LAMPREY HEALTH CARE INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- LAMPREY HEALTH CARE INC (EIN 23-7305106)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-03-27
- IRS object ID
- 201420869349300102
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2014-03-27T07:56:01-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020400296 | EIN |
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 | 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 | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237305106 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lamprey Health Care Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LAMP | NameControl |
| Phone | 6036592494 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 South Main Street | AddressLine1 |
| City | Newmarket | City |
| State | NH | State |
| ZIP Code | 03857 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Greg White | Name |
| Title | Chief Executive Officer | Title |
| Phone | 6032927214 | Phone |
| Date Signed | 2014-03-27 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Dimitrios Panacopoulos CPA | Name |
| PTIN | P01603705 | PTIN |
| Phone | 6032240849 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Gregory White | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 South Main Street | AddressLine1 |
| City | Newmarket | City |
| State | NH | State |
| ZIP Code | 03857 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12875078 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.lampreyhealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1971 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | The mission of Lamprey Health Care is to provide high quality medical care and health related services to our communities regardless of the patients ability to pay. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 168 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4516339 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4002901 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7718361 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8870431 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1593 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1746 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12236293 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12875078 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8893431 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9366421 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 10647 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3381889 | OtherExpensePriorYear |
| Other Expenses Current Year | 3060396 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 12275320 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12426817 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -39027 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 448261 | RevenuesLessExpensesCY |
| Total Assets BOY | 12290267 | TotalAssetsBOY |
| Total Assets EOY | 12790947 | TotalAssetsEOY |
| Total Liabilities BOY | 5322316 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5318620 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6967951 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7472327 | NetAssetsOrFundBalancesEOY |
| Mission Description | The mission of Lamprey Health Care is to provide high quality medical care and health related services to our communities regardless of the patients ability to pay. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 10665545 | Expense |
| Revenue | 8870431 | Revenue |
| Description | To provide medical, dental, health, transportation and referral related services to all members of the community regardless of ability to pay. | Description |
| Total Program Service Expense | 10665545 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 1 | 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 | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 51 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 168 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| 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 |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Sandra Pardus CFO | NamePerson |
| Telephone Number | 6032927215 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 South Main Street | AddressLine1 |
| City | Newmarket | City |
| State | NH | State |
| ZIP Code | 03857 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Elizabeth Crepeau | |||||||
| President | 0.00 | X | 0 | 0 | 0 | ||
| Stephen Densberger | |||||||
| Vice President | 0.00 | X | 0 | 0 | 0 | ||
| Carol LaCross | |||||||
| Treasurer | 0.00 | X | 0 | 0 | 0 | ||
| Audrey Ashton-Savage | |||||||
| Secretary | 0.00 | X | 0 | 0 | 0 | ||
| George D Donovan Jr | |||||||
| Board of Directors | 0.00 | X | 0 | 0 | 0 | ||
| Michael Merenda | |||||||
| Board of Directors | 0.00 | X | 0 | 0 | 0 | ||
| Jean Ragonese | |||||||
| Board of Directors | 0.00 | X | 0 | 0 | 0 | ||
| Colette D Tilton | |||||||
| 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 | ||
| Paul M Decarolis Esq | |||||||
| Board of Directors | 0.00 | X | 0 | 0 | 0 | ||
| Janis Reams | |||||||
| Board of Directors | 0.00 | X | 0 | 0 | 0 | ||
| Jasmin Miranda-Smith | |||||||
| Board of Directors | 0.00 | X | 0 | 0 | 0 | ||
| Ann Peters | |||||||
| Former CEO | 40.00 | 164225 | 0 | 24915 | X | ||
| Sandra Pardus | |||||||
| CFO | 35.00 | 110327 | 0 | 11939 | X | ||
| Gregory White | |||||||
| Current CEO | 40.00 | 0 | 0 | 0 | X | ||
| Sirona Pruna | |||||||
| OBGYN | 40.00 | 280820 | 0 | 31739 | X | ||
| Paul Friedrichs | |||||||
| Physician | 40.00 | 188794 | 0 | 41592 | X | ||
| Vasuki Nagaraj | |||||||
| Physician | 40.00 | 182456 | 0 | 32246 | X | ||
| Ajay Sharma | |||||||
| Physician | 40.00 | 206226 | 0 | 17100 | X | ||
| Christopher Heatherton | |||||||
| Physician | 40.00 | 162325 | 0 | 15886 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1295173 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 175417 | 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 (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Community Health Access Network | |||||
