COOS COUNTY FAMILY HEALTH SERVICES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
COOS COUNTY FAMILY HEALTH SERVICES INC (EIN 02-0350051)
Tax period
2020-07-01 to 2021-06-30
Filed
2021-11-15
IRS object ID
202143199349306399
Schema version
2020v4.1
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)
Return2021-11-15T10:14:13-06:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

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 Begin2020-07-01TaxPeriodBeginDt

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
Signature2021-11-11SignatureDt
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
Preparation2021-11-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
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$17,517,673GrossReceiptsAmt
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 Employee169TotalEmployeeCnt
Total Volunteers29TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,334,883PYContributionsGrantsAmt
CY Contributions Grants$6,896,883CYContributionsGrantsAmt
PY Program Service Revenue$10,829,740PYProgramServiceRevenueAmt
CY Program Service Revenue$10,409,953CYProgramServiceRevenueAmt
PY Investment Income$34,818PYInvestmentIncomeAmt
CY Investment Income$25,524CYInvestmentIncomeAmt
PY Other Revenue$8,796PYOtherRevenueAmt
CY Other Revenue$7,343CYOtherRevenueAmt
PY Total Revenue$15,208,237PYTotalRevenueAmt
CY Total Revenue$17,339,703CYTotalRevenueAmt
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$10,715,778PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,400,559CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,752CYTotalFundraisingExpenseAmt
PY Other Expenses$3,761,512PYOtherExpensesAmt
CY Other Expenses$4,528,803CYOtherExpensesAmt
PY Total Expenses$14,477,290PYTotalExpensesAmt
CY Total Expenses$14,929,362CYTotalExpensesAmt
PY Revenues Less Expenses$730,947PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,410,341CYRevenuesLessExpensesAmt
Total Assets BOY$15,985,290TotalAssetsBOYAmt
Total Assets EOY$17,181,637TotalAssetsEOYAmt
Total Liabilities BOY$7,147,282TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,202,008TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,838,008NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,979,629NetAssetsOrFundBalancesEOYAmt
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$13,185,253ExpenseAmt
Revenue$10,409,953RevenueAmt
DescProvision of primary care services to the community.Desc
Total Program Service Expenses$13,185,253TotalProgramServiceExpensesAmt
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 Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee169EmployeeCnt
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 (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Brianne MC Teaboldt
Physician40.00Yes (X)$246,334$0$38,341
Michael Creppy
Physician40.00Yes (X)$253,810$0$19,082
Brian Beals
Physician37.50Yes (X)$235,427$0$35,660
Elaine Chappell
Physician32.00Yes (X)$178,178$0$26,434
Basem Elbrolosy
Past Physician40.00Yes (X)$174,972$0$16,748
Ken Gordon
CEO40.00$176,434$0$11,748Yes (X)
Philip Kneer
CFO40.00$61,379$0$19,426Yes (X)
Melissa Frenette
Past CFO40.00$62,288$0$9,408Yes (X)
H Guyford Stever Jr
President1.00$0$0$0Yes (X)Yes (X)
Patti Stolte
Vice President1.00$0$0$0Yes (X)Yes (X)
Aline Boucher
Treasurer1.00$0$0$0Yes (X)Yes (X)
Pauline Tibbetts
Secretary1.00$0$0$0Yes (X)Yes (X)
Cynthia Desmond
Board Member1.00$0$0$0Yes (X)
Kassie Eafrati
Board Member1.00$0$0$0Yes (X)
Gregg Marrer
Board Member1.00$0$0$0Yes (X)
Melanie Maynor Esq
Board Member1.00$0$0$0Yes (X)
Marge McClellan
Board Member1.00$0$0$0Yes (X)
David Morin
Board Member1.00$0$0$0Yes (X)
Claudette Morneau
Board Member1.00$0$0$0Yes (X)
Roland Olivier
Board Member1.00$0$0$0Yes (X)
Robert Pelchat
Board Member1.00$0$0$0Yes (X)
Alana Scannell
Board Member1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,388,822TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$176,847TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K18IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Capture Rx
219 East Houston Street Suite 350San AntonioTX78205340b Admin$209,526
BerryDunn
2211 Congress StreetPortlandME04102Accounting/Auditing Svc.'s$165,302
Virence Health Technologies
925 4th AvenueSeattleWA98104EMR Vendor$145,680
Androscoggin Valley Hospital
59 Page Hill RoadBerlinNH03570Physicians$145,111
Nicole Lang Office Cleaning
25 Ray StreetGorhamNH03581Office Cleaning$104,708
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Federated Campaigns$10,353FederatedCampaignsAmt
Government Grants$5,833,968GovernmentGrantsAmt
All Other Contributions$1,052,562AllOtherContributionsAmt
Noncash Contributions$2,560NoncashContributionsAmt
Total Contributions$6,896,883TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient Service RevenueDesc
Business621110BusinessCd
Total Revenue Column$10,409,953TotalRevenueColumnAmt
Related Or Exempt Func Income$10,409,953RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,409,953TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,393TotalRevenueColumnAmt
Exclusion$26,393ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$7,343RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$7,343RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,343TotalRevenueColumnAmt
Exclusion$7,343ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$177,101SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$177,970SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$869SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$869TotalRevenueColumnAmt
Exclusion-$869ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,339,703TotalRevenueColumnAmt
Related Or Exempt Func Income$10,409,953RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$32,867ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$340,682TotalAmt
Program Services$47,046ProgramServicesAmt
Management And General$293,636ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,174,117TotalAmt
Program Services$7,370,832ProgramServicesAmt
Management And General$803,285ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$521,347TotalAmt
Program Services$465,637ProgramServicesAmt
Management And General$55,710ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$686,476TotalAmt
Program Services$623,780ProgramServicesAmt
Management And General$62,696ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$677,937TotalAmt
Program Services$593,195ProgramServicesAmt
Management And General$84,742ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$130,210TotalAmt
Management And General$130,210ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$45,691TotalAmt
Management And General$45,691ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,097TotalAmt
Management And General$3,097ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$656,133TotalAmt
Program Services$656,133ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$24,642TotalAmt
Program Services$21,562ProgramServicesAmt
Management And General$3,080ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$513,502TotalAmt
Program Services$449,314ProgramServicesAmt
Management And General$64,188ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$315,291TotalAmt
Program Services$275,880ProgramServicesAmt
Management And General$39,411ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$512,818TotalAmt
Program Services$448,716ProgramServicesAmt
Management And General$64,102ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$16,992TotalAmt
Program Services$14,868ProgramServicesAmt
Management And General$2,124ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$69,994TotalAmt
Program Services$61,245ProgramServicesAmt
Management And General$8,749ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$151TotalAmt
Program Services$132ProgramServicesAmt
Management And General$19ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$262,875TotalAmt
Program Services$230,016ProgramServicesAmt
Management And General$32,859ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$99,052TotalAmt
Program Services$86,671ProgramServicesAmt
Management And General$12,381ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
340B Program Expenses$967,246$967,246
Program Supplies$606,073$606,073
Other Expenses$299,284$266,907$32,377
Fundraising Expense$5,752$5,752

