Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
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.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
Liabilities / Revenue
15th percentile
Higher debt load relative to revenue than 15% of similar nonprofits.
Net Margin
29th percentile
Higher net margin than 29% of similar nonprofits.
Top Officer Pay
43rd percentile
Higher top officer pay than 43% of similar nonprofits.
Top officer pay equals 0.7% of source-year revenue.
Asset Growth
16th percentile
Faster asset growth than 16% of similar nonprofits.
Revenue Growth
39th percentile
Faster revenue growth than 39% of similar nonprofits.
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
Most recent year
2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
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.
| Line | Beginning | End | Change |
|---|---|---|---|
| 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 | Book Value | Depreciation | Basis |
|---|---|---|---|
| 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 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 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 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Sarah Morgan | Physician | FT | $207,450 | $27,219 | $234,669 |
| Jay Dege | Physician | FT | $213,780 | $17,093 | $230,873 |
| Michael Costa | Past Chief Executive Officer | FT | $199,646 | $28,037 | $227,683 |
| Robert Primeau | Physician | FT | $202,101 | $12,541 | $214,642 |
| Adrienne Rulon | Dentist | FT | $182,496 | $24,572 | $207,068 |
| Emily Oleson | Physician | FT | $192,033 | $14,619 | $206,652 |
| Christopher Towne | Chief Executive Officer | FT | $149,494 | $37,320 | $186,814 |
| Angela Neil | Chief Financial Officer | FT | $159,825 | $18,120 | $177,945 |
| Name | Title |
|---|---|
| Louisa Driscoll | President |
| Adrienne Hutchin | Vice President |
| Brian Cussimanio | Board Member |
| Buffie Hegarty | Board Member |
| Justin Barton-Caplin | Board Member |
| Laura Newell | Board Member |
| Maryellen Griffin | Board Member |
| Otto Wurzburg | Board Member |
| Rita Lafferriere | Board Member |
| Sheri-Lee Ryan | Board Member |
| Stacey Henderson | Board Member |
| Sung Hee Chung | Secretary |
| Sarah Galloway | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Chan | Software Support | 11655 Miro Cir, San Diego, CA 92131 | $337,420 |
| Core Medical Group | Contract Staff | 655 S Willow St Ste 128, Manchester, NH 03103 | $307,877 |
| Graves Builders | Contractor | PO Box 128, Barnet, VT 05821 | $228,297 |
| Homecare Homebase | Software | PO Box 222243, Dallas, TX 75222-2243 | $201,142 |
| BerryDunn | Auditors | 2211 Congress Street, Portland, ME 04102 | $145,820 |
| Line Item | Amount |
|---|---|
| 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 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| 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 |
| Line Item | Amount |
|---|---|
| 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 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Catamount Arts | St Johnsbury, VT | 501(c)(3) | Program Support | $10,000 |
| Journey to Recovery Community Center | Newport, VT | 501(c)(3) | Facilitator | $7,767 |
| Line Item | Amount |
|---|---|
| Fundraising Gross Income | $8,300 |
| Fundraising Direct Expenses | $5,006 |
| Professional Fundraising Fees | $0 |
“Form 990 is sent to all Board members prior to filing.”
“At the end of each fiscal year each Director completes a questionnaire to report on conflicts of interest.”
“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.”
“Upon request.”
“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).”
“Income used for operations.”
“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.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 2591930 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1795220 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 3927100 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2754477 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | To provide high-quality, accessible, patient-centered health care. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 16263 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 51137 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 67400 |
| IRS990/AllOtherContributionsAmt | 0 | 791121 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Angela Neil |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8027489405 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 165 Sherman Drive |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | St Johnsbury |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | VT |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 05819 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1910 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1910 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 7 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 592442 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 592442 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 337420 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 307877 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 228297 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 201142 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 145820 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 11655 Miro Cir |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 655 S Willow St Ste 128 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO Box 128 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO Box 222243 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 2211 Congress Street |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | San Diego |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Manchester |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Barnet |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Dallas |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Portland |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | VT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | ME |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 92131 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 03103 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 05821 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 752222243 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 04102 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | CHAN |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Core Medical Group |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Graves Builders |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Homecare Homebase |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | BerryDunn |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Software Support |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Contract Staff |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Contractor |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Software |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Auditors |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 5686499 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 55710 |
| IRS990/CYInvestmentIncomeAmt | 0 | 713578 |
| IRS990/CYOtherExpensesAmt | 0 | 9917614 |
| IRS990/CYOtherRevenueAmt | 0 | 3294 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 29162964 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -595874 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 26188885 |
| IRS990/CYTotalExpensesAmt | 0 | 36162209 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 35566335 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 68901 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 755989 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 824890 |
| IRS990/Desc | 0 | To provide primary care, dental care, behavioral health and community health services to residents in the Northeast Kingdom Region. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 12679 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 12679 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 378 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 24305756 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 92450 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 92450 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 119501 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 119501 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 120148 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1174137 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1294285 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 38.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 36.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 36.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 16850 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 18182 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 10420 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 20390 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 16530 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 12541 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 14619 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 10088 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Louisa Driscoll |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Adrienne Hutchin |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Sarah Galloway |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Sung Hee Chung |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Rita Lafferriere |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Stacey Henderson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Buffie Hegarty |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Otto Wurzburg |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Brian Cussimanio |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Laura Newell |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Maryellen Griffin |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Sheri-Lee Ryan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Justin Barton-Caplin |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Michael Costa |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Christopher Towne |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Angela Neil |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Sarah Morgan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Jay Dege |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Robert Primeau |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Emily Oleson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Adrienne Rulon |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 210833 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 168632 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 167525 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 214279 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 214343 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 202101 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 192033 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 196980 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Past Chief Executive Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Chief Executive Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Chief Financial Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Dentist |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1976 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 5006 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 8300 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 118878 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 171544 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 13 |
| IRS990/GovernmentGrantsAmt | 0 | 4895378 |
| IRS990/GrantAmt | 0 | 55710 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 30953 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 30953 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 24757 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 24757 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 150995 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 1616423 |
| IRS990/GrossReceiptsAmt | 0 | 37048337 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 13 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 46 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 293799 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 923755 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1217554 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 20644 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 85100 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 105744 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 99 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 619 |
| IRS990/InterestGrp/TotalAmt | 0 | 718 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 43456 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 46660 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 423156 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 423156 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 66576 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 74039 |
| IRS990/IRPDocumentCnt | 0 | 99 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 8284527 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 6753076 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 6403062 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 14687589 |
| IRS990/LegalDomicileStateCd | 0 | VT |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 32117 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 1444879 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | 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. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 27564293 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 27060938 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 290422 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 290422 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | 3294 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 3294 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 92519 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 27551614 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 27048259 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 95516 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 580604 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 676120 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 77402 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 243353 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 320755 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 3328285 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 3099950 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 568913 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3309722 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 3878635 |
| IRS990/OtherExpensesGrp/Desc | 0 | Program Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Miscellaneous Expense |
| IRS990/OtherExpensesGrp/Desc | 2 | Staff Appreciation & Tr |
| IRS990/OtherExpensesGrp/Desc | 3 | Dues & Subscriptions |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 78916 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 30531 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 26764 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 4236321 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 192412 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 96004 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 84153 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 4236321 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 271328 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 126535 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 110917 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1022084 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 18624052 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 19646136 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 222463 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1244778 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1467241 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 72247 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 532184 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 604431 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 612590 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 1110054 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 203841 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 266970 |
| IRS990/PrincipalOfficerNm | 0 | Christopher Towne |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
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