2014-11-10T12:18:26-06:00 2014-06-30 020400296 Brad Borbidge PA 197 Loudon Road Concord NH 03301 990 2013-07-01 020458174 Manchester Community Health Center MANC 6036269500 145 Hollis Street 2nd Floor Manchester NH 03101 Kris McCracken Chief Executive Officer 6036269500 2014-11-10 Dimitrios Panacopoulos CPA P01603705 6032240849 2013 2015-11-30 17:44:51Z Kris McCracken 145 Hollis Street 2nd Floor Manchester NH 03101 7981234 0 X www.MCHC-NH.org X 1992 NH 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. 16 16 110 11 0 0 2509724 3096901 4019803 4884332 9740 1 0 0 6539267 7981234 0 0 0 0 4151360 5253638 0 0 19759 2009489 2493662 6160849 7747300 378418 233934 4776903 4907163 2126717 2018956 2650186 2888207 X 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. 0 0 6644962 4884332 To provide primary outpatient medical care, counseling services and nutritional consultation to individuals in the Manchester NH area. 6644962 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 23 0 1 110 1 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NH X X Kris McCracken 6036269500 145 Hollis Street 2nd Floor Manchester NH 03101 Dominique A Rust Chairperson 0.00 X 0 0 0 David Cuzzi Vice Chair 0.00 X 0 0 0 Gerri Provost Secretary 0.00 X 0 0 0 Barbara Labonte Treasurer 0.00 X 0 0 0 Carolina Capdevila Board of Directors 0.00 X 0 0 0 Anthony Chismark Board of Directors 0.00 X 0 0 0 Idowu Edokpolo Board of Directors 0.00 X 0 0 0 Mukhtar Idhow Board of Directors 0.00 X 0 0 0 Robert Kuhl Board of Directors 0.00 X 0 0 0 Maria Mariano Board of Directors 0.00 X 0 0 0 Germano Martins Board of Directors 0.00 X 0 0 0 Myra Nixon Board of Directors 0.00 X 0 0 0 Toni Pappas Board of Directors 0.00 X 0 0 0 Tulasi Pokhrel Board of Directors 0.00 X 0 0 0 Andru Volinski Board of Directors 0.00 X 0 0 0 Don Walega Board of Directors 0.00 X 0 0 0 Kris Mcracken CEO 40.00 X 138608 0 11952 Michele Croteau CFO 40.00 X 94577 0 10032 J Gavin Muir MD Medical Director 40.00 X 223506 0 16050 Laura Fry Physician 40.00 X 233207 0 10237 Mary Cullen Physician 40.00 X 173226 0 13453 Peter Kiprop Physician 40.00 X 178508 0 14206 Elizabeth Keane Physician 28.00 X 105088 0 4191 Kristin Schmidt Physician Assistant 40.00 X 122278 0 10920 1268998 0 91041 7 0 1 0 Dartmouth Hitchcock 1 Medical Center Drive Lebanon NH 03766 Contracted Services 233368 Community Health Access Network 207 South Main Street Newmarket NH 03857 Shared System Fee 193673 Elliot Physician Network One Elliot Way Manchester NH 03103 Contracted Services 165162 Bedford Commons OBGYN 201 Riverway Place Bedford NH 03110 Contracted Staff 153650 4 2868304 228597 3096901 Primary Medical Care S 621110 4884332 4884332 4884332 1 1 7981234 4884332 0 1 X 494725 239556 255169 4028681 3663169 351076 14436 124789 108130 16260 399 246613 213690 32134 789 358830 310926 46756 1148 8185 8185 38800 38800 1275931 1105594 170337 22845 22845 118492 102673 15440 379 293221 254076 38207 938 16708 14477 2231 56263 48752 7511 36545 31666 4762 117 177006 153376 23064 566 35539 30795 4630 114 Program Supplies 131913 131913 Other Expenses 110872 96071 14446 355 Printing and Publicatio 56331 48811 7340 180 Equipment Rental/Repair 49370 42779 6433 158 65641 48508 16953 180 7747300 6644962 1082579 19759 354377 173492 339015 341980 529437 871492 52833 82656 4058773 1165367 2847044 2893406 443000 443001 211197 101136 4776903 4907163 413996 655239 1393497 1363717 319224 0 2126717 2018956 X 2331752 2640470 318434 247737 2650186 2888207 4776903 4907163 233934 4087 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 81000 81000 2756571 480233 2276338 1221202 685134 536068 2893406 7985321 4087 4087 7981234 0 7981234 7747300 0 7747300 0 7747300 Part IV, line 11f 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. X X X X 0 0 0 0 0 0 0 1 0 Kris Mcracken CEO 138608 0 0 0 0 0 0 0 11952 0 150560 0 0 0 J Gavin Muir MD Medical Director 187480 0 0 0 36026 0 0 0 16050 0 239556 0 0 0 Laura Fry Physician 184464 0 0 0 48743 0 0 0 10237 0 243444 0 0 0 Mary Cullen Physician 148923 0 0 0 24303 0 0 0 13453 0 186679 0 0 0 Peter Kiprop Physician 148545 0 0 0 29963 0 0 0 14206 0 192714 0 0 0 Part I, Line 7 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. Kris Mcracken MCHC CEO serves as Member of the Board OF COMMUNITY HEALTH ACCESS NETWORK 193673 Transactions include purchase of shared IT services $175,663, annual membership dues of $16,645 and other fees of $1,365. 0 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.