GREATER SEACOAST COMMUNITY HEALTH: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- GREATER SEACOAST COMMUNITY HEALTH (EIN 02-0304203)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-01-23
- IRS object ID
- 201510239349300616
- Schema version
- 2013v4.0
- 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 | 2015-01-23T11:08:02-06:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010242373 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MACPAGE LLC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 LONG CREEK DRIVE | AddressLine1 |
| City | SOUTH PORTLAND | City |
| State | ME | State |
| ZIP Code | 04106 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020304203 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOODWIN COMMUNITY HEALTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 6037492346 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 311 ROUTE 108 | AddressLine1 |
| City | SOMERSWORTH | City |
| State | NH | State |
| ZIP Code | 03878 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANET LAATSCH | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6037492346 | PhoneNum |
| Signature | 2015-01-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PATRICK NICHOLAS | PreparerPersonNm |
| PTIN | P00289567 | PTIN |
| Phone | 2077745701 | PhoneNum |
| Preparation | 2015-01-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JANET LAATSCH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 311 ROUTE 108 | AddressLine1 |
| City | SOMERSWORTH | City |
| State | NH | State |
| ZIP Code | 03878 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,967,063 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GOODWINCH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | GOODWIN COMMUNITY HEALTH'S MISSION IS TO PROVIDE INTEGRATED, COMPREHENSIVE, QUALITY HEALTHCARE, SERVING ALL IN OUR COMMUNITY, PAYMENT FOR WHICH IS BASED ON ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 133 | TotalEmployeeCnt |
| Total Volunteers | 140 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,125,795 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,421,807 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,353,821 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,328,349 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $47 | CYInvestmentIncomeAmt |
| PY Other Revenue | $461,399 | PYOtherRevenueAmt |
| CY Other Revenue | $201,066 | CYOtherRevenueAmt |
| PY Total Revenue | $7,941,015 | PYTotalRevenueAmt |
| CY Total Revenue | $7,951,269 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,658,422 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,731,344 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $137,934 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,087,625 | PYOtherExpensesAmt |
| CY Other Expenses | $3,038,239 | CYOtherExpensesAmt |
| PY Total Expenses | $7,746,047 | PYTotalExpensesAmt |
| CY Total Expenses | $7,769,583 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $194,968 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $181,686 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,606,666 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,567,435 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,906,386 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,685,469 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,700,280 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,881,966 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | GOODWIN COMMUNITY HEALTH'S MISSION IS TO PROVIDE INTEGRATED, COMPREHENSIVE, QUALITY HEALTHCARE, SERVING ALL IN OUR COMMUNITY, PAYMENT FOR WHICH IS BASED ON ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,666,661 | ExpenseAmt |
| Revenue | $1,644,806 | RevenueAmt |
| Desc | NUTRITION PROGRAM - WOMEN, INFANTS, AND CHILDREN (WIC) IS A PREVENTATIVE FREE HEALTH AND NUTRITION SERVICE PROVIDING MILK, JUICE, CEREAL, EGGS, FRUITS, VEGETABLES, BEANS, BREAD, CHEESE, PEANUT BUTTER, BABY FOOD AND INFANT FORMULA TO PREGNANT WOMEN, NEW MOTHERS AND CHILDREN UP TO AGE FIVE. THE COMMODITY SUPPLEMENTAL FOOD PROGRAM (CSFP) WORKS TO IMPROVE THE HEALTH OF LOW-INCOME, OTHER NEW MOTHERS UP TO ONE YEAR POSTPARTUM, INFANTS, CHILDREN UP TO AGE SIX, AND SENIORS AT LEAST 60 YEARS OF AGE BY SUPPLEMENTING THEIR DIETS WITH NUTRITIOUS USDA COMMODITY FOODS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,626,930 | ExpenseAmt |
| Revenue | $2,404,503 | RevenueAmt |
| Desc | PRIMARY CARE - PROVIDES MEDICAL CARE FOR FAMILIES, INCLUDING WELL AND SICK CHILD CARE, TEEN HEALTH CARE, TEEN HEALTH CLINICS, ADULT CARE, AND COMPREHENSIVE PEDIATRIC CARE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $802,262 | ExpenseAmt |
| Revenue | $932,752 | RevenueAmt |
| Desc | DENTAL PROGRAM SERVICES - PROVIDES ACCESS TO COMPREHENSIVE DENTAL HEALTH SERVICES, INCLUDING ORAL HEALTH EXAMS, CLEANINGS, ORAL HYGIENE INSTRUCTIONS, FLUORIDE TREATMENTS, DIGITAL X-RAYS, ORAL CANCER SCREENINGS, AMALGAM AND COMPOSITE FILLINGS, EXTRACTIONS, DENTURES AND LIMITED CROWNS AND ROOT CANALS. ALSO PROVIDE SCHOOL BASED DENTAL PROGRAM SERVICES INCLUDE EDUCATION, FREE SCREENINGS, PROVIDERS TO DIAGNOSE AND APPROVE TREATMENTS, AND REFERRALS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,569,753 | ExpenseAmt |
