COOS COUNTY FAMILY HEALTH SERVICES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
COOS COUNTY FAMILY HEALTH SERVICES INC (EIN 02-0350051)
Tax period
2016-07-01 to 2017-06-30
Filed
2017-11-14
IRS object ID
201723189349310187
Schema version
2016v3.0
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)
Return2017-11-14T16:20:05-06:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

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 15th FloorAddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

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)
PersonJoan MerrillPersonNm
Person TitleBoard PresidentPersonTitleTxt
Phone6037527719PhoneNum
Signature2017-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDimitrios Panacopoulos CPAPreparerPersonNm
PTINP01603705PTIN
Phone6036697337PhoneNum
Preparation2017-11-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.49.157.66IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-10IPDt
IP Tm15:32:06IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA008E2FD9533E1BBB31C63A12AF0D0E643CE99E5AtSubmissionCreationDeviceId
At Submission Filing Device Id2F6A6628984E28F532C67895704E4F1F38634DDAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
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$13,072,599GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.coosfamilyhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or 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, regrdless of economic status.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee146TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,915,021PYContributionsGrantsAmt
CY Contributions Grants$3,633,495CYContributionsGrantsAmt
PY Program Service Revenue$9,481,369PYProgramServiceRevenueAmt
CY Program Service Revenue$9,426,533CYProgramServiceRevenueAmt
PY Investment Income$3,183PYInvestmentIncomeAmt
CY Investment Income$4,267CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$8,304CYOtherRevenueAmt
PY Total Revenue$12,399,573PYTotalRevenueAmt
CY Total Revenue$13,072,599CYTotalRevenueAmt
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$7,878,140PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,782,282CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,185CYTotalFundraisingExpenseAmt
PY Other Expenses$3,206,812PYOtherExpensesAmt
CY Other Expenses$3,562,530CYOtherExpensesAmt
PY Total Expenses$11,084,952PYTotalExpensesAmt
CY Total Expenses$12,344,812CYTotalExpensesAmt
PY Revenues Less Expenses$1,314,621PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$727,787CYRevenuesLessExpensesAmt
Total Assets BOY$6,878,015TotalAssetsBOYAmt
Total Assets EOY$7,322,352TotalAssetsEOYAmt
Total Liabilities BOY$1,690,395TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,406,945TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,187,620NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,915,407NetAssetsOrFundBalancesEOYAmt
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$10,807,363ExpenseAmt
Revenue$9,426,533RevenueAmt
DescProvision of primary care services to the community.Desc
Total Program Service Expenses$10,807,363TotalProgramServiceExpensesAmt
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
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 Document33IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee146EmployeeCnt
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 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
Other WebsiteYes (X)OtherWebsiteInd
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 (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Robert Pelchat
Imm. Past President1.00Yes (X)Yes (X)$0$0$0
Joan Merrill
President1.00Yes (X)Yes (X)$0$0$0
Aline Boucher
Board Member1.00Yes (X)$0$0$0
Marge McClellan
Board Member1.00Yes (X)$0$0$0
H Guyford Stever Jr
Vice President1.00Yes (X)Yes (X)$0$0$0
Andrea Brochu
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
Robert Thompson
Board Member1.00Yes (X)$0$0$0
Dawn Cross
Treasurer1.00Yes (X)Yes (X)$0$0$0
Timothy Beaulac
Board Member1.00Yes (X)$0$0$0
Patti Stolte
Board Member1.00Yes (X)$0$0$0
Pauline Tibbetts
Secretary1.00Yes (X)Yes (X)$0$0$0
Melissa Frenette
CFO40.00Yes (X)$99,812$0$23,744
Ken Gordon
CEO40.00Yes (X)$132,614$0$15,554
Brian Beals
Physician38.00$222,537$0$36,622Yes (X)
Thomas Temme
Physician30.00$126,816$0$34,062Yes (X)
Elaine Chappell
Physician32.00$126,860$0$6,871Yes (X)
Josee Bourbeau MD
Physician30.00$155,158$0$34,532Yes (X)
Patricia Couture
COO40.00$111,697$0$6,520Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$975,494TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$157,905TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
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$215,401
Capture RX
10100 Reunion Pl 700San AntonioTX78216340b Administration Services$207,782
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Federated Campaigns$3,784FederatedCampaignsAmt
Government Grants$2,700,151GovernmentGrantsAmt
All Other Contributions$929,560AllOtherContributionsAmt
Total Contributions$3,633,495TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient Service RevenueDesc
Business621110BusinessCd
Total Revenue Column$9,426,533TotalRevenueColumnAmt
Related Or Exempt Func Income$9,426,533RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,426,533TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,267TotalRevenueColumnAmt
Exclusion$4,267ExclusionAmt

