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Nonprofiteer
← NORTH COUNTRY HEALTH SYSTEMS INC

Form 990 for tax year 2023

Filed by NORTH COUNTRY HEALTH SYSTEMS INC.

Totals

Total revenue
$277,069
Total expenses
$107,148
Contributions and grants received
$209,951
Grants paid
$13,988
Program service revenue
$5,000
Investment income
$67,277
Other revenue
-$5,159
Total assets, end of year
$2,405,174
Total liabilities, end of year
$7,718
Net assets or fund balances, end of year
$2,397,456
Program services expenses (Part IX)
$55,449
Management and general expenses
$51,699
Fundraising expenses
$0
Program service expenses (Part III)
$55,449

Program services were 51.7% 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.

  • 1c · Fundraising events

    $114,125

  • 1f · All other contributions, gifts and grants

    $95,826

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $5,000 · related or exempt $5,000

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $30,658 · excluded $30,658

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $310,722

  • 7b · Less cost or other basis and sales expenses

    securities $274,103

  • 7c · Gain or loss

    securities $36,619 · other assets $0

  • 7d · Net gain or loss

    total $36,619 · excluded $36,619

  • 8a · Fundraising events: gross income

    $29,363

  • 8a · Fundraising events: contributions included on line 1c

    $114,125

  • 8b · Fundraising events: direct expenses

    $46,165

  • 8c · Net income from fundraising events

    total -$16,802 · excluded -$16,802

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $11,643 · excluded $11,643

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $11,643

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $13,988 · program services $13,988

  • 11a · Fees: management

    total $15,181 · management and general $15,181

  • 11c · Fees: accounting

    total $27,557 · management and general $27,557

  • 11f · Fees: investment management

    total $3,983 · management and general $3,983

  • 11g · Fees: other

    total $2,750 · program services $0 · management and general $2,750 · fundraising $0

  • 13 · Office expenses

    total $43,689 · program services $41,461 · management and general $2,228

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $780,936 · end of year $860,224

  • 3 · Pledges and grants receivable

    beginning of year $34,000 · end of year $67,884

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $500 · end of year $1,038

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $1,124,296 · end of year $1,476,028

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $683 · end of year $2,098

  • 22 · Loans and payables to officers and key people

    end of year $0

  • 25 · Other liabilities

    beginning of year $6,587 · end of year $5,620

  • 27 · Net assets without donor restrictions

    beginning of year $832,414 · end of year $1,028,371

  • 28 · Net assets with donor restrictions

    beginning of year $1,100,048 · end of year $1,369,085

Mission and programs · 2023

Mission

TO ORGANIZE FUNDRAISING EFFORTS TO PROVIDE AFFILIATED ORGANIZATIONS WITH RESOURCES NEEDED TO CARRY OUT THEIR EXEMPT FUNCTIONS.

  • TO ORGANIZE FUNDRAISING EFFORTS TO PROVIDE AFFILIATED ORGANIZATIONS WITH RESOURCES NEEDED TO CARRY OUT THEIR EXEMPT FUNCTIONS.

    Expenses $55,449 · Grants $13,988 · Revenue $5,000

As filed on the 2023 return.

Listed in Part VII

  • Ellen Stanley

    TRUSTEE END/FINANCE VICE CHAIR & TREASURER BEG 02/24

    Total calculated
    $0
    Hours/week
    2 + 5 related
  • Frank Knoll

    CHAIR END 01/24

    Total calculated
    $0
    Hours/week
    2 + 5 related
  • Gregory Walker MD

    MEDICAL STAFF PRESIDENT

    Total calculated
    $583,483
    From this org
    $0
    From related orgs
    $541,705
    Other
    $41,778
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $532,026 related
    Bonus
    $0 + $9,679 related
    Other
    $0
    Deferred
    $0 + $24,750 related
    Nontaxable benefits
    $0 + $17,028 related
    Filer's total
    $0 + $583,483 related
  • Louise Bonvechio

    FINANCE VICE CHAIR & TREASURER END/CHAIR BEG 02/24

    Total calculated
    $0
    Hours/week
    2 + 10 related
  • Nancy Bullock

    SECRETARY/CLERK

    Total calculated
    $0
    Hours/week
    2 + 5 related
  • Peter Stuart MD

    MEDICAL STAFF VICE PRESIDENT

    Total calculated
    $579,969
    From this org
    $0
    From related orgs
    $550,051
    Other
    $29,918
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $550,051 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $24,750 related
    Nontaxable benefits
    $0 + $5,168 related
    Filer's total
    $0 + $579,969 related
  • Steve Wright

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2 + 5 related
  • Thomas Frank

    PRESIDENT & CEO

    Total calculated
    $278,793
    From this org
    $0
    From related orgs
    $263,801
    Other
    $14,992
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $248,801 related
    Bonus
    $0 + $15,000 related
    Other
    $0
    Deferred
    $0 + $12,990 related
    Nontaxable benefits
    $0 + $2,002 related
    Filer's total
    $0 + $278,793 related
  • Janet Osborne

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 5 related
  • Jennifer Harlow-Jacobs

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 5 related
  • John Monette

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 5 related
  • Nicholas Maclure

    TRUSTEE BEG 02/24

    Total calculated
    $0
    Hours/week
    2 + 5 related
  • Samantha Stevens

    TRUSTEE BEG 02/24

    Total calculated
    $0
    Hours/week
    2 + 5 related
  • Stacey Charboneau

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 5 related
  • William Peck

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 5 related
  • Fred Schaffner

    CFO BEG 04/24

    Total calculated
    $0
    Hours/week
    2 + 40 related
  • Kyle Kovacevich

    CFO END 11/23

    Total calculated
    $89,849
    From this org
    $0
    From related orgs
    $80,891
    Other
    $8,958
    Hours/week
    2 + 40 related
  • Tracey Paul

    COO

    Total calculated
    $425,034
    From this org
    $0
    From related orgs
    $372,923
    Other
    $52,111
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $332,923 related
    Bonus
    $0 + $40,000 related
    Other
    $0
    Deferred
    $0 + $19,832 related
    Nontaxable benefits
    $0 + $32,279 related
    Filer's total
    $0 + $425,034 related

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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
NORTH COUNTRY HOSPITAL, A RELATED ORGANIZATION, USES WRITTEN EMPLOYMENT CONTRACT AND APPROVAL BY THE BOARD IN DETERMINING THE COMPENSATION OF THE CEO.

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

No itemized grants to organizations on this return.

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.

Provenance

Return type
form_990
Tax year
2023
Filed
2 July 2025
IRS schema version
2023v6.0
Source object
202511839349300636

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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