STRATEGY STUDIO / PUBLIC DATA EXPLORER

NORTHERN HUMAN SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NORTHERN HUMAN SERVICES (EIN 02-0300994)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-15
IRS object ID
201333199349304203
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-11-15T10:41:51-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN020471217EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LEONE MCDONNELL & ROBERTS PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110 DUPREY ROADAddressLine1
CityNORTH CONWAYCity
StateNHState
ZIP Code03860ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN020300994EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHERN HUMAN SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone6034473347Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line187 WASHINGTON STREETAddressLine1
CityCONWAYCity
StateNHState
ZIP Code03818ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDALE HEONName
TitleCFOTitle
Phone6034473347Phone
Date Signed2013-11-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN D CALLAHAN JRName
PTINP00224470PTIN
Phone6033566358Phone
Date Prepared2013-11-06DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDALE HEONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line187 WASHINGTON STREETAddressLine1
CityCONWAYCity
StateNHState
ZIP Code03818ZIPCode
FieldValueIRS element (for citing)
Gross Receipts33598556GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NORTHERNHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionASSIST PEOPLE AFFECTED BY MENTAL ILLNESS, DEVELOPMENTAL DISABILITIES AND RELATED DISORDERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees902TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1269317ContributionsGrantsPriorYear
Contributions Grants Current Year1766328ContributionsGrantsCurrentYear
Program Service Revenue Prior Year31265397ProgramServiceRevenuePriorYear
Program Service Revenue CY31442014ProgramServiceRevenueCY
Investment Income Prior Year2257InvestmentIncomePriorYear
Investment Income Current Year1108InvestmentIncomeCurrentYear
Other Revenue Prior Year592423OtherRevenuePriorYear
Other Revenue Current Year389106OtherRevenueCurrentYear
Total Revenue Prior Year33129394TotalRevenuePriorYear
Total Revenue Current Year33598556TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19638383SalariesEtcPriorYear
Salaries Etc Current Year19100582SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13427516OtherExpensePriorYear
Other Expenses Current Year14412899OtherExpensesCurrentYear
Total Expenses Prior Year33065899TotalExpensesPriorYear
Total Expenses Current Year33513481TotalExpensesCurrentYear
Revenues Less Expenses Prior Year63495RevenuesLessExpensesPriorYear
Revenues Less Expenses CY85075RevenuesLessExpensesCY
Total Assets BOY8903246TotalAssetsBOY
Total Assets EOY10467242TotalAssetsEOY
Total Liabilities BOY1957082TotalLiabilitiesBOY
Total Liabilities EOY3447017TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6946164NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7020225NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE PROFESSIONAL SUPPORT AND SERVICES TO PEOPLE AFFECTED BY MENTAL ILLNESS, DEVELOPMENTAL DISABILITIES, SUBSTANCE ABUSE, ACQUIRED BRAIN INJURY OR RELATED DISORDERS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11290116Expense
Revenue11018128Revenue
DescriptionPROVIDED VARIOUS SERVICES TO MENTALLY ILL CLIENTS IN ALL OF NORTHERN NEW HAMPSHIRE, INCLUDING PSYCHIATRIC EMERGENCY SERVICES, OUTPATIENT THERAPY, PSYCHIATRIC EMERGENCY CARE, SUBSTANCE ABUSE TREATMENT AND OUTREACH.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense20001249Expense
Revenue20812992Revenue
DescriptionPROVIDED SERVICES TO DEVELOPMENTALLY DISABLED CLIENTS IN ALL OF NORTHERN NEW HAMPSHIRE, INCLUDING COMPREHENSIVE DAY SERVICES, PERSONAL HYGIENE, COMMUNITY INTEGRATION, RESIDENTIAL SERVICES AND NURSING.Description
FieldValueIRS element (for citing)
Total Program Service Expense31291365TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096170NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees902NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RICK BUCKLER CONTROLLERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6034473801TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line171 HOBBS STREET 3RD FLOORAddressLine1
CityCONWAYCity
StateNHState
ZIP Code03818ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MARGARET MCCLELLAN
PRESIDENT1.00XX000
STEPHEN MICHAUD
BOARD MEMBER1.00X000
JAMES SALMON
TREASURER1.00XX000
MADELENE COSTELLO
SECRETARY1.00XX000
JUDY HOUGHTON
BOARD MEMBER1.00X000
MARTI FAULKNER
VICE PRESIDENT1.00XX000
BOB FINK
BOARD MEMBER1.00X000
LOUISE VALLIERE
BOARD MEMBER1.00X000
JENN PINEO
BOARD MEMBER1.00X000
AMY MITZ
BOARD MEMBER1.00X000
DENNIS MACKAY
CEO40.00X14484406643
ERIC JOHNSON
COO40.00X78258010134
DALE HEON
CFO40.00X8132206643
PAUL LIDSTROM
PSYCHIATRIST35.00179074012970X
LESTER NICHOLSON
PSYCHIATRIST40.0017734907471X
ERINN FELLNER
PSYCHIATRIST40.00144263018785X
MELLISSA MYERS
PSYCHIATRIST40.00127801018785X
ERIC VAN LEUVEN
PSYCHIATRIST40.00184840015964X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1117751TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation97395TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonKELLY MOULTONNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 512AddressLine1
CityOSSIPEECity
StateNHState
ZIP Code03814ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCLIENT CAREDescriptionOfServices
Compensation109158Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants908600GovernmentGrants
All Other Contributions857728AllOtherContributions
Total Contributions1766328TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CLIENT SERVICE FEES6241003098671330986713
CLIENT PRODUCTION INCOME624100455301455301
FieldValueIRS element (for citing)
Total Program Service Revenue31442014TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1108TotalRevenueColumn
Exclusion$1,108ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code624100BusinessCode
Total Revenue Column389106TotalRevenueColumn
Related Or Exempt Function Income389106RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue389106TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column33598556TotalRevenueColumn
Related Or Exempt Function Income31831120RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,108ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15006231Total
Program Services13659670ProgramServices
Management And General1346561ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2915657Total
Program Services2706191ProgramServices
Management And General209466ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1178694Total
Program Services1094140ProgramServices
Management And General84554ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9343144Total
Program Services9077003ProgramServices
Management And General266141ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1248020Total
