AMMONOOSUC COMMUNITY HEALTH SERVICES INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: AMMONOOSUC COMMUNITY HEALTH SERVICES INC (EIN 51-0137745)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-04-06
IRS object ID: 202310969349301116
Schema version: 2021v4.2
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 O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-04-06T14:15:06-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	010523282	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Berry Dunn McNeil & Parker LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1000 Elm Street 4th Floor	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03101	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	510137745	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Ammonoosuc Community Health	BusinessNameLine1Txt
Business Name Line2	Services Inc	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	AMMO	BusinessNameControlTxt
Phone	6034442464	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25 Mt Eustis Road	AddressLine1Txt
City	Littleton	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03561	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Edward Shanshala	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	6034442464	PhoneNum
Signature	2023-03-23	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Edward	PersonFirstNm
Person Last	Shanshala	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Melissa Magoon CPA	PreparerPersonNm
PTIN	P01712842	PTIN
Phone	6036697337	PhoneNum
Preparation	2023-03-23	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Edward Shanshala	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25 Mt Eustis Road	AddressLine1Txt
City	Littleton	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03561	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$12,363,788	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1975	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	It is the mission of Ammonoosuc Community Health Services to provide a stable network of comprehensive Primary Health Care Services to individuals and families throughout the communities we serve. In support of this mission, ACHS provides evidence based, outcome specific, systematic care that is patient centered, focused on prevention, and accessible and affordable to all.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	149	TotalEmployeeCnt
Total Volunteers	15	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,215,754	PYContributionsGrantsAmt
CY Contributions Grants	$5,035,911	CYContributionsGrantsAmt
PY Program Service Revenue	$7,583,992	PYProgramServiceRevenueAmt
CY Program Service Revenue	$7,299,171	CYProgramServiceRevenueAmt
PY Investment Income	$7,565	PYInvestmentIncomeAmt
CY Investment Income	$6,740	CYInvestmentIncomeAmt
PY Other Revenue	$21,966	PYOtherRevenueAmt
CY Other Revenue	$21,966	CYOtherRevenueAmt
PY Total Revenue	$12,829,277	PYTotalRevenueAmt
CY Total Revenue	$12,363,788	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$7,852,093	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$7,777,585	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$13,929	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,222,080	PYOtherExpensesAmt
CY Other Expenses	$3,458,367	CYOtherExpensesAmt
PY Total Expenses	$11,074,173	PYTotalExpensesAmt
CY Total Expenses	$11,235,952	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,755,104	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,127,836	CYRevenuesLessExpensesAmt
Total Assets BOY	$9,798,084	TotalAssetsBOYAmt
Total Assets EOY	$10,056,023	TotalAssetsEOYAmt
Total Liabilities BOY	$2,726,032	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,864,362	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,072,052	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$8,191,661	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	It is the mission of Ammonoosuc Community Health Services to provide a stable network of comprehensive Primary Health Care Services to individuals and families throughout the communities we serve. In support of this mission, ACHS provides evidence based, outcome specific, systematic care that is patient centered, focused on prevention, and accessible and affordable to all.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	Yes (1)	SignificantChangeInd
Expense	$8,859,678	ExpenseAmt
Revenue	$7,299,171	RevenueAmt
Desc	Primary Care - To provide medical and educational services to the local community.Clinical Pharmacy Services - To provide assistance to ACHS patients to better understand and manage their medications.	Desc
Total Program Service Expenses	$8,859,678	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
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
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	Yes (1)	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	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	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 With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
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	27	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	149	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
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
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	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	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	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	Tammy Talotta	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6034442464	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25 Mt Eustis Road	AddressLine1Txt
City	Littleton	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03561	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Ivy Spencer
President	1.00	Yes (X)	Yes (X)	$0	$0	$0
Barbara Szeidler
Vice-President	1.00	Yes (X)	Yes (X)	$0	$0	$0
Jeffrey Jones
Treasurer	1.00	Yes (X)	Yes (X)	$0	$0	$0
Bob Tortorice
Secretary	1.00	Yes (X)	Yes (X)	$0	$0	$0
Evelyn Hagen
