2022-04-08T11:27:49-05:00 2021-09-30 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2020-10-01 237305106 Lamprey Health Care Inc LAMP 6036592494 207 South Main Street Newmarket NH 03857 Greg White Chief Executive Officer 6032927214 2022-04-04 1 Greg White XXX-XX-XXXX Melissa Magoon CPA P01712842 6036697337 2022-04-04 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Gregory White 207 South Main Street Newmarket NH 03857 20634629 0 X www.lampreyhealth.org X 1971 NH The mission of Lamprey Health Care, Inc. is to provide high quality primary medical care and health related services, with an emphasis on prevention and lifestyle management, to all individuals regardless of ability to pay. 18 18 251 19 0 0 7887447 9314995 10328394 11120041 27451 10647 176353 187752 18419645 20633435 0 94278 0 0 13202248 13568228 0 0 0 4284205 5699145 17486453 19361651 933192 1271784 13511466 14822955 4394719 4418600 9116747 10404355 X The mission of Lamprey Health Care, Inc. is to provide high quality primary medical care and health related services, with an emphasis on prevention and lifestyle management, to all individuals regardless of ability to pay. 1 0 16188034 94278 11120041 To provide medical, dental, substance use treatment, behavioral health, transportation and referral related services to all members of the community regardless of ability to pay. To provide through AHEC, the Southern New Hampshire Area Health Education Center, training and development opportunities for the Health Care workforce including, but not limited to, Medical Assistants, Nurses, Interpreters, Nurse Practitioners, and Community Health Workers. To support in the collection and analysis of survey data to further health quality initiatives, and advance health equity. To provide through SPHN, the Seacoast Public Health Network, medical emergency preparedness services and Substance Misuse Prevention services as well as training and education opportunities in conjunction with other health care providers, the State of New Hampshire public health department, and other partners. To coordinate community health assessment and community health improvement planning in the region. 16188034 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 68 0 1 251 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NH X Evalie M Crosby CPA FHFMA 6032927215 207 South Main Street Newmarket NH 03857 Frank Goodspeed President 1.00 0.00 X X 0 0 0 Raymond Goodman III Vice President 1.00 0.00 X X 0 0 0 Arvind Ranade Treasurer 1.00 0.00 X X 0 0 0 Thomas Drew Secretary 1.00 0.00 X X 0 0 0 Audrey Ashton-Savage Board Member 1.00 0.00 X 0 0 0 Michelle Boom Board Member 1.00 0.00 X 0 0 0 James Brewer Board Member 1.00 0.00 X 0 0 0 Michael Chouinard Board Member 1.00 0.00 X 0 0 0 Elizabeth Crepeau Board Member 1.00 1.00 X 0 0 0 Todd Hathaway Board Member 1.00 0.00 X 0 0 0 Carol LaCross Board Member 1.00 0.00 X 0 0 0 Andrea Laskey Board Member 1.00 0.00 X 0 0 0 Mark Marandola Board Member 1.00 0.00 X 0 0 0 Michael Reinke Board Member 1.00 0.00 X 0 0 0 Samantha Stamas Board Member 1.00 0.00 X 0 0 0 Wilberto Torres Board Member 1.00 0.00 X 0 0 0 Laura Valencia Board Member 1.00 0.00 X 0 0 0 Robert Woodward Board Member 1.00 0.00 X 0 0 0 Robert Gilbert Past Board Member 1.00 0.00 X 0 0 0 Greg White CEO 40.00 1.00 X 197477 0 46488 Evalie Crosby CFO 40.00 1.00 X 162989 0 9300 Vasuki Nagaraj Medical Director 40.00 0.00 X 280552 0 12974 Ana Goubert Physician 27.00 0.00 X 176166 0 35392 Sirona Pruna Physician 34.00 0.00 X 363121 0 43413 Saira Tekelenburg Physician 40.00 0.00 X 215915 0 35376 Katheryn Bonafede Physician 32.00 0.00 X 205472 0 9613 Mary Braun Physician 26.50 0.00 X 186179 0 39264 Paul Brimigion CIO 40.00 0.00 X 154867 0 9618 1942738 0 241438 23 0 1 0 Wright & Associates Family Healthcare PL 282 State Route 101 Amherst NH 03031 Subcontracted Services 168735 Design Tech Group LLC 103 Ocean Way Drive Ponce Inlet FL 32127 Cleaning services 108680 2 75103 8646456 593436 37157 9314995 Health Care 621110 10496734 10496734 Other Operating Revenue 621110 623307 623307 11120041 10647 10647 181128 0 181128 181128 181128 7818 1194 6624 6624 20633435 11120041 0 198399 94278 94278 921338 505083 416255 10492616 