPULATION. 1 0 43842342 55675409 PRIMARY AND SPECIALTY MEDICAL SERVICES PROVIDED FOR 278,569 ENCOUNTERS. 34467093 73527517 MANAGED CARE SERVICES: NEMS MANAGEMENT SERVICES ORGANIZATION PROVIDES SKILL, SUPERVISION AND PERSONNEL IN THE OPERATION AND ADMINISTRATION OF CALIFORNIA PACIFIC MEDICAL CENTER'S AND NEMS MEDI-CAL MANAGED CARE BUSINESS. TOTAL MEMBER MONTHS WERE 584,531. 17408385 40448030 PHARMACY SERVED/FILLED 518,792 PRESCRIPTIONS. 17507503 18451835 DENTAL SERVICES PROVIDED FOR 35,424 ENCOUNTERS.RADIOLOGY SERVICES: UNITS OF SERVICE PROVIDED WERE 19,627.LABORATORY SERVICES: UNITES OF SERVICE PROVIDED WERE 400,689.HEATLH COUNSELING SERVICES: UNITS OF SERVICE PROVIDED WERE 7,061.OPTOMETRY SERVICES: UNITS OF SERVICE PROVIDED WERE 8,000.PHYSICAL THERAPY SERVICES: UNITS OF SERVICE PROVIDED WERE 8,331.PACE: TOTAL MEMBER MONTHS WERE 211. 17507503 18451835 113225323 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 1 1 0 0 0 1 728 0 1 849 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 CA X JOHNSON WONG 4153919686 2171 JUNIPERO SERRA BLVD 260 DALY CITY CA 94014 ANNE D BRANDON JD CHAIR 1.00 1.00 X X 0 0 0 NANCY HUANG PHARM D VICE-CHAIR 1.00 1.00 X X 0 0 0 CINDY W LAW SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 SUZANNE S CHEUNG BOARD MEMBER 1.00 0.00 X 0 0 0 MIKE CHI BOARD MEMBER 1.00 0.00 X 0 0 0 EUNICE HENDARY BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN JIN LEE JD BOARD MEMBER 1.00 0.00 X 0 0 0 JEANY TAY MD BOARD MEMBER 1.00 0.00 X 0 0 0 EDWIN S WANG BOARD MEMBER 1.00 0.00 X 0 0 0 ALBERT Y YUE BOARD MEMBER 1.00 0.00 X 0 0 0 EDDIE W CHAN PRESIDENT & CEO 40.00 1.00 X 794001 0 43413 JOHNSON WONG VICE PRESIDENT, CHIEF FINANCIAL OFFICER 40.00 0.00 X 427695 0 77865 KENNETH B TAI VICE PRESIDENT, CHIEF HEALTH OFFICER 40.00 0.00 X 543405 0 65320 JERRY Y JEW VICE PRESIDENT, CHIEF STRATEGY OFFICER 40.00 0.00 X 481737 0 84638 DIANA KAWASAKI-YEE VICE PRESIDENT, CHIEF BUSINESS DEVELOPMENT OFFICER 40.00 0.00 X 422801 0 76403 PAUL E FOX CHIEF ADMINISTRATIVE OFFICER 40.00 0.00 X 272291 0 51925 RACHEL KOH CHIEF OPERATING OFFICER (START 6/21) 40.00 0.00 X 259268 0 32388 MURALIMOHAN ATHULURI CHIEF INFORMATION OFFICER (START 5/21) 40.00 0.00 X 209418 0 42528 DAI LIN TANG CHIEF MANAGED CARE OFFICER 40.00 0.00 X 293555 0 60434 WAI-HANG JACKIE LAM MEDICAL DIRECTOR 40.00 0.00 X 362746 0 27264 LYNN XIAO LIU MEDICAL DIRECTOR 40.00 0.00 X 344074 0 46033 HELEN M WONG MEDICAL DIRECTOR 40.00 0.00 X 332032 0 46998 RENA R HU OB/GYN PHYSICIAN TEAM LEADER 40.00 0.00 X 337512 0 49807 RICHARD S HUYNH PHYSICIAN TEAM LEADER 40.00 0.00 X 331483 0 42079 5412018 0 747095 158 0 1 0 SUTTER BAY MEDICAL FOUNDATION PO BOX 276950 SACRAMENTO CA 958276950 MEDICAL AND HEALTH CARE 3510685 PACIFIC HEMATOLOGY ONCOLOGY ASSOCIATES 2100 WEBSTER ST SUITE 225 SAN FRANCISCO CA 94115 MEDICAL AND HEALTH CARE 2714626 SAN FRANCISCO ONCOLOGY ASSOCIATES 2100 WEBSTER ST SUITE 326 SAN FRANCISCO CA 94115 MEDICAL AND HEALTH CARE 2162810 TRANSWORLD CONSTRUCTION 1178 FOLSOM STREET SAN FRANCISCO CA 94103 CONSTRUCTION 1358017 E A DAVIDOVITS & CO 555 PRICE AVENUE SUITE 200 REDWOOD CITY CA 94063 CONSTRUCTION 1195200 77 X 17809300 899959 191040 18709259 MANGED CARE SERVICE 