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,929,362TotalAmt
Program Services$13,185,253ProgramServicesAmt
Management And General$1,738,357ManagementAndGeneralAmt
Fundraising$5,752FundraisingAmt
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$7,895,371BOYAmt
EOY$8,245,563EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,298,183BOYAmt
EOY$4,700,261EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,523,938BOYAmt
EOY$1,047,495EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$130,096BOYAmt
EOY$130,599EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,958,983LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,818,573LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,307,968BOYAmt
EOY$2,140,410EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$739,870BOYAmt
EOY$781,005EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$88,564BOYAmt
EOY$135,004EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,985,290BOYAmt
EOY$17,181,637EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,451,323BOYAmt
EOY$1,417,438EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,343,652BOYAmt
EOY$4,784,570EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$1,718,500BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$633,807BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,147,282BOYAmt
EOY$6,202,008EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,734,202BOYAmt
EOY$10,888,194EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$103,806BOYAmt
EOY$91,435EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,838,008BOYAmt
EOY$10,979,629EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,985,290BOYAmt
EOY$17,181,637EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,410,341ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$14,397NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$254,323OtherChangesInNetAssetsAmt
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$3,633,495CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,437,218CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,646,015CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,334,883CurrentTaxYearMinus1YearAmt
Current Tax Year$6,896,883CurrentTaxYearAmt
Total$21,948,494TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,426,533CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,118,769CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,454,780CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,829,740CurrentTaxYearMinus1YearAmt
Current Tax Year$10,409,953CurrentTaxYearAmt
Total$52,239,775TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,060,028CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,555,987CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,100,795CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,164,623CurrentTaxYearMinus1YearAmt
Current Tax Year$17,306,836CurrentTaxYearAmt
Total$74,188,269TotalAmt

