GREATER SEACOAST COMMUNITY HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GREATER SEACOAST COMMUNITY HEALTH (EIN 02-0304203)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-03-18
IRS object ID
201340779349300214
Schema version
2011v1.5
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)
Timestamp2013-03-18T11:47:35-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Signed2013-03-18DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRobert MitchellName
Phone2077745701Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts7103620GrossReceipts
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 Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees147TotalNbrEmployees
Total Nbr Volunteers125TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year7895059ContributionsGrantsPriorYear
Contributions Grants Current Year2092522ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4476211ProgramServiceRevenuePriorYear
Program Service Revenue CY4549835ProgramServiceRevenueCY
Investment Income Prior Year457InvestmentIncomePriorYear
Investment Income Current Year112164InvestmentIncomeCurrentYear
Other Revenue Prior Year99796OtherRevenuePriorYear
Other Revenue Current Year119110OtherRevenueCurrentYear
Total Revenue Prior Year12471523TotalRevenuePriorYear
Total Revenue Current Year6873631TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4530870SalariesEtcPriorYear
Salaries Etc Current Year4582193SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year173491TotalFundrsngExpCurrentYear
Other Expense Prior Year3099866OtherExpensePriorYear
Other Expenses Current Year3129671OtherExpensesCurrentYear
Total Expenses Prior Year7630736TotalExpensesPriorYear
Total Expenses Current Year7711864TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4840787RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-838233RevenuesLessExpensesCY
Total Assets BOY9371285TotalAssetsBOY
Total Assets EOY7637679TotalAssetsEOY
Total Liabilities BOY3027740TotalLiabilitiesBOY
Total Liabilities EOY2132367TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6343545NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5505312NetAssetsOrFundBalancesEOY
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
Expense1458911Expense
Revenue1458911Revenue
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

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1335501Expense
Revenue1656190Revenue
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

Activity3 Activity3

FieldValueIRS element (for citing)
Expense861379Expense
DescriptionMENTAL 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.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2702083TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1434734TotalOfOtherProgramServiceRev
Total Program Service Expense6357874TotalProgramServiceExpense
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 EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees147NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
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 WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Timothy Beaupre
Director0.50X000
ROBERT F KRAUNZ MD
Board Member0.50X000
KELLEY LARUE
Board Member0.50X000
JANE WRIGHT
Secretary0.50X000X
Hilton Kelly
Board Member0.50X000
Marissa Ruffini
Board Member0.50X000
PAMELA BERTRAM MD
Board Member0.50X000
CLAUDIA CUNNINGHAM
Board Member0.50X000
VALERIE GOODWIN
Board Member0.50X000
Robert G Fullerton
Board Member0.50X000
MICHAEL O'SULLIVAN
Vice Chair0.50X000X
Allison Neal
Board Member0.50X000
MARK BOULANGER
TREASURER0.50X000X
Laurie A Biracree
Board Member0.50X000
David B Staples DDS
Chairman0.50X000X
Erin Ross
Financial Dir40.00569070315X
JANET ATKINS
Exe.Director40.0089660010117X
WHITNEY GOODE
DENTIST40.0014691707888X
JOLENE SHUMAN
PHYSICIAN40.001709240368X
LISA SLAUGHTER
DENTIST40.0013104309423X
LESLIE RANDAZZO
PAST FINANCE DIRECTOR40.003183002173X
FieldValueIRS element (for citing)
Total Reportable Comp From Org627281TotalReportableCompFromOrg
Total Other Compensation30284TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HUTTER CONSTRUCTION CORP
810 TURNPIKE ROADNEW IPSWICHNH03071CONSTRUCTION364793
CHAN
207 SOUTH MAIN STNEWMARKETNH03857SOFTWARE186008
ANTHEM BC & BS
PO BOX 11007LEWISTONME04243EMPLOYEE HEALTH PLAN294052
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants1781330GovernmentGrants
All Other Contributions311192AllOtherContributions
Total Contributions2092522TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
WIC FOOD VOUCHERS62410014589111458911
PATIENT SERVICE REVENUE62140030909243090924
FieldValueIRS element (for citing)
Total Program Service Revenue4549835TotalProgramServiceRevenue

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)
Real62691Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real62691Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column62691TotalRevenueColumn
Exclusion$62,691ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other336000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other223836Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other112164Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column112164TotalRevenueColumn
Related Or Exempt Function Income112164RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events33530GrossIncomeFundraisingEvents
Fundraising Direct Expenses6153FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column27377TotalRevenueColumn
Exclusion$27,377ExclusionAmount

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

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Total Revenue Column29042TotalRevenueColumn
Related Or Exempt Function Income29042RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue29042TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6873631TotalRevenueColumn
Related Or Exempt Function Income4691041RelatedOrExemptFunctionIncome
Exclusion$90,068ExclusionAmount

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)
Total191001Total
Management And General191001ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3435054Total
Program Services2995105ProgramServices
Management And General321052ManagementAndGeneral
Fundraising118897Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total630051Total
Program Services396455ProgramServices
Management And General215543ManagementAndGeneral
Fundraising18053Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total326087Total
Program Services201739ProgramServices
Management And General116094ManagementAndGeneral
Fundraising8254Fundraising

