Civic Intelligence

Northern Counties Health Care Inc

EIN 51-0199559 • 501(c)3 • St Johnsbury, VT

Profile

We believe that quality health care is a basic human right which must be accesible and affordable. We believe that programs must be coordinated with other human services and planned so that care is continuous throughout the system of health care and is provided in the most cost-effective way possible.In carrying out our beliefs, we will provide preventive, primary care, home-based, and hospice services. It is our intention to treat people at all times with respect and dignity, and primary emphasis placed on communication, education, and confidentiality.

165 Sherman DriveSt Johnsbury, VT 05819

www.nchcvt.org

Siviq Scores

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

Liabilities / Assets

29th percentile

0.06x

Higher debt load relative to assets than 29% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Liabilities / Revenue

15th percentile

0.05x

Higher debt load relative to revenue than 15% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Net Margin

29th percentile

-1.7%

Higher net margin than 29% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Top Officer Pay

43rd percentile

$234,669

Higher top officer pay than 43% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Asset Growth

16th percentile

-4.3%

Faster asset growth than 16% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Revenue Growth

39th percentile

3.3%

Faster revenue growth than 39% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Assets

Down

$28,856,158

Down $1,300,065 (-4.3%) from 2024

Liabilities

Down

$1,795,220

Down $796,710 (-31%) from 2024

Net Assets

Down

$27,060,938

Down $503,355 (-1.8%) from 2024

Revenue

Up

$35,566,335

Up $1,122,613 (+3.3%) from 2024

Expenses

Up

$36,162,209

Up $2,125,770 (+6.2%) from 2024

Net Income

Down

-$595,874

Down $1,003,157 (-246%) from 2024

Trend Graphs

Balance Sheet Trend

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

$40M$30M$20M$10M$0Assets 2011: $11,436,996Liabilities 2011: $3,554,050Net Assets 2011: $7,882,9462011Assets 2012: $11,564,258Liabilities 2012: $3,283,495Net Assets 2012: $8,280,7632012Assets 2013: $13,441,396Liabilities 2013: $4,332,189Net Assets 2013: $9,109,2072013Assets 2014: $13,392,934Liabilities 2014: $2,931,372Net Assets 2014: $10,461,5622014Assets 2015: $13,301,887Liabilities 2015: $2,964,090Net Assets 2015: $10,337,7972015Assets 2016: $13,511,476Liabilities 2016: $3,221,721Net Assets 2016: $10,289,7552016Assets 2017: $15,039,707Liabilities 2017: $3,098,661Net Assets 2017: $11,941,0462017Assets 2018: $15,912,445Liabilities 2018: $2,884,947Net Assets 2018: $13,027,4982018Assets 2019: $16,811,978Liabilities 2019: $2,522,736Net Assets 2019: $14,289,2422019Assets 2020: $17,267,497Liabilities 2020: $2,354,680Net Assets 2020: $14,912,8172020Assets 2021: $26,172,620Liabilities 2021: $7,035,526Net Assets 2021: $19,137,0942021Assets 2022: $28,204,455Liabilities 2022: $2,920,317Net Assets 2022: $25,284,1382022Assets 2023: $29,350,943Liabilities 2023: $2,584,530Net Assets 2023: $26,766,4132023Assets 2024: $30,156,223Liabilities 2024: $2,591,930Net Assets 2024: $27,564,2932024Assets 2025: $28,856,158Liabilities 2025: $1,795,220Net Assets 2025: $27,060,9382025

