LAMPREY HEALTH CARE INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
LAMPREY HEALTH CARE INC (EIN 23-7305106)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-03-09
IRS object ID
201610699349300516
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)
Return2016-03-09T10:24:01-06:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

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 Begin2014-10-01TaxPeriodBeginDt

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
Signature2016-03-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDimitrios PanacopoulosPreparerPersonNm
PTINP01603705PTIN
Phone6036697337PhoneNum
Preparation2016-03-02PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

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$13,341,808GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.lampreyhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or 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.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee187TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,102,931PYContributionsGrantsAmt
CY Contributions Grants$4,240,528CYContributionsGrantsAmt
PY Program Service Revenue$8,026,337PYProgramServiceRevenueAmt
CY Program Service Revenue$9,100,224CYProgramServiceRevenueAmt
PY Investment Income$650PYInvestmentIncomeAmt
CY Investment Income$1,056CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$12,129,918PYTotalRevenueAmt
CY Total Revenue$13,341,808CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,259,609PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,417,792CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$10,543CYTotalFundraisingExpenseAmt
PY Other Expenses$2,851,386PYOtherExpensesAmt
CY Other Expenses$3,228,458CYOtherExpensesAmt
PY Total Expenses$12,110,995PYTotalExpensesAmt
CY Total Expenses$12,646,250CYTotalExpensesAmt
PY Revenues Less Expenses$18,923PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$695,558CYRevenuesLessExpensesAmt
Total Assets BOY$13,283,870TotalAssetsBOYAmt
Total Assets EOY$14,673,768TotalAssetsEOYAmt
Total Liabilities BOY$5,795,461TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,521,107TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,488,409NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,152,661NetAssetsOrFundBalancesEOYAmt
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$10,767,460ExpenseAmt
Revenue$9,100,224RevenueAmt
DescTo provide medical, dental, health, behavioral health, transportation and referral related services to all members of the community regardless of ability to pay.Desc
Total Program Service Expenses$10,767,460TotalProgramServiceExpensesAmt
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 Document55IRPDocumentCnt
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 (17 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
Board Member1.00Yes (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
Michael Merenda
Board Member1.00Yes (X)$0$0$0
Sandra Pardus
CFO35.00Yes (X)$119,638$0$11,2871.00
Gregory White
CEO40.00Yes (X)$168,919$0$5,8941.00
Sirona Pruna
Physician40.00$289,609$0$17,420Yes (X)
Paul Friedrichs
Physician35.00$175,897$0$16,984Yes (X)
Vasuki Nagaraj
Physician40.00$209,024$0$11,153Yes (X)
Ana Goubert
Physician35.00$169,690$0$1,532Yes (X)
Jeremy James
Physician25.00$161,158$0$14,343Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,293,935TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$78,613TotalOtherCompensationAmt
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$288,431
Partners for Womens Health
3 Alumni Drive Suite 302ExeterNH03833Physician Services$136,800
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Federated Campaigns$3,122FederatedCampaignsAmt
Government Grants$3,857,406GovernmentGrantsAmt
All Other Contributions$380,000AllOtherContributionsAmt
Total Contributions$4,240,528TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Health Care621110$8,006,486$8,006,486
Other Operating Rev.621110$1,093,738$1,093,738
FieldValueIRS element (for citing)
Total Program Service Revenue$9,100,224TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,056TotalRevenueColumnAmt
Exclusion$1,056ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,341,808TotalRevenueColumnAmt
Related Or Exempt Func Income$9,100,224RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,056ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$305,738TotalAmt
Management And General$305,738ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,646,708TotalAmt
Program Services$6,764,298ProgramServicesAmt
Management And General$882,410ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$830,525TotalAmt
Program Services$707,969ProgramServicesAmt
Management And General$122,556ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$634,821TotalAmt
Program Services$541,144ProgramServicesAmt
Management And General$93,677ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,192TotalAmt
Management And General$14,192ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$46,500TotalAmt
Management And General$46,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$541,046TotalAmt
Program Services$461,207ProgramServicesAmt
Management And General$79,839ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$37,598TotalAmt
Program Services$32,050ProgramServicesAmt
Management And General$5,548ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$103,003TotalAmt
Program Services$87,803ProgramServicesAmt
Management And General$15,200ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$406,005TotalAmt
Program Services$346,093ProgramServicesAmt
Management And General$59,912ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$676,806TotalAmt
Program Services$576,933ProgramServicesAmt
Management And General$99,873ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$49,340TotalAmt
Program Services$42,059ProgramServicesAmt
Management And General$7,281ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$102,911TotalAmt
Program Services$87,725ProgramServicesAmt
Management And General$15,186ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$66,465TotalAmt
Program Services$56,657ProgramServicesAmt
Management And General$9,808ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$271,677TotalAmt
Program Services$231,587ProgramServicesAmt
Management And General$40,090ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$135,628TotalAmt
Program Services$115,614ProgramServicesAmt
Management And General$20,014ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Program Supplies$425,039$425,039
Other Expenses$120,457$102,682$17,775
Printing & Publications$101,006$86,101$14,905
Telephone$72,734$62,001$10,733