Board Member	1.00	Yes (X)		$0	$0	$0
David McClure
Board Member	1.00	Yes (X)		$0	$0	$0
Gary Merchant
Board Member	1.00	Yes (X)		$0	$0	$0
Frank Pinter
Board Member	1.00	Yes (X)		$0	$0	$0
John Rapoport
Board Member	1.00	Yes (X)		$0	$0	$0
Kathy Ryan
Board Member	1.00	Yes (X)		$0	$0	$0
James Shuchman
Board Member	1.00	Yes (X)		$0	$0	$0
Carlene Whitcomb
Board Member	1.00	Yes (X)		$0	$0	$0
Lynn Davis
Past Board Member	1.00	Yes (X)		$0	$0	$0
Betsy Harman
Past Board Member	1.00	Yes (X)		$0	$0	$0
Doug Harman
Past Board Member	1.00	Yes (X)		$0	$0	$0
Edward Shanshala
CEO	40.00		Yes (X)	$253,678	$0	$606
Tammy Talotta
CFO	40.00		Yes (X)	$135,085	$0	$11,834
Melissa Buddensee
Physician	40.00			$258,780	$0	$7,736	Yes (X)
David Ferris
Physician	40.00			$190,363	$0	$7,919	Yes (X)
David Nelson DO
Physician	40.00			$217,888	$0	$1,872	Yes (X)
Caitlin O'Donnell
Physician	39.00			$179,477	$0	$2,750	Yes (X)
Patricia Pratt MD
Physician	30.00			$169,974	$0	$6,704	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,405,245	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$39,421	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	17	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Secured Network Services	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	775 Industrial Park Road	AddressLine1Txt
City	Littleton	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03561	ZIPCd

Field	Value	IRS element (for citing)
Services	IT Services & Hardware	ServicesDesc
Compensation	$359,578	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$4,953,868	GovernmentGrantsAmt
All Other Contributions	$82,043	AllOtherContributionsAmt
Total Contributions	$5,035,911	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Revenue	621110	$7,247,638	$7,247,638
Other Revenue	621110	$51,533	$51,533

Field	Value	IRS element (for citing)
Total Program Service Revenue	$7,299,171	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,740	TotalRevenueColumnAmt
Exclusion	$6,740	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$21,966	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$21,966	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,966	TotalRevenueColumnAmt
Exclusion	$21,966	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,363,788	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,299,171	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$28,706	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$401,202	TotalAmt
Program Services	$50,857	ProgramServicesAmt
Management And General	$350,345	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,305,759	TotalAmt
Program Services	$5,088,110	ProgramServicesAmt
Management And General	$1,217,649	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$65,751	TotalAmt
Program Services	$50,472	ProgramServicesAmt
Management And General	$15,279	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$486,947	TotalAmt
Program Services	$383,218	ProgramServicesAmt
Management And General	$103,729	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$517,926	TotalAmt
Program Services	$397,570	ProgramServicesAmt
Management And General	$120,356	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$31,556	TotalAmt
Management And General	$31,556	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$42,106	TotalAmt
Management And General	$42,106	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,105,174	TotalAmt
Program Services	$1,038,378	ProgramServicesAmt
Management And General	$66,796	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$46,565	TotalAmt
Management And General	$46,565	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$164,948	TotalAmt
Program Services	$126,618	ProgramServicesAmt
Management And General	$38,330	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$320,609	TotalAmt
Program Services	$246,106	ProgramServicesAmt
Management And General	$74,503	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$391,752	TotalAmt
Program Services	$300,716	ProgramServicesAmt
Management And General	$91,036	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$15,859	TotalAmt
Program Services	$12,174	ProgramServicesAmt
Management And General	$3,685	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$35,654	TotalAmt
Program Services	$27,369	ProgramServicesAmt
Management And General	$8,285	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$53,948	TotalAmt
Program Services	$41,412	ProgramServicesAmt
Management And General	$12,536	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$264,341	TotalAmt
Program Services	$202,913	ProgramServicesAmt
Management And General	$61,428	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$55,478	TotalAmt
Program Services	$42,586	ProgramServicesAmt
Management And General	$12,892	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Program Supplies	$635,587	$635,587
Other Expenses	$163,611	$125,589	$38,022
Telephone	$117,250	$90,003	$27,247
Fundraising Expenses	$13,929			$13,929

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,235,952	TotalAmt
Program Services	$8,859,678	ProgramServicesAmt
Management And General	$2,362,345	ManagementAndGeneralAmt
Fundraising	$13,929	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$185,116	BOYAmt
EOY	$248,348	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,725,669	BOYAmt
EOY	$4,119,062	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$94,643	BOYAmt
EOY	$307,120	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$699,017	BOYAmt
EOY	$433,110	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$139,426	BOYAmt
EOY	$126,189	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$8,075,522	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,426,743	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,771,748	BOYAmt
EOY	$4,648,779	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$182,465	BOYAmt
EOY	$173,415	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,798,084	BOYAmt
EOY	$10,056,023	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$630,263	BOYAmt
EOY	$837,243	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$153,571	BOYAmt