| Revenue | $444,822 | RevenueAmt |
| Desc | PRENATAL SERVICES - PROVIDES COMPREHENSIVE CARE TO INDIVIDUAL MOTHERS. SERVICE PROVIDERS, REGISTERED NURSES, NUTRITIONISTS, SOCIAL WORKERS AND BREAST FEEDING COUNSELORS PROVIDE SUPPORT AND VARIOUS RESOURCES TO EXPECTANT MOTHERS. CENTERING PREGNANCY PROGRAM PAIRS EXPECTANT MOTHERS WITH SIMILAR DUE DATES IN GROUPS WHERE MOTHERS RECEIVE SOLUTIONS, SUPPORT AND EDUCATION RELATED TO HEALTHY PRACTICES FOR EATING AND EXERCISING AND MONITORING THEIR OWN HEALTH AS WELL AS THEIR BABY'S.FAMILY PLANNING SERVICES - PROVIDES CONFIDENTIAL COUNSELING, SCREENING, AND TREATMENT FOR REPRODUCTIVE AND SEXUAL HEALTH NEEDS. PROVIDES EDUCATIONAL MATERIALS, SUPPORT SERVICES, AND PROVIDERS TO ALL WOMEN REGARDLESS OF AGE OR ABILITY TO PAY. EDUCATIONAL MATERIALS ARE DISTRIBUTED TO TEENS ON THESE CONFIDENTIAL SERVICES THROUGH COMMUNITY SCHOOLS AND AT LOCATIONS FREQUENTED BY TEENS. TEENS MAY COME TO AVIS GOODWIN AND BE EDUCATED, TESTED, TREATED, AND PROVIDED COUNSELING ON SEXUAL PREPAREDNESS AND FAMILY PLANNING ISSUES.MENTAL HEALTH SERVICES - MENTAL HEALTH SERVICES HAVE BEEN INTEGRATED INTO EXISTING MEDICAL SERVICES FOR ESTABLISHED PATIENTS. A TEAM OF MENTAL HEALTH PROVIDERS, (A PSYCHOLOGIST, PSYCHIATRIC NURSE PRACTITIONER AND LICENSED SOCIAL WORKER) WORKS WITH THE INDIVIDUAL'S PRIMARY CARE PROVIDER. A NURSE CARE MANAGER FOLLOWS UP WITH PATIENTS AND FAMILIES, PROVIDING EDUCATION, RESOURCES, AND MONITORING PATIENT OUTCOMES. SOCIAL WORKERS AND THERAPISTS ARE AVAILABLE WITH PROVIDER REFERRAL.VARIOUS OTHER PROGRAMS - BREAST AND CERVICAL CANCER PROGRAMS, OBSTETRICAL AND GYNECOLOGICAL CARE, HEALTH AND WELLNESS EDUCATION, CHRONIC DISEASE MANAGEMENT, MEDICATION ASSISTANCE PROGRAM | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,569,753 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $444,822 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $6,665,606 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 133 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERIN ROSS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6035162549 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 311 ROUTE 108 | AddressLine1 |
| City | SOMERSWORTH | City |
| State | NH | State |
| ZIP Code | 03878 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DAVID B STAPLES DDS | |||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| VALERIE GOODWIN | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARK BOULANGER | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARISSA RUFFINI | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ALLISON NEAL | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANE WRIGHT | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HILTON KELLY | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KIRSTEN JONES | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LAURIE A BIRACREE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NANCY BURGESS-ANDERSON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAMELA BERTRAM MD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT F KRAUNZ MD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TIMOTHY BEAUPRE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANET LAATSCH | |||||||
| CEO | 40.00 | Yes (X) | $118,390 | $0 | $13,222 | ||
| ERIN ROSS | |||||||
| CFO | 40.00 | Yes (X) | $79,722 | $0 | $336 | ||
| KEVIN ZENT | |||||||
| PHYSICIAN | 40.00 | $157,477 | $0 | $15,769 | Yes (X) | ||
| WHITNEY GOODE | |||||||
| DENTAL DIRECTOR | 36.00 | $154,765 | $0 | $9,189 | Yes (X) | ||
| MICHAEL THOMPSON | |||||||
| PHYSICIAN | 26.00 | $104,804 | $0 | $17,780 | Yes (X) | ||
| SANDRA ROSE | |||||||
| BEHAVIORAL HEALTH DIRECTOR | 36.00 | $103,338 | $0 | $12,143 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $718,496 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $68,439 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHAN | BusinessNameLine1 |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 SOUTH MAIN ST | AddressLine1 |
| City | NEWMARKET | City |
| State | NH | State |
| ZIP Code | 03857 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | SOFTWARE | ServicesDesc |
| Compensation | $179,341 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,077,437 | GovernmentGrantsAmt |
| All Other Contributions | $344,370 | AllOtherContributionsAmt |
| Total Contributions | $2,421,807 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENU | 621400 | $3,755,439 | $3,755,439 |
| WIC FOOD VOUCHERS | 624100 | $1,572,910 | $1,572,910 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,328,349 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47 | TotalRevenueColumnAmt |
| Exclusion | $47 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $64,340 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $64,340 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $64,340 | TotalRevenueColumnAmt |
| Exclusion | $64,340 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $53,986 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $15,794 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,192 | TotalRevenueColumnAmt |
