FOUNDATION FOR HEALTHY COMMUNITIES: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- FOUNDATION FOR HEALTHY COMMUNITIES (EIN 02-0275078)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-07-14
- IRS object ID
- 202011969349301546
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-14T10:21:21-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010523282 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1100 | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 041041100 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020275078 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation for Healthy Communities | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FOUN | BusinessNameControlTxt |
| Phone | 6032250900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 Airport Road | AddressLine1Txt |
| City | Concord | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Stephen M Ahnen | PersonNm |
| Person Title | Treasurer/Secretary | PersonTitleTxt |
| Phone | 6032250900 | PhoneNum |
| Signature | 2020-07-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Barbara J McGuan CPA | PreparerPersonNm |
| PTIN | P00219457 | PTIN |
| Phone | 2077752387 | PhoneNum |
| Preparation | 2020-07-09 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 69.49.157.66 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-07-09 | IPDt |
| IP Tm | 11:43:32 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AFAA3DB4FE1C09EACD089651B4BEF68615A227D3 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | BFB386403C9EAE7FF660C386334FC3E1098CE7FC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Stephen M Ahnen | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 Airport Road | AddressLine1Txt |
| City | Concord | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,219,439 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.healthynh.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1968 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | To improve health and health care delivery in New Hampshire. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 13 | TotalEmployeeCnt |
| Total Volunteers | 24 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,434,982 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,899,787 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $385,405 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $296,600 | CYProgramServiceRevenueAmt |
| PY Investment Income | $29,760 | PYInvestmentIncomeAmt |
| CY Investment Income | $23,052 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $11,850,147 | PYTotalRevenueAmt |
| CY Total Revenue | $11,219,439 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $8,359,509 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $8,600,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,294,081 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,357,583 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,187,393 | PYOtherExpensesAmt |
| CY Other Expenses | $1,545,434 | CYOtherExpensesAmt |
| PY Total Expenses | $11,840,983 | PYTotalExpensesAmt |
| CY Total Expenses | $11,503,017 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,164 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$283,578 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,883,428 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,949,181 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $88,280 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $258,846 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,795,148 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,690,335 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Improve health and health care in communities through partnerships that engage individuals and organizations. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,288,603 | ExpenseAmt |
| Grant | $8,600,000 | GrantAmt |
| Revenue | $296,600 | RevenueAmt |
| Desc | The Foundation for Healthy Communities is renowned on a state and national level for its ability to engage diverse partners in new, innovative collaborations and to serve as the backbone support for a variety of initiatives that address the health and healthcare needs of our state. The organization's programs focus on quality improvement initiatives, health promotion, and access to affordable health care, as well as patient and family engagement strategies, health equity and health disparities of care, behavioral health and substance use disorders and many more. Founded in 1968 as an education and research organization for the New Hampshire Hospital Association (NHHA), the Foundation was reorganized in 1995 to meet the needs of a changing healthcare system. The Foundation for Healthy Communities is led by a board of directors with a broad range of expertise which guides its strategic and programmatic efforts. Today, the Foundation is a partnership between New Hampshire hospitals, health plans, home care agencies, community organizations and other healthcare stakeholders that focuses on quality of care, access to health services, and prevention as the major priorities of work, in alignment with the Foundation's mission of improving total population health for all communities. In its work with partners statewide, the Foundation's key objectives are to improve total population health by promoting innovative, high value quality practices within organizations and communities; to lead change strategies that educate, create and sustain healthier communities and make the healthy choice the easy choice; and to promote access to affordable health care and resources that support the well-being of all people. One of the Foundation's strengths is to engage and lead diverse partners in new forms of collaboration, and facilitates program integration for the benefit of the communities served by housing its diverse group of programs and staff in one location, streamlining processes, and opening pathways for collaborations. To promote a healthier state, the Foundation's initiatives focus on health prevention and education, access to affordable health care as well as insurance coverage, patient safety and quality improvement initiatives, patient and family engagement strategies, health equity and health disparities of care, emergency preparedness and response, behavioral