2021-05-10T15:47:36-05:00 2020-06-30 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2019-07-01 020458174 Amoskeag Health AMOS 6036269500 145 Hollis Street 2nd Floor Manchester NH 03101 Janet Langlois Chief Financial Officer 6036269500 2021-05-05 1 Melissa Magoon CPA P01712842 6036697337 2021-05-05 2019 2022-09-23 18:48:47Z Janet Langlois 145 Hollis Street 2nd Floor Manchester NH 03101 20103861 0 X www.amoskeaghealth.org X 1992 NH Federally Qualified Health Center 19 18 289 16 0 0 9166020 8968310 10708596 11066301 902 -9684 58043 55325 19933561 20080252 0 0 0 0 14264942 15342461 0 0 240247 4750361 4729029 19015303 20071490 918258 8762 8894645 10849640 3878840 5825073 5015805 5024567 X The mission of Amoskeag Health is to improve the health and well-being of our patients and the communities we serve by providing exceptional care and services that are accessible to all. 0 0 12538396 8270440 Primary Care: Amoskeag Health provides comprehensive, team-based primary, integrated care focused on quality and safety for patients of all ages and income levels. Pediatric primary care is focused on the whole child (newborn to 20 years old) for their wellness care, immunizations, and development of physical and emotional growth. Adolescent primary care is focused on the unique health situations for patients between 12 and 20 years old including screenings for depression and anxiety, substance use screenings, information and guidance about appropriate diet and exercise as well as ensuring that immunizations are up to date. Based at The Dr. Selma Deitch Center for Children & Teens, the Teen Clinic offers a full range of primary care services to teens from 14-20 years old including confidential reproductive health services with counseling for sexual orientation and identity, pregnancy testing, and testing and treatment for sexually transmitted infections (STIs). At Amoskeag Health, Prenatal Care is a group effort that involves initial screenings by a team that includes social workers, counselors, nutritionists, and prenatal nurses. All prenatal patients are seen primarily by a Nurse Midwife but have the opportunity to meet with all of the medical providers on the prenatal care team. Adult and elder care integrates physical and behavior health with comprehensive screenings for social determinants of health that include their physical environment, safety, substance use, and access to food and transportation. 2743181 1809427 Behavioral Health: Amoskeag Health provides behavioral health intervention services for all patients during their scheduled appointments. These interventions are conducted by a Behavioral Health Consultant (BHC) to target mental health, substance misuse, and crisis-related issues. BHCs are available during business hours for immediate brief 15-20 minute targeted interventions. Amoskeag Health's Pediatric Behavioral Health team offers counseling care to children, adolescents, and young adult patients from birth to age 20. Behavioral Health Consultants (BHCs) provide a range of services including brief supportive check-ins during medical visits, short-term counseling, and referrals to mental health care providers in the community. Amoskeag Health also offers Medication Assisted Treatment for opiate use and alcohol misuse disorder. Amoskeag Health provides care for patients who are pregnant or may become pregnant and are using substances. 