EOY	$49,572	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,522,507	BOYAmt
EOY	$977,547	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$419,691	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,726,032	BOYAmt
EOY	$1,864,362	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,934,791	BOYAmt
EOY	$8,063,246	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$137,261	BOYAmt
EOY	$128,415	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,072,052	BOYAmt
EOY	$8,191,661	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,798,084	BOYAmt
EOY	$10,056,023	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,127,836	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$8,227	OtherChangesInNetAssetsAmt
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)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,811,681	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,927,688	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,286,786	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,215,754	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,035,911	CurrentTaxYearAmt
Total	$19,277,820	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$9,463,590	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,463,901	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$8,269,437	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,583,992	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,299,171	CurrentTaxYearAmt
Total	$41,080,091	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12,275,271	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,391,589	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,556,223	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,799,746	CurrentTaxYearMinus1YearAmt
Current Tax Year	$12,335,082	CurrentTaxYearAmt
Total	$60,357,911	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year	$10,000	CurrentTaxYearAmt
Total	$10,000	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year	$10,000	CurrentTaxYearAmt
Total	$10,000	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$60,347,911	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,002	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,246	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$25,517	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$29,531	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28,706	CurrentTaxYearAmt
Total	$90,002	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,002	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,246	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$25,517	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$29,531	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28,706	CurrentTaxYearAmt
Total	$90,002	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,673	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$348	CurrentTaxYearMinus3YearsAmt
Total	$7,021	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12,284,946	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,395,183	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,581,740	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,829,277	CurrentTaxYearMinus1YearAmt
Current Tax Year	$12,363,788	CurrentTaxYearAmt
Total	$60,454,934	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99820	PublicSupportCY509Pct
Public Support PY509	0.99870	PublicSupportPY509Pct
Investment Income CY	0.00150	InvestmentIncomeCYPct
Investment Income PY	0.00110	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,100	OtherCostOrOtherBasisAmt
Book Value	$11,100	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,984,590	OtherCostOrOtherBasisAmt
Depreciation	$2,171,600	DepreciationAmt
Book Value	$3,812,990	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$703,186	OtherCostOrOtherBasisAmt
Depreciation	$140,533	DepreciationAmt
Book Value	$562,653	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,235,273	OtherCostOrOtherBasisAmt
Depreciation	$1,114,610	DepreciationAmt
Book Value	$120,663	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$141,373	OtherCostOrOtherBasisAmt
Book Value	$141,373	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,648,779	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$12,355,561	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$8,227	OtherRevenueAmt
Revenue Not Reported	-$8,227	RevenueNotReportedAmt
Revenue Subtotal	$12,363,788	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$12,363,788	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$11,235,952	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$11,235,952	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$11,235,952	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part X, Line 2:

The Organization is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Organization 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 Organization's tax positions and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.

Part XI, Line 2d - Other Adjustments:

Change in Beneficial Interest in Funds Held By Others -8,227.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Melissa Buddensee
Physician	$253,716	$0	$4,947	$0	$117	$0	$0	$0	$7,736	$0	$266,516	$0	$0	$0
Edward Shanshala
CEO	$248,259	$0	$4,860	$0	$559	$0	$0	$0	$606	$0	$254,284	$0	$0	$0
David Nelson DO
Physician	$213,293	$0	$4,400	$0	$195	$0	$0	$0	$1,872	$0	$219,760	$0	$0	$0
David Ferris
Physician	$186,061	$0	$4,107	$0	$195	$0	$0	$0	$7,919	$0	$198,282	$0	$0	$0
Caitlin O'Donnell
Physician	$175,355	$0	$3,929	$0	$193	$0	$0	$0	$2,750	$0	$182,227	$0	$0	$0
Patricia Pratt MD
Physician	$165,736	$0	$3,446	$0	$792	$0	$0	$0	$6,704	$0	$176,678	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 7	FormAndLineReferenceDesc
Explanation	The bonuses were a pay for performance payment and it was to all employees for the FY 2022 year amount was determined and approved by the board $162,500 in total.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, line 3	The Organization suspended their Oral Health Program during FY22.
