COOS COUNTY FAMILY HEALTH SERVICES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
COOS COUNTY FAMILY HEALTH SERVICES INC (EIN 02-0350051)
Tax period
2019-07-01 to 2020-06-30
Filed
2020-11-13
IRS object ID
202003189349304615
Schema version
2019v5.1
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)
Return2020-11-13T07:00:40-06:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

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 Begin2019-07-01TaxPeriodBeginDt

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)
PersonH Guyford Stever JrPersonNm
Person TitleBoard PresidentPersonTitleTxt
Phone6037527719PhoneNum
Signature2020-10-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMelissa Magoon CPAPreparerPersonNm
PTINP01712842PTIN
Phone6036697337PhoneNum
Preparation2020-10-06PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.49.157.66IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-29IPDt
IP Tm10:31:11IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB12F49522033FB8D1B7BDF64743817F7E8159EF1AtSubmissionCreationDeviceId
At Submission Filing Device IdAFAA3DB4FE1C09EACD089651B4BEF68615A227D3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$15,459,574GrossReceiptsAmt
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 Employee157TotalEmployeeCnt
Total Volunteers34TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,651,360PYContributionsGrantsAmt
CY Contributions Grants$4,334,883CYContributionsGrantsAmt
PY Program Service Revenue$11,454,780PYProgramServiceRevenueAmt
CY Program Service Revenue$10,829,740CYProgramServiceRevenueAmt
PY Investment Income$24,704PYInvestmentIncomeAmt
CY Investment Income$34,818CYInvestmentIncomeAmt
PY Other Revenue$8,304PYOtherRevenueAmt
CY Other Revenue$8,796CYOtherRevenueAmt
PY Total Revenue$15,139,148PYTotalRevenueAmt
CY Total Revenue$15,208,237CYTotalRevenueAmt
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$9,759,994PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,715,778CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,179CYTotalFundraisingExpenseAmt
PY Other Expenses$3,921,612PYOtherExpensesAmt
CY Other Expenses$3,761,512CYOtherExpensesAmt
PY Total Expenses$13,681,606PYTotalExpensesAmt
CY Total Expenses$14,477,290CYTotalExpensesAmt
PY Revenues Less Expenses$1,457,542PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$730,947CYRevenuesLessExpensesAmt
Total Assets BOY$9,293,797TotalAssetsBOYAmt
Total Assets EOY$15,985,290TotalAssetsEOYAmt
Total Liabilities BOY$1,210,039TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,147,282TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,083,758NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,838,008NetAssetsOrFundBalancesEOYAmt
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$12,756,784ExpenseAmt
Revenue$10,829,740RevenueAmt
DescProvision of primary care services to the community.Desc
Total Program Service Expenses$12,756,784TotalProgramServiceExpensesAmt
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 LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 Document29IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee157EmployeeCnt
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 WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
H Guyford Stever Jr
President1.00Yes (X)Yes (X)$0$0$0
Patti Stolte
Vice President1.00Yes (X)Yes (X)$0$0$0
Aline Boucher
Treasurer1.00Yes (X)Yes (X)$0$0$0
Pauline Tibbetts
Secretary1.00Yes (X)Yes (X)$0$0$0
Robert Pelchat
Board Member1.00Yes (X)$0$0$0
Marge McClellan
Board Member1.00Yes (X)$0$0$0
Roland Olivier
Board Member1.00Yes (X)$0$0$0
David Morin
Board Member1.00Yes (X)$0$0$0
Claudette Morneau
Board Member1.00Yes (X)$0$0$0
Kassie Eafrati
Board Member1.00Yes (X)$0$0$0
Melanie Maynor Esq
Board Member1.00Yes (X)$0$0$0
Cynthia Desmond
Board Member1.00Yes (X)$0$0$0
Gregg Marrer
Board Member1.00Yes (X)$0$0$0
Alana Scannell
Board Member1.00Yes (X)$0$0$0
Robert Thompson
Past Board Member1.00Yes (X)$0$0$0
Ken Gordon
CEO40.00Yes (X)$152,856$0$14,564
Melissa Frenette
CFO40.00Yes (X)$118,901$0$25,694
Michael Creppy
Physician40.00$240,688$0$18,402Yes (X)
Samuel McCreedy
Physician40.00$239,496$0$27,523Yes (X)
Brianne MC Teaboldt
Physician40.00$234,573$0$37,214Yes (X)
Brian Beals
Physician40.00$227,200$0$35,108Yes (X)
Traci L Wagner
Physician30.00$190,560$0$15,211Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,404,274TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$173,716TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K13IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Capture RX
10100 Reunion Pl 700San AntonioTX78216340b Administration Services$269,375
Androscoggin Valley Hospital
59 Page Hill RdBerlinNH03570Rent/Physicians/OB$190,717
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Federated Campaigns$2,925FederatedCampaignsAmt
Government Grants$3,789,943GovernmentGrantsAmt
All Other Contributions$542,015AllOtherContributionsAmt
Noncash Contributions$2,056NoncashContributionsAmt
Total Contributions$4,334,883TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient Service RevenueDesc
Business621110BusinessCd
Total Revenue Column$10,829,740TotalRevenueColumnAmt
Related Or Exempt Func Income$10,829,740RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,829,740TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,026TotalRevenueColumnAmt
Exclusion$34,026ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$8,796RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$8,796RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,796TotalRevenueColumnAmt
Exclusion$8,796ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$252,129SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$251,337SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$792SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$792TotalRevenueColumnAmt
Exclusion$792ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,208,237TotalRevenueColumnAmt
Related Or Exempt Func Income$10,829,740RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$43,614ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$312,015TotalAmt
Program Services$41,855ProgramServicesAmt
Management And General$270,160ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,986,574TotalAmt
Program Services$7,198,506ProgramServicesAmt
Management And General$788,068ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$246,705TotalAmt
Program Services$224,382ProgramServicesAmt
Management And General$22,323ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,509,818TotalAmt
Program Services$1,318,766ProgramServicesAmt
Management And General$191,052ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$660,666TotalAmt
Program Services$578,942ProgramServicesAmt
Management And General$81,724ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$50,680TotalAmt
Management And General$50,680ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$92,363TotalAmt
Management And General$92,363ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,488TotalAmt
Management And General$4,488ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$277,708TotalAmt
Program Services$277,708ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$36,316TotalAmt
Program Services$31,824ProgramServicesAmt
Management And General$4,492ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$151,076TotalAmt
Program Services$132,388ProgramServicesAmt
Management And General$18,688ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$202,726TotalAmt
Program Services$177,649ProgramServicesAmt
Management And General$25,077ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$389,234TotalAmt
Program Services$341,086ProgramServicesAmt
Management And General$48,148ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$32,276TotalAmt
Program Services$28,283ProgramServicesAmt
Management And General$3,993ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$181,087TotalAmt
Program Services$158,687ProgramServicesAmt
Management And General$22,400ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$44TotalAmt
Program Services$39ProgramServicesAmt
Management And General$5ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$271,795TotalAmt
Program Services$238,174ProgramServicesAmt
Management And General$33,621ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$71,050TotalAmt
Program Services$62,261ProgramServicesAmt
Management And General$8,789ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
340B Program Expenses$1,074,646$1,074,646
Program Supplies$483,916$483,916
Other Expenses$202,078$180,121$21,957
Printing & Publications$83,507$73,177$10,330

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$156,522TotalAmt
Program Services$134,374ProgramServicesAmt
Management And General$18,969ManagementAndGeneralAmt
Fundraising$3,179FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,477,290TotalAmt
Program Services$12,756,784ProgramServicesAmt
Management And General$1,717,327ManagementAndGeneralAmt
Fundraising$3,179FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,287,120BOYAmt
EOY$1,300EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$653,985BOYAmt
EOY$7,895,371EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$490,405BOYAmt
EOY$3,298,183EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,621,203BOYAmt
EOY$1,523,938EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$83,437BOYAmt
EOY$130,096EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,863,664LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,555,696LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,372,916BOYAmt
EOY$2,307,968EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$714,036BOYAmt
EOY$739,870EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$70,695BOYAmt
EOY$88,564EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,293,797BOYAmt
EOY$15,985,290EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,103,539BOYAmt
EOY$1,451,323EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$106,500BOYAmt
EOY$3,343,652EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$1,718,500EOYAmt

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,210,039BOYAmt
EOY$7,147,282EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,979,651BOYAmt
EOY$8,734,202EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$104,107BOYAmt
EOY$103,806EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,083,758BOYAmt
EOY$8,838,008EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,293,797BOYAmt
EOY$15,985,290EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$730,947ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$21,284NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,019OtherChangesInNetAssetsAmt
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$2,915,021CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,633,495CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,437,218CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,646,015CurrentTaxYearMinus1YearAmt
Current Tax Year$4,334,883CurrentTaxYearAmt
Total$17,966,632TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,481,369CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,426,533CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,118,769CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,454,780CurrentTaxYearMinus1YearAmt
Current Tax Year$10,829,740CurrentTaxYearAmt
Total$51,311,191TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,396,390CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,060,028CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,555,987CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,100,795CurrentTaxYearMinus1YearAmt
Current Tax Year$15,164,623CurrentTaxYearAmt
Total$69,277,823TotalAmt

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$69,277,823PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,183CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,571CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,398CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,008CurrentTaxYearMinus1YearAmt
Current Tax Year$42,822CurrentTaxYearAmt
Total$102,982TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,183CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,571CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,398CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,008CurrentTaxYearMinus1YearAmt
Current Tax Year$42,822CurrentTaxYearAmt
Total$102,982TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,399,573CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,072,599CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,567,385CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,133,803CurrentTaxYearMinus1YearAmt
Current Tax Year$15,207,445CurrentTaxYearAmt
Total$69,380,805TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99850PublicSupportCY509Pct
Public Support PY5090.99900PublicSupportPY509Pct
Investment Income CY0.00150InvestmentIncomeCYPct
Investment Income PY0.00100InvestmentIncomePYPct
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$27,878BeginningYearBalanceAmt
Investment Earnings Or Losses$2,019InvestmentEarningsOrLossesAmt
End Year Balance$29,897EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,990BeginningYearBalanceAmt
Contributions$2,006ContributionsAmt
Investment Earnings Or Losses$444InvestmentEarningsOrLossesAmt
End Year Balance$25,440EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,297BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,307InvestmentEarningsOrLossesAmt
End Year Balance$22,990EndYearBalanceAmt
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$3,308,100OtherCostOrOtherBasisAmt
Depreciation$1,758,344DepreciationAmt
Book Value$1,549,756BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,402,307OtherCostOrOtherBasisAmt
Depreciation$1,797,352DepreciationAmt
Book Value$604,955BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,307,968TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescMedicare Accelerated PaymentsDesc
Amt$633,807Amt
FieldValueIRS element (for citing)
Total Liability$633,807TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,227,052TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$21,284NetUnrealizedGainsInvstAmt
Other Revenue$2,019OtherRevenueAmt
Revenue Not Reported$23,303RevenueNotReportedAmt
Revenue Subtotal$15,203,749RevenueSubtotalAmt
Investment Expenses Not Incld$4,488InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$4,488RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,208,237TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,472,802TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$14,472,802ExpensesSubtotalAmt
Investment Expenses Not Incld2$4,488InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$4,488ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,477,290TotalExpensesPerForm990Amt

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 2,019.

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
Ken Gordon
CEO$150,884$0$0$0$1,972$0$6,100$0$8,464$0$167,420$0$0$0
Michael Creppy
Physician$240,314$0$0$0$374$0$9,688$0$8,714$0$259,090$0$0$0
Samuel McCreedy
Physician$202,142$0$36,388$0$966$0$9,702$0$17,821$0$267,019$0$0$0
Brianne MC Teaboldt
Physician$234,152$0$0$0$421$0$9,616$0$27,598$0$271,787$0$0$0
Brian Beals
Physician$162,067$0$64,397$0$736$0$7,510$0$27,598$0$262,308$0$0$0
Traci L Wagner
Physician$169,305$0$19,722$0$1,533$0$6,747$0$8,464$0$205,771$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 2,019.

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