2014-03-27T07:56:01-05:00 2013-09-30 020400296 Brad Borbidge PA 197 Loudon Road Concord NH 03301 990 2012-10-01 237305106 Lamprey Health Care Inc LAMP 6036592494 207 South Main Street Newmarket NH 03857 Greg White 6032927214 2014-03-27 1 Dimitrios Panacopoulos CPA P01603705 6032240849 2012 2015-11-30 17:44:51Z Gregory White 207 South Main Street Newmarket NH 03857 12875078 0 X www.lampreyhealth.org X 1971 NH 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. 13 13 168 20 0 0 4516339 4002901 7718361 8870431 1593 1746 0 0 12236293 12875078 0 0 0 0 8893431 9366421 0 0 10647 3381889 3060396 12275320 12426817 -39027 448261 12290267 12790947 5322316 5318620 6967951 7472327 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. 0 0 10665545 8870431 To provide medical, dental, health, transportation and referral related services to all members of the community regardless of ability to pay. 10665545 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 51 0 1 168 1 0 0 0 0 0 0 0 0 0 0 X 13 13 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 Elizabeth Crepeau 0.00 X 0 0 0 Stephen Densberger 0.00 X 0 0 0 Carol LaCross 0.00 X 0 0 0 Audrey Ashton-Savage 0.00 X 0 0 0 George D Donovan Jr 0.00 X 0 0 0 Michael Merenda 0.00 X 0 0 0 Jean Ragonese 0.00 X 0 0 0 Colette D Tilton 0.00 X 0 0 0 Thomas Chris Drew 0.00 X 0 0 0 Cynthia Giguere-Unrein 0.00 X 0 0 0 Paul M Decarolis Esq 0.00 X 0 0 0 Janis Reams 0.00 X 0 0 0 Jasmin Miranda-Smith 0.00 X 0 0 0 Ann Peters 40.00 X 164225 0 24915 Sandra Pardus 35.00 X 110327 0 11939 Gregory White 40.00 X 0 0 0 Sirona Pruna 40.00 X 280820 0 31739 Paul Friedrichs 40.00 X 188794 0 41592 Vasuki Nagaraj 40.00 X 182456 0 32246 Ajay Sharma 40.00 X 206226 0 17100 Christopher Heatherton 40.00 X 162325 0 15886 1295173 0 175417 7 0 1 0 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 2 3338078 664823 4002901 Primary Health Care 621110 8870431 8870431 8870431 1746 1746 12875078 8870431 0 1746 311406 311406 7598446 6823459 774987 826729 716519 110210 629840 545877 83963 69652 69652 42200 42200 539517 467595 71922 22127 19177 2950 68468 59341 9127 343800 297968 45832 638578 553450 85128 57197 49572 7625 162505 140842 21663 71218 61724 9494 283719 245897 37822 123187 106765 16422 Program Supplies 250847 250847 Telephone 128416 111297 17119 Other Expenses 103693 89870 13823 Printing & Publications 102500 88836 13664 52772 36509 5616 10647 12426817 10665545 1750625 10647 1168284 1580568 2624177 2628430 770908 697315 109491 101303 9366754 3447655 6115325 5919099 1502082 1864232 12290267 12790947 1169510 1177253 2457045 2547702 1622511 1520415 73250 73250 5322316 5318620 X 6472850 7069710 495101 402617 6967951 7472327 12290267 12790947 X 448261 56115 X 0 1 X 1 1 1 X 4931132 5632850 8099328 4516339 4002901 27182550 7217100 7688374 7766542 7718361 8870431 39260808 12148232 13321224 15865870 12234700 12873332 66443358 10000 10000 0 10000 10000 66433358 16007 4027 3093 1593 1746 26466 16007 4027 3093 1593 1746 26466 12164239 13325251 15868963 12236293 12875078 66469824 0.99950 0.99890 0.00040 0.00090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 900973 900973 6578434 1744600 4833834 1887347 1703055 184292 5919099 Assets Limited as to Use 1864232 1864232 Due to Third Parties 73250 73250 12931193 56115 56115 12875078 0 12875078 12426817 0 12426817 0 12426817 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. X X X X X X 0 0 0 0 0 0 0 1 0 Ann Peters 164225 0 0 0 0 0 0 0 24915 0 189140 0 0 0 Sirona Pruna 256557 0 24263 0 0 0 0 0 31739 0 312559 0 0 0 Paul Friedrichs 177650 0 11144 0 0 0 0 0 41592 0 230386 0 0 0 Vasuki Nagaraj 156943 0 25513 0 0 0 0 0 32246 0 214702 0 0 0 Ajay Sharma 152714 0 53512 0 0 0 0 0 17100 0 223326 0 0 0 Christopher Heatherton 155326 0 6999 0 0 0 0 0 15886 0 178211 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. 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 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Change in Fair Value of Financial Instrument 56,115. 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