NORTH COUNTRY FAMILY HEALTH CENTER INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- NORTH COUNTRY FAMILY HEALTH CENTER INC (EIN 16-1030802)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-03
- IRS object ID
- 201533079349301463
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-03T15:52:27-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 364709572 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWLEY & HALLORAN CPAS PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 215 WASHINGTON ST STE 100 | AddressLine1Txt |
| City | WATERTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 136013343 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161030802 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH COUNTRY FAMILY HEALTH CENTER | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 3157829450 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 238 ARSENAL STREET | AddressLine1Txt |
| City | WATERTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOEY MARIE HORTON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3157829450 | PhoneNum |
| Signature | 2015-11-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAMELA J HALLORAN | PreparerPersonNm |
| PTIN | P00804150 | PTIN |
| Phone | 3157883140 | PhoneNum |
| Preparation | 2015-11-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SAME AS C ABOVE | PrincipalOfficerNm |
| Gross Receipts | $6,709,827 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NOCOFAMILYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH, WELLNESS, AND QUALITY OF LIFE OF INDIVIDUALS IN OUR COMMUNITY BY PROVIDING ACCESSIBLE, HIGH QUALITY, AFFORDABLE, PATIENT- CENTERED, AND INTEGRATED HEALTH SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 154 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,286,087 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,354,906 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,648,680 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,269,901 | CYProgramServiceRevenueAmt |
| PY Investment Income | $30 | PYInvestmentIncomeAmt |
| CY Investment Income | $197 | CYInvestmentIncomeAmt |
| PY Other Revenue | $87,925 | PYOtherRevenueAmt |
| CY Other Revenue | $75,591 | CYOtherRevenueAmt |
| PY Total Revenue | $7,022,722 | PYTotalRevenueAmt |
| CY Total Revenue | $6,700,595 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,305,056 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,745,388 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,662 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,711,878 | PYOtherExpensesAmt |
| CY Other Expenses | $1,767,131 | CYOtherExpensesAmt |
| PY Total Expenses | $7,016,934 | PYTotalExpensesAmt |
| CY Total Expenses | $6,512,519 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,788 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $188,076 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,278,541 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,974,142 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,959,620 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,467,145 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,318,921 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,506,997 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HEALTH, WELLNESS, AND QUALITY OF LIFE OF INDIVIDUALS IN OUR COMMUNITY BY PROVIDING ACCESSIBLE, HIGH QUALITY, AFFORDABLE, PATIENT- CENTERED, AND INTEGRATED HEALTH SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,679,904 | ExpenseAmt |
| Revenue | $3,216,107 | RevenueAmt |
| Desc | PEDIATRIC MEDICAL CARE, ADULT MEDICAL CARE, DENTAL SERVICES, AND MENTAL HEALTH SERVICES: NCFHC PROVIDES OUTPATIENT AND INPATIENT MEDICAL CARE, DENTAL CARE, AND MENTAL HEALTH SERVICES TO CHILDREN AND ADULTS. SERVICES INCLUDE PHYSICAL AND DENTAL EXAMS, DIAGNOSIS AND TREATMENT, NEWBORN CARE, PARENTING AND HEALTH EDUCATION FOR ALL AGES, IMMUNIZATIONS, DEVELOPMENTAL SCREENINGS, PSYCHOLOGICAL AND COUNSELING SERVICES, AND REFERRALS TO SPECIALISTS AND FOLLOW-UP AGENCIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,727,747 | ExpenseAmt |
| Revenue | $53,794 | RevenueAmt |
| Desc | NUTRITION: NCFHC OPERATES THE WIC PROGRAM WHICH PROVIDES NUTRIENT-RICH FOODS, NUTRITION EDUCATION, AND HEALTHY RESOURCES TO "AT RISK" PREGNANT WOMEN, NEW MOTHERS, INFANTS, AND CHILDREN UP TO AGE FIVE. AS A FEDERALLY QUALIFIED HEALTH CENTER, THE AGENCY EMPLOYS A REGISTERED DIETICIAN WHO PROVIDES NUTRITION EDUCATION AND COUNSELING TO PATIENTS WITH CHRONIC ILLNESS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $5,407,651 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 154 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KELLY CLARK | PersonNm |
| Phone | 3157829450 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 238 ARSENAL STREET | AddressLine1Txt |
