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        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Lamprey Health Care, Inc. is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the entity is exempt from state and federal income taxes on income earned in accordance with their tax-exempt purposes. 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 consolidated financial statements.</ExplanationTxt>
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        <PersonNm>Greg White</PersonNm>
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        <PersonNm>David Deifik</PersonNm>
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        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Lamprey Health Care, Inc. provides an incentive compensation program whereby providers may earn additional compensation based on their productivity (as measured by patient visits), timeliness of documentation completion, patient satisfaction survey results, quality of care as measured by identified metrics, and team participation.</ExplanationTxt>
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        <ExplanationTxt>The 990 will be reviewed by the CEO and CFO and presented to the Finance Committee. The Finance Committee will review the 990 and recommend approval by the full Board of Directors who then approve and authorize the filing of the 990. The full Board is provided access to a full copy of the 990.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Annually, all members of the board of directors sign a conflict of interest form on which they disclose any conflicts of interest. Board members abstain from any votes related to a conflict.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>On a periodic basis the Board of Directors engages an independent third party to conduct a review of CEO compensation. In between, the National Association of Community Health Centers (NACHC) Benefits and Compensation survey results are used. The NACHC study is also used for other key employees, as well as other local studies (including the Medical Group Management Association (MGMA) salary survey), as they are available.</ExplanationTxt>
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        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
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        <ExplanationTxt>Other Contracted Services: Program service expenses 1,938,714. Management and general expenses 1,191,300. Fundraising expenses 0. Total expenses 3,130,014.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Land, Building, and Equipment</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: Lamprey Health Care Inc. 207 South Main Street Newmarket, NH 03857 EIN: 23-7305106 Lamprey Health Care, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in FV of Interest Rate Swaps 70,828.</ExplanationTxt>
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