Skip to content
Nonprofiteer
← ANDROSCOGGIN VALLEY HOSPITAL INC

Form 990 for tax year 2024

Filed by ANDROSCOGGIN VALLEY HOSPITAL INC.

Totals

Total revenue
$98,032,462
Total expenses
$93,284,398
Contributions and grants received
$48,752
Grants paid
$5,000
Program service revenue
$93,689,834
Investment income
$2,257,339
Other revenue
$2,036,537
Total assets, end of year
$66,179,909
Total liabilities, end of year
$11,556,519
Net assets or fund balances, end of year
$54,623,390
Program services expenses (Part IX)
$70,959,360
Management and general expenses
$22,325,038
Fundraising expenses
$0
Program service expenses (Part III)
$70,959,360

Program services were 76.1% 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

    $41,666

  • 1f · All other contributions, gifts and grants

    $7,086

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $91,916,259 · related or exempt $91,916,259

  • 2b · Program service revenue: 340(B) PHARMACY REVENUE

    total $1,201,238 · related or exempt $1,201,238

  • 2c · Program service revenue: SHARED STAFF REVENUE

    total $569,833 · related or exempt $569,833

  • 2f · All other program service revenue

    total $2,504 · related or exempt $2,504

  • 3 · Investment income

    total $527,258 · excluded $527,258

  • 6a · Gross rents

    real property $264,688

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $264,688

  • 6d · Net rental income or loss

    total $264,688 · excluded $264,688

  • 7a · Gross sales of assets other than inventory

    securities $1,694,631 · other assets $35,450

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

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $1,694,631 · other assets $35,450

  • 7d · Net gain or loss

    total $1,730,081 · excluded $1,730,081

  • 8a · Fundraising events: gross income

    $0

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

    $41,666

  • 8b · Fundraising events: direct expenses

    $13,504

  • 8c · Net income from fundraising events

    total -$13,504 · excluded -$13,504

  • 11a · Other revenue: CAFETERIA REVENUE

    total $437,008 · excluded $437,008

  • 11d · All other revenue

    total $1,348,345 · excluded $1,348,345

  • 11e · Other revenue, total

    $1,785,353

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $5,000 · program services $5,000

  • 5 · Compensation of officers, directors and key employees

    total $475,195 · management and general $475,195

  • 7 · Other salaries and wages

    total $29,859,670 · program services $28,946,819 · management and general $912,851

  • 8 · Pension plan contributions

    total $790,219 · program services $778,965 · management and general $11,254

  • 9 · Other employee benefits

    total $6,732,072 · program services $6,362,777 · management and general $369,295

  • 10 · Payroll taxes

    total $2,072,973 · program services $2,043,449 · management and general $29,524

  • 11c · Fees: accounting

    total $150,901 · management and general $150,901

  • 11d · Fees: lobbying

    total $12,661 · management and general $12,661

  • 11f · Fees: investment management

    total $44,869 · program services $3,938 · management and general $40,931

  • 11g · Fees: other

    total $12,869,546 · program services $12,000,871 · management and general $868,675

  • 12 · Advertising and promotion

    total $161,939 · program services $108,298 · management and general $53,641

  • 13 · Office expenses

    total $71,214 · program services $60,314 · management and general $10,900

  • 16 · Occupancy

    total $1,414,293 · program services $264,706 · management and general $1,149,587

  • 17 · Travel

    total $123,019 · program services $98,839 · management and general $24,180

  • 19 · Conferences, conventions and meetings

    total $54,361 · program services $47,091 · management and general $7,270

  • 20 · Interest

    total $36,665 · program services $31,151 · management and general $5,514

  • 22 · Depreciation, depletion and amortization

    total $3,553,667 · program services $3,019,214 · management and general $534,453

  • 23 · Insurance

    total $1,551,085 · program services $1,551,085

  • 24a · Other expenses: INTERCOMPANY ALLOCATION

    total $12,738,082 · program services $1,226,259 · management and general $11,511,823

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $8,612,853 · program services $8,607,487 · management and general $5,366

