2016-04-18T00:00:00-05:00 2015-09-30 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 15th Floor Manchester NH 03101 990 2014-10-01 043349104 Community Health Access Network COMM 6032921117 207a South Main Street Newmarket NH 03857 Kirsten Platte Executive Director 6036592494 2016-03-30 1 Dimitrios Panacopoulos P01603705 6036697337 2016-03-30 2014 2016-08-17 19:52:53Z Kirsten Platte 207a South Main Street Newmarket NH 03857 2269064 0 X www.chan-nh.org X 1995 NH To 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. 7 7 7 7 0 0 1202063 1218644 1118506 1049650 360 770 0 0 2320929 2269064 0 293535 0 0 448906 544439 0 0 0 1969928 1579108 2418834 2417082 -97905 -148018 1434148 2116638 557280 1387788 876868 728850 To 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. 0 0 2141213 293535 1049650 To provide services and conduct activities that improve the health status of communities served. 2141213 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 11 0 1 7 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Kirsten Platte 6032927205 207 South Main Street Newmarket NH 03857 Helen Taft Board Member 1.00 X 0 0 0 Janet Atkins Treasurer 1.00 X X 0 0 0 Richard Silverberg President 1.00 X X 0 0 0 Kris McCracken Board Member 1.00 X 0 0 0 Dustin Hawk Secretary 1.00 X X 0 0 0 Peter Kelleher Board Member 1.00 X 0 0 0 Gregory White Board Member 1.00 X 0 0 0 Kirsten Platte Executive Director 40.00 X 87533 0 16005 Julie Nichols Finance Director 40.00 X 48627 0 20590 136160 0 36595 0 0 0 0 Lamprey Health Care Inc 207 South Main Street Newmarket NH 03857 Lease of space & Contracted staff 413814 GE 15724 Collection Center Drive Chicago IL 60693 Software 192586 Systems Engineering 120 Exchange Street Portland ME 04101 IT Infrastructure & Software 142775 CDW Government 75 Remittance Drive Suite 1515 Chicago IL 60675 IT Infrastructure & Software 116284 4 136647 1081997 1218644 Service Revenue 518210 1049650 1049650 1049650 770 770 2269064 1049650 0 770 X 293535 293535 172755 172755 303759 282702 21057 32731 29313 3418 35194 22616 12578 1775 1775 14057 14057 572424 572424 4125 2651 1474 421283 421283 46787 30066 16721 19546 12561 6985 28498 18313 10185 428762 428762 15989 10275 5714 Printing & Publications 20195 12978 7217 Telephone 4276 2748 1528 Other Expenses 887 569 318 Postage and Shipping 243 156 87 261 261 2417082 2141213 275869 0 X 39546 61107 453780 1276003 70733 16659 146270 106166 3432501 2925430 578804 507071 145015 149632 1434148 2116638 199131 165709 358149 1222079 557280 1387788 X 876868 728850 876868 728850 1434148 2116638 -148018 0 X 0 1 X 1 1 1 X 877869 981315 1064976 1202063 1218644 5344867 877869 981315 1064976 1202063 1218644 5344867 5344867 770 770 5345637 4585260 0.99990 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3409569 2902498 507071 22932 22932 0 507071 Assets Limited As To Use 149632 149632 X 2269064 0 2269064 0 2269064 2417082 0 2417082 0 2417082 Part X, Line 2: The Organization is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Organization is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Organization's tax position and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. 1 Bi-State Primary Care Association 223061156 501(c)(3) 151692 Improving access to health care services for people who are uninsured, isolated or medically vulnerable. Northern Minnesota Network 201686489 501(c)(3) 141843 Improving access to health care services for people who are uninsured, isolated or medically vulnerable. 2 Part I, Line 2: The 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. Form 990, Part VI, Section B, line 11 The 990 is reviewed by the Executive Director, the Board Treasurer and Directors. Form 990, Part VI, Section B, line 12c Board members sign the policy upon becoming a member and periodically review the policy. Form 990, Part VI, Section B, line 15 The Board of Directors review and approve the compensation of the Executive Director. 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 Contracted 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 Equipment Section 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).