AMOSKEAG HEALTH: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- AMOSKEAG HEALTH (EIN 02-0458174)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2014-11-10
- IRS object ID
- 201413149349301861
- Schema version
- 2013v3.0
- 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 | 2014-11-10T12:18:26-06:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 020400296 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brad Borbidge PA | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 197 Loudon Road | AddressLine1 |
| City | Concord | City |
| State | NH | State |
| ZIP Code | 03301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020458174 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Manchester Community Health Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MANC | BusinessNameControlTxt |
| Phone | 6036269500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 145 Hollis Street 2nd Floor | AddressLine1 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kris McCracken | PersonNm |
| Person Title | Chief Executive Officer | PersonTitleTxt |
| Phone | 6036269500 | PhoneNum |
| Signature | 2014-11-10 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Dimitrios Panacopoulos CPA | PreparerPersonNm |
| PTIN | P01603705 | PTIN |
| Phone | 6032240849 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Kris McCracken | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 145 Hollis Street 2nd Floor | AddressLine1 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,981,234 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.MCHC-NH.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | The mission of Manchester Community Health Center is to foster, both through direct services and collaboration, high-quality, comprehensive family oriented primary health-care services, which meet the needs of a diverse community regardless of age, ethnicity or income. Our focus is to provide access to those who cannot access primary health care services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 110 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,509,724 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,096,901 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,019,803 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,884,332 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,740 | PYInvestmentIncomeAmt |
| CY Investment Income | $1 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $6,539,267 | PYTotalRevenueAmt |
| CY Total Revenue | $7,981,234 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,151,360 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,253,638 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $19,759 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,009,489 | PYOtherExpensesAmt |
| CY Other Expenses | $2,493,662 | CYOtherExpensesAmt |
| PY Total Expenses | $6,160,849 | PYTotalExpensesAmt |
| CY Total Expenses | $7,747,300 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $378,418 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $233,934 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,776,903 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,907,163 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,126,717 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,018,956 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,650,186 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,888,207 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Manchester Community Health Center is to foster, both through direct services and collaboration, high-quality, comprehensive family oriented primary health-care services, which meet the needs of a diverse community regardless of age, ethnicity or income. Our focus is to provide access to those who cannot access primary health care services. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,644,962 | ExpenseAmt |
| Revenue | $4,884,332 | RevenueAmt |
| Desc | To provide primary outpatient medical care, counseling services and nutritional consultation to individuals in the Manchester NH area. | Desc |
| Total Program Service Expenses | $6,644,962 | 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 | Yes (1) | 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 | 0 | 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 | Yes (1) | 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 | 23 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 110 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kris McCracken | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6036269500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 145 Hollis Street 2nd Floor | AddressLine1 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Dominique A Rust | ||||||||
| Chairperson | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| David Cuzzi | ||||||||
| Vice Chair | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Gerri Provost | ||||||||
| Secretary | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Barbara Labonte | ||||||||
| Treasurer | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Carolina Capdevila | ||||||||
| Board of Directors | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Anthony Chismark | ||||||||
| Board of Directors | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Idowu Edokpolo | ||||||||
| Board of Directors | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Mukhtar Idhow | ||||||||
| Board of Directors | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Kuhl | ||||||||
| Board of Directors | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Maria Mariano | ||||||||
| Board of Directors | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Germano Martins | ||||||||
| Board of Directors | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Myra Nixon | ||||||||
