Liabilities / Assets
62nd percentile
Higher debt load relative to assets than 62% of similar nonprofits.
990 • Fiscal year 2018 • EIN 51-0137745
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
62nd percentile
Higher debt load relative to assets than 62% of similar nonprofits.
Liabilities / Revenue
47th percentile
Higher debt load relative to revenue than 47% of similar nonprofits.
Net Margin
50th percentile
Higher net margin than 50% of similar nonprofits.
Top Officer Pay
66th percentile
Higher top officer pay than 66% of similar nonprofits.
Top officer pay equals 1.9% of source-year revenue.
Asset Growth
70th percentile
Faster asset growth than 70% of similar nonprofits.
Revenue Growth
39th percentile
Faster revenue growth than 39% of similar nonprofits.
Assets
Up$7,246,148
Up $529,331 (+7.9%) from 2017
Net Assets
Up$4,773,892
Up $402,652 (+9.2%) from 2017
Liabilities
Up$2,472,256
Up $126,679 (+5.4%) from 2017
Revenue
Up$12,284,946
Up $95,198 (+0.8%) from 2017
Expenses
Down$11,888,608
Down $392,099 (-3.2%) from 2017
Net Income
Up$396,338
Up $487,297 (+536%) from 2017
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.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $4,510,366 | $4,719,087 | ▲ $208,721 |
| Cash and Non-Interest-Bearing Accounts | $810,305 | $1,160,446 | ▲ $350,141 |
| Accounts Receivable | $907,377 | $941,880 | ▲ $34,503 |
| Pledges and Grants Receivable | $73,874 | $159,074 | ▲ $85,200 |
| Inventories for Sale or Use | $143,954 | $0 | ▼ $143,954 |
| Prepaid Expenses and Deferred Charges | $129,103 | $108,362 | ▼ $20,741 |
| Investments Other Securities | - | $10,000 | - |
| Total Assets | $6,716,817 | $7,246,148 | ▲ $529,331 |
| Other Assets Total | $141,838 | $147,299 | ▲ $5,461 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $1,410,854 | $1,658,430 | ▲ $247,576 |
| Accounts Payable and Accrued Expenses | $934,723 | $783,677 | ▼ $151,046 |
| Deferred Revenue | $0 | $30,149 | ▲ $30,149 |
| Total Liabilities | $2,345,577 | $2,472,256 | ▲ $126,679 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $4,299,034 | $4,695,880 | ▲ $396,846 |
| Permanently Rstr Net Assets | $62,301 | $62,301 | → $0 |
| Temporarily Rstr Net Assets | $9,905 | $15,711 | ▲ $5,806 |
| Total Net Assets Fund Balance | $4,371,240 | $4,773,892 | ▲ $402,652 |
| Total Liabilities and Net Assets / Fund Balance | $6,716,817 | $7,246,148 | ▲ $529,331 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $4,490,690 | $1,510,724 | $6,001,414 |
| Equipment | $228,397 | $841,560 | $1,069,957 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Melissa Buddensee | Physician | FT | $212,354 | $17,895 | $230,249 |
| Particia Pratt MD | Physician | FT | $201,554 | $14,831 | $216,385 |
| David Nelson DO | Physician | FT | $186,995 | $14,510 | $201,505 |
| Imelyn Lahey MD | Physician | FT | $191,612 | $9,755 | $201,367 |
| Edward Shanshala | CEO | FT | $183,034 | $7,538 | $190,572 |
| David Ferris | Physician | FT | $179,350 | $3,726 | $183,076 |
| Kenneth Riebel | CFO | FT | $130,642 | $4,745 | $135,387 |
| Name | Title |
|---|---|
| Doug Harman | President |
| Mark Secord | Vice President |
| Betsy Harman | Board Member |
| Bob Tortorice | Board Member |
| C Ronald Spaulding DDS | Board Member |
| Eric Becker | Board Member |
| Gary Merchant | Board Member |
| Ivy Pearson | Board Member |
| Sandy Laleme | Board Member |
| Ned Densmore | Secretary |
| John Rapoport | Treasurer |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $8,041,541 |
| Other Expenses | $3,847,067 |
| Total Fundraising Expense | $6,208 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $5,368,934 | $1,166,853 | - | $6,535,787 |
| Other Employee Benefits | $499,451 | $132,365 | - | $631,816 |
| Payroll Taxes | $433,177 | $114,802 | - | $547,979 |
| Fees for Services Other | $292,042 | $113,207 | - | $405,249 |
| Occupancy | $270,181 | $71,604 | - | $341,785 |
| Current Officers, Directors, Trustees, and Key Employees | $47,644 | $278,315 | - | $325,959 |
| Depreciation Depletion | $205,622 | $54,495 | - | $260,117 |
| Information Technology | $201,270 | - | - | $201,270 |
| All Other Expenses | $62,474 | $16,558 | $6,208 | $85,240 |
| Advertising | - | $72,634 | - | $72,634 |
| Insurance | $56,586 | $14,997 | - | $71,583 |
| Office Expenses | $53,903 | $14,285 | - | $68,188 |
| Interest | $47,201 | $12,509 | - | $59,710 |
| Conferences and Meetings | - | $55,013 | - | $55,013 |
| Other Expenses | $41,131 | $10,901 | - | $52,032 |
| Fees for Services Accounting | - | $38,999 | - | $38,999 |
| Travel | $22,952 | $6,083 | - | $29,035 |
| Fees for Services Legal | - | $20,349 | - | $20,349 |
| Total Functional Expenses | $9,638,029 | $2,244,371 | $6,208 | $11,888,608 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $11,888,608 |
| Total Expenses per Audited Statements | $11,888,608 |
| Total Expenses per Form 990 | $11,888,608 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Fundraising Gross Income | $16,951 |
| Fundraising Direct Expenses | $10,278 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Amble | $16,951 | $16,951 | $10,278 | $6,673 |
| Total Events | $16,951 | $16,951 | $10,278 | $6,673 |
“Doug and Betsy Harman have a family relationship.”
