2026-08-17T13:49:02-05:00 2025-09-30 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 220 DULUTH MN 55812 990 2024-10-01 020300637 NORTH COUNTRY HOME HEALTH & HOSPICE AGENCY INC NORT 6034445317 536 COTTAGE STREET LITTLETON NH 03561 MATTHEW STREETER SYSTEM CFO 6034445317 2026-08-17 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2026-08-13 2024 2025-03-06 01:10:19Z JESSICA FOSTER-HEBERT 536 COTTAGE STREET LITTLETON NH 03561 12987921 0 X WWW.NORTHCOUNTRYHOMEHEALTH-HOSPICE.ORG X 1971 NH TO PROVIDE QUALITY HOME HEALTH AND HOSPICE CARE, UTILIZING A HOLISTIC APPROACH, WHILE WORKING IN COLLABORATION WITH ALL COMMUNITY RESOURCES, TO MEET THE COMPREHENSIVE NEEDS OF THE CLIENTS AND THEIR FAMILIES, IN A COST EFFECTIVE MANNER. 11 11 119 15 0 0 338367 1284675 11585260 11208954 69219 47276 145043 447016 12137889 12987921 0 30305 0 0 8056234 7695712 0 0 0 3320937 3840063 11377171 11566080 760718 1421841 7436098 8976644 780824 827962 6655274 8148682 TO PROVIDE QUALITY HOME HEALTH AND HOSPICE CARE, UTILIZING A HOLISTIC APPROACH, WHILE WORKING IN COLLABORATION WITH ALL COMMUNITY RESOURCES, TO MEET THE COMPREHENSIVE NEEDS OF THE CLIENTS AND THEIR FAMILIES, IN A COST EFFECTIVE MANNER. 0 0 7666156 30305 11208955 HOME CARE: PROVIDES HOME HEALTH, HOSPICE, AND HEALTH PROMOTION SERVICES TO RESIDENTS OF UPPER GRAFTON AND COOS COUNTIES OF NEW HAMPSHIRE. 7666156 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 16 0 119 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X MATTHEW STREETER 6033265610 536 COTTAGE STREET LITTLETON NH 03561 JJ BUJEAUD CHAIR 1.00 1.00 X X 0 0 0 HOLLY MCCORMACK VICE CHAIR 1.00 X X 0 0 0 CHAD STEARNS TREASURER 1.00 X X 0 0 0 CHRISSY SMITH SECRETARY 1.00 X X 0 0 0 DARRELL BODNAR DIRECTOR 1.00 40.00 X 0 0 0 JULIE COTE DIRECTOR 1.00 X 0 0 0 CHRIS ST CYR DIRECTOR 1.00 X 0 0 0 GREG EASTMAN DIRECTOR 1.00 X 0 0 0 KIMBERLY FORCE DIRECTOR 1.00 X 0 0 0 HEATHER NEWFIELD DIRECTOR 1.00 X 0 0 0 ROXIE SEVERANCE DIRECTOR 1.00 1.00 X 0 0 0 THOMAS MEE SYSTEM CEO 1.00 45.00 X 0 868962 45096 MATTHEW STREETER SYSTEM CFO/INTERIM CEO WMC 1.00 45.00 X 0 433138 52694 JESSICA LOCKE PRESIDENT/CEO 40.00 1.00 X 172722 0 31642 TIFFANY HAYES CNO 40.00 X 184818 0 27696 MELANIE D'AGATA RN 40.00 X 111734 0 49484 MARY VANALSTYNE APRN 40.00 X 113252 0 32280 CARISA GIRDWOOD RN 40.00 X 108002 0 48734 AMY REMICK REHAB MANAGER 40.00 X 113088 0 20829 JENNIFER MARTIN RN 40.00 X 108284 0 20591 911900 1302100 329046 7 0 1 0 BERRY DUNN MCNEIL & PARKER 1000 ELM ST 4TH FLOOR MANCHESTER NH 03101 AUDIT, BILLING, AND CODING 256968 MCBEE ASSOCIATES PO BOX 823519 PHILADELPHIA PA 19182 ACCOUNTS RECEIVABLE MGMT 148572 PC CONNECTION SALES CORP 730 MILFORD RD MERRIMACK NH 03054 COMPUTER REPAIRS/MAINTENANCE 111791 3 993088 291587 1284675 HOSPICE CARE 621610 5774301 5774301 HOME HEALTH CARE 621610 4765136 4765136 DURABLE MEDICAL EQUIPMENT 621610 669517 669517 11208954 47276 47276 28950 0 28950 28950 28950 302087 0 302087 302087 115979 115979 115979 12987921 11208954 0 494292 30305 30305 226085 226085 5711500 4743689 