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$74,188,269PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,571CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,398CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,008CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,822CurrentTaxYearMinus1YearAmt
Current Tax Year$33,736CurrentTaxYearAmt
Total$133,535TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,571CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,398CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,008CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,822CurrentTaxYearMinus1YearAmt
Current Tax Year$33,736CurrentTaxYearAmt
Total$133,535TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,072,599CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,567,385CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,133,803CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,207,445CurrentTaxYearMinus1YearAmt
Current Tax Year$17,340,572CurrentTaxYearAmt
Total$74,321,804TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99820PublicSupportCY509Pct
Public Support PY5090.99850PublicSupportPY509Pct
Investment Income CY0.00180InvestmentIncomeCYPct
Investment Income PY0.00150InvestmentIncomePYPct
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$29,897BeginningYearBalanceAmt
Investment Earnings Or Losses$5,303InvestmentEarningsOrLossesAmt
End Year Balance$35,200EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,440BeginningYearBalanceAmt
Contributions$920ContributionsAmt
Investment Earnings Or Losses$1,828InvestmentEarningsOrLossesAmt
End Year Balance$28,188EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,990BeginningYearBalanceAmt
Contributions$2,006ContributionsAmt
Investment Earnings Or Losses$444InvestmentEarningsOrLossesAmt
End Year Balance$25,440EndYearBalanceAmt
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$3,395,226OtherCostOrOtherBasisAmt
Depreciation$1,873,240DepreciationAmt
Book Value$1,521,986BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,410,500OtherCostOrOtherBasisAmt
Depreciation$1,945,333DepreciationAmt
Book Value$465,167BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,140,410TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$17,327,512TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$14,397NetUnrealizedGainsInvstAmt
Other Revenue$5,303OtherRevenueAmt
Revenue Not Reported-$9,094RevenueNotReportedAmt
Revenue Subtotal$17,336,606RevenueSubtotalAmt
Investment Expenses Not Incld$3,097InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$3,097RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$17,339,703TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,926,265TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$14,926,265ExpensesSubtotalAmt
Investment Expenses Not Incld2$3,097InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$3,097ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,929,362TotalExpensesPerForm990Amt

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 5,303.

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$245,870$0$0$0$464$0$10,766$0$27,575$0$284,675$0$0$0
Michael Creppy
Physician$253,397$0$0$0$413$0$10,597$0$8,485$0$272,892$0$0$0
Brian Beals
Physician$174,314$0$59,689$0$1,424$0$8,085$0$27,575$0$271,087$0$0$0
Elaine Chappell
Physician$156,033$0$21,735$0$410$0$7,590$0$18,844$0$204,612$0$0$0
Basem Elbrolosy
Past Physician$174,972$0$0$0$0$0$5,188$0$11,560$0$191,720$0$0$0
Ken Gordon
CEO$174,343$0$0$0$2,091$0$7,239$0$4,509$0$188,182$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 5,303. Cumulative effect adj from adoption of Accounting Std's Update No. 2014-09 -259,626.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.