COOS COUNTY FAMILY HEALTH SERVICES INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: COOS COUNTY FAMILY HEALTH SERVICES INC (EIN 02-0350051)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-01-18
IRS object ID: 201100189349300810
Schema version: 2009v1.4
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 O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-01-18T13:48:05-06:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRAD BORBIDGE PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	197 LOUDON ROAD STE 350	AddressLine1
City	CONCORD	City
State	NH	State
ZIP Code	03301	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	020350051	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	COOS	NameControl
Phone	6037522040	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Robert Pelchat	Name
Title	Board President	Title
Phone	6037527719	Phone
Date Signed	2010-12-15	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	BRAD BORBIDGE PA	Name
Phone	6032240849	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Adele Woods	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	9086230	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.coosfamilyhealth.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1980	YearFormation
State Legal Domicile	NH	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	143	TotalNbrEmployees
Total Nbr Volunteers	20	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3089355	ContributionsGrantsPriorYear
Contributions Grants Current Year	3420596	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	5860487	ProgramServiceRevenuePriorYear
Program Service Revenue CY	5664361	ProgramServiceRevenueCY
Investment Income Prior Year	1477	InvestmentIncomePriorYear
Investment Income Current Year	1273	InvestmentIncomeCurrentYear
Other Revenue Prior Year	355486	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	9306805	TotalRevenuePriorYear
Total Revenue Current Year	9086230	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	6836873	SalariesEtcPriorYear
Salaries Etc Current Year	6525009	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	12180	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2388096	OtherExpensePriorYear
Other Expenses Current Year	2020691	OtherExpensesCurrentYear
Total Expenses Prior Year	9224969	TotalExpensesPriorYear
Total Expenses Current Year	8545700	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	81836	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	540530	RevenuesLessExpensesCY
Total Assets BOY	2899359	TotalAssetsBOY
Total Assets EOY	3271243	TotalAssetsEOY
Total Liabilities BOY	1936406	TotalLiabilitiesBOY
Total Liabilities EOY	1767760	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	962953	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1503483	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	7466510	Expense
Revenue	5664361	Revenue
Description	Provision of primary care services to the community.	Description
Total Program Service Expense	7466510	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	31	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	143	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	6037522040	TelephoneNumber

Address US AddressUS

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 Form990PartVIISectionA (23 entries)

TitleTitle	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Average Hours Per WeekAverageHoursPerWeek	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Robert Pelchat
President	X	0	0	0
Dennis Cox
Vice President	X	0	0	0
Betty Gosselin
Secretary	X	0	0	0
Aline Boucher
Treasurer	X	0	0	0
Marge McClellan
Board of Directors	X	0	0	0
Asa Brosnan
board of Directors	X	0	0	0
Linda Slowik
Board of Directors	X	0	0	0
Michael Poulin
board of Directors	X	0	0	0
Brenda Golden Hallisey
board of Directors	X	0	0	0
H Guyford Stever Jr
board of Directors	X	0	0	0
Kenneth Cargill
board of Directors	X	0	0	0
Alice Maitland
board of Directors	X	0	0	0
Joan Merrill
board of Directors	X	0	0	0
Reggie Coulombe
board of Directors	X	0	0	0
Adele Woods
CEO		120480	0	7148	40.00	X
Melissa Frenette
CFO		74958	0	5484	40.00	X
Patricia Couture
COO		91851	0	5598	40.00	X
Mitchell Sullivan MD
Medical Director		170438	0	26423	40.00		X
Brian Beals
Physician		179207	0	28046	37.50			X
Geoffrey Kamen
physician		162203	0	25803	37.50			X
Keerthy Krishnamani
physician		143775	0	13720	33.50			X
Thomas Temme
physician		127370	0	25935	30.50			X
Javier Cardenas
physician		127049	0	13793	37.50			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1197331	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	151950	TotalOtherCompensation
Number Individuals GT100 K	7	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

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

Address Of Contractor AddressOfContractor

Address US AddressUS

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)
Description Of Services	Rent/Physicians/OB	DescriptionOfServices
Compensation	277790	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
Federated Campaigns	6750	FederatedCampaigns
Government Grants	2481352	GovernmentGrants
All Other Contributions	932494	AllOtherContributions
Total Contributions	3420596	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Home Health Care SRVCS	Description
Business Code	621610	BusinessCode
Total Revenue Column	5664361	TotalRevenueColumn
Related Or Exempt Function Income	5664361	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	5664361	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1273	TotalRevenueColumn
Exclusion	$1,273	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	9086230	TotalRevenueColumn
Related Or Exempt Function Income	5664361	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,273	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	502380	Total
Program Services	316472	ProgramServices
Management And General	185908	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4634040	Total
Program Services	4170636	ProgramServices
Management And General	463404	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	142457	Total
Program Services	124607	ProgramServices
Management And General	17850	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	838791	Total
Program Services	733690	ProgramServices
Management And General	105101	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	407341	Total
Program Services	356301	ProgramServices
Management And General	51040	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	9274	Total
Management And General	9274	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	37881	Total
Management And General	37881	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	272558	Total
Program Services	272558	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	15159	Total
Management And General	15159	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	76884	Total
Program Services	67250	ProgramServices
Management And General	9634	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	114176	Total
Program Services	114176	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	342829	Total
Program Services	299873	ProgramServices
Management And General	42956	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	32667	Total
Program Services	28574	ProgramServices
Management And General	4093	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	56219	Total
Management And General	56219	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	51015	Total
Program Services	44623	ProgramServices
Management And General	6392	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	197960	Total
Program Services	173156	ProgramServices
Management And General	24804	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	43546	Total
Program Services	38090	ProgramServices
Management And General	5456	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Program Supplies	265809	265809
Bad Debt Expense	238431	238431
Telephone	66544	58206	8338
Printing and Publicatio	55912	48906	7006
Other Expenses	55806	48814	6992