“A copy of the 990 was provided to and approved by the board of directors prior to filing.”
“CEO compensation is reviewed and approved by the Executive Committee using comparability data.”
“Ammonoosuc Community Health Services, Inc. makes its governing documents, conflict of interest policy and financial statements available to the public upon request.”
“Closed in-house pharmacy.”
“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).”
“Change in beneficial interest in perpetual trust 6,314.”
“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 positions and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.”
“Change in beneficial interest in perpetual trust 6,314.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 934723 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 783677 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 907377 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 941880 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | 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. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 72634 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 72634 |
| IRS990/AllOtherContributionsAmt | 0 | 201261 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 6208 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 16558 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 62474 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 85240 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 0 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Ken Riebel |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6034442464 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 25 Mt Eustis Road |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Littleton |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NH |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 03561 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 810305 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1160446 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 278315 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 47644 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 325959 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 55013 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 55013 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2811681 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 3002 |
| IRS990/CYOtherExpensesAmt | 0 | 3847067 |
| IRS990/CYOtherRevenueAmt | 0 | 6673 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 9463590 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 396338 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 8041541 |
| IRS990/CYTotalExpensesAmt | 0 | 11888608 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 6208 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 12284946 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 30149 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 54495 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 205622 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 260117 |
| IRS990/Desc | 0 | Primary Care - To provide medical and educational services to the local community.Family Planning - To provide counseling in family planning to the local community.Family Support - To provide counseling in family support to the local community.Oral Health Program - To provide dental and oral health services to the local community. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 142 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 9638029 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 38999 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 38999 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 20349 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 20349 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 113207 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 292042 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 405249 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 7262 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 4745 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 3696 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 4163 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 4647 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 8046 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 3546 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Ned Densmore |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Mark Secord |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | John Rapoport |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | C Ronald Spaulding DDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Doug Harman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Betsy Harman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Gary Merchant |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Eric Becker |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Sandy Laleme |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Ivy Pearson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Bob Tortorice |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Edward Shanshala |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Kenneth Riebel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Particia Pratt MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | David Nelson DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Imelyn Lahey MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Melissa Buddensee |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | David Ferris |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 183310 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 130642 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 212689 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 197342 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 196720 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 222203 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 179530 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Physician |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1975 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 10278 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 16951 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 2610420 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 12295224 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 17 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InfoInScheduleOPartXInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 201270 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 201270 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 14997 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 56586 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 71583 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 12509 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 47201 |
| IRS990/InterestGrp/TotalAmt | 0 | 59710 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 143954 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 3002 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 3002 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 10000 |
| IRS990/IRPDocumentCnt | 0 | 8 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 2352284 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 4510366 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 4719087 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 7071371 |
| IRS990/LegalDomicileStateCd | 0 | NH |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | 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. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 1410854 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1658430 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 4371240 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 4773892 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | 6673 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 6673 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 71604 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 270181 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 341785 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 14285 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 53903 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 68188 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 141838 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 147299 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 6314 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 132365 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 499451 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 631816 |
| IRS990/OtherExpensesGrp/Desc | 0 | Program Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Other Expenses |
| IRS990/OtherExpensesGrp/Desc | 2 | Printing & Publications |
| IRS990/OtherExpensesGrp/Desc | 3 | Equipment Rental/Repair |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 35550 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 14852 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 10901 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1845280 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 134141 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 56040 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 41131 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1845280 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 169691 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 70892 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 52032 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1166853 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 5368934 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 6535787 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 114802 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 433177 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 547979 |
| IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt | 0 | 62301 |
| IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt | 0 | 62301 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 73874 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 159074 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 129103 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 108362 |
| IRS990/PrincipalOfficerNm | 0 | Edward Shanshala |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Patient Revenue |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | Other Revenue |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 9399994 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 63596 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 9399994 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 63596 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 2594871 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 2725 |
| IRS990/PYOtherExpensesAmt | 0 | 4082951 |
| IRS990/PYOtherRevenueAmt | 0 | 9051 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 9583101 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -90959 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 8197756 |
| IRS990/PYTotalExpensesAmt | 0 | 12280707 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 12189748 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 396338 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 0 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 9463590 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 2811681 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 2594871 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 2492877 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 2460713 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 1965585 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 12325727 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 3002 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 2725 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 3017 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 271 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 91 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 9106 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 9463590 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 9583101 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 9706444 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 7600777 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 6227742 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 42581654 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 3002 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 2725 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 3017 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 271 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 91 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 9106 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00020 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00010 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearAmt | 0 | 16951 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearMinus1YearAmt | 0 | 16140 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 19629 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 18861 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 18351 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt | 0 | 89932 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
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Displayed year
2018 • Form 990Detailed filing. Detailed filing data is available for this year.