2023-11-01T05:59:49-05:00 2023-06-30 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2022-07-01 510137745 Ammonoosuc Community Health Services Inc AMMO 6034442464 25 Mt Eustis Road Littleton NH 03561 Tammy Talotta CFO 6034442464 2023-10-30 1 Tammy Talotta 999009999 1 Melissa Magoon CPA P01712842 6036697337 2023-10-30 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Tammy Talotta 25 Mt Eustis Road Littleton NH 03561 10725251 0 X N/A X 1975 NH 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. 10 10 130 14 0 0 5035911 4146453 7299171 6452484 6740 122653 21966 3661 12363788 10725251 0 0 0 0 7777585 7624856 0 0 9967 3458367 3558716 11235952 11183572 1127836 -458321 10056023 10906694 1864362 3168868 8191661 7737826 X 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. 0 0 8422632 6452484 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. 8422632 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 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 0 0 0 0 1 30 0 1 130 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NH X Tammy Talotta 6034442464 25 Mt Eustis Road Littleton NH 03561 Evelyn Hagan President 1.00 X X 0 0 0 Shannon McGrath Vice-President 1.00 X X 0 0 0 John Rapoport Treasurer 1.00 X X 0 0 0 Kathy Ryan Secretary 1.00 X X 0 0 0 Ivy Spencer Board Member 1.00 X 0 0 0 Jeffrey Jones Board Member 1.00 X 0 0 0 Frank Pinter Board Member 1.00 X 0 0 0 James Schuchman Board Member 1.00 X 0 0 0 Carlene Whitcomb Board Member 1.00 X 0 0 0 Natlaie Kennett Board Member 1.00 X 0 0 0 Barbara Szeidler Past Vice President 1.00 X 0 0 0 Bob Tortorice Past Secretary 1.00 X 0 0 0 Gary Merchant Past Board Member 1.00 X 0 0 0 David McClure Past Board Member 1.00 X 0 0 0 Edward Shanshala CEO 40.00 X 248877 0 14975 Tammy Talotta CFO 40.00 X 132687 0 16063 Melissa Buddensee Physician 40.00 X 256676 0 21866 David Ferris Physician 40.00 X 194708 0 10266 David Nelson DO Physician 40.00 X 218561 0 8403 Caitlin O'Donnell Physician 40.00 X 209128 0 7744 Sandra Molteni Physician 40.00 X 229108 0 2103 1489745 0 81420 15 0 1 0 Secured Network Services 125 Main Street Littleton NH 03561 IT Services & Hardware 526973 Health Initiatives Foundation Inc 800 Warf St SW 12 Washington DC 20024 Consulting 163000 2 3204642 941811 4146453 Patient Revenue 621110 6311556 6311556 Other Revenue 621110 140928 140928 6452484 103408 103408 3661 0 3661 3661 3661 19245 0 19245 19245 19245 10725251 6452484 0 126314 X 412600 52770 359830 6177656 4876644 1301012 64184 54976 9208 452490 353397 99093 517926 388998 128928 23405 23405 45001 45001 5944 5944 1346179 999108 347071 39364 39364 189873 142608 47265 274898 206467 68431 436486 327831 108655 14618 10979 3639 31336 23535 7801 26972 20258 6714 288767 216884 71883 56547 42471 14076 Program Supplies 513656 513656 Other Expenses 139359 104668 34691 Telephone 116344 87382 28962 Fundraising Expenses 9967 9967 11183572 8422632 2750973 9967 X 248348 205341 4119062 2554862 307120 231576 433110 559167 126189 156771 8336635 3343286 4648779 4993349 2029002 173415 176626 10056023 10906694 837243 1359069 49572 42000 977547 610785 0 1157014 1864362 3168868 X 8063246 7595316 128415 142510 8191661 7737826 10056023 10906694 X -458321 4486 X 0 1 X 1 1 1 X 2927688 3286786 5215754 5035911 4146453 20612592 8463901 8269437 7583992 7299171 6452484 38068985 11391589 11556223 12799746 12335082 10598937 58681577 10000 10000 0 10000 10000 58671577 3246 25517 29531 28706 107069 194069 3246 25517 29531 28706 107069 194069 11394835 11581740 12829277 12363788 10706006 58875646 0.99650 0.99820 0.00330 0.00150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11100 11100 6021609 2087869 3933740 1218621 446353 772268 1045365 809064 236301 39940 39940 4993349 Employee Retention Credit 1157014 1157014 X 10723793 4486 4486 10719307 5944 5944 10725251 11177628 0 11177628 5944 5944 11183572 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 4,486. X X X 0 0 0 0 0 0 0 1 0 Melissa Buddensee Physician 251592 0 5084 0 0 0 7265 0 14601 0 278542 0 0 0 Edward Shanshala CEO 243949 0 4928 0 0 0 6770 0 8205 0 263852 0 0 0 Sandra Molteni Physician 214934 0 14174 0 0 0 248 0 1855 0 231211 0 0 0 David Nelson DO Physician 214049 0 4512 0 0 0 6475 0 1928 0 226964 0 0 0 Caitlin O'Donnell Physician 204801 0 4327 0 0 0 4800 0 2944 0 216872 0 0 0 David Ferris Physician 190517 0 4191 0 0 0 2405 0 7861 0 204974 0 0 0 Part I, Line 7 The bonuses were a pay for performance payment and it was to all employees for the FY 2023 year amount was determined and approved by the board $162,500 in total. 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 IX, line 11g Other Professional Fees: Program service expenses 999,108. Management and general expenses 347,071. Fundraising expenses 0. Total expenses 1,346,179. 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 4,486.