STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

COMMUNITY HEALTH ACCESS NETWORK: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH ACCESS NETWORK (EIN 04-3349104)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-04-18
IRS object ID
201621109349300802
Schema version
2014v6.0
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

FieldValueIRS element (for citing)
Return2016-04-18T00:00:00-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010523282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11000 Elm Street 15th FloorAddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043349104EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Community Health Access NetworkBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone6032921117PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207a South Main StreetAddressLine1Txt
CityNewmarketCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03857ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKirsten PlattePersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone6036592494PhoneNum
Signature2016-03-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDimitrios PanacopoulosPreparerPersonNm
PTINP01603705PTIN
Phone6036697337PhoneNum
Preparation2016-03-30PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKirsten PlattePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207a South Main StreetAddressLine1Txt
CityNewmarketCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03857ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,269,064GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.chan-nh.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionTo enable our member agencies to develop the program and resources necessary to assure access to efficient, effective quality health care for all clients in our communities particularly the uninsured, Medicaid, and medically underserved populations.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,202,063PYContributionsGrantsAmt
CY Contributions Grants$1,218,644CYContributionsGrantsAmt
PY Program Service Revenue$1,118,506PYProgramServiceRevenueAmt
CY Program Service Revenue$1,049,650CYProgramServiceRevenueAmt
PY Investment Income$360PYInvestmentIncomeAmt
CY Investment Income$770CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,320,929PYTotalRevenueAmt
CY Total Revenue$2,269,064CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$293,535CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$448,906PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$544,439CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,969,928PYOtherExpensesAmt
CY Other Expenses$1,579,108CYOtherExpensesAmt
PY Total Expenses$2,418,834PYTotalExpensesAmt
CY Total Expenses$2,417,082CYTotalExpensesAmt
PY Revenues Less Expenses-$97,905PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$148,018CYRevenuesLessExpensesAmt
Total Assets BOY$1,434,148TotalAssetsBOYAmt
Total Assets EOY$2,116,638TotalAssetsEOYAmt
Total Liabilities BOY$557,280TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,387,788TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$876,868NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$728,850NetAssetsOrFundBalancesEOYAmt
MissionTo enable our member agencies to develop the program and resources necessary to assure access to efficient, effective quality health care for all clients in our communities particularly the uninsured, Medicaid, and medically underserved populations.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,141,213ExpenseAmt
Grant$293,535GrantAmt
Revenue$1,049,650RevenueAmt
DescTo provide services and conduct activities that improve the health status of communities served.Desc
Total Program Service Expenses$2,141,213TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee7EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kirsten PlatteBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6032927205PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 South Main StreetAddressLine1Txt
CityNewmarketCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03857ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Helen Taft
Board Member1.00Yes (X)$0$0$0
Janet Atkins
Treasurer1.00Yes (X)$0$0$0Yes (X)
Richard Silverberg
President1.00Yes (X)$0$0$0Yes (X)
Kris McCracken
Board Member1.00Yes (X)$0$0$0
Dustin Hawk
Secretary1.00Yes (X)$0$0$0Yes (X)
Peter Kelleher
Board Member1.00Yes (X)$0$0$0
Gregory White
Board Member1.00Yes (X)$0$0$0
Kirsten Platte
Executive Director40.00$87,533$0$16,005Yes (X)
Julie Nichols
Finance Director40.00$48,627$0$20,590Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$136,160TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$36,595TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Lamprey Health Care Inc
207 South Main StreetNewmarketNH03857Lease of space & Contracted staff$413,814
GE
15724 Collection Center DriveChicagoIL60693Software$192,586
Systems Engineering
120 Exchange StreetPortlandME04101IT Infrastructure & Software$142,775
CDW Government
75 Remittance Drive Suite 1515ChicagoIL60675IT Infrastructure & Software$116,284
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Membership Dues$136,647MembershipDuesAmt
Government Grants$1,081,997GovernmentGrantsAmt
Total Contributions$1,218,644TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescService RevenueDesc
Business518210BusinessCd
Total Revenue Column$1,049,650TotalRevenueColumnAmt
Related Or Exempt Func Income$1,049,650RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,049,650TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$770TotalRevenueColumnAmt
Exclusion$770ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,269,064TotalRevenueColumnAmt
Related Or Exempt Func Income$1,049,650RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$770ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$293,535TotalAmt
Program Services$293,535ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$172,755TotalAmt
Management And General$172,755ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$303,759TotalAmt
Program Services$282,702ProgramServicesAmt
Management And General$21,057ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$32,731TotalAmt
Program Services$29,313ProgramServicesAmt
Management And General$3,418ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$35,194TotalAmt
Program Services$22,616ProgramServicesAmt
Management And General$12,578ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,775TotalAmt
Management And General$1,775ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,057TotalAmt
Management And General$14,057ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$572,424TotalAmt
Program Services$572,424ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,125TotalAmt
Program Services$2,651ProgramServicesAmt
Management And General$1,474ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$421,283TotalAmt
Program Services$421,283ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$46,787TotalAmt
Program Services$30,066ProgramServicesAmt
Management And General$16,721ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19,546TotalAmt
Program Services$12,561ProgramServicesAmt
Management And General$6,985ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$28,498TotalAmt
Program Services$18,313ProgramServicesAmt
Management And General$10,185ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$428,762TotalAmt
Program Services$428,762ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,989TotalAmt
Program Services$10,275ProgramServicesAmt
Management And General$5,714ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Printing & Publications$20,195$12,978$7,217
Telephone$4,276$2,748$1,528
Other Expenses$887$569$318
Postage and Shipping$243$156$87

