STRATEGY STUDIO / PUBLIC DATA EXPLORER

NORTHERN HUMAN SERVICES: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTHERN HUMAN SERVICES (EIN 02-0300994)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-15
IRS object ID
201203209349304900
Schema version
2011v1.2
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)
Timestamp2012-11-15T12:59:36-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Signed2012-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN D CALLAHAN JRName
PTINP00224470PTIN
Phone6033566358Phone
Date Prepared2012-11-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts33129394GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NORTHERHS.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 Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees912TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1594310ContributionsGrantsPriorYear
Contributions Grants Current Year1269317ContributionsGrantsCurrentYear
Program Service Revenue Prior Year32729096ProgramServiceRevenuePriorYear
Program Service Revenue CY31265397ProgramServiceRevenueCY
Investment Income Prior Year7105InvestmentIncomePriorYear
Investment Income Current Year2257InvestmentIncomeCurrentYear
Other Revenue Prior Year516821OtherRevenuePriorYear
Other Revenue Current Year592423OtherRevenueCurrentYear
Total Revenue Prior Year34847332TotalRevenuePriorYear
Total Revenue Current Year33129394TotalRevenueCurrentYear
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 Year20293259SalariesEtcPriorYear
Salaries Etc Current Year19638383SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year14485413OtherExpensePriorYear
Other Expenses Current Year13427516OtherExpensesCurrentYear
Total Expenses Prior Year34778672TotalExpensesPriorYear
Total Expenses Current Year33065899TotalExpensesCurrentYear
Revenues Less Expenses Prior Year68660RevenuesLessExpensesPriorYear
Revenues Less Expenses CY63495RevenuesLessExpensesCY
Total Assets BOY8772302TotalAssetsBOY
Total Assets EOY8903246TotalAssetsEOY
Total Liabilities BOY1912308TotalLiabilitiesBOY
Total Liabilities EOY1957082TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6859994NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6946164NetAssetsOrFundBalancesEOY
Mission DescriptionTO ASSIST PEOPLE AFFECTED BY MENTAL ILLNESS, DEVELOPMENTAL DISABILITES AND RELATED DISORDERS TO LIVE MORE MEANINGFUL LIVES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11500547Expense
Revenue10843449Revenue
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)
Expense19575092Expense
Revenue21014371Revenue
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 Expense31075639TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096176NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees912NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 Line1DALE HEONBusinessNameLine1
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 (17 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
BOARD MEMBER1.00X000
GEORGIA CARON
SECRETARY1.00XX000
MARTI FAULKNER
BOARD MEMBER1.00X000
LISA DANAULT
BOARD MEMBER1.00X000
LOUISE VALLIERE
BOARD MEMBER1.00X000
JENN PINEO
BOARD MEMBER1.00X000
DENNIS MACKAY
CEO40.00X14513601348
ERIC JOHNSON
COO40.00X7922103679
DALE HEON
CFO40.00X7455501803
PAUL LIDSTROM
PSYCHIATRIST35.0018226205389X
LESTER NICHOLSON
PSYCHIATRIST40.0017895501057X
ERINN FELLNER
PSYCHIATRIST40.0013776305676X
MELLISSA MYERS
PSYCHIATRIST40.0012648505676X
ERIC VAN LEUVEN
PSYCHIATRIST40.0018317704703X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1107554TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation29331TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THERESA MAURA
PO BOX 255TAMWORTHNH03886CLIENT CARE196677
DONNA SAWYER
2665 E CONWAY RDCENTER CONWAYNH03813CLIENT CARE194258
PAUL KONKEL
386 N SKINNYRIDGE RDLITTLETONNH03561CLIENT CARE170308
DAWN PATNEAUDE
2 NORTH COURT STREETWOODSVILLENH03785CLIENT CARE128776
SHARON DAVIS
24 MOODY POND ROADCENTER OSSIPEENH03814CLIENT CARE106274
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants625598GovernmentGrants
All Other Contributions643719AllOtherContributions
Total Contributions1269317TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CLIENT SERVICE FEES6241003080245930802459
CLIENT PRODUCTION INCO624100462938462938
FieldValueIRS element (for citing)
Total Program Service Revenue31265397TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2257TotalRevenueColumn
Exclusion$2,257ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code624100BusinessCode
Total Revenue Column592423TotalRevenueColumn
Related Or Exempt Function Income592423RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue592423TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column33129394TotalRevenueColumn
Related Or Exempt Function Income31857820RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,257ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15135708Total
Program Services14009482ProgramServices
Management And General1126226ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3297610Total
Program Services3109261ProgramServices
Management And General188349ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1205065Total
Program Services1121524ProgramServices
Management And General83541ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9089398Total
Program Services8797644ProgramServices
Management And General291754ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1257199Total
Program Services1174299ProgramServices
Management And General82900ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1013145Total
Program Services1005112ProgramServices
Management And General8033ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total152190Total
Program Services142953ProgramServices
Management And General9237ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONSUMABLE SUPPLIES54187051101230858
CLIENT WAGES395155395155
COMMUNICATIONS37927132486954402
EQUIPMENT EXPENSE29365621779375863