| Board of Directors | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Toni Pappas | ||||||||
| Board of Directors | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Tulasi Pokhrel | ||||||||
| Board of Directors | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Andru Volinski | ||||||||
| Board of Directors | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Don Walega | ||||||||
| Board of Directors | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Kris Mcracken | ||||||||
| CEO | 40.00 | $138,608 | $0 | $11,952 | Yes (X) | |||
| Michele Croteau | ||||||||
| CFO | 40.00 | $94,577 | $0 | $10,032 | Yes (X) | |||
| J Gavin Muir MD | ||||||||
| Medical Director | 40.00 | $223,506 | $0 | $16,050 | Yes (X) | |||
| Laura Fry | ||||||||
| Physician | 40.00 | $233,207 | $0 | $10,237 | Yes (X) | |||
| Mary Cullen | ||||||||
| Physician | 40.00 | $173,226 | $0 | $13,453 | Yes (X) | |||
| Peter Kiprop | ||||||||
| Physician | 40.00 | $178,508 | $0 | $14,206 | Yes (X) | |||
| Elizabeth Keane | ||||||||
| Physician | 28.00 | $105,088 | $0 | $4,191 | Yes (X) | |||
| Kristin Schmidt | ||||||||
| Physician Assistant | 40.00 | $122,278 | $0 | $10,920 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,268,998 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $91,041 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Dartmouth Hitchcock | |||||
| 1 Medical Center Drive | Lebanon | NH | 03766 | Contracted Services | $233,368 |
| Community Health Access Network | |||||
| 207 South Main Street | Newmarket | NH | 03857 | Shared System Fee | $193,673 |
| Elliot Physician Network | |||||
| One Elliot Way | Manchester | NH | 03103 | Contracted Services | $165,162 |
| Bedford Commons OBGYN | |||||
| 201 Riverway Place | Bedford | NH | 03110 | Contracted Staff | $153,650 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,868,304 | GovernmentGrantsAmt |
| All Other Contributions | $228,597 | AllOtherContributionsAmt |
| Total Contributions | $3,096,901 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Primary Medical Care S | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $4,884,332 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,884,332 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,884,332 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1 | TotalRevenueColumnAmt |
| Exclusion | $1 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,981,234 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,884,332 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $494,725 | TotalAmt |
| Program Services | $239,556 | ProgramServicesAmt |
| Management And General | $255,169 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,028,681 | TotalAmt |
| Program Services | $3,663,169 | ProgramServicesAmt |
| Management And General | $351,076 | ManagementAndGeneralAmt |
| Fundraising | $14,436 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,789 | TotalAmt |
| Program Services | $108,130 | ProgramServicesAmt |
| Management And General | $16,260 | ManagementAndGeneralAmt |
| Fundraising | $399 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,613 | TotalAmt |
| Program Services | $213,690 | ProgramServicesAmt |
| Management And General | $32,134 | ManagementAndGeneralAmt |
| Fundraising | $789 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,830 | TotalAmt |
| Program Services | $310,926 | ProgramServicesAmt |
| Management And General | $46,756 | ManagementAndGeneralAmt |
| Fundraising | $1,148 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,185 | TotalAmt |
| Management And General | $8,185 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,800 | TotalAmt |
| Management And General | $38,800 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,275,931 | TotalAmt |
| Program Services | $1,105,594 | ProgramServicesAmt |
| Management And General | $170,337 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,845 | TotalAmt |
| Management And General | $22,845 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,492 | TotalAmt |
| Program Services | $102,673 | ProgramServicesAmt |
| Management And General | $15,440 | ManagementAndGeneralAmt |
| Fundraising | $379 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,221 | TotalAmt |
| Program Services | $254,076 | ProgramServicesAmt |
| Management And General | $38,207 | ManagementAndGeneralAmt |
| Fundraising | $938 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,708 | TotalAmt |
| Program Services | $14,477 | ProgramServicesAmt |
| Management And General | $2,231 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,263 | TotalAmt |
| Program Services | $48,752 | ProgramServicesAmt |
| Management And General | $7,511 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,545 | TotalAmt |
| Program Services | $31,666 | ProgramServicesAmt |
| Management And General | $4,762 | ManagementAndGeneralAmt |
| Fundraising | $117 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,006 | TotalAmt |
| Program Services | $153,376 | ProgramServicesAmt |
| Management And General | $23,064 | ManagementAndGeneralAmt |
| Fundraising | $566 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,539 | TotalAmt |
| Program Services | $30,795 | ProgramServicesAmt |
| Management And General | $4,630 | ManagementAndGeneralAmt |
| Fundraising | $114 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Program Supplies | $131,913 | $131,913 | ||
| Other Expenses | $110,872 | $96,071 | $14,446 | $355 |
| Printing and Publicatio | $56,331 | $48,811 | $7,340 | $180 |
| Equipment Rental/Repair | $49,370 | $42,779 | $6,433 | $158 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,641 | TotalAmt |
| Program Services | $48,508 | ProgramServicesAmt |
| Management And General | $16,953 | ManagementAndGeneralAmt |