621300 74321297 74321297 MEDICAL SERVICE 621110 55675409 55675409 PHARMACY 446110 40488030 40488030 DENTAL 621300 9121681 9121681 LABORATORY 621500 1961657 1961657 181568074 1434799 1434799 1582772 235353 1347419 1347419 -11042 1358461 SETTLEMENT INCOME 900099 3960692 3960692 MISCELLANEOUS REVENUE 900099 3823873 3823873 ADMIN FEES 900099 2710844 2710844 10495409 213554960 188102791 -11042 6753952 4303648 1536209 2767439 63483058 49870749 13612309 4290236 3385015 905221 8196099 5835115 2360984 4433343 3336578 1096765 1091721 519210 572511 87378 87378 6039290 3031224 3008066 637694 260371 377323 3640362 1234226 2406136 5241934 247026 4994908 310187 52582 257605 236131 108767 127364 210809 4576 206233 8290393 1537561 6752832 1774171 952286 821885 MANAGED CARE CAPITATION 25554786 25554786 PHARMACEUTICALS AND IN- 12316583 12223255 93328 SUBSCRIPTIONS AND DUES 2873859 1115166 1758693 MEDICAL SUPPLIES 2517140 2297556 219584 601635 123065 478570 156130457 113225323 42905134 0 97225915 109217809 16162626 18235491 137867 1408919 12312591 21999475 6375000 5866429 505348 454584 2173035 3018358 231255622 47209595 174433595 184046027 0 14563948 0 3621157 100000 400000 400000 8627955 181082 311978932 369488279 55254136 17698504 4444990 61308 4437640 3700168 1484902 44333402 65621668 65793382 X 244419122 302509555 1938142 1185342 246357264 303694897 311978932 369488279 57424503 -104245 17375 0 X X 0 1 X 1 1 1 X 10325104 9046684 9161905 14358528 18709259 61601480 10325104 9046684 9161905 14358528 18709259 61601480 61601480 2060024 1740796 1728627 1672690 3017571 10219708 15838707 12641968 15701242 18403972 10495409 73081298 144902486 669404745 0.42510 0.39370 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 68227391 68227391 138119983 32722023 105397960 18895048 14487572 4407476 6013200 6013200 184046027 IBNR PAYABLE 1844069 PPP LOAN 10000000 MEDICARE & MEDI-CAL PAYABLE 32384195 DEPOSITS 105138 44333402 X 218121149 -104245 4496530 235353 4627638 213493511 61449 61449 213554960 160892092 4496530 265105 4761635 156130457 0 156130457 PART X, LINE 2: NEMS HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT CORPORATION, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC), AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC AND 23701D OF THE CALIFORNIA REVENUE TAXATION CODE. NEMS HAS ADOPTED THE ACCOUNTING GUIDANCE RELATED TO UNCERTAIN TAX POSITIONS, AND HAS EVALUATED ITS TAX POSITIONS, AND BELIEVES THAT ALL OF THE POSITIONS TAKEN BY NEMS IN ITS FEDERAL AND STATE EXEMPT ORGANIZATION TAX RETURNS ARE MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION. NEMS' RETURNS ARE SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AND FOUR YEARS RESPECTIVELY AFTER THEY ARE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 235,353. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST EARNED FROM LOAN TO GBH 64,590. GBH INTEREST INCOME EXCLUDED -3,141. PART XII, LINE 2D - OTHER ADJUSTMENTS: ADJUSTMENT TO EXCLUDE GBH 29,752. RENTAL EXPENSES 235,353. X X 0 1 0 0 0 0 0 1 0 EDDIE W CHAN PRESIDENT & CEO 530423 0 237819 0 25759 0 36602 0 6811 0 837414 0 0 0 KENNETH B TAI VICE PRESIDENT, CHIEF HEALTH OFFICER 403153 0 93110 0 47142 0 58200 0 7120 0 608725 0 0 0 JERRY Y JEW VICE PRESIDENT, CHIEF STRATEGY OFFIC 372938 0 93110 0 15689 0 58200 0 26438 0 566375 0 0 0 JOHNSON WONG VICE PRESIDENT, CHIEF FINANCIAL OFFI 312909 0 93110 0 21676 0 58200 0 19665 0 505560 0 0 0 DIANA KAWASAKI-YEE VICE PRESIDENT, CHIEF BUSINESS DEVEL 312909 0 93110 0 16782 0 58200 0 18203 0 499204 0 0 0 LYNN XIAO LIU MEDICAL DIRECTOR 304427 0 31647 0 8000 0 23200 0 22833 0 390107 0 0 0 WAI-HANG JACKIE LAM MEDICAL DIRECTOR 289063 0 30085 0 43598 0 23125 0 4139 0 390010 0 0 0 RENA R HU OB/GYN PHYSICIAN TEAM LEADER 287262 0 23836 0 26414 0 23200 0 26607 0 387319 0 0 0 HELEN M WONG MEDICAL DIRECTOR 295922 0 27610 0 8500 0 23200 0 23798 0 379030 0 0 0 RICHARD S HUYNH PHYSICIAN TEAM LEADER 297713 0 24770 0 9000 0 23200 0 18879 0 373562 0 0 0 DAI LIN TANG CHIEF MANAGED CARE OFFICER 236248 0 41910 0 15397 0 36762 0 23672 0 353989 0 0 0 PAUL E FOX CHIEF ADMINISTRATIVE OFFICER 217873 0 54418 0 0 0 35039 0 16886 0 324216 0 0 0 RACHEL KOH CHIEF OPERATING OFFICER (START 6/21) 160000 0 95847 0 3421 0 30300 0 2088 0 291656 0 0 0 MURALIMOHAN ATHULURI CHIEF INFORMATION OFFICER (START 5/2 155000 0 54418 0 0 0 29900 0 12628 0 251946 0 0 0 PART I, LINE 4B THE CEO ENTERED INTO A SPLIT-DOLLAR INSURANCE PLAN WITH NEMS IN 2021. NEMS FUNDED AN AMOUNT TO PAY PREMIUM ON A LIFE INSURANCE POLICY THAT THE CEO WILL OWN. THE LIFE INSURANCE POLICY HAS TWO COMPONENTS: ONE COMPONENT CREATES A FUND FROM WHICH THE CEO BORROWS TAX-FREE TO SUPPLEMENT RETIREMENT INCOME STARTING FROM 2027 AND THE OTHER COMPONENT PROVIDES DEATH PROCEEDS THAT: - REPAY NEMS'S PREMIUM PLUS INVESTMENT EARNINGS AND PROVIDE ADDITIONAL KEY PERSON COVERAGE. - PROVIDE A TAX-FREE DEATH BENEFIT TO CEO'S BENEFICIARY. THE ANNUAL TAX-FREE BENEFITS OVER 20 YEARS STARTS FROM 2027. NEMS ALSO MAINTAINS A DEFERRED COMPENSATION PLAN UNDER 457(F). THE ORGANIZATION ACCRUED CONTRIBUTIONS TO THE 457(F) PLAN FOR C-SUITE MEMBERS. THE AMOUNT ACCURED IS AS FOLLOWING: JOHNSON WONG, VICE PRESIDENT, CHIEF FINANCIAL OFFICER $35,000 TAI, KENNETH B VICE PRESIDENT, CHIEF HEALTH OFFICER $35,000 JERRY Y. JEW, VICE PRESIDENT, CHIEF STRATEGY OFFICER $35,000 DIANA KAWASAKI-YEE, VICE PRESIDENT, CHIEF BUSINESS DEVELOPMENT OFFICER $35,000 PAUL E FOX, CHIEF ADMINISTRATIVE OFFICER $17,500 RACHEL KOH, CHIEF OPERATING OFFICER $17,500 MURALIMOHAN ATHULURI, CHIEF INFORMATION OFFICER $17,500 DAI LIN TANG, CHIEF MANAGED CARE OFFICER $17,500 PART I, LINE 7 CEO'S BONUS WAS DETERMINED BY THE BOARD OF DIRECTORS ON A COMPLETELY DISCRETIONARY MANNER BASED UPON THE EMPLOYEE PERFORMANCE. OTHER EMPLOYEES' BONUSES WERE DETERMINED BY THE CEO AND THE BOARD OF DIRECTORS ON A COMPLETELY DISCRETIONARY MANNER BASED UPON THE EMPLOYEE PERFORMANCE. EDDIE W CHAN PRESIDENT & CEO SPLIT DOLLAR LIFE INSURANCE X 6375000 6375000 0 1 1 6375000 X 1 64253 FMV X COVID-19 PPE 10 71337 FMV X BOOKS AND OTHER SUPPLIES 1 55450 FMV 0 0 1 0 PART I, COLUMN (B): THIS NUMBER REPRESENTS THE NUMBER OF CONTRIBUTORS, NOT THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART III, LINE 2 IN 2021, NORTH EAST MEDICAL SERVICES ENTERED INTO AN AGREEMENT WITH THE DEPARTMENT OF HEALTH CARE SERVICES TO OPERATE A HEALTH CARE DELIVERY