2014-05-08T10:07:23-05:00 2013-09-30 020400296 Brad Borbidge PA 197 Loudon Road Concord NH 03301 990 2012-10-01 043349104 Community Health Access Network COMM 6036592494 207 South Main Street Newmarket NH 03857 Kirsten Platte 6036592494 2014-05-08 1 Dimitrios Panacopoulos CPA P01603705 6032240849 2012 2015-11-30 17:44:51Z Kirsten Platte 207 South Main Street Newmarket NH 03857 2010437 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 6 0 0 0 981316 1064976 768870 945461 0 0 0 0 1750186 2010437 0 0 0 0 275350 355942 0 0 0 1316238 1624367 1591588 1980309 158598 30128 1846406 1662534 901761 687761 944645 974773 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 1756195 945461 To provide services and conduct activities that improve the health status of communities served. 1756195 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 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 3 0 1 6 1 0 0 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 0.00 X 0 0 0 Janet Atkins 0.00 X 0 0 0 Richard Silverberg 0.00 X 0 0 0 Ann Peters 0.00 X 0 0 0 Kris McCracken 0.00 X 0 0 0 Dustin Hawk 0.00 X 0 0 0 Peter Kelleher 0.00 X 0 0 0 Kirsten Platte 40.00 X 75885 0 7507 75885 0 7507 0 0 0 0 Lamprey Health Care 207 South Main Street Newmarket NH 03857 Contracted Staff 360897 Southern New Hampshire AHEC 207 South Main Street Newmarket NH 03857 Chronic Disease Management 211678 2 133550 931426 1064976 Service Revenue 518210 945461 945461 945461 2010437 945461 0 0 X 83392 83392 226794 173015 53779 21542 12314 9228 24214 13841 10373 4924 4924 13000 13000 729013 729013 1375 786 589 343908 343908 44100 25208 18892 19912 11382 8530 15440 8826 6614 416591 416591 12872 7358 5514 Telephone 13270 7585 5685 Other Expenses 4927 2816 2111 Printing & Publications 3258 1862 1396 Program Supplies 1575 1575 202 115 87 1980309 1756195 224114 0 76211 32360 803522 548065 9243 8421 154442 195212 2910906 2096490 802988 814416 0 64060 1846406 1662534 335178 207387 566583 480374 901761 687761 X 944645 974773 944645 974773 1846406 1662534 30128 0 X 0 1 X 1 1 1 X 455304 926625 877869 981315 1064976 4306089 455304 926625 877869 981315 1064976 4306089 4306089 34 34 4306123 3789319 1.00000 0.99980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2910906 2096490 814416 814416 2010437 0 2010437 0 2010437 1980309 0 1980309 0 1980309 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 Secretary 179088 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 $151,000, Meaningful Use $9,563, and other income $375. 0 Helen Taft Board President 106818 Helen Taft is the Executive Director of Families First of Greater Seacoast, a member of Community Health Access Network. Transactions reported here include the following: Dues $18,150, Shared IT Systems $62,191, Licenses purchased $8,696, Consulting $1,277, Meaningful Use $15,088, and Other income $1,417. 0 Richard Silverberg Board Treasurer 68411 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 $34,468, Consulting $2,963, Licenses purchased $12,500 and Other income $330. 0 Ann Peters Board Member 342991 Ann Peters is the CEO of Lamprey Health Care, Inc. (LHC), a member of Community Health Access Network. Transactions here include the following revenue transactions: Dues received: $18,150, Shared IT Sytems: $267,494, Other Income $11,843, Meaningful Use $22,313 and Consulting $23,192. 0 Ann Peters Board Member 360731 Ann Peters is the CEO of Lamprey Health Care, Inc. (LHC), a member of Community Health Access Network. Transactions here include the following expense transactions: Employees leased from LHC: $305,766, and facilities leased from LHC (including utilities): $54,965. 0 Kris McCracken Board Member 187282 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 $133,726, Other income $500 and Licenses purchased $34,906. 0 Dustin Hawk Board Member 128498 Dustin Hawk is the Executive Director at Shackleford County Community Resource Center. transactions reported here include the following: Dues $18,150, Shared IT Systems $95,163, Other income $560, Meaningful Use $6,375, and Licenses purchased $8,250. 0 Peter Kelleher Board Member 90897 Peter Kelleher is the Executive Director at Harbor Health & Wellness Center. Transactions reported here include the following: Dues $18,150, Shared IT Systems $31,686, Consulting $1,626, and Licenses purchased $39,435. 0 Form 990, Part VI, Section B, line 11 The 990 is reviewed by the Executive Director and the Board Treasurer. 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. Other Fees Form 990, Part IX, line 11g Other Contracted Services: Program service expenses 729,013. Management and general expenses 0. Fundraising expenses 0. Total expenses 729,013.