Form 990 for tax year 2023
Filed by UPPER CONNECTICUT VALLEY HOSPITAL ASSOCIATION.
Totals
- Total revenue
- $36,287,204
- Total expenses
- $33,739,618
- Contributions and grants received
- $550,418
- Grants paid
- $474,080
- Program service revenue
- $33,980,603
- Investment income
- $1,218,109
- Other revenue
- $538,074
- Total assets, end of year
- $41,869,573
- Total liabilities, end of year
- $2,588,858
- Net assets or fund balances, end of year
- $39,280,715
- Program services expenses (Part IX)
- $25,715,313
- Management and general expenses
- $8,024,305
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $25,715,313
Program services were 76.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$499,311
-
1f · All other contributions, gifts and grants
$51,107
-
2a · Program service revenue: PATIENT SERVICE REVENUE
total $33,402,479 · related or exempt $33,402,479
-
2b · Program service revenue: CONTRACTED SERVICE REVENUE
total $563,050 · related or exempt $563,050
-
2c · Program service revenue: PHARMACY REVENUE
total $13,995 · related or exempt $13,995
-
2f · All other program service revenue
total $1,079 · related or exempt $1,079
-
3 · Investment income
total $228,223 · excluded $228,223
-
6a · Gross rents
real property $104,023
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $104,023
-
6d · Net rental income or loss
total $104,023 · excluded $104,023
-
7a · Gross sales of assets other than inventory
securities $989,886
-
7b · Less cost or other basis and sales expenses
securities $0
-
7c · Gain or loss
securities $989,886
-
7d · Net gain or loss
total $989,886 · excluded $989,886
-
11a · Other revenue: CAFETERIA REVENUE
total $103,415 · excluded $103,415
-
11d · All other revenue
total $330,636 · excluded $330,636
-
11e · Other revenue, total
$434,051
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $474,080 · program services $474,080
-
5 · Compensation of officers, directors and key employees
total $867,473 · program services $431,239 · management and general $436,234
-
7 · Other salaries and wages
total $9,333,631 · program services $8,561,136 · management and general $772,495
-
8 · Pension plan contributions
total $224,576 · program services $210,220 · management and general $14,356
-
9 · Other employee benefits
total $2,239,952 · program services $2,030,085 · management and general $209,867
-
10 · Payroll taxes
total $689,726 · program services $622,583 · management and general $67,143
-
11b · Fees: legal
total $332,741 · program services $1,425 · management and general $331,316
-
11d · Fees: lobbying
total $5,612 · management and general $5,612
-
11g · Fees: other
total $4,744,151 · program services $4,391,455 · management and general $352,696
-
12 · Advertising and promotion
total $117,439 · program services $27,400 · management and general $90,039
-
13 · Office expenses
total $100,294 · program services $10,712 · management and general $89,582
-
14 · Information technology
total $15,030 · management and general $15,030
-
16 · Occupancy
total $390,544 · program services $378,525 · management and general $12,019
-
17 · Travel
total $206,212 · program services $204,739 · management and general $1,473
-
19 · Conferences, conventions and meetings
total $11,509 · program services $7,554 · management and general $3,955
-
20 · Interest
total $2,869 · program services $2,412 · management and general $457
-
22 · Depreciation, depletion and amortization
total $2,035,291 · program services $1,711,275 · management and general $324,016
-
23 · Insurance
total $625,177 · program services $625,177
-
24a · Other expenses: INTERCOMPANY ALLOCATION
total $3,952,731 · program services $168,406 · management and general $3,784,325
-
24b · Other expenses: BAD DEBT EXPENSE
total $2,648,601 · program services $2,648,601
-
24c · Other expenses: MEDICAL SUPPLIES
total $2,277,405 · program services $2,277,181 · management and general $224
-
24d · Other expenses: ENHANCEMENT TAX
total $1,382,584 · management and general $1,382,584
-
24e · All other expenses
total $1,061,990 · program services $931,108 · management and general $130,882
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $835 · end of year $1,106
-
2 · Savings and temporary cash investments
beginning of year $2,119,340 · end of year $4,871,847
-
4 · Accounts receivable
beginning of year $3,322,628 · end of year $3,918,352
-
8 · Inventories for sale or use
beginning of year $269,311 · end of year $304,170
-
9 · Prepaid expenses and deferred charges
beginning of year $455,200 · end of year $387,063
-
10a · Land, buildings and equipment: cost or other basis
$34,749,014
-
10b · Land, buildings and equipment: accumulated depreciation
$17,362,610
-
10c · Land, buildings and equipment, net
beginning of year $17,338,955 · end of year $17,386,404
-
11 · Investments: publicly traded securities
beginning of year $17,113,896 · end of year $14,009,863
-
15 · Other assets
beginning of year $1,267,668 · end of year $990,768
-
17 · Accounts payable and accrued expenses
beginning of year $4,592,707 · end of year $1,554,883
-
19 · Deferred revenue
beginning of year $71,927 · end of year $52,615
-
24 · Unsecured notes and loans payable
beginning of year $292,329 · end of year $270,130
-
25 · Other liabilities
beginning of year $1,624,264 · end of year $711,230
-
27 · Net assets without donor restrictions
beginning of year $34,985,711 · end of year $38,876,953
-
28 · Net assets with donor restrictions
beginning of year $320,895 · end of year $403,762
Mission and programs · 2023
Mission
UPPER CONNECTICUT VALLEY HOSPITAL STRIVES TO IMPROVE THE WELL-BEING OF THE RURAL COMMUNITIES IT SERVES BY PROMOTING HEALTH AND ASSURING ACCESS TO QUALITY CARE.
