2011-01-18T13:48:05-06:00 2010-06-30 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2009-07-01 020350051 Coos County Family Health Services Inc COOS 6037522040 133 Pleasant Street Berlin NH 03570 Robert Pelchat 6037527719 2010-12-15 BRAD BORBIDGE PA 6032240849 2009 2016-02-24 21:20:13Z Adele Woods 133 Pleasant Street Berlin NH 03570 9086230 0 X www.coosfamilyhealth.org X 1980 NH 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. 14 14 143 20 0 0 3089355 3420596 5860487 5664361 1477 1273 355486 0 9306805 9086230 0 0 6836873 6525009 0 12180 2388096 2020691 9224969 8545700 81836 540530 2899359 3271243 1936406 1767760 962953 1503483 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. 0 0 7466510 5664361 Provision of primary care services to the community. 7466510 1 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 31 0 1 143 1 0 0 0 0 0 0 0 0 0 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X X X Adele Woods 6037522040 133 Pleasant Street Berlin NH 03570 Robert Pelchat X 0 0 0 Dennis Cox X 0 0 0 Betty Gosselin X 0 0 0 Aline Boucher X 0 0 0 Marge McClellan X 0 0 0 Asa Brosnan X 0 0 0 Linda Slowik X 0 0 0 Michael Poulin X 0 0 0 Brenda Golden Hallisey X 0 0 0 H Guyford Stever Jr X 0 0 0 Kenneth Cargill X 0 0 0 Alice Maitland X 0 0 0 Joan Merrill X 0 0 0 Reggie Coulombe X 0 0 0 Adele Woods 40.00 X 120480 0 7148 Melissa Frenette 40.00 X 74958 0 5484 Patricia Couture 40.00 X 91851 0 5598 Mitchell Sullivan MD 40.00 X 170438 0 26423 Brian Beals 37.50 X 179207 0 28046 Geoffrey Kamen 37.50 X 162203 0 25803 Keerthy Krishnamani 33.50 X 143775 0 13720 Thomas Temme 30.50 X 127370 0 25935 Javier Cardenas 37.50 X 127049 0 13793 1197331 0 151950 7 0 1 0 Androscoggin Valley Hospital 59 Page Hill Rd Berlin NH 03570 Rent/Physicians/OB 277790 1 6750 2481352 932494 3420596 Home Health Care SRVCS 621610 5664361 5664361 5664361 1273 1273 9086230 5664361 0 1273 502380 316472 185908 4634040 4170636 463404 142457 124607 17850 838791 733690 105101 407341 356301 51040 9274 9274 37881 37881 272558 272558 15159 15159 76884 67250 9634 114176 114176 342829 299873 42956 32667 28574 4093 56219 56219 51015 44623 6392 197960 173156 24804 43546 38090 5456 Program Supplies 265809 265809 Bad Debt Expense 238431 238431 Telephone 66544 58206 8338 Printing and Publicatio 55912 48906 7006 Other Expenses 55806 48814 6992 88021 66338 9503 12180 8545700 7466510 1067010 12180 224550 186504 158977 173796 443362 420749 54376 74982 3624921 1653693 1805750 1971228 212344 443984 2899359 3271243 884574 799594 1051832 968166 1936406 1767760 X 270137 513490 680816 975076 12000 14917 962953 1503483 2899359 3271243 X 0 1 1 X 1 1 X 3494873 3057203 2988706 3089355 3420596 16050733 5604612 5874315 5955938 5860487 5664361 28959713 9099485 8931518 8944644 8949842 9084957 45010446 0 0 0 45010446 2044 2780 1992 1477 1273 9566 2044 2780 1992 1477 1273 9566 9101529 8934298 8946636 8951319 9086230 45020012 0.99980 0.99970 0.00020 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12919 2917 38 15874 11446 1173 300 12919 0.94000 0.06000 0 0 106036 106036 2114414 734426 1379988 1404471 919267 485204 1971228 Due From Third Party Payers 55383 Assets Limited as to Use 388601 443984 9086230 8545700 540530 0 540530 9086230 0 9086230 0 9086230 8545700 0 8545700 0 8545700 Part V, Line 4: Description of Intended Use of Endowment Funds: Income earned IS used for operations. 1 X X X 0 0 0 0 0 0 0 0 0 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 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.