Totals
- Total revenue
- $86,911,429
- Total expenses
- $88,104,263
- Contributions and grants received
- $785,141
- Grants paid
- $318,227
- Program services expenses (Part IX)
- $68,462,481
- Management and general expenses
- $19,641,782
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $68,462,481
Program services were 77.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
MARK MORGAN MD
CMO
- Total calculated
- $609,778
- From this org
- $595,264
- From related orgs
- $0
- Other
- $14,514
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $545,205
- Bonus
- $49,270
- Other
- $789
- Deferred
- $1,426
- Nontaxable benefits
- $13,088
- Filer's total
- $609,778
-
AMBER SCHMIDT
MEDICAL STAFF PRESIDENT
- Total calculated
- $315,514
- From this org
- $275,066
- From related orgs
- $0
- Other
- $40,448
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $274,541
- Bonus
- $0
- Other
- $525
- Deferred
- $2,836
- Nontaxable benefits
- $37,612
- Filer's total
- $315,514
-
WILLIAM EVERLETH
DIRECTOR
- Total calculated
- $133,632
- From this org
- $0
- From related orgs
- $125,375
- Other
- $8,257
- Hours/week
- 1 + 39 related
-
KEITH YOUNG
CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
DENNIS COUTURE
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
RUBY BERRYMAN
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
CHARLIE COTTON
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
DENISE BRISSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
SCOTT BURNS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
SARAH DESROCHERS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
ZEANNY EGEA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
STANLEY HOLZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
SHARON KOPP
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
FRANCES LADUKE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
EDWARD SAMSON III
DIRECTOR
- 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
-
MICHAEL D LEE
PRESIDENT/CEO
- Total calculated
- $366,894
- From this org
- $361,347
- From related orgs
- $0
- Other
- $5,547
- Hours/week
- 40 + 1 related
Schedule J breakdown matched by us
- Base
- $287,983
- Bonus
- $67,471
- Other
- $5,893
- Deferred
- $336
- Nontaxable benefits
- $5,211
- Filer's total
- $366,894
-
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
-
PROUSKEH B EBRAHIMPOUR
PHYSICIAN
- Total calculated
- $616,959
- From this org
- $591,081
- From related orgs
- $0
- Other
- $25,878
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $590,292
- Bonus
- $0
- Other
- $789
- Deferred
- $0
- Nontaxable benefits
- $25,878
- Filer's total
- $616,959
-
CHRISTOPHER LAURENT NP
NURSE PRACTICIONER
- Total calculated
- $530,403
- From this org
- $495,132
- From related orgs
- $0
- Other
- $35,271
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $488,450
- Bonus
- $0
- Other
- $6,682
- Deferred
- $13,500
- Nontaxable benefits
- $21,771
- Filer's total
- $530,403
-
ELISABETH MOORE
PHYSICIAN
- Total calculated
- $473,727
- From this org
- $424,748
- From related orgs
- $0
- Other
- $48,979
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $363,889
- Bonus
- $60,333
- Other
- $526
- Deferred
- $8,830
- Nontaxable benefits
- $40,149
- Filer's total
- $473,727
-
JOHN FORD
PRIMARY CARE/FAMILY MEDICINE PRACT.
- Total calculated
- $437,188
- From this org
- $420,791
- From related orgs
- $0
- Other
- $16,397
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $411,903
- Bonus
- $0
- Other
- $8,888
- Deferred
- $11,538
- Nontaxable benefits
- $4,859
- Filer's total
- $437,188
-
MAUDE OETKING
PHYSICIAN
- Total calculated
- $453,289
- From this org
- $430,082
- From related orgs
- $0
- Other
- $23,207
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $426,609
- Bonus
- $0
- Other
- $3,473
- Deferred
- $11,605
- Nontaxable benefits
- $11,602
- Filer's total
- $453,289
-
CELESTE PITTS
FORMER CFO
- Total calculated
- $195,254
- From this org
- $175,540
- From related orgs
- $0
- Other
- $19,714
- Hours/week
- 24 + 16 related
Schedule J breakdown matched by us
- Base
- $142,945
- Bonus
- $32,595
- Other
- $0
- Deferred
- $5,399
- Nontaxable benefits
- $14,315
- Filer's total
- $195,254
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 — 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 2022.
- 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
-
FOUNDATION FOR HEALTHY COMMUNITIES
$103,958
SUBSTANCE ABUSE PREVENTION, TREATMENT & RECOVERY
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.
-
501(C)(3) · SUPPORTING ORGANIZATION · NH · controlled entity
Directly controlled by WEEKS MEDICAL CENTER
-
GREAT NORTHWOODS COMMUNITY FOUNDATION
501(C)(3) · HEALTHCARE 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
-
501(C)(3) · SUPPORTING SERVICES · NH · controlled entity
Directly controlled by ANDROSCOGGIN VALLEY HOSPITAL INC
-
NORTH COUNTRY HOME HEALTH & HOSPICE AGENCY INC
501(C)(3) · HOME HEALTH AGENCY · 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
-
ANDROSCOGGIN VALLEY HOSPITAL INC
501(C)(3) · CRITICAL ACCESS HOSPITAL · NH · controlled entity
Directly controlled by NORTH COUNTRY HEALTHCARE INC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202402289349303900
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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