LAMPREY HEALTH CARE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- LAMPREY HEALTH CARE INC (EIN 23-7305106)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-05-14
- IRS object ID
- 201801349349309905
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-14T17:22:18-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010523282 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 Elm Street 4th Floor | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237305106 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lamprey Health Care Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAMP | BusinessNameControlTxt |
| Phone | 6036592494 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 South Main Street | AddressLine1Txt |
| City | Newmarket | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03857 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Greg White | PersonNm |
| Person Title | Chief Executive Officer | PersonTitleTxt |
| Phone | 6032927214 | PhoneNum |
| Signature | 2018-04-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Dimitrios Panacopoulos | PreparerPersonNm |
| PTIN | P01603705 | PTIN |
| Phone | 6036697337 | PhoneNum |
| Preparation | 2018-04-03 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Gregory White | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 South Main Street | AddressLine1Txt |
| City | Newmarket | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03857 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,020,736 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.lampreyhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | The LHC mission is the provision of primary health care services to our communities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 210 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,670,737 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,504,563 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,370,915 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,504,821 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,704 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,094 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,955 | PYOtherRevenueAmt |
| CY Other Revenue | $1,419 | CYOtherRevenueAmt |
| PY Total Revenue | $15,061,311 | PYTotalRevenueAmt |
| CY Total Revenue | $15,014,897 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $33,714 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,666,273 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,222,508 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,640,082 | PYOtherExpensesAmt |
| CY Other Expenses | $4,027,569 | CYOtherExpensesAmt |
| PY Total Expenses | $14,306,355 | PYTotalExpensesAmt |
| CY Total Expenses | $15,283,791 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $754,956 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$268,894 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,438,129 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,432,412 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,452,649 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,684,822 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,985,480 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,747,590 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Lamprey Health Care, Inc. is to provide high quality primary medical care and health related services, with an emphasis on prevention and lifestyle management, to all individuals regardless of ability to pay. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,463,996 | ExpenseAmt |
| Grant | $33,714 | GrantAmt |
| Revenue | $8,615,258 | RevenueAmt |
| Desc | To provide medical, dental, health, behavioral health, transportation and referral related services to all members of the community regardless of ability to pay. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $464,205 | ExpenseAmt |
| Revenue | $387,658 | RevenueAmt |
| Desc | To provide through AHEC, the Southern New Hampshire Area Health Education Center, training and development opportunities for the Health Care workforce including, but not limited to, Medical Assistants, Nurses, Interpreters, Nurse Practitioners, and Community Health Workers. To support in the collection and analysis of survey data to further health quality initiatives. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $399,592 | ExpenseAmt |
| Revenue | $342,573 | RevenueAmt |
| Desc | To provide through SPHN, the Seacoast Public Health Network, emergency preparedness services and Substance Misuse Prevention services as well as training and education opportunities in conjunction with other health care providers, the State of New Hampshire public health department, and other partners. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $229,887 | ExpenseAmt |
| Revenue | $159,332 | RevenueAmt |
| Desc | To Provide transportation services for the elderly and vulnerable populations of Rockingham County and the seacoast area of New Hampshire. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $229,887 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $159,332 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $11,557,680 | 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 | 0 | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | 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 | 0 | 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 69 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 210 | 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | 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 | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Evalie M Crosby CPA FHFMA | PersonNm |
| Phone | 6032927215 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 South Main Street | AddressLine1Txt |
| City | Newmarket | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03857 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Audrey Ashton-Savage | ||||||||
| President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Carol LaCross | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Thomas Chris Drew | ||||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Elizabeth Crepeau | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Raymond Goodman III | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Frank Goodspeed | ||||||||
| Vice President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Mark E Howard Esq | ||||||||