| City | WATERTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| ERIKA FLINT | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LYNN PIETROSKI | |||||||
| VICE PRESIDE | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PAUL KRAEGER | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHELLE REFF | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOEY M HORTON | |||||||
| EXECUTIVE DI | 40.00 | Yes (X) | Yes (X) | $76,400 | $0 | $4,930 | |
| KELLY CLARK | |||||||
| FINANCE DIRE | 40.00 | Yes (X) | $62,083 | $0 | $0 | ||
| CHRISTINE POWERS | |||||||
| TREASURER -P | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRIAN DYKEMAN | |||||||
| VICE PRES -P | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ELIZABETH MASON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SHARON CHAPLE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SHARON ADDISON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ELIZABETH MASON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JACQUELYN SCHELL | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK LAVARNWAY | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAMELA BEYOR | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| VANETTA CONN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MONICA CRONIN | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DONALD MOTT | |||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |||
| DONNA RANSIER-VANWALDICK | |||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |||
| ELIZABETH MASON | |||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |||
| DENISE YOUNG | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| OLGA HARBUZ | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS SHATRAW | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LYNNE FARRIS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| FARHANA ASIM | |||||||
| PHYSICIAN | 40.00 | $131,587 | $0 | $0 | Yes (X) | ||
| FARHANA A BASIT | |||||||
| PHYSICIAN | 40.00 | $120,314 | $0 | $0 | Yes (X) | ||
| MARIA E DILLE | |||||||
| DENTIST | 40.00 | $122,475 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $512,859 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $4,930 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VISUALUTIONS INC | |||||
| 7440 MINTWOOD LANE | SPRING | TX | 77379 | IT SERVICES | $196,688 |
| HENRY SCHEIN INC | |||||
| PO BOX 371952 | PITTSBURGH | PA | 15250 | SUPPLIES | $105,714 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $10,000 | FundraisingAmt |
| Government Grants | $3,196,234 | GovernmentGrantsAmt |
| All Other Contributions | $148,672 | AllOtherContributionsAmt |
| Total Contributions | $3,354,906 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| MEDICAID, MEDICARE & WRAPS | $2,103,199 | $2,103,199 |
| PATIENT FEES | $1,112,908 | $1,112,908 |
| CONTRACTUAL | $53,794 | $53,794 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,269,901 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $197 | TotalRevenueColumnAmt |
| Exclusion | $197 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $28,450 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $10,000 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $9,232 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,218 | TotalRevenueColumnAmt |
| Exclusion | $19,218 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Total Revenue Column | $56,373 | TotalRevenueColumnAmt |
| Exclusion | $56,373 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $56,373 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,700,595 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,269,901 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $75,788 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,038 | TotalAmt |
| Program Services | $17,566 | ProgramServicesAmt |
| Management And General | $140,472 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,012,314 | TotalAmt |
| Program Services | $3,683,280 | ProgramServicesAmt |
| Management And General | $329,034 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,619 | TotalAmt |
| Program Services | $223,523 | ProgramServicesAmt |
| Management And General | $21,096 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $330,417 | TotalAmt |
| Program Services | $301,922 | ProgramServicesAmt |
| Management And General | $28,495 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,713 | TotalAmt |
| Program Services | $8,425 | ProgramServicesAmt |
| Management And General | $3,288 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,865 | TotalAmt |
| Program Services | $12,392 | ProgramServicesAmt |
| Management And General | $4,473 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,761 | TotalAmt |
| Program Services | $254,360 | ProgramServicesAmt |
| Management And General | $49,401 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,961 | TotalAmt |
