2015-11-03T15:52:27-06:00 2014-12-31 364709572 CROWLEY & HALLORAN CPAS PC 215 WASHINGTON ST STE 100 WATERTOWN NY 136013343 990 2014-01-01 161030802 NORTH COUNTRY FAMILY HEALTH CENTER INC NORT 3157829450 238 ARSENAL STREET WATERTOWN NY 13601 JOEY MARIE HORTON EXECUTIVE DIRECTOR 3157829450 2015-11-02 true PAMELA J HALLORAN P00804150 3157883140 2015-11-02 2014 2016-04-25 22:37:26Z SAME AS C ABOVE 6709827 false X WWW.NOCOFAMILYHEALTH.ORG X 1975 NY 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. 13 13 154 20 0 3286087 3354906 3648680 3269901 30 197 87925 75591 7022722 6700595 0 0 5305056 4745388 0 2662 1711878 1767131 7016934 6512519 5788 188076 4278541 3974142 2959620 2467145 1318921 1506997 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. false false 3679904 3216107 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. 1727747 53794 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. 5407651 true true false false false false false false false false true false false false false true true false false false false false false false true false false false false false false false false false false false false false false false false false false false false false false true 13 0 154 true false false false false false true true false false false false X 13 13 false true false false false false false true true false false true true true true true true true true false NY X KELLY CLARK 3157829450 238 ARSENAL STREET WATERTOWN NY 13601 ERIKA FLINT PRESIDENT 1.00 X X 0 0 0 LYNN PIETROSKI VICE PRESIDE 1.00 X X 0 0 0 PAUL KRAEGER TREASURER 1.00 X X 0 0 0 MICHELLE REFF SECRETARY 1.00 X X 0 0 0 JOEY M HORTON EXECUTIVE DI 40.00 X X 76400 0 4930 KELLY CLARK FINANCE DIRE 40.00 X 62083 0 0 CHRISTINE POWERS TREASURER -P 1.00 X X 0 0 0 BRIAN DYKEMAN VICE PRES -P 1.00 X X 0 0 0 ELIZABETH MASON BOARD MEMBER 1.00 X 0 0 0 SHARON CHAPLE BOARD MEMBER 1.00 X 0 0 0 SHARON ADDISON BOARD MEMBER 1.00 X 0 0 0 ELIZABETH MASON BOARD MEMBER 1.00 X 0 0 0 JACQUELYN SCHELL BOARD MEMBER 1.00 X 0 0 0 MARK LAVARNWAY BOARD MEMBER 1.00 X 0 0 0 PAMELA BEYOR BOARD MEMBER 1.00 X 0 0 0 VANETTA CONN BOARD MEMBER 1.00 X 0 0 0 MONICA CRONIN BOARD MEMBER 0.00 X 0 0 0 DONALD MOTT BOARD MEMBER X 0 0 0 DONNA RANSIER-VANWALDICK BOARD MEMBER X 0 0 0 ELIZABETH MASON BOARD MEMBER X 0 0 0 DENISE YOUNG BOARD MEMBER 1.00 X 0 0 0 OLGA HARBUZ BOARD MEMBER 1.00 X 0 0 0 THOMAS SHATRAW BOARD MEMBER 1.00 X 0 0 0 LYNNE FARRIS BOARD MEMBER 1.00 X 0 0 0 FARHANA ASIM PHYSICIAN 40.00 X 131587 0 0 FARHANA A BASIT PHYSICIAN 40.00 X 120314 0 0 MARIA E DILLE DENTIST 40.00 X 122475 0 0 512859 4930 3 false false false VISUALUTIONS INC 7440 MINTWOOD LANE SPRING TX 77379 IT SERVICES 196688 HENRY SCHEIN INC PO BOX 371952 PITTSBURGH PA 15250 SUPPLIES 105714 2 10000 3196234 148672 3354906 MEDICAID, MEDICARE & WRAPS 2103199 2103199 PATIENT FEES 1112908 1112908 CONTRACTUAL 53794 53794 3269901 197 197 28450 10000 9232 19218 19218 MISCELLANEOUS 56373 56373 56373 6700595 3269901 75788 158038 17566 140472 4012314 3683280 329034 244619 223523 21096 330417 301922 28495 11713 8425 3288 16865 12392 4473 303761 254360 49401 17961 17329 632 433736 409376 22425 1935 208588 147731 60857 25528 22583 2934 11 51075 51075 243692 243692 87488 50312 37176 BAD DEBT EXPENSE 113298 113298 HS REPAIRS & MAINTENANCE 105551 14688 90863 HC MISCELLANEOUS 42241 25892 16293 56 NUTRITION TELEPHONE 34000 34000 71634 70974 660 6512519 5407651 1102206 2662 26816 900208 595422 544691 1285337 315500 2691 50277 4238339 2074873 2368275 2163466 4278541 3974142 1494221 594750 205725 389124 1259674 1483271 2959620 2467145 X 1252339 1431253 66582 75744 1318921 1506997 4278541 3974142 188076 X false true X true true true X 2643930 2512890 2698845 3286087 3354906 14496658 2643930 2512890 2698845 3286087 3354906 14496658 14496658 41 30 197 268 61297 86925 74591 222813 60829 140274 201103 14920842 3269901 0.97160 0.97090 X PART II, LINE 10 MISCELLANEOUS 27,173 SPECIAL EVENTS 173,930 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 40000 40000 2724989 843214 1881775 1473350 1231659 241691 2163466 X 12404239 5703644 5703644 6700595 6700595 12216163 5703644 5703644 6512519 6512519 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 NY CELEBRITY WAITE 38310 10000 28310 9232 38310 10000 28310 9232 9232 19078 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