| Treasurer | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Amanda Pears Kelly | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Allan Knight | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Arvind Ranade | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Heather Long | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Landon Gamble | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Wilberto Torres | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Gilbert | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Woodward | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Lara Rice | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Edward Nyette | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Evalie Crosby | ||||||||
| CFO | 40.00 | Yes (X) | $121,659 | $0 | $9,382 | 1.00 | ||
| Gregory White | ||||||||
| CEO | 40.00 | Yes (X) | $186,161 | $0 | $29,111 | 1.00 | ||
| Sirona Pruna | ||||||||
| Physician | 40.00 | $313,508 | $0 | $28,400 | Yes (X) | |||
| Paul Friedrichs | ||||||||
| Physician | 20.00 | $162,057 | $0 | $39,513 | Yes (X) | |||
| Vasuki Nagaraj | ||||||||
| Physician | 40.00 | $269,427 | $0 | $25,863 | Yes (X) | |||
| Paul Brimigion | ||||||||
| CIO | 40.00 | $140,644 | $0 | $6,752 | Yes (X) | |||
| Jeremy James | ||||||||
| Physician | 25.00 | $155,254 | $0 | $30,579 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,348,710 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $169,600 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Community Health Access Network | |||||
| 207 S Main Street | Newmarket | NH | 03857 | Technology Services | $220,507 |
| Partners for Womens Health | |||||
| 3 Alumni Drive Suite 302 | Exeter | NH | 03833 | Physician Services | $148,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,958,493 | GovernmentGrantsAmt |
| All Other Contributions | $546,070 | AllOtherContributionsAmt |
| Total Contributions | $5,504,563 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Health Care | 621110 | $8,631,952 | $8,631,952 |
| Other Operating Rev. | 621110 | $872,869 | $872,869 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,504,821 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,094 | TotalRevenueColumnAmt |
| Exclusion | $4,094 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $7,258 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $5,839 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,419 | TotalRevenueColumnAmt |
| Exclusion | $1,419 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,014,897 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,504,821 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,513 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,000 | TotalAmt |
| Program Services | $20,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,714 | TotalAmt |
| Program Services | $13,714 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,313 | TotalAmt |
| Management And General | $346,313 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,053,971 | TotalAmt |
| Program Services | $7,079,434 | ProgramServicesAmt |
| Management And General | $1,974,537 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,073,281 | TotalAmt |
| Program Services | $840,730 | ProgramServicesAmt |
| Management And General | $232,551 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $748,943 | TotalAmt |
| Program Services | $566,354 | ProgramServicesAmt |
| Management And General | $182,589 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,380 | TotalAmt |
| Program Services | $26,755 | ProgramServicesAmt |
| Management And General | $8,625 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,634 | TotalAmt |
| Program Services | $46,608 | ProgramServicesAmt |
| Management And General | $15,026 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,429,443 | TotalAmt |
| Program Services | $1,080,952 | ProgramServicesAmt |
| Management And General | $348,491 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,749 | TotalAmt |
| Program Services | $63,331 | ProgramServicesAmt |
| Management And General | $20,418 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,975 | TotalAmt |
| Program Services | $101,313 | ProgramServicesAmt |
| Management And General | $32,662 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $803,891 | TotalAmt |
| Program Services | $607,906 | ProgramServicesAmt |
| Management And General | $195,985 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,796 | TotalAmt |
| Program Services | $115,545 | ProgramServicesAmt |
| Management And General | $37,251 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,398 | TotalAmt |
| Program Services | $19,962 | ProgramServicesAmt |
| Management And General | $6,436 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,608 | TotalAmt |
| Program Services | $51,126 | ProgramServicesAmt |
| Management And General | $16,482 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,833 | TotalAmt |
| Program Services | $262,277 | ProgramServicesAmt |
| Management And General | $84,556 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,232 | TotalAmt |
| Program Services | $103,776 | ProgramServicesAmt |
| Management And General | $33,456 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Program Supplies | $509,321 | $385,151 | $124,170 |
| Printing & Publications | $94,187 | $71,225 | $22,962 |
| Other Expenses | $75,875 | $49,156 | $26,719 |
| Equipment Rental/Repair | $37,726 | $28,529 | $9,197 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,521 | TotalAmt |
| Program Services | $23,836 | ProgramServicesAmt |
| Management And General | $7,685 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,283,791 | TotalAmt |
| Program Services | $11,557,680 | ProgramServicesAmt |
| Management And General | $3,726,111 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $752,675 | BOYAmt |
| EOY | $543,845 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $292,264 | BOYAmt |
| EOY | $561,508 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,078,036 | BOYAmt |
| EOY | $1,071,115 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $63,579 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,072 | BOYAmt |
| EOY | $160,946 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,653,127 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,783,365 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,936,064 | BOYAmt |
| EOY | $5,869,762 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,204 | BOYAmt |
| EOY | $20,298 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,271,814 | BOYAmt |
| EOY | $3,141,359 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,438,129 | BOYAmt |
| EOY | $11,432,412 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,043,496 | BOYAmt |
| EOY | $1,273,746 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $89,040 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,409,153 | BOYAmt |
| EOY | $1,308,267 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $13,769 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,452,649 | BOYAmt |
