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Nonprofiteer
← AMMONOOSUC COMMUNITY HEALTH SERVICES INC

Form 990 for tax year 2022

Filed by AMMONOOSUC COMMUNITY HEALTH SERVICES INC.

Totals

Total revenue
$10,725,251
Total expenses
$11,183,572
Contributions and grants received
$4,146,453
Grants paid
$0
Program service revenue
$6,452,484
Investment income
$122,653
Other revenue
$3,661
Total assets, end of year
$10,906,694
Total liabilities, end of year
$3,168,868
Net assets or fund balances, end of year
$7,737,826
Program services expenses (Part IX)
$8,422,632
Management and general expenses
$2,750,973
Fundraising expenses
$9,967
Program service expenses (Part III)
$8,422,632

Program services were 75.3% 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)

    $3,204,642

  • 1f · All other contributions, gifts and grants

    $941,811

  • 2a · Program service revenue: Patient Revenue

    total $6,311,556 · related or exempt $6,311,556

  • 2b · Program service revenue: Other Revenue

    total $140,928 · related or exempt $140,928

  • 3 · Investment income

    total $103,408 · excluded $103,408

  • 6a · Gross rents

    real property $3,661

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $3,661

  • 6d · Net rental income or loss

    total $3,661 · excluded $3,661

  • 7a · Gross sales of assets other than inventory

    securities $19,245

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

    securities $0

  • 7c · Gain or loss

    securities $19,245

  • 7d · Net gain or loss

    total $19,245 · excluded $19,245

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $412,600 · program services $52,770 · management and general $359,830

  • 7 · Other salaries and wages

    total $6,177,656 · program services $4,876,644 · management and general $1,301,012

  • 8 · Pension plan contributions

    total $64,184 · program services $54,976 · management and general $9,208

  • 9 · Other employee benefits

    total $452,490 · program services $353,397 · management and general $99,093

  • 10 · Payroll taxes

    total $517,926 · program services $388,998 · management and general $128,928

  • 11b · Fees: legal

    total $23,405 · management and general $23,405

  • 11c · Fees: accounting

    total $45,001 · management and general $45,001

  • 11f · Fees: investment management

    total $5,944 · management and general $5,944

  • 11g · Fees: other

    total $1,346,179 · program services $999,108 · management and general $347,071

  • 12 · Advertising and promotion

    total $39,364 · management and general $39,364

  • 13 · Office expenses

    total $189,873 · program services $142,608 · management and general $47,265

  • 14 · Information technology

    total $274,898 · program services $206,467 · management and general $68,431

  • 16 · Occupancy

    total $436,486 · program services $327,831 · management and general $108,655

  • 17 · Travel

    total $14,618 · program services $10,979 · management and general $3,639

  • 19 · Conferences, conventions and meetings

    total $31,336 · program services $23,535 · management and general $7,801

  • 20 · Interest

    total $26,972 · program services $20,258 · management and general $6,714

  • 22 · Depreciation, depletion and amortization

    total $288,767 · program services $216,884 · management and general $71,883

  • 23 · Insurance

    total $56,547 · program services $42,471 · management and general $14,076

  • 24a · Other expenses: Program Supplies

    total $513,656 · program services $513,656

  • 24b · Other expenses: Other Expenses

    total $139,359 · program services $104,668 · management and general $34,691

  • 24c · Other expenses: Telephone

    total $116,344 · program services $87,382 · management and general $28,962

  • 24d · Other expenses: Fundraising Expenses

    total $9,967 · fundraising $9,967

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $248,348 · end of year $205,341

