COOS COUNTY FAMILY HEALTH SERVICES INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
COOS COUNTY FAMILY HEALTH SERVICES INC (EIN 02-0350051)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-01-12
IRS object ID
201610129349301236
Schema version
2014v6.0
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)
Return2016-01-12T14:16:14-06:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

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 Begin2014-07-01TaxPeriodBeginDt

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)
PersonRobert PelchatPersonNm
Person TitleBoard PresidentPersonTitleTxt
Phone6037527719PhoneNum
Signature2016-01-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDimitrios PanacopoulosPreparerPersonNm
PTINP01603705PTIN
Phone6036697337PhoneNum
Preparation2016-01-06PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

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$11,097,296GrossReceiptsAmt
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 Employee141TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,305,345PYContributionsGrantsAmt
CY Contributions Grants$2,846,003CYContributionsGrantsAmt
PY Program Service Revenue$7,773,326PYProgramServiceRevenueAmt
CY Program Service Revenue$8,248,232CYProgramServiceRevenueAmt
PY Investment Income$4,707PYInvestmentIncomeAmt
CY Investment Income$3,061CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$11,083,378PYTotalRevenueAmt
CY Total Revenue$11,097,296CYTotalRevenueAmt
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$7,210,447PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,507,353CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,489CYTotalFundraisingExpenseAmt
PY Other Expenses$2,756,036PYOtherExpensesAmt
CY Other Expenses$2,871,285CYOtherExpensesAmt
PY Total Expenses$9,966,483PYTotalExpensesAmt
CY Total Expenses$10,378,638CYTotalExpensesAmt
PY Revenues Less Expenses$1,116,895PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$718,658CYRevenuesLessExpensesAmt
Total Assets BOY$4,915,079TotalAssetsBOYAmt
Total Assets EOY$5,445,033TotalAssetsEOYAmt
Total Liabilities BOY$1,759,673TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,570,727TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,155,406NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,874,306NetAssetsOrFundBalancesEOYAmt
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$9,033,817ExpenseAmt
Revenue$8,248,232RevenueAmt
DescProvision of primary care services to the community.Desc
Total Program Service Expenses$9,033,817TotalProgramServiceExpensesAmt
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 Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee141EmployeeCnt
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
President1.00Yes (X)Yes (X)$0$0$0
Joan Merrill
Vice President1.00Yes (X)Yes (X)$0$0$0
Aline Boucher
Treasurer1.00Yes (X)Yes (X)$0$0$0
Jeffrey Smith
Secretary1.00Yes (X)Yes (X)$0$0$0
Marge McClellan
Board Member1.00Yes (X)$0$0$0
H Guyford Stever Jr
Board Member1.00Yes (X)$0$0$0
Andrea Gagne
Board Member1.00Yes (X)$0$0$0
Charles Greenhalgh
Board Member1.00Yes (X)$0$0$0
Roland Olivier
Board Member1.00Yes (X)$0$0$0
Christie Nelson
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
Linda Sjostrom
Board Member1.00Yes (X)$0$0$0
Adele Woods
CEO40.00Yes (X)$146,127$0$8,975
Melissa Frenette
CFO40.00Yes (X)$96,084$0$23,512
Brian Beals
Physician38.00$236,316$0$36,610Yes (X)
Thomas Temme
Physician30.00$130,459$0$34,062Yes (X)
Elaine Chappell
Physician32.00$154,998$0$7,928Yes (X)
Josee Bourbeau MD
Physician30.00$148,426$0$34,408Yes (X)
Mitchell Sullivan MD
Physician40.00$144,298$0$24,349Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,056,708TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$169,844TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Ray's Electric
33 Jericho RdBerlinNH03570Building Renovation$311,490
Androscoggin Valley Hospital
59 Page Hill RdBerlinNH03570Rent/Physicians/OB$147,624
Corporate Data & Voice Solutions
59 Stiles Rd 201SalemNH03079Computer Equipment$125,094
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Federated Campaigns$4,484FederatedCampaignsAmt
Government Grants$2,159,115GovernmentGrantsAmt
All Other Contributions$682,404AllOtherContributionsAmt
Total Contributions$2,846,003TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue621110$8,094,909$8,094,909
Other Operating Revenue621110$153,323$153,323
FieldValueIRS element (for citing)
Total Program Service Revenue$8,248,232TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,061TotalRevenueColumnAmt
Exclusion$3,061ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,097,296TotalRevenueColumnAmt
Related Or Exempt Func Income$8,248,232RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,061ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$274,698TotalAmt
Program Services$38,776ProgramServicesAmt
Management And General$235,922ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,475,200TotalAmt
Program Services$4,927,680ProgramServicesAmt
Management And General$547,520ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$159,361TotalAmt
Program Services$138,373ProgramServicesAmt
Management And General$20,988ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,140,701TotalAmt
Program Services$990,471ProgramServicesAmt
Management And General$150,230ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$457,393TotalAmt
Program Services$397,154ProgramServicesAmt
Management And General$60,239ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$20,537TotalAmt
Management And General$20,537ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$45,130TotalAmt
Management And General$45,130ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$333,892TotalAmt
Program Services$333,892ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$35,057TotalAmt
Management And General$35,057ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$93,591TotalAmt
Program Services$81,265ProgramServicesAmt
Management And General$12,326ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$154,477TotalAmt
Program Services$154,477ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$302,613TotalAmt
Program Services$262,759ProgramServicesAmt
Management And General$39,854ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,568TotalAmt
Program Services$24,806ProgramServicesAmt
Management And General$3,762ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$82,202TotalAmt
Management And General$82,202ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$27,282TotalAmt
Program Services$23,689ProgramServicesAmt
Management And General$3,593ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$229,013TotalAmt
Program Services$198,852ProgramServicesAmt
Management And General$30,161ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$51,503TotalAmt
Program Services$44,720ProgramServicesAmt
Management And General$6,783ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Program Supplies$1,100,254$1,100,254
Other Expenses$154,311$133,988$20,323
Printing & Publications$86,291$74,926$11,365
Telephone$52,536$45,617$6,919