1495483 986434 Specialty Services: Amoskeag Health offers all patients 5 years and older the opportunity to see an Optometrist for a variety of eye problems at our eye care center located at The Dr. Selma Deitch Center for Children & Teens. Amoskeag Health Optometry prescribes glasses for those patients who have visual acuity issues, performs routine annual eye screenings for diabetic patients and addresses acute ocular issues such as red eyes or ocular pain. Children may qualify for a no-cost pair of eyeglasses. Amoskeag Health provides dental assistance referrals for primary care patients who do not have dental insurance. Amoskeag Health employs a Podiatrist to provide foot care to any Amoskeag Health patient. Amoskeag Health provides high quality, professional language assistance to patients through Staff Interpreters, Video Remote Interpreting (VRI), and over the phone interpreter services that are available for patients during appointments. Case Managers at Amoskeag Health work on teams with Medical Providers to provide family support services. Case Managers meet with all individuals and families to assess their needs and provide resources and crisis intervention due to domestic violence, homelessness or lack of food. We also educate our patients through on-site cooking classes, nutrition interventions, family literacy courses, child birthing classes, diabetes education courses and breastfeeding education counseling. 16777060 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 42 0 1 289 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NH X Kris McCracken 6036269500 145 Hollis Street 2nd Floor Manchester NH 03101 Kathleen Davidson Chair 2.00 X X 0 0 0 Catherine Marsellos Vice-Chair 2.00 X X 0 0 0 Rick Elwell Treasurer 2.00 X X 0 0 0 David Crespo Secretary 2.00 X X 0 0 0 Dawn McKinney Director 2.00 X 0 0 0 Angella Chen-Shadeed Director 2.00 X 0 0 0 Dennis Carlsen Director 2.00 X 0 0 0 David Hildenbrand Director 2.00 X 0 0 0 Phillip Adams Director 2.00 X 0 0 0 Madhab Gurung Director 2.00 X 0 0 0 Debbie Manning Director 2.00 X 0 0 0 Gail Tudor Director 2.00 X 0 0 0 Obhed Giri Director 2.00 X 0 0 0 Thom Lavoie Director 2.00 X 0 0 0 Christian Scott Director 2.00 X 0 0 0 Jill Bille Director 2.00 X 0 0 0 Rusty Mosca Director 2.00 X 0 0 0 Mohammad Saleem Yusuf Director 2.00 X 0 0 0 Maria Mariano Director 2.00 X 0 0 0 Gwen Harris Past Director 2.00 X 0 0 0 Sonya Friar Past Director 2.00 X 0 0 0 Idowu Edokpolo Past Director 2.00 X 0 0 0 Kris McCracken President/CEO 40.00 X X 197811 0 8274 Janet Langlois CFO 40.00 X 140081 0 11011 J Gavin Muir MD Chief Medical Officer 40.00 X 279974 0 31458 Laura Fry Physician 36.00 X 214919 0 19742 Peter Kiprop Physician 46.00 X 254267 0 31158 Mary Cullen Physician 33.00 X 180346 0 12691 Rachel Franchi-Winters Physician 38.00 X 184485 0 7839 Gerald Astorino Optometrist 40.00 X 168436 0 6955 1620319 0 129128 23 0 1 0 Community Health Access Network 207A South Main Street Newmarket NH 03857 E.H.R./ Billing IT Services 446791 Bedford Commons OBGYN 201 Riverway Place Bedford NH 03110 Physician Services 156600 Stratus 33 N Garden Avenue Suite 1000 Clearwater FL 33755 Interpretation Services 127517 3 8092318 875992 28772 8968310 Primary Medical Care Services 621110 10792094 10792094 Other Operating Revenue 621110 274207 274207 11066301 682 682 12223 22589 -10366 -10366 -10366 56345 1020 55325 55325 20080252 11066301 0 45641 X 668609 668609 12301129 11089306 1053815 158008 260897 236109 21386 3402 1200929 1013492 172832 14605 910897 752533 147520 10844 27371 27371 105720 105720 2057148 1970320 72792 14036 21970 10379 10977 614 119395 56403 59655 3337 694061 454859 222986 16216 50316 23770 25140 1406 86185 40714 43062 2409 86838 62889 23949 426791 305483 120846 462 81389 38449 40665 2275 Program Supplies 519960 508883 11077 Other Expenses 271494 128253 135650 7591 Printing & Publications 180391 85218 90131 5042 20071490 16777060 3054183 240247 X 921282 2898858 447553 950067 1063463 985801 1890683 1650543 151872 114920 7601950 3352499 4397203 4249451 22589 0 8894645 10849640 1787513 1999976 0 308131 2091327 2049166 0 1467800 3878840 5825073 X 4409285 4711819 606520 312748 5015805 5024567 8894645 10849640 8762 0 X 0 1 X 1 1 1 X Form 990, Schedule A, Part I: The organization is exempt under 170(b)(1)(a)(iii), as a hospital. The organization operates a federally qualified health center. The Health Center is not registered with the state of New Hampshire as a hospital. Accordingly no schedule H is attached. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 17850 17850 0 Part II-B, Line 1: A portion of membership dues goes to lobbying. 81000 81000 5165754 1607999 3557755 1499087 1107796 391291 856109 636704 219405 4249451 CARES Act Funding 1467800 1467800 X 20111524 31272 31272 20080252 0 20080252 20102762 31272 31272 20071490 0 20071490 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. Morning Matters Annual Breakfast 42943 42943 568 Selma Deitch Center Reveal 13402 13402 452 56345 56345 452 568 1020 55325 X X X X 0 0 0 0 0 0 0 1 0 Kris McCracken President/CEO 197811 0 0 0 0 0 7916 0 358 0 206085 0 0 0 Janet Langlois CFO 140081 0 0 0 0 0 5783 0 5228 0 151092 0 0 0 J Gavin Muir MD Chief Medical Officer 274265 0 5709 0 0 0 11200 0 20258 0 311432 0 0 0 Laura Fry Physician 209584 0 5335 0 0 0 8939 0 10803 0 234661 0 0 0 Peter Kiprop Physician 249079 0 5188 0 0 0 10864 0 20294 0 285425 0 0 0 Mary Cullen Physician 176429 0 3917 0 0 0 7370 0 5321 0 193037 0 0 0 Rachel Franchi-Winters Physician 179559 0 4926 0 0 0 7574 0 265 0 192324 0 0 0 Gerald Astorino Optometrist 162436 0 6000 0 0 0 6737 0 218 0 175391 0 0 0 Part I, Line 7 Bonuses paid to Gavin Muir, Laura Fry, Peter Kiprop, Mary Cullen, Rachel Franchi-Winters and Gerald Astorino are incentives for meeting certain performance measures related to QI timely chart completions/documentation, immunizations, depression screens, A1C's, Pap smears, as well as attendance, etc. and are paid quarterly. X 2 4500 Retail Value X 266 Retail Value X 6805 Retail Value X 10 8640 Retail Value X 31 6292 Retail Value X Gift Items for Giveaways 3 2270 Retail Value 0 0 0 Form 990, Part VI, Section B, line 11b Initial review is conducted by the CEO and CFO, and then the (revised, if necessary) document would be distributed to the finance committee for review, and then distributed to the full board. Form 990, Part VI, Section B, line 12c The conflict of interest policy covers both Board and staff members. Board members annually complete a survey disclosing any potential related party transactions. If a vote comes before the board, directors who may have a perceived conflict are to abstain from voting. For staff, they are not to be a participant in any decision-making process regarding employing a relative or contracting/purchasing goods from a relative, or leveraging their position to persuade others to engage in potential conflicts. Staff are expected to inform of any potential conflicts as well. Form 990, Part VI, Section B, line 15a Executive Director compensation is reviewed and approved by the Executive Committee of board of directors. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part IX, line 11g Subcontractors: Program service expenses 167,485. Management and general expenses 0. Fundraising expenses 0. Total expenses 167,485. Providers: Program service expenses 565,233. Management and general expenses 0. Fundraising expenses 0. Total expenses 565,233. Interpretation: Program service expenses 173,991. Management and general expenses 0. Fundraising expenses 0. Total expenses 173,991. Transportation: Program service expenses 17,079. Management and general expenses 0. Fundraising expenses 0. Total expenses 17,079. Contracted 340B Pharmacy: Program service expenses 337,995. Management and general expenses 0. Fundraising expenses 0. Total expenses 337,995. Contracted Information Systems: Program service expenses 104,767. Management and general expenses 0. Fundraising expenses 0. Total expenses 104,767. Other Contracted Services: Program service expenses 603,770. Management and general expenses 72,792. Fundraising expenses 14,036. Total expenses 690,598. Form 990, Part X, Line 10: Land, Buildings, and Equipment: Section 1.263(a)-3(n) Election: Amoskeah Health 145 Hollis Street, 2nd Floor Manchester, NH 03101 EIN: 02-0458174 Section 1.263(a)-3(n) Election: Amoskeag Health is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).