9104897 1387719 256353 214320 42033 1072587 758480 314107 825334 690009 135325 62488 62488 48748 48748 1875389 1567893 307496 107379 83664 23715 792152 662268 129884 882186 737539 144647 96398 80592 15806 5148 4304 844 86613 72412 14201 366581 306475 60106 140849 117755 23094 Program Supplies 752437 752437 All Other Expenses 295567 279114 16453 Publications/Shipping 138948 116165 22783 Equipment Rental/Repair 48262 40349 7913 19361651 16188034 3173617 0 X 156257 559528 5003019 5740955 658568 724399 1407017 1527205 129591 177384 147799 262941 10784517 4953974 6009215 5830543 13511466 14822955 1901252 1843596 72421 423922 829242 811195 1591804 1339887 4394719 4418600 X 8645976 9791021 470771 613334 9116747 10404355 13511466 14822955 X 1271784 215 15609 X 0 1 X 1 1 1 X 5505982 5637514 6428878 7887447 9314995 34774816 9504821 9827443 10143633 10328394 11120041 50924332 15010803 15464957 16572511 18215841 20435036 85699148 0 0 0 85699148 4094 2697 238389 203804 191775 640759 4094 2697 238389 203804 191775 640759 1419 147 1751 6624 9941 15016316 15467801 16812651 18419645 20633435 86349848 0.99250 0.99420 0.00740 0.00580 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 827246 827246 6179080 2464939 3714141 1769708 1062767 706941 945866 800875 144991 1062617 625393 437224 5830543 Due to Affiliate 1095861 Fair Value of Interest Rate Swap 2632 Due to Third Party Payers 241394 1339887 X Part X, Line 2: 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. 1 To provide emergency assistance for families impacted by COVID to address housing, fuel, utilities, dental needs transportation, food, communication, clothing, and education needs. 230 94278 X X X X X X 0 0 0 0 0 0 0 1 0 Sirona Pruna Physician 315637 0 44084 0 3400 0 12825 0 30588 0 406534 0 0 0 Vasuki Nagaraj Medical Director 254216 0 26202 0 134 0 10213 0 2761 0 293526 0 0 0 Saira Tekelenburg Physician 209949 0 5828 0 138 0 8895 0 26481 0 251291 0 0 0 Greg White CEO 186169 0 11000 0 308 0 8320 0 38168 0 243965 0 0 0 Mary Braun Physician 166285 0 19313 0 581 0 7372 0 31892 0 225443 0 0 0 Katheryn Bonafede Physician 198821 0 6512 0 139 0 7953 0 1660 0 215085 0 0 0 Ana Goubert Physician 173379 0 2636 0 151 0 0 0 35392 0 211558 0 0 0 Evalie Crosby CFO 156690 0 5500 0 799 0 6338 0 2962 0 172289 0 0 0 Paul Brimigion CIO 153580 0 1000 0 287 0 6231 0 3387 0 164485 0 0 0 Part I, Line 7 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. X 3 37157 INVENTORY COST - 9/30/21 0 0 0 Form 990, Part III, line 2 In March of 2021 Lamprey Health Care put into service a Mobile Health Unit. The unit is used to provide primary care and health screening services to the homeless and others in the community. During 2021 the unit regularly provided services in Nashua, Milford, and Deerfield. The unit was also used to conduct COVID-19 vaccination services at a number of public events and at a number of senior housing locations and other community settings. In November of 2020 Lamprey Health Care began providing co-located primary care services at the Center for Life Management's Derry NH location. The program, named Healthy Together, takes primary health care services into the Community Mental Health Center setting using the same model of care previously adopted by the organization at its InteGreat Healthprogram located in the Greater Nashua Mental Health Center. Form 990, Part VI, Section B, line 11b 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. Form 990, Part VI, Section B, line 12c 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. Form 990, Part VI, Section B, line 15 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. 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 X, Line 10: Land, Building, and Equipment 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). Form 990, Part XI, line 9: Change in fair value of financial instrument 15,609. Friends of Lamprey Health Care Inc 207 South Main Street Newmarket NH 03857 020348630 Support Lamprey Health Care, Inc. NH 501(c)(3) Line 12a, I Lamprey Health Care Inc 1 0 0 0 1 1 0 0 0 0 1 1 0 0 1 1 0 0 0 0 Friends of Lamprey Health Care Inc K 227916 FMV Friends of Lamprey Health Care Inc D 2028620 FMV Friends of Lamprey Health Care Inc E 1095861 FMV