LAMPREY HEALTH CARE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LAMPREY HEALTH CARE INC (EIN 23-7305106)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-04-12
IRS object ID
201721029349301002
Schema version
2015v3.0
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)
Return2017-04-12T15:57:04-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

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 15th FloorAddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237305106EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lamprey Health Care IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAMPBusinessNameControlTxt
Phone6036592494PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 South Main StreetAddressLine1Txt
CityNewmarketCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03857ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGreg WhitePersonNm
Person TitleChief Executive OfficerPersonTitleTxt
Phone6032927214PhoneNum
Signature2017-03-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDimitrios PanacopoulosPreparerPersonNm
PTINP01603705PTIN
Phone6036697337PhoneNum
Preparation2017-03-30PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGregory WhitePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 South Main StreetAddressLine1Txt
CityNewmarketCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03857ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,072,118GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.lampreyhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionThe LHC mission is the provision of primary health care services to our communities.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee187TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,240,528PYContributionsGrantsAmt
CY Contributions Grants$5,670,737CYContributionsGrantsAmt
PY Program Service Revenue$9,100,224PYProgramServiceRevenueAmt
CY Program Service Revenue$9,370,915CYProgramServiceRevenueAmt
PY Investment Income$1,056PYInvestmentIncomeAmt
CY Investment Income$15,704CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$3,955CYOtherRevenueAmt
PY Total Revenue$13,341,808PYTotalRevenueAmt
CY Total Revenue$15,061,311CYTotalRevenueAmt
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$9,417,792PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,666,273CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$72CYTotalFundraisingExpenseAmt
PY Other Expenses$3,228,458PYOtherExpensesAmt
CY Other Expenses$3,640,082CYOtherExpensesAmt
PY Total Expenses$12,646,250PYTotalExpensesAmt
CY Total Expenses$14,306,355CYTotalExpensesAmt
PY Revenues Less Expenses$695,558PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$754,956CYRevenuesLessExpensesAmt
Total Assets BOY$11,029,386TotalAssetsBOYAmt
Total Assets EOY$11,438,129TotalAssetsEOYAmt
Total Liabilities BOY$2,791,800TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,452,649TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,237,586NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,985,480NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of Lamprey Health Care, Inc. is to provide high quality medical care and health related services to our communities regardless of the patients ability to pay.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$12,760,585ExpenseAmt
Revenue$14,039,803RevenueAmt
DescTo provide medical, dental, health, behavioral health, transportation and referral related services to all members of the community regardless of ability to pay.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$428,276ExpenseAmt
Revenue$420,006RevenueAmt
DescTo provide through, AHEC, the Southern New Hampshire Area Health Education Center, training and development opportunities for the Health Care workforce including, but not limited to, Medical Assistants, Nurses, Interpreters, Nurse Practitioners, and Community Health Workers. To support in the collection and analysis of survey data to further health quality initiatives.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$380,353ExpenseAmt
Revenue$357,712RevenueAmt
DescTo provide through, SPHN, the Seacoast area Public Health Network, emergency preparedness services as well as training and education opportunities in conjunction with other health care providers, the State of New Hampshire public health department, and other partners.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$221,140ExpenseAmt
Revenue$224,131RevenueAmt
DescTo provide access to transportation services for the elderly and vulnerable populations of Rockingham Country and the Seacoast area of New Hampshire.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$221,140TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$224,131TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$13,790,354TotalProgramServiceExpensesAmt
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 Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document61IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee187EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonEvalie M Crosby CPA FHFMAPersonNm
Phone6032927215PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 South Main StreetAddressLine1Txt
CityNewmarketCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03857ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Audrey Ashton-Savage
President1.00Yes (X)Yes (X)$0$0$0
Carol LaCross
Treasurer1.00Yes (X)Yes (X)$0$0$0
Janis Reams
Secretary1.00Yes (X)Yes (X)$0$0$0
Elizabeth Crepeau
Board Member1.00Yes (X)$0$0$0
Thomas Chris Drew
Board Member1.00Yes (X)$0$0$0
Raymond Goodman III
Board Member1.00Yes (X)$0$0$0
Frank Goodspeed
Vice President1.00Yes (X)Yes (X)$0$0$0
Mark E Howard Esq
Board Member1.00Yes (X)$0$0$0
Amanda Pears Kelly
Board Member1.00Yes (X)$0$0$0
Allan Knight
Board Member1.00Yes (X)$0$0$0
Arvind Ranade
Board Member1.00Yes (X)$0$0$0
Heather Long