| 207 S Main Street | Newmarket | NH | 03857 | Technology Services | 313251 |
| Partners for Womans Health | |||||
| 3 Alumni Drive Suite 302 | Exeter | NH | 03833 | Physician Services | 136800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Government Grants | 3338078 | GovernmentGrants |
| All Other Contributions | 664823 | AllOtherContributions |
| Total Contributions | 4002901 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Primary Health Care | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 8870431 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8870431 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8870431 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1746 | TotalRevenueColumn |
| Exclusion | $1,746 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12875078 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8870431 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,746 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 311406 | Total |
| Management And General | 311406 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7598446 | Total |
| Program Services | 6823459 | ProgramServices |
| Management And General | 774987 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 826729 | Total |
| Program Services | 716519 | ProgramServices |
| Management And General | 110210 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 629840 | Total |
| Program Services | 545877 | ProgramServices |
| Management And General | 83963 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69652 | Total |
| Management And General | 69652 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42200 | Total |
| Management And General | 42200 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 539517 | Total |
| Program Services | 467595 | ProgramServices |
| Management And General | 71922 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22127 | Total |
| Program Services | 19177 | ProgramServices |
| Management And General | 2950 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68468 | Total |
| Program Services | 59341 | ProgramServices |
| Management And General | 9127 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 343800 | Total |
| Program Services | 297968 | ProgramServices |
| Management And General | 45832 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 638578 | Total |
| Program Services | 553450 | ProgramServices |
| Management And General | 85128 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57197 | Total |
| Program Services | 49572 | ProgramServices |
| Management And General | 7625 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162505 | Total |
| Program Services | 140842 | ProgramServices |
| Management And General | 21663 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71218 | Total |
| Program Services | 61724 | ProgramServices |
| Management And General | 9494 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 283719 | Total |
| Program Services | 245897 | ProgramServices |
| Management And General | 37822 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123187 | Total |
| Program Services | 106765 | ProgramServices |
| Management And General | 16422 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Program Supplies | 250847 | 250847 | |
| Telephone | 128416 | 111297 | 17119 |
| Other Expenses | 103693 | 89870 | 13823 |
| Printing & Publications | 102500 | 88836 | 13664 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52772 | Total |
| Program Services | 36509 | ProgramServices |
| Management And General | 5616 | ManagementAndGeneral |
| Fundraising | 10647 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12426817 | Total |
| Program Services | 10665545 | ProgramServices |
| Management And General | 1750625 | ManagementAndGeneral |
| Fundraising | 10647 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1168284 | BOY |
| EOY | 1580568 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2624177 | BOY |
| EOY | 2628430 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 770908 | BOY |
| EOY | 697315 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109491 | BOY |
| EOY | 101303 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9366754 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3447655 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6115325 | BOY |
| EOY | 5919099 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1502082 | BOY |
| EOY | 1864232 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12290267 | BOY |
| EOY | 12790947 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1169510 | BOY |
| EOY | 1177253 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2457045 | BOY |
| EOY | 2547702 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1622511 | BOY |
| EOY | 1520415 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73250 | BOY |
| EOY | 73250 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5322316 | BOY |
| EOY | 5318620 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6472850 | BOY |
| EOY | 7069710 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 495101 | BOY |
| EOY | 402617 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6967951 | BOY |
| EOY | 7472327 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12290267 | BOY |
| EOY | 12790947 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 448261 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 56115 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| 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 | 4931132 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5632850 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8099328 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4516339 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4002901 | CurrentTaxYear |
