2023-11-14T08:19:39-06:00 2022-12-31 160765486 LUMSDEN & MCCORMICK LLP 369 FRANKLIN STREET BUFFALO NY 14202 990 2022-01-01 462500951 NORTHERN LIGHTS HEALTH CARE PARTNERSHIP NORT 3157143135 91 MAIN STREET CANTON NY 13617 KATHERINE RACE ADMINISTRATOR 3157143135 2023-11-09 1 KATHERINE RACE XXX-XX-XXXX 0 JILL M JOHNSON CPA P01701478 7168563300 2023-11-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z NORTHERN LIGHTS HOME HEALTH CARE KATHERINE RACE 91 MAIN STREET CANTON NY 13617 2604809 0 X WWW.MYNORTHERNLIGHTS.ORG X 2013 NY TO PROVIDE NORTH COUNTRY FAMILIES WITH RELIABLE, SKILLED AND COORDINATED HOME HEALTH CARE SERVICES. 6 6 81 6 0 0 402731 17097 3004799 2559277 0 0 20037 28435 3427567 2604809 0 0 0 0 2364959 2313600 0 0 0 828979 842637 3193938 3156237 233629 -551428 1337175 844918 389826 448997 947349 395921 TO PROVIDE NORTH COUNTRY FAMILIES WITH RELIABLE, SKILLED AND COORDINATED HOME HEALTH CARE SERVICES. 0 0 2621434 2559277 TO PROVIDE NORTH COUNTRY FAMILIES WITH RELIABLE, SKILLED AND COORDINATED HOME HEALTH CARE SERVICES. THE VISION IS FOR EVERY FAMILY TO BE ABLE TO HAVE THEIR LOVED ONES CARED FOR AT HOME. 2621434 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 1 81 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X KELLY LOWERY 3153933074 732 FORD STREET OGDENSBURG NY 13669 RICHARD JACOBS CHAIRMAN 1.00 X X 0 0 0 TODD AMO VICE CHAIRMAN 1.00 X X 0 0 0 KATHRYN MULLANEY SECRETARY 1.00 X X 0 0 0 TED LAWRENCE TREASURER 1.00 X 0 0 0 DAVE FERRIS DIRECTOR 1.00 X 0 0 0 ED GORDON DIRECTOR 1.00 X 0 0 0 MICHELLE BRISTOL DIRECTOR OF PATIENT SERVICES 50.00 X 0 116469 13176 KELLY LOWERY VP OF FINANCE 50.00 X 0 130983 18346 KATHERINE RACE ADMINISTRATOR 50.00 X 0 107626 10111 0 355078 41633 0 0 0 0 0 17097 17097 NET PATIENT SERVICE RE 621610 2559277 2559277 2559277 OTHER INCOME 900099 28435 28435 28435 2604809 2559277 0 28435 1910577 1604884 305693 20857 17520 3337 230283 193438 36845 151883 127582 24301 341374 256030 85344 1925 1925 125750 105275 20475 1636 1636 5947 5947 81230 60923 20307 24578 12289 12289 3017 3017 5 3 2 9814 5888 3926 41784 41784 MILEAGE REIMBURSEMENT 98125 98125 MISCELLANEOUS 62886 58043 4843 MEDICAL EXPENSES 19394 19394 TELEPHONE EXPENSES 18612 13959 4653 6560 3280 3280 3156237 2621434 534803 0 610991 499133 657019 298109 50398 37852 208474 198650 18767 9824 1337175 844918 264826 323997 125000 125000 389826 448997 X 947349 395921 947349 395921 1337175 844918 -551428 0 X X 0 1 X 1 0 X 711277 600481 402731 17097 1731586 2488019 2416183 2893131 3004799 2559277 13361409 2488019 3127460 3493612 3407530 2576374 15092995 0 0 0 15092995 3297 4902 4202 20037 28435 60873 2491316 3132362 3497814 3427567 2604809 15153868 0.99600 0.99680 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 208474 198650 9824 9824 NOTE PAYABLE 125000 125000 2604809 0 2604809 0 2604809 3156237 0 3156237 0 3156237 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION PAYS A FEE TO THE UNITED HELPERS SERVICE CORPORATION FOR ADMINISTRATIVE AND FISCAL SERVICES. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF NORTHERN LIGHTS HOME HEALTH CARE ARE CLAXTON-HEPBURN MEDICAL CENTER, CANTON-POTSDAM HOSPITAL, AND UNITED HELPERS MANAGEMENT COMPANY, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS SHALL APPOINT THE DIRECTORS. EACH MEMBER SHALL APPOINT TWO DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT REVIEWS AND APPROVES FORM 990 FOR FILING. THE AUDIT COMMITTEE APPROVES FORM 990 PRIOR TO SUBMISSION WHEN TIME PERMITS OR AT THE NEXT MEETING FOLLOWING SUBMISSION WHEN TIME DOES NOT PERMIT. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, ALL BOARD MEMBERS, EMPLOYEES AND OTHER AFFILIATES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM. FORM 990, PART VI, SECTION B, LINE 15 REVIEW AND APPROVAL BY THE GOVERNING BODY OR COMPENSATION COMMITTEE OF THE COMPENSATION FOR ANY PERSON WHO IS AN EXECUTIVE OR SIMILARLY QUALIFIED PERSON IN FUNCTIONALLY COMPARABLE POSITIONS PROVIDED THAT PERSONS WITH CONFLICTS OF INTEREST ARE NOT INVOLVED IN THIS REVIEW OR APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT NORTHERN LIGHTS HEALTH CARE PARTNERSHIP. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. UNITED HELPERS MANAGEMENT COMPANY 732 FORD STREET OGDENSBURG NY 13669 222428919 PROVIDE SERVICES TO MEMBER NOT-FOR-PROFIT FACILITIES NY 501(C)(3) LINE 12C, III-FI N/A 0 CANTON-POTSDAM HOSPITAL 50 LEROY STREET POTSDAM NY 13676 161012691 PROVIDE GENERAL AND REHABILITATIVE HOSPITAL CARE NY 501(C)(3) LINE 3 N/A 0 CLAXTON-HEPBURN MEDICAL CENTER 214 KING STREET OGDENSBURG NY 13669 150559686 PROVIDE GENERAL AND REHABILITATIVE HOSPITAL CARE NY 501(C)(3) LINE 3 N/A 0 UNITED HELPERS SERVICE CORPORATION 732 FORD STREET OGDENSBURG NY 13669 222428919 ADMINISTRATIVE AND FISCAL SERVICES NY N/A C 0 0 0 1 0 1 0 0 0 0 0 1 0 1 1 0 0 0 0 0