Highlighted filing

2025

Assets$28,856,158
Liabilities$1,795,220
Net Assets$27,060,938

Operations Trend

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

$40M$30M$20M$10M$0-$10MExpenses 2011: $16,439,1092011Expenses 2012: $15,976,1092012Expenses 2013: $15,837,5812013Revenue 2014: $18,724,550Expenses 2014: $17,372,195Net Income 2014: $1,352,3552014Revenue 2015: $19,714,922Expenses 2015: $19,838,687Net Income 2015: -$123,7652015Revenue 2016: $21,296,537Expenses 2016: $21,344,579Net Income 2016: -$48,0422016Revenue 2017: $23,851,947Expenses 2017: $22,200,656Net Income 2017: $1,651,2912017Revenue 2018: $24,567,672Expenses 2018: $23,481,220Net Income 2018: $1,086,4522018Revenue 2019: $26,979,484Expenses 2019: $25,717,740Net Income 2019: $1,261,7442019Revenue 2020: $28,095,734Expenses 2020: $27,164,809Net Income 2020: $930,9252020Revenue 2021: $31,068,164Expenses 2021: $27,460,103Net Income 2021: $3,608,0612021Revenue 2022: $36,751,074Expenses 2022: $30,475,828Net Income 2022: $6,275,2462022Revenue 2023: $35,047,369Expenses 2023: $33,151,464Net Income 2023: $1,895,9052023Revenue 2024: $34,443,722Expenses 2024: $34,036,439Net Income 2024: $407,2832024Revenue 2025: $35,566,335Expenses 2025: $36,162,209Net Income 2025: -$595,8742025

Highlighted filing

2025

Revenue$35,566,335
Expenses$36,162,209
Net Income-$595,874

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$28.9$1.80$27.1$35.6$36.2$0.60
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$30.2$2.59$27.6$34.4$34.0$0.41
2023Facts available. Structured filing facts are available, but richer extracted sections are limited.$29.4$2.58$26.8$35.0$33.2$1.90
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$28.2$2.92$25.3$36.8$30.5$6.28
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$26.2$7.04$19.1$31.1$27.5$3.61
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.3$2.35$14.9$28.1$27.2$0.93
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.8$2.52$14.3$27.0$25.7$1.26
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.9$2.88$13.0$24.6$23.5$1.09
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.0$3.10$11.9$23.9$22.2$1.65
2016Detailed filing. Detailed filing data is available for this year.$13.5$3.22$10.3$21.3$21.3$0.05
2015Detailed filing. Detailed filing data is available for this year.$13.3$2.96$10.3$19.7$19.8$0.12
2014Detailed filing. Detailed filing data is available for this year.$13.4$2.93$10.5$18.7$17.4$1.35
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.4$4.33$9.11$15.8
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.6$3.28$8.28$16.0
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.4$3.55$7.88$16.4
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Apr 1, 2024 to Mar 31, 2025
Signed
Aug 11, 2025
Return Version
2024v5.2
Gross Receipts
$37,048,337
Mission and Program Overview

Mission

Mission: To provide high-quality, accessible, patient-centered health care. Vision: NCHC is a key partner in building healthy families and thriving communities. Values:We pursue quality in all that we do and are committed to: Mutual Respect and Trust - working together and providing care that respects every individual's dignity, privacy, and culture. Excellence -- investing in our most valuable asset, our employees, is crucial to delivering high quality care. Teamwork and Collaboration -- working within NCHC and with community partners to provide a continuum of health care and social support. Stewardship and Spirit of Service - serving our communities with integrity and intention in all our interactions. Resilience - approaching every challenge as an opportunity to pursue creative solutions, achieve financial sustainability, and deepen our resolve.

To provide high-quality, accessible, patient-centered health care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$15,219,389$15,099,036▼ $120,353
Land, Buildings, and Equipment, Net$6,753,076$6,403,062▼ $350,014
Accounts Receivable$3,927,100$2,754,477▼ $1,172,623
Pledges and Grants Receivable$612,590$1,110,054▲ $497,464
Prepaid Expenses and Deferred Charges$203,841$266,970▲ $63,129
Investments in Publicly Traded Securities$66,576$74,039▲ $7,463
Inventories for Sale or Use$43,456$46,660▲ $3,204
Cash and Non-Interest-Bearing Accounts$1,910$1,910→ $0
Total Assets$30,156,223$28,856,158▼ $1,300,065
Other Assets Total$3,328,285$3,099,950▼ $228,335
Liabilities
Accounts Payable and Accrued Expenses$2,591,930$1,795,220▼ $796,710
Total Liabilities$2,591,930$1,795,220▼ $796,710
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$27,551,614$27,048,259▼ $503,355
Net Assets With Donor Restrictions$12,679$12,679→ $0
Total Net Assets Fund Balance$27,564,293$27,060,938▼ $503,355
Total Liabilities and Net Assets / Fund Balance$30,156,223$28,856,158▼ $1,300,065

