STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

FISH RIVER RURAL HEALTH: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
FISH RIVER RURAL HEALTH (EIN 01-0452749)
Tax period
2021-07-01 to 2022-06-30
Filed
2022-09-29
IRS object ID
202242729349300429
Schema version
2021v4.0
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)
Return2022-09-29T15:22:19-04:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010411241PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHESTER M KEARNEY PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1550AddressLine1Txt
CityPRESQUE ISLECityNm
State AbbreviationMEStateAbbreviationCd
ZIP04769ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010452749EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FISH RIVER RURAL HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFISHBusinessNameControlTxt
Phone2074445973PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 309AddressLine1Txt
CityEAGLE LAKECityNm
State AbbreviationMEStateAbbreviationCd
ZIP047390309ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN MARTINPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2074445973PhoneNum
Signature2022-08-31SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOHNPersonFirstNm
Person LastMARTINPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTIMOTHY P POITRASPreparerPersonNm
PTINP00542788PTIN
Phone2077643171PhoneNum
Preparation2022-08-31PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN MARTINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13318 AROOSTOOK ROADAddressLine1Txt
CityEAGLE LAKECityNm
State AbbreviationMEStateAbbreviationCd
ZIP04739ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,834,700GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FRRH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionTHE MISSION OF FISH RIVER RURAL HEALTH IS TO PROVIDE ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTIVE CARE OF THE HIGHEST QUALITY TO THE UNDERSERVED POPULATION AND TO IMPROVE THE HEALTH CARE STATUS OF THE RESIDENTS OF THE ST. JOHN VALLEY.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee89TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,208,911PYContributionsGrantsAmt
CY Contributions Grants$2,976,717CYContributionsGrantsAmt
PY Program Service Revenue$6,151,930PYProgramServiceRevenueAmt
CY Program Service Revenue$6,855,641CYProgramServiceRevenueAmt
PY Investment Income$4,288PYInvestmentIncomeAmt
CY Investment Income$2,342CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$10,365,129PYTotalRevenueAmt
CY Total Revenue$9,834,700CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,420,042PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,355,778CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,874,086PYOtherExpensesAmt
CY Other Expenses$2,028,445CYOtherExpensesAmt
PY Total Expenses$8,294,128PYTotalExpensesAmt
CY Total Expenses$9,384,223CYTotalExpensesAmt
PY Revenues Less Expenses$2,071,001PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$450,477CYRevenuesLessExpensesAmt
Total Assets BOY$9,170,141TotalAssetsBOYAmt
Total Assets EOY$8,902,258TotalAssetsEOYAmt
Total Liabilities BOY$2,813,502TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,095,146TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,356,639NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,807,112NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF FISH RIVER RURAL HEALTH IS TO PROVIDE ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTIVE CARE OF THE HIGHEST QUALITY TO THE UNDERSERVED POPULATION AND TO IMPROVE THE HEALTH CARE STATUS OF THE RESIDENTS OF THE ST. JOHN VALLEY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,230,478ExpenseAmt
Revenue$6,855,641RevenueAmt
DescTHE CENTER PROVIDES HEALTH CARE SERVICES FOR THE PEOPLE OF ALL AGES FROM THE SURROUNDING AREA.Desc
Total Program Service Expenses$7,230,478TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee89EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJANE DUBOISPersonNm
Phone2074445973PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 309AddressLine1Txt
CityEAGLE LAKECityNm
State AbbreviationMEStateAbbreviationCd
ZIP04739ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DR CAMERON GRANGE
DOCTOR40.00Yes (X)$235,993$0$36,809
DR PAUL PELLETIER
DOCTOR50.00Yes (X)$238,643$0$11,874
DR JESSICA PARTLOW
DOCTOR40.00Yes (X)$210,426$0$36,809
HEATHER PELLETIER
EXECUTIVE DI50.00$191,847$0$36,809Yes (X)
LUCIEN DAIGLE
DENTIST36.00Yes (X)$180,543$0$23,748
JANE DUBOIS
DIRECTOR OF40.00$103,767$0$33,610Yes (X)
RACHEL ALBERT
DIRECTOR1.00$0$0$0Yes (X)
THERESA BEAULIEU
DIRECTOR1.00$0$0$0Yes (X)
SANDRA BERNSTEIN
DIRECTOR1.00$0$0$0Yes (X)
JUDY DOUSTOU
SECRETARY1.00$0$0$0Yes (X)Yes (X)
NORM FOURNIER
VICE PRESIDE1.00$0$0$0Yes (X)Yes (X)
PAULA GARDNER
TREASURER1.00$0$0$0Yes (X)Yes (X)
TROY JACKSON
DIRECTOR1.00$0$0$0Yes (X)
AMY L'ITALIEN
DIRECTOR1.00$0$0$0Yes (X)
JOHN MARTIN
PRESIDENT2.00$0$0$0Yes (X)Yes (X)
BETTY PELLETIER
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,161,219TotalReportableCompFromOrgAmt
Total Other Compensation$179,659TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonHARRIMANPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line146 HARRIMAN DRIVEAddressLine1Txt
CityAUBURNCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04210ZIPCd
FieldValueIRS element (for citing)
ServicesARCHITECTUALServicesDesc
Compensation$270,231CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$2,894,538GovernmentGrantsAmt
All Other Contributions$82,179AllOtherContributionsAmt
Total Contributions$2,976,717TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SERVICE FEES$5,726,812$5,726,812
OTHER OPERATING INCOME$1,150,826$1,150,826
REVENUE DEDUCTIONS & ADJUST$26,366$26,366
COST OF GOODS SOLD-$48,363-$48,363
FieldValueIRS element (for citing)
Total Program Service Revenue$6,855,641TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,342TotalRevenueColumnAmt
Related Or Exempt Func Income$2,342RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,834,700TotalRevenueColumnAmt
Related Or Exempt Func Income$6,857,983RelatedOrExemptFuncIncomeAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,784,198TotalAmt
Program Services$4,480,575ProgramServicesAmt
Management And General$1,303,623ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,571,580TotalAmt
Program Services$1,195,381ProgramServicesAmt
Management And General$376,199ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$163TotalAmt
Management And General$163ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,997TotalAmt
Program Services$24,997ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$24,892TotalAmt
Program Services$24,480ProgramServicesAmt
Management And General$412ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$134,078TotalAmt
Program Services$37,002ProgramServicesAmt
Management And General$97,076ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,072TotalAmt
Program Services$9,589ProgramServicesAmt
Management And General$483ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$62,993TotalAmt
Management And General$62,993ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$269,637TotalAmt
Program Services$269,637ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$20,196TotalAmt
Management And General$20,196ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$498,424$416,898$81,526
CONTRACT SERVICES$319,228$318,660$568
PURCHASED SERVICES$313,109$143,937$169,172
DUES$68,555$56,269$12,286

