09/01/2005 9 51 AM

SCHEDULE A
(Form 990 or 990-EZ)

Department of the Treasury

Organization Exempt Under Section 501(c)(3)

(Except Private Foundation) and Section 501(e)I 501(0. 501(k),
501(n). or Section 4947(a)(1) Nonexempt Charitable Trust

Supplementary Information-(See separate instructions.)
internal Revenue Semee? be completed by the above organizations and attached to their Form 9 )0 or 990-EZ



2004

 

 

Name of the organization
PRIMECARE NEVADA, INC

Employer identification number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DBA NYE REGIONAL MEDICAL CENTER 31-16532 32
Part! Compensation of the Five Highest Paid Employees Other Than Of?cers. Directors, and Trustees

(See page i of the instructions. List each one. If there are none, enter "Nene.")

Name and address of each employee pald more (in) Title and average hours Contributions to Expense
than 550.000 per week devoted to Dosmon Compensation e?gia?ig 34?: 8' 
THERESA CAMPBELL
PO Box 431, 3.14.
TONOPAH NV 39049 40+ 60,519 0 0
DONNA PAUL
PO Box 967 x-Rmr TECH MGR
TONOPAH NV 39049 40+ 58,303 0 0
JESSICA THOMPSON
PO BOX 2002 R.N.
TONOPAH NV 09049 40+ 56 932 0 0
CAROL LINEBARGER
PO BOX 3226 LAB TECH
TONOPAH NV 89049 40+ 54 314 0 0
BECKY TISUE
PO Box 2055 R.N.
TONOPAH NV 39049 40+ 5.92.2}? . 1 0
Total number of other employees paid over
550.000 1

Part II Compensation of the Five Highest Paid Independent Contractors for Professional Services

(See paqe 2 of the List each one (whether individuals or ?rms). If there are none, enter "None 

Name and address of each Independent contractor paid more than 550,000 Type of sewlce Compensarmn
SCOCCIA MEDICAL
995 FREEDOM TRAIL
KERRVILLE TX 78028 PHYSICIAN SERVICES 868 149
TUNA PARK
995 FREEDOM TRAIL
KERRVILLE TX 78028 LAND BLDG LEASE 254 211
OWIE BOO-BOO
995 FREEDOM TRAIL
KERRVILLE TX 78023 EQUIPMENT LEASE 1591.196

 

 

 

 

Total number of others recewnng over $50,000 for

professional serwces



 

0

 

 

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

DAA

Schedule A (Form 990 or 990-EZ) 2004