2014-05-05T10:48:52-05:00 2013-06-30 020400296 Brad Borbidge PA 197 Loudon Road Concord NH 03301 990 2012-07-01 020458174 Manchester Community Health Center MANC 6036269500 145 Hollis Street 2nd Floor Manchester NH 03101 Kris McCracken 6036269500 2014-05-05 Dimitrios Panacopoulos CPA P01603705 6032240849 2012 2015-11-30 17:44:51Z Kris McCracken 145 Hollis Street 2nd Floor Manchester NH 03101 6539267 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. 17 17 92 12 0 0 1622073 2509724 3349158 4019803 359 9740 0 0 4971590 6539267 0 0 0 0 3913479 4151360 0 0 68265 1665738 2009489 5579217 6160849 -607627 378418 4090786 4822101 1817905 2126717 2272881 2695384 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 1 5010457 4019803 To provide primary outpatient medical care, counseling services and nutritional consultation to individuals in the Manchester NH area. 5010457 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 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 24 0 1 92 1 0 0 0 0 0 0 0 0 0 0 X 17 17 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 James Burnett 0.00 X 0 0 0 Anthony Chismark 0.00 X 0 0 0 Carole O'Keefe 0.00 X 0 0 0 Dominique A Rust 0.00 X 0 0 0 Elizabeth Cleary 0.00 X 0 0 0 David Cuzzi 0.00 X 0 0 0 Mukhtar Idhow 0.00 X 0 0 0 Robert Kuhl 0.00 X 0 0 0 Larry Lipner 0.00 X 0 0 0 Maria Mariano 0.00 X 0 0 0 Germano Martins 0.00 X 0 0 0 Helen Maurizio 0.00 X 0 0 0 Myra Nixon 0.00 X 0 0 0 Toni Pappas 0.00 X 0 0 0 Gerri Provost 0.00 X 0 0 0 Don Walega 0.00 X 0 0 0 Gloria Young 0.00 X 0 0 0 Edward George 40.00 X 145562 0 8624 Ann-Marie Miller 40.00 X 46838 0 502 Kris Mcracken 40.00 X 84855 0 10029 Michele Croteau 40.00 X 44206 0 5782 Laura Fry 40.00 X 245739 0 10077 Peter Kiprop 40.00 X 169943 0 13438 Mary Cullen 40.00 X 177683 0 13016 J Gavin Muir MD 40.00 X 221156 0 15402 1135982 0 76870 5 0 1 0 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 2 2301656 208068 2509724 Primary Medical Care S 621110 4019803 4019803 4019803 9740 9740 6539267 4019803 0 9740 X 600658 255816 344842 2988293 2650494 288592 49207 236318 192576 40481 3261 41776 34043 7156 577 284315 231688 48703 3924 3406 3406 20000 20000 936390 763064 173326 8553 8553 54840 44689 9394 757 198294 161590 33968 2736 4438 3617 821 32531 26510 6021 69366 56526 11883 957 180844 147370 30978 2496 34351 27993 5884 474 Program Supplies 185575 185575 Other Expenses 137416 111980 23540 1896 Printing and Publicatio 54290 44241 9300 749 Equipment Rental/Repair 43407 35372 7436 599 45788 37313 7843 632 6160849 5010457 1082127 68265 89261 354377 105247 390970 243651 522680 71473 52833 3835404 988360 2844364 2847044 442945 443000 293845 211197 4090786 4822101 357983 413996 1459922 1393497 0 319224 1817905 2126717 X 1930028 2376950 342853 318434 2272881 2695384 4090786 4822101 378418 44085 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 81000 81000 2707810 387355 2320455 1046594 601005 445589 2847044 Advances From Third Party Payors 319224 319224 6583352 44085 44085 6539267 0 6539267 6160849 0 6160849 0 6160849 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 Edward George 145562 0 0 0 0 0 0 0 8624 0 154186 0 0 0 Laura Fry 195914 0 0 0 49825 0 0 0 10077 0 255816 0 0 0 Peter Kiprop 130823 0 0 0 39120 0 0 0 13438 0 183381 0 0 0 Mary Cullen 151714 0 0 0 25969 0 0 0 13016 0 190699 0 0 0 J Gavin Muir MD 176276 0 0 0 44880 0 0 0 15402 0 236558 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. Edward George MCHC CEO serves as Member of the Board OF COMMUNITY HEALTH ACCESS NETWORK 141208 Transactions include purchase of shared IT services $101,225 and annual membership dues of $18,150. 0 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.