health and the opioid crisis, among many other areas of priority. Descriptions of the programs currently running under the Foundation for Healthy Communities below:Community BenefitsHospitals support their communities by delivering high quality healthcare, serving as economic engines, and providing health education, resources and programs to keep their communities healthy. To do this successfully, hospitals work collaboratively with a variety of partners to assess the health of their community, identify the most pressing health needs, and develop community benefit implementation plans to address those needs. The Foundation for Healthy Communities creates a statewide summary of the community benefit activities conducted by New Hampshire hospitals through their uncompensated care, health education and community programs and services. Granite State Health Care CoalitionThe Granite State Health Care Coalition is a network of key representatives from public and private health and safety organizations that help communities prepare, respond, and recover from catastrophic events and disasters impacting New Hampshire. The Coalition provides the opportunity for providers, healthcare and community stakeholders to plan, prepare and train for catastrophic events through collaboration essential to integrated disaster response.Healthcare Decisions CoalitionThe Healthcare Decisions Coalition is a volunteer steering committee composed of experts and stakeholders in the legal and health care sectors that aims to provide the tools available for individuals to express wishes and preferences with regard to end of life medical care, and to have those preferences honored by the health care system. NH Health Care Quality & Safety CommissionThe NH Health Care Quality & Safety Commission enables health care providers to share information about adverse outcomes and prevention strategies in learning environments which foster candor and self-critical analysis while maintaining the confidentiality of the information submitted to the commission, the proceedings of the commission, and the results of the commission's deliberations.NH Partnership for PatientsThe NH Partnership for Patients is a national initiative under which every 26 acute care hospital in New Hampshire engages in initiatives that improve patient safety and quality of care throughout the care continuum.Patient & Family EngagementThe Patient & Family Engagement initiative offers tools and resources to hospitals and community organizations that help them create a culture of patient and family engagement and establish collaborative partnerships between hospital staff, patient and family advisors to enhance the delivery of patient and family-centered care throughout the continuum.Rural Health Quality Improvement Network The Rural Health Quality Improvement Network coordinates resources promoting efficiency and high value quality practices in the network of Critical Access Hospitals serving rural New Hampshire.The Substance Use Disorder Treatment ProjectThe Substance Use Disorder Treatment Project supports New Hampshire hospitals rising to the challenge of expanding access to treatment for people with Substance Use Disorders (SUD) by implementing Emergency Department Bridge to Treatment programs and Medication Assisted Treatment programs in primary care practices.Behavioral Health Clinical Learning CollaborativeThe Behavioral Health Clinical Learning Collaborative is designed to address the management and treatment of patients experiencing mental health crises in the emergency department (ED) setting. The Collaborative brings together frontline ED and Community Mental Health Center professionals alongside other interested stakeholders to work in partnership on clinical improvement initiatives for these patients. The goal of the program is to develop a well-integrated service system that provides the most suitable care for patients experiencing a psychiatric emergency and presenting at the ED. Population HealthThe Total Population Health Initiative aims to improve the health and well-being of NH residents by fostering connections between healthcare, public health, and the social determinants of health while advancing health equity. Population Health is both a goal and a strategy to foster healthy, equitable populations through linking clinical and community-based approaches supported by delivery system innovations and investments. | Desc |
| Total Program Service Expenses | $11,288,603 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 18 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 13 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Stephen M Ahnen | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6032250900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 Airport Road | AddressLine1Txt |
| City | Concord | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Helen Taft | ||||||||
| Chair | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Kris Hering | ||||||||
| Vice Chair | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Stephen Ahnen | ||||||||
| Secretary & Treasurer | 0.50 | Yes (X) | Yes (X) | $0 | $399,464 | $49,019 | 40.00 | |
| George Blike MD | ||||||||
| Immediate Past Chair | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Mary DeVeau | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Jocelyn Caple MD | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Scott Colby | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Lauren Collins-Cline | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Jay Couture | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Mike Decelle | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Peter Evers | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Jeff Scionti | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Trinidad Tellez MD | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Andrew Watt MD | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Keith Weston Jr MD | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| William Brewster MD | ||||||||
| Past Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Arthur Nichols | ||||||||
| Past Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Arthur O'Leary | ||||||||
| Past Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Helen Pervanas PharmD | ||||||||
