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Nonprofiteer
← ANDROSCOGGIN VALLEY HOSPITAL FOUNDATION

Form 990 for tax year 2023

Filed by ANDROSCOGGIN VALLEY HOSPITAL FOUNDATION.

Totals

Total revenue
$118,298
Total expenses
$129,117
Contributions and grants received
$5,585
Grants paid
$64,400
Program service revenue
$0
Investment income
$112,713
Other revenue
$0
Total assets, end of year
$3,657,333
Total liabilities, end of year
$123,481
Net assets or fund balances, end of year
$3,533,852
Program services expenses (Part IX)
$129,067
Management and general expenses
$50
Fundraising expenses
$0
Program service expenses (Part III)
$129,067

Program services were 100.0% 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.

  • 1f · All other contributions, gifts and grants

    $5,585

  • 3 · Investment income

    total $99,021 · excluded $99,021

  • 7a · Gross sales of assets other than inventory

    securities $13,692

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

    securities $0

  • 7c · Gain or loss

    securities $13,692

  • 7d · Net gain or loss

    total $13,692 · excluded $13,692

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $40,000 · program services $40,000

  • 2 · Grants to domestic individuals

    total $24,400 · program services $24,400

  • 11f · Fees: investment management

    total $50 · management and general $50

  • 24a · Other expenses: PROGRAM EXPENSES

    total $64,667 · program services $64,667

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $16,762 · end of year $31,477

  • 11 · Investments: publicly traded securities

    beginning of year $3,094,370 · end of year $3,625,856

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $90,011

  • 25 · Other liabilities

    beginning of year $123,284 · end of year $33,470

  • 27 · Net assets without donor restrictions

    beginning of year $2,944,086 · end of year $3,490,090

  • 28 · Net assets with donor restrictions

    beginning of year $43,762 · end of year $43,762

Mission and programs · 2023

Mission

TO SUPPORT THE CHARITABLE MISSION OF ANDROSCOGGIN VALLEY HOSPITAL, PRIMARILY THROUGH FUNDRAISING AND INVESTMENT MANAGEMENT.

Activities or mission (Part I)

TO PROVIDE ASSET MANAGEMENT AND FINANCIAL SUPPORT TO ANDROSCOGGIN VALLEY HOSPITAL.

  • PROVIDE ASSET MANAGEMENT AND FINANCIAL SUPPORT TO ANDROSCOGGIN VALLEY HOSPITAL.

    Expenses $129,067 · Grants $64,400

As filed on the 2023 return.

Listed in Part VII

  • MICHAEL PETERSON

    PRESIDENT

    Total calculated
    $423,678
    From this org
    $0
    From related orgs
    $412,863
    Other
    $10,815
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $312,811 related
    Bonus
    $0 + $75,921 related
    Other
    $0 + $24,131 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $10,815 related
    Filer's total
    $0 + $423,678 related

  • BRIAN O'HEARN

    DIRECTOR

    Total calculated
    $240,835
    From this org
    $0
    From related orgs
    $229,911
    Other
    $10,924
    Hours/week
    0.5 + 40.5 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

  • MARK KELLEY

    CHAIR

    Total calculated
    $0
    Hours/week
    0.5 + 1 related

  • PAMELA LAFLAMME

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.5 + 1 related

  • THOMAS MCCUE

    TREASURER

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • THOMAS MEE

    SYSTEM CEO

    Total calculated
    $724,548
    From this org
    $0
    From related orgs
    $706,230
    Other
    $18,318
    Hours/week
    0.5 + 45.5 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

  • MATTHEW STREETER

    SYSTEM CFO

    Total calculated
    $378,399
    From this org
    $0
    From related orgs
    $357,595
    Other
    $20,804
    Hours/week
    0.5 + 45.5 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

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

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 - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - 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

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
15 August 2025
IRS schema version
2023v6.0
Source object
202502279349303015

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