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$261TotalAmt
Program Services$261ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,417,082TotalAmt
Program Services$2,141,213ProgramServicesAmt
Management And General$275,869ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$39,546BOYAmt
EOY$61,107EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$453,780BOYAmt
EOY$1,276,003EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$70,733BOYAmt
EOY$16,659EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$146,270BOYAmt
EOY$106,166EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,432,501LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,925,430LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$578,804BOYAmt
EOY$507,071EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$145,015BOYAmt
EOY$149,632EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,434,148BOYAmt
EOY$2,116,638EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$199,131BOYAmt
EOY$165,709EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$358,149BOYAmt
EOY$1,222,079EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$557,280BOYAmt
EOY$1,387,788EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$876,868BOYAmt
EOY$728,850EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$876,868BOYAmt
EOY$728,850EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,434,148BOYAmt
EOY$2,116,638EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$148,018ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$877,869CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$981,315CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,064,976CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,202,063CurrentTaxYearMinus1YearAmt
Current Tax Year$1,218,644CurrentTaxYearAmt
Total$5,344,867TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$877,869CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$981,315CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,064,976CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,202,063CurrentTaxYearMinus1YearAmt
Current Tax Year$1,218,644CurrentTaxYearAmt
Total$5,344,867TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,344,867PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$770CurrentTaxYearAmt
Total$770TotalAmt
FieldValueIRS element (for citing)
Total Support$5,345,637TotalSupportAmt
Gross Receipts Rltd Activities$4,585,260GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99990PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,409,569OtherCostOrOtherBasisAmt
Depreciation$2,902,498DepreciationAmt
Book Value$507,071BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,932OtherCostOrOtherBasisAmt
Depreciation$22,932DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$507,071TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescAssets Limited As To UseDesc
Book Value$149,632BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$149,632TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,269,064TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,269,064RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,269,064TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,417,082TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,417,082ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,417,082TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe Organization is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Organization is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Organization's tax position and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Recipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Bi-State Primary Care Association
223061156501(c)(3)$151,692Improving access to health care services for people who are uninsured, isolated or medically vulnerable.
Northern Minnesota Network
201686489501(c)(3)$141,843Improving access to health care services for people who are uninsured, isolated or medically vulnerable.
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Executive Director has bi-weekly conference calls with the subrecipients to ensure the activity per the grant agreement is being met in a timely manner. The Quality Improvement Director and Executive Director monitor the performance goals and ensure that all goals are being met by all parties involved. Subrecipients are required to submit written quarterly updates with examples of goals and activities met.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11The 990 is reviewed by the Executive Director, the Board Treasurer and Directors.
Form 990, Part VI, Section B, line 12cBoard members sign the policy upon becoming a member and periodically review the policy.
Form 990, Part VI, Section B, line 15The Board of Directors review and approve the compensation of the Executive Director.
Form 990, Part VI, Section C, line 19The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part IX, line 11gContracted Staff: Program service expenses 511,839. Management and general expenses 0. Fundraising expenses 0. Total expenses 511,839. Other Contracted Services: Program service expenses 60,585. Management and general expenses 0. Fundraising expenses 0. Total expenses 60,585.
Form 990, Part X, Line 10: Land, Buildings, and EquipmentSection 1.263(a)-3(n) Election: Community Health Access Network 207 South Main Street, Newmarket, NH 03857 EIN 04-3349104 Community Health Access Network is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).