| Fundraising | $180 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,747,300 | TotalAmt |
| Program Services | $6,644,962 | ProgramServicesAmt |
| Management And General | $1,082,579 | ManagementAndGeneralAmt |
| Fundraising | $19,759 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $354,377 | BOYAmt |
| EOY | $173,492 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $339,015 | BOYAmt |
| EOY | $341,980 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $529,437 | BOYAmt |
| EOY | $871,492 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,833 | BOYAmt |
| EOY | $82,656 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,058,773 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,165,367 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,847,044 | BOYAmt |
| EOY | $2,893,406 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $443,000 | BOYAmt |
| EOY | $443,001 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,197 | BOYAmt |
| EOY | $101,136 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,776,903 | BOYAmt |
| EOY | $4,907,163 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $413,996 | BOYAmt |
| EOY | $655,239 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,393,497 | BOYAmt |
| EOY | $1,363,717 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,224 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,126,717 | BOYAmt |
| EOY | $2,018,956 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,331,752 | BOYAmt |
| EOY | $2,640,470 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,434 | BOYAmt |
| EOY | $247,737 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,650,186 | BOYAmt |
| EOY | $2,888,207 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,776,903 | BOYAmt |
| EOY | $4,907,163 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $233,934 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,087 | 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) |
|---|---|---|
| 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $81,000 | OtherCostOrOtherBasisAmt |
| Book Value | $81,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,756,571 | OtherCostOrOtherBasisAmt |
| Depreciation | $480,233 | DepreciationAmt |
| Book Value | $2,276,338 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,221,202 | OtherCostOrOtherBasisAmt |
| Depreciation | $685,134 | DepreciationAmt |
| Book Value | $536,068 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,893,406 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $7,985,321 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $4,087 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $4,087 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,981,234 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,981,234 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,747,300 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,747,300 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,747,300 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part IV, line 11f | FormAndLineReferenceDesc |
| Explanation | The Health Center is a public charity under Section 501 (c)(3) of the Internal Revenue Code. As a public charity, The Health Center 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 Health Centers tax positions and concluded that the Health Center has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kris Mcracken | ||||||||||||||
| CEO | $138,608 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $11,952 | $0 | $150,560 | $0 | $0 | $0 |
| J Gavin Muir MD | ||||||||||||||
| Medical Director | $187,480 | $0 | $0 | $0 | $36,026 | $0 | $0 | $0 | $16,050 | $0 | $239,556 | $0 | $0 | $0 |
| Laura Fry | ||||||||||||||
| Physician | $184,464 | $0 | $0 | $0 | $48,743 | $0 | $0 | $0 | $10,237 | $0 | $243,444 | $0 | $0 | $0 |
| Mary Cullen | ||||||||||||||
| Physician | $148,923 | $0 | $0 | $0 | $24,303 | $0 | $0 | $0 | $13,453 | $0 | $186,679 | $0 | $0 | $0 |
| Peter Kiprop | ||||||||||||||
| Physician | $148,545 | $0 | $0 | $0 | $29,963 | $0 | $0 | $0 | $14,206 | $0 | $192,714 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 7 | FormAndLineReferenceDesc |
| Explanation | Physicians are eligible to participate in the incentivized variable compensation plan, which provides for variable payments to physicians based upon clinical volume, complexity and quality measures. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kris Mcracken | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | MCHC CEO serves as Member of the Board OF COMMUNITY HEALTH ACCESS NETWORK | RelationshipDescriptionTxt |
| Transaction | $193,673 | TransactionAmt |
| Transaction | Transactions include purchase of shared IT services $175,663, annual membership dues of $16,645 and other fees of $1,365. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | The form 990 is provided to the finance committee of the board of directors and all members of the board of directors for review and comment. |
| Form 990, Part VI, Section B, line 12c | The conflict of interest policy includes an annual disclosure and monitoring process regarding external interests of board members and key management that could give rise to conflicts. |
| Form 990, Part VI, Section B, line 15a | Executive Director compensation is reviewed and approved by the Executive Committee of board of directors. |
| Form 990, Part VI, Section C, line 19 | Upon request. |
| Form 990, Part IX, line 11g | Other Contracted Services: Program service expenses 1,105,594. Management and general expenses 170,337. Fundraising expenses 0. Total expenses 1,275,931. |
| schedule a, part i | The organization is exempt under 170(b)(1)(a)(iii), as a hospital. the organization operates a federally qualified health center. The Health Center is not registered with the state of New Hampshire as a hospital. Accordingly no schedule H is attached. |