PENACOOK ASSISTED LIVING FACILITY INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- PENACOOK ASSISTED LIVING FACILITY INC (EIN 02-0506456)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2020-11-06
- IRS object ID
- 202003119349301045
- Schema version
- 2019v5.0
- 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 | 2020-11-06T10:32:25-06:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 030302296 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KITTELL BRANAGAN & SARGENT | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 154 N MAIN ST | AddressLine1Txt |
| City | ST ALBANS | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05478 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020506456 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PENACOOK ASSISTED LIVING FACILITY | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PENA | BusinessNameControlTxt |
| Phone | 6032267505 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2032 | AddressLine1Txt |
| City | CONCORD | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03302 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AKI MATHIEU | PersonNm |
| Person Title | INTERIM CFO | PersonTitleTxt |
| Phone | 6032267505 | PhoneNum |
| Signature | 2020-09-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GREGORY SARGENT CPA | PreparerPersonNm |
| PTIN | P01402903 | PTIN |
| Phone | 8025249531 | PhoneNum |
| Preparation | 2020-09-18 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.169.148.142 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-06 | IPDt |
| IP Tm | 10:32:25 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 664F060A2189D291EA2AA352EB98EE0FCF85304A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 664F060A2189D291EA2AA352EB98EE0FCF85304A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | AKI MATHIEU | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2032 | AddressLine1Txt |
| City | CONCORD | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03302 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,943,533 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WHITAKERPLACE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | THE PURPOSES OF THE CORPORATION SHALL BE TO ASSIST IN THE DEVELOPMENT AND MANAGEMENT OF ADULT HEALTH CARE FACILITIES AND SERVICES FOR PERSONS AGE 55 AND OLDER IN NEED OF CARE ASSISTANCE AND TO PROVIDE OTHER AND FURTHER SERVICES AS ARE DESIRABLE TO PROMOTE THE SOCIAL WELFARE OF THE CITIZENS OF THE STATE OF NEW HAMPSHIRE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 53 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $12,550 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,885 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,521,366 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,905,007 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,444 | PYInvestmentIncomeAmt |
| CY Investment Income | $26,799 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,761 | PYOtherRevenueAmt |
| CY Other Revenue | $8,842 | CYOtherRevenueAmt |
| PY Total Revenue | $2,557,121 | PYTotalRevenueAmt |
| CY Total Revenue | $2,943,533 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $591,243 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $666,814 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,914,458 | PYOtherExpensesAmt |
| CY Other Expenses | $2,233,197 | CYOtherExpensesAmt |
| PY Total Expenses | $2,505,701 | PYTotalExpensesAmt |
| CY Total Expenses | $2,900,011 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $51,420 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $43,522 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,462,164 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,308,700 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,401,371 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,204,385 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$939,207 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$895,685 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE PURPOSES OF THE CORPORATION SHALL BE TO ASSIST IN THE DEVELOPMENT AND MANAGEMENT OF ADULT HEALTH CARE FACILITIES AND SERVICES FOR PERSONS AGE 55 AND OLDER IN NEED OF CARE ASSISTANCE AND TO PROVIDE OTHER AND FURTHER SERVICES AS ARE DESIRABLE TO PROMOTE THE SOCIAL WELFARE OF THE CITIZENS OF THE STATE OF NEW HAMPSHIRE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,798,986 | ExpenseAmt |
| Revenue | $2,919,350 | RevenueAmt |
| Desc | QUALITY ASSISTED CARE COMMUNITY WHICH PROVIDES AFFORDABLE LIVING FOR FRAIL, ELDERLY CITIZENS. | Desc |
| Total Program Service Expenses | $2,798,986 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 53 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | 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 | AKI MATHIEU | PersonNm |
| Phone | 6032267505 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2032 | AddressLine1Txt |
| City | CONCORD | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 033022032 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| PETER EVERS | |||||||
| FORMER VP | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $251,717 | $7,386 |
| ALLAN MOSES | |||||||
| FORMER PRESI | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $164,547 | $18,645 |
| AMY HEIN | |||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $91,025 | $0 | $12,578 | ||
| CATHY BENOIT | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MAURICE BLAKE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK CIOCCA | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BJ ENTWISLE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DICK FORD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JUDITH FOX | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DEB HORTON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN JAUHOLA-STRAIGHT | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RITA JONES | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JILL KAZIMIER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LISA MADDEN | |||||||
| INTERIM PRES | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DENISE MARTEL | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| AKI MATHIEU | |||||||
| INTERIM CFO | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LESLIE WALKER | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| REBECCA WOLFE | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $91,025 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $416,264 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $38,609 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CONCORD REGIONAL VNA | |||||
