AMMONOOSUC COMMUNITY HEALTH SERVICES INC Charity Report

Public IRS 990 nonprofit record

AMMONOOSUC COMMUNITY HEALTH SERVICES INC

EIN 51-0137745 · Community Clinics (E32)

What they do

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.

Before you give

Should I give to this charity?

Easy charity check

Look at where the money went

Of every $100 spent, about $77.10 was reported for mission work. Use the spending picture below and ask what results that work produced.

Plain answer: A tax form cannot prove that a charity is doing good. It can show how the charity says it spent its money—and point out questions you should ask.

Basic facts we verified

IRS warning checkNo IRS revocation warning appears in this data.

Money report from 2024The charity has a recent tax report to read.

They explain their jobThe charity tells us what it is trying to do.

They name their leaders20 people are listed in the latest report.

You can reach themThey list contact information, so you can ask questions.

Money made simple

69.37%of revenue went to mission work77.1% of expenses · Program services

0.07%of revenue went to fundraising0.1% of expenses

$89.95spent for every $100 of revenueRevenue covered expenses this year.

20.51%of revenue went to management and office costs22.8% of expenses

$1.06in assets for every $1 spent this yearSome assets cannot be spent right away.

31.9%of its money came from giftsOther money may come from services or investments.

Ask these three easy questions

Who did you help? Ask for a recent story or report that shows real results.
What will my money do? Ask exactly what your gift will pay for.
Is this really the charity? Give only through its official website or confirmed phone number.

Pay context: The highest compensation shown in this filing is $311,390 for MELISSA BUDDENSEE (CMO). Compare pay with organizations of similar size and complexity.

Bottom line: Do not decide from a name, mission statement, or tax status alone. Look at where the money went, then ask what changed, who was helped, and what your gift will do. YouCanGiveBack does not endorse or grade organizations.

Money

Financial picture

Tax year 2024

A plain-language look at the latest Form 990 figures available. These numbers help you ask better questions; they do not, by themselves, rate whether a charity is good or bad.

$100revenue

How each $100 of revenue was used

The large number compares each expense with revenue. The smaller number shows its share of total expenses.

Total reported revenue$12,919,804

Mission workProgram services$8,962,09169.37% of revenue77.1% of expenses

ManagementOffice and general costs$2,649,95020.51% of revenue22.8% of expenses

FundraisingAsking for donations$9,1870.07% of revenue0.1% of expenses

Revenue left after expensesReported annual surplus$1,298,57610.05% of revenueShown in gray on the chart

Total expenses$11,621,22889.95% of revenue

Gray means reported revenue left after expenses for this filing year. It does not necessarily mean cash sitting in a bank account.

Has the pattern changed?

Colored bars = expense mix: how each year’s expenses were divided. Total expenses vs. revenue shows whether the charity spent less or more than it received. The current filing is first.

YearExpense mixDetails

2024CurrentExpense mix: 77.1% mission · 22.8% management · 0.1% fundraisingTotal expenses: 89.95% of revenue

2023Expense mix: 77.1% mission · 22.6% management · 0.3% fundraisingTotal expenses: 96.23% of revenue

2022Expense mix: 75.3% mission · 24.6% management · 0.1% fundraisingTotal expenses: 104.27% of revenue

2021Expense mix: 78.9% mission · 21.0% management · 0.1% fundraisingTotal expenses: 90.88% of revenue

2020Expense mix: 78.0% mission · 21.9% management · 0.1% fundraisingTotal expenses: 86.32% of revenue

2019Expense mix: 79.7% mission · 20.2% management · 0.0% fundraisingTotal expenses: 96.32% of revenue

2018Expense mix: 79.9% mission · 20.1% management · 0.1% fundraisingTotal expenses: 99.25% of revenue

2017Expense mix: 81.1% mission · 18.9% management · 0.1% fundraisingTotal expenses: 96.77% of revenue

Money in and money out

Revenue$12,919,804

Expenses$11,621,228

Annual surplus $1,298,576 Revenue was higher than expenses for this filing year.

Reported spending amounts

Mission work means the Form 990 category called program services. These are reported accounting categories—not an independent measurement of results.

Mission work (program services)$8,962,091 · 77.1% of expenses

Management and office costs$2,649,950 · 22.8% of expenses

Fundraising$9,187 · 0.1% of expenses

See all reported dollar amounts

Revenue$12,919,804

Expenses$11,621,228

Assets$12,344,040

Income$13,375,484

Contributions$4,126,258

Mission work (program services)$8,962,091

Fundraising$9,187

Management and general$2,649,950

Executive compensation (total)$433,350

Stocks and bonds$3,327,926

Accounting fees$44,999

Investing fees$11,555

People

Leadership and board

Tax year 2024

Names, titles, time, and compensation below are reported by the organization on its Form 990.

People reported as paid

Person and titleCompensation

MELISSA BUDDENSEECMO · 40 hrs/week $311,390Base $294,294 · Other $17,096

EDWARD SHANSHALACEO · 40 hrs/week $264,996Base $239,109 · Other $25,887

ANDRES AGUILERA-FISHPHYSICIAN · 40 hrs/week $239,219Base $232,497 · Other $6,722

CAITLIN ODONNELLPHYSICIAN · 40 hrs/week $220,279Base $210,839 · Other $9,440

DAVID FERRISPHYSICIAN · 40 hrs/week $206,481Base $193,488 · Other $12,993

SARAH YOUNG-XUFAMILY PHYSICIAN · 27 hrs/week $154,191Base $149,705 · Other $4,486

TAMMY TALOTTACFO · 40 hrs/week $149,667Base $131,040 · Other $18,627

AARON SOLNITFAMILY PHYSICIAN · 23 hrs/week $142,985Base $129,525 · Other $13,460

Compensation alone does not tell whether pay is reasonable. Consider the charity’s size, work, location, and results.

See everyone listed on the board or leadership roster (20)

MELISSA BUDDENSEECMO

EDWARD SHANSHALACEO

ANDRES AGUILERA-FISHPHYSICIAN

CAITLIN ODONNELLPHYSICIAN

DAVID FERRISPHYSICIAN

SARAH YOUNG-XUFAMILY PHYSICIAN

TAMMY TALOTTACFO

AARON SOLNITFAMILY PHYSICIAN

EMILY RUSSELLBOARD MEMBER

EVALYN HAGENPRESIDENT

GAIL CLARKBOARD MEMBER

HEATHER PORTERBOARD MEMBER

JAMES SHUCHMANTREASURER

JEFF JONESPAST BOARD MEMBER

JOHN RAPOPORTPAST BOARD MEMBER

KATHY RYANSECRETARY

DANIEL SHERMANBOARD MEMBER

NATALIE KENNETTBOARD MEMBER

AUSTIN ALBROBOARD MEMBER

SHANNON MCGRATHVICE-PRESIDENT

About this charity

Recognized since: January 1995
Location: 25 Mt Eustis Road, Littleton, NH 03561
County: Grafton
In care of: Edward Shanshala
Primary officer: Edward Shanshala, CEO

How to reach them

Phone(603) 444-2464

Filing and classification

Latest tax year: 2024
Tax period began: July 1, 2024
Return type: 990
Tax preparer: BERRY DUNN MCNEIL & PARKER LLC
NTEE classification: Community Clinics (E32)
IRS tax category: Community Clinics