2015-04-22T10:50:20-05:00 2014-12-31 020327524 NATHAN WECHSLER & COMPANY PA 70 COMMERCIAL STREET 4TH FLOOR CONCORD NH 03301 990 2014-01-01 453247637 NEW HAMPSHIRE HEALTH INFORMATION ORGANIZATION NEWH 6032190184 125 AIRPORT ROAD CONCORD NH 03301 MARY BETH ELDREDGE 2014 BOARD CHAIR 6036505000 2015-04-06 1 KELLI D'AMORE CPA P01402985 6032245357 2014 2016-02-25 16:41:14Z MARY BETH ELDRIDGE 125 AIRPORT ROAD CONCORD NH 03301 1251700 0 X NHHIO.ORG X 2011 NH 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. 17 17 0 0 0 0 2645594 821983 50667 429717 0 0 0 0 2696261 1251700 95692 278347 0 0 0 0 0 0 0 1465790 1423722 1561482 1702069 1134779 -450369 1929806 1188442 718917 427922 1210889 760520 X 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. 0 0 1604986 278347 429717 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. 1604986 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 0 0 NH X JEFFREY LOUGHLIN 6032190184 125 AIRPORT ROAD CONCORD NH 03301 X DENISE PURINGTON PAST CHAIR 5.00 X 0 0 0 MARY BETH ELDREDGE CHAIR 5.00 X X 0 0 0 CAROL LACROSS TREASURER 4.00 X X 0 0 0 KIRSTEN PLATTE SECRETARY 4.00 X X 0 0 0 MARK GUPTILL MEMBER 2.00 X 0 0 0 PATRICIA WITTHAUS MEMBER 2.00 X 0 0 0 DEB MULLEN VICE CHAIR 2.00 X X 0 0 0 DANIEL WASZKOWSKI MD MEMBER 2.00 X 0 0 0 DAVID BRIDEN MEMBER 2.00 X 0 0 0 WILLIAM BAGGEROER MEMBER 3.00 X 0 0 0 RICHARD LAFLEUR MD MEMBER 2.00 X 0 0 0 MICHAEL LEHRMAN MEMBER 2.00 X 0 0 0 DAVID QUERUSIO MEMBER 2.00 X 0 0 0 CHRISTINE ROSENWASSER MD FAAP MEMBER 2.00 X 0 0 0 VICTOR ST PIERRE MEMBER 2.00 X 0 0 0 LORRAINE NICHOLS MEMBER 2.00 X 0 0 0 CHARLIE FANARAS MEMBER 2.00 X 0 0 0 0 0 0 0 0 0 0 ORION HEALTH INC 225 SANTA MONICA BOULEVARD SANTA MONICA CA 90401 SOFTWARE DVLPMENT,HOSTING & MONITORING 541333 MASSACHUSETTS EHEALTH COLLABORATIVE 860 WINTER STREET WALTHAM MA 02451 MANAGEMENT SERVICES 408598 2 821983 821983 PARTICIPATION AGREEMEN 518210 429717 429717 429717 1251700 429717 0 0 278347 278347 408598 326878 81720 10561 10561 15363 15363 3413 3413 580 580 840 840 581333 581333 4070 4070 987 987 370000 370000 12240 12240 WEBSITE DESIGN & DEVELO 12550 12550 TELEPHONE 3187 3187 1702069 1604986 97083 0 723747 656825 77125 95983 327601 4301 1110000 679167 800833 430833 500 500 1929806 1188442 608734 142361 110183 285561 718917 427922 X 50667 586916 1160222 173604 1210889 760520 1929806 1188442 -450369 0 X X 0 1 X 1 1 1 X 359435 2645594 821983 3827012 359435 2645594 821983 3827012 3827012 3827012 50667 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1110000 679167 430833 430833 X 1251700 0 1251700 0 1251700 1697737 0 1697737 0 1697737 PART X, LINE 2: THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF FASB ASC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ACCORDINGLY, MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THE ORGANIZATION HAD MAINTAINED ITS TAX-EXEMPT STATUS, DOES NOT HAVE ANY SIGNIFICANT UNRELATED BUSINESS INCOME AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 1 AMMONOSSUC COMMUNITY HEALTH SERVICES 25 MT EUSTIS ROAD LITTLETON NH 03561 510137745 501(C)(3) 7299 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANTHEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT CENTRAL NH VNA AND HOSPICE 780 MAIN STREET LACONIA NH 03246 020324948 6742 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT VNA & HOSPICE OF NH AND VT 66 BENNING STREET SUITE 8 WEST LEBANON NH 03784 036006494 501(C)(3) 7050 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT COOS COUNTY FAMILY HEALTH SERVICES 133 PLEASANT STREET BERLIN NH 03570 020350051 7500 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT CORNERSTONE VNA 178 FARMINGTON ROAD ROCHESTER NH 03867 020231026 7500 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT LAKE SUNAPEE REGION VNA & HOSPICE 107 NEWPORT ROAD PO BOX 2209 NEW LONDON NH 03257 237066056 7500 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT MID-STATE HEALTH CENTER 101 BOULDER POINT DRIVE SUITE 1 PLYMOUTH NH 03264 020487172 7500 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT MONADNOCK FAMILY SERVICES 64 MAIN STREET KEENE NH 03431 026012230 9450 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT WEST CENTRAL BEHAVORIAL HEALTH 9 HANOVER STREET SUITE 2 LEBANON NH 03766 222645978 501(C)(3) 10233 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT NORTHERN HUMAN SERVICES 87 WASHINGTON STREET CONWAY NH 03818 020300994 501(C)(3) 13899 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT CENTER FOR LIFE MANAGEMENT 10 TSIENNETO ROAD DERRY NH 03038 020301530 13940 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT PAIN CARE & SALMON FALLS HEALTH 7 WORKS WAY SOMERSWORTH NH 03878 461588699 14063 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT GREATER NASHUA MENTAL HEALTH CENTER 100 W PEARL STREET NASHUA NH 03060 020222121 14625 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT MHC OF GREATER MANCHESTER 401 CYPRESS STREET MANCHESTER NH 03103 020258994 501(C)(3) 15651 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT HUGGINS HOSPITAL 240 SOUTH MAIN STREET WOLFBOROUGH NH 03894 022223332 15860 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT WEEKS MEDICAL CENTER 173 MIDDLE STREET LANCASTER NH 03584 020222242 18400 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT COTTAGE HOSPITAL 90 SWIFTWATER ROAD WOODSVILLE NH 03785 020223321 18438 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT ANDROSCOGGIN VALLEY 9 PAGE HILL ROAD BERLIN NH 03570 020280367 27720 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT MONADNOCK COMMUNITY HOSPITAL 454 OLD STREET ROAD PETERBOROUGH NH 03458 020222157 501(C)(3) 32643 HEALTHCARE INFORMATION EXCHANGE TECHNOLOGY GRANT 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 XII, LINE 2C: THE BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING AND APPROVING THE AUDITED FINANCIAL STATEMENTS AND FOR SELECTION OF THE INDEPENDENT AUDITORS.