2024-05-15T14:52:53-05:00 2023-06-30 921397405 TSS ADVISORS LLC 19 MORGAN DRIVE LEBANON NH 03766 990 2022-07-01 020487172 MID-STATE HEALTH CENTER MID- 6035364000 101 BOULDER POINT DRIVE 1 PLYMOUTH NH 03264 ROBERT MACLEOD CHIEF EXECUTIVE OFFICER 6035364000 2024-05-15 1 ROBERT MACLEOD 999009999 0 JOSHUA J GAGNE CPA P01278157 6036530044 2024-05-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROBERT MACLEOD 101 BOULDER POINT DRIVE 1 PLYMOUTH NH 03264 21026512 0 X WWW.MIDSTATEHEALTH.ORG X 1998 NH TO PROVIDE SOUND PRIMARY HEALTH CARE TO THE COMMUNITY ACCESSIBLE TO ALL REGARDLESS OF THE ABILITY TO PAY. 14 14 214 16 490436 0 3968088 5501531 12732556 15502040 19732 22941 -8123 0 16712253 21026512 0 0 0 0 11149565 12628179 0 0 76340 5079307 6169523 16228872 18797702 483381 2228810 9515646 16252402 4165678 8673624 5349968 7578778 TO PROVIDE SOUND PRIMARY HEALTH CARE TO THE COMMUNITY ACCESSIBLE TO ALL REGARDLESS OF THE ABILITY TO PAY. 0 0 16218171 13198240 MID-STATE HEALTH CENTER WAS FORMED IN 1998 TO PROVIDE MEDICAL AND SUPPORTIVE SERVICES TO RESIDENTS OF SIXTEEN RURAL COMMUNITIES LOCATED IN NORTH CENTRAL NEW HAMPSHIRE. MSHC TREATED A TOTAL OF 12,190 MEDICAL PATIENTS AND 2,117 DENTAL PATIENTS THIS YEAR. 248 MEDICAL AND 95 DENTAL PATIENTS TREATED RECEIVED CHARITY CARE. 16218171 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 214 1 1 1 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 NH X X ROBERT MACLEOD 6035364000 MID-STATE HEALTH CENTER PLYMOUTH NH 03264 PETER LAUFENBERG PRESIDENT 2.00 0.20 X X 0 0 0 TODD BICKFORD VICE PRESIDENT 2.00 0.20 X X 0 0 0 CARINA PARK SECRETARY 2.00 0.20 X X 0 0 0 MIKE LONG TREASURER 2.00 0.20 X X 0 0 0 NICHOLAS COATES DIRECTOR THROUGH NOVEMBER 2022 1.00 0.20 X 0 0 0 ISAAC DAVIS DIRECTOR THROUGH JANUARY 24 2023 1.00 0.20 X 0 0 0 BENOIT LAMONTAGNE DIRECTOR 1.00 0.20 X 0 0 0 JOSEPH MONTI DIRECTOR 1.00 0.20 X 0 0 0 CHELSEA SALOMON DIRECTOR 1.00 0.20 X 0 0 0 JOHN SCHEINMAN DIRECTOR 1.00 0.20 X 0 0 0 JARRETT STERN DIRECTOR THROUGH NOVEMBER 2022 1.00 0.20 X 0 0 0 ELIZABETH BROCHU DIRECTOR 1.00 0.20 X 0 0 0 PATTI BIEDERMAN DIRECTOR 1.00 0.20 X 0 0 0 STEVEN SHAFFER DIRECTOR 1.00 0.20 X 0 0 0 BRIAN LASH DIRECTOR AS OF FEBRUARY 28 2023 1.00 0.20 X 0 0 0 ROBERT MACLEOD CHIEF EXECUTIVE OFFICER 40.00 0.20 X 274736 0 9307 WILLIAM SWEENEY CHIEF FINANCIAL OFFICER 40.00 0.40 X 160108 0 17105 BRADLEY MCCOIL DIRECTOR AS OF FEBRUARY 28 2023 1.00 0.20 X 0 0 0 DAVID FAGAN MEDICAL DIRECTOR 40.00 X 287118 0 11712 ANDREA BERRY PHYSICIAN 40.00 X 257600 0 18415 STEPHEN REGAN PHYSICIAN 40.00 X 221639 0 44208 KELLY PERRY PHYSICIAN 40.00 X 171988 0 36658 CECILIA DISNEY PHYSICIAN 40.00 X 217102 0 36343 1590291 0 173748 7 0 1 0 PATRIOT HEALTH PARTNERS 11 WASHINGTON PL BEDFORD NH 03110 REVENUE CYCLE MANAGEMENT 962394 MAINSTAY TECHNOLOGIES LLC 67 WATER STREET UNIT 209 LACONIA NH 03246 IT SERVICES 730598 CADY INC 94 HIGHLAND STREET PLYMOUTH NH 03264 SUBSTANCE MISUSE PREVENTION 463856 SPEARE MEMORIAL HOSPITAL 16 HOSPITAL ROAD PLYMOUTH NH 03264 CONTRACTED PHYSICIAN AND COMMUNITY HEALT 323897 CONTROL TECHNOLOGIES INC 111 ZACHARY ROAD MANCHESTER NH 03109 HVAC SERVICES 313779 5 5335011 166520 5501531 GROSS PATIENT SERVICE REVENUE 621110 14951329 14951329 MISCELLANEOUS OPERATING REVENUE 900099 2802752 2802752 PHARMACY 456110 1813364 1813364 CONTRACT REVENUE 621110 956290 956290 MONTESSORI CENTER 624410 490436 490436 -5512131 -5512131 15502040 22941 22941 21026512 13198240 490436 1836305 X 494208 494208 9663119 8689765 913251 60103 248852 221767 27085 1509081 1483142 13702 12237 712919 614393 98526 24124 13370 10754 55108 55108 1951468 1636638 314830 56444 10042 46402 297904 266953 30951 273093 228364 44729 888569 702171 186398 90212 46297 43915 86769 83092 3677 251351 242846 8505 93225 74431 18794 DRUGS AND MEDICATION 1632649 1632649 RECRUITMENT 159454 103007 