2026-03-30T10:32:33-05:00 2025-06-30 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2024-07-01 510137745 Ammonoosuc Community Health Services Inc AMMO 6034442464 25 Mt Eustis Road Littleton NH 03561 Edward Shanshala CEO 6034442464 2026-03-26 1 1 Melissa Magoon CPA P01712842 6036697337 2026-03-26 2024 2025-03-06 01:10:19Z Tammy Talotta 25 Mt Eustis Road Littleton NH 03561 13375484 0 X N/A X 1975 NH 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. 10 10 123 10 0 0 3999595 4126258 7673416 8562248 171796 182278 47855 49020 11892662 12919804 0 0 0 0 8023489 8018767 0 0 9187 3420867 3602461 11444356 11621228 448306 1298576 11725891 12344040 3505261 2825077 8220630 9518963 X 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. 0 0 8962091 8562248 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. 8962091 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 25 0 1 123 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NH X Tammy Talotta 6034442464 25 Mt Eustis Road Littleton NH 03561 Evalyn Hagen President 1.00 X X 0 0 0 Shannon Mcgrath Vice-President 1.00 X X 0 0 0 James Shuchman Treasurer 1.00 X X 0 0 0 Kathy Ryan Secretary 1.00 X X 0 0 0 Austin Albro Board Member 1.00 X 0 0 0 Gail Clark Board Member 1.00 X 0 0 0 Natalie Kennett Board Member 1.00 X 0 0 0 Heather Porter Board Member 1.00 X 0 0 0 Emily Russell Board Member 1.00 X 0 0 0 Daniel Sherman Board Member 1.00 X 0 0 0 Jeff Jones Past Board Member 1.00 X 0 0 0 John Rapoport Past Board Member 1.00 X 0 0 0 Edward Shanshala CEO 40.00 X 239109 0 25887 Tammy Talotta CFO 40.00 X 131040 0 18627 Melissa Buddensee CMO 40.00 X 294294 0 17096 Andres Aguilera-Fish Physician 40.00 X 232497 0 6722 Caitlin O'Donnell Physician 40.00 X 210839 0 9440 David Ferris Physician 40.00 X 193488 0 12993 Sarah Young-Xu Family Physician 27.00 X 149705 0 4486 Aaron Solnit Family Physician 23.00 X 129525 0 13460 1580497 0 108711 12 0 1 0 NHMTCO LLC 292 Hilltop Rd Littleton NH 03561 Construction 1070710 Secured Network Services 125 Main Street Littleton NH 03561 IT Services & Hardware 365486 2 3129930 996328 4126258 Patient Revenue 621110 8560596 8560596 Other Revenue 621110 1652 1652 8562248 182278 182278 49020 0 49020 49020 49020 455680 455680 0 0 12919804 8562248 0 231298 726053 286542 439511 6306178 4911154 1395024 126642 101240 25402 364223 291291 72932 495671 368321 127350 9097 9097 44999 44999 11555 11555 971075 892021 79054 20008 20008 275593 204787 70806 258433 192035 66398 436631 324450 112181 25096 18648 6448 28457 21146 7311 25531 18971 6560 349680 259839 89841 61374 45606 15768 Program Supplies 879614 879614 Other Expenses 151849 113521 38328 Equipment Expense 44282 32905 11377 Fundraising Expenses 9187 9187 11621228 8962091 2649950 9187 X 500 500 1287281 1771250 613139 228099 618142 665655 154978 215193 9794856 3880312 5587015 5914544 3182622 3327926 85929 29250 196285 191623 11725891 12344040 1406124 1519855 25880 11880 500177 399295 1573080 894047 3505261 2825077 X 7539982 9347069 680648 171894 8220630 9518963 11725891 12344040 X 1298576 -11321 11078 X 0 1 X 1 1 1 X 5215754 5035911 4146453 3999595 4126258 22523971 7583992 7299171 6452484 7673416 8562248 37571311 12799746 12335082 10598937 11673011 12688506 60095282 10000 10000 0 10000 10000 60085282 29531 28706 107069 219151 231298 615755 29531 28706 107069 219151 231298 615755 12829277 12363788 10706006 11892162 12919804 60711037 0.98970 0.99290 0.01010 0.00690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11100 11100 7345652 2714901 4630751 1276506 354264 922242 1110459 811147 299312 51139 51139 5914544 Employee Retention Credit 864797 Operating Lease Liability 29250 894047 X 12908006 -11321 11078 -243 12908249 11555 11555 12919804 11609673 0 11609673 11555 11555 11621228 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 11,078. X X X 0 0 0 0 0 0 0 1 0 Melissa Buddensee CMO 289132 0 5162 0 0 0 695 0 16401 0 311390 0 0 0 Edward Shanshala CEO 238947 0 162 0 0 0 7492 0 18395 0 264996 0 0 0 Andres Aguilera-Fish Physician 222651 0 9846 0 0 0 6277 0 445 0 239219 0 0 0 Caitlin O'Donnell Physician 210677 0 162 0 0 0 6240 0 3200 0 220279 0 0 0 David Ferris Physician 193326 0 162 0 0 0 2405 0 10588 0 206481 0 0 0 Sarah Young-Xu Family Physician 149543 0 162 0 0 0 4486 0 0 0 154191 0 0 0 Part I, Line 7 The bonuses were a small stipend of $162.42 for every employee for reaching a goal. Melissa Buddensee also received $5,000 for working on the ACO board. Andres Aguilera-Fish received a $5,000 retention bonus and the balance of his unused relocation allowance of $4,683.18 as a bonus in addition to the $162.43. 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. 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 11,078.