2024-10-02T13:33:44-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 3402 OAKWOOD MALL DRIVE SUITE 100 EAU CLAIRE WI 547017672 990 2022-07-01 391658015 NORTH COUNTRY INDEPENDENT LIVING INC NORT 7153929118 2911 TOWER AVENUE 9 SUPERIOR WI 54880 JILLIAN NYBERG EXECUTIVE DIRECTOR 7153929118 2024-05-07 1 0 DAWN YARRINGTON P01584414 7158521100 2024-04-29 2022 2024-10-15 13:58:12Z INDIGO JILLIAN NYBERG 2911 TOWER AVENUE 9 SUPERIOR WI 54880 1474966 0 X NORTHCOUNTYIL.ORG X 1988 WI TO EMPOWER PEOPLE WITH DISABILITIES. 7 7 64 10 0 0 633169 773068 718800 694761 1990 3067 1799 4070 1355758 1474966 0 0 0 0 1019912 1029672 0 0 0 453434 558751 1473346 1588423 -117588 -113457 962148 952588 130669 234566 831479 718022 X TO EMPOWER PEOPLE WITH DISABILITIES 0 0 366498 0 448741 PERSONAL CARE PROGRAM NORTH COUNTRY SERVES PEOPLE OF ALL AGES & DISABILITIES. NORTH COUNTRY ALLOWS OUR CONSUMERS TO HAVE A CHOICE IN HOW HIS/HER SERVICES ARE PROVIDED. NORTH COUNTRY PROVIDED PERSONAL/SUPPORTIVE HOME CARE TO 43 CONSUMERS. NORTH COUNTRY ALSO PROVIDED $368,234 IN PASS-THROUGH FUNDS FROM WISCONSIN MEDICAID THROUGH SUBCONTRACTORS TO 3 GROUP HOMES SERVING AN ADDITIONAL 10 CONSUMERS. 264408 0 0 NORTH COUNTY PROVIDED DISABILITY SERVICES IN 8 COUNTIES AND 4 TRIBAL RESERVATIONS IN NORTHWEST WISCONSIN. THE 5 CORE SERVICES ARE INFORMATION & REFERRAL, ADVOCACY, PEER SUPPORT, TRANSITION & INDEPENDENT LIVING TRAINING. NORTH COUNTRY PROVIDED INFORMATION ABOUT DISABILITY-RELATED ISSUES TO 1,166 CALLERS. IN ADDITION, NORTH COUNTRY ASSISTED 111 CONSUMERS TO ACCOMPLISH GOALS THEY HAD SET DURING THE YEAR. OTHER NORTH COUNTRY SERVICES INCLUDED ACCESSIBILITY, ASSISTIVE TECHNOLOGY, TRANSPORTATION, YOUTH TRANSITION, VOCATION BENEFITS COUNSELING, INTEGRATED EMPLOYMENT AND PEER SUPPORT. NORTH COUNTRY PROMOTES CONSUMER CONTROL AND CHOICE. NORTH COUNTRY PROVIDES SERVICES IN THE FOLLOWING 8 COUNITES IN NORTHWEST WISCONSIN. DOUGLAS, BAYFIELD, ASHLAND, IRON, PRICE, SAWYER, BURNETT, & WASHBURN. NORTH COUNTRY PROVIDES SERVICES TO THE FOLLOWING 4 TRIBAL COMMUNITIES RED CLIFF, BAD RIVER, ST. CROIX, & LAC COURTE OREILLES. 159508 0 0 NORTH COUNTRY PROVIDED VOUCHER ASSISTANCE TO 186 INDIVIDUALS COVERING 182,883 MILES. THE PURPOSE OF THEIR 9,988 RIDES INCLUDE EDUCATION AND TRAINING, MEDICAL, SHOPPING AND PERSONAL, AND SOCIAL AND RECREATIONAL. 622778 0 250090 OTHER PROJECTS SUCH AS WISTECH ASSISTIVE TECHNOLOGY, UNIVERSAL SERVICE, CILWW, EXPANDED SERVICES, AND WISLOAN TELEWORK. 