| Total | 27182550 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7217100 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7688374 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7766542 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7718361 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8870431 | CurrentTaxYear |
| Total | 39260808 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12148232 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13321224 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 15865870 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12234700 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12873332 | CurrentTaxYear |
| Total | 66443358 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 10000 | CurrentTaxYearMinus3Years |
| Total | 10000 | 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) |
|---|---|---|
| Current Tax Year Minus3 Years | 10000 | CurrentTaxYearMinus3Years |
| Total | 10000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 66433358 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 16007 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4027 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3093 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1593 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1746 | CurrentTaxYear |
| Total | 26466 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 16007 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4027 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3093 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1593 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1746 | CurrentTaxYear |
| Total | 26466 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12164239 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13325251 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 15868963 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12236293 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12875078 | CurrentTaxYear |
| Total | 66469824 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99950 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99890 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00040 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00090 | 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
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 900973 | OtherCostOrOtherBasis |
| Book Value | 900973 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6578434 | OtherCostOrOtherBasis |
| Depreciation | 1744600 | Depreciation |
| Book Value | 4833834 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1887347 | OtherCostOrOtherBasis |
| Depreciation | 1703055 | Depreciation |
| Book Value | 184292 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5919099 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Assets Limited as to Use | Description |
| Book Value | 1864232 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1864232 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due to Third Parties | Description |
| Amount | $73,250 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 73250 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 12931193 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 56115 | OtherRevenues |
| Revenue Not Rptd F990 | 56115 | RevenueNotRptdF990 |
| Revenue Subtotal | 12875078 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12875078 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 12426817 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 12426817 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 12426817 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 2d - Other Adjustments: | Change in Fair Value of Financial Instrument |
| 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| 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 | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| TitleTitle | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ann Peters | ||||||||||||||
| Former CEO | 164225 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 24915 | 0 | 189140 | 0 | 0 | 0 |
| Sirona Pruna | ||||||||||||||
| OBGYN | 256557 | 0 | 24263 | 0 | 0 | 0 | 0 | 0 | 31739 | 0 | 312559 | 0 | 0 | 0 |
| Paul Friedrichs | ||||||||||||||
| Physician | 177650 | 0 | 11144 | 0 | 0 | 0 | 0 | 0 | 41592 | 0 | 230386 | 0 | 0 | 0 |
| Vasuki Nagaraj | ||||||||||||||
| Physician | 156943 | 0 | 25513 | 0 | 0 | 0 | 0 | 0 | 32246 | 0 | 214702 | 0 | 0 | 0 |
| Ajay Sharma | ||||||||||||||
| Physician | 152714 | 0 | 53512 | 0 | 0 | 0 | 0 | 0 | 17100 | 0 | 223326 | 0 | 0 | 0 |
| Christopher Heatherton | ||||||||||||||
| Physician | 155326 | 0 | 6999 | 0 | 0 | 0 | 0 | 0 | 15886 | 0 | 178211 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 7 | ReturnReference |
| Explanation | 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. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Ann Peters | |||
| Lamprey Health Care's CEO is a member of the board of directors of CHAN | 296203 | 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 $278,053. | 0 |
| Ann Peters | |||
| Lamprey Health Care's CEO is a member of the board of directors of CHAN | 396560 | Transactions include employees leased to CHAN in the amount of $361,525 and facilities(including utilities) in the amount of $35,035. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 56,115. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Friends of Lamprey Health Care Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 South Main Street | AddressLine1 |
| City | Newmarket | City |
| State | NH | State |
| ZIP Code | 03857 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020348630 | EIN |
| Primary Activities | Support LHC | PrimaryActivities |
| Legal Domicile State | NH | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | 509(a)(3) type iii | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Friends of Lamprey Health Care Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionType |
| Amount Involved | 227916 | AmountInvolved |
| Method Of Amt Determination | FMV | MethodOfAmtDetermination |