COOS COUNTY FAMILY HEALTH SERVICES INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
COOS COUNTY FAMILY HEALTH SERVICES INC (EIN 02-0350051)
Tax period
2021-07-01 to 2022-06-30
Filed
2022-11-08
IRS object ID
202243129349301274
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-08T08:06:17-06:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010523282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11000 Elm Street 4th FloorAddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020350051EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Coos County Family Health Services IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOOSBusinessNameControlTxt
Phone6037522040PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1133 Pleasant StreetAddressLine1Txt
CityBerlinCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03570ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPatti StoltePersonNm
Person TitleBoard PresidentPersonTitleTxt
Phone6037527719PhoneNum
Signature2022-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPattiPersonFirstNm
Person LastStoltePersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMelissa Magoon CPAPreparerPersonNm
PTINP01712842PTIN
Phone6036697337PhoneNum
Preparation2022-11-07PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKen GordonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1133 Pleasant StreetAddressLine1Txt
CityBerlinCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03570ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,994,570GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.coosfamilyhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionFederally Qualified Health CenterActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee168TotalEmployeeCnt
Total Volunteers32TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,896,883PYContributionsGrantsAmt
CY Contributions Grants$5,777,622CYContributionsGrantsAmt
PY Program Service Revenue$10,409,953PYProgramServiceRevenueAmt
CY Program Service Revenue$11,054,801CYProgramServiceRevenueAmt
PY Investment Income$25,524PYInvestmentIncomeAmt
CY Investment Income$24,322CYInvestmentIncomeAmt
PY Other Revenue$7,343PYOtherRevenueAmt
CY Other Revenue$11,580CYOtherRevenueAmt
PY Total Revenue$17,339,703PYTotalRevenueAmt
CY Total Revenue$16,868,325CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,400,559PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,642,837CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,553CYTotalFundraisingExpenseAmt
PY Other Expenses$4,528,803PYOtherExpensesAmt
CY Other Expenses$4,337,458CYOtherExpensesAmt
PY Total Expenses$14,929,362PYTotalExpensesAmt
CY Total Expenses$15,980,295CYTotalExpensesAmt
PY Revenues Less Expenses$2,410,341PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$888,030CYRevenuesLessExpensesAmt
Total Assets BOY$17,181,637TotalAssetsBOYAmt
Total Assets EOY$19,734,526TotalAssetsEOYAmt
Total Liabilities BOY$6,202,008TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,934,886TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,979,629NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,799,640NetAssetsOrFundBalancesEOYAmt
MissionCoos County Family Health Services, Inc. is a community-based organization providing innovative, personalized, comprehensive health care and social services of the highest quality to everyone, regardless of economic status.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$14,110,981ExpenseAmt
Revenue$11,054,801RevenueAmt
DescProvision of primary care services to the community.Desc
Total Program Service Expenses$14,110,981TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee168EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Ken GordonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6037522040PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1133 Pleasant StreetAddressLine1Txt
CityBerlinCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03570ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Alana Scannell
Past Board Member1.00Yes (X)$0$0$0
Aline Boucher
Past Treasurer1.00Yes (X)$0$0$0Yes (X)
Claudette Morneau
Board Member1.00Yes (X)$0$0$0
Cynthia Desmond
Treasurer1.00Yes (X)$0$0$0Yes (X)
David Morin
Board Member1.00Yes (X)$0$0$0
Gregg Marrer
Board Member1.00Yes (X)$0$0$0
H Guyford Stever Jr
Immediate Past President1.00Yes (X)$0$0$0
Holly Carter
Board Member1.00Yes (X)$0$0$0
Kassie Eafrati
Vice President1.00Yes (X)$0$0$0Yes (X)
Marge McClellan
Board Member1.00Yes (X)$0$0$0
Melanie Maynor Esq
Past Board Member1.00Yes (X)$0$0$0
Patti Stolte
President1.00Yes (X)$0$0$0Yes (X)
Pauline Tibbetts
Secretary1.00Yes (X)$0$0$0Yes (X)
Rebecca Witmon
Board Member1.00Yes (X)$0$0$0
Robert Pelchat
Board Member1.00Yes (X)$0$0$0
Roland Olivier
Past Board Member1.00Yes (X)$0$0$0
Kenneth E Gordon
CEO40.00$176,253$0$18,450Yes (X)
Philip G Kneer
CFO40.00$104,665$0$39,586Yes (X)
Ahmad Rashid
Physician40.00$189,049$0$23,032Yes (X)
Brian M Beals
Physician37.50$239,901$0$44,013Yes (X)
Brianne MC Teaboldt
Physician40.00$242,085$0$47,552Yes (X)
Elaine Chappell
Physician24.00$173,643$0$9,933Yes (X)
Michael Creppy
Physician40.00$247,264$0$33,994Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,372,860TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$216,560TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Nicole Lang Office Cleaning
25 Ray StreetGorhamNH03581Office Cleaning$110,430
Virence Health Technologies
925 4th AvenueSeattleWA98104EMR Vendor$102,354
Weatherby Healthcare
6451 North Federal Highway Suite 7Fort LauderdaleFL33308Locum Provider$100,016
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Federated Campaigns$575FederatedCampaignsAmt
Government Grants$4,536,883GovernmentGrantsAmt
All Other Contributions$1,240,164AllOtherContributionsAmt
Noncash Contributions$9,101NoncashContributionsAmt
Total Contributions$5,777,622TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue621110$11,158,744$11,158,744
Other revenue900099$128,607$128,607
AVH Reiumbursements900099$15,118$15,118
Bad Debts900099-$247,668-$247,668
FieldValueIRS element (for citing)
Total Program Service Revenue$11,054,801TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,769TotalRevenueColumnAmt
Exclusion$24,769ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$11,580RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$11,580RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,580TotalRevenueColumnAmt
Exclusion$11,580ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$125,798SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$126,245SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$447SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$447TotalRevenueColumnAmt
Exclusion-$447ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,868,325TotalRevenueColumnAmt
Related Or Exempt Func Income$11,054,801RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$35,902ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$338,955TotalAmt
Program Services$48,677ProgramServicesAmt
Management And General$290,278ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,863,462TotalAmt
Program Services$7,957,269ProgramServicesAmt
Management And General$906,193ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$525,491TotalAmt
Program Services$465,601ProgramServicesAmt
Management And General$59,890ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,183,379TotalAmt
Program Services$1,075,829ProgramServicesAmt
Management And General$107,550ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$731,550TotalAmt
Program Services$640,106ProgramServicesAmt
Management And General$91,444ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$71,874TotalAmt
Management And General$71,874ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$80,064TotalAmt
Management And General$80,064ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,194TotalAmt
Management And General$3,194ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$439,638TotalAmt
Program Services$439,638ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$38,317TotalAmt
Program Services$33,527ProgramServicesAmt
Management And General$4,790ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$430,541TotalAmt
Program Services$376,724ProgramServicesAmt
Management And General$53,817ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$418,889TotalAmt
Program Services$366,528ProgramServicesAmt
Management And General$52,361ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$545,116TotalAmt
Program Services$476,976ProgramServicesAmt
Management And General$68,140ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,089TotalAmt
Program Services$24,578ProgramServicesAmt
Management And General$3,511ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$79,408TotalAmt
Program Services$69,482ProgramServicesAmt
Management And General$9,926ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$91TotalAmt
Program Services$80ProgramServicesAmt
Management And General$11ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$246,692TotalAmt
Program Services$215,855ProgramServicesAmt
Management And General$30,837ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$86,215TotalAmt
Program Services$75,438ProgramServicesAmt
Management And General$10,777ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
340B Program Expenses$1,084,206$1,084,206
Program Supplies$612,734$612,734
Other Expenses$168,837$147,733$21,104
Fundraising Expense$3,553$3,553

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,980,295TotalAmt
Program Services$14,110,981ProgramServicesAmt
Management And General$1,865,761ManagementAndGeneralAmt
Fundraising$3,553FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,300BOYAmt
EOY$1,300EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,245,563BOYAmt
EOY$7,819,516EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,700,261BOYAmt
EOY$7,172,498EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,047,495BOYAmt
EOY$1,198,946EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$130,599BOYAmt
EOY$160,862EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,329,464LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,065,266LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,140,410BOYAmt
EOY$2,264,198EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$781,005BOYAmt
EOY$925,418EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$135,004BOYAmt
EOY$191,788EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,181,637BOYAmt
EOY$19,734,526EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,417,438BOYAmt
EOY$1,364,104EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,784,570BOYAmt
EOY$6,570,782EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,202,008BOYAmt
EOY$7,934,886EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,888,194BOYAmt
EOY$11,729,666EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$91,435BOYAmt
EOY$69,974EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,979,629BOYAmt
EOY$11,799,640EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,181,637BOYAmt
EOY$19,734,526EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$888,030ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$64,103NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,916OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,437,218CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,646,015CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,334,883CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,896,883CurrentTaxYearMinus1YearAmt
Current Tax Year$5,777,622CurrentTaxYearAmt
Total$24,092,621TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,118,769CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,454,780CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,829,740CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,409,953CurrentTaxYearMinus1YearAmt
Current Tax Year$11,054,801CurrentTaxYearAmt
Total$53,868,043TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,555,987CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,100,795CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,164,623CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,306,836CurrentTaxYearMinus1YearAmt
Current Tax Year$16,832,423CurrentTaxYearAmt