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	88021	Total
Program Services	66338	ProgramServices
Management And General	9503	ManagementAndGeneral
Fundraising	12180	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	8545700	Total
Program Services	7466510	ProgramServices
Management And General	1067010	ManagementAndGeneral
Fundraising	12180	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	224550	BOY
EOY	186504	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	158977	BOY
EOY	173796	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	443362	BOY
EOY	420749	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	54376	BOY
EOY	74982	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	3624921	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1653693	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1805750	BOY
EOY	1971228	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	212344	BOY
EOY	443984	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2899359	BOY
EOY	3271243	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	884574	BOY
EOY	799594	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1051832	BOY
EOY	968166	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1936406	BOY
EOY	1767760	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	270137	BOY
EOY	513490	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	680816	BOY
EOY	975076	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12000	BOY
EOY	14917	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	962953	BOY
EOY	1503483	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2899359	BOY
EOY	3271243	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3494873	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3057203	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2988706	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3089355	CurrentTaxYearMinus1Year
Current Tax Year	3420596	CurrentTaxYear
Total	16050733	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5604612	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5874315	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5955938	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5860487	CurrentTaxYearMinus1Year
Current Tax Year	5664361	CurrentTaxYear
Total	28959713	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9099485	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	8931518	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8944644	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8949842	CurrentTaxYearMinus1Year
Current Tax Year	9084957	CurrentTaxYear
Total	45010446	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	45010446	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2044	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2780	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1992	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1477	CurrentTaxYearMinus1Year
Current Tax Year	1273	CurrentTaxYear
Total	9566	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2044	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2780	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1992	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1477	CurrentTaxYearMinus1Year
Current Tax Year	1273	CurrentTaxYear
Total	9566	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9101529	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	8934298	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8946636	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8951319	CurrentTaxYearMinus1Year
Current Tax Year	9086230	CurrentTaxYear
Total	45020012	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99980	PublicSupportPercentage509
Prior Year Support Percentage	0.99970	PriorYearSupportPercentage
Investment Income Percentage	0.00020	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00030	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12919	BeginningOfYearBalance
Contributions	2917	Contributions
Investment Earnings Or Losses	38	InvestmentEarningsOrLosses
End Of Year Balance	15874	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11446	BeginningOfYearBalance
Contributions	1173	Contributions
Investment Earnings Or Losses	300	InvestmentEarningsOrLosses
End Of Year Balance	12919	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.94000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.06000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	106036	OtherCostOrOtherBasis
Book Value	106036	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2114414	OtherCostOrOtherBasis
Depreciation	734426	Depreciation
Book Value	1379988	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1404471	OtherCostOrOtherBasis
Depreciation	919267	Depreciation
Book Value	485204	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1971228	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
Due From Third Party Payers	55383
Assets Limited as to Use	388601

Field	Value	IRS element (for citing)
Total Book Value Other Assets	443984	TotalBookValueOtherAssets
Total Revenue	9086230	TotalRevenue
Total Expenses	8545700	TotalExpenses
Excess Or Deficit For Year	540530	ExcessOrDeficitForYear
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	540530	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	9086230	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	9086230	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	9086230	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	8545700	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	8545700	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	8545700	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Part V, Line 4:	Identifier
Return Reference	Description of Intended Use of Endowment Funds:	ReturnReference
Explanation	Income earned IS used for operations.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	1	SubstantiationRequired
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Mitchell Sullivan MD
102808	0	8785	0	58845	0	7045	0	19378	0	196861	0	0	0
Brian Beals
152670	0	26537	0	0	0	6769	0	21277	0	207253	0	0	0
Geoffrey Kamen
154126	0	0	0	8077	0	4972	0	20831	0	188006	0	0	0
Keerthy Krishnamani
135698	0	0	0	8077	0	0	0	13720	0	157495	0	0	0
Thomas Temme
120063	0	0	0	7307	0	5200	0	20735	0	153305	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	ExplanationExplanation
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.
Form 990. Part XI, line 2c.	No change from prior year.