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total305632Total
Program Services266535ProgramServices
Management And General39097ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total33065899Total
Program Services31075639ProgramServices
Management And General1990260ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5883811BOY
EOY5309916EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY52998BOY
EOY48749EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2102106BOY
EOY2887702EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY255852BOY
EOY199982EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3340160LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3182603LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY291608BOY
EOY157557EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY185927BOY
EOY299340EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8772302BOY
EOY8903246EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1847862BOY
EOY1922739EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY14757BOY
EOY16533EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY49689BOY
EOY17810EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1912308BOY
EOY1957082EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6606658BOY
EOY6691811EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY919BOY
EOY1936EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY252417BOY
EOY252417EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6859994BOY
EOY6946164EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8772302BOY
EOY8903246EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses63495ReconcilationRevenueExpenses
Reconcilation Other Changes22675ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
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 Years1948998CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1706821CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1812337CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1594310CurrentTaxYearMinus1Year
Current Tax Year1296317CurrentTaxYear
Total8358783Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26669453CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32039287CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32508520CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year32729096CurrentTaxYearMinus1Year
Current Tax Year31265397CurrentTaxYear
Total155211753Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28618451CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33746108CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34320857CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34323406CurrentTaxYearMinus1Year
Current Tax Year32561714CurrentTaxYear
Total163570536Total

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 Total509163570536PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44115CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11899CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15559CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7105CurrentTaxYearMinus1Year
Current Tax Year2257CurrentTaxYear
Total80935Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44115CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11899CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15559CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7105CurrentTaxYearMinus1Year
Current Tax Year2257CurrentTaxYear
Total80935Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years142520CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years106216CurrentTaxYearMinus3Years
Total248736Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28805086CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33864223CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34336416CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34330511CurrentTaxYearMinus1Year
Current Tax Year32563971CurrentTaxYear
Total163900207Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99800PublicSupportPercentage509
Prior Year Support Percentage0.99630PriorYearSupportPercentage
Investment Income Percentage0.00050InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00100PriorYrInvestIncomePercentage
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
Depreciation2609734Depreciation
Book Value135246BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis595180OtherCostOrOtherBasis
Depreciation572869Depreciation
Book Value22311BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings157557TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
GIFT ANNUITY PAYABLE$1,554
CAPITAL LEASE$16,256
FieldValueIRS element (for citing)
Total Of Amounts17810TotalOfAmounts
Total Revenue33129394TotalRevenue
Total Expenses33065899TotalExpenses
Excess Or Deficit For Year63495ExcessOrDeficitForYear
Other$22,675OtherAmount
Total Adjustments22675TotalAdjustments
Excess Or Deficit Per FS86170ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt33152069TotRevenueEtcAuditedFinclStmt
Other Revenues22675OtherRevenues
Revenue Not Rptd F99022675RevenueNotRptdF990
Revenue Subtotal33129394RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99033129394TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt33065899TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal33065899ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99033065899TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN SPLIT INTEREST AGREEMENT 641. CHANGE IN CASH VALUE OF LIFE INSURANCE 22,034. TOTAL TO SCHEDULE D, PART XI, LINE 8: 22,675.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN SPLIT INTEREST AGREEMENT 641. CHANGE IN CASH VALUE OF LIFE INSURANCE 22,034.

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 (3 entries)

Base 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
PAUL LIDSTROM
182262000000053890187651000
LESTER NICHOLSON
178955000000010570180012000
ERIC VAN LEUVEN
183177000000047030187880000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 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 XI, LINE 5:CHANGE IN SPLIT INTEREST AGREEMENT 641. CHANGE IN CASH VALUE OF LIFE INSURANCE 22,034. TOTAL TO FORM 990, PART XI, LINE 5: 22,675.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
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
C352949
SHALLOW RIVER PROPERTIES
J753273