2015-07-21T10:18:10-05:00 2014-09-30 020400296 Brad Borbidge PA 197 Loudon Road Concord NH 03301 990 2013-10-01 043349104 Community Health Access Network COMM 6032921117 207 South Main Street Newmarket NH 03857 Kirsten Platte Executive Director 6036592494 2015-07-21 1 Dimitrios Panacopoulos CPA P01603705 6032240849 2013 2016-02-25 16:41:14Z Kirsten Platte 207 South Main Street Newmarket NH 03857 2320929 0 X www.chan-nh.org X 1995 NH To enable our member agencies to develop the program and resources necessary to assure access to efficient, effective quality health care for all clients in our communities particularly the uninsured, Medicaid, and medically underserved populations. 7 0 7 0 0 0 1064976 1202063 945461 1118506 0 360 0 0 2010437 2320929 0 0 0 0 355942 448906 0 0 0 1624367 1969928 1980309 2418834 30128 -97905 1662534 1434148 687761 557280 974773 876868 To enable our member agencies to develop the program and resources necessary to assure access to efficient, effective quality health care for all clients in our communities particularly the uninsured, Medicaid, and medically underserved populations. 0 0 2166227 1118506 To provide services and conduct activities that improve the health status of communities served. 2166227 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 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 1 5 0 1 7 1 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Kirsten Platte 6032927205 207 South Main Street Newmarket NH 03857 Helen Taft Board Member 0.00 X 0 0 0 Janet Atkins Treasurer 0.00 X 0 0 0 Richard Silverberg President 0.00 X 0 0 0 Kris McCracken Board Member 0.00 X 0 0 0 Dustin Hawk Secretary 0.00 X 0 0 0 Peter Kelleher Board Member 0.00 X 0 0 0 Gregory White Board Member 0.00 X 0 0 0 Kirsten Platte Executive Director 40.00 X 81641 0 6178 81641 0 6178 0 0 0 0 Lamprey Health Care 207 South Main Street Newmarket NH 03857 Contracted Staff 335124 1 133917 1068146 1202063 Service Revenue 518210 1118506 1118506 1118506 360 360 2320929 1118506 0 360 X 87819 87819 292685 222047 70638 38456 22812 15644 29946 17764 12182 2526 2526 13000 13000 1053169 1053169 2687 2687 2005 1189 816 379664 379664 45420 26943 18477 14156 8397 5759 14216 8433 5783 400178 400178 15736 9334 6402 Telephone 12762 7570 5192 Other Expenses 12507 7419 5088 Printing & Publications 1218 723 495 Program Supplies 440 440 244 145 99 2418834 2166227 252607 0 32360 39546 548065 453780 8421 70733 195212 146270 3075472 2496668 814416 578804 64060 145015 1662534 1434148 207387 199131 480374 358149 687761 557280 X 974773 876868 974773 876868 1662534 1434148 -97905 0 X 0 1 X 1 1 1 X 926625 877869 981315 1064976 1202063 5052848 926625 877869 981315 1064976 1202063 5052848 5052848 5052848 4313313 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3075472 2496668 578804 578804 Assets Limited As To Use 145015 145015 2320929 0 2320929 0 2320929 2418834 0 2418834 0 2418834 Part IV, line 11f 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 position and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. Janet Atkins Board Treasurer 176233 Janet Atkins is the CEO of Goodwin Community Health, a member of Community Health Access Network. Transactions reported here include the following: Dues $18,150, Shared IT Systems $156,328, Meaningful Use $1,488, and Outreach/Enrollment $268. 0 Helen Taft Board Member 95895 Helen Taft is the Executive Director of Families First Health and Support Center, a member of Community Health Access Network. Transactions reported here include the following: Dues $18,150, Shared IT Systems $72,963, Consulting $213, Meaningful Use $1,913, Outreach/Enrollment $268 and Other income $2,389. 0 Richard Silverberg Board President 83780 Richard Silverberg is the Executive Director of Health First Family Care Center, Inc. (HFFCC), a member of Community Health Access Network. Transactions reported here include the following: Dues $18,150, Shared IT Systems $59,720, Meaningful Use $5,313, Outreach/Enrollment $268 and Other income $330. 0 Kris McCracken Board Member 302328 Kris McCracken is the President/CEO of Manchester Community Health Center, a member of Community Health Access Network. Transactions reported here include the following: Dues $18,150, Shared IT Systems $166,255, Outreach/Enrollment $268, Other income $1,467, Meaningful Use $8,500 and Licenses purchased $107,688. 0 Dustin Hawk Board Secretary 126848 Dustin Hawk is the Executive Director at Shackleford County Community Resource Center. Transactions reported here include the following: Dues $18,150, Shared IT Systems $106,735, Other income $23, Meaningful Use $1,913, and Licenses purchased $28. 0 Peter Kelleher Board Member 70372 Peter Kelleher is the Executive Director at Harbor Care Health & Wellness Center. Transactions reported here include the following: Dues $18,150, Shared IT Systems $47,704, Outreach/Enrollment $268, and Meaningful Use $4,250. 0 Gregory White Board Member 301483 Gregory White is the CEO at Lamprey Health Care, Inc. Transactions reported here include the following: Dues $18,150, Shared IT Systems $241,177, Outreach/Enrollment $268, Other Income $6,100, Meaningful Use $8,288, Consulting Income $25,358 and Licenses $2,142. 0 Form 990, Part VI, Section B, line 11 The 990 is reviewed by the Executive Director, the Board Treasurer and Directors. Form 990, Part VI, Section B, line 12c Board members sign the policy upon becoming a member and periodically review the policy. Form 990, Part VI, Section B, line 15 The Board of Directors review and approve the compensation of the Executive Director. Form 990, Part VI, Section C, line 19 They are made available upon request. Form 990, Part IX, line 11g Other Contracted Services: Program service expenses 1,053,169. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,053,169.