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,298,929$5,668,351$9,967,280
Equipment$1,415,045$2,595,114$4,010,159
Land$474,709-$474,709
Leasehold Improvements$214,379$21,062$235,441
Other Assets Org$3,099,950--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$12,679---$12,679
2023$12,679---$12,679
2022$12,679---$12,679
2021$12,679---$12,679
2020$12,679---$12,679
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sarah MorganPhysicianFT$207,450$27,219$234,669
Jay DegePhysicianFT$213,780$17,093$230,873
Michael CostaPast Chief Executive OfficerFT$199,646$28,037$227,683
Robert PrimeauPhysicianFT$202,101$12,541$214,642
Adrienne RulonDentistFT$182,496$24,572$207,068
Emily OlesonPhysicianFT$192,033$14,619$206,652
Christopher TowneChief Executive OfficerFT$149,494$37,320$186,814
Angela NeilChief Financial OfficerFT$159,825$18,120$177,945

Board Members and Trustees

NameTitle
Louisa DriscollPresident
Adrienne HutchinVice President
Brian CussimanioBoard Member
Buffie HegartyBoard Member
Justin Barton-CaplinBoard Member
Laura NewellBoard Member
Maryellen GriffinBoard Member
Otto WurzburgBoard Member
Rita LafferriereBoard Member
Sheri-Lee RyanBoard Member
Stacey HendersonBoard Member
Sung Hee ChungSecretary
Sarah GallowayTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
ChanSoftware Support11655 Miro Cir, San Diego, CA 92131$337,420
Core Medical GroupContract Staff655 S Willow St Ste 128, Manchester, NH 03103$307,877
Graves BuildersContractorPO Box 128, Barnet, VT 05821$228,297
Homecare HomebaseSoftwarePO Box 222243, Dallas, TX 75222-2243$201,142
BerryDunnAuditors2211 Congress Street, Portland, ME 04102$145,820
Revenue and Support

Revenue Composition

Contributions and Grants
$5,686,499
Program Service Revenue
$29,162,964
Investment Income
$713,578
Other Revenue
$3,294
All Other Contributions
$791,121
Change in Net Assets
$-595,874

Audited Revenue Reconciliation

Revenue per Audited Statements
$35,566,335
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$92,519
Total Revenue per Audited Statements
$35,658,854
Total Revenue per Form 990
$35,566,335
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$26,188,885
Other Expenses$9,917,614
Grants and Similar Amounts Paid$55,710
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$18,624,052$1,022,084-$19,646,136
Other Employee Benefits$3,309,722$568,913-$3,878,635
Payroll Taxes$1,244,778$222,463-$1,467,241
Fees for Services Other$1,174,137$120,148-$1,294,285
Information Technology$923,755$293,799-$1,217,554
Depreciation Depletion$755,989$68,901-$824,890
Occupancy$580,604$95,516-$676,120
Pension Plan Contributions$532,184$72,247-$604,431
Current Officers, Directors, Trustees, and Key Employees-$592,442-$592,442
Travel$343,764$109,332-$453,096
Office Expenses$243,353$77,402-$320,755
Fees for Services Legal-$119,501-$119,501
Other Expenses$84,153$26,764-$110,917
Insurance$85,100$20,644-$105,744
Fees for Services Accounting-$92,450-$92,450
Advertising$51,137$16,263-$67,400
Grants to Domestic Individuals$30,953--$30,953
Grants to Domestic Orgs$24,757--$24,757
Interest$619$99-$718
Total Functional Expenses$32,533,794$3,628,415$0$36,162,209

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$36,162,209
Total Expenses per Audited Statements$36,162,209
Total Expenses per Form 990$36,162,209
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Catamount ArtsSt Johnsbury, VT501(c)(3)Program Support$10,000
Journey to Recovery Community CenterNewport, VT501(c)(3)Facilitator$7,767
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$8,300
Fundraising Direct Expenses$5,006
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
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
No
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

Form 990 is sent to all Board members prior to filing.

Form 990, Part VI, Section B, line 12C

At the end of each fiscal year each Director completes a questionnaire to report on conflicts of interest.

Form 990, Part VI, Section B, line 15A

The Executive Director's compensation is established and approved by the Organization's governing board. The Board of Directors establishes this salary based on salary surveys completed within Northern Counties' market. The Executive Director is salaried similar to other employees and is not a contracted employee.

