Civic Intelligence

Ammonoosuc Community Health

EIN 51-0137745 • 501(c)3 • Littleton, NH

View Organization Page

Profile

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.

25 Mt Eustis RoadLittleton, NH 03561

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

62nd percentile

0.30x

Higher debt load relative to assets than 62% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

56th percentile

0.29x

Higher debt load relative to revenue than 56% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

48th percentile

3.8%

Higher net margin than 48% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

77th percentile

$278,542

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 2.6% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2023

Asset Growth

58th percentile

7.5%

Faster asset growth than 58% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

58th percentile

11%

Faster revenue growth than 58% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets62nd percentile

Assets

Up

$11,725,891

Up $819,197 (+7.5%) from 2023

Liabilities

Up

$3,505,261

Up $336,393 (+11%) from 2023

Net Assets

Up

$8,220,630

Up $482,804 (+6.2%) from 2023

Operations
Liabilities / Revenue56th percentileNet Margin48th percentile

Revenue

Up

$11,892,662

Up $1,167,411 (+11%) from 2023

Expenses

Up

$11,444,356

Up $260,784 (+2.3%) from 2023

Net Income

Up

$448,306

Up $906,627 (+198%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth58th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0Assets 2011: $5,175,533Liabilities 2011: $1,607,199Net Assets 2011: $3,568,3342011Assets 2012: $5,061,195Liabilities 2012: $1,456,829Net Assets 2012: $3,604,3662012Assets 2013: $4,985,513Liabilities 2013: $1,401,636Net Assets 2013: $3,583,8772013Assets 2014: $5,537,331Liabilities 2014: $1,864,094Net Assets 2014: $3,673,2372014Assets 2015: $6,451,057Liabilities 2015: $2,431,507Net Assets 2015: $4,019,5502015Assets 2016: $6,788,237Liabilities 2016: $2,336,464Net Assets 2016: $4,451,7732016Assets 2017: $6,716,817Liabilities 2017: $2,345,577Net Assets 2017: $4,371,2402017Assets 2018: $7,246,148Liabilities 2018: $2,472,256Net Assets 2018: $4,773,8922018Assets 2019: $7,284,303Liabilities 2019: $2,422,581Net Assets 2019: $4,861,7222019Assets 2020: $9,909,677Liabilities 2020: $4,621,989Net Assets 2020: $5,287,6882020Assets 2021: $9,798,084Liabilities 2021: $2,726,032Net Assets 2021: $7,072,0522021Assets 2022: $10,056,023Liabilities 2022: $1,864,362Net Assets 2022: $8,191,6612022Assets 2023: $10,906,694Liabilities 2023: $3,168,868Net Assets 2023: $7,737,8262023Assets 2024: $11,725,891Liabilities 2024: $3,505,261Net Assets 2024: $8,220,6302024

Highlighted filing

2024

Assets$11,725,891
Liabilities$3,505,261
Net Assets$8,220,630
Open 2024 Filing

Operations Trend

Revenue Growth58th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2011: $9,059,721Expenses 2011: $6,414,023Net Income 2011: $2,645,6982011Expenses 2012: $6,302,1882012Expenses 2013: $7,193,9872013Revenue 2014: $8,217,982Expenses 2014: $8,128,622Net Income 2014: $89,3602014Revenue 2015: $10,075,271Expenses 2015: $9,729,260Net Income 2015: $346,0112015Revenue 2016: $12,216,862Expenses 2016: $11,780,653Net Income 2016: $436,2092016Revenue 2017: $12,189,748Expenses 2017: $12,280,707Net Income 2017: -$90,9592017Revenue 2018: $12,284,946Expenses 2018: $11,888,608Net Income 2018: $396,3382018Revenue 2019: $11,395,183Expenses 2019: $11,309,287Net Income 2019: $85,8962019Revenue 2020: $11,581,740Expenses 2020: $11,154,994Net Income 2020: $426,7462020Revenue 2021: $12,829,277Expenses 2021: $11,074,173Net Income 2021: $1,755,1042021Revenue 2022: $12,363,788Expenses 2022: $11,235,952Net Income 2022: $1,127,8362022Revenue 2023: $10,725,251Expenses 2023: $11,183,572Net Income 2023: -$458,3212023Revenue 2024: $11,892,662Expenses 2024: $11,444,356Net Income 2024: $448,3062024

