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Nonprofiteer
← MASCOMA COMMUNITY HEALTHCARE INC

Form 990 for tax year 2023

Filed by MASCOMA COMMUNITY HEALTHCARE INC.

Totals

Total revenue
$878,135
Total expenses
$1,211,888
Contributions and grants received
$433,832
Grants paid
$0
Program service revenue
$422,113
Investment income
$0
Other revenue
$22,190
Total assets, end of year
$2,663,367
Total liabilities, end of year
$4,303,461
Net assets or fund balances, end of year
-$1,640,094
Program services expenses (Part IX)
$880,643
Management and general expenses
$331,245
Fundraising expenses
$0
Program service expenses (Part III)
$880,643

Program services were 72.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $0

  • 1e · Government grants (contributions)

    $10,000

  • 1f · All other contributions, gifts and grants

    $423,832

  • 1g · Noncash contributions included above

    $0

  • 2a · Program service revenue: Medical Fees

    total $256,840 · related or exempt $256,840 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: Dental Fees

    total $135,068 · related or exempt $135,068 · unrelated business $0 · excluded $0

  • 2c · Program service revenue: Refunds

    total -$1,408 · related or exempt -$1,408 · unrelated business $0 · excluded $0

  • 2d · Program service revenue: Mixed Fees

    total $10,705 · related or exempt $10,705 · unrelated business $0 · excluded $0

  • 2e · Program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $20,908 · related or exempt $20,908 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6a · Gross rents

    real property $128,130 · personal property $0

  • 6b · Less rental expenses

    real property $105,940 · personal property $0

  • 6c · Rental income or loss

    real property $22,190 · personal property $0

  • 6d · Net rental income or loss

    total $22,190 · related or exempt $22,190 · unrelated business $0 · excluded $0

  • 7a · Gross sales of assets other than inventory

    securities $0 · other assets $0

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 7d · Net gain or loss

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 8a · Fundraising events: gross income

    $0

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0 · unrelated business $0 · excluded $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11a · Other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11b · Other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11c · Other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0 · program services $0

  • 2 · Grants to domestic individuals

    total $0 · program services $0

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $662,211 · program services $636,611 · management and general $25,600 · fundraising $0

  • 8 · Pension plan contributions

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 9 · Other employee benefits

    total $47,849 · program services $47,849 · management and general $0 · fundraising $0

  • 10 · Payroll taxes

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11a · Fees: management

    total $6,555 · program services $0 · management and general $6,555 · fundraising $0

  • 11b · Fees: legal

    total $38,634 · program services $0 · management and general $38,634 · fundraising $0

  • 11c · Fees: accounting

    total $40,840 · program services $0 · management and general $40,840 · fundraising $0

  • 11d · Fees: lobbying

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11e · Fees: professional fundraising services

    total $0 · fundraising $0

  • 11f · Fees: investment management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11g · Fees: other

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 12 · Advertising and promotion

    total $4,973 · program services $0 · management and general $4,973 · fundraising $0

  • 13 · Office expenses

    total $2,207 · program services $0 · management and general $2,207 · fundraising $0

  • 14 · Information technology

    total $29,703 · program services $29,703 · management and general $0 · fundraising $0

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $37,626 · program services $0 · management and general $37,626 · fundraising $0

  • 17 · Travel

    total $3,593 · program services $3,593 · management and general $0 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $2,949 · program services $2,949 · management and general $0 · fundraising $0

  • 20 · Interest

    total $174,559 · program services $0 · management and general $174,559 · fundraising $0

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 23 · Insurance

    total $18,751 · program services $18,751 · management and general $0 · fundraising $0

  • 24a · Other expenses: Small Expensed Equipment

    total $79,984 · program services $79,984 · management and general $0 · fundraising $0

  • 24b · Other expenses: Equipment Lease

    total $945 · program services $945 · management and general $0 · fundraising $0

  • 24c · Other expenses: Misc. Taxes

    total $251 · program services $0 · management and general $251 · fundraising $0

  • 24d · Other expenses: Supplies

    total $57,921 · program services $57,921 · management and general $0 · fundraising $0

  • 24e · All other expenses

    total $2,337 · program services $2,337 · management and general $0 · fundraising $0

  • 26 · Joint costs (an allocation of the lines above)

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $127,745 · end of year $60,225

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $177,722 · end of year $195,610

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $3,454,157

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,046,625

  • 10c · Land, buildings and equipment, net

    beginning of year $2,524,495 · end of year $2,407,532

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $122,824 · end of year $483,843

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $208,000 · end of year $283,216

  • 23 · Secured mortgages and notes payable

    beginning of year $3,641,534 · end of year $3,536,402

  • 24 · Unsecured notes and loans payable

    beginning of year $150,000 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year -$1,292,396 · end of year -$1,640,094

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2023

Mission

Provides out patient primary health and dental care in medical and dental care underserved areas and populations through a community owned clinic for the residents of Grafton Orange Dorchester Canaan Enfield and the greater Mascoma Valley in New Hampshire.

Activities or mission (Part I)

Clinic providing primary health and dental care to underserved populations in Mascoma Valley in New Hampshire with affordable medical dental and behavioral health care. Core population served 28,000.

  • 1,672 patients had 6,305 care visits with Mascoma personnel. 300 of those patients or 18% were low to moderate income and received 676 reduced cost care visits with reductions totaling $55,084.

    Expenses $880,643 · Revenue $999,676

As filed on the 2023 return.

Listed in Part VII

  • Sandra Hayden

    Board Chair

    Total calculated
    $0
    Hours/week
    15

  • Michael Samson

    Exec Fin Director

    Total calculated
    $25,600
    From this org
    $25,600
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Louis Shelzi

    Board Vice Chair

    Total calculated
    $0
    Hours/week
    5

  • Sean Murphy

    Treas

    Total calculated
    $0
    Hours/week
    4

  • Charles Townsend

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Katherine Silvius

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Karen Wolk

    Secretary

    Total calculated
    $0
    Hours/week
    5

  • Richard Fox

    Board Member

    Total calculated
    $0
    Hours/week
    5

  • Thomas Duplinsky

    Dental Director Ex Officio Board

    Total calculated
    $0
    Hours/week
    40

  • Mona Elzarka

    Dentist

    Total calculated
    $145,647
    From this org
    $145,647
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Ben Gardner

    Medical Director

    Total calculated
    $53,467
    From this org
    $53,467
    From related orgs
    $0
    Other
    $0
    Hours/week
    24

  • Isabel Watts

    Nurse Practitioner

    Total calculated
    $66,714
    From this org
    $66,714
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Rachel Hansen

    Nurse Practitioner

    Total calculated
    $78,873
    From this org
    $78,873
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $78,873
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $78,873

  • Chentel McGraw

    Dental Hygienist

    Total calculated
    $18,666
    From this org
    $18,666
    From related orgs
    $0
    Other
    $0
    Hours/week
    32

  • Katie Howard

    Dental Assistant

    Total calculated
    $37,159
    From this org
    $37,159
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Asma Muzzarfar

    Dentist

    Total calculated
    $17,308
    From this org
    $17,308
    From related orgs
    $0
    Other
    $0
    Hours/week
    16

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
13 August 2024
IRS schema version
2023v5.1
Source object
202432269349300103

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