Totals
- Total revenue
- $21,026,512
- Total expenses
- $18,797,702
- Contributions and grants received
- $5,501,531
- Grants paid
- $0
- Program service revenue
- $15,502,040
- Investment income
- $22,941
- Other revenue
- $0
- Total assets, end of year
- $16,252,402
- Total liabilities, end of year
- $8,673,624
- Net assets or fund balances, end of year
- $7,578,778
- Program services expenses (Part IX)
- $16,218,171
- Management and general expenses
- $2,503,191
- Fundraising expenses
- $76,340
- Program service expenses (Part III)
- $16,218,171
Program services were 86.3% 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.
-
1e · Government grants (contributions)
$5,335,011
-
1f · All other contributions, gifts and grants
$166,520
-
2a · Program service revenue: GROSS PATIENT SERVICE REVENUE
total $14,951,329 · related or exempt $14,951,329
-
2b · Program service revenue: MISCELLANEOUS OPERATING REVENUE
total $2,802,752 · related or exempt $2,802,752
-
2c · Program service revenue: PHARMACY
total $1,813,364 · excluded $1,813,364
-
2d · Program service revenue: CONTRACT REVENUE
total $956,290 · related or exempt $956,290
-
2e · Program service revenue: MONTESSORI CENTER
total $490,436 · unrelated business $490,436
-
2f · All other program service revenue
total -$5,512,131 · related or exempt -$5,512,131
-
3 · Investment income
total $22,941 · excluded $22,941
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $494,208 · management and general $494,208
-
7 · Other salaries and wages
total $9,663,119 · program services $8,689,765 · management and general $913,251 · fundraising $60,103
-
8 · Pension plan contributions
total $248,852 · program services $221,767 · management and general $27,085
-
9 · Other employee benefits
total $1,509,081 · program services $1,483,142 · management and general $13,702 · fundraising $12,237
-
10 · Payroll taxes
total $712,919 · program services $614,393 · management and general $98,526
-
11b · Fees: legal
total $24,124 · program services $13,370 · management and general $10,754
-
11c · Fees: accounting
total $55,108 · management and general $55,108
-
11g · Fees: other
total $1,951,468 · program services $1,636,638 · management and general $314,830
-
12 · Advertising and promotion
total $56,444 · program services $10,042 · management and general $46,402
-
13 · Office expenses
total $297,904 · program services $266,953 · management and general $30,951
-
14 · Information technology
total $273,093 · program services $228,364 · management and general $44,729
-
16 · Occupancy
total $888,569 · program services $702,171 · management and general $186,398
-
17 · Travel
total $90,212 · program services $46,297 · management and general $43,915
-
20 · Interest
total $86,769 · program services $83,092 · management and general $3,677
-
22 · Depreciation, depletion and amortization
total $251,351 · program services $242,846 · management and general $8,505
-
23 · Insurance
total $93,225 · program services $74,431 · management and general $18,794
-
24a · Other expenses: DRUGS AND MEDICATION
total $1,632,649 · program services $1,632,649
-
24b · Other expenses: RECRUITMENT
total $159,454 · program services $103,007 · management and general $56,447
-
24c · Other expenses: MISCELLANEOUS EXPENSES
total $117,227 · program services $69,345 · management and general $43,882 · fundraising $4,000
-
24d · Other expenses: DUES AND SUBSCRIPTIONS
total $93,555 · program services $56,412 · management and general $37,143
-
24e · All other expenses
total $98,371 · program services $43,487 · management and general $54,884
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $1,268,312 · end of year $1,404,640
-
2 · Savings and temporary cash investments
beginning of year $1,286,571 · end of year $978,739
-
3 · Pledges and grants receivable
beginning of year $199,739 · end of year $299,125
-
4 · Accounts receivable
beginning of year $2,954,499 · end of year $4,627,150
-
7 · Other notes and loans receivable
beginning of year $692,110 · end of year $716,629
-
9 · Prepaid expenses and deferred charges
beginning of year $174,803 · end of year $217,119
-
10a · Land, buildings and equipment: cost or other basis
$5,394,951
-
10b · Land, buildings and equipment: accumulated depreciation
$2,157,968
-
10c · Land, buildings and equipment, net
beginning of year $2,775,246 · end of year $3,236,983
-
15 · Other assets
beginning of year $164,366 · end of year $4,772,017
-
17 · Accounts payable and accrued expenses
beginning of year $1,490,502 · end of year $1,926,190
-
23 · Secured mortgages and notes payable
beginning of year $2,193,982 · end of year $2,142,299
-
25 · Other liabilities
beginning of year $481,194 · end of year $4,605,135
-
27 · Net assets without donor restrictions
beginning of year $5,208,064 · end of year $7,578,778
-
28 · Net assets with donor restrictions
beginning of year $141,904 · end of year $0
Mission and programs · 2022
Mission
TO PROVIDE SOUND PRIMARY HEALTH CARE TO THE COMMUNITY ACCESSIBLE TO ALL REGARDLESS OF THE ABILITY TO PAY.
