Civic Intelligence

Ammonoosuc Community Health Services Inc.

990 • Fiscal year 2019 • EIN 51-0137745

Jul 01, 2018 to Jun 30, 2019 • Filed on Dec 03, 2019

25 Mt Eustis RoadLittleton, NH 03561

(603) 444-2464

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

62nd percentile

0.33x

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

2019 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2019

Liabilities / Revenue

49th percentile

0.21x

Higher debt load relative to revenue than 49% of similar nonprofits.

2019 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2019

Net Margin

40th percentile

0.8%

Higher net margin than 40% of similar nonprofits.

2019 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2019

Top Officer Pay

70th percentile

$251,489

Higher top officer pay than 70% of similar nonprofits.

Top officer pay equals 2.2% of source-year revenue.

2019 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2019

Asset Growth

36th percentile

0.5%

Faster asset growth than 36% of similar nonprofits.

2019 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2018 to 2019

Revenue Growth

23rd percentile

-7.2%

Faster revenue growth than 23% of similar nonprofits.

2019 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2018 to 2019

Assets

Up

$7,284,303

Up $38,155 (+0.5%) from 2018

Net Assets

Up

$4,861,722

Up $87,830 (+1.8%) from 2018

Liabilities

Down

$2,422,581

Down $49,675 (-2.0%) from 2018

Revenue

Down

$11,395,183

Down $889,763 (-7.2%) from 2018

Expenses

Down

$11,309,287

Down $579,321 (-4.9%) from 2018

Net Income

Down

$85,896

Down $310,442 (-78%) from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2019

Assets$7,284,303
Liabilities$2,422,581
Net Assets$4,861,722

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2019

Revenue$11,395,183
Expenses$11,309,287
Net Income$85,896
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
Dec 3, 2019
Return Version
2018v3.1
Gross Receipts
$11,396,335
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$4,719,087$4,909,740▲ $190,653
Accounts Receivable$941,880$1,070,365▲ $128,485
Savings and Temporary Cash Investments-$620,464-
Cash and Non-Interest-Bearing Accounts$1,160,446$346,841▼ $813,605
Prepaid Expenses and Deferred Charges$108,362$125,070▲ $16,708
Pledges and Grants Receivable$159,074$45,911▼ $113,163
Investments Other Securities$10,000$10,000→ $0
Inventories for Sale or Use-$967-
Total Assets$7,246,148$7,284,303▲ $38,155
Other Assets Total$147,299$154,945▲ $7,646
Liabilities
Mortgage Notes Payable Secured by Investment Property$1,658,430$1,556,894▼ $101,536
Accounts Payable and Accrued Expenses$783,677$859,487▲ $75,810
Deferred Revenue$30,149$6,200▼ $23,949
Total Liabilities$2,472,256$2,422,581▼ $49,675
Net Assets / Fund Balance
Unrestricted Net Assets$4,695,880$4,751,777▲ $55,897
Permanently Rstr Net Assets$62,301$62,301→ $0
Temporarily Rstr Net Assets$15,711$47,644▲ $31,933
Total Net Assets Fund Balance$4,773,892$4,861,722▲ $87,830
Total Liabilities and Net Assets / Fund Balance$7,246,148$7,284,303▲ $38,155

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,271,350$1,653,174$5,924,524
Equipment$239,396$929,426$1,168,822
Other Land Buildings$317,303-$317,303
Leasehold Improvements$70,591$36,503$107,094
Land$11,100-$11,100
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Melissa BuddenseePhysicianFT$228,257$23,232$251,489
David Nelson DOPhysicianFT$199,264$19,153$218,417
Particia Pratt MDPhysicianFT$198,190$17,631$215,821
Edward ShanshalaCEOFT$187,296$9,329$196,625
David FerrisPhysicianFT$183,407$5,839$189,246
Robin HallquistPhysicianFT$173,638$12,908$186,546
Kenneth RiebelCFOFT$135,799$3,538$139,337

Board Members and Trustees

NameTitle
Doug HarmanPresident
Mark SecordPast Vice President
Ivy PearsonVice President
Barbara SzeidlerBoard Member
Betsy HarmanBoard Member
Bob TortoriceBoard Member
Eric BeckerBoard Member
Evelyn HagenBoard Member
Frank PinterBoard Member
Gary MerchantBoard Member
Jeffrey JonesBoard Member
Lynn DavisBoard Member
Ron SpauldingPast Board Member
Ned DensmorePast Secretary
Sandra LalemeSecretary
John RapoportTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$2,927,688
Program Service Revenue
$8,463,901
Investment Income
$3,246
Other Revenue
$348
All Other Contributions
$175,893
Change in Net Assets
$85,896

