2021-08-13T15:05:53-05:00 2021-03-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2020-04-01 510199559 Northern Counties Health Care Inc NORT 8027489405 165 Sherman Drive St Johnsbury VT 05819 Michael Costa Chief Executive Officer 8027489405 2021-07-30 1 Michael Costa 999009999 Melissa Magoon CPA P01712842 6036697337 2021-07-30 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Michael Costa 165 Sherman Drive St Johnsbury VT 05819 32828123 0 X www.nchcvt.org X 1976 VT To provide high-quality, accessible, patient-centered health care. 15 15 459 15 0 0 4089920 7195193 23863194 23632149 142620 232353 0 8469 28095734 31068164 0 11000 0 0 20109940 20299856 0 0 0 7054869 7149247 27164809 27460103 930925 3608061 17267497 26172620 2354680 7035526 14912817 19137094 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 17228343 11000 15192923 To provide primary care, dental care, behavioral health and community health services to residents in the Northeast Kingdom Region. 8164916 8439226 To provide home health, hospice and homemaker services to residents in the Northeast Kingdom Region. 25393259 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 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 73 0 1 459 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 X X Angela Neil 8027489405 165 Sherman Drive St Johnsbury VT 05819 Nancy Reynolds President 2.00 X X 0 0 0 Ron Steen Vice President 2.00 X X 0 0 0 Al Cronauer Treasurer 2.00 X X 0 0 0 Cynthia Stuart Secretary 2.00 X X 0 0 0 Ann Creaven Board Member 1.00 X 0 0 0 Ellen Moore Board Member 1.00 X 0 0 0 Karena Shippee Board Member 1.00 X 0 0 0 Laura Newell Board Member 1.00 X 0 0 0 Ray Small Board Member 1.00 X 0 0 0 Tin Barton-Caplin Board Member 1.00 X 0 0 0 Sophia Boyle Hall Board Member 1.00 X 0 0 0 Louisa Driscoll Board Member 1.00 X 0 0 0 Becky Galloway Board Member 1.00 X 0 0 0 Maryellen Griffin Board Member 1.00 X 0 0 0 Pam Smart Board Member 1.00 X 0 0 0 Kathy Gent Past Treasurer 2.00 X X 0 0 0 Caroline Frey Past Board Member 1.00 X 0 0 0 Jennifer Guss Past Board Member 1.00 X 0 0 0 Michael Costa CEO 40.00 X 159107 0 15826 Angela Neil CFO 40.00 X 0 0 0 Thomas Pitts Past CFO 40.00 X 144427 0 8452 John Raser Physician 40.00 X 200840 0 16877 Sarah Morgan Physician 40.00 X 192128 0 15380 Timothy Tanner Physician 40.00 X 195328 0 13372 Robert Primeau Physician 38.00 X 172103 0 12263 Linda Bisson Physician 40.00 X 171794 0 10263 1235727 0 92433 19 0 1 0 St Johnsbury Health and Rehab 1248 Hospital Dr St Johnsbury VT 05819 Hospice 308395 Northeastern VT Regional Hospital PO Box 905 St Johnsbury VT 05819 Lab Services 175909 Pulse 6440 Southpoint Parkway Ste 300 Jacksonville FL 32216 Contracted RNs 135860 3 7050856 144337 7195193 Primary Care 624100 15192923 15192923 Home Care 621610 8439226 8439226 23632149 124178 124178 1868134 1759959 108175 108175 108175 8469 0 8469 8469 31068164 23632149 0 240822 11000 11000 327811 327811 15578453 14945307 633146 480269 458156 22113 2597831 2434625 163206 1315492 1226617 88875 52189 52189 79400 79400 844680 709293 135387 34093 26386 7707 205660 159167 46493 655988 507691 148297 534382 481454 52928 299211 231569 67642 33289 33289 585580 524938 60642 39448 30530 8918 Program Supplies 2911440 2911440 Medicaid Tax 270905 270905 Telephone 114269 88437 25832 Postage and Shipping 51744 40046 11698 436969 335698 101271 27460103 25393259 2066844 0 86020 758036 7062840 13729072 97666 599301 2141645 2450243 34994 29483 189647 245706 12235676 7950826 4420602 4284850 1781923 2880187 1452160 1195742 17267497 26172620 2354680 2934761 515907 0 3584858 2354680 7035526 X 14900138 19124415 12679 12679 14912817 19137094 17267497 26172620 3608061 616216 0 X 0 1 X 1 1 1 X 3755009 4015868 4057377 4089920 7195193 23113367 19882016 20355217 22751119 23863194 23632149 110483695 23637025 24371085 26808496 27953114 30827342 133597062 0 0 0 133597062 53565 67691 117881 165274 124178 528589 53565 67691 117881 165274 124178 528589 8469 8469 23690590 24438776 26926377 28118388 30959989 134134120 0.99600 0.99640 0.00390 0.00360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12679 12679 12679 12679 12679 12679 12679 12679 12679 12679 1.00000 0 0 431847 431847 7426956 4579345 2847611 4376873 3371481 1005392 4284850 CARES Act Funding 3532300 Medicaid Retainer Payments refundable advance 52558 3584858 X 31684380 616216 616216 31068164 0 31068164 27460103 0 27460103 0 27460103 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 PO Box 324 St Johnsbury VT 05819 030276780 501(c)(3) 11000 Program Support 1 0 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 John Raser Physician 197100 0 3740 0 0 0 8360 0 8517 0 217717 0 7984 0 Timothy Tanner Physician 191588 0 3740 0 0 0 7936 0 5436 0 208700 0 7994 0 Sarah Morgan Physician 188178 0 3950 0 0 0 7949 0 7431 0 207508 0 8140 0 Robert Primeau Physician 168550 0 3553 0 0 0 7031 0 5232 0 184366 0 7164 0 Linda Bisson Physician 168054 0 3740 0 0 0 6911 0 3352 0 182057 0 7438 0 Michael Costa CEO 154107 0 5000 0 0 0 5294 0 10532 0 174933 0 0 0 Thomas Pitts Past CFO 139427 0 5000 0 0 0 5789 0 2663 0 152879 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. Part I, Line 7 Bonuses were determined as a percentage of compensation. 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.