Form 990 for tax year 2023
Filed by NORTH COUNTRY HOME HEALTH & HOSPICE AGENCY INC.
Totals
- Total revenue
- $12,137,889
- Total expenses
- $11,377,171
- Contributions and grants received
- $338,367
- Grants paid
- $0
- Program service revenue
- $11,585,260
- Investment income
- $69,219
- Other revenue
- $145,043
- Total assets, end of year
- $7,436,098
- Total liabilities, end of year
- $780,824
- Net assets or fund balances, end of year
- $6,655,274
- Program services expenses (Part IX)
- $7,530,278
- Management and general expenses
- $3,846,893
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $7,530,278
Program services were 66.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
DARRELL BODNAR
TRUSTEE
- Total calculated
- $260,140
- From this org
- $0
- From related orgs
- $245,902
- Other
- $14,238
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $197,167 related
- Bonus
- $0 + $47,741 related
- Other
- $0 + $994 related
- Deferred
- $0 + $6,081 related
- Nontaxable benefits
- $0 + $8,157 related
- Filer's total
- $0 + $260,140 related
-
BRIAN O'HEARN
TRUSTEE
- Total calculated
- $240,835
- From this org
- $0
- From related orgs
- $229,911
- Other
- $10,924
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $187,858 related
- Bonus
- $0 + $31,779 related
- Other
- $0 + $10,274 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $10,924 related
- Filer's total
- $0 + $240,835 related
-
JJ BUJEAUD
CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
HOLLY MCCORMACK
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
CHAD STERNS
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
CHRISSY SMITH
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
JULIE COTE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
GREG EASTMAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
KIMBERLY FORCE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
HEATHER NEWFIELD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
ROXIE SEVERANCE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
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
-
JESSICA C FOSTER-HEBERT
PRESIDENT/CEO (BEG SEP. '24)
- Total calculated
- $163,902
- From this org
- $155,260
- From related orgs
- $0
- Other
- $8,642
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $126,733
- Bonus
- $25,847
- Other
- $2,680
- Deferred
- $4,374
- Nontaxable benefits
- $4,268
- Filer's total
- $163,902
-
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
-
MARY VANALSTYNE
APRN
- Total calculated
- $136,243
- From this org
- $126,911
- From related orgs
- $0
- Other
- $9,332
- Hours/week
- 40
-
GWENDOLYN DOVHOLUK
RN
- Total calculated
- $119,464
- From this org
- $113,909
- From related orgs
- $0
- Other
- $5,555
- Hours/week
- 40
-
AMY REMICK
PT MANAGER
- Total calculated
- $114,174
- From this org
- $112,145
- From related orgs
- $0
- Other
- $2,029
- Hours/week
- 40
-
KELLEY CORCORAN
RN
- Total calculated
- $115,953
- From this org
- $109,930
- From related orgs
- $0
- Other
- $6,023
- Hours/week
- 40
-
CARISA GIRDWOOD
RN
- Total calculated
- $120,616
- From this org
- $109,590
- From related orgs
- $0
- Other
- $11,026
- Hours/week
- 40
-
TIFFANY HAYNES
PRESIDENT/CEO (THRU SEP. '24)
- Total calculated
- $245,848
- From this org
- $229,337
- From related orgs
- $0
- Other
- $16,511
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $174,606
- Bonus
- $47,484
- Other
- $7,247
- Deferred
- $5,091
- Nontaxable benefits
- $11,420
- Filer's total
- $245,848
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
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
- 7 · Other non-fixed payments
- 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'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.
-
ANDROSCOGGIN VALLEY HOSPITAL INC
501(C)(3) · CRITICAL ACCESS HOSPITAL · NH · controlled entity
Directly controlled by NORTH COUNTRY HEALTHCARE INC
-
501(C)(3) · CRITICAL ACCESS HOSPITAL · NH · controlled entity
Directly controlled by NORTH COUNTRY HEALTHCARE INC
-
UPPER CONNECTICUT VALLEY HOSPITAL
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) · 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
- 202532279349303013
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