Board Member1.00Yes (X)$0$0$0
Sandra Pardus
CFO35.00Yes (X)$108,616$0$11,1741.00
Gregory White
CEO40.00Yes (X)$157,462$0$24,9021.00
Sirona Pruna
Physician40.00$297,651$0$29,391Yes (X)
Paul Friedrichs
Physician35.00$185,876$0$38,152Yes (X)
Vasuki Nagaraj
Physician40.00$249,858$0$10,941Yes (X)
Ana Goubert
Physician35.00$168,547$0$1,457Yes (X)
Jeremy James
Physician25.00$182,783$0$34,804Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,350,793TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$150,821TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
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
Community Health Access Network
207 S Main StreetNewmarketNH03857Technology Services$287,628
Partners for Womens Health
3 Alumni Drive Suite 302ExeterNH03833Physician Services$136,800
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Federated Campaigns$2,832FederatedCampaignsAmt
Government Grants$5,053,338GovernmentGrantsAmt
All Other Contributions$614,567AllOtherContributionsAmt
Total Contributions$5,670,737TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Health Care621110$8,363,870$8,363,870
Other Operating Rev.621110$1,007,045$1,007,045
FieldValueIRS element (for citing)
Total Program Service Revenue$9,370,915TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,704TotalRevenueColumnAmt
Exclusion$15,704ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$14,762FundraisingGrossIncomeAmt
Fundraising Direct Expenses$10,807FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,955TotalRevenueColumnAmt
Exclusion$3,955ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,061,311TotalRevenueColumnAmt
Related Or Exempt Func Income$9,370,915RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$19,659ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$302,154TotalAmt
Management And General$302,154ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,676,528TotalAmt
Program Services$8,672,728ProgramServicesAmt
Management And General$3,800ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$972,183TotalAmt
Program Services$942,844ProgramServicesAmt
Management And General$29,339ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$715,408TotalAmt
Program Services$693,818ProgramServicesAmt
Management And General$21,590ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$19,924TotalAmt
Management And General$19,924ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$47,977TotalAmt
Management And General$47,977ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$706,429TotalAmt
Program Services$685,110ProgramServicesAmt
Management And General$21,319ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$41,397TotalAmt
Program Services$40,148ProgramServicesAmt
Management And General$1,249ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$99,397TotalAmt
Program Services$96,397ProgramServicesAmt
Management And General$3,000ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$451,426TotalAmt
Program Services$437,802ProgramServicesAmt
Management And General$13,624ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$640,927TotalAmt
Program Services$621,585ProgramServicesAmt
Management And General$19,342ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$85,429TotalAmt
Program Services$82,851ProgramServicesAmt
Management And General$2,578ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$148,816TotalAmt
Program Services$144,325ProgramServicesAmt
Management And General$4,491ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$64,999TotalAmt
Program Services$63,037ProgramServicesAmt
Management And General$1,962ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$259,514TotalAmt
Program Services$251,682ProgramServicesAmt
Management And General$7,832ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$136,597TotalAmt
Program Services$132,475ProgramServicesAmt
Management And General$4,122ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Program Supplies$551,954$551,954
Other Expenses$163,711$158,770$4,941
Printing & Publications$114,109$110,665$3,444
Telephone$77,068$74,742$2,326

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$30,408TotalAmt
Program Services$29,421ProgramServicesAmt
Management And General$915ManagementAndGeneralAmt
Fundraising$72FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,306,355TotalAmt
Program Services$13,790,354ProgramServicesAmt
Management And General$515,929ManagementAndGeneralAmt
Fundraising$72FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,812,429BOYAmt
EOY$752,675EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$503,762BOYAmt
EOY$292,264EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,051,734BOYAmt
EOY$1,078,036EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$102,762BOYAmt
EOY$91,072EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,048,229LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,112,165LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,625,714BOYAmt
EOY$5,936,064EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$500BOYAmt
EOY$16,204EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,932,485BOYAmt
EOY$3,271,814EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,029,386BOYAmt
EOY$11,438,129EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,336,397BOYAmt
EOY$1,043,496EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,455,403BOYAmt
EOY$1,409,153EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,791,800BOYAmt
EOY$2,452,649EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,785,788BOYAmt
EOY$8,503,724EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$451,798BOYAmt
EOY$481,756EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,237,586BOYAmt
EOY$8,985,480EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,029,386BOYAmt