-
UPPER CONNECTICUT VALLEY HOSPITAL PROVIDED HOSPITAL CARE AND INPATIENT AND OUTPATIENT SERVICES ON A REGION-WIDE BASIS. THE NET CHARITY CARE PROVIDED BY THE HOSPITAL FOR THE YEAR-ENDED SEPTEMBER 30, 2024 WAS $765,908.
Expenses $25,715,313 · Grants $474,080 · Revenue $33,980,603
As filed on the 2023 return.
Listed in Part VII
-
EDWARD LAVERTY PA-C
CHIEF MEDICAL OFFICER
- Total calculated
- $298,982
- From this org
- $280,929
- From related orgs
- $0
- Other
- $18,053
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $255,964
- Bonus
- $20,185
- Other
- $4,780
- Deferred
- $7,995
- Nontaxable benefits
- $10,058
- Filer's total
- $298,982
-
ROBERT DAWSON
PRESIDENT OF MEDICAL STAFF
- Total calculated
- $13,251
- From this org
- $0
- From related orgs
- $13,251
- Other
- $0
- Hours/week
- 1 + 39 related
-
DAVID THATCHER
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
LYNN BREWER
CHAIR (THRU 12/23)
- Total calculated
- $0
- Hours/week
- 39 + 1 related
-
GAIL FISHER
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
MORGAN WADE
VICE CHAIR (THRU 1/24)
- Total calculated
- $0
- Hours/week
- 1
-
ROD DE GREEF
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
JAMES WELLS
TREASURER (THRU 3/24)
- Total calculated
- $0
- Hours/week
- 1
-
MAGGIE FITZGERALD
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
ERIC STOHL
SECRETARY (THRU 1/24)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
JEANNINE BURNS
DIRECTOR (THRU 6/23)
- Total calculated
- $0
- Hours/week
- 1
-
FR CRAIG CHENEY
DIRECTOR (THRU 7/24)
- Total calculated
- $0
- Hours/week
- 1
-
E HARLAN CONNARY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
SHARON ELLINGWOOD WHITE
DIRECTOR (THRU 9/24)
- Total calculated
- $0
- Hours/week
- 1
-
RICHARD LAPOINT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
LAURA MILLS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
PETER WEINER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
THOMAS MEE
SYSTEM CEO
- Total calculated
- $724,548
- From this org
- $0
- From related orgs
- $706,230
- Other
- $18,318
- Hours/week
- 1 + 45 related
Schedule J breakdown matched by us
- Base
- $0 + $559,584 related
- Bonus
- $0 + $133,893 related
- Other
- $0 + $12,753 related
- Deferred
- $0 + $6,394 related
- Nontaxable benefits
- $0 + $11,924 related
- Filer's total
- $0 + $724,548 related
-
SCOTT COLBY
PRESIDENT/CEO (THRU 12/23)
- Total calculated
- $385,003
- From this org
- $361,012
- From related orgs
- $0
- Other
- $23,991
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $282,409
- Bonus
- $58,401
- Other
- $20,202
- Deferred
- $8,866
- Nontaxable benefits
- $15,125
- Filer's total
- $385,003
-
MATTHEW STREETER
SYSTEM CFO
- Total calculated
- $378,399
- From this org
- $0
- From related orgs
- $357,595
- Other
- $20,804
- Hours/week
- 1 + 45 related
Schedule J breakdown matched by us
- Base
- $0 + $290,340 related
- Bonus
- $0 + $66,580 related
- Other
- $0 + $675 related
- Deferred
- $0 + $8,934 related
- Nontaxable benefits
- $0 + $11,870 related
- Filer's total
- $0 + $378,399 related
-
LINDSAY LEA
CNO
- Total calculated
- $191,165
- From this org
- $182,568
- From related orgs
- $0
- Other
- $8,597
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $166,218
- Bonus
- $15,996
- Other
- $354
- Deferred
- $5,545
- Nontaxable benefits
- $3,052
- Filer's total
- $191,165
-
GREGORY COOK
PRESIDENT/CEO (BEG 11/23)
- Total calculated
- $29,661
- From this org
- $29,092
- From related orgs
- $0
- Other
- $569
- Hours/week
- 40
-
THOMAS COCHRAN
ED PHYSICIAN
- Total calculated
- $477,449
- From this org
- $459,590
- From related orgs
- $0
- Other
- $17,859
