2022-11-08T09:59:31-06:00 2021-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2021-01-01 161030802 NORTH COUNTRY FAMILY HEALTH CENTER INC NORT 3157829450 238 ARSENAL STREET WATERTOWN NY 13601 JOEY MARIE HORTON CHIEF EXECUTIVE OFFICER 3157829450 2022-11-08 1 JOEY MARIE HORTON XXX-XX-XXXX BETTINA LIPPHARDT P00956232 3154227109 2022-11-08 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JOEY MARIE HORTON 238 ARSENAL STREET WATERTOWN NY 13601 13001592 0 X HTTP://WWW.NOCOFAMILYHEALTH.ORG/ X 1975 NY TO OPEN THE DOORS TO BETTER HEALTHCARE. WE BELIEVE THAT EVERY INDIVIDUAL IN OUR COMMUNITY DESERVES HIGH-QUALITY, AFFORDABLE HEALTHCARE. 14 14 187 14 0 0 5136683 6486254 5853920 6412731 7211 1136 36436 98455 11034250 12998576 0 0 0 0 7815904 8990758 0 0 4290 3093794 3447662 10909698 12438420 124552 560156 9928996 10695975 3581273 3788096 6347723 6907879 TO IMPROVE THE HEALTH, WELLNESS, AND QUALITY OF LIFE OF ALL INDIVIDUALS IN OUR COMMUNITY BY PROVIDING ACCESSIBLE, HIGH QUALITY, AFFORDABLE, PATIENT-CENTERED AND INTEGRATED HEALTH SERVICES. 0 0 9250283 6473694 HEALTH SERVICES - THE HEALTH CENTER PROVIDES OUTPATIENT AND INPATIENT MEDICAL CARE, DENTAL CARE, AND BEHAVIORAL HEALTH SERVICES TO CHILDREN AND ADULTS. SERVICES INCLUDE PHYSICAL AND DENTAL EXAMS, DIAGNOSIS AND TREATMENT, NEWBORN CARE, PARENTING AND HEALTH EDUCATION FOR ALL AGES, IMMUNIZATIONS, DEVELOPMENTAL SCREENINGS, PSYCHOLOGICAL AND COUNSELING SERVICES, AND REFERRALS TO SPECIALISTS AND FOLLOW-UP AGENCIES. 46,228 VISITS IN 2021. 918969 NUTRITION - THE HEALTH CENTER OPERATES THE WIC PROGRAM THAT PROVIDES NUTRIENT-RICH FOODS, NUTRITION EDUCATION, AND HEALTHY RESOURCES TO "AT RISK" PREGNANT WOMEN, NEW MOTHERS, INFANTS, AND CHILDREN UP TO AGE FIVE. AS A FEDERALLY QUALIFIED HEALTH CENTER, THE AGENCY EMPLOYS A REGISTERED DIETICIAN WHO PROVIDES NUTRITION EDUCATION AND COUNSELING TO PATIENTS WITH CHRONIC ILLNESS. 21,433 VISITS IN 2021. 10169252 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 25 0 1 187 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X ERIN HUNTER 3157829450 238 ARSENAL STREET WATERTOWN NY 13601 BRENDAN DIRRANE DIRECTOR 1.00 X 0 0 0 CHER VANBROCKLIN DIRECTOR 1.00 X 0 0 0 CHRISTIAN TAYLOR DIRECTOR 1.00 X 0 0 0 LINDSAY BALDWIN DIRECTOR 1.00 X 0 0 0 JOANNA LOOMIS DIRECTOR 1.00 X 0 0 0 MAXINE BRIGGS DIRECTOR 1.00 X 0 0 0 SARAH MILETTA DIRECTOR 1.00 X 0 0 0 EILEEN SNYDER PRESIDENT 1.00 X X 0 0 0 LYNNE FERRIS DIRECTOR 1.00 X 0 0 0 MARK GAINES SECRETARY 1.00 X X 0 0 0 JORDAN JONES TREASURER 1.00 X X 0 0 0 LESLIE DISTEFANO VICE PRESIDENT 1.00 X X 0 0 0 JESSE ROSHIA DIRECTOR 1.00 X 0 0 0 JAMES REDMORE DIRECTOR 1.00 X 0 0 0 JOEY MARIE HORTON CHIEF EXECUTIVE OFFICER 40.00 X 127405 0 17829 ERIN HUNTER CHIEF FINANCIAL OFFICER 40.00 X 95247 0 3023 MARIA DILLE DENTIST 40.00 1.00 X 175150 0 11121 MANOJ JAIN DENTIST 40.00 1.00 X 185621 0 15720 BETH ANN JAYNE PHYSICIAN 40.00 1.00 X 269421 0 5729 DIANE JONES PEDIATRICIAN 40.00 1.00 X 282481 0 3284 SCOTT STERN PHYSICIAN 40.00 1.00 X 277763 0 16487 1413088 0 73193 6 0 1 0 NORTHERN TIER CONSTRUCTION INC 329A SCOTCH SETTLEMENT ROAD GOUVERNEUR NY 13642 CONSTRUCTION 205334 