Program Services1162592ProgramServices
Management And General85428ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1130149Total
Program Services1121994ProgramServices
Management And General8155ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total132952Total
Program Services122732ProgramServices
Management And General10220ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
ALL OTHER EXPENSES94828388782660457
CONSUMABLE SUPPLIES55050251606834434
COMMUNICATIONS38482233335051472
CLIENT WAGES369041369041

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total305986Total
Program Services240758ProgramServices
Management And General65228ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total33513481Total
Program Services31291365ProgramServices
Management And General2222116ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5309916BOY
EOY7033038EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY48749BOY
EOY58068EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2887702BOY
EOY2921773EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY199982BOY
EOY213832EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3330699LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3269225LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY157557BOY
EOY61474EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY35265EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY299340BOY
EOY143792EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8903246BOY
EOY10467242EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1922739BOY
EOY1818317EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY16533BOY
EOY32557EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY17810BOY
EOY1596143EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1957082BOY
EOY3447017EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6691811BOY
EOY6765570EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1936BOY
EOY2238EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY252417BOY
EOY252417EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6946164BOY
EOY7020225EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8903246BOY
EOY10467242EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses85075ReconcilationRevenueExpenses
Reconcilation Other Changes-11014ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1706821CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1812337CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1594310CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1296317CurrentTaxYearMinus1Year
Current Tax Year1766328CurrentTaxYear
Total8176113Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32039287CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32508520CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32729096CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31265397CurrentTaxYearMinus1Year
Current Tax Year31442014CurrentTaxYear
Total159984314Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33746108CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34320857CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34323406CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year32561714CurrentTaxYearMinus1Year
Current Tax Year33208342CurrentTaxYear
Total168160427Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509168160427PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11899CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15559CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7105CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2257CurrentTaxYearMinus1Year
Current Tax Year1108CurrentTaxYear
Total37928Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11899CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15559CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7105CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2257CurrentTaxYearMinus1Year
Current Tax Year1108CurrentTaxYear
Total37928Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years106216CurrentTaxYearMinus4Years
Total106216Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33864223CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34336416CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34330511CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year32563971CurrentTaxYearMinus1Year
Current Tax Year33209450CurrentTaxYear
Total168304571Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99910PublicSupportPercentage509
Prior Year Support Percentage0.99800PriorYearSupportPercentage
Investment Income Percentage0.00020InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00050PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2744980OtherCostOrOtherBasis
Depreciation2694168Depreciation
Book Value50812BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis585719OtherCostOrOtherBasis
Depreciation575057Depreciation
Book Value10662BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings61474TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionMEDICAID CONTINGENCY PAYMENTS - STATE OF NEW HAMPSHIREDescription
Amount$1,596,143Amount
FieldValueIRS element (for citing)
Total Of Amounts1596143TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt33598556TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal33598556RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99033598556TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt33513481TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal33513481ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99033513481TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DENNIS MACKAY
CEO144844000000066430151487000
PAUL LIDSTROM
PSYCHIATRIST1790740000000129700192044000
LESTER NICHOLSON
PSYCHIATRIST177349000000074710184820000
ERINN FELLNER
PSYCHIATRIST1442630000000187850163048000
ERIC VAN LEUVEN
PSYCHIATRIST1848400000000159640200804000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS REVIEWED BY MANAGEMENT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 15NORTHERN HUMAN SERVICES INC. HIRES AN INDEPENDENT CONSULTANT TO REVIEW COMPENSATION DECISIONS.
FORM 990, PART VI, SECTION C, LINE 19NORTHERN HUMAN SERVICES INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 9,077,003. MANAGEMENT AND GENERAL EXPENSES 266,141. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,343,144.OTHER FEES
FORM 990, PART XI, LINE 9:CHANGE IN SPLIT INTEREST AGREEMENT -34,096. CHANGE IN CASH VALUE OF LIFE INSURANCE 23,082.CHANGES IN NET ASSETS OR FUND BALANCES:
MANAGEMENT AND THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SHALLOW RIVER PROPERTIES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line187 WASHINGTON STREETAddressLine1
CityCONWAYCity
StateNHState
ZIP Code03818ZIPCode
FieldValueIRS element (for citing)
EIN020426312EIN
Primary ActivitiesOWN & MANAGE REAL PROPERTY FOR NORTHERN HUMAN SERVICESPrimaryActivities
Legal Domicile StateNHLegalDomicileState
Exempt Code Section501(C)2ExemptCodeSection
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
SHALLOW RIVER PROPERTIES
C221310
SHALLOW RIVER PROPERTIES
K742743