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $459,180
- Bonus
- $0
- Other
- $410
- Deferred
- $11,208
- Nontaxable benefits
- $6,651
- Filer's total
- $477,449
-
TAMSIN DURAND
GENERAL SURGEON
- Total calculated
- $412,669
- From this org
- $393,971
- From related orgs
- $0
- Other
- $18,698
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $286,133
- Bonus
- $20,538
- Other
- $87,300
- Deferred
- $8,719
- Nontaxable benefits
- $9,979
- Filer's total
- $412,669
-
DARIN BROWN
ED PHYSICIAN
- Total calculated
- $399,591
- From this org
- $376,272
- From related orgs
- $0
- Other
- $23,319
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $374,674
- Bonus
- $0
- Other
- $1,598
- Deferred
- $10,758
- Nontaxable benefits
- $12,561
- Filer's total
- $399,591
-
JULIE BOLTON
RN
- Total calculated
- $173,300
- From this org
- $167,017
- From related orgs
- $0
- Other
- $6,283
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $143,187
- Bonus
- $10,800
- Other
- $13,030
- Deferred
- $429
- Nontaxable benefits
- $5,854
- Filer's total
- $173,300
-
JUDY GRIMES
EMPLOYEE
- Total calculated
- $153,164
- From this org
- $139,813
- From related orgs
- $0
- Other
- $13,351
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $125,745
- Bonus
- $5,250
- Other
- $8,818
- Deferred
- $0
- Nontaxable benefits
- $13,351
- Filer's total
- $153,164
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
- 7 · Other non-fixed payments
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- NORTH COUNTRY HEALTHCARE, A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL OF THE FILING ORGANIZATION: - COMPENSATION COMMITTEE - FORM 990 OF OTHER ORGANIZATIONS - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
- PART I, LINE 4B
- THOMAS MEE, SYSTEM CEO, PARTICIPATED IN A 457(F) PLAN ADMINISTERED BY NORTH COUNTRY HEALTHCARE, A RELATED ORGANIZATION. THERE WERE NO CONTRIBUTIONS OR DISTRIBUTIONS IN 2023.
- PART I, LINE 7
- PART OF THE COMPENSATION PROGRAM OVERSEEN BY THE COMPENSATION COMMITTEE AND APPROVED BY THE CORPORATION BOARD AND AFFILIATE BOARDS INCLUDES VARIABLE INCENTIVE COMPENSATION FOR EXECUTIVES. THIS VARIABLE COMPENSATION IS A WITHHOLD OF TOTAL COMPENSATION AND EARNED BACK BY EXECUTIVES BASED ON STRATEGIC GOAL PERFORMANCE.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
$255,313
HVAC SYSTEM
-
SUD
-
GENERAL SUPPORT
-
$35,046
NEMT GRANT - MOBILITY MANAGER
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
ANDROSCOGGIN VALLEY HOSPITAL INC
501(C)(3) · CRITICAL ACCESS HOSPITAL · NH · controlled entity
Directly controlled by NORTH COUNTRY HEALTHCARE INC
-
501(C)(3) · HEALTHCARE MANAGEMENT · NH
-
501(C)(3) · CRITICAL ACCESS HOSPITAL · NH · controlled entity
Directly controlled by NORTH COUNTRY HEALTHCARE INC
-
NORTH COUNTRY HOME HEALTH & HOSPICE AGENCY INC
501(C)(3) · HOME HEALTH AGENCY · NH · controlled entity
Directly controlled by NORTH COUNTRY HEALTHCARE INC
-
501(C)(3) · SUPPORTING SERVICES · NH · controlled entity
Directly controlled by ANDROSCOGGIN VALLEY HOSPITAL INC
-
ANDROSCOGGIN VALLEY HOSPITAL FOUNDATION
501(C)(3) · MANAGEMENT AND FINANCIAL SUPPORT · NH · controlled entity
Directly controlled by ANDROSCOGGIN VALLEY HOSPITAL INC
-
GREAT NORTHWOODS COMMUNITY FOUNDATION
501(C)(3) · HEALTHCARE SERVICES · NH · controlled entity
Directly controlled by ANDROSCOGGIN VALLEY HOSPITAL INC
-
501(C)(3) · SUPPORTING ORGANIZATION · NH · controlled entity
Directly controlled by WEEKS MEDICAL CENTER
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 15 August 2025
- IRS schema version
- 2023v6.0
- Source object
- 202532279349302583
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