Civic Intelligence

North Country Family Health Center Inc

EIN 16-1030802 • 501(c)3 • Watertown, NY

View Organization Page

Profile

To improve the health, wellness, and quality of life of individuals in our community by providing accessible, high quality, affordable, patient-centered and integrated health services.

238 Arsenal StreetWatertown, NY 13601

www.nocofamilyhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

57th percentile

0.42x

Higher debt load relative to assets than 57% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

54th percentile

0.31x

Higher debt load relative to revenue than 54% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Source year 2024

Net Margin

23rd percentile

-15%

Higher net margin than 23% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

46th percentile

$320,408

Higher top officer pay than 46% of similar nonprofits.

Top officer pay equals 2.1% of source-year revenue.

NTEE E • $10M-$25M nonprofits • Source year 2024

Asset Growth

14th percentile

-12%

Faster asset growth than 14% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

48th percentile

5.9%

Faster revenue growth than 48% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets57th percentile

Assets

Down

$11,406,016

Down $1,495,548 (-12%) from 2023

Liabilities

Up

$4,846,443

Up $942,055 (+24%) from 2023

Net Assets

Down

$6,559,573

Down $2,437,603 (-27%) from 2023

Operations
Liabilities / Revenue54th percentileNet Margin23rd percentile

Revenue

Up

$15,602,726

Up $872,443 (+5.9%) from 2023

Expenses

Up

$17,998,190

Up $3,363,773 (+23%) from 2023

Net Income

Down

-$2,395,464

Down $2,491,330 (-2599%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth14th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0Assets 2010: $3,663,408Liabilities 2010: $2,279,896Net Assets 2010: $1,383,5122010Assets 2011: $3,601,787Liabilities 2011: $2,514,957Net Assets 2011: $1,086,8302011Assets 2012: $3,603,267Liabilities 2012: $2,290,134Net Assets 2012: $1,313,1332012Assets 2013: $4,278,541Liabilities 2013: $2,959,620Net Assets 2013: $1,318,9212013Assets 2014: $3,974,142Liabilities 2014: $2,467,145Net Assets 2014: $1,506,9972014Assets 2015: $4,495,988Liabilities 2015: $2,018,382Net Assets 2015: $2,477,6062015Assets 2016: $5,505,944Liabilities 2016: $1,740,130Net Assets 2016: $3,765,8142016Assets 2017: $6,468,101Liabilities 2017: $1,582,027Net Assets 2017: $4,886,0742017Assets 2018: $7,436,586Liabilities 2018: $1,431,111Net Assets 2018: $6,005,4752018Assets 2019: $8,031,000Liabilities 2019: $1,807,829Net Assets 2019: $6,223,1712019Assets 2020: $9,928,996Liabilities 2020: $3,581,273Net Assets 2020: $6,347,7232020Assets 2021: $10,695,975Liabilities 2021: $3,788,096Net Assets 2021: $6,907,8792021Assets 2022: $13,702,468Liabilities 2022: $4,848,950Net Assets 2022: $8,853,5182022Assets 2023: $12,901,564Liabilities 2023: $3,904,388Net Assets 2023: $8,997,1762023Assets 2024: $11,406,016Liabilities 2024: $4,846,443Net Assets 2024: $6,559,5732024

Highlighted filing

2024

Assets$11,406,016
Liabilities$4,846,443
Net Assets$6,559,573
Open 2024 Filing

Operations Trend

Revenue Growth48th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$20M$10M$0-$10MExpenses 2010: $6,603,3062010Expenses 2011: $6,279,6192011Expenses 2012: $6,291,4182012Revenue 2013: $7,022,722Expenses 2013: $7,016,934Net Income 2013: $5,7882013Revenue 2014: $6,700,595Expenses 2014: $6,512,519Net Income 2014: $188,0762014Revenue 2015: $7,964,040Expenses 2015: $6,993,431Net Income 2015: $970,6092015Revenue 2016: $8,441,494Expenses 2016: $7,153,286Net Income 2016: $1,288,2082016Revenue 2017: $9,172,388Expenses 2017: $8,052,128Net Income 2017: $1,120,2602017Revenue 2018: $10,009,571Expenses 2018: $8,890,170Net Income 2018: $1,119,4012018Revenue 2019: $10,627,882Expenses 2019: $10,410,186Net Income 2019: $217,6962019Revenue 2020: $11,034,250Expenses 2020: $10,909,698Net Income 2020: $124,5522020Revenue 2021: $12,998,576Expenses 2021: $12,438,420Net Income 2021: $560,1562021Revenue 2022: $16,613,054Expenses 2022: $14,674,155Net Income 2022: $1,938,8992022Revenue 2023: $14,730,283Expenses 2023: $14,634,417Net Income 2023: $95,8662023Revenue 2024: $15,602,726Expenses 2024: $17,998,190Net Income 2024: -$2,395,4642024