| 30 PILLSBURY STREET | CONCORD | NH | 03301 | NURSING | $901,174 |
| REINHART FOODSERVICE LLC | |||||
| 225 JOHN HANCOCK ROAD | TAUNTON | MA | 02780 | FOOD | $182,799 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $2,885 | AllOtherContributionsAmt |
| Total Contributions | $2,885 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RENTAL INCOME | Desc |
| Business | 624200 | BusinessCd |
| Total Revenue Column | $2,905,007 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,905,007 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,905,007 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,299 | TotalRevenueColumnAmt |
| Exclusion | $21,299 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,500 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,500 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,500 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,500 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 624200 | BusinessCd |
| Total Revenue Column | $8,842 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,842 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,842 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,943,533 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,919,349 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $21,299 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,025 | TotalAmt |
| Management And General | $101,025 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $412,193 | TotalAmt |
| Program Services | $412,193 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,675 | TotalAmt |
| Program Services | $111,675 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,921 | TotalAmt |
| Program Services | $41,921 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,133 | TotalAmt |
| Program Services | $9,133 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,650 | TotalAmt |
| Program Services | $6,650 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,019 | TotalAmt |
| Program Services | $14,019 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,625 | TotalAmt |
| Program Services | $13,625 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,391 | TotalAmt |
| Program Services | $177,391 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,521 | TotalAmt |
| Program Services | $3,521 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,869 | TotalAmt |
| Program Services | $223,869 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,704 | TotalAmt |
| Program Services | $359,704 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,878 | TotalAmt |
| Program Services | $18,878 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| CONTRACTED SERVICES | $1,050,687 | $1,050,687 |
| FOOD | $189,907 | $189,907 |
| PROPERTY TAXES | $66,684 | $66,684 |
| KITCHEN SUPPLIES | $23,760 | $23,760 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,369 | TotalAmt |
| Program Services | $75,369 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,900,011 | TotalAmt |
| Program Services | $2,798,986 | ProgramServicesAmt |
| Management And General | $101,025 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,583,839 | BOYAmt |
| EOY | $1,609,190 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,164 | BOYAmt |
| EOY | $69,330 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,675 | BOYAmt |
| EOY | $41,466 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,078,326 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,489,612 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,794,486 | BOYAmt |
| EOY | $4,588,714 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,462,164 | BOYAmt |
| EOY | $6,308,700 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,747 | BOYAmt |
| EOY | $174,532 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,855 | BOYAmt |
| EOY | $40,788 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,837,894 | BOYAmt |
| EOY | $6,811,193 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,875 | BOYAmt |
| EOY | $177,872 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,401,371 | BOYAmt |
| EOY | $7,204,385 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$939,207 | BOYAmt |
| EOY | -$895,685 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$939,207 | BOYAmt |
| EOY | -$895,685 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,462,164 | BOYAmt |
| EOY | $6,308,700 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $43,522 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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 | $375 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $1,030 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,550 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,885 | CurrentTaxYearAmt |
| Total | $16,840 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,291,104 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,300,395 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,184,491 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,521,366 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,879,994 | CurrentTaxYearAmt |
| Total | $12,177,350 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,291,479 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,300,395 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,185,521 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,533,916 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,882,879 | CurrentTaxYearAmt |
| Total | $12,194,190 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,033,127 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,060,519 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,105,252 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $810,358 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,389,336 | CurrentTaxYearAmt |
| Total | $5,398,592 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,033,127 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,060,519 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,105,252 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $810,358 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,389,336 | CurrentTaxYearAmt |
| Total | $5,398,592 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $6,795,598 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,530 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,918 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,444 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,799 | CurrentTaxYearAmt |
