FOUNDATION FOR HEALTHY COMMUNITIES: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- FOUNDATION FOR HEALTHY COMMUNITIES (EIN 02-0275078)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2018-10-19
- IRS object ID
- 201842929349300429
- Schema version
- 2016v3.0
- 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 | 2018-10-19T09:49:47-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | 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 | 2016-01-01 | 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 | 2018-10-13 | 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 | 2018-10-13 | 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 | 2018-10-13 | IPDt |
| IP Tm | 10:24:45 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Federal Original Submission Id | 0103152017220032ee07 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-08-08 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 1452ED929C5BAA4A5EF1600A2C972F2C0D3A6588 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 32D95A48367AAD3BC50363A9EF50B2EA08C0DC8D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| 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 | $7,094,883 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.healthynh.com | 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 | 24 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 22 | VotingMembersIndependentCnt |
| Total Employee | 15 | TotalEmployeeCnt |
| Total Volunteers | 22 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,587,028 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,562,877 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,373,861 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $450,083 | CYProgramServiceRevenueAmt |
| PY Investment Income | $59,324 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,918 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $4,020,213 | PYTotalRevenueAmt |
| CY Total Revenue | $7,021,878 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $29,496 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,370,678 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,354,564 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,307,379 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,517,145 | PYOtherExpensesAmt |
| CY Other Expenses | $1,444,331 | CYOtherExpensesAmt |
| PY Total Expenses | $3,901,205 | PYTotalExpensesAmt |
| CY Total Expenses | $7,122,388 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $119,008 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$100,510 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,237,214 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,036,411 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $375,108 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $217,041 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,862,106 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,819,370 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The Foundation for Healthy Communities is an organization with a mission to improve health and health care in New Hampshire through partnerships with organizations and individuals. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,941,453 | ExpenseAmt |
| Grant | $4,370,678 | GrantAmt |
| Revenue | $450,083 | RevenueAmt |
| Desc | The Foundation for Healthy Communities currently manages/directs 16 established state and community level projects that exemplify the potential for enhanced outcomes by building relationships and partnerships. Our staff represents a broad level of expertise and experience in community and individual engagement and planning, project management, data systems, clinical-community partnerships, and collective impact. The FHC has collaborated with a broad range of organizations such as NH Department of Health and Human Services, NH Hospice and Palliative Care Organization, NH Council of Churches, and NH Department of Transportation. One of the Foundation's strengths is to engage and lead diverse partners in new forms of collaboration. The FHC serves as the catalyst and backbone for its various initiatives, and assists those partners in collaborations that elevate their collective impact. In addition, the Foundation has the benefit of facilitating 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. Descriptions of a few of our current programs are below.NH Partnership for Patients Since starting work in 2011 with the Partnership for Patients, a national initiative aimed at improving patient safety and quality of care, New Hampshire hospitals have achieved significant results in patient safety and quality improvement.Patient & Family Engagement The Foundation continues its work with hospitals to help create a culture of patient and family engagement and establish patient and family advisory councils (PFACs) to enhance the delivery of patient and family-centered care throughout the continuum.NH Health Care Quality Assurance Commission Established in 2005, this Commission was reauthorized in 2016 through 2021, to review and analyze quality of care and patient safety issues in hospitals and ambulatory surgery centers.Rural Quality Improvement NetworkThe Foundation provides a broad array of resources to enhance the sharing of best practices for regulatory compliance, quality improvement and patient experience among New Hampshire's Critical Access Hospitals (CAHs).NH Comprehensive Cancer Collaboration (NHCCC)This partnership of individuals and organizations works together to eliminate cancer, the leading cause of death in the state, by implementing the NH Cancer Control Plan.Healthy Eating Active Living (HEAL NH) This program has many components including Healthy Food Access, Active Living, Active Transportation, and Active Recreation which help improve access to healthy foods and opportunities for physical activity, focusing on