| Exclusion | $38,192 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Total Revenue Column | $98,534 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $98,534 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $98,534 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,951,269 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,426,883 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $102,579 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,670 | TotalAmt |
| Management And General | $211,670 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,534,585 | TotalAmt |
| Program Services | $3,181,670 | ProgramServicesAmt |
| Management And General | $264,290 | ManagementAndGeneralAmt |
| Fundraising | $88,625 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $663,200 | TotalAmt |
| Program Services | $521,839 | ProgramServicesAmt |
| Management And General | $128,226 | ManagementAndGeneralAmt |
| Fundraising | $13,135 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,889 | TotalAmt |
| Program Services | $274,371 | ProgramServicesAmt |
| Management And General | $39,875 | ManagementAndGeneralAmt |
| Fundraising | $7,643 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,608 | TotalAmt |
| Program Services | $100,935 | ProgramServicesAmt |
| Management And General | $45,473 | ManagementAndGeneralAmt |
| Fundraising | $200 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,229 | TotalAmt |
| Program Services | $19,120 | ProgramServicesAmt |
| Management And General | $252 | ManagementAndGeneralAmt |
| Fundraising | $20,857 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,313 | TotalAmt |
| Program Services | $40,973 | ProgramServicesAmt |
| Management And General | $9,189 | ManagementAndGeneralAmt |
| Fundraising | $151 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,800 | TotalAmt |
| Program Services | $6,230 | ProgramServicesAmt |
| Management And General | $5,570 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,335 | TotalAmt |
| Program Services | $17,674 | ProgramServicesAmt |
| Management And General | $5,993 | ManagementAndGeneralAmt |
| Fundraising | $668 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,006 | TotalAmt |
| Management And General | $57,006 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,797 | TotalAmt |
| Program Services | $222,916 | ProgramServicesAmt |
| Management And General | $46,881 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,880 | TotalAmt |
| Program Services | $11,233 | ProgramServicesAmt |
| Management And General | $26,647 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| WIC FOOD VOUCHERS | $1,572,910 | $1,572,910 | ||
| EQUIPMENT LEASES AND SU | $256,092 | $219,472 | $34,066 | $2,554 |
| MEDICAL SUPPLIES | $131,695 | $131,695 | ||
| REPAIRS AND MAINTENANCE | $92,669 | $63,163 | $29,016 | $490 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,905 | TotalAmt |
| Program Services | $281,405 | ProgramServicesAmt |
| Management And General | $61,889 | ManagementAndGeneralAmt |
| Fundraising | $3,611 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,769,583 | TotalAmt |
| Program Services | $6,665,606 | ProgramServicesAmt |
| Management And General | $966,043 | ManagementAndGeneralAmt |
| Fundraising | $137,934 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $560,641 | BOYAmt |
| EOY | $634,174 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,712 | BOYAmt |
| EOY | $163,401 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $311,681 | BOYAmt |
| EOY | $446,806 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,677 | BOYAmt |
| EOY | $5,896 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,694,510 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,422,352 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,541,955 | BOYAmt |
| EOY | $6,272,158 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,000 | BOYAmt |
| EOY | $45,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,606,666 | BOYAmt |
| EOY | $7,567,435 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $541,208 | BOYAmt |
| EOY | $486,675 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,365,178 | BOYAmt |
| EOY | $1,198,794 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,906,386 | BOYAmt |
| EOY | $1,685,469 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,288 | BOYAmt |
| EOY | $461,985 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,629,992 | BOYAmt |
| EOY | $5,419,981 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,700,280 | BOYAmt |
| EOY | $5,881,966 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,606,666 | BOYAmt |
| EOY | $7,567,435 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $181,686 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,247,377 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,895,059 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,092,522 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,125,795 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,421,807 | CurrentTaxYearAmt |
