2026-08-14T08:04:14-05:00 2025-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2024-10-01 263010066 Five-Town Health Alliance Inc FIVE 8024535028 61 Pine Street Bristol VT 05443 Heidi Melbostad CEO 8024535028 2026-08-13 1 1 Joseph R Byrne P01289281 2077752387 2026-08-13 2024 2025-03-06 01:10:19Z Mountain Community Health Heidi Melbostad 61 Pine Street Bristol VT 05443 6589311 0 X www.mchvt.org X 2008 VT To strengthen our communities by improving the health of all our neighbors by providing health care with skill, compassion & respect; lowering the barriers to affordable care & delivering broad-based services including preventive, dental, mental & primary health care. 11 11 78 11 0 0 1950646 1623100 3872180 4509688 32674 107397 0 0 5855500 6240185 0 0 0 0 4233674 4618778 0 0 0 1934580 1816738 6168254 6435516 -312754 -195331 5040396 5058361 2111539 1997919 2928857 3060442 To strengthen our communities by improving the health of all our neighbors by providing health care with skill, compassion & respect; lowering the barriers to affordable care & delivering broad-based services including preventive, dental, mental & primary health care. 0 0 5455659 4509688 As a Federally Qualified Health Center (FQHC), we provide a range of primary care medical services, dental services, patient enabling, and outreach services to all persons regardless of ability to pay for those services. 5455659 1 1 0 0 0 0 0 0 0 0 1 0 0 1 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 15 0 1 78 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Joshua Duame 8024535028 61 Pine Street Bristol VT 05443 X Norma Norland Chair 1.00 X X 0 0 0 Ron Dendas Treasurer 1.00 X X 0 0 0 Bob Donnis Secretary 1.00 X X 0 0 0 Mimi Damm Director 1.00 X 0 0 0 Richard Jack Director 1.00 X 0 0 0 Rachel Lee Director 1.00 X 0 0 0 Bruce Nason Director 1.00 X 0 0 0 Adam Rice Director 1.00 X 0 0 0 Bob Turcot Director 1.00 X 0 0 0 Helena Van Vorst Director 1.00 X 0 0 0 Trevor Wilson Director 1.00 X 0 0 0 Mark Mulqueen Past Secretary 1.00 X X 0 0 0 Heidi Melbostad PhD CEO 40.00 X 73702 0 6696 Greg MacDonald Past CFO 40.00 X 115732 0 12782 Joshua Duame CFO 10.00 X 1725 0 0 Jennifer Wisdom-Behounek MD Medical Director 40.00 X 191849 0 5773 Kate LaMancuso MD Physician 40.00 X 140056 0 4565 David Turner MD Physician 40.00 X 167931 0 27621 Brian Bates MD Physician 40.00 X 137348 0 13665 Marthe Connah MD Physician 40.00 X 143377 0 4482 Richa Singhania DMD Past Dentist 40.00 X 129346 0 10476 1101066 0 86060 7 0 1 0 0 1617484 5616 1623100 Patient Service Revenu 621400 3160610 3160610 Contract Revenue 621400 690522 690522 Other Program Revenue 621400 391600 391600 Blueprint Revenue 621400 266956 266956 4509688 31529 31529 424994 349126 75868 75868 75868 6240185 4509688 0 107397 408259 98811 309448 3408989 3158907 250082 51931 51254 677 441678 391220 50458 307921 264302 43619 6643 6643 160011 160011 127557 96249 31308 20437 17542 2895 89770 77053 12717 238708 204893 33815 211768 181769 29999 4829 4145 684 2537 2178 359 88535 75993 12542 147048 126218 20830 55623 47744 7879 Program Supplies 621685 621685 Staff Development 21631 18567 3064 Miscellaneous Expense 19956 17129 2827 6435516 5455659 979857 0 X 32254 52308 82986 459411 12010 0 286954 189118 58682 0 89334 29564 3917942 786277 3220163 3131665 1188775 828560 18591 11049 50647 356686 5040396 5058361 236311 203303 1856359 1783407 18869 11209 2111539 1997919 X 2928857 3060442 2928857 3060442 5040396 5058361 X -195331 -42551 369467 0 X 0 1 X 1 1 1 X 2601563 2061803 2305179 1950646 1623100 10542291 3524544 3582047 3526326 3872180 4509688 19014785 6126107 5643850 5831505 5822826 6132788 29557076 0 0 0 29557076 16608 21545 32698 32674 31529 135054 16608 21545 32698 32674 31529 135054 6142715 5665395 5864203 5855500 6164317 29692130 0.99550 0.99570 0.00450 0.00420 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 117753 117753 2954711 258653 2696058 845478 527624 317854 3131665 Due from Third-Party Payers 356686 356686 Operating Lease Liability 11209 11209 X 6197634 -42551 -42551 6240185 0 6240185 6435516 0 6435516 0 6435516 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. X X X X 1 0 0 0 0 0 0 0 0 Jennifer Wisdom-Behounek MD Medical Director 191849 0 0 0 0 0 5773 0 0 0 197622 0 0 0 David Turner MD Physician 167931 0 0 0 0 0 5039 0 22582 0 195552 0 0 0 Brian Bates MD Physician 137348 0 0 0 0 0 4144 0 9521 0 151013 0 0 0 Part I, Line 4a During calendar year 2024, Greg MacDonald (Past CFO) received severance pay totaling $9,000. Form 990, Part VI, Section B, line 11b The 990 is first reviewed by the CFO in detail, who compares it to the audited financial statements. The 990 is then reviewed by the Treasurer before filing. It is made available to Board Members to review prior to filing. Form 990, Part VI, Section B, line 12c Conflicts of interest forms are signed and dated by the Board and Chief Executive Officer and updated on a yearly basis and reviewed by the Board. The Board has to sign off on the forms for them to be approved. Form 990, Part VI, Section B, line 15 The Executive Committee of the Board of Directors serves as the compensation committee for the Chief Executive Officer. The Executive Committee reviews CEO compensation annually using comparability data drawn from national and state Federally Qualified Health Center compensation surveys, including data published by the National Association of Community Health Centers. The Chief Executive Officer does not participate in the deliberation or decision regarding her own compensation. The Executive Committee documents its deliberation and decision in Committee minutes at the time of the decision and presents its recommendation to the full Board of Directors for approval. Form 990, Part VI, Section C, line 19 Available upon request. Form 990, Part VII: Reportable compensation shown for Heidi Melbostad, Chief Executive Officer, reflects a partial year of service. Dr. Melbostad was appointed Chief Executive Officer effective June 25, 2024, and the amount reported covers only the portion of calendar year 2024 following that appointment. Jennifer Wisdom-Behounek, MD served as Interim Chief Executive Officer from January 2024 through June 2024, in addition to her role as Medical Director. Her reportable compensation for calendar year 2024 reflects service in both capacities. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Five-Town Health Alliance, Inc. 61 Pine Street Bristol, VT 05443 EIN: 26-3010066 Five-Town Health Alliance, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, Line 8: Receivables related to third-party cost report settlements that met the criteria for recognition under U.S. GAAP were not recorded as of September 30, 2024. The correction of this omission increased due from third-party payers and net assets without donor restrictions as of October 1, 2024 by 369,467.