| EOY | $2,684,822 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,503,724 | BOYAmt |
| EOY | $8,273,582 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $481,756 | BOYAmt |
| EOY | $474,008 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,985,480 | BOYAmt |
| EOY | $8,747,590 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,438,129 | BOYAmt |
| EOY | $11,432,412 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$268,894 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $31,004 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 | $4,002,901 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,102,931 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,240,528 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,670,737 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,505,982 | CurrentTaxYearAmt |
| Total | $23,523,079 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,870,431 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,026,337 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,100,224 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,370,915 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,504,821 | CurrentTaxYearAmt |
| Total | $44,872,728 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,873,332 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,129,268 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,340,752 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,041,652 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,010,803 | CurrentTaxYearAmt |
| Total | $68,395,807 | 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 | $68,395,807 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,746 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $650 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,056 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,704 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,094 | CurrentTaxYearAmt |
| Total | $23,250 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,746 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $650 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,056 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,704 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,094 | CurrentTaxYearAmt |
| Total | $23,250 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $14,762 | CurrentTaxYearMinus1YearAmt |
| Total | $14,762 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,875,078 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,129,918 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,341,808 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,072,118 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,014,897 | CurrentTaxYearAmt |
| Total | $68,433,819 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99940 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99950 | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $909,237 | OtherCostOrOtherBasisAmt |
| Book Value | $909,237 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,982,356 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,747,834 | DepreciationAmt |
| Book Value | $4,234,522 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,075,606 | OtherCostOrOtherBasisAmt |
| Depreciation | $436,803 | DepreciationAmt |
| Book Value | $638,803 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,685,928 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,598,728 | DepreciationAmt |
| Book Value | $87,200 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,869,762 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Assets Limited as to Use | Desc |
| Book Value | $3,141,359 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,141,359 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Market Value of Interest Rate Swap | Desc |
| Amt | $13,769 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,769 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Goodwin Community Health | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 311 Route 108 | AddressLine1Txt |
| City | Somerswoth | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03878 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 020304203 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $20,000 | CashGrantAmt |
| Purpose Of Grant | NHCF Grant for Baby Steps | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gregory White | ||||||||||||||
| CEO | $186,161 | $0 | $0 | $0 | $0 | $0 | $6,871 | $0 | $22,240 | $0 | $215,272 | $0 | $0 | $0 |
| Sirona Pruna | ||||||||||||||
| Physician | $308,371 | $0 | $5,137 | $0 | $0 | $0 | $12,896 | $0 | $15,504 | $0 | $341,908 | $0 | $0 | $0 |
| Paul Friedrichs | ||||||||||||||
| Physician | $151,326 | $0 | $10,731 | $0 | $0 | $0 | $15,834 | $0 | $23,679 | $0 | $201,570 | $0 | $0 | $0 |
| Vasuki Nagaraj | ||||||||||||||
| Physician | $253,906 | $0 | $15,521 | $0 | $0 | $0 | $9,603 | $0 | $16,260 | $0 | $295,290 | $0 | $0 | $0 |
| Jeremy James | ||||||||||||||
| Physician | $142,928 | $0 | $12,326 | $0 | $0 | $0 | $8,459 | $0 | $22,120 | $0 | $185,833 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 7 | FormAndLineReferenceDesc |
| Explanation | Lamprey Health Care, Inc. provides an incentive compensation program whereby providers may earn additional compensation based on their productivity (as measured by patient visits per hour), timeliness of documentation completion, patient satisfaction survey results, quality of care as measured by identified metrics, and team participation. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11b | The 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 12c | Annually, all members of 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 15 | On a periodic basis the Board of Directors engages an independent third party to conduct a review of CEO compensation. 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 19 | The 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 31,004. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Friends of Lamprey Health Care Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 South Main Street | AddressLine1Txt |
| City | Newmarket | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03857 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020348630 | EIN |
| Primary Activities | Support Lamprey Health Care, Inc. | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 509(a)(3) Type III | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lamprey Health Care Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Friends of Lamprey Health Care Inc | ||
| K | $227,916 | FMV |
| Friends of Lamprey Health Care Inc | ||
| D | $896,332 | FMV |