Total$77,960,664TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$77,960,664PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,398CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,008CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,822CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,736CurrentTaxYearMinus1YearAmt
Current Tax Year$36,349CurrentTaxYearAmt
Total$157,313TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,398CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,008CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,822CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,736CurrentTaxYearMinus1YearAmt
Current Tax Year$36,349CurrentTaxYearAmt
Total$157,313TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,567,385CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,133,803CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,207,445CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,340,572CurrentTaxYearMinus1YearAmt
Current Tax Year$16,868,772CurrentTaxYearAmt
Total$78,117,977TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99800PublicSupportCY509Pct
Public Support PY5090.99820PublicSupportPY509Pct
Investment Income CY0.00200InvestmentIncomeCYPct
Investment Income PY0.00180InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$35,200BeginningYearBalanceAmt
Investment Earnings Or Losses-$3,916InvestmentEarningsOrLossesAmt
End Year Balance$31,284EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$29,897BeginningYearBalanceAmt
Investment Earnings Or Losses$5,303InvestmentEarningsOrLossesAmt
End Year Balance$35,200EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$27,878BeginningYearBalanceAmt
Investment Earnings Or Losses$2,019InvestmentEarningsOrLossesAmt
End Year Balance$29,897EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$28,188BeginningYearBalanceAmt
Contributions$1,075ContributionsAmt
Investment Earnings Or Losses-$1,385InvestmentEarningsOrLossesAmt
End Year Balance$27,878EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,440BeginningYearBalanceAmt
Contributions$920ContributionsAmt
Investment Earnings Or Losses$1,828InvestmentEarningsOrLossesAmt
End Year Balance$28,188EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$153,257OtherCostOrOtherBasisAmt
Book Value$153,257BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,493,228OtherCostOrOtherBasisAmt
Depreciation$1,963,705DepreciationAmt
Book Value$1,529,523BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,682,979OtherCostOrOtherBasisAmt
Depreciation$2,101,561DepreciationAmt
Book Value$581,418BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,264,198TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$16,797,112TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$64,103NetUnrealizedGainsInvstAmt
Other Revenue-$3,916OtherRevenueAmt
Revenue Not Reported-$68,019RevenueNotReportedAmt
Revenue Subtotal$16,865,131RevenueSubtotalAmt
Investment Expenses Not Incld$3,194InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$3,194RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$16,868,325TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,977,101TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$15,977,101ExpensesSubtotalAmt
Investment Expenses Not Incld2$3,194InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$3,194ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$15,980,295TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:Income earned is used for operations.
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.
Part XI, Line 2d - Other Adjustments:Change in Fair Market Value in Beneficial Interest -3,916.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Brianne MC Teaboldt
Physician$235,569$0$6,000$0$516$0$10,273$0$37,279$0$289,637$0$0$0
Brian M Beals
Physician$238,136$0$0$0$1,765$0$8,123$0$35,890$0$283,914$0$0$0
Michael Creppy
Physician$246,851$0$0$0$413$0$10,417$0$23,577$0$281,258$0$0$0
Ahmad Rashid
Physician$188,744$0$0$0$305$0$7,982$0$15,050$0$212,081$0$0$0
Kenneth E Gordon
CEO$174,024$0$0$0$2,229$0$7,384$0$11,066$0$194,703$0$0$0
Elaine Chappell
Physician$173,245$0$0$0$398$0$7,686$0$2,247$0$183,576$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 7FormAndLineReferenceDesc
ExplanationPhysicians are provided incentive payments based on number of patients seen, complexity of patient acuity, timely documentation, patient satisfication, and quality of care provided.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bThe CFO compares the Form 990 to the audited financial statements and prior year 990. A copy is given to the Finance Committee to review and then a copy is given to the board of directors to review and approve.
Form 990, Part VI, Section B, line 12cAnnually, the board re-affirms their compliance with the conflict of interest policy with a written compliance document.
Form 990, Part VI, Section B, line 15HR currently participates in a salary survey with a national health center organization and utilizes the results to assist with setting market rates of pay for the CEO, COO, and CFO. The CEO sets the COO and CFO salaries based upon these results. The board of directors approves and sets the salary of the CEO.
Form 990, Part VI, Section C, line 19Documents are posted to the Organization's website and are available upon request.
Form 990, Part X, Line 10: Land, Buildings, and EquipmentSection 1.263(a)-3(n) Election: Coos County Family Health Services, Inc. 133 Pleasant Street Berlin, NH 03570 EIN: 02-0350051 Coos County Family Health Services, 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 Beneficial Interest in Funds Held by Others -3,916.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Great Northwoods Community FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line159 Page Hill RoadAddressLine1Txt
CityBerlinCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03570ZIPCd
FieldValueIRS element (for citing)
EIN020452547EIN
Primary ActivitiesHealth Care ServicesPrimaryActivitiesTxt
Legal Domicile StateNHLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 12b, IIPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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