AMOSKEAG HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: AMOSKEAG HEALTH (EIN 02-0458174)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-05
IRS object ID: 201421259349300532
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-05T10:48:52-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	020400296	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Brad Borbidge PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	020458174	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Manchester Community Health Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MANC	NameControl
Phone	6036269500	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Kris McCracken	Name
Title	Chief Executive Officer	Title
Phone	6036269500	Phone
Date Signed	2014-05-05	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Dimitrios Panacopoulos CPA	Name
PTIN	P01603705	PTIN
Phone	6032240849	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Kris McCracken	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	6539267	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.MCHC-NH.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1992	YearFormation
State Legal Domicile	NH	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	17	NbrIndependentVotingMembers
Total Nbr Employees	92	TotalNbrEmployees
Total Nbr Volunteers	12	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1622073	ContributionsGrantsPriorYear
Contributions Grants Current Year	2509724	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	3349158	ProgramServiceRevenuePriorYear
Program Service Revenue CY	4019803	ProgramServiceRevenueCY
Investment Income Prior Year	359	InvestmentIncomePriorYear
Investment Income Current Year	9740	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	4971590	TotalRevenuePriorYear
Total Revenue Current Year	6539267	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	3913479	SalariesEtcPriorYear
Salaries Etc Current Year	4151360	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	68265	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1665738	OtherExpensePriorYear
Other Expenses Current Year	2009489	OtherExpensesCurrentYear
Total Expenses Prior Year	5579217	TotalExpensesPriorYear
Total Expenses Current Year	6160849	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-607627	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	378418	RevenuesLessExpensesCY
Total Assets BOY	4090786	TotalAssetsBOY
Total Assets EOY	4822101	TotalAssetsEOY
Total Liabilities BOY	1817905	TotalLiabilitiesBOY
Total Liabilities EOY	2126717	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2272881	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2695384	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	1	SignificantChange
Expense	5010457	Expense
Revenue	4019803	Revenue
Description	To provide primary outpatient medical care, counseling services and nutritional consultation to individuals in the Manchester NH area.	Description
Total Program Service Expense	5010457	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	24	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	92	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	17	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Kris McCracken	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6036269500	TelephoneNumber

Address US AddressUS

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 Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
James Burnett
Chairperson	0.00	X	0	0	0
Anthony Chismark
Vice Chair	0.00	X	0	0	0
Carole O'Keefe
Secretary	0.00	X	0	0	0
Dominique A Rust
Treasurer	0.00	X	0	0	0
Elizabeth Cleary
Board of Directors	0.00	X	0	0	0
David Cuzzi
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
Larry Lipner
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
Helen Maurizio
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
Gerri Provost
Board of Directors	0.00	X	0	0	0
Don Walega
Board of Directors	0.00	X	0	0	0
Gloria Young
Board of Directors	0.00	X	0	0	0
Edward George
Former CEO	40.00		145562	0	8624	X
Ann-Marie Miller
Former CFO	40.00		46838	0	502	X
Kris Mcracken
CEO	40.00		84855	0	10029	X
Michele Croteau
CFO	40.00		44206	0	5782	X
Laura Fry
Medical Director	40.00		245739	0	10077		X
Peter Kiprop
Physician	40.00		169943	0	13438			X
Mary Cullen
Physician	40.00		177683	0	13016			X
J Gavin Muir MD
Physician	40.00		221156	0	15402			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1135982	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	76870	TotalOtherCompensation
Number Individuals GT100 K	5	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Community Health Access Network
207 South Main Street	Newmarket	NH	03857	Shared System Fee	172590
Bedford Commons OBGYN
201 Riverway Place	Bedford	NH	03110	Contracted Staff	150600

