GREATER SEACOAST COMMUNITY HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GREATER SEACOAST COMMUNITY HEALTH (EIN 02-0304203)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-01-30
IRS object ID
201430309349300273
Schema version
2012v2.0
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

FieldValueIRS element (for citing)
Timestamp2014-01-30T08:55:11-08:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Macpage LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1One Market SquareAddressLine1
CityAugustaCity
StateMEState
ZIP Code04330ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN020304203EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Goodwin Community HealthBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGOODNameControl
Phone6037492346Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1311 Route 108AddressLine1
CitySomersworthCity
StateNHState
ZIP Code03878ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJANET ATKINSName
TitleExecutive DirectorTitle
Date Signed2014-01-30DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRobert MitchellName
PTINP01240717PTIN
Phone2077745701Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJANET ATKINSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1311 ROUTE 108AddressLine1
CitySOMERSWORTHCity
StateNHState
ZIP Code03878ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7952875GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.goodwinch.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionGOODWIN 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees134TotalNbrEmployees
Total Nbr Volunteers140TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2092522ContributionsGrantsPriorYear
Contributions Grants Current Year2125795ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4549835ProgramServiceRevenuePriorYear
Program Service Revenue CY5353821ProgramServiceRevenueCY
Investment Income Prior Year112164InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year119110OtherRevenuePriorYear
Other Revenue Current Year461399OtherRevenueCurrentYear
Total Revenue Prior Year6873631TotalRevenuePriorYear
Total Revenue Current Year7941015TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4582193SalariesEtcPriorYear
Salaries Etc Current Year4658422SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year128328TotalFundrsngExpCurrentYear
Other Expense Prior Year3129671OtherExpensePriorYear
Other Expenses Current Year3087625OtherExpensesCurrentYear
Total Expenses Prior Year7711864TotalExpensesPriorYear
Total Expenses Current Year7746047TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-838233RevenuesLessExpensesPriorYear
Revenues Less Expenses CY194968RevenuesLessExpensesCY
Total Assets BOY7637679TotalAssetsBOY
Total Assets EOY7606666TotalAssetsEOY
Total Liabilities BOY2132367TotalLiabilitiesBOY
Total Liabilities EOY1906386TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5505312NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5700280NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionGOODWIN 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2217199Expense
Revenue55347Revenue
DescriptionVARIOUS OTHER PROGRAMS - BREAST AND CERVICAL CANCER PROGRAMS, OBSTETRICAL AND GYNECOLOGICAL CARE, HEALTH AND WELLNESS EDUCATION, CHRONIC DISEASE MANAGEMENT, MEDICATION ASSISTANCE PROGRAMDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1644806Expense
Revenue1644806Revenue
DescriptionNUTRITION 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1585379Expense
Revenue2512779Revenue
DescriptionPRIMARY CARE - PROVIDES MEDICAL CARE FOR FAMILIES, INCLUDING WELL AND SICK CHILD CARE, TEEN HEALTH CARE, TEEN HEALTH CLINICS, ADULT CARE, AND COMPREHENSIVE PEDIATRIC CAREDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1053936TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1140889TotalOfOtherProgramServiceRev
Total Program Service Expense6501320TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees134NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonErin RossNamePerson
Telephone Number6035162549TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1311 Route 108AddressLine1
CitySomersworthCity
StateNHState
ZIP Code03878ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Timothy Beaupre
Director1.000.00X000
ROBERT F KRAUNZ MD
Board Member1.000.00X000
KELLEY LARUE
Secretary1.000.00X000X
JANE WRIGHT
BOARD MEMBER1.000.00X000
Hilton Kelly
Board Member1.000.00X000
Marissa Ruffini
Board Member1.000.00X000
PAMELA BERTRAM MD
Board Member1.000.00X000
CLAUDIA CUNNINGHAM
Board Member1.000.00X000
VALERIE GOODWIN
VICE CHAIR1.000.00X000X
Robert G Fullerton
Board Member1.000.00X000
Allison Neal
Board Member1.000.00X000
MARK BOULANGER
TREASURER1.000.00X000X
Laurie A Biracree
Board Member1.000.00X000
David B Staples DDS
Chairman1.000.00X000X
Erin Ross
Financial Dir40.000.0072526062X
JANET ATKINS
Exe.Director40.000.00106278011233X
WHITNEY GOODE
DENTIST40.000.0015501507677X
STEVEN MOLNAR-GABOR
PHYSICIAN40.000.00159656012042X
LISA SLAUGHTER
DENTIST40.000.00134589010750X
MICHAEL THOMPSON
PHYSICIAN26.000.00109929015302X
KEVIN ZENT
PHYSICIAN40.000.00152405013668X
FieldValueIRS element (for citing)
Total Reportable Comp From Org890398TotalReportableCompFromOrg
Total Other Compensation70734TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHANBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1207 SOUTH MAIN STAddressLine1
CityNEWMARKETCity
StateNHState
ZIP Code03857ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesSOFTWAREDescriptionOfServices
Compensation188649Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants1764493GovernmentGrants
All Other Contributions361302AllOtherContributions
Total Contributions2125795TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
WIC FOOD VOUCHERS62410016448061644806
PATIENT SERVICE REVENUE62140037090153709015
FieldValueIRS element (for citing)
Total Program Service Revenue5353821TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real64172Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real64172Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column64172TotalRevenueColumn
Exclusion$64,172ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events45596GrossIncomeFundraisingEvents
Fundraising Direct Expenses11860FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column33736TotalRevenueColumn
Exclusion$33,736ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS215425215425
Class action settlement148066148066
FieldValueIRS element (for citing)
Total Other Revenue363491TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7941015TotalRevenueColumn
Related Or Exempt Function Income5717312RelatedOrExemptFunctionIncome
Exclusion$97,908ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total190099Total
Management And General190099ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3520726Total
Program Services3186464ProgramServices
Management And General268072ManagementAndGeneral
Fundraising66190Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total622604Total
Program Services409818ProgramServices
Management And General212786ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total324993Total
Program Services206940ProgramServices
Management And General107448ManagementAndGeneral
Fundraising10605Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total24107Total
Program Services3284ProgramServices
Management And General57ManagementAndGeneral
Fundraising20766Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total52828Total
Program Services39175ProgramServices
Management And General13621ManagementAndGeneral
Fundraising32Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total17036Total
Program Services11818ProgramServices
Management And General5218ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total26352Total
Program Services20449ProgramServices
Management And General5741ManagementAndGeneral
Fundraising162Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total68565Total
Management And General68565ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total267553Total
Program Services224380ProgramServices
Management And General43173ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total53099Total
Program Services35798ProgramServices
Management And General17301ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROFESSIONAL FEES1067113753969172
MEDICAL SUPPLIES136372136372
EQUIPMENT LEASES AND SUPPLIES229751178373492402138
WIC FOOD VOUCHERS16448061644806