| Program Services | $17,329 | ProgramServicesAmt |
| Management And General | $632 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $433,736 | TotalAmt |
| Program Services | $409,376 | ProgramServicesAmt |
| Management And General | $22,425 | ManagementAndGeneralAmt |
| Fundraising | $1,935 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,588 | TotalAmt |
| Program Services | $147,731 | ProgramServicesAmt |
| Management And General | $60,857 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,528 | TotalAmt |
| Program Services | $22,583 | ProgramServicesAmt |
| Management And General | $2,934 | ManagementAndGeneralAmt |
| Fundraising | $11 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,075 | TotalAmt |
| Management And General | $51,075 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,692 | TotalAmt |
| Management And General | $243,692 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,488 | TotalAmt |
| Program Services | $50,312 | ProgramServicesAmt |
| Management And General | $37,176 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BAD DEBT EXPENSE | $113,298 | $113,298 | ||
| HS REPAIRS & MAINTENANCE | $105,551 | $14,688 | $90,863 | |
| HC MISCELLANEOUS | $42,241 | $25,892 | $16,293 | $56 |
| NUTRITION TELEPHONE | $34,000 | $34,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,634 | TotalAmt |
| Program Services | $70,974 | ProgramServicesAmt |
| Fundraising | $660 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,512,519 | TotalAmt |
| Program Services | $5,407,651 | ProgramServicesAmt |
| Management And General | $1,102,206 | ManagementAndGeneralAmt |
| Fundraising | $2,662 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,816 | BOYAmt |
| EOY | $900,208 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $595,422 | BOYAmt |
| EOY | $544,691 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,285,337 | BOYAmt |
| EOY | $315,500 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,691 | BOYAmt |
| EOY | $50,277 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,238,339 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,074,873 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,368,275 | BOYAmt |
| EOY | $2,163,466 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,278,541 | BOYAmt |
| EOY | $3,974,142 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,494,221 | BOYAmt |
| EOY | $594,750 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,725 | BOYAmt |
| EOY | $389,124 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,259,674 | BOYAmt |
| EOY | $1,483,271 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,959,620 | BOYAmt |
| EOY | $2,467,145 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,252,339 | BOYAmt |
| EOY | $1,431,253 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,582 | BOYAmt |
| EOY | $75,744 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,318,921 | BOYAmt |
| EOY | $1,506,997 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,278,541 | BOYAmt |
| EOY | $3,974,142 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $188,076 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,643,930 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,512,890 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,698,845 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,286,087 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,354,906 | CurrentTaxYearAmt |
| Total | $14,496,658 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,643,930 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,512,890 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,698,845 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,286,087 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,354,906 | CurrentTaxYearAmt |
| Total | $14,496,658 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $14,496,658 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $41 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $197 | CurrentTaxYearAmt |
| Total | $268 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $61,297 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $86,925 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $74,591 | CurrentTaxYearAmt |
| Total | $222,813 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,829 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $140,274 | CurrentTaxYearMinus3YearsAmt |
| Total | $201,103 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $14,920,842 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $3,269,901 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97160 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97090 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS 27,173 SPECIAL EVENTS 173,930 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,000 | OtherCostOrOtherBasisAmt |