Audited Revenue Reconciliation

Revenue per Audited Statements
$11,395,183
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$1,934
Total Revenue per Audited Statements
$11,397,117
Total Revenue per Form 990
$11,395,183
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$8,364,903
Other Expenses$2,944,384
Total Fundraising Expense$5,702
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,558,923$1,251,727-$6,810,650
Other Employee Benefits$508,543$138,788-$647,331
Fees for Services Other$488,688$103,029-$591,717
Payroll Taxes$448,546$122,414-$570,960
Occupancy$305,834$83,466-$389,300
Current Officers, Directors, Trustees, and Key Employees$49,157$286,805-$335,962
Depreciation Depletion$209,614$57,206-$266,820
Information Technology$157,286$42,925-$200,211
All Other Expenses$64,565$17,620$5,702$87,887
Other Expenses$57,619$15,725-$73,344
Insurance$55,379$15,114-$70,493
Advertising$50,730$13,845-$64,575
Office Expenses$49,054$13,388-$62,442
Interest$48,081$13,122-$61,203
Conferences and Meetings$40,203$10,972-$51,175
Fees for Services Accounting$38,337$10,463-$48,800
Travel$35,204$9,607-$44,811
Fees for Services Legal$16,472$4,495-$20,967
Total Functional Expenses$9,033,259$2,270,326$5,702$11,309,287

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$11,309,287
Total Expenses per Audited Statements$11,309,287
Total Expenses per Form 990$11,309,287
Expenses Not Reported on Financial Statements$0
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
Fundraising Gross Income$1,500
Fundraising Direct Expenses$1,152
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
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 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 A, line 2

Doug and Betsy Harman have a family relationship.

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
2019-12-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Edward Shanshala
Formed
1975
Legal Domicile
Nh
Voting Board Members
13
Independent Board Members
13
Employees
109
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 1,934.

Financial Statement Notes

Part X, Line 2:

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.

Part XI, Line 2D - Other Adjustments:

Change in beneficial interest in funds held by others 1,934.

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IRS990/Form990PartVIISectionAGrp/PersonNm0Barbara Szeidler
IRS990/Form990PartVIISectionAGrp/PersonNm1Betsy Harman
IRS990/Form990PartVIISectionAGrp/PersonNm2Bob Tortorice
IRS990/Form990PartVIISectionAGrp/PersonNm3Doug Harman
IRS990/Form990PartVIISectionAGrp/PersonNm4Eric Becker
IRS990/Form990PartVIISectionAGrp/PersonNm5Evelyn Hagen
IRS990/Form990PartVIISectionAGrp/PersonNm6Frank Pinter
IRS990/Form990PartVIISectionAGrp/PersonNm7Gary Merchant
IRS990/Form990PartVIISectionAGrp/PersonNm8Ivy Pearson
IRS990/Form990PartVIISectionAGrp/PersonNm9Jeffrey Jones
IRS990/Form990PartVIISectionAGrp/PersonNm10John Rapoport
IRS990/Form990PartVIISectionAGrp/PersonNm11Lynn Davis
IRS990/Form990PartVIISectionAGrp/PersonNm12Mark Secord
IRS990/Form990PartVIISectionAGrp/PersonNm13Ned Densmore
IRS990/Form990PartVIISectionAGrp/PersonNm14Ron Spaulding
IRS990/Form990PartVIISectionAGrp/PersonNm15Sandra Laleme
IRS990/Form990PartVIISectionAGrp/PersonNm16Edward Shanshala
IRS990/Form990PartVIISectionAGrp/PersonNm17Kenneth Riebel
IRS990/Form990PartVIISectionAGrp/PersonNm18David Ferris
IRS990/Form990PartVIISectionAGrp/PersonNm19David Nelson DO
IRS990/Form990PartVIISectionAGrp/PersonNm20Robin Hallquist
IRS990/Form990PartVIISectionAGrp/PersonNm21Melissa Buddensee
IRS990/Form990PartVIISectionAGrp/PersonNm22Particia Pratt MD
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt16190551
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt17135799
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt18186246
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt19215662
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20175147
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt21248604
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt22205327
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt180
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt190
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt200
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt210
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt220
IRS990/Form990PartVIISectionAGrp/TitleTxt0Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt1Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt2Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt3President
IRS990/Form990PartVIISectionAGrp/TitleTxt4Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt5Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt7Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt8Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt9Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt10Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt11Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt12Past Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt13Past Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt14Past Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt15Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt16CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt17CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt18Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt19Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt20Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt21Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt22Physician
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01975
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/FundraisingDirectExpensesAmt01152
IRS990/FundraisingGrossIncomeAmt01500
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt013
IRS990/GovernmentGrantsAmt02751795
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt011396335
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt013
IRS990/IndivRcvdGreaterThan100KCnt014
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InfoInScheduleOPartXInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt042925
IRS990/InformationTechnologyGrp/ProgramServicesAmt0157286
IRS990/InformationTechnologyGrp/TotalAmt0200211
IRS990/InsuranceGrp/ManagementAndGeneralAmt015114
IRS990/InsuranceGrp/ProgramServicesAmt055379
IRS990/InsuranceGrp/TotalAmt070493
IRS990/InterestGrp/ManagementAndGeneralAmt013122
IRS990/InterestGrp/ProgramServicesAmt048081
IRS990/InterestGrp/TotalAmt061203
IRS990/InventoriesForSaleOrUseGrp/EOYAmt0967
IRS990/InvestmentIncomeGrp/ExclusionAmt03246
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt03246
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt010000
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt010000
IRS990/IRPDocumentCnt016
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt02619103
IRS990/LandBldgEquipBasisNetGrp/BOYAmt04719087
IRS990/LandBldgEquipBasisNetGrp/EOYAmt04909740
IRS990/LandBldgEquipCostOrOtherBssAmt07528843
IRS990/LegalDomicileStateCd0NH
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
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.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt01658430
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt01556894
IRS990/NetAssetsOrFundBalancesBOYAmt04773892
IRS990/NetAssetsOrFundBalancesEOYAmt04861722
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt0348
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0348
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt083466
IRS990/OccupancyGrp/ProgramServicesAmt0305834
IRS990/OccupancyGrp/TotalAmt0389300
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt013388
IRS990/OfficeExpensesGrp/ProgramServicesAmt049054
IRS990/OfficeExpensesGrp/TotalAmt062442
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt0147299
IRS990/OtherAssetsTotalGrp/EOYAmt0154945
IRS990/OtherChangesInNetAssetsAmt01934
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0138788
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0508543
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0647331
IRS990/OtherExpensesGrp/Desc0Program Supplies
IRS990/OtherExpensesGrp/Desc1Other Expenses
IRS990/OtherExpensesGrp/Desc2Printing & Publications
IRS990/OtherExpensesGrp/Desc3Telephone
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt043573
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt116042
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt215725
IRS990/OtherExpensesGrp/ProgramServicesAmt0632584
IRS990/OtherExpensesGrp/ProgramServicesAmt1159658
IRS990/OtherExpensesGrp/ProgramServicesAmt258782
IRS990/OtherExpensesGrp/ProgramServicesAmt357619
IRS990/OtherExpensesGrp/TotalAmt0632584
IRS990/OtherExpensesGrp/TotalAmt1203231
IRS990/OtherExpensesGrp/TotalAmt274824
IRS990/OtherExpensesGrp/TotalAmt373344
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt01251727
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt05558923
IRS990/OtherSalariesAndWagesGrp/TotalAmt06810650
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt0122414
IRS990/PayrollTaxesGrp/ProgramServicesAmt0448546
IRS990/PayrollTaxesGrp/TotalAmt0570960
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt062301
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt062301
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt0159074
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt045911
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt0108362
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt0125070
IRS990/PrincipalOfficerNm0Edward Shanshala
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621110
IRS990/ProgramServiceRevenueGrp/BusinessCd1621110
IRS990/ProgramServiceRevenueGrp/Desc0Patient Revenue
IRS990/ProgramServiceRevenueGrp/Desc1Other Revenue
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt08374895
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt189006
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt08374895
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt189006
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt02811681
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt03002
IRS990/PYOtherExpensesAmt03847067
IRS990/PYOtherRevenueAmt06673
IRS990/PYProgramServiceRevenueAmt09463590
IRS990/PYRevenuesLessExpensesAmt0396338
IRS990/PYSalariesCompEmpBnftPaidAmt08041541
IRS990/PYTotalExpensesAmt011888608
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt012284946
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt085896
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00

Document Assets

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Filings

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