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
Government Grants	2301656	GovernmentGrants
All Other Contributions	208068	AllOtherContributions
Total Contributions	2509724	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Primary Medical Care S	Description
Business Code	621110	BusinessCode
Total Revenue Column	4019803	TotalRevenueColumn
Related Or Exempt Function Income	4019803	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	4019803	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	9740	TotalRevenueColumn
Exclusion	$9,740	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6539267	TotalRevenueColumn
Related Or Exempt Function Income	4019803	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$9,740	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	600658	Total
Program Services	255816	ProgramServices
Management And General	344842	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	2988293	Total
Program Services	2650494	ProgramServices
Management And General	288592	ManagementAndGeneral
Fundraising	49207	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	236318	Total
Program Services	192576	ProgramServices
Management And General	40481	ManagementAndGeneral
Fundraising	3261	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	41776	Total
Program Services	34043	ProgramServices
Management And General	7156	ManagementAndGeneral
Fundraising	577	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	284315	Total
Program Services	231688	ProgramServices
Management And General	48703	ManagementAndGeneral
Fundraising	3924	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	3406	Total
Management And General	3406	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	20000	Total
Management And General	20000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	936390	Total
Program Services	763064	ProgramServices
Management And General	173326	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	8553	Total
Management And General	8553	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	54840	Total
Program Services	44689	ProgramServices
Management And General	9394	ManagementAndGeneral
Fundraising	757	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	198294	Total
Program Services	161590	ProgramServices
Management And General	33968	ManagementAndGeneral
Fundraising	2736	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	4438	Total
Program Services	3617	ProgramServices
Management And General	821	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	32531	Total
Program Services	26510	ProgramServices
Management And General	6021	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	69366	Total
Program Services	56526	ProgramServices
Management And General	11883	ManagementAndGeneral
Fundraising	957	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	180844	Total
Program Services	147370	ProgramServices
Management And General	30978	ManagementAndGeneral
Fundraising	2496	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	34351	Total
Program Services	27993	ProgramServices
Management And General	5884	ManagementAndGeneral
Fundraising	474	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Program Supplies	185575	185575
Other Expenses	137416	111980	23540	1896
Printing and Publicatio	54290	44241	9300	749
Equipment Rental/Repair	43407	35372	7436	599

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	45788	Total
Program Services	37313	ProgramServices
Management And General	7843	ManagementAndGeneral
Fundraising	632	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6160849	Total
Program Services	5010457	ProgramServices
Management And General	1082127	ManagementAndGeneral
Fundraising	68265	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	89261	BOY
EOY	354377	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	105247	BOY
EOY	390970	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	243651	BOY
EOY	522680	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	71473	BOY
EOY	52833	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	3835404	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	988360	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2844364	BOY
EOY	2847044	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	442945	BOY
EOY	443000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	293845	BOY
EOY	211197	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	4090786	BOY
EOY	4822101	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	357983	BOY
EOY	413996	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1459922	BOY
EOY	1393497	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	319224	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1817905	BOY
EOY	2126717	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1930028	BOY
EOY	2376950	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	342853	BOY
EOY	318434	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2272881	BOY
EOY	2695384	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4090786	BOY
EOY	4822101	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	378418	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	44085	ReconciliationUnrealizedInvest
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	81000	OtherCostOrOtherBasis
Book Value	81000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2707810	OtherCostOrOtherBasis
Depreciation	387355	Depreciation
Book Value	2320455	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1046594	OtherCostOrOtherBasis
Depreciation	601005	Depreciation
Book Value	445589	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2847044	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Advances From Third Party Payors	Description
Amount	$319,224	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	319224	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	6583352	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	44085	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	44085	RevenueNotRptdF990
Revenue Subtotal	6539267	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	6539267	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	6160849	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	6160849	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	6160849	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Explanation	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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Edward George
Former CEO	145562	0	0	0	0	0	0	0	8624	0	154186	0	0	0
Laura Fry
Medical Director	195914	0	0	0	49825	0	0	0	10077	0	255816	0	0	0
Peter Kiprop
Physician	130823	0	0	0	39120	0	0	0	13438	0	183381	0	0	0
Mary Cullen
Physician	151714	0	0	0	25969	0	0	0	13016	0	190699	0	0	0
J Gavin Muir MD
Physician	176276	0	0	0	44880	0	0	0	15402	0	236558	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	Part I, Line 7	ReturnReference
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.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Edward George	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	MCHC CEO serves as Member of the Board OF COMMUNITY HEALTH ACCESS NETWORK	Relationship
Amount Of Transaction	141208	AmountOfTransaction
Description Of Transaction	Transactions include purchase of shared IT services $101,225 and annual membership dues of $18,150.	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Changes in Program Services	Form 990, Part III, line 3	Opened new site at 184 Tarrytwon Road in Manchester, NH on March 4, 2013.
	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.
Other Fees	Form 990, Part IX, line 11g	Other Contracted Services: Program service expenses 763,064. Management and general expenses 173,326. Fundraising expenses 0. Total expenses 936,390.
reason for public charity status	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.