Highlighted filing

2024

Revenue$11,892,662
Expenses$11,444,356
Net Income$448,306
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$11,725,891
Liabilities
$3,505,261
Net assets
$8,220,630
Revenue
$11,892,662
Expenses
$11,444,356
Net income
$448,306
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$11.7$3.51$8.22$11.9$11.4$0.45
2023Detailed filing. Detailed filing data is available for this year.$10.9$3.17$7.74$10.7$11.2$0.46
2022Detailed filing. Detailed filing data is available for this year.$10.1$1.86$8.19$12.4$11.2$1.13
2021Detailed filing. Detailed filing data is available for this year.$9.80$2.73$7.07$12.8$11.1$1.76
2020Detailed filing. Detailed filing data is available for this year.$9.91$4.62$5.29$11.6$11.2$0.43
2019Detailed filing. Detailed filing data is available for this year.$7.28$2.42$4.86$11.4$11.3$0.09
2018Detailed filing. Detailed filing data is available for this year.$7.25$2.47$4.77$12.3$11.9$0.40
2017Detailed filing. Detailed filing data is available for this year.$6.72$2.35$4.37$12.2$12.3$0.09
2016Detailed filing. Detailed filing data is available for this year.$6.79$2.34$4.45$12.2$11.8$0.44
2015Detailed filing. Detailed filing data is available for this year.$6.45$2.43$4.02$10.1$9.73$0.35
2014Detailed filing. Detailed filing data is available for this year.$5.54$1.86$3.67$8.22$8.13$0.09
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.99$1.40$3.58$7.19
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.06$1.46$3.60$6.30
2011Summary only. Only limited summary data is available for this year.$5.18$1.61$3.57$9.06$6.41$2.65
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Nov 9, 2024
Return Version
2023v5.1
Gross Receipts
$12,183,570
Mission and Program Overview

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$4,993,349$5,587,015▲ $593,666
Investments in Publicly Traded Securities$2,029,002$3,141,176▲ $1,112,174
Savings and Temporary Cash Investments$2,554,862$1,123,276▼ $1,431,586
Accounts Receivable$559,167$618,142▲ $58,975
Pledges and Grants Receivable$231,576$613,139▲ $381,563
Cash and Non-Interest-Bearing Accounts$205,341$205,951▲ $610
Prepaid Expenses and Deferred Charges$156,771$154,978▼ $1,793
Intangible Assets-$85,929-
Total Assets$10,906,694$11,725,891▲ $819,197
Other Assets Total$176,626$196,285▲ $19,659
Liabilities
Other Liabilities$1,157,014$1,573,080▲ $416,066
Accounts Payable and Accrued Expenses$1,359,069$1,406,124▲ $47,055
Mortgage Notes Payable Secured by Investment Property$610,785$500,177▼ $110,608
Deferred Revenue$42,000$25,880▼ $16,120
Total Liabilities$3,168,868$3,505,261▲ $336,393
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$7,595,316$7,539,982▼ $55,334
Net Assets With Donor Restrictions$142,510$680,648▲ $538,138
Total Net Assets Fund Balance$7,737,826$8,220,630▲ $482,804
Total Liabilities and Net Assets / Fund Balance$10,906,694$11,725,891▲ $819,197

