NEW HAMPSHIRE HEALTH INFORMATION ORGANIZATION CORPORATION: Form 990, tax year 2014
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- Organization
- NEW HAMPSHIRE HEALTH INFORMATION ORGANIZATION CORPORATION (EIN 45-3247637)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-04-22
- IRS object ID
- 201501129349300010
- Schema version
- 2014v5.0
- 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 | 2015-04-22T10:50:20-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 020327524 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NATHAN WECHSLER & COMPANY PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 COMMERCIAL STREET 4TH FLOOR | AddressLine1Txt |
| City | CONCORD | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453247637 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW HAMPSHIRE HEALTH INFORMATION ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEWH | BusinessNameControlTxt |
| Phone | 6032190184 | 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 | MARY BETH ELDREDGE | PersonNm |
| Person Title | 2014 BOARD CHAIR | PersonTitleTxt |
| Phone | 6036505000 | PhoneNum |
| Signature | 2015-04-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KELLI D'AMORE CPA | PreparerPersonNm |
| PTIN | P01402985 | PTIN |
| Phone | 6032245357 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARY BETH ELDRIDGE | 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 | $1,251,700 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | NHHIO.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | TO ESTABLISH AN ELECTRONIC NETWORK TO TRANSMIT PATIENT HEALTH INFORMATION BETWEEN HEALTH CARE PROVIDERS IN A TIMELY, SECURE AND CONFIDENTIAL MANNER. THIS NEW SYSTEM WILL REPLACE PHONE, PAPER AND FAX TRANSACTIONS TO IMPROVE DELIVERY OF PATIENT CARE, ACCURACY OF MEDICAL RECORDS, REDUCE COSTS, AND PROTECT PATIENT INFORMATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,645,594 | PYContributionsGrantsAmt |
| CY Contributions Grants | $821,983 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $50,667 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $429,717 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,696,261 | PYTotalRevenueAmt |
| CY Total Revenue | $1,251,700 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $95,692 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $278,347 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,465,790 | PYOtherExpensesAmt |
| CY Other Expenses | $1,423,722 | CYOtherExpensesAmt |
| PY Total Expenses | $1,561,482 | PYTotalExpensesAmt |
| CY Total Expenses | $1,702,069 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,134,779 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$450,369 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,929,806 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,188,442 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $718,917 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $427,922 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,210,889 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $760,520 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO ESTABLISH AN ELECTRONIC NETWORK TO TRANSMIT PATIENT HEALTH INFORMATION BETWEEN HEALTH CARE PROVIDERS IN A TIMELY, SECURE AND CONFIDENTIAL MANNER. THIS NEW SYSTEM WILL REPLACE PHONE, PAPER AND FAX TRANSACTIONS TO IMPROVE DELIVERY OF PATIENT CARE, ACCURACY OF MEDICAL RECORDS, REDUCE COSTS, AND PROTECT PATIENT INFORMATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,604,986 | ExpenseAmt |
| Grant | $278,347 | GrantAmt |
| Revenue | $429,717 | RevenueAmt |
| Desc | WORK TO ESTABLISH AN ELECTRONIC NETWORK TO TRANSMIT PATIENT HEALTH INFORMATION BETWEEN HEALTH CARE PROVIDERS IN A TIMELY, SECURE AND CONFIDENTIAL MANNER. THIS NEW SYSTEM WILL REPLACE PHONE, PAPER AND FAX TRANSACTIONS TO IMPROVE DELIVERY OF PATIENT CARE, ACCURACY OF MEDICAL RECORDS, REDUCE COSTS, AND PROTECT PATIENT INFORMATION. | Desc |
| Total Program Service Expenses | $1,604,986 | 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | 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 | 0 | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | 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 | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | 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 | JEFFREY LOUGHLIN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6032190184 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| DENISE PURINGTON | ||||||
| PAST CHAIR | 5.00 | Yes (X) | $0 | $0 | $0 | |
| MARY BETH ELDREDGE | ||||||
| CHAIR | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CAROL LACROSS | ||||||
| TREASURER | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| KIRSTEN PLATTE | ||||||
| SECRETARY | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MARK GUPTILL | ||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| PATRICIA WITTHAUS | ||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DEB MULLEN | ||||||
| VICE CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DANIEL WASZKOWSKI MD | ||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID BRIDEN | ||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| WILLIAM BAGGEROER | ||||||
| MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | |
| RICHARD LAFLEUR MD | ||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL LEHRMAN | ||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID QUERUSIO | ||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CHRISTINE ROSENWASSER MD FAAP | ||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| VICTOR ST PIERRE | ||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| LORRAINE NICHOLS | ||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CHARLIE FANARAS | ||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ORION HEALTH INC | |||||
| 225 SANTA MONICA BOULEVARD | SANTA MONICA | CA | 90401 | SOFTWARE DVLPMENT,HOSTING & MONITORING | $541,333 |
| MASSACHUSETTS EHEALTH COLLABORATIVE | |||||
| 860 WINTER STREET | WALTHAM | MA | 02451 | MANAGEMENT SERVICES | $408,598 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $821,983 | GovernmentGrantsAmt |
| Total Contributions | $821,983 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PARTICIPATION AGREEMEN | Desc |
| Business | 518210 | BusinessCd |
| Total Revenue Column | $429,717 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $429,717 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $429,717 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,251,700 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $429,717 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $278,347 | TotalAmt |
| Program Services | $278,347 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $408,598 | TotalAmt |
| Program Services | $326,878 | ProgramServicesAmt |
| Management And General | $81,720 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,561 | TotalAmt |
| Program Services | $10,561 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,363 | TotalAmt |
| Management And General | $15,363 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,413 | TotalAmt |
| Program Services | $3,413 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580 | TotalAmt |
| Program Services | $580 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $840 | TotalAmt |
| Program Services | $840 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $581,333 | TotalAmt |
| Program Services | $581,333 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,070 | TotalAmt |
| Program Services | $4,070 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $987 | TotalAmt |
| Program Services | $987 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $370,000 | TotalAmt |
| Program Services | $370,000 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,240 | TotalAmt |
| Program Services | $12,240 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| WEBSITE DESIGN & DEVELO | $12,550 | $12,550 |
| TELEPHONE | $3,187 | $3,187 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,702,069 | TotalAmt |
| Program Services | $1,604,986 | ProgramServicesAmt |
| Management And General | $97,083 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $723,747 | BOYAmt |
| EOY | $656,825 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,125 | BOYAmt |
| EOY | $95,983 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,601 | BOYAmt |
| EOY | $4,301 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,110,000 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $679,167 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $800,833 | BOYAmt |
| EOY | $430,833 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500 | BOYAmt |
| EOY | $500 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,929,806 | BOYAmt |
| EOY | $1,188,442 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $608,734 | BOYAmt |
| EOY | $142,361 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,183 | BOYAmt |
| EOY | $285,561 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $718,917 | BOYAmt |
| EOY | $427,922 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,667 | BOYAmt |
| EOY | $586,916 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,160,222 | BOYAmt |
| EOY | $173,604 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,210,889 | BOYAmt |
| EOY | $760,520 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,929,806 | BOYAmt |
| EOY | $1,188,442 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$450,369 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 Minus2 Years | $359,435 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,645,594 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $821,983 | CurrentTaxYearAmt |
| Total | $3,827,012 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $359,435 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,645,594 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $821,983 | CurrentTaxYearAmt |
| Total | $3,827,012 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $3,827,012 | PublicSupportTotal170Amt |
| Total Support | $3,827,012 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $50,667 | GrossReceiptsRltdActivitiesAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
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