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total460445Total
Program Services366104ProgramServices
Management And General65906ManagementAndGeneral
Fundraising28435Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7746047Total
Program Services6501320ProgramServices
Management And General1116399ManagementAndGeneral
Fundraising128328Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY293198BOY
EOY560641EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY111520BOY
EOY144712EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY362704BOY
EOY311681EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7777BOY
EOY2677EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7694510LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1152555LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6778550BOY
EOY6541955EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY45000BOY
EOY45000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY38930BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7637679BOY
EOY7606666EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY666772BOY
EOY541208EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1465595BOY
EOY1365178EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2132367BOY
EOY1906386EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-269560BOY
EOY70288EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5774872BOY
EOY5629992EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5505312BOY
EOY5700280EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7637679BOY
EOY7606666EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses194968ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2159141CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3247377CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7895059CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2092522CurrentTaxYearMinus1Year
Current Tax Year2125795CurrentTaxYear
Total17519894Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2159141CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3247377CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7895059CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2092522CurrentTaxYearMinus1Year
Current Tax Year2125795CurrentTaxYear
Total17519894Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17017519894PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years139151CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years129769CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years110863CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year237427CurrentTaxYearMinus1Year
Current Tax Year257834CurrentTaxYear
Total875044Total
FieldValueIRS element (for citing)
Total Support18394938TotalSupport
Gross Receipts From Admissions Etc24464890GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.95240PublicSupportPertcentage170
Public Support Pertcent Prior Year0.95680PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis718427OtherCostOrOtherBasis
Book Value718427BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5667243OtherCostOrOtherBasis
Depreciation306375Depreciation
Book Value5360868BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1308840OtherCostOrOtherBasis
Depreciation846180Depreciation
Book Value462660BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6541955TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt7952875TotRevenueEtcAuditedFinclStmt
Other Revenues11860OtherRevenues
Revenue Not Rptd F99011860RevenueNotRptdF990
Revenue Subtotal7941015RevenueSubtotal
Total Revenue Per Form9907941015TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7757907TotExpensesEtcAuditedFinclStmt
Other Expenses Included11860OtherExpensesIncluded
Expenses Not Rptd F99011860ExpensesNotRptdF990
Expenses Subtotal7746047ExpensesSubtotal
Total Expenses Per Form9907746047TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 2dPart XII, Line 2d: Other expenses and losses per audited F/SSpecial Event Expenses $11860
Part XI, Line 2dPart XI, Line 2d: Other revenue amounts included in F/S but not included on form 990Special Event Expenses $11860