| Total | $17,782,560 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,247,377 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,895,059 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,092,522 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,125,795 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,421,807 | CurrentTaxYearAmt |
| Total | $17,782,560 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $17,782,560 | PublicSupportTotal170Amt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $129,769 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $110,863 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $237,427 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $257,834 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $98,534 | CurrentTaxYearAmt |
| Total | $834,427 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $18,616,987 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $24,644,162 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95520 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95240 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $718,427 | OtherCostOrOtherBasisAmt |
| Book Value | $718,427 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,667,243 | OtherCostOrOtherBasisAmt |
| Depreciation | $448,056 | DepreciationAmt |
| Book Value | $5,219,187 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,308,840 | OtherCostOrOtherBasisAmt |
| Depreciation | $974,296 | DepreciationAmt |
| Book Value | $334,544 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,272,158 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $8,019,036 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $51,973 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $15,794 | OtherRevenueAmt |
| Revenue Not Reported | $67,767 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,951,269 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,951,269 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,837,350 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $51,973 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $15,794 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $67,767 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,769,583 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,769,583 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENT EXPENSES 15,794. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENT EXPENSES 15,794. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | FATHERS DAY 5K | NameOfEvent1Amt |
| Gross Receipts Event1 | $26,755 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $26,755 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $6,762 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | BANFF FILM FESTIVAL | NameOfEvent2Amt |
| Gross Receipts Event2 | $21,045 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $21,045 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $3,725 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 4 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $6,186 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $6,186 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $5,307 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $53,986 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $53,986 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $15,794 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $15,794 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $38,192 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEVIN ZENT | ||||||||||||||
| PHYSICIAN | $145,852 | $0 | $11,625 | $0 | $0 | $0 | $0 | $0 | $15,769 | $0 | $173,246 | $0 | $0 | $0 |
| WHITNEY GOODE | ||||||||||||||
| DENTAL DIRECTOR | $145,265 | $0 | $9,500 | $0 | $0 | $0 | $0 | $0 | $9,189 | $0 | $163,954 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | LINE 11A EXPLANATION - AN ELECTRONIC COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR DISCUSSION, REVIEW AND APPROVAL BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND OTHER KEY EMPLOYEES ARE REQUIRED TO READ AND SIGN CONFLICT OF INTEREST STATEMENTS ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES IS REVIEWED BY THE FINANCE COMMITTEE AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | PRINT COPIES OF GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY COULD BE PICKED UP AT OFFICE HEADQUARTERS. FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC HOWEVER PERTINENT ANNUAL FINANCIAL RESULTS ARE REPORTED IN THE ORGANIZATION'S ANNUAL REPORT. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT BAY MENTAL HEALTH ASSOCIATES | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 311 ROUTE 108 | AddressLine1 |
| City | SOMERSWORTH | City |
| State | NH | State |
| ZIP Code | 03878 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020430995 | EIN |
| Primary Activities | MENTAL HEALTH SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOODWIN COMMUNITY HEALTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $36,961 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $152,259 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT BAY MENTAL HEALTH ASSOCIATES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | J | TransactionTypeTxt |
| Involved | $51,290 | InvolvedAmt |
| Method Of Amount Determination | FAIR VALUE | MethodOfAmountDeterminationTxt |
Comments