COOS COUNTY FAMILY HEALTH SERVICES INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: COOS COUNTY FAMILY HEALTH SERVICES INC (EIN 02-0350051)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-01-26
IRS object ID: 201510269349300546
Schema version: 2013v4.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-01-26T14:19:28-06:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	020400296	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Brad Borbidge PA	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	197 Loudon Road	AddressLine1
City	Concord	City
State	NH	State
ZIP Code	03301	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020350051	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Coos County Family Health Services Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	COOS	BusinessNameControlTxt
Phone	6037522040	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	133 Pleasant Street	AddressLine1
City	Berlin	City
State	NH	State
ZIP Code	03570	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Robert Pelchat	PersonNm
Person Title	Board President	PersonTitleTxt
Phone	6037527719	PhoneNum
Signature	2015-01-26	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Dimitrios Panacopoulos CPA	PreparerPersonNm
PTIN	P01603705	PTIN
Phone	6032240849	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Adele Woods	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	133 Pleasant Street	AddressLine1
City	Berlin	City
State	NH	State
ZIP Code	03570	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$11,083,378	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.coosfamilyhealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1980	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	Coos 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 Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	135	TotalEmployeeCnt
Total Volunteers	20	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,761,749	PYContributionsGrantsAmt
CY Contributions Grants	$3,305,345	CYContributionsGrantsAmt
PY Program Service Revenue	$6,014,105	PYProgramServiceRevenueAmt
CY Program Service Revenue	$7,773,326	CYProgramServiceRevenueAmt
PY Investment Income	$3,664	PYInvestmentIncomeAmt
CY Investment Income	$4,707	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$8,779,518	PYTotalRevenueAmt
CY Total Revenue	$11,083,378	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$6,688,068	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$7,210,447	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,046	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,978,429	PYOtherExpensesAmt
CY Other Expenses	$2,756,036	CYOtherExpensesAmt
PY Total Expenses	$8,666,497	PYTotalExpensesAmt
CY Total Expenses	$9,966,483	CYTotalExpensesAmt
PY Revenues Less Expenses	$113,021	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,116,895	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,865,467	TotalAssetsBOYAmt
Total Assets EOY	$4,915,079	TotalAssetsEOYAmt
Total Liabilities BOY	$1,826,956	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,759,673	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,038,511	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,155,406	NetAssetsOrFundBalancesEOYAmt
Mission	Coos 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$8,728,330	ExpenseAmt
Revenue	$7,773,326	RevenueAmt
Desc	Provision of primary care services to the community.	Desc
Total Program Service Expenses	$8,728,330	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	35	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	135	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Adele Woods	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	6037522040	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	133 Pleasant Street	AddressLine1
City	Berlin	City
State	NH	State
ZIP Code	03570	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Robert Pelchat
President	0.00	Yes (X)	$0	$0	$0
Joan Merrill
Vice President	0.00	Yes (X)	$0	$0	$0
Aline Boucher
Treasurer	0.00	Yes (X)	$0	$0	$0
Marge McClellan
Board of Directors	0.00	Yes (X)	$0	$0	$0
Asa Brosnan
Board of Directors	0.00	Yes (X)	$0	$0	$0
Linda Sjostrom
Board of Directors	0.00	Yes (X)	$0	$0	$0
H Guyford Stever Jr
Board of Directors	0.00	Yes (X)	$0	$0	$0
Andrea Gagne
Board of Directors	0.00	Yes (X)	$0	$0	$0
Jeffrey Smith
Secretary	0.00	Yes (X)	$0	$0	$0
Charles Greenhalgh
Board of Directors	0.00	Yes (X)	$0	$0	$0
Roland Olivier
Board of Directors	0.00	Yes (X)	$0	$0	$0
Christie Nelson
Board of Directors	0.00	Yes (X)	$0	$0	$0
Adele Woods
CEO	40.00		$141,579	$0	$8,534	Yes (X)
Melissa Frenette
CFO	40.00		$91,647	$0	$16,202	Yes (X)
Patricia Couture
COO	40.00		$102,060	$0	$6,027	Yes (X)
Mitchell Sullivan MD
Medical Director	40.00		$178,669	$0	$34,551		Yes (X)
Brian Beals
Physician	37.50		$202,185	$0	$35,324			Yes (X)
Thomas Temme
Physician	30.00		$126,938	$0	$33,220			Yes (X)
Josee Bourbeau MD
Physician	30.00		$165,677	$0	$34,481			Yes (X)
Sandra Benckendorf
Physician	30.00		$122,922	$0	$23,827			Yes (X)
William Gessner
Physician	30.00		$129,665	$0	$15,024			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,261,342	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$207,190	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	8	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Androscoggin Valley Hospital	BusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	59 Page Hill Rd	AddressLine1
City	Berlin	City
State	NH	State
ZIP Code	03570	ZIPCode

