2013-12-20T08:52:17-06:00 2013-06-30 020400296 Brad Borbidge PA 197 Loudon Road Concord NH 03301 990 2012-07-01 510137745 Ammonoosuc Community Health Services Inc AMMO 6034442464 25 Mt Eustis Road Littleton NH 03561 Edward Shanshala 6034442464 2013-12-20 1 Dimitrios Panacopoulos CPA P01603705 6032240849 2012 2015-11-30 17:44:51Z Edward Shanshala 25 Mt Eustis Road Littleton NH 03561 7179217 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 94 0 0 0 1871460 1792569 4443124 5356854 634 8056 25401 16019 6340619 7173498 0 0 0 0 4808549 5176111 0 0 1946 1493639 2017876 6302188 7193987 38431 -20489 5061195 4985513 1456829 1401636 3604366 3583877 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 5714591 5356854 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. 5714591 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 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 11 0 1 94 1 0 0 0 0 0 1 1 0 0 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 Charles Thibodeau 1.00 X 0 0 0 Alan Smith 1.00 X 0 0 0 Lynn Davis 1.00 X 0 0 0 Inga Johnson 1.00 X 0 0 0 Gary Boyle 1.00 X 0 0 0 Bruce Brown 1.00 X 0 0 0 Ned Densmore 1.00 X 0 0 0 Beth Harwood 1.00 X 0 0 0 Ray Lobdell 1.00 X 0 0 0 Sally Sherrard 1.00 X 0 0 0 Laura Sjolander 1.00 X 0 0 0 Ronald Spaulding 1.00 X 0 0 0 Robert Tortorice 1.00 X 0 0 0 Edward Shanshala 40.00 X 125845 0 2418 Kenneth Riebel 40.00 X 84135 0 7908 Shawn Tester 40.00 X 80931 0 2360 David Nelson DO 40.00 X 159547 0 10545 Aaron Solnit MD 22.00 X 119705 0 702 Sarah Young-Xu MD 27.00 X 125558 0 1188 Caitlin O'Donnell MD 30.00 X 135160 0 0 Philip Lawson MD 24.00 X 139026 0 850 Charles Wolcott MD 36.00 X 151703 0 926 1121610 0 26897 7 0 1 0 0 1711549 81020 1792569 Patient Revenue 621110 5356854 5356854 5356854 540 540 7516 0 7516 7516 7516 21738 5719 16019 16019 7173498 5356854 0 24075 473689 277120 196569 3768663 3011305 757358 596229 462853 133376 337530 262025 75505 19974 19974 18165 18165 140079 140079 36828 36828 48823 37901 10922 172145 172145 256788 199345 57443 13979 10852 3127 33945 33945 40547 31477 9070 214393 166433 47960 57392 44553 12839 Program Supplies 675125 675125 Telephone 104816 81369 23447 Other Expenses 66666 51753 14913 Printing and Publicatio 53865 41815 12050 64346 48441 13959 1946 7193987 5714591 1477450 1946 120217 171483 30608 27179 499936 581149 44948 78270 60025 46318 5378126 1431160 4116867 3946966 188594 134148 5061195 4985513 534087 612995 11231 911511 749819 0 38822 1456829 1401636 X 3542065 3521576 62301 62301 3604366 3583877 5061195 4985513 -20489 0 X 0 1 X 1 1 1 X 2184941 2676183 5155698 1871460 1792569 13680851 3908684 4004408 3867794 4456042 5356854 21593782 6093625 6680591 9023492 6327502 7149423 35274633 0 0 0 35274633 1856 1526 1273 634 540 5829 1856 1526 1273 634 540 5829 6095481 6682117 9024765 6328136 7149963 35280462 0.99980 0.99530 0.00020 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 62301 62301 1.00000 0 0 4457632 732095 3725537 920494 699065 221429 3946966 Advance From Third Party Payors 38822 38822 7173498 0 7173498 0 7173498 7193987 0 7193987 0 7193987 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 21738 21738 5719 21738 21738 5719 5719 16019 X X X 0 0 0 0 0 0 0 1 0 David Nelson DO 147729 0 11818 0 0 0 0 0 10545 0 170092 0 0 0 Charles Wolcott MD 145176 0 6527 0 0 0 0 0 926 0 152629 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.