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,110,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $679,167 | DepreciationAmt |
| Book Value | $430,833 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $430,833 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,251,700 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,251,700 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,251,700 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,697,737 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,697,737 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,697,737 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF FASB ASC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ACCORDINGLY, MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THE ORGANIZATION HAD MAINTAINED ITS TAX-EXEMPT STATUS, DOES NOT HAVE ANY SIGNIFICANT UNRELATED BUSINESS INCOME AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT OR DISCLOSURE IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| AMMONOSSUC COMMUNITY HEALTH SERVICES | |||||||
| 25 MT EUSTIS ROAD | LITTLETON | NH | 03561 | 510137745 | 501(C)(3) | $7,299 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANTHEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT |
| CENTRAL NH VNA AND HOSPICE | |||||||
| 780 MAIN STREET | LACONIA | NH | 03246 | 020324948 | $6,742 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT | |
| VNA & HOSPICE OF NH AND VT | |||||||
| 66 BENNING STREET SUITE 8 | WEST LEBANON | NH | 03784 | 036006494 | 501(C)(3) | $7,050 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT |
| COOS COUNTY FAMILY HEALTH SERVICES | |||||||
| 133 PLEASANT STREET | BERLIN | NH | 03570 | 020350051 | $7,500 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT | |
| CORNERSTONE VNA | |||||||
| 178 FARMINGTON ROAD | ROCHESTER | NH | 03867 | 020231026 | $7,500 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT | |
| LAKE SUNAPEE REGION VNA & HOSPICE | |||||||
| 107 NEWPORT ROAD PO BOX 2209 | NEW LONDON | NH | 03257 | 237066056 | $7,500 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT | |
| MID-STATE HEALTH CENTER | |||||||
| 101 BOULDER POINT DRIVE SUITE 1 | PLYMOUTH | NH | 03264 | 020487172 | $7,500 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT | |
| MONADNOCK FAMILY SERVICES | |||||||
| 64 MAIN STREET | KEENE | NH | 03431 | 026012230 | $9,450 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT | |
| WEST CENTRAL BEHAVORIAL HEALTH | |||||||
| 9 HANOVER STREET SUITE 2 | LEBANON | NH | 03766 | 222645978 | 501(C)(3) | $10,233 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT |
| NORTHERN HUMAN SERVICES | |||||||
| 87 WASHINGTON STREET | CONWAY | NH | 03818 | 020300994 | 501(C)(3) | $13,899 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT |
| CENTER FOR LIFE MANAGEMENT | |||||||
| 10 TSIENNETO ROAD | DERRY | NH | 03038 | 020301530 | $13,940 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT | |
| PAIN CARE & SALMON FALLS HEALTH | |||||||
| 7 WORKS WAY | SOMERSWORTH | NH | 03878 | 461588699 | $14,063 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT | |
| GREATER NASHUA MENTAL HEALTH CENTER | |||||||
| 100 W PEARL STREET | NASHUA | NH | 03060 | 020222121 | $14,625 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT | |
| MHC OF GREATER MANCHESTER | |||||||
| 401 CYPRESS STREET | MANCHESTER | NH | 03103 | 020258994 | 501(C)(3) | $15,651 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT |
| HUGGINS HOSPITAL | |||||||
| 240 SOUTH MAIN STREET | WOLFBOROUGH | NH | 03894 | 022223332 | $15,860 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT | |
| WEEKS MEDICAL CENTER | |||||||
| 173 MIDDLE STREET | LANCASTER | NH | 03584 | 020222242 | $18,400 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT | |
| COTTAGE HOSPITAL | |||||||
| 90 SWIFTWATER ROAD | WOODSVILLE | NH | 03785 | 020223321 | $18,438 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT | |
| ANDROSCOGGIN VALLEY | |||||||
| 9 PAGE HILL ROAD | BERLIN | NH | 03570 | 020280367 | $27,720 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT | |
| MONADNOCK COMMUNITY HOSPITAL | |||||||
| 454 OLD STREET ROAD | PETERBOROUGH | NH | 03458 | 020222157 | 501(C)(3) | $32,643 | HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION CONTRACTS WITH MASSACHUSETTS EHEALTH COLLABORATIVE FOR MANAGEMENT SERVICES OF THE TECHNOLOGY. |
| FORM 990, PART VI, SECTION B, LINE 11 | ALL MEMBERS OF THE BOARD RECEIVE THE 990 FOR REVIEW AND APPROVAL PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES EACH BOARD MEMBER TO SIGN A CONFLICT OF INTEREST POLICY WHEN THEY JOIN THE BOARD AND ANNUALLY THEREAFTER. BOARD MEMBERS ARE REQUIRED TO REPORT ANY POTENTIAL CONFLICTS AS THEY MAY ARISE DURING THE YEAR. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF THE MANAGEMENT COMPANY HIRED BY THE BOARD OF DIRECTORS TO MANAGE THE OPERATIONS OF THE ORGANIZATION. THE CONTRACT WITH THE MANAGEMENT COMPANY IS REVIEWED IN DETAIL BY THE MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DURING THE YEAR. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING AND APPROVING THE AUDITED FINANCIAL STATEMENTS AND FOR SELECTION OF THE INDEPENDENT AUDITORS. |