622778 0 250090 1413192 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 64 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 WI X JILL NYBERG 7153929118 2911 TOWER AVENUE SUITE 9 SUPERIOR WI 54880 BEN BARRETT PRESIDENT 3.00 X X 0 0 0 CRISTINA MATSERJOHN VICE PRESIDENT 3.00 X X 0 0 0 MARY JANE GRANDE SECRETARY/TREASURER 3.00 X X 0 0 0 SARAH HANSON DIRECTOR 2.00 X 0 0 0 NATE NEZ DIRECTOR 2.00 X 0 0 0 KATIE RHEA DIRECTOR 2.00 X 0 0 0 DAWN DODGE DIRECTOR 2.00 X 0 0 0 JILLIAN NYBERG EXECUTIVE DIRECTOR 40.00 X 74863 0 4716 74863 0 4716 0 0 0 0 0 742814 30254 773068 PERSONAL CARE 900099 448741 448741 FFS 900099 246020 246020 694761 3067 3067 MISCELLANEOUS REVENUE 900099 4070 4070 4070 1474966 698831 0 3067 86760 21690 65070 824942 820030 4912 22262 22262 14814 14250 564 80894 74879 6015 17325 17325 121943 94772 27171 15890 14301 1589 57392 51652 5740 74840 67356 7484 57664 51898 5766 34 34 3799 3799 23929 2393 21536 CONSUMER TRANSPORTATION 141603 141603 DUES AND SUBSCRIPTIONS 18899 17009 1890 EQUIPMENT 16513 14862 1651 UTILITIES 4314 3883 431 4606 318 4288 1588423 1413192 175231 0 52417 6469 590380 427351 302838 394377 8402 1875 40030 40030 3799 0 4312 122516 962148 952588 129107 116362 1562 0 0 118204 130669 234566 X 831479 718022 0 0 831479 718022 962148 952588 -113457 0 X X 0 1 X 1 0 X 1025463 967309 1052189 633169 773066 4451196 1025463 967309 1052189 633169 773066 4451196 4451196 2103 5938 3356 1990 3067 16454 5553 13138 1799 4070 24560 4492210 2855308 0.99090 0.99260 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2019 AMOUNT: $ 5,553. 2020 AMOUNT: $ 13,138. 2021 AMOUNT: $ 1,799. 2022 AMOUNT: $ 4,070. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 40030 40030 0 0 RIGHT OF USE ASSET 118204 OTHER ASSETS 4312 122516 ROU LEASE LIABILITY 118204 118204 X 1474966 0 1474966 0 1474966 1588423 0 1588423 0 1588423 PART X, LINE 2: THE ORGANIZATION HAS BEEN GRANTED TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND WISCONSIN STATUTE. IT HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER THE IRC AND CHARITABLE CONTRIBUTIONS BY DONORS ARE TAX DEDUCTIBLE. THE ORGANIZATION HAS EVALUATED ITS TAX POSITION AND DETERMINED IT HAS NO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2023. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT CURRENTLY HAVE ANY COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PROVIDED NECESSARY INFORMATION TO THE ACCOUNTING FIRM IN ORDER TO PREPARE THE FORM 990. THE FORM 990 WAS THEN GIVEN TO MANAGEMENT FOR REVIEW AND BOARD APPROVAL PRIOR TO FILING IT WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS REVIEW THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. EACH BOARD MEMBER COMPLETES THE ACKNOWLEDGEMENT AND DISCLOSURE FORM. THE FORM DETAILS ANY OF THEIR INTEREST AND/OR CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR IS EVALUATED ANNUALLY BY THE BOARD EXECUTIVE COMMITTEE UTILIZING THE AGENCY EVALUATION FORM. SALARY IS THEN DETERMINED BY THIS AND THE AGENCY'S FINANCIAL HEALTH. FORM 990, PART VI, SECTION C, LINE 19 NORTH COUNTRY INDEPENDENT LIVING, INC. MAKES ITS GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.