2013-04-30T10:10:54-05:00 2012-06-30 020400296 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2011-07-01 020458174 MANCHESTER COMMUNITY HEALTH CENTER MANC 6036269500 145 Hollis Street 2nd Floor MANCHESTER NH 03101 Kris McCracken 6036269500 2013-04-30 DIMITRIOS PANACOPOULOS CPA P01603705 6032240849 2011 2016-03-07 17:11:31Z Kris McCracken 145 Hollis Street 2nd Floor MANCHESTER NH 03101 4971590 0 X www.MCHC-NH.org X 1992 NH The mission of Manchester Community Health Center is to foster, both through direct services and collaboration, high-quality, comprehensive family oriented primary health-care services, which meet the needs of a diverse community regardless of age, ethnicity or income. Our focus is to provide access to those who cannot access primary health care services. 17 17 76 12 0 0 2298960 1622073 2721545 3349158 4818 359 0 0 5025323 4971590 0 0 0 0 3882936 3913479 0 0 43386 1588042 1665738 5470978 5579217 -445655 -607627 4743590 4090786 1900581 1817905 2843009 2272881 X The mission of Manchester Community Health Center is to foster, both through direct services and collaboration, high-quality, comprehensive family oriented primary health-care services, which meet the needs of a diverse community regardless of age, ethnicity or income. Our focus is to provide access to those who cannot access primary health care services. 0 0 4176961 3349158 To provide primary outpatient medical care, counseling services and nutritional consultation to individuals in the Manchester NH area. 4176961 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 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 26 0 1 76 1 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NH X X Kris McCracken 6036269500 145 Hollis Street 2nd Floor Manchester NH 03101 James Burnett 0.00 X 0 0 0 Anthony Chismark 0.00 X 0 0 0 Carole O'Keefe 0.00 X 0 0 0 Dominique A Rust 0.00 X 0 0 0 Elizabeth Cleary 0.00 X 0 0 0 David Cuzzi 0.00 X 0 0 0 Mukhtar Idhow 0.00 X 0 0 0 Robert Kuhl 0.00 X 0 0 0 Larry Lipner 0.00 X 0 0 0 Maria Mariano 0.00 X 0 0 0 Germano Martins 0.00 X 0 0 0 Helen Maurizio 0.00 X 0 0 0 Myra Nixon 0.00 X 0 0 0 Toni Pappas 0.00 X 0 0 0 Gerri Provost 0.00 X 0 0 0 Don Walega 0.00 X 0 0 0 Gloria Young 0.00 X 0 0 0 Edward George 40.00 X 145562 0 15647 Ann-Marie Miller 40.00 X 73687 0 9551 J Gavin Muir MD 40.00 X 197447 0 15340 Laura Fry 40.00 X 218091 0 11179 Peter Kiprop 40.00 X 160521 0 13410 Mary Cullen 40.00 X 174393 0 12356 969701 0 77483 5 0 1 0 Bedford Commons OBGYN 201 Riverway Place Bedford NH 03110 Contract Staff 138575 3 1573870 48203 1622073 Primary Medical Care S 621110 3349158 3349158 3349158 359 359 4971590 3349158 0 359 457234 212787 244447 2907610 2264413 611798 31399 113012 83731 28219 1062 169346 125468 42286 1592 266277 197285 66489 2503 6883 6883 31433 31433 511905 379270 132635 7046 7046 30110 22308 7519 283 151174 112005 37748 1421 5439 4030 1409 18495 13703 4792 70274 52066 17547 661 192495 142620 48066 1809 32943 24407 8226 310 Bad debts 182648 182648 Program supplies 175285 175285 Other expenses 119016 88179 29718 1119 Printing and publicatio 55797 41340 13933 524 74795 55416 18676 703 5579217 4176961 1358870 43386 42014 89261 503580 105247 323558 243651 68178 71473 3651881 807517 3007222 2844364 442971 442945 356067 293845 4743590 4090786 381611 357983 1518970 1459922 1900581 1817905 X 2421290 1930028 421719 342853 2843009 2272881 4743590 4090786 X -607627 37499 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 81000 81000 2707810 297834 2409976 863071 509683 353388 2844364 Assets Limited As to Use 161845 Due from third party payers 132000 293845 4971590 5579217 -607627 37499 37499 -570128 5009089 37499 37499 4971590 0 4971590 5579217 0 5579217 0 5579217 Part IV, Line 11f - The Health Center is a public charity under Section 501 (c)(3) of the Internal Revenue Code. As a public charity, The Health Center 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 Health Centers tax positions and concluded that the Health Center has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. X X X X 0 0 0 0 0 0 0 1 0 Edward George 145562 0 0 0 0 0 0 0 15647 0 161209 0 0 0 J Gavin Muir MD 160968 0 0 0 36479 0 0 0 15340 0 212787 0 0 0 Laura Fry 182271 0 0 0 35820 0 0 0 11179 0 229270 0 0 0 Peter Kiprop 121036 0 0 0 39485 0 0 0 13410 0 173931 0 0 0 Mary Cullen 146048 0 0 0 28345 0 0 0 12356 0 186749 0 0 0 Part I, Line 7 Physicians are eligible to participate in the incentivized variable compensation plan, which provides for variable payments to physicians based upon clinical volume, complexity and quality measures. EDWARD GEORGE MCHC CEO serves as Member of the Board OF COMMUNITY HEALTH ACCESS NETWORK 119375 Transactions include purchase of shared IT services $101,225 and annual membership dues of $18,150. 0 Form 990, Part VI, Section B, line 11 The form 990 is provided to the finance committee of the board of directors and all members of the board of directors for review and comment. Form 990, Part VI, Section B, line 12c The conflict of interest policy includes an annual disclosure and monitoring process regarding external interests of board members and key management that could give rise to conflicts. Form 990, Part VI, Section B, line 15a Executive director compensation is reviewed and approved by the executive committee of board of directors. Form 990, Part VI, Section C, line 19 Upon request Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 37,499. reason for public charity status schedule a, part i The organization is exempt under 170(b)(1)(a)(iii), as a hospital. the organization operates a federally qualified health center. The Health Center is not registered with the state of New Hampshire as a hospital. Accordingly no schedule H is attached.