2014-11-14T09:41:37-06:00 2014-06-30 020400296 Brad Borbidge PA 197 Loudon Road Concord NH 03301 990 2013-07-01 510137745 Ammonoosuc Community Health Services Inc AMMO 6034442464 25 Mt Eustis Road Littleton NH 03561 Edward Shanshala CEO 6034442464 2014-11-14 1 Dimitrios Panacopoulos CPA P01603705 6032240849 2013 2015-11-30 17:44:51Z Edward Shanshala 25 Mt Eustis Road Littleton NH 03561 8224094 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. 13 13 103 0 0 0 1792569 1965585 5356854 6227742 8056 12416 16019 12239 7173498 8217982 0 0 0 0 5176111 5878639 0 0 2984 2017876 2249983 7193987 8128622 -20489 89360 4985513 5537331 1401636 1864094 3583877 3673237 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 6635183 6227742 Primary Care - To provide medical and educational services to the local community.Family Planning - To provide counceling in family planning to the local community.Family Support - To provide counseling in family support to the local community. 6635183 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 0 1 103 1 0 0 0 0 0 1 1 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 1 1 0 0 NH X X Ken Riebel 6034442464 25 Mt Eustis Road Littleton NH 03561 Beth Harwood President 1.00 X 0 0 0 Alan Smith Co-Vice President 1.00 X 0 0 0 Lynn Davis Co-Vice President 1.00 X 0 0 0 Inga Johnson Secretary 1.00 X 0 0 0 Gary Boyle Board Member 1.00 X 0 0 0 Bruce Brown Board Member 1.00 X 0 0 0 Ned Densmore Treasurer 1.00 X 0 0 0 Ray Lobdell Board Member 1.00 X 0 0 0 Mark Secord Board Member 1.00 X 0 0 0 John Rapoport Board Member 1.00 X 0 0 0 Ronald Spaulding Board Member 1.00 X 0 0 0 Robert Tortorice Board Member 1.00 X 0 0 0 Judy Day Board Member 1.00 X 0 0 0 Edward Shanshala CEO 40.00 X 134657 0 2543 Kenneth Riebel CFO 40.00 X 97731 0 6701 Shawn Tester COO 40.00 X 82262 0 1159 David Nelson DO Medical Director 40.00 X 190339 0 0 Patricia Pratt MD Physician 40.00 X 185769 0 0 Damien Anthony Canuto Pharmacist 40.00 X 139022 0 0 Caitlin O'Donnell MD Physician 30.00 X 133343 0 0 Philip Lawson MD Physician 24.00 X 132969 0 0 Charles Wolcott MD Physician 36.00 X 164169 0 8476 1260261 0 18879 14 0 1 0 0 1865764 99821 1965585 Patient Revenue 621110 6227742 6227742 6227742 91 91 12325 0 12325 12325 12325 18351 6112 12239 12239 8217982 6227742 0 24655 491277 275603 215674 4323788 3566726 757062 679201 542953 136248 384373 307268 77105 16381 16381 32000 32000 141980 141980 34201 34201 46441 37125 9316 162448 162448 267442 213793 53649 13441 10745 2696 37737 37737 40200 32136 8064 209260 167282 41978 47127 37673 9454 Program Supplies 904764 904764 Other Expenses 114459 91499 22960 Printing and Publicatio 55196 44124 11072 Equipment Rental/Repair 46791 37405 9386 80115 61659 15472 2984 8128622 6635183 1490455 2984 171483 353512 27179 46979 581149 589906 78270 159489 46318 63349 5730383 1640420 3946966 4089963 134148 234133 4985513 5537331 612995 902409 147056 749819 814629 38822 0 1401636 1864094 X 3521576 3610936 62301 62301 3583877 3673237 4985513 5537331 89360 0 X 0 1 X 1 1 1 X 2676183 5155698 1871460 1792569 1965585 13461495 4004408 3867794 4456042 5356854 6227742 23912840 6680591 9023492 6327502 7149423 8193327 37374335 0 0 0 37374335 1526 1273 634 540 91 4064 1526 1273 634 540 91 4064 6682117 9024765 6328136 7149963 8193418 37378399 0.99990 0.99980 0.00010 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 62301 62301 62301 62301 1.00000 0 0 4733259 859899 3873360 997124 780521 216603 4089963 8217982 0 8217982 0 8217982 8128622 0 8128622 0 8128622 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 Organizations tax positions and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. Management believes the Agency is no longer subject to income tax examinations for years prior to 2010. Amble 18351 18351 6112 18351 18351 6112 6112 12239 X X X 0 0 0 0 0 0 0 1 0 David Nelson DO Medical Director 164170 0 14169 0 12000 0 0 0 0 0 190339 0 0 0 Patricia Pratt MD Physician 173769 0 0 0 12000 0 0 0 0 0 185769 0 0 0 Charles Wolcott MD Physician 147092 0 5077 0 12000 0 0 0 8476 0 172645 0 0 0 Part I, Line 7 Physicians received bonus compensation calculated by quality measures, patient satisfaction, citizenship and work RVUs. Form 990, Part VI, Section B, line 11 A copy of the 990 was provided to and approved by the board of directors prior to filing. Form 990, Part VI, Section B, line 15a The Organization determings top mangagement compensation by using salary surveys from NACHC and other geographical data from the Healthcare industry. Form 990, Part VI, Section C, line 18 The Organization's tax filing are available at the request of the Organization, or through guidstar.org. Form 990, Part VI, Section C, line 19 Upon request.