56447 MISCELLANEOUS EXPENSES 117227 69345 43882 4000 DUES AND SUBSCRIPTIONS 93555 56412 37143 98371 43487 54884 18797702 16218171 2503191 76340 1268312 1404640 1286571 978739 199739 299125 2954499 4627150 692110 716629 174803 217119 5394951 2157968 2775246 3236983 164366 4772017 9515646 16252402 1490502 1926190 2193982 2142299 481194 4605135 4165678 8673624 X 5208064 7578778 141904 0 5349968 7578778 9515646 16252402 2228810 0 X 0 1 X 1 1 1 X 2310753 2403214 6477267 3968088 5501531 20660853 7163346 8253363 9561694 10777436 13198240 48954079 9474099 10656577 16038961 14745524 18699771 69614932 0 0 0 69614932 7206 14617 6406 19732 22941 70902 7206 14617 6406 19732 22941 70902 1476030 1400403 1470745 1718217 2303800 8369195 10957335 12071597 17516112 16483473 21026512 78055029 0.89190 0.89290 0.00090 0.00070 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2018 AMOUNT: $ 1,476,030. 2019 AMOUNT: $ 1,400,403. 2020 AMOUNT: $ 1,470,745. 2021 AMOUNT: $ 1,718,217. 2022 AMOUNT: $ 2,303,800. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 165773 165773 2356134 547277 1808857 725415 130365 595050 2147629 1480326 667303 3236983 BOULDER POINT LEASE 122343 CAPITAL INVESTMENT 42141 RIGHT-OF-USE ASSETS 4607533 4772017 CURRENT PORTION OF RIGHT-OF-USE OBLIGATIONS 569412 RIGHT-OF-USE OBLIGATIONS, LESS CURRENT PORTION 4035723 4605135 X PART X, LINE 2: MSHC AND MSCDC ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION ACCOUNTS FOR ITS UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE ACCOUNTING METHODS UNDER ASC SUBTOPIC 740-10. THE UTP RULES PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN IN AN ORGANIZATION'S TAX RETURN. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR THE TAX POSITIONS TAKEN AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT MIGHT RESULT IN A MATERIAL IMPACT ON THE ORGANIZATION'S STATEMENTS OF FINANCIAL POSITION, OPERATIONS AND CHANGES IN NET ASSETS AND CASH FLOWS. THE ORGANIZATION'S MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO EXAMINATIONS FOR THE YEARS PRIOR TO 2019. X X 0 0 0 0 0 0 0 0 0 DAVID FAGAN MEDICAL DIRECTOR 287118 0 0 0 0 0 8629 0 3083 0 298830 0 0 0 ROBERT MACLEOD CHIEF EXECUTIVE OFFICER 244507 0 30229 0 0 0 6000 0 3307 0 284043 0 0 0 ANDREA BERRY PHYSICIAN 248054 0 9546 0 0 0 5678 0 12737 0 276015 0 0 0 STEPHEN REGAN PHYSICIAN 221639 0 0 0 0 0 6885 0 37323 0 265847 0 0 0 CECILIA DISNEY PHYSICIAN 217102 0 0 0 0 0 6486 0 29857 0 253445 0 0 0 KELLY PERRY PHYSICIAN 171988 0 0 0 0 0 4533 0 32125 0 208646 0 0 0 WILLIAM SWEENEY CHIEF FINANCIAL OFFICER 160108 0 0 0 0 0 4874 0 12231 0 177213 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION CONTEMPORANEOUSLY DOCUMENTED THE MEETINGS HELD AND WRITTEN ACTIONS UNDERTAKEN BY THE GOVERNING BODY. THIS WAS NOT DONE FOR EACH INDIVIDUAL COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWS AND APPROVES THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE ORGANIZATION HAS BOARD MEMBERS READ THE CONFLICT OF INTEREST POLICY AND SIGN AN AGREEMENT TO DISCLOSE ANY CONFLICTS THEY MAY HAVE. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION'S CEO INCLUDED PERFORMANCE REVIEW BY THE PERSONNEL COMMITTEE. HIS COMPENSATION WAS ALSO COMPARED TO NATIONAL MGMA STATISTICS. THE ORGANIZATION USES COMPARABILITY DATA FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 1,636,638. MANAGEMENT AND GENERAL EXPENSES 314,830. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,951,468. MID-STATE COMMUNITY DEVELOPMENT CORPORATION 101 BOULDER POINT DR STE 1 PLYMOUTH NH 03264 204351056 BUSINESS LENDING, REAL ESTATE DEVELOPMENT & ECONOMIC DEVELOPMENT NH 501(C)(3) LINE 12A, I MID-STATE HEALTH CENTER 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 MID-STATE COMMUNITY DEVELOPMENT CORPORATION K 477655 ACTUAL MID-STATE COMMUNITY DEVELOPMENT CORPORATION D 716629 ACTUAL