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BANFF FILM FESTIVALNameOfEvent1
Gross Receipts Event119462GrossReceiptsEvent1
Gross Revenue Event119462GrossRevenueEvent1
Other Direct Expenses Event14429OtherDirectExpensesEvent1
Name Of Event2FATHERS DAY 5K RUNNameOfEvent2
Gross Receipts Event215213GrossReceiptsEvent2
Gross Revenue Event215213GrossRevenueEvent2
Other Direct Expenses Event24902OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events10921GrossReceiptsOtherEvents
Gross Revenue Other Events10921GrossRevenueOtherEvents
Other Direct Expenses Other Events2529OtherDirectExpensesOtherEvents
Gross Receipts Total45596GrossReceiptsTotal
Gross Revenue Total Events45596GrossRevenueTotalEvents
Other Direct Expenses Total Events11860OtherDirectExpensesTotalEvents
Direct Expense Summary Events11860DirectExpenseSummaryEvents
Net Income Summary33736NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
WHITNEY GOODE
DENTIST1550157677162692
STEVEN MOLNAR-GABOR
PHYSICIAN15965612042171698
KEVIN ZENT
PHYSICIAN15240513668166073

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailablePRINT 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.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCOMPENSATION 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, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBOARD MEMBERS AND OTHER KEY EMPLOYEES ARE REQUIRED TO READ AND SIGN CONFLICT OF INTEREST STATEMENTS ON AN ANNUAL BASIS.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessAN ELECTRONIC COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR DISCUSSION, REVIEW AND APPROVAL BEFORE FILING.
Form 990, Part III, Line 4dForm 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: 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. OTHER PROGRAM SERVICES 5: 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. OTHER PROGRAM SERVICES 6: 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. OTHER PROGRAM SERVICES 7: VARIOUS OTHER PROGRAMS - BREAST AND CERVICAL CANCER PROGRAMS, OBSTETRICAL AND GYNECOLOGICAL CARE, HEALTH AND WELLNESS EDUCATION, CHRONIC DISEASE MANAGEMENT, MEDICATION ASSISTANCE PROGRAM

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1GREAT BAY MENTAL HEALTH ASSOCIATESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1311 ROUTE 108AddressLine1
CitySOMERSWORTHCity
StateNHState
ZIP Code03878ZIPCode
FieldValueIRS element (for citing)
EIN020430995EIN
Primary ActivityMENTAL HEALTH SERVICESPrimaryActivity
Legal Domicile StateNHLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GOODWIN COMMUNITY HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC corpTypeOfEntity
Share Of Total Income-53241ShareOfTotalIncome
Share Of EOY Assets100411ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1GREAT BAY MENTAL HEALTH ASSOCIATESBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypejTransactionType
Amount Involved51290AmountInvolved
Method Of Amt DeterminationFair ValueMethodOfAmtDetermination

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