2023-08-01T13:16:08-05:00 2023-03-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2022-04-01 510199559 Northern Counties Health Care Inc NORT 8027489405 165 Sherman Drive St Johnsbury VT 05819 Michael Costa Chief Executive Officer 8027489405 2023-07-31 1 Michael Costa 999009999 1 Barbara J McGuan CPA P00219457 6036697337 2023-07-31 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Michael Costa 165 Sherman Drive St Johnsbury VT 05819 40865633 0 X www.nchcvt.org X 1976 VT To provide high-quality, accessible, patient-centered health care. 15 15 369 19 0 0 9504163 7866332 26947833 26813162 299078 357313 0 10562 36751074 35047369 14000 14000 0 0 22340182 23150460 0 0 0 8121646 9987004 30475828 33151464 6275246 1895905 28204455 29350943 2920317 2584530 25284138 26766413 X Mission: To provide high-quality, accessible, patient-centered health care. Vision: NCHC is a key partner in building healthy families and thriving communities. Values: We pursue quality in all that we do and are committed to: Mutual Respect and Trust - working together and providing care that respects every individual's dignity, privacy, and culture. Excellence -- investing in our most valuable asset, our employees, is crucial to delivering high quality care. Teamwork and Collaboration -- working within NCHC and with community partners to provide a continuum of health care and social support. Stewardship and Spirit of Service - serving our communities with integrity and intention in all our interactions. Resilience - approaching every challenge as an opportunity to pursue creative solutions, achieve financial sustainability, and deepen our resolve. 0 0 20994407 14000 18704936 To provide primary care, dental care, behavioral health and community health services to residents in the Northeast Kingdom Region. 9568926 8108226 To provide home health, hospice and homemaker services to residents in the Northeast Kingdom Region. 30563333 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 82 0 1 369 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 VT X X Angela Neil 8027489405 165 Sherman Drive St Johnsbury VT 05819 Justin Barton-Caplin President 1.00 X X 0 0 0 Maryellen Griffin Vice President 1.00 X X 0 0 0 Sarah Galloway Treasurer 1.00 X X 0 0 0 Laura Newell Secretary 1.00 X X 0 0 0 Patricia Aubin Board Member 1.00 X 0 0 0 Suzanne Legare Belcher Board Member 1.00 X 0 0 0 Ann Creaven Board Member 1.00 X 0 0 0 Louisa Driscoll Board Member 1.00 X 0 0 0 Sophia Boyle Hall Board Member 1.00 X 0 0 0 Adrienne Hutchin Board Member 1.00 X 0 0 0 Ellen Moore Board Member 1.00 X 0 0 0 Barbara Morrow Board Member 1.00 X 0 0 0 Michael O'Dell Board Member 1.00 X 0 0 0 Pam Smart Board Member 1.00 X 0 0 0 Steven Winkler Board Member 1.00 X 0 0 0 Al Cronauer Past Board Member 1.00 X 0 0 0 Karena Shippee Past Board Member 1.00 X 0 0 0 Ray Small Past Board Member 1.00 X 0 0 0 Ron Steen Past Board Member 1.00 X 0 0 0 Michael Costa Chief Executive Officer 40.00 X 194065 0 19757 Angela Neil Chief Financial Officer 40.00 X 137515 0 7323 Dr Timothy Tanner Medical Director 40.00 X 209577 0 8494 Dr Sarah Morgan Physician 40.00 X 201485 0 12699 Dr Robert Primeau Physician 38.00 X 190288 0 10679 Dr John Raser Physician 40.00 X 210835 0 17309 Dr Mark Parenteau Dentist 32.00 X 229895 0 2742 Dr Jay Dege Physician 40.00 X 193010 0 17359 1566670 0 96362 31 0 1 0 Core Medical Group PO Box 306478 Nashville TN 372306478 Contract RNS 1098265 Graves Builders PO Box 128 Barnet VT 05821 Building Contractor 283274 Elm Construction 437 Grange Hall Rd Monroe NH 03771 General Contractor 132780 BerryDunn 2211 Congress St Portland ME 04102 Audit & Accounting Services 126810 4 7016130 850202 7866332 Primary Care 624100 18704936 18704936 Home Care 621610 8108226 8108226 26813162 205407 205407 5958546 4156 5810796 0 147750 4156 151906 151906 7835 4478 3357 3357 10195 2990 7205 7205 35047369 26813162 0 367875 14000 14000 576731 576731 17605920 16869833 