EOY$11,438,129EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$754,956ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$7,062OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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$4,516,339CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,002,901CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,102,931CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,240,528CurrentTaxYearMinus1YearAmt
Current Tax Year$5,670,737CurrentTaxYearAmt
Total$22,533,436TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,718,361CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,870,431CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,026,337CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,100,224CurrentTaxYearMinus1YearAmt
Current Tax Year$9,370,915CurrentTaxYearAmt
Total$43,086,268TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,234,700CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,873,332CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,129,268CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,340,752CurrentTaxYearMinus1YearAmt
Current Tax Year$15,041,652CurrentTaxYearAmt
Total$65,619,704TotalAmt

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$65,619,704PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,593CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,746CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$650CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,056CurrentTaxYearMinus1YearAmt
Current Tax Year$15,704CurrentTaxYearAmt
Total$20,749TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,593CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,746CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$650CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,056CurrentTaxYearMinus1YearAmt
Current Tax Year$15,704CurrentTaxYearAmt
Total$20,749TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$14,762CurrentTaxYearAmt
Total$14,762TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,236,293CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,875,078CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,129,918CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,341,808CurrentTaxYearMinus1YearAmt
Current Tax Year$15,072,118CurrentTaxYearAmt
Total$65,655,215TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99950PublicSupportCY509Pct
Public Support PY5090.99990PublicSupportPY509Pct
Investment Income CY0.00030InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$909,237OtherCostOrOtherBasisAmt
Book Value$909,237BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,642,496OtherCostOrOtherBasisAmt
Depreciation$2,611,308DepreciationAmt
Book Value$4,031,188BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,496,496OtherCostOrOtherBasisAmt
Depreciation$1,500,857DepreciationAmt
Book Value$995,639BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,936,064TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescAssets Limited as to UseDesc
Book Value$3,271,814BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,271,814TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationLamprey Health Care 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 organizations tax position and concluded that there is no unrelated business income or uncertain tax positions that require adjustment to the financial statements.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
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
Gregory White
CEO$157,462$0$0$0$0$0$0$0$24,902$0$182,364$0$0$0
Sirona Pruna
Physician$272,316$0$25,335$0$0$0$12,583$0$16,808$0$327,042$0$0$0
Paul Friedrichs
Physician$173,729$0$12,147$0$0$0$13,250$0$24,902$0$224,028$0$0$0
Vasuki Nagaraj
Physician$189,673$0$60,185$0$0$0$9,484$0$1,457$0$260,799$0$0$0
Ana Goubert
Physician$160,284$0$8,263$0$0$0$0$0$1,457$0$170,004$0$0$0
Jeremy James
Physician$141,454$0$41,329$0$0$0$9,902$0$24,902$0$217,587$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 satisfaction, quality of care provided, and call coverage responsibilities.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11The 990 will be reviewed by the CEO and CFO. The Finance Committee will review and approve the 990 on behalf of the full Board prior to filing.
Form 990, Part VI, Section B, line 12cAnnually, all members of the board of directors sign a conflict of interest form, on which they disclose any conflicts of interest. Board members will abstain from any votes related to a conflict.
Form 990, Part VI, Section B, line 15On a periodic basis the Board of Directors engages an independent third party to conduct a review of CEO compensation. In between, the National Association of Community Health Centers (NACHC) Benefits and Compensation survey results are used. The NACHC study is also used for other key employees, as well as other local studies (including the Medical Group Management Association (MGMA) salary survey), as they are available.
Form 990, Part VI, Section C, line 19The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part XI, line 9:Change in fair value of financial instrument -7,062.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Friends of Lamprey Health Care IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 South Main StreetAddressLine1Txt
CityNewmarketCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03857ZIPCd
FieldValueIRS element (for citing)
EIN020348630EIN
Primary ActivitiesSupport Lamprey Health Care, Inc.PrimaryActivitiesTxt
Legal Domicile StateNHLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status509(a)(3) Type IIIPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Lamprey Health Care IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Friends of Lamprey Health Care IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeKTransactionTypeTxt
Involved$227,916InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

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