967811 83864 71069 12795 1160798 954417 206381 513465 412559 100906 632 632 259 259 770252 200579 569673 15758 15758 68485 2388 66097 251043 13758 237285 155372 34052 121320 323549 315338 8211 26952 1675 25277 158482 158482 286030 2528 283502 INTERCOMPANY ALLOCATION 876696 876696 MEDICAL SUPPLIES 717073 712450 4623 REPAIRS AND MAINTENANCE 59514 3061 56453 DUES & SUBSCRIPTIONS 22416 6014 16402 107550 3792 103758 11566080 7666156 3899924 0 4362823 5753540 1477168 1547786 147013 264963 194171 92901 2471849 1648675 830766 823174 348843 413616 75314 80664 7436098 8976644 688864 725051 12884 29051 79076 73860 780824 827962 X 6353760 7841818 301514 306864 6655274 8148682 7436098 8976644 X 1421841 66217 5350 X 0 1 X 1 1 1 X 720620 743488 766788 338367 1284675 3853938 8299303 9551973 11201376 11585260 11208954 51846866 2850 35071 116093 418066 572080 9022773 10295461 12003235 12039720 12911695 56272884 0 0 0 56272884 40804 39982 66259 97464 76226 320735 40804 39982 66259 97464 76226 320735 9063577 10335443 12069494 12137184 12987921 56593619 0.99430 0.99520 0.00570 0.00480 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 385028 40880 425908 306243 78860 75 385028 268295 38042 94 306243 319611 56620 2959 268295 265950 18327 2469 265950 0.46890 0.53110 0.00000 0 0 168203 168203 1150721 751173 399548 1152925 897502 255423 823174 DUE TO RELATED PARTIES 73860 73860 13054138 66217 66217 12987921 0 12987921 11566080 0 11566080 0 11566080 PART V, LINE 4: ALL INCOME OF THE ENDOWMENT ASSETS EARNED IS TO BE USED FOR THE GENERAL OPERATIONS OF THE AGENCY. 1 FOUNDATION FOR HEALTH COMMUNITIES 125 AIRPORT RD CONCORD NH 033017300 020275078 501(C)(3) 30305 0 GENERAL SUPPORT 1 0 X X 0 1 0 0 0 0 0 0 0 THOMAS MEE SYSTEM CEO 0 634794 0 219715 0 14453 0 6032 0 39064 0 914058 0 0 MATTHEW STREETER SYSTEM CFO/INTERIM CEO WMC 0 347286 0 84876 0 976 0 10166 0 42528 0 485832 0 0 TIFFANY HAYES CNO 132259 0 48735 0 3824 0 4359 0 23337 0 212514 0 0 0 JESSICA LOCKE PRESIDENT/CEO 139614 0 32809 0 299 0 4587 0 27055 0 204364 0 0 0 MELANIE D'AGATA RN 86643 0 24904 0 187 0 0 0 49484 0 161218 0 0 0 CARISA GIRDWOOD RN 106470 0 1354 0 178 0 2697 0 46037 0 156736 0 0 0 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 2024. FORM 990, PART VI, SECTION A, LINE 6 NORTH COUNTRY HEALTHCARE (NCH) IS THE SOLE MEMBER OF WEEKS MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER OF THE CORPORATION BOARD SHALL BE NOMINATED BY ACTION OF AN AFFILIATE BOARD, OR BY THE CORPORATION BOARD, AS THE CASE MAY BE, IN ACCORDANCE WITH THE NOMINATION POWERS INDICATED IN THE CORPORATION'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATION BYLAWS INCLUDE MAJOR MATTERS WHICH INCLUDE SPECIFIC DUTIES AND RESPONSIBILITIES WHICH ARE SHARED BY THE CORPORATION BOARD AND THE AFFILIATE BOARDS. THESE MAJOR MATTERS ARE FURTHER DISTINGUISHED BETWEEN MAJOR ORGANIZATIONAL MATTERS AND MAJOR OPERATIONAL MATTERS. IN BOTH CASES, THE BYLAWS CONTAIN THE PROVISIONS FOR THE APPROVAL OF THESE MATTERS INCLUDING WHETHER THEY ARE APPROVED BY A MAJORITY