| Total | $71,967 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,530 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,918 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,444 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,799 | CurrentTaxYearAmt |
| Total | $71,967 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,202 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,469 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,063 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $39,356 | CurrentTaxYearAmt |
| Total | $66,090 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,304,211 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,313,140 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,210,502 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,548,360 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,956,034 | CurrentTaxYearAmt |
| Total | $12,332,247 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.55100 | PublicSupportCY509Pct |
| Public Support PY509 | 0.62450 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | 66,090 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $220,321 | OtherCostOrOtherBasisAmt |
| Book Value | $220,321 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,356,668 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,113,149 | DepreciationAmt |
| Book Value | $4,243,519 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $420,143 | OtherCostOrOtherBasisAmt |
| Depreciation | $316,264 | DepreciationAmt |
| Book Value | $103,879 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $81,194 | OtherCostOrOtherBasisAmt |
| Depreciation | $60,199 | DepreciationAmt |
| Book Value | $20,995 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,588,714 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SECURITY DEPOSITS PAYABLE | Desc |
| Amt | $177,872 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $177,872 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,943,533 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $2,943,533 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $2,943,533 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,900,011 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $2,900,011 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $2,900,011 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | CONSIDERATION HAS BEEN GIVEN TO UNCERTAIN TAX POSITIONS. THE FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED AFTER JUNE 30, 2017, REMAIN OPEN FOR POTENTIAL EXAMINATION BY MAJOR TAX JURISDICTIONS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|
| PETER EVERS | ||||||
| FORMER VP | $228,637 | $10,000 | $13,080 | $5,728 | $1,658 | $259,103 |
| ALLAN MOSES | ||||||
| FORMER PRESIDENT | $148,289 | $10,000 | $6,258 | $3,790 | $14,855 | $183,192 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWAY BANK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 020279866 | BondIssuerEIN |
| Bond Issued | 2018-04-13 | BondIssuedDt |
| Issue Price | $7,247,663 | IssuePriceAmt |
| Purpose | REFINANCE | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $7,247,663 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $90,148 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $7,157,515 | CapitalExpendituresAmt |
| Refunding Tax Exempt Bonds | Yes (true) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PURPOSE OF ISSUE DESCRIPTION | FormAndLineReferenceDesc |
| Explanation | NORTHWAY BANK REFINANCE | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE PURPOSES OF THE CORPORATION SHALL BE TO ASSIST IN THE DEVELOPMENT AND MANAGEMENT OF ADULT HEALTH CARE FACILITIES AND SERVICES FOR PERSONS AGE 55 AND OLDER IN NEED OF CARE ASSISTANCE AND TO PROVIDE OTHER AND FURTHER SERVICES AS ARE DESIRABLE TO PROMOTE THE SOCIAL WELFARE OF THE CITIZENS OF THE STATE OF NEW HAMPSHIRE. |
| FORM 990, PAGE 6, PART VI, LINE 3 | RIVERBEND COMMUNITY MENTAL HEALTH MANAGES THE ACCOUNTING ON BEHALF OF PALF. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE BOARD OF DIRECTORS REVIEWS/AFFIRMS AND VOTES ON THE FORM 990 AND COMPARES TO THE AUDITED FINANCIAL STATEMENTS BEFORE IT IS SUBMITTED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH DIRECTOR, PRIOR TO TAKING HIS/HER POSITION ON THE BOARD, AND ALL PRESENT DIRECTORS SHALL SUBMIT IN WRITING TO THE PRESIDENT OF THE BOARD A LIST OF ALL BUSINESSES OR OTHER ORGANIZATIONS OF WHICH HE/SHE IS AN OFFICER, DIRECTOR, TRUSTEE, MEMBER, OWNER (EITHER AS A SOLE PROPRIETOR OR PARTNER), SHAREHOLDER, EMPLOYEE OR AGENT, WITH WHICH THE CORPORATION HAS, OR MIGHT REASONABLY IN THE FUTURE ENTER INTO, A RELATIONSHIP OR A TRANSACTION IN WHICH THE DIRECTOR WOULD HAVE CONFLICTING INTERESTS. THE PRESIDENT SHALL BECOME FAMILIAR WITH THE STATEMENTS OF ALL DIRECTORS IN ORDER TO GUIDE HIS CONDUCT SHOULD A CONFLICT ARISE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE COMMITTEE CONFIRMED THAT THE ADMINISTRATOR/DIRECTOR OF THE ENTITY WOULD BE RESPONSIBLE FOR THE DAILY OPERATIONS OF THE BUSINESS AS OUTLINED IN THE ADMINISTRATOR'S JOB DESCRIPTION. THE COMMITTEE DEFINED THAT THE PRESIDENT OF THE BOARD OF DIRECTORS WOULD BE RESPONSIBLE FOR THE OVERSIGHT OF THE ADMINISTRATOR/DIRECTOR. COMPENSATION WILL BE BASED UPON MARKET AND MERIT. BEGINNING IN APRIL OF EACH FISCAL YEAR MARKET FIGURES WILL BE REVIEWED BY THE PRESIDENT AND COMMITTEE. THE PRESIDENT WILL MEET WITH THE ADMINISTRATOR/DIRECTOR AND SET PERFORMANCE GOALS AND THE DIRECTOR WILL PROVIDE FEEDBACK TO THE PRESIDENT TO IMPLEMENT IN THE EVALUATION. IN MAY, A DRAFT OF THE DIRECTOR'S EVALUATION WILL BE PROVIDED TO THE COMMITTEE INCLUDING THE DIRECTOR'S FEEDBACK. THE COMMITTEE WILL REVIEW AND RECOMMEND APPROPRIATE ACTION. APPROVAL OF COMPENSATION WILL BE INCLUDED IN THE BUDGET AND PRESENTED TO THE BOARD OF DIRECTORS FOR JULY IMPLEMENTATION (THE BEGINNING OF THE FISCAL YEAR). |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE PRESIDENT OF THE BOARD WORKS IN CONJUNCTION WITH THE PERSONNEL COMMITTEE REGARDING THE COMPENSATION OF KEY EMPLOYEES. AS PART OF THE ANNUAL EVALUATION PROCESS, THE COMMITTEE GATHERS RELATIVE COMPENSATION DATA AND PRESENTS TO THE BOARD FOR APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERBEND COMMUNITY MENTAL HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3-5 NORTH STREET | AddressLine1Txt |
| City | CONCORD | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 033022032 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020264383 | EIN |
| Primary Activities | MEN.HEALTH | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Exempt Code Section | 501C3 | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |