COOS COUNTY FAMILY HEALTH SERVICES INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
COOS COUNTY FAMILY HEALTH SERVICES INC (EIN 02-0350051)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-03-03
IRS object ID
202030639349301403
Schema version
2018v3.1
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)
Return2020-03-03T14:01:22-06:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

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 Begin2018-07-01TaxPeriodBeginDt

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
Signature2020-02-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMelissa Magoon CPAPreparerPersonNm
PTINP01712842PTIN
Phone6036697337PhoneNum
Preparation2020-02-21PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.49.157.66IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-02-21IPDt
IP Tm09:59:46IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id8B04EC08AF02322EA9ED1307B74D8AF8BDCA5114AtSubmissionCreationDeviceId
At Submission Filing Device IdE86B87CE19A618452E7D988FD4F1BB89485416DAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

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$15,139,148GrossReceiptsAmt
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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee154TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,437,218PYContributionsGrantsAmt
CY Contributions Grants$3,651,360CYContributionsGrantsAmt
PY Program Service Revenue$10,118,769PYProgramServiceRevenueAmt
CY Program Service Revenue$11,454,780CYProgramServiceRevenueAmt
PY Investment Income$3,586PYInvestmentIncomeAmt
CY Investment Income$24,704CYInvestmentIncomeAmt
PY Other Revenue$7,812PYOtherRevenueAmt
CY Other Revenue$8,304CYOtherRevenueAmt
PY Total Revenue$13,567,385PYTotalRevenueAmt
CY Total Revenue$15,139,148CYTotalRevenueAmt
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$9,259,273PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,759,994CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,175CYTotalFundraisingExpenseAmt
PY Other Expenses$3,605,636PYOtherExpensesAmt
CY Other Expenses$3,921,612CYOtherExpensesAmt
PY Total Expenses$12,864,909PYTotalExpensesAmt
CY Total Expenses$13,681,606CYTotalExpensesAmt
PY Revenues Less Expenses$702,476PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,457,542CYRevenuesLessExpensesAmt
Total Assets BOY$7,698,350TotalAssetsBOYAmt
Total Assets EOY$9,293,797TotalAssetsEOYAmt
Total Liabilities BOY$1,078,639TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,210,039TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,619,711NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,083,758NetAssetsOrFundBalancesEOYAmt
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$12,151,495ExpenseAmt
Revenue$11,454,780RevenueAmt
DescProvision of primary care services to the community.Desc
Total Program Service Expenses$12,151,495TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document32IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee154EmployeeCnt
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Aline Boucher
Treasurer1.00Yes (X)Yes (X)$0$0$0
Andrea Brochu
Past Board Member1.00Yes (X)$0$0$0
Claudette Morneau
Board Member1.00Yes (X)$0$0$0
Cynthia Desmond
Board Member1.00Yes (X)$0$0$0
David Morin
Board Member1.00Yes (X)$0$0$0
Dawn Cross
Past Vice President1.00Yes (X)$0$0$0
H Guyford Stever Jr
President1.00Yes (X)Yes (X)$0$0$0
Kassie Eafrati
Board Member1.00Yes (X)$0$0$0
Marge McClellan
Board Member1.00Yes (X)$0$0$0
Melanie Maynor Esq
Board Member1.00Yes (X)$0$0$0
Patti Stolte
Vice President1.00Yes (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
Robert Thompson
Board Member1.00Yes (X)$0$0$0
Roland Olivier
Board Member1.00Yes (X)$0$0$0
Timothy Beaulac
Past Board Member1.00Yes (X)$0$0$0
Ken Gordon
CEO40.00Yes (X)$146,787$0$10,549
Melissa Frenette
CFO40.00Yes (X)$111,518$0$24,105
Brian Beals
Physician40.00$200,144$0$34,027Yes (X)
Elaine Chappell
Physician32.00$143,447$0$5,738Yes (X)
Michael Creppy
Physician40.00$242,562$0$17,930Yes (X)
Samuel McCreedy
Physician40.00$234,409$0$27,121Yes (X)
Thomas Temme
Physician32.00$121,170$0$21,406Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,200,037TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$140,876TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
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
Androscoggin Valley Hospital
59 Page Hill RdBerlinNH03570Rent/Physicians/OB$254,537
Capture RX
10100 Reunion Pl 700San AntonioTX78216340b Administration Services$194,991
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Federated Campaigns$4,000FederatedCampaignsAmt
Government Grants$3,047,580GovernmentGrantsAmt
All Other Contributions$599,780AllOtherContributionsAmt
Noncash Contributions$5,345NoncashContributionsAmt
Total Contributions$3,651,360TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient Service RevenueDesc
Business621110BusinessCd
Total Revenue Column$11,454,780TotalRevenueColumnAmt
Related Or Exempt Func Income$11,454,780RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$11,454,780TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,704TotalRevenueColumnAmt
Exclusion$24,704ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$8,304RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$8,304RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,304TotalRevenueColumnAmt
Exclusion$8,304ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,139,148TotalRevenueColumnAmt
Related Or Exempt Func Income$11,454,780RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$33,008ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$292,959TotalAmt
Program Services$39,335ProgramServicesAmt
Management And General$253,624ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,262,820TotalAmt
Program Services$6,546,442ProgramServicesAmt
Management And General$716,378ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$211,448TotalAmt
Program Services$183,602ProgramServicesAmt
Management And General$27,846ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,391,077TotalAmt
Program Services$1,230,495ProgramServicesAmt
Management And General$160,582ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$601,690TotalAmt
Program Services$526,659ProgramServicesAmt
Management And General$75,031ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$27,042TotalAmt
Management And General$27,042ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$47,312TotalAmt
Management And General$47,312ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$424,356TotalAmt
Program Services$424,356ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$30,282TotalAmt
Program Services$26,506ProgramServicesAmt
Management And General$3,776ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$173,766TotalAmt
Program Services$152,097ProgramServicesAmt
Management And General$21,669ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$188,702TotalAmt
Program Services$165,171ProgramServicesAmt
Management And General$23,531ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$400,850TotalAmt
Program Services$350,904ProgramServicesAmt
Management And General$49,946ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$39,503TotalAmt
Program Services$34,577ProgramServicesAmt
Management And General$4,926ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$168,260TotalAmt
Program Services$147,278ProgramServicesAmt
Management And General$20,982ManagementAndGeneralAmt

Interest InterestGrp

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

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$263,186TotalAmt
Program Services$230,393ProgramServicesAmt
Management And General$32,793ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$77,909TotalAmt
Program Services$68,194ProgramServicesAmt
Management And General$9,715ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
340B Program Expenses$1,174,469$1,174,469
Program Supplies$488,057$488,057
Other Expenses$178,571$157,114$21,457
Printing & Publications$95,772$83,829$11,943

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$143,531TotalAmt
Program Services$121,978ProgramServicesAmt
Management And General$17,378ManagementAndGeneralAmt
Fundraising$4,175FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,681,606TotalAmt
Program Services$12,151,495ProgramServicesAmt
Management And General$1,525,936ManagementAndGeneralAmt
Fundraising$4,175FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,973,813BOYAmt
EOY$3,287,120EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$653,985EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$272,269BOYAmt
EOY$490,405EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,664,499BOYAmt
EOY$1,621,203EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$80,577BOYAmt
EOY$83,437EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,811,513LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,438,597LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,273,388BOYAmt
EOY$2,372,916EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$750,000BOYAmt
EOY$714,036EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$683,804BOYAmt
EOY$70,695EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,698,350BOYAmt
EOY$9,293,797EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,047,139BOYAmt
EOY$1,103,539EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$31,500BOYAmt
EOY$106,500EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,078,639BOYAmt
EOY$1,210,039EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,496,643BOYAmt
EOY$7,979,651EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$94,880BOYAmt
EOY$76,229EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,188BOYAmt
EOY$27,878EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,619,711BOYAmt
EOY$8,083,758EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,698,350BOYAmt
EOY$9,293,797EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,457,542ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,890NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,385OtherChangesInNetAssetsAmt
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$2,846,003CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,915,021CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,633,495CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,437,218CurrentTaxYearMinus1YearAmt
Current Tax Year$3,646,015CurrentTaxYearAmt
Total$16,477,752TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,248,232CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,481,369CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,426,533CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,118,769CurrentTaxYearMinus1YearAmt
Current Tax Year$11,454,780CurrentTaxYearAmt
Total$48,729,683TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,094,235CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,396,390CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,060,028CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,555,987CurrentTaxYearMinus1YearAmt
Current Tax Year$15,100,795CurrentTaxYearAmt
Total$65,207,435TotalAmt

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$65,207,435PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,061CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,183CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,571CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,398CurrentTaxYearMinus1YearAmt
Current Tax Year$33,008CurrentTaxYearAmt
Total$63,221TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,061CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,183CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,571CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,398CurrentTaxYearMinus1YearAmt
Current Tax Year$33,008CurrentTaxYearAmt
Total$63,221TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,097,296CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,399,573CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,072,599CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,567,385CurrentTaxYearMinus1YearAmt
Current Tax Year$15,133,803CurrentTaxYearAmt
Total$65,270,656TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99900PublicSupportCY509Pct
Public Support PY5090.99940PublicSupportPY509Pct
Investment Income CY0.00100InvestmentIncomeCYPct
Investment Income PY0.00060InvestmentIncomePYPct
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$28,188BeginningYearBalanceAmt
Contributions$1,075ContributionsAmt
Investment Earnings Or Losses-$1,385InvestmentEarningsOrLossesAmt
End Year Balance$27,878EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,297BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,307InvestmentEarningsOrLossesAmt
End Year Balance$22,990EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$23,930BeginningYearBalanceAmt
Contributions$125ContributionsAmt
Investment Earnings Or Losses$1,066InvestmentEarningsOrLossesAmt
Other Expenditures$824OtherExpendituresAmt
End Year Balance$24,297EndYearBalanceAmt
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$3,257,829OtherCostOrOtherBasisAmt
Depreciation$1,643,448DepreciationAmt
Book Value$1,614,381BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,400,427OtherCostOrOtherBasisAmt
Depreciation$1,795,149DepreciationAmt
Book Value$605,278BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,372,916TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescCorporate bonds and Government SecuritiesDesc
Book Value$714,036BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$714,036TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,145,653TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$7,890NetUnrealizedGainsInvstAmt
Revenue Not Reported$7,890RevenueNotReportedAmt
Revenue Subtotal$15,137,763RevenueSubtotalAmt
Other Revenues Not Included$1,385OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,385RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,139,148TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,681,606TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,681,606ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,681,606TotalExpensesPerForm990Amt

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 4b - Other Adjustments:Change in Fair Market Value in Beneficial Interest 1,385.

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 (4 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$145,009$0$0$0$1,778$0$5,910$0$4,639$0$157,336$0$0$0
Brian Beals
Physician$158,422$0$41,013$0$709$0$8,060$0$25,967$0$234,171$0$0$0
Michael Creppy
Physician$240,301$0$1,925$0$336$0$9,775$0$8,155$0$260,492$0$0$0
Samuel McCreedy
Physician$233,443$0$0$0$966$0$9,539$0$17,582$0$261,530$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 -1,385.

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