2012-03-22T09:41:52-05:00 2011-09-30 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2010-10-01 043349104 COMMUNITY HEALTH ACCESS NETWORK INC COMM 6036592494 207 SOUTH MAIN STREET NEWMARKET NH 03857 KIRSTEN PLATTE 6036592494 2012-03-02 1 DIMITRIOS PANACOPOULOS CPA 6032240849 2010 2016-02-24 21:20:13Z KIRSTEN PLATTE 207 SOUTH MAIN STREET NEWMARKET NH 03857 1580643 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 UNISURED, MEDICAID, AND MEDICALLY UNDERSERVED POPULATIONS. 6 0 5 0 0 0 926625 877869 777703 702774 0 0 0 0 1704328 1580643 0 0 0 0 208445 240126 0 0 0 977256 1347478 1185701 1587604 518627 -6961 2205404 1904187 1412396 1118140 793008 786047 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 UNISURED, MEDICAID, AND MEDICALLY UNDERSERVED POPULATIONS. 0 0 1387838 702774 TO PROVIDE SERVICES AND CONDUCT ACTIVITIES THAT IMPROVE THE HEALTH STATUS OF COMMUNITIES SERVED. 1387838 1 1 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 0 1 5 0 1 5 1 0 0 0 0 0 0 0 0 0 0 X 6 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 6036592494 207 SOUTH MAIN STREET NEWMARKET NH 03857 JANET ATKINS X 0 0 0 HELEN TAFT X 0 0 0 RICK SILVERBERG X 0 0 0 ANN PETERS X 0 0 0 EDWARD GEORGE X 0 0 0 W GREG HENSON X 0 0 0 KIRSTEN PLATTE 38.00 X 63844 0 7373 63844 0 7373 0 0 0 0 LAMPREY HEALTH CARE 207 S MAIN STREET NEWMARKET NH 03857 CONTRACTED STAFF 320153 SOUTHERN NEW HAMPSHIRE AHEC 207 S MAIN STREET NEWMARKET NH 03857 CHORNIC DISEASE MANAGEMENT 147365 2 112875 764994 877869 SERVICE REVENUE 518210 702774 702774 702774 1580643 702774 0 0 71217 71217 135839 102544 33295 17095 8779 8316 15975 8204 7771 13814 13814 13072 13072 622720 622720 269 269 1631 838 793 284924 284924 41543 21334 20209 13092 6723 6369 24367 12513 11854 304225 304225 8524 4377 4147 TELEPHONE 12246 6289 5957 PRINTING AND PUBLICATIO 3927 2017 1910 PROGRAM SUPPLIES 1534 1534 OTHER EXPENSES 1275 655 620 POSTAGE AND SHIPPING 315 162 153 1587604 1387838 199766 0 57123 54839 1239342 1060345 124255 58505 116342 119438 1968347 1357287 668342 611060 2205404 1904187 103224 61251 1309172 1056889 1412396 1118140 X 793008 786047 793008 786047 2205404 1904187 -6961 0 X X 0 1 1 X 1 1 X 401210 251818 455304 926625 877869 2912826 401210 251818 455304 926625 877869 2912826 2912826 1382 510 34 1926 2914752 2972233 0.99930 0.99910 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1968347 1357287 611060 611060 1580643 1587604 -6961 0 -6961 1580643 0 1580643 0 1580643 1587604 0 1587604 0 1587604 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 MEMBER 144103 JANET ATKINS IS THE CEO OF AVIS GOODWIN COMMUNITY HEALTH CENTER, A MEMBER OF COMMUNITY HEALTH ACCESS NETWORK, INC. TRANSACTIONS REPORTED HERE INCLUDE THE FOLLOWING: DUES $18,150, SHARED IT SYSTEMS $114,122, CONSULTING $782, CIP GRANT $10,785, AND OTHER INCOME $264. 0 HELEN TAFT BOARD PRESIDENT 88547 HELEN TAFT IS THE EXECUTIVE DIRECTOR OF FAMILIES FIRST OF GREATER SEACOAST, A MEMBER OF COMMUNITY HEALTH ACCESS NETWORK, INC. TRANSACTIONS REPORTED HERE INCLUDE THE FOLLOWING: DUES $18,150, SHARED IT SYSTEMS $46,459, CONSULTING $75, CIP GRANT $16,917 AND OTHER INCOME $6,946. 0 RICHARD SILVERBERG BOARD TREASURER 30248 RICHARD SILVERBERG IS THE EXECUTIVE DIRECTOR OF HEALTH FIRST FAMILY CARE CENTER, INC. (HFFCC), A MEMBER OF COMMUNITY HEALTH ACCESS NETWORK, INC. TRANSACTIONS REPORTED HERE INCLUDE THE FOLLOWING: DUES $18,150, SHARED IT SYSTEMS $5,000, CONSULTING $2,638, CIP GRANT $4,130 AND OTHER INCOME $330. 0 ANN PETERS BOARD SECRETARY 280932 ANN PETERS IS THE CEO OF LAMPREY HEALTH CARE, INC. (LHC), A MEMBER OF COMMUNITY HEALTH ACCESS NETWORK, INC. TRANSACTIONS HERE INCLUDE THE FOLLOWING REVENUE TRANSACTIONS: DUES RECEIVED: $18,150. IT AND OTHER CONSULTING SERVICES: $222,315. LHC ALSO PASSED THROUGH $40,467 OF A CIP GRANT TO COMMUNITY HEALTH ACCESS NETWORK TO UPGRADE ITS IT INFRASTRUCTURE. 0 ANN PETERS BOARD SECRETARY 371939 ANN PETERS IS THE CEO OF LAMPREY HEALTH CARE, INC. (LHC), A MEMBER OF COMMUNITY HEALTH ACCESS NETWORK, INC. TRANSACTIONS HERE INCLUDE THE FOLLOWING EXPENSE TRANSACTIONS: EMPLOYEES LEASED FROM LHC: $320,153, AND FACILITIES LEASED FROM LHC (INCLUDING UTILITIES): $51,786. 0 EDWARD GEORGE BOARD MEMBER 121240 EDWARD GEORGE IS THE PRESIDENT/CEO OF MANCHESTER COMMUNITY HEALTH CENTER, A MEMBER OF COMMUNITY HEALTH ACCESS NETOWRK, INC. TRANSACTIONS REPORTED HERE INCLUDE THE FOLLOWING: DUES $18,150, SHARED IT SYSTEMS $91,237, AND CIP GRANT $11,853. 0 W GREG HENSON BOARD MEMBER 93019 W. GREG HENSON IS THE EXECUTIVE DIRECTOR AT SHACKLEFORD COUNTY COMMUNITY RESOURCE CENTER. TRANSACTIONS REPORTED HERE INCLUDE THE FOLLOWING: DUES $13,613, SHARED IT SYSTEMS $67,767, CONSULTING $1,500, OTHER INCOME $2,340 AND LICENSES PURCHASED $7,800. 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. FORM 990. PART XII, LINE 2C. NO CHANGE FROM PRIOR YEAR.