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$74,028TotalAmt
Program Services$62,118ProgramServicesAmt
Management And General$9,421ManagementAndGeneralAmt
Fundraising$2,489FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,378,638TotalAmt
Program Services$9,033,817ProgramServicesAmt
Management And General$1,342,332ManagementAndGeneralAmt
Fundraising$2,489FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$371,527BOYAmt
EOY$836,038EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$143,394BOYAmt
EOY$298,215EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$978,555BOYAmt
EOY$1,064,656EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$91,036BOYAmt
EOY$71,972EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,098,723LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,638,479LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,619,138BOYAmt
EOY$2,460,244EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$711,429BOYAmt
EOY$713,908EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,915,079BOYAmt
EOY$5,445,033EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$957,960BOYAmt
EOY$854,875EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$26,724BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$774,989BOYAmt
EOY$715,852EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,759,673BOYAmt
EOY$1,570,727EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,392,640BOYAmt
EOY$3,750,548EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$740,809BOYAmt
EOY$99,461EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,957BOYAmt
EOY$24,297EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,155,406BOYAmt
EOY$3,874,306EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,915,079BOYAmt
EOY$5,445,033EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$718,658ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$242OtherChangesInNetAssetsAmt
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$3,560,033CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,785,222CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,761,749CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,305,345CurrentTaxYearMinus1YearAmt
Current Tax Year$2,846,003CurrentTaxYearAmt
Total$15,258,352TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,699,859CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,687,797CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,014,105CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,773,326CurrentTaxYearMinus1YearAmt
Current Tax Year$8,248,232CurrentTaxYearAmt
Total$33,423,319TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,259,892CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,473,019CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,775,854CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,078,671CurrentTaxYearMinus1YearAmt
Current Tax Year$11,094,235CurrentTaxYearAmt
Total$48,681,671TotalAmt

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$48,681,671PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,882CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,881CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,664CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,707CurrentTaxYearMinus1YearAmt
Current Tax Year$3,061CurrentTaxYearAmt
Total$17,195TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,882CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,881CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,664CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,707CurrentTaxYearMinus1YearAmt
Current Tax Year$3,061CurrentTaxYearAmt
Total$17,195TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,261,774CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,476,900CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,779,518CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,083,378CurrentTaxYearMinus1YearAmt
Current Tax Year$11,097,296CurrentTaxYearAmt
Total$48,698,866TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99960PublicSupportCY509Pct
Public Support PY5090.99970PublicSupportPY509Pct
Investment Income CY0.00040InvestmentIncomeCYPct
Investment Income PY0.00030InvestmentIncomePYPct
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$23,930BeginningYearBalanceAmt
Contributions$125ContributionsAmt
Investment Earnings Or Losses$1,066InvestmentEarningsOrLossesAmt
Other Expenditures$824OtherExpendituresAmt
End Year Balance$24,297EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,107BeginningYearBalanceAmt
Contributions$2,113ContributionsAmt
Investment Earnings Or Losses$806InvestmentEarningsOrLossesAmt
End Year Balance$22,026EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,623BeginningYearBalanceAmt
Contributions$1,657ContributionsAmt
Investment Earnings Or Losses-$173InvestmentEarningsOrLossesAmt
End Year Balance$19,107EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,874BeginningYearBalanceAmt
Contributions$2,003ContributionsAmt
Investment Earnings Or Losses-$254InvestmentEarningsOrLossesAmt
End Year Balance$17,623EndYearBalanceAmt
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$3,205,175OtherCostOrOtherBasisAmt
Depreciation$1,160,071DepreciationAmt
Book Value$2,045,104BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,740,291OtherCostOrOtherBasisAmt
Depreciation$1,478,408DepreciationAmt
Book Value$261,883BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,460,244TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Due from Third Party Payers$45,000
Assets Limited as to Use$648,693
Beneficial Interest in Perpetual Trust Held by Others$20,215
FieldValueIRS element (for citing)
Total Book Value Other Assets$713,908TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$11,097,538TotalRevEtcAuditedFinclStmtAmt
Other Revenue$242OtherRevenueAmt
Revenue Not Reported$242RevenueNotReportedAmt
Revenue Subtotal$11,097,296RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,097,296TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,378,638TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$10,378,638ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,378,638TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:Income earned is used for operations.
Part X, Line 2:The Organization is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Organization is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Organization's tax positions and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.
Part XI, Line 2d - Other Adjustments:Change in Fair value of Beneficial Interest 242.
Part V, line 1:Prior year amounts have been restated in order to agree to 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 (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
Adele Woods
CEO$146,127$0$0$0$0$0$0$0$8,975$0$155,102$0$0$0
Brian Beals
Physician$146,706$0$78,334$0$11,276$0$0$0$36,610$0$272,926$0$0$0
Thomas Temme
Physician$116,332$0$10,000$0$4,127$0$0$0$34,062$0$164,521$0$0$0
Elaine Chappell
Physician$154,998$0$0$0$0$0$0$0$7,928$0$162,926$0$0$0
Josee Bourbeau MD
Physician$91,367$0$54,168$0$2,891$0$0$0$34,408$0$182,834$0$0$0
Mitchell Sullivan MD
Physician$109,870$0$31,026$0$3,402$0$0$0$24,349$0$168,647$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 11The 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 15The compensation process for the CEO, COO and CFO includes an independent compensation consultant completing a compensation survey or study. The compensation amount is then approved by the board of directors.
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 perpetual trust 242.

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