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Nonprofiteer
← NORTH COUNTRY HOME HEALTH & HOSPICE AGENCY INC

Form 990 for tax year 2022

Filed by NORTH COUNTRY HOME HEALTH & HOSPICE AGENCY INC.

Totals

Total revenue
$12,069,494
Total expenses
$10,306,904
Contributions and grants received
$766,788
Grants paid
$0
Program service revenue
$11,201,376
Investment income
$37,309
Other revenue
$64,021
Total assets, end of year
$6,754,380
Total liabilities, end of year
$934,082
Net assets or fund balances, end of year
$5,820,298
Program services expenses (Part IX)
$7,825,073
Management and general expenses
$2,481,831
Fundraising expenses
$0
Program service expenses (Part III)
$7,825,073

Program services were 75.9% 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)

    $624,223

  • 1f · All other contributions, gifts and grants

    $142,565

  • 2a · Program service revenue: HOSPICE CARE

    total $5,985,671 · related or exempt $5,985,671

  • 2b · Program service revenue: HOME HEALTH CARE

    total $5,077,959 · related or exempt $5,077,959

  • 2c · Program service revenue: SHARED STAFF REVENUE

    total $137,686 · related or exempt $137,686

  • 2f · All other program service revenue

    total $60 · related or exempt $60

  • 3 · Investment income

    total $37,309 · excluded $37,309

  • 6a · Gross rents

    real property $28,950

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $28,950

  • 6d · Net rental income or loss

    total $28,950 · excluded $28,950

  • 11d · All other revenue

    total $35,071 · excluded $35,071

  • 11e · Other revenue, total

    $35,071

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $188,869 · management and general $188,869

  • 7 · Other salaries and wages

    total $5,494,537 · program services $4,623,458 · management and general $871,079

  • 8 · Pension plan contributions

    total $67,850 · program services $57,970 · management and general $9,880

  • 9 · Other employee benefits

    total $1,300,908 · program services $1,064,405 · management and general $236,503

  • 10 · Payroll taxes

    total $417,197 · program services $339,916 · management and general $77,281

  • 11a · Fees: management

    total $237,826 · management and general $237,826

  • 11b · Fees: legal

    total $4,840 · management and general $4,840

  • 11c · Fees: accounting

    total $98,869 · management and general $98,869

  • 11f · Fees: investment management

    total $94 · management and general $94

  • 11g · Fees: other

    total $729,180 · program services $301,103 · management and general $428,077

  • 12 · Advertising and promotion

    total $26,825 · management and general $26,825

  • 13 · Office expenses

    total $155,652 · management and general $155,652

  • 14 · Information technology

    total $191,998 · program services $181,674 · management and general $10,324

  • 16 · Occupancy

    total $70,208 · program services $60,456 · management and general $9,752

  • 17 · Travel

    total $372,869 · program services $339,618 · management and general $33,251

  • 19 · Conferences, conventions and meetings

    total $2,510 · management and general $2,510

  • 20 · Interest

    total $23,016 · program services $19,285 · management and general $3,731

  • 22 · Depreciation, depletion and amortization

    total $113,056 · program services $94,730 · management and general $18,326

  • 23 · Insurance

    total $76,457 · program services $76,124 · management and general $333

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $381,078 · program services $381,078

  • 24b · Other expenses: PHARMACEUTICAL EXPENSE

    total $265,321 · program services $265,321

  • 24c · Other expenses: DUES & SUBSCRIPTIONS

    total $29,691 · program services $1,485 · management and general $28,206

  • 24d · Other expenses: STAFF DEVELOPMENT

    total $23,549 · program services $5,673 · management and general $17,876

  • 24e · All other expenses

    total $34,504 · program services $12,777 · management and general $21,727

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,745,264 · end of year $3,589,371