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$3,864,444$2,248,789$6,113,233
Leasehold Improvements$740,034$536,472$1,276,506
Equipment$186,868$745,371$932,239
Other Land Buildings$784,569-$784,569
Land$11,100-$11,100
Compensation and Service Providers
Top Officer Pay77th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Melissa BuddenseePhysicianFT$279,227$18,649$297,876
Edward ShanshalaCEOFT$236,101$25,576$261,677
Sandra MolteniPhysicianFT$213,434$10,239$223,673
Caitlin O'DonnellPhysicianFT$207,026$11,393$218,419
David FerrisPhysicianFT$190,017$14,699$204,716
David NelsonPhysicianFT$190,051$5,081$195,132
Tammy TalottaCFOFT$130,275$18,270$148,545

Board Members and Trustees

NameTitle
Evalyn HagenPresident
Shannon McgrathVice-President
Austin AlbroBoard Member
Daniel ShermanBoard Member
Emily RussellBoard Member
Gail ClarkBoard Member
Heather PorterBoard Member
Jeff JonesBoard Member
John RapoportBoard Member
Natalie KennettBoard Member
Frank PinterPast Board Member
Kathy RyanSecretary
James ShuchmanTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Secured Network ServicesIT Services & Hardware125 Main Street, Littleton, NH 03561$330,542
Health Initiatives Foundation IncConsulting800 Warf St SW 12, Washington, DC 20024$163,417
Revenue and Support

Revenue Composition

Contributions and Grants
$3,999,595
Program Service Revenue
$7,673,416
Investment Income
$171,796
Other Revenue
$47,855
All Other Contributions
$334,152
Change in Net Assets
$448,306

Audited Revenue Reconciliation

Revenue per Audited Statements
$11,882,488
Revenue Not Reported on Financial Statements
$10,174
Revenue Not Reported on Form 990
$34,498
Total Revenue per Audited Statements
$11,916,986
Total Revenue per Form 990
$11,892,662
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$8,023,489
Other Expenses$3,420,867
Total Fundraising Expense$34,692
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,239,797$1,347,833-$6,587,630
Fees for Services Other$716,364$148,133-$864,497
Payroll Taxes$374,510$118,195-$492,705
Occupancy$349,855$110,414-$460,269
Other Employee Benefits$332,287$78,801-$411,088
Current Officers, Directors, Trustees, and Key Employees$52,335$357,887-$410,222
Depreciation Depletion$234,186$73,909-$308,095
Office Expenses$230,263$72,671-$302,934
Information Technology$209,343$66,068-$275,411
Pension Plan Contributions$99,803$22,041-$121,844
Insurance$41,672$13,152-$54,824
Fees for Services Accounting-$52,452-$52,452
Fees for Services Legal-$37,114-$37,114
Advertising-$36,296-$36,296
Conferences and Meetings$26,494$8,362-$34,856
Other Expenses$36,107$11,395$34,692$34,692
Travel$20,103$6,345-$26,448
Interest$14,968$4,724-$19,692
Fees for Service Investment Mgmnt Fees-$10,174-$10,174
Total Functional Expenses$8,818,191$2,591,473$34,692$11,444,356

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$11,444,356
Expenses per Audited Statements$11,434,182
Total Expenses per Audited Statements$11,434,182
Expenses Not Reported on Financial Statements$10,174
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Employee Retention Credit$1,487,151
Operating Lease Liability$85,929
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, line 11B

“Upon receipt of the completed 990 from the audit firm, the CFO reviews the 990 for accuracy. If the CFO has any questions concerning any data on the 990, the auditor will be asked for clarification or correction. The 990 is provided to the Finance Committee members for review and then provided to all Board members prior to filing the 990.”

Form 990, Part VI, Section B, line 12C

“Covered individuals include all individuals working with ACHS whether associated through board membership, employment, contract, volunteer or other agreement. All conflicts of interest whether real or perceived, must be disclosed as soon as the individual becomes aware of the conflict to a supervisor, coordinator or director. The supervisor, coordinator or director will work with the compliance officer to put forth a plan to ensure the conflict of interest does not adversely impact ACHS patients or business interests. Workforce members in violation of the policy may be subject to disciplinary action up to and including termination or removal from the board. All workforce members are required to complete a conflict of interest disclosure statement upon hire and every year thereafter. Board members complete a conflict of interest form upon becoming a member and then annually as long as they remain a member.”