  • 2 · Savings and temporary cash investments

    beginning of year $4,119,062 · end of year $2,554,862

  • 3 · Pledges and grants receivable

    beginning of year $307,120 · end of year $231,576

  • 4 · Accounts receivable

    beginning of year $433,110 · end of year $559,167

  • 9 · Prepaid expenses and deferred charges

    beginning of year $126,189 · end of year $156,771

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

    $8,336,635

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

    $3,343,286

  • 10c · Land, buildings and equipment, net

    beginning of year $4,648,779 · end of year $4,993,349

  • 11 · Investments: publicly traded securities

    end of year $2,029,002

  • 15 · Other assets

    beginning of year $173,415 · end of year $176,626

  • 17 · Accounts payable and accrued expenses

    beginning of year $837,243 · end of year $1,359,069

  • 19 · Deferred revenue

    beginning of year $49,572 · end of year $42,000

  • 23 · Secured mortgages and notes payable

    beginning of year $977,547 · end of year $610,785

  • 25 · Other liabilities

    beginning of year $0 · end of year $1,157,014

  • 27 · Net assets without donor restrictions

    beginning of year $8,063,246 · end of year $7,595,316

  • 28 · Net assets with donor restrictions

    beginning of year $128,415 · end of year $142,510

Mission and programs · 2022

Mission

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.

  • Primary Care - To provide medical and educational services to the local community.Clinical Pharmacy Services - To provide assistance to ACHS patients to better understand and manage their medications.

    Expenses $8,422,632 · Revenue $6,452,484

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Evelyn Hagan

    President

    Total calculated
    $0
    Hours/week
    1
  • Shannon McGrath

    Vice-President

    Total calculated
    $0
    Hours/week
    1
  • John Rapoport

    Treasurer

    Total calculated
    $0
    Hours/week
    1
  • Kathy Ryan

    Secretary

    Total calculated
    $0
    Hours/week
    1
  • Ivy Spencer

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Jeffrey Jones

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Frank Pinter

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • James Schuchman

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Carlene Whitcomb

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Natlaie Kennett

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Barbara Szeidler

    Past Vice President

    Total calculated
    $0
    Hours/week
    1
  • Bob Tortorice

    Past Secretary

    Total calculated
    $0
    Hours/week
    1
  • Gary Merchant

    Past Board Member

    Total calculated
    $0
    Hours/week
    1
  • David McClure

    Past Board Member

    Total calculated
    $0
    Hours/week
    1
  • Edward Shanshala

    CEO

    Total calculated
    $263,852
    From this org
    $248,877
    From related orgs
    $0
    Other
    $14,975
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $243,949
    Bonus
    $4,928
    Other
    $0
    Deferred
    $6,770
    Nontaxable benefits
    $8,205
    Filer's total
    $263,852
  • Tammy Talotta

    CFO

    Total calculated
    $148,750
    From this org
    $132,687
    From related orgs
    $0
    Other
    $16,063
    Hours/week
    40
  • Melissa Buddensee

    Physician

    Total calculated
    $278,542
    From this org
    $256,676
    From related orgs
    $0
    Other
    $21,866
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $251,592
    Bonus
    $5,084
    Other
    $0
    Deferred
    $7,265
    Nontaxable benefits
    $14,601
    Filer's total
    $278,542
  • David Ferris

    Physician

    Total calculated
    $204,974
    From this org
    $194,708
    From related orgs
    $0
    Other
    $10,266
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $190,517
    Bonus
    $4,191
    Other
    $0
    Deferred
    $2,405
    Nontaxable benefits
    $7,861
    Filer's total
    $204,974
  • David Nelson DO

    Physician

    Total calculated
    $226,964
    From this org
    $218,561
    From related orgs
    $0
    Other
    $8,403
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $214,049
    Bonus
    $4,512
    Other
    $0
    Deferred
    $6,475
    Nontaxable benefits
    $1,928
    Filer's total
    $226,964
  • Caitlin O'Donnell

    Physician

    Total calculated
    $216,872
    From this org
    $209,128
    From related orgs
    $0
    Other
    $7,744
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $204,801
    Bonus
    $4,327
    Other
    $0
    Deferred
    $4,800
    Nontaxable benefits
    $2,944
    Filer's total
    $216,872
  • Sandra Molteni

    Physician

    Total calculated
    $231,211
    From this org
    $229,108
    From related orgs
    $0
    Other
    $2,103
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $214,934
    Bonus
    $14,174
    Other
    $0
    Deferred
    $248
    Nontaxable benefits
    $1,855
    Filer's total
    $231,211

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 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 7
The bonuses were a pay for performance payment and it was to all employees for the FY 2023 year amount was determined and approved by the board $162,500 in total.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
30 October 2023
IRS schema version
2022v5.0
Source object
202343059349300009

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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