  • 2 · Savings and temporary cash investments

    beginning of year $405,061 · end of year $131,896

  • 4 · Accounts receivable

    beginning of year $1,685,349 · end of year $1,526,807

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $52,094

  • 9 · Prepaid expenses and deferred charges

    beginning of year $35,329 · end of year $178,793

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

    $2,253,012

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

    $1,335,614

  • 10c · Land, buildings and equipment, net

    beginning of year $841,608 · end of year $917,398

  • 11 · Investments: publicly traded securities

    beginning of year $238,288 · end of year $274,347

  • 12 · Investments: other securities

    beginning of year $64,334 · end of year $67,273

  • 15 · Other assets

    beginning of year $0 · end of year $16,401

  • 17 · Accounts payable and accrued expenses

    beginning of year $871,390 · end of year $783,165

  • 19 · Deferred revenue

    beginning of year $5,840 · end of year $24,172

  • 24 · Unsecured notes and loans payable

    beginning of year $645,174 · end of year $46,905

  • 25 · Other liabilities

    beginning of year $450,175 · end of year $79,840

  • 27 · Net assets without donor restrictions

    beginning of year $3,752,120 · end of year $5,526,825

  • 28 · Net assets with donor restrictions

    beginning of year $290,534 · end of year $293,473

Mission and programs · 2022

Mission

TO PROVIDE QUALITY HOME HEALTH AND HOSPICE CARE, UTILIZING A HOLISTIC APPROACH, WHILE WORKING IN COLLABORATION WITH ALL COMMUNITY RESOURCES, TO MEET THE COMPREHENSIVE NEEDS OF THE CLIENTS AND THEIR FAMILIES, IN A COST EFFECTIVE MANNER.

  • HOME CARE: PROVIDES HOME HEALTH, HOSPICE, AND HEALTH PROMOTION SERVICES TO RESIDENTS OF UPPER GRAFTON AND COOS COUNTIES OF NEW HAMPSHIRE.

    Expenses $7,825,073 · Revenue $11,201,376

As filed on the 2022 return.

Listed in Part VII

  • Darrell Bodnar

    TRUSTEE

    Total calculated
    $272,550
    From this org
    $0
    From related orgs
    $241,474
    Other
    $31,076
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $190,214 related
    Bonus
    $0 + $50,460 related
    Other
    $0 + $800 related
    Deferred
    $0 + $7,381 related
    Nontaxable benefits
    $0 + $23,695 related
    Filer's total
    $0 + $272,550 related
  • Brian O'Hearn

    TRUSTEE

    Total calculated
    $269,878
    From this org
    $0
    From related orgs
    $232,123
    Other
    $37,755
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $189,788 related
    Bonus
    $0 + $31,318 related
    Other
    $0 + $11,017 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $37,755 related
    Filer's total
    $0 + $269,878 related
  • Chrissy Smith

    CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Roxie Severance

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Patrick Kelly

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Mell Brooks

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Jj Bujeaud

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Greg Eastman

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Kimberly Force

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Ann Hebert

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Holly McCormack

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Chad Sterns

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Thomas Mee

    SYSTEM CEO

    Total calculated
    $710,333
    From this org
    $0
    From related orgs
    $681,354
    Other
    $28,979
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $537,600 related
    Bonus
    $0 + $131,095 related
    Other
    $0 + $12,659 related
    Deferred
    $0 + $1,891 related
    Nontaxable benefits
    $0 + $27,088 related
    Filer's total
    $0 + $710,333 related
  • Matthew Streeter

    SYSTEM CFO

    Total calculated
    $311,729
    From this org
    $0
    From related orgs
    $300,812
    Other
    $10,917
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $276,715 related
    Bonus
    $0 + $23,655 related
    Other
    $0 + $442 related
    Deferred
    $0 + $2,631 related
    Nontaxable benefits
    $0 + $8,286 related
    Filer's total
    $0 + $311,729 related
  • Tiffany Haynes

    PRESIDENT/CEO

    Total calculated
    $214,053
    From this org
    $186,050
    From related orgs
    $0
    Other
    $28,003
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $149,093
    Bonus
    $30,752
    Other
    $6,205
    Deferred
    $3,196
    Nontaxable benefits
    $24,807
    Filer's total
    $214,053
  • Kevin Botelho

    APRN

    Total calculated
    $159,784
    From this org
    $130,418
    From related orgs
    $0
    Other
    $29,366
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $126,186
    Bonus
    $0
    Other
    $4,232
    Deferred
    $2,388
    Nontaxable benefits
    $26,978
    Filer's total
    $159,784
  • Jessica C Foster-Hebert

    DIRECTOR OF CLINICAL SERVICES

    Total calculated
    $135,859
    From this org
    $113,558
    From related orgs
    $0
    Other
    $22,301
    Hours/week
    40
  • Alyssa Lennon

    DIRECTOR OF HOSPICE

    Total calculated
    $117,935
    From this org
    $113,808
    From related orgs
    $0
    Other
    $4,127
    Hours/week
    40
  • Genevieve Lebel

    SENIOR PHYSICAL THERAPIST

    Total calculated
    $119,893
    From this org
    $107,572
    From related orgs
    $0
    Other
    $12,321
    Hours/week
    40
  • Samantha Sullivan

    RN

    Total calculated
    $118,756
    From this org
    $105,878
    From related orgs
    $0
    Other
    $12,878
    Hours/week
    40

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

  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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 2022.
PART I, LINE 7
THE BONUS PAID TO TIFFANY HAYNES WAS A PRODUCTIVITY BONUS.

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
2022
Filed
15 August 2024
IRS schema version
2022v5.0
Source object
202412289349303451

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

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