VOTE OR SUPER MAJORITY VOTE OF ALL BOARDS. IN ALL CASES, THE MAJOR MATTERS REQUIRE APPROVAL BY THE CORPORATION BOARD AND THE AFFILIATE BOARDS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WILL BE SHARED ELECTRONICALLY WITH THE ENTIRE NCH BOARD AND FINANCE COMMITTEE BEFORE FILING, WITH ADEQUATE TIME FOR QUESTIONS TO BE ASKED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST PROCESS: - CONFLICT OF INTEREST DISCLOSURE COMPLETED VIA BOARDPAQ (ELECTRONIC MEANS). - RESULTS COMPILED INTO CONFLICT MATRIX WHICH IS REVIEWED AND APPROVED BY THE BOARD. - CONFLICTS THAT MEET THE PECUNIARY BENEFIT CRITERIA ARE IDENTIFIED, SHARED WITH THE BOARD AND APPROVED. - DISCLOSURE NOTICES ARE PLACED IN LOCAL PAPERS. - THE NH DIVISION OF CHARITABLE TRUSTS IS NOTIFIED OF THE PECUNIARY BENEFIT AND COPIES OF THE PUBLIC NOTICES ARE ATTACHED. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE IS A SUBCOMMITTEE OF THE FINANCE COMMITTEE OF THE CORPORATION BOARD. THIS COMMITTEE OVERSEES THE EXECUTIVE COMPENSATION POLICY AND PRACTICES OF THE ORGANIZATION INCLUDING THE CEO, THE AFFILIATE PRESIDENTS, AND THE CEO CABINET WHICH INCLUDES KEY EXECUTIVE POSITIONS FOR THE ORGANIZATION. THE COMPENSATION COMMITTEE ENGAGES WITH AN OUTSIDE CONSULTANT TO DETERMINE COMPENSATION BENCHMARKS AND BEST PRACTICES WHICH GUIDE THE COMPENSATION PROCESSES FOR THESE EXECUTIVE POSITIONS. THE COMPARISON BENCHMARK DATA AND GUIDANCE ARE REVIEWED BY THE COMMITTEE AND RECOMMENDATIONS ARE MADE TO THE CORPORATION BOARD AND AFFILIATE BOARDS. THIS IS DONE ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION HAS IMPLEMENTED ALL POLICIES AND THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST OF BENEFICIAL TRUST 5,350. ANDROSCOGGIN VALLEY HOSPITAL INC 59 PAGE HILL ROAD BERLIN NH 03570 020280367 CRITICAL ACCESS HOSPITAL NH 501(C)(3) LINE 3 NORTH COUNTRY HEALTHCARE INC 1 WEEKS MEDICAL CENTER 173 MIDDLE STREET LANCASTER NH 03584 020222242 CRITICAL ACCESS HOSPITAL NH 501(C)(3) LINE 3 NORTH COUNTRY HEALTHCARE INC 1 UPPER CONNECTICUT VALLEY HOSPITAL 181 CORLISS LANE COLEBROOK NH 03576 020276210 CRITICAL ACCESS HOSPITAL NH 501(C)(3) LINE 3 NORTH COUNTRY HEALTHCARE INC 1 NORTH COUNTRY HEALTHCARE INC 8 CLOVER LANE WHITEFIELD NH 03598 812225283 HEALTHCARE MANAGEMENT NH 501(C)(3) LINE 12A, I N/A 0 NORTHCARE INC 59 PAGE HILL ROAD BERLIN NH 03570 521596952 SUPPORTING SERVICES NH 501(C)(3) LINE 12B, II ANDROSCOGGIN VALLEY HOSPITAL INC 1 ANDROSCOGGIN VALLEY HOSPITAL FOUNDATION 59 PAGE HILL ROAD BERLIN NH 03570 223035216 MANAGEMENT AND FINANCIAL SUPPORT NH 501(C)(3) LINE 12B, II ANDROSCOGGIN VALLEY HOSPITAL INC 1 GREAT NORTHWOODS COMMUNITY FOUNDATION 59 PAGE HILL ROAD BERLIN NH 03570 020452547 HEALTHCARE SERVICES NH 501(C)(3) LINE 12B, II ANDROSCOGGIN VALLEY HOSPITAL INC 1 LANCASTER PATIENT CARE CENTER 173 MIDDLE STREET LANCASTER NH 03584 832130386 SUPPORTING ORGANIZATION NH 501(C)(3) LINE 12A, I WEEKS MEDICAL CENTER 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 WEEKS MEDICAL CENTER M 82926 COST WEEKS MEDICAL CENTER P 79699 COST