Field	Value	IRS element (for citing)
Services	Rent/Physicians/OB	ServicesDesc
Compensation	$290,004	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$500	FederatedCampaignsAmt
Government Grants	$2,619,904	GovernmentGrantsAmt
All Other Contributions	$684,941	AllOtherContributionsAmt
Total Contributions	$3,305,345	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Office of Physicians	Desc
Business	621110	BusinessCd
Total Revenue Column	$7,773,326	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,773,326	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$7,773,326	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,707	TotalRevenueColumnAmt
Exclusion	$4,707	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,083,378	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,773,326	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$4,707	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$579,269	TotalAmt
Program Services	$348,027	ProgramServicesAmt
Management And General	$231,242	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$5,011,020	TotalAmt
Program Services	$4,509,918	ProgramServicesAmt
Management And General	$501,102	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$160,026	TotalAmt
Program Services	$139,479	ProgramServicesAmt
Management And General	$20,547	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,018,134	TotalAmt
Program Services	$887,406	ProgramServicesAmt
Management And General	$130,728	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$441,998	TotalAmt
Program Services	$385,245	ProgramServicesAmt
Management And General	$56,753	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,970	TotalAmt
Management And General	$7,970	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$40,801	TotalAmt
Management And General	$40,801	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$385,113	TotalAmt
Program Services	$385,113	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$42,787	TotalAmt
Management And General	$42,787	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$116,770	TotalAmt
Program Services	$101,777	ProgramServicesAmt
Management And General	$14,993	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$143,780	TotalAmt
Program Services	$143,780	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$302,170	TotalAmt
Program Services	$263,371	ProgramServicesAmt
Management And General	$38,799	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$28,412	TotalAmt
Program Services	$24,764	ProgramServicesAmt
Management And General	$3,648	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$69,446	TotalAmt
Management And General	$69,446	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$33,618	TotalAmt
Program Services	$29,301	ProgramServicesAmt
Management And General	$4,317	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$235,073	TotalAmt
Program Services	$204,890	ProgramServicesAmt
Management And General	$30,183	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$54,257	TotalAmt
Program Services	$47,290	ProgramServicesAmt
Management And General	$6,967	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Program Supplies	$1,014,793	$1,014,793
Other Expenses	$91,682	$79,910	$11,772
Printing and Publicatio	$67,772	$59,070	$8,702
Telephone	$56,574	$49,310	$7,264