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$58,051TotalAmt
Program Services$40,498ProgramServicesAmt
Management And General$7,010ManagementAndGeneralAmt
Fundraising$10,543FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,646,250TotalAmt
Program Services$10,767,460ProgramServicesAmt
Management And General$1,868,247ManagementAndGeneralAmt
Fundraising$10,543FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,230,606BOYAmt
EOY$1,897,354EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,314,851BOYAmt
EOY$4,148,143EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$989,558BOYAmt
EOY$1,051,734EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$94,731BOYAmt
EOY$103,264EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,488,605LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,862,892LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,793,927BOYAmt
EOY$5,625,713EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,860,197BOYAmt
EOY$1,847,560EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,283,870BOYAmt
EOY$14,673,768EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,121,703BOYAmt
EOY$1,336,397EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,125,597BOYAmt
EOY$3,729,307EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,474,911BOYAmt
EOY$1,455,403EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$73,250BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,795,461BOYAmt
EOY$6,521,107EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,099,125BOYAmt
EOY$7,785,788EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$389,284BOYAmt
EOY$366,873EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,488,409BOYAmt
EOY$8,152,661EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,283,870BOYAmt
EOY$14,673,768EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$695,558ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$31,306OtherChangesInNetAssetsAmt
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$8,099,328CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,516,339CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,002,901CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,102,931CurrentTaxYearMinus1YearAmt
Current Tax Year$4,240,528CurrentTaxYearAmt
Total$24,962,027TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,766,542CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,718,361CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,870,431CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,026,337CurrentTaxYearMinus1YearAmt
Current Tax Year$9,100,224CurrentTaxYearAmt
Total$41,481,895TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,865,870CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,234,700CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,873,332CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,129,268CurrentTaxYearMinus1YearAmt
Current Tax Year$13,340,752CurrentTaxYearAmt
Total$66,443,922TotalAmt

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$66,443,922PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,093CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,593CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,746CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$650CurrentTaxYearMinus1YearAmt
Current Tax Year$1,056CurrentTaxYearAmt
Total$8,138TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,093CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,593CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,746CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$650CurrentTaxYearMinus1YearAmt
Current Tax Year$1,056CurrentTaxYearAmt
Total$8,138TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,868,963CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,236,293CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,875,078CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,129,918CurrentTaxYearMinus1YearAmt
Current Tax Year$13,341,808CurrentTaxYearAmt
Total$66,452,060TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5090.99970PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
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$6,686,461OtherCostOrOtherBasisAmt
Depreciation$2,411,879DepreciationAmt
Book Value$4,274,582BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,892,907OtherCostOrOtherBasisAmt
Depreciation$1,451,013DepreciationAmt
Book Value$441,894BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,625,713TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescAssets Limited as to UseDesc
Book Value$1,847,560BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,847,560TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,352,808TotalRevEtcAuditedFinclStmtAmt
Other Revenue$11,000OtherRevenueAmt
Revenue Not Reported$11,000RevenueNotReportedAmt
Revenue Subtotal$13,341,808RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,341,808TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,646,250TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$12,646,250ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,646,250TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.
Part XI, Line 2d - Other Adjustments:Uncollectible pledges 11,000.

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$153,919$0$15,000$0$0$0$0$0$5,894$0$174,813$0$0$0
Sirona Pruna
Physician$264,555$0$25,054$0$0$0$13,000$0$4,420$0$307,029$0$0$0
Paul Friedrichs
Physician$164,793$0$11,104$0$0$0$13,000$0$3,984$0$192,881$0$0$0
Vasuki Nagaraj
Physician$176,138$0$32,886$0$0$0$8,828$0$2,325$0$220,177$0$0$0
Ana Goubert
Physician$155,158$0$14,532$0$0$0$0$0$1,532$0$171,222$0$0$0
Jeremy James
Physician$118,087$0$43,071$0$0$0$8,684$0$5,659$0$175,501$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, 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 15The Board hires a firm to do a CEO analysis periodically. 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 -31,306.

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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