Form 990, Part VI, Section A, line 2	Doug and Betsy Harman have a family relationship.
Form 990, Part VI, Section A, line 4	During fiscal year ended 6/30/22 the Organization amended their bylaws, thus making the following changes to the Board Composition, Responsibilities, Responsible of Individual Directors, and the Executive Committee. Below are the changes made: 2.6 Responsibilities - 2.6.1 The Board maintains authority for oversight of the health center project and that no other individual, entity, or committee (including, and not limited to an executive committee authorized by the Board) may reserve approval authority or have veto power over the Board with regard to the required authorities and functions. 2.6.2 Hiring, annually evaluating, and dismissing the Chief Executive Officer of the Corporation who is an agent of, and accountable to, the governing Board. 2.6.4 Developing, adopting, periodically reviewing, and updating and appropriately documenting the Corporation's Financial Policies, including a system to assure accountability for corporate resources and long-range financial planning, fee schedules, charity policies such as sliding fee discount programs, billing, collections, and appropriate follow-up actions are taken, including a policy on waiving or reducing patient fees, and, if applicable, refusal to pay. 2.6.5 Developing, adopting, periodically reviewing, updating, and appropriately documenting the Corporation's Health Care Policies, including scope and availability of services, location and hours of operation, services, and quality of care audit. 2.6.6 Developing, adopting, periodically reviewing, updating, and appropriately documenting the Corporation's policies on quality improvement/ assurance program. 2.6.10 Approving the Strategic Plan Document at least once every three years, which, at a minimum, addresses financial management, capital expenditures need, and identifies health center priorities. 2.6.11 Overseeing the development of the overall plan for the health center project. 2.6.12 Assuring that the health center operates in compliance with applicable Federal, State, and Local laws and regulations. 2.6.13 Approving the annual budget as presented by the Finance Committee in consultation with the Chief Financial Officer and the Chief Executive Officer. 2.7 Responsibilities of Individual Directors - 2.7.5 Each Board Director has a fiduciary duty to the health center and that his or her actions must be in the best interest of the health center (, i.e., compliance with the duty of loyalty) Executive Committe - 4.2.3 Is the only committee that is authorized to act on behalf of the Board in regard to the required health center project authorities and functions, as described above, and the full Board must subsequently vote on all such Executive Committee actions.
Form 990, Part VI, Section B, line 11b	Upon receipt of the completed 990 from the audit firm, the CFO reviews the 990 for accuracy. If the CFO has any questions concerning any data on the 990, the auditor will be asked for clarification or correction. The 990 is provided to the Finance Committee members for review and then provided to all Board members prior to filing the 990.
Form 990, Part VI, Section B, line 12c	Covered individuals include all individuals working with ACHS whether associated through board membership, employment, contract, volunteer or other agreement. All conflicts of interest whether real or perceived, must be disclosed as soon as the individual becomes aware of the conflict to a supervisor, coordinator or director. The supervisor, coordinator or director will work with the compliance officer to put forth a plan to ensure the conflict of interest does not adversely impact ACHS patients or business interests. Workforce members in violation of the policy may be subject to disciplinary action up to and including termination or removal from the board. All workforce members are required to complete a conflict of interest disclosure statement upon hire and every year thereafter. Board members complete a conflict of interest form upon becoming a member and then annually as long as they remain a member.
Form 990, Part VI, Section B, line 15a	CEO compensation is reviewed and approved by the Executive Committee using comparability data.
Form 990, Part VI, Section C, line 19	Ammonoosuc Community Health Services, Inc. makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Form 990, Part X, Line 10: Land, Buildings, and Equipment	Section 1.263(a)-3(n) Election: Ammonoosuc Community Health Services, Inc. 25 Mt. Eustis Road Littleton, NH 03561 Ammonoosuc Community Health Services, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).
Form 990, Part XI, line 9:	Change in beneficial interest in funds held by others -8,227.