736087 584959 552771 32188 3076093 2843864 232229 1306757 1200710 106047 88450 88450 80340 80340 2222388 2084124 138264 141556 117616 23940 344564 286287 58277 901553 749072 152481 709814 616538 93276 329442 273724 55718 80 67 13 697974 640350 57624 97096 82501 14595 Program Supplies 3238910 3238910 Miscellaneous Expense 697924 577516 120408 Medicaid Provider Tax 310013 310013 Staff Appreciation & Tr 126900 105437 21463 33151464 30563333 2588131 0 456015 104372 13988354 10812166 775253 762006 1752128 2325409 45910 26319 203931 692829 13325880 6676720 5039045 6649160 3604725 5246069 2339094 2732613 28204455 29350943 2672580 2584530 247737 0 2920317 2584530 X 25271459 26543758 12679 222655 25284138 26766413 28204455 29350943 1895905 -413630 0 X 0 1 X 1 1 1 X 4057377 4089920 7195193 9504163 7866332 32712985 22751119 23863194 23632149 26947833 26813162 124007457 26808496 27953114 30827342 36451996 34679494 156720442 0 0 0 156720442 117881 165274 124178 106905 205407 719645 117881 165274 124178 106905 205407 719645 8469 10562 19031 26926377 28118388 30959989 36558901 34895463 157459118 0.99530 0.99600 0.00460 0.00400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12679 12679 12679 12679 12679 12679 12679 12679 12679 12679 1.00000 0 0 404868 404868 8681298 5032001 3649297 3575852 1644719 1931133 663862 663862 6649160 Due From Third Party Payers 2732613 2732613 X 34633739 -413630 -413630 35047369 0 35047369 33151464 0 33151464 0 33151464 Part V, Line 4: Income used for operations. Part X, Line 2: The Organizations a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Organization is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Organization's tax position and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. 1 Catamount Arts 115 Eastern Ave St Johnsbury VT 05819 030276780 501(c)(3) 14000 0 Program Support 1 Part I, Line 2: When we provide grants for specific programs we know how the funds will be used. If we donate to the foundation as a whole we do not know exactly how funds are used. Catamount Arts has both specific programs and the foundation as a whole does various community activities. Catamount Arts is a 501(c)(3) charity, further monitoring of funds not deemed necessary. 1 X X 0 0 0 1 0 0 0 1 0 Dr Mark Parenteau Dentist 150147 0 79748 0 0 0 2043 0 699 0 232637 0 0 0 Dr John Raser Physician 209585 0 1250 0 0 0 9407 0 7902 0 228144 0 0 0 Dr Timothy Tanner Medical Director 208327 0 1250 0 0 0 2160 0 6334 0 218071 0 0 0 Dr Sarah Morgan Physician 191979 0 9506 0 0 0 2264 0 10435 0 214184 0 0 0 Michael Costa Chief Executive Officer 194065 0 0 0 0 0 8771 0 10986 0 213822 0 0 0 Dr Jay Dege Physician 191760 0 1250 0 0 0 8398 0 8961 0 210369 0 0 0 Dr Robert Primeau Physician 188415 0 1873 0 0 0 1870 0 8809 0 200967 0 0 0 Part I, Line 5 Robert Primeau is paid for on-call services at North Country Hospital based on net billing at the hospital. Sarah Morgan is paid for on-call services at Copley Hospital based on payments associated with billing at the hospital. As a dentist, Mark Parenteau is paid a bonus under the dentist's incentive plan. Part I, Line 7 Annual bonuses were determined as a percentage of compensation. We also paid a bonus to senior leadership based on position. We paid retention bonuses for hard to hire/keep positions. Form 990, Part VI, Section B, line 11b Form 990 is sent to all Board members prior to filing. Form 990, Part VI, Section B, line 12c At the end of each fiscal year each Director completes a questionnaire to report on conflicts of interest. Form 990, Part VI, Section B, line 15a The Executive Director's compensation is established and approved by the Organization's governing board. The Board of Directors establishes this salary based on salary surveys completed within Northern Counties' market. The Executive Director is salaried similar to other employees and is not a contracted employee. Form 990, Part VI, Section C, line 19 Upon request.