  • 24c · Other expenses: MCD TAX

    total $4,895,671 · management and general $4,895,671

  • 24d · Other expenses: BAD DEBT EXPENSE

    total $4,871,528 · program services $4,871,528

  • 24e · All other expenses

    total $2,186,915 · program services $931,569 · management and general $1,255,346

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,820 · end of year $2,820

  • 2 · Savings and temporary cash investments

    beginning of year $10,878,313 · end of year $11,780,060

  • 4 · Accounts receivable

    beginning of year $13,071,667 · end of year $13,915,856

  • 8 · Inventories for sale or use

    beginning of year $1,736,783 · end of year $1,732,280

  • 9 · Prepaid expenses and deferred charges

    beginning of year $472,939 · end of year $432,802

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

    $71,877,443

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

    $51,807,593

  • 10c · Land, buildings and equipment, net

    beginning of year $22,095,578 · end of year $20,069,850

  • 11 · Investments: publicly traded securities

    beginning of year $15,991,693 · end of year $17,419,586

  • 15 · Other assets

    beginning of year $488,606 · end of year $826,655

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,210,495 · end of year $4,544,917

  • 20 · Tax-exempt bond liabilities

    beginning of year $2,394,738 · end of year $1,363,361

  • 25 · Other liabilities

    beginning of year $5,513,446 · end of year $5,648,241

  • 27 · Net assets without donor restrictions

    beginning of year $50,619,720 · end of year $54,623,390

Mission and programs · 2024

Mission

DELIVERING THE HIGHEST QUALITY HEALTHCARE AND EXPERIENCE FOR EVERY PATIENT, EVERY DAY.

Activities or mission (Part I)

DELIVERING THE BEST HEALTHCARE EXPERIENCE FOR EVERY PATIENT, EVERY DAY.

  • ANDROSCOGGIN VALLEY HOSPITAL IS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL PROVIDES A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE HEALTH NEEDS OF THE UPPER ANDROSCOGGIN VALLEY AND SURROUNDING COMMUNITIES. WITH A COMMITMENT TO THE HIGHEST QUALITY SURGICAL CARE - AVH IS LEADING THE WAY TO A HEALTHIER FUTURE FOR OUR HEALTH CARE COMMUNITY.

    Expenses $70,959,360 · Grants $5,000 · Revenue $93,689,834

  • EDUCATIONAL PROGRAMS OFFERED BY AVH INCLUDE CHILDBIRTH CLASSES, BABYSITTING COURSE, WELLNESS FAIRS, LECTURE SERIES, CPR AND FIRST AID COURSES, NUTRITIONAL COUNSELING, AND A VARIETY OF SUPPORT GROUPS.

  • OTHER COMMUNITY BENEFITS PROVIDED BY THE HOSPITAL INCLUDE THE PROVISION OF CARE TO THE UNDERINSURED; THE PROMOTION OF GOOD HEALTH FOR CHILDREN THROUGH PARTICIPATION IN THE HEALTHY KIDS PROGRAM; AND THE SPONSORSHIP OF NUMEROUS CLINICS AND PROGRAMS SUPPORTING GOOD HEALTH IN THE COMMUNITY.

As filed on the 2024 return.

Listed in Part VII

  • David Backler

    CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Martha Laflamme

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related
  • Jay Poulin

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 0.5 related
  • Javier Cardenas

    DIRECTOR/HOSPITALIST

    Total calculated
    $576,327
    From this org
    $515,237
    From related orgs
    $0
    Other
    $61,090
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $493,610
    Bonus
    $19,251
    Other
    $2,376
    Deferred
    $8,455
    Nontaxable benefits
    $52,635
    Filer's total
    $576,327
  • Jessica Locke

    DIRECTOR/NCHHHA DIR. CLIN

    Total calculated
    $210,808
    From this org
    $0
    From related orgs
    $172,722
    Other
    $38,086
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $139,614 related
    Bonus
    $0 + $32,809 related
    Other
    $0 + $299 related
    Deferred
    $0 + $4,587 related
    Nontaxable benefits
    $0 + $33,499 related
    Filer's total
    $0 + $210,808 related
  • Christy Langlois

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Susan Lessard

    DIRECTOR/APRN

    Total calculated
    $142,293
    From this org
    $99,383
    From related orgs
    $0
    Other
    $42,910
    Hours/week
    30
  • Richard Luna