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)
Total17581Total
Program Services1899ProgramServices
Management And General51ManagementAndGeneral
Fundraising15631Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total28867Total
Program Services17576ProgramServices
Management And General10685ManagementAndGeneral
Fundraising606Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total48969Total
Program Services25463ProgramServices
Management And General22934ManagementAndGeneral
Fundraising572Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total20710Total
Program Services16808ProgramServices
Management And General3479ManagementAndGeneral
Fundraising423Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total72206Total
Management And General72206ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total271591Total
Program Services254054ProgramServices
Management And General17537ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total43211Total
Program Services24212ProgramServices
Management And General18999ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROFESSIONAL FEES11413027621850291480
EQUIPMENT LEASES AND SUPPLIES208140188947169372256
BAD DEBTS363771363771
WIC FOOD VOUCHERS14589111458911

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total481584Total
Program Services385313ProgramServices
Management And General88952ManagementAndGeneral
Fundraising7319Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7711864Total
Program Services6357874ProgramServices
Management And General1180499ManagementAndGeneral
Fundraising173491Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY284382BOY
EOY293198EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY330822BOY
EOY111520EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1202405BOY
EOY362704EOY

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)
BOY16465BOY
EOY7777EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7663520LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec884970LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7230218BOY
EOY6778550EOY

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)
BOY261993BOY
EOY38930EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9371285BOY
EOY7637679EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1315802BOY
EOY666772EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1711938BOY
EOY1465595EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3027740BOY
EOY2132367EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY337307BOY
EOY-269560EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6006238BOY
EOY5774872EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6343545BOY
EOY5505312EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9371285BOY
EOY7637679EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-838233ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
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 Years2028645CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2159141CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3247377CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7895059CurrentTaxYearMinus1Year
Current Tax Year2092522CurrentTaxYear
Total17422744Total

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 Years2028645CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2159141CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3247377CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7895059CurrentTaxYearMinus1Year
Current Tax Year2092522CurrentTaxYear
Total17422744Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17017422744PublicSupportTotal170

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 Years168591CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years139151CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years129769CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year110863CurrentTaxYearMinus1Year
Current Tax Year237427CurrentTaxYear
Total785801Total
FieldValueIRS element (for citing)
Total Support18208545TotalSupport
Gross Receipts From Admissions Etc24020970GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.95680PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96420PublicSupportPertcentPriorYear
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
Depreciation164694Depreciation
Book Value5502549BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1277850OtherCostOrOtherBasis
Depreciation720276Depreciation
Book Value557574BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6778550TotalOfBookValueLandBuildings
Total Revenue6873631TotalRevenue
Total Expenses7711864TotalExpenses
Excess Or Deficit For Year-838233ExcessOrDeficitForYear
Excess Or Deficit Per FS-838233ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6879784TotRevenueEtcAuditedFinclStmt
Other Revenues6153OtherRevenues
Revenue Not Rptd F9906153RevenueNotRptdF990
Revenue Subtotal6873631RevenueSubtotal
Total Revenue Per Form9906873631TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7718017TotExpensesEtcAuditedFinclStmt
Other Expenses Included6153OtherExpensesIncluded
Expenses Not Rptd F9906153ExpensesNotRptdF990
Expenses Subtotal7711864ExpensesSubtotal
Total Expenses Per Form9907711864TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 2dPart XIII, Line 2d: Other expenses and losses per audited F/SSpecial Event Expenses $6153
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990Special Event Expenses $6153

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BANFF FILM FESTIVALNameOfEvent1
Gross Receipts Event118713GrossReceiptsEvent1
Gross Revenue Event118713GrossRevenueEvent1
Other Direct Expenses Event12982OtherDirectExpensesEvent1
Name Of Event2FATHERS DAY 5K RUNNameOfEvent2
Gross Receipts Event211787GrossReceiptsEvent2
Gross Revenue Event211787GrossRevenueEvent2
Other Direct Expenses Event23168OtherDirectExpensesEvent2
Gross Receipts Total30500GrossReceiptsTotal
Gross Revenue Total Events30500GrossRevenueTotalEvents
Other Direct Expenses Total Events6150OtherDirectExpensesTotalEvents
Direct Expense Summary Events6150DirectExpenseSummaryEvents
Net Income Summary24350NetIncomeSummary

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)

Base Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
WHITNEY GOODE
1469177888154805
LESLIE RANDAZZO
31830217334003
JOLENE SHUMAN
170924368171292

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 11Form 990, Part VI, Line 11: 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 II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HEALTHSAFETY COUNCIL OF STRAFFORD CTYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1311 ROUTE 108AddressLine1
CitySOMERSWORTHCity
StateNHState
ZIP Code03878ZIPCode
FieldValueIRS element (for citing)
EIN331086589EIN
Primary ActivitiesPUBLIC HEALTH, DISEASE PREVENTION, EMERGENCY PLANNINGPrimaryActivities
Legal Domicile StateNHLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity StatusLine 7PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GOODWIN COMMUNITY HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg

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 108 204AddressLine1
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-118918ShareOfTotalIncome
Share Of EOY Assets79798ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
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
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 OrgstruePerformOfServicesForOtherOrgs
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 (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
GREAT BAY MENTAL HEALTH ASSOCIATES
i50016Fair Value
HEALTHSAFETY COUNCIL OF STRAFFORD CTY
k39000Fair Value
HEALTHSAFETY COUNCIL OF STRAFFORD CTY
i4156Fair Value

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.