communities and populations with the greatest health disparities.NH Health & Equity PartnershipThe Partnership seeks to strengthen health services and educate the public on health equity issues to help build equitable, healthier communities.Community Falls Prevention ProgramThis program has increased access to evidence-based fall prevention programs for older adults and adults with disabilities to reduce falls risks and falls in three regions of NH with high risk of injuries due to falls. Community Health Benefits & Needs AssessmentsThe FHC worked closely with nonprofit hospitals & health systems to advance their knowledge and ability to effectively complete community health needs assessments, report on community benefits and communicate this information to the public. The FHC convened 11 hospitals to jointly conduct a random telephone survey of 2,691 individuals in order to identify community health needs and benefits.Substance Use Disorder TreatmentThe FHC began laying the groundwork to improve access to treatment for people with Substance Use Disorders (SUD) through a new project designed to increase the locations where people seeking Medication Assisted Treatment (MAT) for opioid use can receive care, as well as working with hospital emergency departments to improve connections for people with SUD to follow up care and treatment after discharge. NH Med Bank The New Hampshire Med Bank is a charitable pharmacy that collects unused, unexpired, non-controlled medications from licensed healthcare facilities and dispenses them at no cost to NH residents who cannot afford their medications. The pharmacy operations are overseen by the Pharmacist-in-Charge, who is supported by a team of volunteer pharmacists and pharmacy technicians. The NH Med Bank team dispenses medications by mail to uninsured/underinsured individuals throughout the state.Behavioral Health InitiativeWorking with providers across the state, this initiative strives to identify solutions to improve access to behavioral health care and to help link community-based and inpatient behavioral health services.NH Healthcare Decisions CoalitionFocused on Advanced Directives and healthcare decisions, this initiative works with health providers and other partners to address decision-making issues related to people with life threatening illness and provide resources to assist people with making healthcare decisions for others.Emergency PreparednessThe Hospital Emergency Preparedness program is an ongoing support system to New Hampshire's hospitals in all-hazards disaster planning and response. Program activities include but are not limited to: assistance with meeting grant deliverables; convening the hospitals to share best practices and solve challenges, facilitation and liaison with local jurisdictions and community partners, providing technical assistance, conducting site visits and support to hospitals; emergency management program review; and identification of hospital needs and priorities.The FHC's focus is in New Hampshire and our record of success is built upon creating relationships, and working with people and organizations in communities throughout the state. Many of our initiatives have started in one or a few communities and then expanded to become statewide initiatives. The FHC utilizes evidence-based practices or interventions when they exist and promising best practices when the evidence is still being developed. | Desc |
| Total Program Service Expenses | $6,941,453 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 24 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 15 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 24 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 22 | 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 (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Gregory Walker | ||||||||
| Trustee | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Stephen Ahnen | ||||||||
| Treasurer & Secretary/CEO | 0.50 | 40.00 | Yes (X) | $0 | $341,471 | $42,780 | Yes (X) | |
| Mary DeVeau | ||||||||
| Chair | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Richard LaFleur MD | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Scott McKinnon | ||||||||
| Immediate Past Chair | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Michelle McEwen | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Paul Gardent | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Arthur Nichols | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Keith Shute MD | ||||||||
| Trustee | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Shawn LaFrance | ||||||||
| Executive Director/Trustee | 40.00 | Yes (X) | $126,807 | $0 | $18,402 | Yes (X) | ||
| Jeanne Ryer | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| William Brewster MD | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Arthur O'Leary | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Helen Pervanas PharmD | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| John Robb MD | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Maria Ryan PhD APRN | ||||||||
| Trustee | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Chris Accashian | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| George Blike MD | ||||||||
| Vice Chair | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Trinidad Tellez MD | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Corin DeChirico DO | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Peter Evers | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Helen Taft | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Elizabeth Merry | ||||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Warren West | ||||||||
| Trustee | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Anne Diefendorf | ||||||||