SYSTEM KNOWN AS THE PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY ("PACE"). NORTH EAST MEDICAL SERVICES IS AT FULL RISK FOR ALL PACE CONTRACTUAL SERVICES. NORTH EAST MEDICAL SERVICES' PACE PROGRAM PROVIDES ALL HEALTH, MEDICAL, AND SOCIAL SERVICES NEEDED BY THEIR ENROLLEES, WITHOUT LIMITS ON DOLLARS OR DURATION OF SERVICES, INCLUDING PREVENTATIVE, REHABILITATIVE, CURATIVE, AND SUPPORTIVE SERVICES IN ADULT DAY HEALTH CENTERS, HOMES, HOSPITALS, AND NURSING HOMES. NORTH EAST MEDICAL SERVICES RECEIVED PREMIUM REVENUE IN THE FORM OF CAPITATION PAYMENTS FROM MEDICARE AND MEDI-CAL AS PAYMENTS FOR ALL COVERED BENEFITS UNDER ITS PACE PROGRAM. FORM 990, PART VI, SECTION A, LINE 2 THE DIRECTOR OF PHARMACY IS THE SPOUSE OF THE CEO. FORM 990, PART VI, SECTION B, LINE 11B THE NEMS MANAGEMENT SHALL HAVE THE RESPONSIBILITY FOR REVIEWING THE CLINIC'S FORM 990 (INCLUDING ALL PERTINENT SCHEDULES) BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. AFTER THE DRAFT OF THE FORM 990 HAS BEEN OBTAINED BY THE NEMS MANAGEMENT, THEY WILL HAVE NO MORE THAN FOUR WEEKS TO COMPLETE THEIR REVIEW. ONCE THE NEMS MANAGEMENT HAS COMPLETED ITS INITIAL REVIEW OF THE FORM 990, A MEETING OR CONFERENCE CALL WILL BE SCHEDULED WITH THE PREPARER OF THE FORM 990 (REGARDLESS OF WHETHER THE FORM 990 IS EXTERNALLY OR INTERNALLY PREPARED) TO DISCUSS ANY QUESTIONS, COMMENTS, AND SUGGESTED REVISIONS IDENTIFIED BY THE NEMS MANAGEMENT. THE PREPARER OF THE FORM 990 SHOULD MAKE ANY REVISIONS TO THE FORM 990 AS SOON AS FEASIBLY POSSIBLE TO ENSURE THAT THE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE ON A TIMELY BASIS. ALL QUESTIONS, COMMENTS, AND SUGGESTED REVISIONS SET FORTH BY THE NEMS MANAGEMENT SHOULD BE DOCUMENTED, ALONG WITH ANY RESPONSES FROM THE PREPARER OF THE FORM 990, IF APPLICABLE. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF DIRECTORS AND KEY MANAGEMENT STAFF WILL FILL OUT THE "ANNUAL CONFLICT DISCLOSURE QUESTIONNAIRE." THESE QUESTIONNAIRES WILL BE REVIEWED BY THE CHAIR OF THE BOARD OF DIRECTORS WHO WILL DETERMINE APPROPRIATE ACTION IF A CONFLICT OF INTEREST IS IDENTIFIED. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE ORGANIZATION'S CEO AND TOP MANAGEMENT OFFICER IS DETERMINED BY THE BOARD OF DIRECTORS WHO UTILIZE COMPARABILITY DATA PROVIDED ANNUALLY BY THE HOSPITAL AND HEALTHCARE COMPENSATION SERVICE FOR THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THE COMPENSATION OF THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE CEO WHO UTILIZES COMPARABILITY DATA FROM A COMPENSATION SPECIALIST. FORM 990, PART VI, SECTION C, LINE 19 THE CLINIC'S GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART VIII LINE 6 THE ORGANIZATION HAS BUSINESS RENTAL INCOME FROM VARIOUS PROPERTIES. ONLY TWO PROPERTIES ARE DEBT FINANCED. FOR THE DEBT FINANCED PROPERTIES, THE ORGANIZATION REPORTS RENTAL INCOME AS UNRELATED BUSINESS INCOME. GENERAL PROPERTY EXPENSES SUCH AS PROPERTY TAX, INSURANCE, INTEREST, AND DEPRECIATION ARE ALLOCATED TO NET WITH THE RENTAL INCOME BASED ON THE % OF PROPERTY USED FOR RENTAL AND ON DEBT/BASIS RATIO. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. 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