| Book Value | $40,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,724,989 | OtherCostOrOtherBasisAmt |
| Depreciation | $843,214 | DepreciationAmt |
| Book Value | $1,881,775 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,473,350 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,231,659 | DepreciationAmt |
| Book Value | $241,691 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,163,466 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $12,404,239 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $5,703,644 | OtherRevenueAmt |
| Revenue Not Reported | $5,703,644 | RevenueNotReportedAmt |
| Revenue Subtotal | $6,700,595 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $6,700,595 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,216,163 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $5,703,644 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $5,703,644 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,512,519 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $6,512,519 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | FASB ASC 740, "INCOME TAXES", REQUIRES ENTITIES TO DISCLOSE IN THEIR FINANCIAL STATEMENTS THE NATURE OF ANY UNCERTAINTIES IN THEIR TAX POSITION. TAX YEARS INCLUDING 2011 AND LATER ARE SUBJECT TO EXAMINATION BY TAX AUTHORITIES. AREAS THAT IRS AND STATE TAX AUTHORITIES CONSIDER WHEN EXAMINING TAX RETURNS OF A CHARITY INCLUDE, BUT MAY NOT BE LIMITED TO, TAX-EXEMPT STATUS AND THE EXISTENCE AND AMOUNT OF UNRELATED BUSINESS INCOME. NORTH COUNTRY FAMILY HEALTH CENTER, INC. DOES NOT BELIEVE THAT IT HAS ANY UNCERTAIN TAX POSITIONS WITH RESPECT TO THESE OR OTHER MATTERS, AND HAS NOT RECORDED ANY UNRECOGNIZED TAX BENEFITS OR LIABILITY FOR PENALTIES OR INTEREST. NORTH COUNTRY FAMILY HEALTH CENTER, INC. IS NOT AWARE OF ANY CIRCUMSTANCES OR EVENTS THAT MAKE IT REASONABLY POSSIBLE THAT TAX BENEFITS MAY INCREASE OR DECREASE WITHIN 12 MONTHS OF THE DATE OF THESE FINANCIAL STATEMENTS. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | SPECIAL EVENTS EXPENSE 9,232 PASS-THROUGH WIC FOOD COUPONS 5,694,412 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | SPECIAL EVENTS EXPENSE 9,232 PASS-THROUGH WIC FOOD COUPONS REDEEMED 5,694,412 |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed States | NY | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CELEBRITY WAITE | Event1Nm |
| Gross Receipts Event1 | $38,310 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $10,000 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $28,310 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $9,232 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $38,310 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $10,000 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $28,310 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $9,232 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $9,232 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $19,078 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 3 | ON OCTOBER 31, 2013 A TEMPORARY OPERATOR AGREEMENT (TOA) WAS EXECUTED WITH SAMARITAN MEDICAL CENTER (SMC) AT THE REQUEST OF THE BOARD OF DIRECTORS. THE AGREEMENT OFFICIALLY APPOINTED SMC AS TEMPORARY OPERATOR OF NCFHC. AS PART OF THE TOA, SMC AGREED TO MANAGE NCFHC DAY-TO-DAY OPERATIONS FOR A PERIOD OF 180 DAYS; SUBJECT TO TWO 90 DAY EXTENSIONS. ADDITIONALLY, THE AGREEMENT ALLOWED SMC TO APPOINT AN INTERIM EXECUTIVE DIRECTOR AND PROVIDES CERTAIN AUTHORITY TO GOVERN THE AFFAIRS OF NCFHC, WHICH HAS BEEN CARRIED OUT IN COLLABORATION WITH THE EXISTING BOARD OF DIRECTORS. THE TWO PARTIES WORKED CLOSELY WITH THE DOH TO DEVELOP AND IMPLEMENT A SUSTAINABLE LONG- TERM PLAN WHICH ENSURED NCFHC'S CONTINUED OPERATION AND PROVISION OF SERVICES TO RESIDENTS WITHIN THE COMMUNITY. AT THE END OF THE FIRST 180 DAYS (APRIL 30, 2014) THE TOA WAS EXTENDED FOR ANOTHER 90 DAYS AND EXPIRED ON JULY 30, 2014. |
| FORM 990, PAGE 6, PART VI, LINE 11B | COPIES OF 990 PROVIDED TO AUDIT/FINANCE COMMITTEE FOR REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 12C | AUDIT COMMITTEE SERVES AS A COMPLIANCE COMMITTEE, BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY - MONITORED BY COMMITTEE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | BOARD OF DIRECTORS REVIEWS COMPARABLE SALARIES OF KEY EMPLOYEES, ASSIGNS REIMBURSEMENT RATE AND APPROVES COMPENSATION OF EXECUTIVE DIRECTOR. |
| FORM 990, PAGE 6, PART VI, LINE 15B | BOARD OF DIRECTORS REVIEWS COMPARABLE SALARIES OF KEY EMPLOYEES, ASSIGNS REIMBURSEMENT RATE AND APPROVES COMPENSATION OF EXECUTIVE DIRECTOR. |
| FORM 990, PAGE 6, PART VI, LINE 19 | AVAILABLE UPON REQUEST |
| FORM 990, PART XI, LINE 9 | SPECIAL EVENTS EXPENSE 9,232 PASS-THROUGH WIC FOOD COUPONS 5,694,412 SPECIAL EVENTS EXPENSE -9,232 PASS-THROUGH WIC FOOD COUPONS REDEEMED -5,694,412 |