2015-04-08T10:04:49-05:00 2014-09-30 020400296 Brad Borbidge PA 197 Loudon Road Concord NH 03301 990 2013-10-01 237305106 Lamprey Health Care Inc LAMP 6036592494 207 South Main Street Newmarket NH 03857 Greg White Chief Executive Officer 6032927214 2015-04-08 1 Dimitrios Panacopoulos CPA P01603705 6032240849 2013 2016-02-25 16:41:14Z Gregory White 207 South Main Street Newmarket NH 03857 12129918 0 X www.lampreyhealth.org X 1971 NH The mission of Lamprey Health Care, Inc. is to provide high quality medical care and health related services to our communities regardless of the patients ability to pay. 12 12 175 9 0 0 4002901 4102931 8870431 8026337 1746 650 0 0 12875078 12129918 0 0 0 0 9366421 9259609 0 0 10157 3060396 2851386 12426817 12110995 448261 18923 12790947 13283870 5318620 5795461 7472327 7488409 The mission of Lamprey Health Care, Inc. is to provide high quality medical care and health related services to our communities regardless of the patients ability to pay. 0 0 10501325 8026337 To provide medical, dental, health, transportation and referral related services to all members of the community regardless of ability to pay. 10501325 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 52 0 1 175 1 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NH X X Sandra Pardus CFO 6032927215 207 South Main Street Newmarket NH 03857 Audrey Ashton-Savage President 0.00 X 0 0 0 George D Donovan Jr Vice President 0.00 X 0 0 0 Carol LaCross Treasurer 0.00 X 0 0 0 Janis Reams Secretary 0.00 X 0 0 0 Elizabeth Crepeau Board of Directors 0.00 X 0 0 0 Thomas Chris Drew Board of Directors 0.00 X 0 0 0 Cynthia Giguere-Unrein Board of Directors 0.00 X 0 0 0 Raymond Goodman Board of Directors 0.00 X 0 0 0 Frank Goodspeed Board of Directors 0.00 X 0 0 0 Mark E Howard Esq Board of Directors 0.00 X 0 0 0 Amanda Pears Kelly Board of Directors 0.00 X 0 0 0 Michael Merenda Board of Directors 0.00 X 0 0 0 Ann Peters Former CEO 40.00 X 362282 0 12059 Sandra Pardus CFO 35.00 X 133104 0 13677 Gregory White Current CEO 40.00 X 34412 0 1858 Sirona Pruna OBGYN 40.00 X 285578 0 29641 Paul Friedrichs Physician 40.00 X 192418 0 39257 Vasuki Nagaraj Physician 40.00 X 199344 0 25726 Ajay Sharma Physician 40.00 X 219748 0 15186 Christopher Heatherton Physician 40.00 X 160655 0 10831 1587541 0 148235 13 0 1 0 Community Health Access Network 207 S Main Street Newmarket NH 03857 Technology Services 317590 Partners for Womens Health 3 Alumni Drive Suite 302 Exeter NH 03833 Physician Services 136800 2 3573169 529762 4102931 Primary Health Care 621110 8026337 8026337 8026337 650 650 12129918 8026337 0 650 557392 557392 7240245 6781001 459244 840369 733399 106970 621603 542480 79123 35374 35374 42200 42200 400608 349615 50993 36862 32170 4692 63277 55223 8054 320403 279619 40784 679640 593129 86511 43176 37680 5496 110169 96146 14023 68911 60139 8772 281909 246025 35884 138819 121149 17670 Program Supplies 255912 255912 Other Expenses 128397 112053 16344 Printing & Publications 102025 89038 12987 Telephone 88033 76827 11206 55671 39720 5794 10157 12110995 10501325 1599513 10157 1580568 1230606 2628430 3314851 697315 989558 101303 94731 9385142 3591215 5919099 5793927 1864232 1860197 12790947 13283870 1177253 1121703 2547702 3125597 1520415 1474911 73250 73250 5318620 5795461 X 7069710 7099125 402617 389284 7472327 7488409 12790947 13283870 X 18923 -2841 X 0 1 X 1 1 1 X 5632850 8099328 4516339 4002901 4102931 26354349 7688374 7766542 7718361 8870431 8026337 40070045 13321224 15865870 12234700 12873332 12129268 66424394 10000 10000 0 10000 10000 66414394 4027 3093 1593 1746 650 11109 4027 3093 1593 1746 650 11109 13325251 15868963 12236293 12875078 12129918 66435503 0.99970 0.99950 0.00020 0.00040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 909237 909237 6588615 2194785 4393830 1887290 1396430 490860 5793927 Assets Limited as to Use 1860197 1860197 Due to Third Parties 73250 73250 12129918 0 12129918 0 12129918 12110995 0 12110995 0 12110995 Part IV, line 11f Lamprey Health Care is a public charity under Section 501(c)(3) of the Internal Revenue Code. As public charities, the entities are 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 each entity's tax position and concluded that there is no unrelated business income or uncertain tax positions that require adjustment to the consolidated financial statements. X X X X X X 1 0 0 0 0 0 0 1 0 Ann Peters Former CEO 106377 0 0 0 255905 0 0 0 12059 0 374341 0 0 0 Sirona Pruna OBGYN 260979 0 0 0 24599 0 0 0 29641 0 315219 0 0 0 Paul Friedrichs Physician 181976 0 0 0 10442 0 0 0 39257 0 231675 0 0 0 Vasuki Nagaraj Physician 167749 0 0 0 31595 0 0 0 25726 0 225070 0 0 0 Ajay Sharma Physician 161680 0 0 0 58068 0 0 0 15186 0 234934 0 0 0 Christopher Heatherton Physician 156732 0 0 0 3923 0 0 0 10831 0 171486 0 0 0 Part I, Line 7 Physicians are provided incentive payments based on number of patients seen, complexity of patient acuity, timely documentation, patient satisfaction, quality of care provided, and call coverage responsibilities. Schedule J, Part II, Line 1, B(III) Final payment for a long tenured CEO including accrued time, travel related expenses and retirement funds. Gregory White Lamprey Health Care's CEO is a member of the board of directors of CHAN 295250 Transactions include dues paid to Community Health Access Network(CHAN) in the amount of $18,150. Lamprey also contracted with CHAN for IT and other consulting services in the amount of $277,100. 0 Gregory White Lamprey Health Care's CEO is a member of the board of directors of CHAN 425740 Transactions include employees leased to CHAN in the amount of $391,509 and facilities(including utilities) in the amount of $34,231. 0 Form 990, Part VI, Section B, line 11 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, 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 The Board hires a firm to do a CEO analysis periodically. In between, the National Association of Community Health Centers (NACHC) Benefits and Compensation survey results are used. The NACHC study is also used for other key employees, as well as other local studies (including the Medical Group Management Association (MGMA) salary survey), as they are available. Form 990, Part VI, Section C, line 19 Upon request. Form 990, Part XI, line 9: Change in fair value of financial instrument -2,841. Friends of Lamprey Health Care Inc 207 South Main Street Newmarket NH 03857 020348630 Support LHC NH 501(c)(3) 509(a)(3) type iii N/A 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 Friends of Lamprey Health Care Inc K 227916 FMV