SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Manchester Community Health Center
 
Employer identification number

02-0458174
Return Reference Explanation
Form 990, Part VI, Section B, line 11 The form 990 is provided to the finance committee of the board of directors and all members of the board of directors for review and comment.
Form 990, Part VI, Section B, line 12c The conflict of interest policy includes an annual disclosure and monitoring process regarding external interests of board members and key management that could give rise to conflicts.
Form 990, Part VI, Section B, line 15a Executive Director compensation is reviewed and approved by the Executive Committee of board of directors.
Form 990, Part VI, Section C, line 19 Upon request.
Form 990, Part IX, line 11g Other Contracted Services: Program service expenses 1,105,594. Management and general expenses 170,337. Fundraising expenses 0. Total expenses 1,275,931.
schedule a, part i The organization is exempt under 170(b)(1)(a)(iii), as a hospital. the organization operates a federally qualified health center. The Health Center is not registered with the state of New Hampshire as a hospital. Accordingly no schedule H is attached.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

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