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Thomas McCue

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1.5 related
  • Jessie Perkins

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Daniel Van Buren

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Tyler White

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Thomas Mee

    SYSTEM CEO

    Total calculated
    $914,058
    From this org
    $0
    From related orgs
    $868,962
    Other
    $45,096
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $634,794 related
    Bonus
    $0 + $219,715 related
    Other
    $0 + $14,453 related
    Deferred
    $0 + $6,032 related
    Nontaxable benefits
    $0 + $39,064 related
    Filer's total
    $0 + $914,058 related
  • Michael Peterson

    PRESIDENT

    Total calculated
    $457,884
    From this org
    $417,698
    From related orgs
    $0
    Other
    $40,186
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $342,954
    Bonus
    $73,113
    Other
    $1,631
    Deferred
    $0
    Nontaxable benefits
    $40,186
    Filer's total
    $457,884
  • Matthew Streeter

    SYSTEM CFO/INTERIM CEO WMC

    Total calculated
    $475,130
    From this org
    $0
    From related orgs
    $433,138
    Other
    $41,992
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $347,286 related
    Bonus
    $0 + $84,876 related
    Other
    $0 + $976 related
    Deferred
    $0 + $10,166 related
    Nontaxable benefits
    $0 + $31,826 related
    Filer's total
    $0 + $475,130 related
  • Keith Shute MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $600,975
    From this org
    $543,471
    From related orgs
    $0
    Other
    $57,504
    Hours/week
    39.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $475,308
    Bonus
    $51,556
    Other
    $16,607
    Deferred
    $14,542
    Nontaxable benefits
    $42,962
    Filer's total
    $600,975
  • Krzysztof Plociennik

    GENERAL SURGEON

    Total calculated
    $726,899
    From this org
    $664,913
    From related orgs
    $0
    Other
    $61,986
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $647,537
    Bonus
    $15,000
    Other
    $2,376
    Deferred
    $14,676
    Nontaxable benefits
    $47,310
    Filer's total
    $726,899
  • Geoffrey Starr

    NEUROLOGIST

    Total calculated
    $652,568
    From this org
    $593,053
    From related orgs
    $0
    Other
    $59,515
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $327,810
    Bonus
    $263,695
    Other
    $1,548
    Deferred
    $12,426
    Nontaxable benefits
    $47,089
    Filer's total
    $652,568
  • Mahlon Bradley

    MD PROVIDER

    Total calculated
    $642,326
    From this org
    $586,067
    From related orgs
    $0
    Other
    $56,259
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $551,944
    Bonus
    $29,551
    Other
    $4,572
    Deferred
    $15,250
    Nontaxable benefits
    $41,009
    Filer's total
    $642,326
  • Richard Kardell

    ORTHOPEDIC SURGEON

    Total calculated
    $599,603
    From this org
    $543,403
    From related orgs
    $0
    Other
    $56,200
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $499,830
    Bonus
    $39,001
    Other
    $4,572
    Deferred
    $13,672
    Nontaxable benefits
    $42,528
    Filer's total
    $599,603
  • Stephen Kraunz

    ED PHYSICIAN

    Total calculated
    $540,468
    From this org
    $485,240
    From related orgs
    $0
    Other
    $55,228
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $484,649
    Bonus
    $51
    Other
    $540
    Deferred
    $6,913
    Nontaxable benefits
    $48,315
    Filer's total
    $540,468
  • Brian O'Hearn

    CNO (FORMER)

    Total calculated
    $325,986
    From this org
    $290,104
    From related orgs
    $0
    Other
    $35,882
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,889
    Bonus
    $27,032
    Other
    $115,183
    Deferred
    $4,807
    Nontaxable benefits
    $31,075
    Filer's total
    $325,986

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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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, LINES 4A-B
BRIAN O'HEARN RECEIVED $92,803 IN SEVERANCE PAYMENTS IN 2024. 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 2024.

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
2024
Filed
17 August 2026
IRS schema version
2024v5.5
Source object
202602299349302435

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

The source document this was parsed from is served over the API, which is where bulk and document access live.