| Associate Executive Director | 40.00 | $139,082 | $0 | $29,055 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $265,889 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $341,471 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $90,237 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $363,120 | RelatedOrganizationsAmt |
| Government Grants | $1,023,774 | GovernmentGrantsAmt |
| All Other Contributions | $5,175,983 | AllOtherContributionsAmt |
| Total Contributions | $6,562,877 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Seminars/Meetings/Work | 900099 | $199,065 | $199,065 |
| Indirect Program Incom | 900099 | $104,111 | $104,111 |
| Project Income | 900099 | $96,886 | $96,886 |
| Other Program Revenue | 900099 | $50,021 | $50,021 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $450,083 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,437 | TotalRevenueColumnAmt |
| Exclusion | $16,437 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $65,486 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $73,005 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$7,519 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,519 | TotalRevenueColumnAmt |
| Exclusion | -$7,519 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,021,878 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $450,083 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,918 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,370,678 | TotalAmt |
| Program Services | $4,370,678 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,209 | TotalAmt |
| Program Services | $145,209 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $935,109 | TotalAmt |
| Program Services | $833,258 | ProgramServicesAmt |
| Management And General | $101,851 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,039 | TotalAmt |
| Program Services | $38,946 | ProgramServicesAmt |
| Management And General | $5,093 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,671 | TotalAmt |
| Program Services | $78,253 | ProgramServicesAmt |
| Management And General | $26,418 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,351 | TotalAmt |
| Program Services | $70,559 | ProgramServicesAmt |
| Management And General | $7,792 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,164 | TotalAmt |
| Program Services | $28,048 | ProgramServicesAmt |
| Management And General | $3,116 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,006,553 | TotalAmt |
| Program Services | $1,006,553 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,703 | TotalAmt |
| Program Services | $89,703 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,503 | TotalAmt |
| Program Services | $15,111 | ProgramServicesAmt |
| Management And General | $34,392 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,912 | TotalAmt |
| Program Services | $27,912 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,877 | TotalAmt |
| Program Services | $188,877 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,729 | TotalAmt |
| Program Services | $2,983 | ProgramServicesAmt |
| Management And General | $746 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,818 | TotalAmt |
| Program Services | $2,291 | ProgramServicesAmt |
| Management And General | $1,527 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Advance Care Guides | $36,661 | $36,661 |
| Dues & Subscriptions | $4,331 | $4,331 |
| Staff Development | $1,709 | $1,709 |
| Miscellaneous | $371 | $371 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,122,388 | TotalAmt |
| Program Services | $6,941,453 | ProgramServicesAmt |
| Management And General | $180,935 | 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 | $564,648 | BOYAmt |
| EOY | $640,619 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $968,845 | BOYAmt |
| EOY | $609,091 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,170 | BOYAmt |
| EOY | $7,116 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $148,545 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $136,164 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,693 | BOYAmt |
| EOY | $12,381 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $633,288 | BOYAmt |
| EOY | $676,374 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,520 | BOYAmt |
| EOY | $90,780 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,237,214 | BOYAmt |
| EOY | $2,036,411 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $253,041 | BOYAmt |
| EOY | $151,531 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,754 | BOYAmt |
| EOY | $19,910 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,313 | BOYAmt |
| EOY | $45,600 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $375,108 | BOYAmt |
| EOY | $217,041 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $587,728 | BOYAmt |
| EOY | $894,137 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,274,378 | BOYAmt |
| EOY | $925,233 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,862,106 | BOYAmt |
| EOY | $1,819,370 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,237,214 | BOYAmt |
| EOY | $2,036,411 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$100,510 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $57,774 | 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 | $2,952,391 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,707,623 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,145,819 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,479,339 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,562,877 | CurrentTaxYearAmt |
| Total | $17,848,049 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,952,391 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,707,623 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,145,819 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,479,339 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,562,877 | CurrentTaxYearAmt |
