2017-04-12T15:57:04-05:00 2016-09-30 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 15th Floor Manchester NH 03101 990 2015-10-01 237305106 Lamprey Health Care Inc LAMP 6036592494 207 South Main Street Newmarket NH 03857 Greg White Chief Executive Officer 6032927214 2017-03-30 1 Dimitrios Panacopoulos P01603705 6036697337 2017-03-30 2015 2021-01-29 14:40:06Z Gregory White 207 South Main Street Newmarket NH 03857 15072118 0 X www.lampreyhealth.org X 1971 NH The LHC mission is the provision of primary health care services to our communities. 12 12 187 12 0 0 4240528 5670737 9100224 9370915 1056 15704 0 3955 13341808 15061311 0 0 0 0 9417792 10666273 0 0 72 3228458 3640082 12646250 14306355 695558 754956 11029386 11438129 2791800 2452649 8237586 8985480 X The 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. 0 0 12760585 14039803 To provide medical, dental, health, behavioral health, transportation and referral related services to all members of the community regardless of ability to pay. 428276 420006 To 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. 380353 357712 To 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. 221140 224131 To provide access to transportation services for the elderly and vulnerable populations of Rockingham Country and the Seacoast area of New Hampshire. 221140 224131 13790354 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 61 0 1 187 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NH X Evalie M Crosby CPA FHFMA 6032927215 207 South Main Street Newmarket NH 03857 Audrey Ashton-Savage President 1.00 X X 0 0 0 Carol LaCross Treasurer 1.00 X X 0 0 0 Janis Reams Secretary 1.00 X X 0 0 0 Elizabeth Crepeau Board Member 1.00 X 0 0 0 Thomas Chris Drew Board Member 1.00 X 0 0 0 Raymond Goodman III Board Member 1.00 X 0 0 0 Frank Goodspeed Vice President 1.00 X X 0 0 0 Mark E Howard Esq Board Member 1.00 X 0 0 0 Amanda Pears Kelly Board Member 1.00 X 0 0 0 Allan Knight Board Member 1.00 X 0 0 0 Arvind Ranade Board Member 1.00 X 0 0 0 Heather Long Board Member 1.00 X 0 0 0 Sandra Pardus CFO 35.00 1.00 X 108616 0 11174 Gregory White CEO 40.00 1.00 X 157462 0 24902 Sirona Pruna Physician 40.00 X 297651 0 29391 Paul Friedrichs Physician 35.00 X 185876 0 38152 Vasuki Nagaraj Physician 40.00 X 249858 0 10941 Ana Goubert Physician 35.00 X 168547 0 1457 Jeremy James Physician 25.00 X 182783 0 34804 1350793 0 150821 14 0 1 0 Community Health Access Network 207 S Main Street Newmarket NH 03857 Technology Services 287628 Partners for Womens Health 3 Alumni Drive Suite 302 Exeter NH 03833 Physician Services 136800 2 2832 5053338 614567 5670737 Health Care 621110 8363870 8363870 Other Operating Rev. 621110 1007045 1007045 9370915 15704 15704 14762 10807 3955 3955 15061311 9370915 0 19659 302154 302154 8676528 8672728 3800 972183 942844 29339 715408 693818 21590 19924 19924 47977 47977 706429 685110 21319 41397 40148 1249 99397 96397 3000 451426 437802 13624 640927 621585 19342 85429 82851 2578 148816 144325 4491 64999 63037 1962 259514 251682 7832 136597 132475 4122 Program Supplies 551954 551954 Other Expenses 163711 158770 4941 Printing & Publications 114109 110665 3444 Telephone 77068 74742 2326 30408 29421 915 72 14306355 13790354 515929 72 1812429 752675 503762 292264 1051734 1078036 102762 91072 10048229 4112165 5625714 5936064 500 16204 1932485 3271814 11029386 11438129 1336397 1043496 1455403 1409153 2791800 2452649 X 7785788 8503724 451798 481756 8237586 8985480 11029386 11438129 X 754956 -7062 X 0 1 X 1 1 1 X 4516339 4002901 4102931 4240528 5670737 22533436 7718361 8870431 8026337 9100224 9370915 43086268 12234700 12873332 12129268 13340752 15041652 65619704 0 0 0 65619704 1593 1746 650 1056 15704 20749 1593 1746 650 1056 15704 20749 14762 14762 12236293 12875078 12129918 13341808 15072118 65655215 0.99950 0.99990 0.00030 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 909237 909237 6642496 2611308 4031188 2496496 1500857 995639 5936064 Assets Limited as to Use 3271814 3271814 X Part X, Line 2: Lamprey 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. X X X X X X 0 0 0 0 0 0 0 1 0 Gregory White CEO 157462 0 0 0 0 0 0 0 24902 0 182364 0 0 0 Sirona Pruna Physician 272316 0 25335 0 0 0 12583 0 16808 0 327042 0 0 0 Paul Friedrichs Physician 173729 0 12147 0 0 0 13250 0 24902 0 224028 0 0 0 Vasuki Nagaraj Physician 189673 0 60185 0 0 0 9484 0 1457 0 260799 0 0 0 Ana Goubert Physician 160284 0 8263 0 0 0 0 0 1457 0 170004 0 0 0 Jeremy James Physician 141454 0 41329 0 0 0 9902 0 24902 0 217587 0 0 0 Part I, Line 7 Physicians 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. Form 990, Part VI, Section B, line 11 The 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 12c Annually, 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 15 On 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 19 The 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. Friends of Lamprey Health Care Inc 207 South Main Street Newmarket NH 03857 020348630 Support Lamprey Health Care, Inc. NH 501(c)(3) 509(a)(3) Type III Lamprey Health Care Inc 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 Friends of Lamprey Health Care Inc K 227916 FMV