Form 990, Part VI, Section B, line 15A

“CEO compensation is reviewed and approved by the Executive Committee using comparability data.”

Form 990, Part VI, Section C, line 19

“Ammonoosuc Community Health Services, Inc. makes its governing documents, conflict of interest policy and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Ammonoosuc Community Health
EIN
51-0137745
Phone
6034442464
Address
25 Mt Eustis Road, Littleton, NH 03561

Signing Officer

Name
Edward Shanshala
Title
CEO
Phone
6034442464
Signed
2024-11-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tammy Talotta
Formed
1975
Legal Domicile
Nh
Voting Board Members
12
Independent Board Members
12
Employees
133
Volunteers
13

Preparer

Firm
Berry Dunn McNeil & Parker LLC
Address
1000 Elm Street 4th Floor, Manchester, NH 03101
Preparer
Melissa Magoon CPA
Phone
6036697337
Supplemental Narrative

Additional Explanations

Form 990, Part X, Line 10: Land, Buildings, and Equipment

“Section 1.263(a)-3(n) Election: Ammonoosuc Community Health Services, Inc. 25 Mt. Eustis Road Littleton, NH 03561 Ammonoosuc Community Health Services, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).”

Form 990, Part XI, line 9:

“Change in beneficial interest in funds held by others 9,268.”

Financial Statement Notes

Part X, Line 2:

“The Organization is a public charity under Section 501(c)(3) of the Internal Revenue Code (IRC). 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 positions and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.”

Part XI, Line 2D - Other Adjustments:

“Change in Beneficial Interest in Funds Held By Others 9,268.”

Raw XML AppendixShowing 400 of 718 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt179290
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IRS990/Form990PartVIISectionAGrp/PersonNm0Evalyn Hagen
IRS990/Form990PartVIISectionAGrp/PersonNm1Shannon Mcgrath
IRS990/Form990PartVIISectionAGrp/PersonNm2James Shuchman
IRS990/Form990PartVIISectionAGrp/PersonNm3Kathy Ryan
IRS990/Form990PartVIISectionAGrp/PersonNm4Austin Albro
IRS990/Form990PartVIISectionAGrp/PersonNm5Gail Clark
IRS990/Form990PartVIISectionAGrp/PersonNm6Jeff Jones
IRS990/Form990PartVIISectionAGrp/PersonNm7Natalie Kennett
IRS990/Form990PartVIISectionAGrp/PersonNm8Heather Porter
IRS990/Form990PartVIISectionAGrp/PersonNm9John Rapoport
IRS990/Form990PartVIISectionAGrp/PersonNm10Emily Russell
IRS990/Form990PartVIISectionAGrp/PersonNm11Daniel Sherman
IRS990/Form990PartVIISectionAGrp/PersonNm12Frank Pinter
IRS990/Form990PartVIISectionAGrp/PersonNm13Edward Shanshala
IRS990/Form990PartVIISectionAGrp/PersonNm14Tammy Talotta
IRS990/Form990PartVIISectionAGrp/PersonNm15Melissa Buddensee
IRS990/Form990PartVIISectionAGrp/PersonNm16Sandra Molteni
IRS990/Form990PartVIISectionAGrp/PersonNm17Caitlin O'Donnell
IRS990/Form990PartVIISectionAGrp/PersonNm18David Ferris
IRS990/Form990PartVIISectionAGrp/PersonNm19David Nelson
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IRS990/Form990PartVIISectionAGrp/TitleTxt3Secretary
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IRS990/Form990PartVIISectionAGrp/TitleTxt5Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt7Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt8Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt9Board Member
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IRS990/MissionDesc0It 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.
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