Form 990, Part VI, Section C, line 19

Upon request.

Filing and Contact Details

Filer

Filer Name
Northern Counties Health Care Inc
EIN
51-0199559
Phone
8027489405
Address
165 Sherman Drive, St Johnsbury, VT 05819

Signing Officer

Name
Christopher Towne
Title
Chief Executive Officer
Phone
8027489405
Signed
2025-08-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Christopher Towne
Formed
1976
Legal Domicile
Vt
Voting Board Members
13
Independent Board Members
13
Employees
378
Volunteers
18

Preparer

Firm
Berry Dunn McNeil & Parker LLC
Address
1000 Elm Street 4th Floor, Manchester, NH 03101
Preparer
Melissa Magoon CPA
Phone
6036697337
Supplemental Narrative

Additional Explanations

Form 990, Part X, Line 10: Land, Buildings, and Equipment:

Section 1.263(a)-3(n) Election: Northern Counties Health Care, Inc. 165 Sherman Drive St. Johnsbury, VT 05819 EIN: 51-0199559 Northern Counties Health Care, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).

Financial Statement Notes

Part V, Line 4:

Income used for operations.

Part X, Line 2:

The Organization is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Organization is exempt from state and federal income taxes on income earned in accordance with its tax-exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Organization's tax positions and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.

Raw XML AppendixShowing 400 of 819 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.

Path#Value
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IRS990/Form990PartVIISectionAGrp/PersonNm0Louisa Driscoll
IRS990/Form990PartVIISectionAGrp/PersonNm1Adrienne Hutchin
IRS990/Form990PartVIISectionAGrp/PersonNm2Sarah Galloway
IRS990/Form990PartVIISectionAGrp/PersonNm3Sung Hee Chung
IRS990/Form990PartVIISectionAGrp/PersonNm4Rita Lafferriere
IRS990/Form990PartVIISectionAGrp/PersonNm5Stacey Henderson
IRS990/Form990PartVIISectionAGrp/PersonNm6Buffie Hegarty
IRS990/Form990PartVIISectionAGrp/PersonNm7Otto Wurzburg
IRS990/Form990PartVIISectionAGrp/PersonNm8Brian Cussimanio
IRS990/Form990PartVIISectionAGrp/PersonNm9Laura Newell
IRS990/Form990PartVIISectionAGrp/PersonNm10Maryellen Griffin
IRS990/Form990PartVIISectionAGrp/PersonNm11Sheri-Lee Ryan
IRS990/Form990PartVIISectionAGrp/PersonNm12Justin Barton-Caplin
IRS990/Form990PartVIISectionAGrp/PersonNm13Michael Costa
IRS990/Form990PartVIISectionAGrp/PersonNm14Christopher Towne
IRS990/Form990PartVIISectionAGrp/PersonNm15Angela Neil
IRS990/Form990PartVIISectionAGrp/PersonNm16Sarah Morgan
IRS990/Form990PartVIISectionAGrp/PersonNm17Jay Dege
IRS990/Form990PartVIISectionAGrp/PersonNm18Robert Primeau
IRS990/Form990PartVIISectionAGrp/PersonNm19Emily Oleson
IRS990/Form990PartVIISectionAGrp/PersonNm20Adrienne Rulon
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IRS990/Form990PartVIISectionAGrp/TitleTxt0President
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt2Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt3Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt4Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt5Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt7Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt8Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt9Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt10Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt11Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt12Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt13Past Chief Executive Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt14Chief Executive Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt15Chief Financial Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt16Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt17Physician
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IRS990/MissionDesc0Mission: To provide high-quality, accessible, patient-centered health care. Vision: NCHC is a key partner in building healthy families and thriving communities. Values: We pursue quality in all that we do and are committed to: Mutual Respect and Trust - working together and providing care that respects every individual's dignity, privacy, and culture. Excellence -- investing in our most valuable asset, our employees, is crucial to delivering high quality care. Teamwork and Collaboration -- working within NCHC and with community partners to provide a continuum of health care and social support. Stewardship and Spirit of Service - serving our communities with integrity and intention in all our interactions. Resilience - approaching every challenge as an opportunity to pursue creative solutions, achieve financial sustainability, and deepen our resolve.
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IRS990/PrincipalOfficerNm0Christopher Towne
IRS990/ProfessionalFundraisingInd00

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