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$65,018	TotalAmt
Program Services	$54,886	ProgramServicesAmt
Management And General	$8,086	ManagementAndGeneralAmt
Fundraising	$2,046	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,966,483	TotalAmt
Program Services	$8,728,330	ProgramServicesAmt
Management And General	$1,236,107	ManagementAndGeneralAmt
Fundraising	$2,046	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$310,353	BOYAmt
EOY	$371,527	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$242,150	BOYAmt
EOY	$143,394	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$435,123	BOYAmt
EOY	$978,555	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$102,267	BOYAmt
EOY	$91,036	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$5,082,653	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,463,515	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,100,494	BOYAmt
EOY	$2,619,138	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$675,080	BOYAmt
EOY	$711,429	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,865,467	BOYAmt
EOY	$4,915,079	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$763,723	BOYAmt
EOY	$957,960	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$60,282	BOYAmt
EOY	$26,724	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$981,894	BOYAmt
EOY	$774,989	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,057	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,826,956	BOYAmt
EOY	$1,759,673	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,153,541	BOYAmt
EOY	$2,392,640	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$864,280	BOYAmt
EOY	$740,809	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,690	BOYAmt
EOY	$21,957	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,038,511	BOYAmt
EOY	$3,155,406	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,865,467	BOYAmt
EOY	$4,915,079	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,116,895	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,420,596	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,560,033	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,785,222	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,761,749	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,305,345	CurrentTaxYearAmt
Total	$15,832,945	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,664,361	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,699,859	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,687,797	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,014,105	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,773,326	CurrentTaxYearAmt
Total	$30,839,448	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$9,084,957	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$9,259,892	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$8,473,019	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,775,854	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,078,671	CurrentTaxYearAmt
Total	$46,672,393	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$46,672,393	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,273	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,882	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,881	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,664	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,707	CurrentTaxYearAmt
Total	$15,407	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,273	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,882	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,881	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,664	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,707	CurrentTaxYearAmt
Total	$15,407	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$9,086,230	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$9,261,774	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$8,476,900	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,779,518	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,083,378	CurrentTaxYearAmt
Total	$46,687,800	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99970	PublicSupportCY509Pct
Public Support PY509	0.99970	PublicSupportPY509Pct
Investment Income CY	0.00030	InvestmentIncomeCYPct
Investment Income PY	0.00030	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,026	BeginningYearBalanceAmt
Contributions	$1,267	ContributionsAmt
Investment Earnings Or Losses	$1,699	InvestmentEarningsOrLossesAmt
End Year Balance	$24,992	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,874	BeginningYearBalanceAmt
Contributions	$2,003	ContributionsAmt
Investment Earnings Or Losses	-$254	InvestmentEarningsOrLossesAmt
End Year Balance	$17,623	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,919	BeginningYearBalanceAmt
Contributions	$2,917	ContributionsAmt
Investment Earnings Or Losses	$38	InvestmentEarningsOrLossesAmt
End Year Balance	$15,874	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$153,257	OtherCostOrOtherBasisAmt
Book Value	$153,257	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,176,922	OtherCostOrOtherBasisAmt
Depreciation	$1,042,192	DepreciationAmt
Book Value	$2,134,730	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,752,474	OtherCostOrOtherBasisAmt
Depreciation	$1,421,323	DepreciationAmt
Book Value	$331,151	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,619,138	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Due From Third Party Payers	$40,105
Assets Limited as to Use	$651,351
Beneficial Interest in Perpetual Trust Held By Others	$19,973

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$711,429	TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt	$11,083,378	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$11,083,378	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$11,083,378	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$9,966,483	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$9,966,483	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$9,966,483	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4:

Income earned is used for operations.

Part IV, Line 11F

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

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Adele Woods
CEO	$141,579	$0	$0	$0	$0	$0	$0	$0	$8,534	$0	$150,113	$0	$0	$0
Mitchell Sullivan MD
Medical Director	$148,927	$0	$29,742	$0	$0	$0	$0	$0	$34,551	$0	$213,220	$0	$0	$0
Brian Beals
Physician	$158,934	$0	$43,251	$0	$0	$0	$0	$0	$35,324	$0	$237,509	$0	$0	$0
Thomas Temme
Physician	$116,938	$0	$10,000	$0	$0	$0	$0	$0	$33,220	$0	$160,158	$0	$0	$0
Josee Bourbeau MD
Physician	$119,996	$0	$45,681	$0	$0	$0	$0	$0	$34,481	$0	$200,158	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 7	FormAndLineReferenceDesc
Explanation	Physicians 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Adele Woods	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship Description	CEO	RelationshipDescriptionTxt
Transaction	$151,668	TransactionAmt
Transaction	The Organization is a participant of the North Country Accountable Care Organization (NCACO). The NCACO was created to undertake programs and activities of ACO participants for the purpose of participating in the Medicare Shared Savings Program for services to Medicare Beneficiaries. Adele Woods is also the Vice President of the board of directors for the NCACO. The transaction amount reported represents startup monies and shared savings passed through to the Organization from the NCACO through June 30, 2014.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, line 11	The 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 12c	Annually, the board re-affirms their compliance with the conflict of interest policy with a written compliance document.
Form 990, Part VI, Section B, line 15	The 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 19	Documents are posted to the Organization's website and are available upon request.