ABW MEDICAL LLC 237 A STREET SAN DIEGO CA 92101 MEDICAL BILLING 169000 ENI MECHANICAL INC 39 S GORDON STREET GOUVERNEUR NY 13642 HVAC SYSTEM SERVICES 164689 VISUALUTIONS 7440 MINTWOOD LANE SPRING TX 77379 HOSTING SERVICES & IT SUPPORT 145428 COMPREHENSIVE MEDICINE PLLC 105 DUFFIELD ROAD ROCHESTER NY 14618 BEHAVIORAL HEALTH TELEMEDICINE 122000 6 6350718 135536 6486254 MEDICAID AND MEDICARE 624100 3832281 3832281 THIRD PARTY PAYORS AND SELF-PAY 621300 1736268 1736268 INCENTIVE INCOME 621990 328537 328537 340B INCOME 621990 282121 282121 SAFETY NET REVENUE 621990 233524 233524 6412731 1136 1136 40508 3016 37492 37492 MISCELLANEOUS 999999 60963 60963 60963 12998576 6473694 0 38628 243506 243506 7491267 6296891 1194376 118941 104387 14554 507317 423430 83887 629727 520736 108991 8173 8173 261592 186932 74660 416719 337216 79503 63468 22029 41439 675792 496265 177560 1967 118577 97854 20723 261400 252967 8433 99567 24318 74809 440 33868 9179 23305 1384 19383 13283 6100 446627 401490 45137 45752 41158 4594 PROGRAM SUPPLIES 613039 611156 1883 REPAIRS AND MAINTENANCE 210354 161801 48553 PROVISION FOR DOUBTFUL 141325 141325 MISCELLANEOUS 32026 26835 4692 499 12438420 10169252 2264878 4290 4724250 4656397 972001 964089 552618 1159678 149665 155735 7234090 3474014 3530462 3760076 9928996 10695975 1260628 1493261 3789 323856 600350 478098 1542044 1492881 174462 0 3581273 3788096 X 6347723 6907879 6347723 6907879 9928996 10695975 560156 0 X 0 1 X 1 1 1 X 4418715 4867595 4586889 5136683 6526762 25536644 4722534 5086355 5952083 5890356 6473694 28125022 9141249 9953950 10538972 11027039 13000456 53661666 0 0 0 53661666 966 10993 41459 7211 1136 61765 966 10993 41459 7211 1136 61765 30563 44915 47417 122895 9172778 10009858 10627848 11034250 13001592 53846326 0.99660 0.99590 0.00110 0.00120 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 40000 40000 4251884 1716299 2535585 701589 183593 517996 2125664 1574122 551542 114953 114953 3760076 15570234 2568642 2568642 13001592 -3016 -3016 12998576 15010078 2568642 2568642 12441436 -3016 -3016 12438420 PART XI, LINE 2D - OTHER ADJUSTMENTS: WIC FOOD VOUCHERS REDEEMED 2,568,642. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE -3,016. PART XII, LINE 2D - OTHER ADJUSTMENTS: WIC FOOD VOUCHERS REDEEMED 2,568,642. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE -3,016. A NIGHT AT THE RIVER 40508 40508 3016 40508 40508 3016 3016 37492 X X X 0 0 0 0 0 0 0 0 0 SCOTT STERN PHYSICIAN 277763 0 0 0 0 0 2864 0 13623 0 294250 0 0 0 DIANE JONES PEDIATRICIAN 282481 0 0 0 0 0 3230 0 54 0 285765 0 0 0 BETH ANN JAYNE PHYSICIAN 269421 0 0 0 0 0 0 0 5729 0 275150 0 0 0 MANOJ JAIN DENTIST 185621 0 0 0 0 0 5830 0 9890 0 201341 0 0 0 MARIA DILLE DENTIST 175150 0 0 0 0 0 5392 0 5729 0 186271 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE AUDIT/FINANCE COMMITTEE FOR REVIEW. ONCE THE FORM 990 IS REVIEWED AND APPROVED BY THE COMMITTEE, IT IS MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEWS THE CHIEF EXECUTIVE OFFICER'S PERFORMANCE, REVIEWS COMPARABLE SALARY DATA AND DECIDES ON APPROPRIATE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST.