Greater Seacoast Community Health

Overview

Mission

To deliver innovative, compassionate, integrated health services and support that are accessible to all in our community, regardless of ability to pay.

What it reported doing in 2024

Primary Care Services - Our Somersworth and Portsmouth Health Centers are recognized as a level 3 (highest level) Patient-Centered Medical Home by the National Committee on Quality Assurance. We have been recognized since 2011 and work hard to meet their increasingly demanding standards every three years. Primary care services include: Physicals, Well-child check-ups & developmental screening; Sick visits; Chronic disease management, Social support services & referrals, Nutrition counseling & education, Immunizations, Women's Health, Assistance with enrolling in a health insurance plan, Sliding scale fee is available for eligible patients, Wellness Groups, Breast and Cervical Cancer Screening for eligible women, Intensive outpatient programming, Medicated Assisted Therapy and substance use disorder support. We also offer primary care and substance misuse services via our mobile clinics that serve homeless and very low income populations.

Operating model

Revenue model
Earned-program. 62% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

Nonprofit profile at a glance

EIN
020304203
IRS 990 coverage
2010–2024
Forms available
Form 990 2024, Form 990-T 2024
Headquarters
Somersworth, NH, USA
Phone
6037492346
Rating
85
Verdict
STRONG
Rating confidence
Moderate
Sector
Ambulatory Health Center, Community Clinic

Official website

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 82
  • Transparency & Controls: 84
  • Accountability: 100
  • Sustainability: 32
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 87%; rating input score 87
  • Program expense ratio: 84.6%; rating input score 85
  • Fundraising efficiency: $12.87 raised per $1 spent on fundraising; rating input score 45; 45th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -1.8%; rating input score 24; 24th percentile among comparable filings
  • Total-asset coverage ratio: 1.11; rating input score 39; 39th percentile among comparable filings
  • Liabilities to assets ratio: 0.25; rating input score 52; 52nd percentile among comparable filings
  • Officer compensation ratio: 8.4%; rating input score 27; 27th percentile among comparable filings

Growth

  • Program expense growth: 10.8% per year; rating input score 100; 73rd percentile among comparable filings
  • Revenue growth: 8.3% per year; rating input score 100; 66th percentile among comparable filings
  • Asset growth: 9.7% per year; rating input score 100; 63rd percentile among comparable filings

Details

  • Where the money goes: 87% of revenue deployed · 84.6% of spending went to programs
  • Governance: 14 of 14 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $18.3M in reported program spending
  • Leadership: top reported pay $296K · 22 people listed · 4 of 6 pay-setting controls reported
  • Consistency: 36 of 36 current checks pass
  • Schedules: 7 filed schedules · includes major donors and executive pay
  • Filing history: 12 annual filings from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Leadership & pay

22 people listed

Highest reported compensation

  • Joann Buonomano (Chief Medical Officer): $296,396 total reported compensation
  • Kevin Zent (Site Medical Director): $291,674 total reported compensation
  • James Avrett (Chief Executive Officer): $241,766 total reported compensation

Source: IRS Form 990. Selected filing: FY2024.