NEW HAMPSHIRE HEALTH INFORMATION ORGANIZATION CORPORATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: NEW HAMPSHIRE HEALTH INFORMATION ORGANIZATION CORPORATION (EIN 45-3247637)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-08-15
IRS object ID: 201432279349300733
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-08-15T08:07:37-05:00	ReturnTs
Tax Period End	2013-12-31	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	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	70 COMMERCIAL STREET SUITE 401	AddressLine1
City	CONCORD	City
State	NH	State
ZIP Code	03301	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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	BusinessNameLine1

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	AddressLine1
City	CONCORD	City
State	NH	State
ZIP Code	03301	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARY BETH ELDREDGE	PersonNm
Person Title	2014 BOARD CHAIR	PersonTitleTxt
Phone	6036505000	PhoneNum
Signature	2014-08-14	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	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DENISE PURRINGTON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	125 AIRPORT ROAD	AddressLine1
City	CONCORD	City
State	NH	State
ZIP Code	03301	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$2,696,261	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	$359,435	PYContributionsGrantsAmt
CY Contributions Grants	$2,645,594	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$50,667	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$359,435	PYTotalRevenueAmt
CY Total Revenue	$2,696,261	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$95,692	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	$283,325	PYOtherExpensesAmt
CY Other Expenses	$1,465,790	CYOtherExpensesAmt
PY Total Expenses	$283,325	PYTotalExpensesAmt
CY Total Expenses	$1,561,482	CYTotalExpensesAmt
PY Revenues Less Expenses	$76,110	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,134,779	CYRevenuesLessExpensesAmt
Total Assets BOY	$114,624	TotalAssetsBOYAmt
Total Assets EOY	$1,929,806	TotalAssetsEOYAmt
Total Liabilities BOY	$38,514	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$718,917	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$76,110	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,210,889	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	$1,494,119	ExpenseAmt
Grant	$95,692	GrantAmt
Revenue	$50,667	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	$1,494,119	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	0	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	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
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
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	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	6032190184	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	125 AIRPORT ROAD	AddressLine1
City	CONCORD	City
State	NH	State
ZIP Code	03301	ZIPCode

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
BOARD MEMBER AT LARGE	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)
KRISTEN 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 BAGGEROR
MEMBER	3.00	Yes (X)	$0	$0	$0
RICHARD LAFLEUR MD
MEMBER	2.00	Yes (X)	$0	$0	$0
MICHAEL LEHRMEN
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
JAY COUTURE
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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
MASSACHUSETTS EHEALTH COLLABORATIVE
860 WINTER STREET	WALTHAM	MA	02451	MANAGEMENT SERVICES	$329,940
SHEEHAN PHINNEY BASS & GREEN PA
TWO EAGLE SQUARE 3RD FLOOR	CONCORD	NH	03301	LEGAL SERVICES	$138,202

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
Government Grants	$2,645,594	GovernmentGrantsAmt
Total Contributions	$2,645,594	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PARTICIPATION AGREEMEN	Desc
Business	518210	BusinessCd
Total Revenue Column	$50,667	TotalRevenueColumnAmt
Related Or Exempt Func Income	$50,667	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$50,667	TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,696,261	TotalRevenueColumnAmt
Related Or Exempt Func Income	$50,667	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$95,692	TotalAmt
Program Services	$95,692	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$329,940	TotalAmt
Program Services	$269,952	ProgramServicesAmt
Management And General	$59,988	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$138,202	TotalAmt
Program Services	$138,202	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$7,375	TotalAmt
Management And General	$7,375	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$192,579	TotalAmt
Program Services	$192,579	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$51	TotalAmt
Program Services	$51	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,923	TotalAmt
Program Services	$2,923	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$465,059	TotalAmt
Program Services	$465,059	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,980	TotalAmt
Program Services	$4,980	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,470	TotalAmt
Program Services	$1,470	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$309,167	TotalAmt
Program Services	$309,167	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$9,530	TotalAmt
Program Services	$9,530	ProgramServicesAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	MISCELLANEOUS	Desc
Total	$4,514	TotalAmt
Program Services	$4,514	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,561,482	TotalAmt
Program Services	$1,494,119	ProgramServicesAmt
Management And General	$67,363	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$89,588	BOYAmt
EOY	$723,747	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,036	BOYAmt
EOY	$77,125	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$500	BOYAmt
EOY	$327,601	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,110,000	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$309,167	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$800,833	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	$114,624	BOYAmt
EOY	$1,929,806	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$38,514	BOYAmt
EOY	$608,734	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$110,183	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$38,514	BOYAmt
EOY	$718,917	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$76,110	BOYAmt
EOY	$50,667	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$1,160,222	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$76,110	BOYAmt
EOY	$1,210,889	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$114,624	BOYAmt
EOY	$1,929,806	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,134,779	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 Minus1 Year	$359,435	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,645,594	CurrentTaxYearAmt
Total	$3,005,029	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$359,435	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,645,594	CurrentTaxYearAmt
Total	$3,005,029	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$3,005,029	PublicSupportTotal170Amt
Total Support	$3,005,029	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	$309,167	DepreciationAmt
Book Value	$800,833	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$800,833	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$2,696,261	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$2,696,261	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$2,696,261	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,561,482	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$1,561,482	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,561,482	TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
VALLEY REGIONAL HOSPITAL
5 DUNNING STREET	CLAREMONT	NH	03743	020222118	501(C)(3)	$23,942	HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT
SEACOAST MENTAL HEALTH CENTER INC
1145 SAGAMORE AVENUE	PORTSMOUTH	NH	03801	020395289	501(C)(3)	$10,000	HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT
SPEARE MEMORIAL HOSPITAL
16 HOSPITAL ROAD	PLYMOUTH	NH	03264	020226774	501(C)(3)	$25,000	HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT
COMMUNITY HEALTH ACCESS NETWORK
207 SOUTH MAIN STREET	NEWMARKET	NH	03857	043349104	501(C)(3)	$22,125	HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT
HOME HEALTH AND HOSPICE CARE
7 EXECUTIVE PARK DRIVE	MERRIMACK	NH	03054	237331452	501(C)(3)	$14,625	HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 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 IX, LINE 11G	OTHER PROGRAM RELATED PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 192,579. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 192,579.
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.