-
MID-STATE HEALTH CENTER WAS FORMED IN 1998 TO PROVIDE MEDICAL AND SUPPORTIVE SERVICES TO RESIDENTS OF SIXTEEN RURAL COMMUNITIES LOCATED IN NORTH CENTRAL NEW HAMPSHIRE. MSHC TREATED A TOTAL OF 12,190 MEDICAL PATIENTS AND 2,117 DENTAL PATIENTS THIS YEAR. 248 MEDICAL AND 95 DENTAL PATIENTS TREATED RECEIVED CHARITY CARE.
Expenses $16,218,171 · Revenue $13,198,240
As filed on the 2022 return.
Listed in Part VII
-
PETER LAUFENBERG
PRESIDENT
- Total calculated
- $0
- Hours/week
- 2 + 0.2 related
-
TODD BICKFORD
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 2 + 0.2 related
-
CARINA PARK
SECRETARY
- Total calculated
- $0
- Hours/week
- 2 + 0.2 related
-
MIKE LONG
TREASURER
- Total calculated
- $0
- Hours/week
- 2 + 0.2 related
-
NICHOLAS COATES
DIRECTOR THROUGH NOVEMBER 2022
- Total calculated
- $0
- Hours/week
- 1 + 0.2 related
-
ISAAC DAVIS
DIRECTOR THROUGH JANUARY 24 2023
- Total calculated
- $0
- Hours/week
- 1 + 0.2 related
-
BENOIT LAMONTAGNE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 0.2 related
-
JOSEPH MONTI
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 0.2 related
-
CHELSEA SALOMON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 0.2 related
-
JOHN SCHEINMAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 0.2 related
-
JARRETT STERN
DIRECTOR THROUGH NOVEMBER 2022
- Total calculated
- $0
- Hours/week
- 1 + 0.2 related
-
ELIZABETH BROCHU
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 0.2 related
-
PATTI BIEDERMAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 0.2 related
-
STEVEN SHAFFER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 0.2 related
-
BRIAN LASH
DIRECTOR AS OF FEBRUARY 28 2023
- Total calculated
- $0
- Hours/week
- 1 + 0.2 related
-
ROBERT MACLEOD
CHIEF EXECUTIVE OFFICER
- Total calculated
- $284,043
- From this org
- $274,736
- From related orgs
- $0
- Other
- $9,307
- Hours/week
- 40 + 0.2 related
Schedule J breakdown matched by us
- Base
- $244,507
- Bonus
- $30,229
- Other
- $0
- Deferred
- $6,000
- Nontaxable benefits
- $3,307
- Filer's total
- $284,043
-
WILLIAM SWEENEY
CHIEF FINANCIAL OFFICER
- Total calculated
- $177,213
- From this org
- $160,108
- From related orgs
- $0
- Other
- $17,105
- Hours/week
- 40 + 0.4 related
Schedule J breakdown matched by us
- Base
- $160,108
- Bonus
- $0
- Other
- $0
- Deferred
- $4,874
- Nontaxable benefits
- $12,231
- Filer's total
- $177,213
-
BRADLEY MCCOIL
DIRECTOR AS OF FEBRUARY 28 2023
- Total calculated
- $0
- Hours/week
- 1 + 0.2 related
-
DAVID FAGAN
MEDICAL DIRECTOR
- Total calculated
- $298,830
- From this org
- $287,118
- From related orgs
- $0
- Other
- $11,712
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $287,118
- Bonus
- $0
- Other
- $0
- Deferred
- $8,629
- Nontaxable benefits
- $3,083
- Filer's total
- $298,830
-
ANDREA BERRY
PHYSICIAN
- Total calculated
- $276,015
- From this org
- $257,600
- From related orgs
- $0
- Other
- $18,415
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $248,054
- Bonus
- $9,546
- Other
- $0
- Deferred
- $5,678
- Nontaxable benefits
- $12,737
- Filer's total
- $276,015
-
STEPHEN REGAN
PHYSICIAN
- Total calculated
- $265,847
- From this org
- $221,639
- From related orgs
- $0
- Other
- $44,208
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $221,639
- Bonus
- $0
- Other
- $0
- Deferred
- $6,885
- Nontaxable benefits
- $37,323
- Filer's total
- $265,847
-
KELLY PERRY
PHYSICIAN
- Total calculated
- $208,646
- From this org
- $171,988
- From related orgs
- $0
- Other
- $36,658
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $171,988
- Bonus
- $0
- Other
- $0
- Deferred
- $4,533
- Nontaxable benefits
- $32,125
- Filer's total
- $208,646
-
CECILIA DISNEY
PHYSICIAN
- Total calculated
- $253,445
- From this org
- $217,102
- From related orgs
- $0
- Other
- $36,343
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $217,102
- Bonus
- $0
- Other
- $0
- Deferred
- $6,486
- Nontaxable benefits
- $29,857
- Filer's total
- $253,445
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
- 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.
-
MID-STATE COMMUNITY DEVELOPMENT CORPORATION
501(C)(3) · BUSINESS LENDING, REAL ESTATE DEVELOPMENT & ECONOMIC DEVELOPMENT · NH · controlled entity
Directly controlled by MID-STATE HEALTH CENTER
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202411369349311386
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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