Highlighted filing

2024

Revenue$15,602,726
Expenses$17,998,190
Net Income-$2,395,464
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$11,406,016
Liabilities
$4,846,443
Net assets
$6,559,573
Revenue
$15,602,726
Expenses
$17,998,190
Net income
-$2,395,464
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.4$4.85$6.56$15.6$18.0$2.40
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.9$3.90$9.00$14.7$14.6$0.10
2022Detailed filing. Detailed filing data is available for this year.$13.7$4.85$8.85$16.6$14.7$1.94
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.7$3.79$6.91$13.0$12.4$0.56
2020Detailed filing. Detailed filing data is available for this year.$9.93$3.58$6.35$11.0$10.9$0.12
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.03$1.81$6.22$10.6$10.4$0.22
2018Detailed filing. Detailed filing data is available for this year.$7.44$1.43$6.01$10.0$8.89$1.12
2017Detailed filing. Detailed filing data is available for this year.$6.47$1.58$4.89$9.17$8.05$1.12
2016Detailed filing. Detailed filing data is available for this year.$5.51$1.74$3.77$8.44$7.15$1.29
2015Detailed filing. Detailed filing data is available for this year.$4.50$2.02$2.48$7.96$6.99$0.97
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.97$2.47$1.51$6.70$6.51$0.19
2013Summary only. Only limited summary data is available for this year.$4.28$2.96$1.32$7.02$7.02$0.01
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.60$2.29$1.31$6.29
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.60$2.51$1.09$6.28
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.66$2.28$1.38$6.60
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.2
Gross Receipts
$17,490,861
Mission and Program Overview

Mission

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.

To open the doors to better healthcare. We believe that every individual in our community deserves high-quality, affordable healthcare.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$5,055,660$5,070,513▲ $14,853
Investments Other Securities$2,951,638$2,574,913▼ $376,725
Accounts Receivable$612,963$1,439,089▲ $826,126
Pledges and Grants Receivable$2,275,606$952,580▼ $1,323,026
Cash and Non-Interest-Bearing Accounts$1,258,963$470,074▼ $788,889
Prepaid Expenses and Deferred Charges$332,408$282,840▼ $49,568
Total Assets$12,901,564$11,406,016▼ $1,495,548
Other Assets Total$414,326$616,007▲ $201,681
Liabilities
Mortgage Notes Payable Secured by Investment Property$1,952,541$1,852,196▼ $100,345
Accounts Payable and Accrued Expenses$1,489,153$1,404,236▼ $84,917
Unsecured Notes Loans Payable$43,150$968,154▲ $925,004
Other Liabilities$419,544$621,857▲ $202,313
Total Liabilities$3,904,388$4,846,443▲ $942,055
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$8,997,176$6,559,573▼ $2,437,603
Total Net Assets Fund Balance$8,997,176$6,559,573▼ $2,437,603
Total Liabilities and Net Assets / Fund Balance$12,901,564$11,406,016▼ $1,495,548

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,448,933$2,212,615$6,661,548
Equipment$160,294$1,939,624$2,099,918
Leasehold Improvements$118,281$583,308$701,589
Other Land Buildings$303,005-$303,005
Land$40,000-$40,000
Other Assets Org$616,007--
Other Securities$2,574,913--
Compensation and Service Providers
Top Officer Pay46th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Scott SternPhysicianFT$311,129$9,279$320,408
Diane JonesPediatricianFT$309,478$9,344$318,822
Steven LyndakerPhysicianFT$281,022$16,248$297,270
Beth Ann JaynePhysicianPT$242,001$21,126$263,127
Jackie LamDentistFT$228,483$6,945$235,428
Joey Marie HortonChief Executive OfficerFT$190,373$13,172$203,545
Erin HunterChief Financial OfficerFT$90,656$3,503$94,159