| Past Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Maria Ryan PhD APRN | ||||||||
| Past Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| Keith Shute MD | ||||||||
| Past Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| Peter Ames | ||||||||
| Executive Director/Trustee | 40.00 | Yes (X) | Yes (X) | $138,637 | $0 | $37,339 | ||
| Anne Diefendorf | ||||||||
| Associate Executive Direct | 40.00 | $151,806 | $0 | $28,754 | Yes (X) | |||
| Tanya Lord | ||||||||
| Dir. of Patient & Family E | 32.00 | $102,872 | $0 | $25,710 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $393,315 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $399,464 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $140,822 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| JSI Research & Training | |||||
| 44 Farnsworth Street | Boston | MA | 02210 | Training/Education | $268,830 |
| New Hampshire Hospital Association | |||||
| 125 Airport Road | Concord | NH | 03301 | Shared Services | $200,693 |
| Knowledge Center | |||||
| 651 Holiday Drive Ste 300 | Pittsburgh | PA | 15220 | SAAS License | $112,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $443,120 | RelatedOrganizationsAmt |
| Government Grants | $1,344,038 | GovernmentGrantsAmt |
| All Other Contributions | $9,112,629 | AllOtherContributionsAmt |
| Total Contributions | $10,899,787 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Seminars/Meetings/Workshops | 900099 | $132,670 | $132,670 |
| Indirect Program Income | 900099 | $92,540 | $92,540 |
| Other Program Revenue | 900099 | $43,590 | $43,590 |
| Project Income | 900099 | $27,800 | $27,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $296,600 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,052 | TotalRevenueColumnAmt |
| Exclusion | $23,052 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,219,439 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $296,600 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $23,052 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,600,000 | TotalAmt |
| Program Services | $8,600,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,977 | TotalAmt |
| Program Services | $175,977 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $956,495 | TotalAmt |
| Program Services | $809,288 | ProgramServicesAmt |
| Management And General | $147,207 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,788 | TotalAmt |
| Program Services | $30,428 | ProgramServicesAmt |
| Management And General | $7,360 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,822 | TotalAmt |
| Program Services | $86,499 | ProgramServicesAmt |
| Management And General | $19,323 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,501 | TotalAmt |
| Program Services | $70,240 | ProgramServicesAmt |
| Management And General | $11,261 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,218 | TotalAmt |
| Program Services | $32,368 | ProgramServicesAmt |
| Management And General | $850 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,098,406 | TotalAmt |
| Program Services | $1,098,406 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,619 | TotalAmt |
| Program Services | $76,619 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,331 | TotalAmt |
| Program Services | $14,811 | ProgramServicesAmt |
| Management And General | $25,520 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,362 | TotalAmt |
| Program Services | $31,362 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,285 | TotalAmt |
| Program Services | $191,285 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,079 | TotalAmt |
| Program Services | $2,463 | ProgramServicesAmt |
| Management And General | $616 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,692 | TotalAmt |
| Program Services | $3,415 | ProgramServicesAmt |
| Management And General | $2,277 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Advance Care Guides | $37,988 | $37,988 |
| Communication | $12,831 | $12,831 |
| Dues & Subscriptions | $10,679 | $10,679 |
| Staff Development | $3,822 | $3,822 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122 | TotalAmt |
| Program Services | $122 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,503,017 | TotalAmt |
| Program Services | $11,288,603 | ProgramServicesAmt |
| Management And General | $214,414 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50 | BOYAmt |
| EOY | $50 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $570,227 | BOYAmt |
| EOY | $593,842 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $483,614 | BOYAmt |
| EOY | $357,452 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,176 | BOYAmt |
| EOY | $9,610 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $148,545 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $145,398 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,225 | BOYAmt |
| EOY | $3,147 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $703,806 | BOYAmt |
| EOY | $872,550 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,330 | BOYAmt |
| EOY | $112,530 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,883,428 | BOYAmt |
| EOY | $1,949,181 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,570 | BOYAmt |
| EOY | $189,146 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,446 | BOYAmt |
| EOY | $8,013 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,264 | BOYAmt |
| EOY | $61,687 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,280 | BOYAmt |
| EOY | $258,846 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,347,860 | BOYAmt |
| EOY | $1,329,985 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $447,288 | BOYAmt |
| EOY | $360,350 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,795,148 | BOYAmt |
| EOY | $1,690,335 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,883,428 | BOYAmt |
| EOY | $1,949,181 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$283,578 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $178,765 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,479,339 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,207,780 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,536,851 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,434,982 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,899,787 | CurrentTaxYearAmt |