| Total | $17,848,049 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $2,499,557 | SubstantialContributorsTotAmt |
| Public Support Total170 | $15,348,492 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,141 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,693 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,189 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,275 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,437 | CurrentTaxYearAmt |
| Total | $73,735 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $17,921,784 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $2,175,181 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.85640 | PublicSupportCY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support PY509 | 0.99560 | PublicSupportPY509Pct |
| Investment Income PY | 0.00440 | InvestmentIncomePYPct |
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 | $135,046 | DepreciationAmt |
| Book Value | $12,381 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,381 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due to Affiliate | Desc |
| Amt | $45,600 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $45,600 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $2,724,555 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $57,774 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $57,774 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,666,781 | RevenueSubtotalAmt |
| Other Revenues Not Included | $4,355,097 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $4,355,097 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,021,878 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,767,291 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,767,291 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $4,355,097 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $4,355,097 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,122,388 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 4b - Other Adjustments: | Hospital Voluntary Contributions 4,355,097. |
| Part XII, Line 4b - Other Adjustments: | Hospital Voluntary Contributions 4,355,097. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Trustees of Dartmouth College | |||||||
| 7 Lebanon Street Suite 302 No 6015 | Hanover | NH | 03755 | 020222111 | 501(c)(3) | $7,361 | The NH Comprehensive Cancer Collaboration entered into an agreement with the Trustees of Dartmouth to award $7,361 for a NH Cancer Plan implementation initiative, Reduce Barriers to HPV Vaccines in a High-Need Community . This addresses an objective in the NH Cancer Plan to increase the percentage of NH youth who complete the recommended HPV vaccination series. Overall, HPV is thought to cause about 26,800 new cancer cases in the U.S. each year; that is about 5% of total cancer cases-3% of cases in women and 2% of cases in men. Based on what is known about the barriers to improving HPV vaccine initiation and completion rates among both boys and girls, the HPV Stakeholders network will develop interventions that will address two audiences: healthcare providers and parents of adolescents. The intent is to target 2 high-need communities and conduct CDC-based CME trainings for providers with evaluations, and offer resources that will promote the vaccine series with parents of adolescents. |
| State of New Hampshire | |||||||
| 25 Capitol Street | Concord | NH | 03301 | $4,355,097 | NH Health Protection Program, otherwise known as Medicaid Expansion, made up of voluntary contributions from state hospitals and insurers to help cover the state share of funding for the program. | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | 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 | 0 | 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 (2 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 | ||||||||||||||
| Treasurer & Secretary/CEO | $0 | $327,781 | $0 | $0 | $0 | $13,690 | $0 | $13,500 | $0 | $29,280 | $0 | $384,251 | $0 | $0 |
| Anne Diefendorf | ||||||||||||||
| Associate Executive Director | $138,488 | $0 | $0 | $0 | $594 | $0 | $7,133 | $0 | $21,922 | $0 | $168,137 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Section B, Amended Return Explanation | The 2016 Form 990 is being amended to include information inadvertently not included on the original return. Beginning in December 2016, Foundation for Healthy Communities received contributions from all of the hospitals in New Hampshire which the Organization then in turn paid the full amount to the State of New Hampshire for the NH Health Protection Program, otherwise known as Medicaid Expansion. The return has been adjusted to reflect the following changes: - Page 9 contribution revenue increased for the additional contributions received from the hospitals and to reclassify a grant received from the State of NH from program revenue to contribution revenue. - Page 10 grant expense increased to include the additional money paid to the State of NH - Schedule A has been modified to complete the Part II test - Schedule B has been modified to include the additional contributions - Schedule I has been modified to include the additional grant to the State of NH |
| 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 IX, line 11g | Outside Services - Core: Program service expenses 13,887. Management and general expenses 0. Fundraising expenses 0. Total expenses 13,887. Contracted Services - Projects / EP: Program service expenses 992,666. Management and general expenses 0. Fundraising expenses 0. Total expenses 992,666. |
| 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 |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| New Hampshire Hospital Association | ||
| C | $363,120 | Fair Market Value |
| New Hampshire Hospital Association | ||
| O | $146,108 | Fair Market Value |
| New Hampshire Hospital Association | ||
| D | $90,780 | Fair Market Value |