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
Related Or Exempt Func Income$8,304RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,072,599TotalRevenueColumnAmt
Related Or Exempt Func Income$9,434,837RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,267ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$526,403TotalAmt
Program Services$279,900ProgramServicesAmt
Management And General$246,503ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,221,390TotalAmt
Program Services$5,599,251ProgramServicesAmt
Management And General$622,139ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$182,073TotalAmt
Program Services$159,405ProgramServicesAmt
Management And General$22,668ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,317,471TotalAmt
Program Services$1,153,446ProgramServicesAmt
Management And General$164,025ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$534,945TotalAmt
Program Services$468,344ProgramServicesAmt
Management And General$66,601ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$35,440TotalAmt
Management And General$35,440ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$49,350TotalAmt
Management And General$49,350ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$767,385TotalAmt
Program Services$767,385ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$36,370TotalAmt
Management And General$36,370ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$130,601TotalAmt
Program Services$114,341ProgramServicesAmt
Management And General$16,260ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$151,962TotalAmt
Program Services$151,962ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$375,461TotalAmt
Program Services$328,716ProgramServicesAmt
Management And General$46,745ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$29,259TotalAmt
Program Services$25,616ProgramServicesAmt
Management And General$3,643ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$142,496TotalAmt
Management And General$142,496ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$13,635TotalAmt
Program Services$11,937ProgramServicesAmt
Management And General$1,698ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$258,710TotalAmt
Program Services$226,501ProgramServicesAmt
Management And General$32,209ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$64,499TotalAmt
Program Services$56,469ProgramServicesAmt
Management And General$8,030ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Program Supplies$1,175,164$1,175,164
Other Expenses$121,991$106,803$15,188
Printing & Publications$73,694$64,519$9,175
Telephone$72,843$63,774$9,069

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$63,670TotalAmt
Program Services$53,830ProgramServicesAmt
Management And General$7,655ManagementAndGeneralAmt
Fundraising$2,185FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,344,812TotalAmt
Program Services$10,807,363ProgramServicesAmt
Management And General$1,535,264ManagementAndGeneralAmt
Fundraising$2,185FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,777,082BOYAmt
EOY$2,367,938EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$671,106BOYAmt
EOY$226,011EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,308,326BOYAmt
EOY$1,542,290EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$76,676BOYAmt
EOY$87,916EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,385,662LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,020,232LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,340,309BOYAmt
EOY$2,365,430EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$704,516BOYAmt
EOY$732,767EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,878,015BOYAmt
EOY$7,322,352EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,034,972BOYAmt
EOY$1,105,468EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$655,423BOYAmt
EOY$301,477EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,690,395BOYAmt
EOY$1,406,945EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,079,949BOYAmt
EOY$5,757,854EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$84,681BOYAmt
EOY$132,113EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,990BOYAmt
EOY$25,440EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,187,620BOYAmt
EOY$5,915,407EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,878,015BOYAmt
EOY$7,322,352EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$727,787ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$2,761,749CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,305,345CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,846,003CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,915,021CurrentTaxYearMinus1YearAmt
Current Tax Year$3,633,495CurrentTaxYearAmt
Total$15,461,613TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,014,105CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,773,326CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,248,232CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,481,369CurrentTaxYearMinus1YearAmt
Current Tax Year$9,426,533CurrentTaxYearAmt
Total$40,943,565TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,775,854CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,078,671CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,094,235CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,396,390CurrentTaxYearMinus1YearAmt
Current Tax Year$13,060,028CurrentTaxYearAmt
Total$56,405,178TotalAmt

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$56,405,178PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,664CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,707CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,061CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,183CurrentTaxYearMinus1YearAmt
Current Tax Year$12,571CurrentTaxYearAmt
Total$27,186TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,664CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,707CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,061CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,183CurrentTaxYearMinus1YearAmt
Current Tax Year$12,571CurrentTaxYearAmt
Total$27,186TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,779,518CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,083,378CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,097,296CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,399,573CurrentTaxYearMinus1YearAmt
Current Tax Year$13,072,599CurrentTaxYearAmt
Total$56,432,364TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99950PublicSupportCY509Pct
Public Support PY5090.99960PublicSupportPY509Pct
Investment Income CY0.00050InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
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$22,990BeginningYearBalanceAmt
Contributions$2,006ContributionsAmt
Investment Earnings Or Losses$444InvestmentEarningsOrLossesAmt
End Year Balance$25,440EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,026BeginningYearBalanceAmt
Contributions$1,267ContributionsAmt
Investment Earnings Or Losses$1,699InvestmentEarningsOrLossesAmt
Other Expenditures$1,062OtherExpendituresAmt
End Year Balance$23,930EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,107BeginningYearBalanceAmt
Contributions$2,113ContributionsAmt
Investment Earnings Or Losses$806InvestmentEarningsOrLossesAmt
End Year Balance$22,026EndYearBalanceAmt
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$3,233,370OtherCostOrOtherBasisAmt
Depreciation$1,403,576DepreciationAmt
Book Value$1,829,794BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,999,035OtherCostOrOtherBasisAmt
Depreciation$1,616,656DepreciationAmt
Book Value$382,379BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,365,430TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Due from Third Party Payers$55,000
Assets Limited as to Use$658,415
Beneficial Interest in Perpetual Trust Held by Others$19,352
FieldValueIRS element (for citing)
Total Book Value Other Assets$732,767TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,069,152TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts-$3,447DonatedServicesAndUseFcltsAmt
Revenue Not Reported-$3,447RevenueNotReportedAmt
Revenue Subtotal$13,072,599RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,072,599TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,341,365TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts-$3,447DonatedServicesUseFcltsAmt
Expenses Not Reported-$3,447ExpensesNotReportedAmt
Expenses Subtotal$12,344,812ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,344,812TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 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.

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 (3 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
Brian Beals
Physician$155,533$0$66,298$0$706$0$0$0$36,622$0$259,159$0$0$0
Thomas Temme
Physician$116,816$0$10,000$0$0$0$0$0$34,062$0$160,878$0$0$0
Josee Bourbeau MD
Physician$84,524$0$69,942$0$692$0$0$0$34,532$0$189,690$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 (4 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.

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