| Total | $41,558,739 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,479,339 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,207,780 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,536,851 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,434,982 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,899,787 | CurrentTaxYearAmt |
| Total | $41,558,739 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,221,757 | SubstantialContributorsTotAmt |
| Public Support Total170 | $40,336,982 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,275 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,437 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,292 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,309 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,052 | CurrentTaxYearAmt |
| Total | $90,365 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $41,649,104 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,948,049 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96850 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94910 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,118 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,118 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $147,427 | OtherCostOrOtherBasisAmt |
| Depreciation | $144,280 | DepreciationAmt |
| Book Value | $3,147 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,147 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due from Affiliate | Desc |
| Book Value | $112,530 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $112,530 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due to Affiliate | Desc |
| Amt | $61,687 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $61,687 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $2,795,075 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $178,765 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $178,765 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,616,310 | RevenueSubtotalAmt |
| Other Revenues Not Included | $8,603,129 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $8,603,129 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,219,439 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,899,888 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,899,888 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $8,603,129 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $8,603,129 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,503,017 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 4b - Other Adjustments: | Hospital Voluntary Contributions 8,600,000. Bad Debt Recoveries 3,129. |
| Part XII, Line 4b - Other Adjustments: | Hospital Voluntary Contributions 8,600,000. Bad Debt Recoveries 3,129. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | State of New Hampshire | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 Capitol Street | AddressLine1Txt |
| City | Concord | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash Grant | $8,600,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | Voluntary contributions to support Governor's Commission on Alcohol and Other Drugs. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Organization has executed Letters of Agreement with all the grantees which lays out the purpose of the grants, scope of services, budget and use of grant funds requirements, and reporting requirements. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stephen Ahnen | ||||||||||||||
| Secretary & Treasurer | $0 | $338,464 | $0 | $0 | $0 | $61,000 | $0 | $19,000 | $0 | $30,019 | $0 | $448,483 | $0 | $0 |
| Peter Ames | ||||||||||||||
| Executive Director/Trustee | $138,637 | $0 | $0 | $0 | $0 | $0 | $7,320 | $0 | $30,019 | $0 | $175,976 | $0 | $0 | $0 |
| Anne Diefendorf | ||||||||||||||
| Associate Executive Direct | $151,806 | $0 | $0 | $0 | $0 | $0 | $7,795 | $0 | $20,959 | $0 | $180,560 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | Stephen Ahnen participates in a Section 457(f) plan. Part II, column (B)(iii)contains $42,000 related to this plan. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11b | The Form 990 and all schedules were made available to the board prior to filing the form. The Secretary/Treasurer and Executive Director reviewed the Form 990 and all schedules with accounting staff and return preparer to ensure accuracy prior to filing. |
| Form 990, Part VI, Section B, line 12c | Each member of the Board is required to sign a conflict of interest policy at each yearly meeting. The Board members are asked at each Board meeting if any conflicts have arisen since the prior meeting. The conflict of interest policy is reviewed by the Executive Secretary. |
| Form 990, Part VI, Section B, line 15a | The Executive Committee of the Organization contracts with a third party organization to produce a comparable state hospital association CEO compensation study, which is used for comparative purposes. The Executive Committee reviews CEO performance and approves the CEO's compensation. The Executive Committee informs the full NHHA Board of the approved compensation package for the CEO. |
| 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 X, Line 10: Land, Buildings, and Equipment | Section 1.263(a)-3(n) Election: Foundation for Healthy Communities 125 Airport Road Concord, NH 03301 EIN: 02-0275078 Foundation for Healthy Communities is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New Hampshire Hospital Association | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 Airport Road | AddressLine1Txt |
| City | Concord | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 026012527 | EIN |
| Primary Activities | Consulting and Management Services to Hospitals and Health Facilities | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(6) | ExemptCodeSectionTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Health Shared Services Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 Airport Road | AddressLine1Txt |
| City | Concord | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020376847 | EIN |
| Primary Activities | Administrative Services | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New Hampshire Hospital Association | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |