TY 2014 Form 990 Schedule O

efile Public Visual Render ObjectId: 201640119349301869 - Submission: 2016-01-11 TIN: 02-0458174

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 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

Manchester Community Health Center

Employer identification number

02-0458174

Return Reference	Explanation
Form 990, Part III, line 2	Services expanded as a result of growth due to new grants that allowed organization to expand it's behavioral health department, including substance abuse treatment. Services also expanded due to the acquisition of Child Health Services on October 31, 2014. This resulted in new social service programs, as well as special medical programs.
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	The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part IX, line 11g	Providers: Program service expenses 994,961. Management and general expenses 0. Fundraising expenses 0. Total expenses 994,961. Interpretation: Program service expenses 134,346. Management and general expenses 0. Fundraising expenses 0. Total expenses 134,346. Transportation: Program service expenses 63,387. Management and general expenses 0. Fundraising expenses 0. Total expenses 63,387. Contracted 340B Pharmacy: Program service expenses 106,653. Management and general expenses 0. Fundraising expenses 0. Total expenses 106,653. Contracted Information Systems: Program service expenses 189,095. Management and general expenses 0. Fundraising expenses 0. Total expenses 189,095. Other Contracted Services: Program service expenses 215,789. Management and general expenses 38,409. Fundraising expenses 0. Total expenses 254,198.
Form 990, 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.

Return Reference

Explanation

Form 990, Part III, line 2

Services expanded as a result of growth due to new grants that allowed organization to expand it's behavioral health department, including substance abuse treatment. Services also expanded due to the acquisition of Child Health Services on October 31, 2014. This resulted in new social service programs, as well as special medical programs.

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

The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Form 990, Part IX, line 11g

Providers: Program service expenses 994,961. Management and general expenses 0. Fundraising expenses 0. Total expenses 994,961. Interpretation: Program service expenses 134,346. Management and general expenses 0. Fundraising expenses 0. Total expenses 134,346. Transportation: Program service expenses 63,387. Management and general expenses 0. Fundraising expenses 0. Total expenses 63,387. Contracted 340B Pharmacy: Program service expenses 106,653. Management and general expenses 0. Fundraising expenses 0. Total expenses 106,653. Contracted Information Systems: Program service expenses 189,095. Management and general expenses 0. Fundraising expenses 0. Total expenses 189,095. Other Contracted Services: Program service expenses 215,789. Management and general expenses 38,409. Fundraising expenses 0. Total expenses 254,198.

Form 990, 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) 2014

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