Board Members and Trustees

NameTitle
Mark GainesImmediate Past President
Leslie DistefanoPresident
Lindsay BaldwinVice President
Ashley WaiteDirector
Cher VanbrocklinDirector
Daniel DupeeDirector
Dr Shikhar VyasDirector
Jan MacaulayDirector
Jeffery HellingerDirector
Jeffrey GingerDirector
Lynn PietroskiDirector
Mark TaylorDirector
Maxine BriggsDirector
Nancy RuettenDirector
Lynn PietroskiSecretary
William CouchTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$3,901,147
Program Service Revenue
$11,408,698
Investment Income
$210,762
Other Revenue
$82,119
All Other Contributions
$59,857
Change in Net Assets
$-2,395,464

Audited Revenue Reconciliation

Revenue per Audited Statements
$15,626,827
Revenue Not Reported on Financial Statements
$-24,101
Revenue Not Reported on Form 990
$3,160,552
Other Revenue Adjustments
$-24,101
Total Revenue per Audited Statements
$18,787,379
Total Revenue per Form 990
$15,602,726
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$13,302,886
Other Expenses$4,695,304
Total Fundraising Expense$584
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$9,333,924$1,496,804-$10,830,728
Other Employee Benefits$858,956$200,534-$1,059,490
Payroll Taxes$783,101$122,593-$905,694
Office Expenses$722,482$98,141-$820,623
Occupancy$454,007$7,807-$461,814
Fees for Services Accounting$318,819$106,202-$425,021
Depreciation Depletion$300,876$80,473-$381,349
Current Officers, Directors, Trustees, and Key Employees-$297,703-$297,703
Fees for Services Other$210,310$74,908-$285,218
Pension Plan Contributions$187,876$21,395-$209,271
Insurance$161,042$9,616-$170,658
Information Technology$51,364$97,519-$148,883
Interest$8,735$88,553-$97,288
Travel$56,153$29,689-$85,842
Advertising$27,098$35,474-$62,572
Other Expenses$30,637$16,316$584$47,537
Conferences and Meetings$29,983$12,027-$42,010
Fees for Services Legal$2,965$3,281-$6,246
Total Functional Expenses$15,105,017$2,892,589$584$17,998,190

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$21,224,982
Expenses per Audited Statements$17,998,190
Total Expenses per Form 990$17,998,190
Expenses Not Reported on Form 990$3,226,792
Expenses Not Reported on Financial Statements$0
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$24,101
Fundraising Gross Income$24,101
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
A Night at the River$112,335$24,101-$24,101
Total Events$112,335$24,101$24,101$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liabilities$621,857
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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.”

Filing and Contact Details

Filer

Filer Name
North Country Family Health Center Inc
EIN
16-1030802
Phone
3157829450
Address
238 ARSENAL STREET, WATERTOWN, NY 13601

Signing Officer

Name
Joey Marie Horton
Title
Chief Executive Officer
Phone
3157829450
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Joey Marie Horton
Formed
1975
Legal Domicile
Ny
Voting Board Members
14
Independent Board Members
14
Employees
206
Volunteers
14

Preparer

Firm
Bonadio & Co Llp
Address
432 NORTH FRANKLIN STREET, SYRACUSE, NY 13204
Preparer
Benjamin Novak
Phone
3154227109
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

“There has been no change in the oversight process.”

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Wic food vouchers redeemed 3,202,691.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Fundraising expense -24,101.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Wic food vouchers redeemed 3,202,691. Fundraising expense 24,101.”

Raw XML AppendixShowing 400 of 745 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0TO OPEN THE DOORS TO BETTER HEALTHCARE. WE BELIEVE THAT EVERY INDIVIDUAL IN OUR COMMUNITY DESERVES HIGH-QUALITY, AFFORDABLE HEALTHCARE.
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IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
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IRS990/ProgramServiceRevenueGrp/Desc0MEDICAID AND MEDICARE
IRS990/ProgramServiceRevenueGrp/Desc1THIRD PARTY PAYORS AND SELF-PAY
IRS990/ProgramServiceRevenueGrp/Desc2INCENTIVE INCOME
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IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt2642935
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt2642935
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt3522439

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