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$282,101TotalAmt
Program Services$253,053ProgramServicesAmt
Management And General$29,048ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,384,223TotalAmt
Program Services$7,230,478ProgramServicesAmt
Management And General$2,153,745ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,389,425BOYAmt
EOY$583,597EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,751,717BOYAmt
EOY$1,841,337EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$490,871BOYAmt
EOY$620,407EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$51,709BOYAmt
EOY$57,004EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,795BOYAmt
EOY$42,884EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,387,412LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,630,383LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,471,624BOYAmt
EOY$5,757,029EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,170,141BOYAmt
EOY$8,902,258EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$808,913BOYAmt
EOY$601,095EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,004,589BOYAmt
EOY$1,494,051EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,813,502BOYAmt
EOY$2,095,146EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,238,674BOYAmt
EOY$5,619,953EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,117,965BOYAmt
EOY$1,187,159EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,356,639BOYAmt
EOY$6,807,112EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,170,141BOYAmt
EOY$8,902,258EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$450,477ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$4OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,804,697CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,182,533CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,447,251CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,208,911CurrentTaxYearMinus1YearAmt
Current Tax Year$2,976,717CurrentTaxYearAmt
Total$14,620,109TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,804,697CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,182,533CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,447,251CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,208,911CurrentTaxYearMinus1YearAmt
Current Tax Year$2,976,717CurrentTaxYearAmt
Total$14,620,109TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$14,620,109PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,710CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,335CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,367CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,288CurrentTaxYearMinus1YearAmt
Current Tax Year$2,342CurrentTaxYearAmt
Total$30,042TotalAmt
FieldValueIRS element (for citing)
Total Support$14,650,151TotalSupportAmt
Gross Receipts Rltd Activities$27,376,477GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99790PublicSupportCY170Pct
Public Support PY1700.99680PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,800,827InvestmentCostOrOtherBasisAmt
Depreciation$712,596DepreciationAmt
Book Value$5,088,231BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$109,266InvestmentCostOrOtherBasisAmt
Depreciation$84,791DepreciationAmt
Book Value$24,475BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$992,319OtherCostOrOtherBasisAmt
Depreciation$700,468DepreciationAmt
Book Value$291,851BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$485,000OtherCostOrOtherBasisAmt
Depreciation$132,528DepreciationAmt
Book Value$352,472BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,757,029TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$9,834,700TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$9,834,700RevenueSubtotalAmt
Total Revenue Per Form990$9,834,700TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,384,223TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$9,384,223ExpensesSubtotalAmt
Total Expenses Per Form990$9,384,223TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
DR CAMERON GRANGE
DOCTOR$235,993$36,809$272,802
DR PAUL PELLETIER
DOCTOR$238,643$11,874$250,517
DR JESSICA PARTLOW
DOCTOR$210,426$36,809$247,235
HEATHER PELLETIER
EXECUTIVE DIRECTOR$191,847$36,809$228,656
LUCIEN DAIGLE
DENTIST$180,543$23,748$204,291

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTHE MISSION OF FISH RIVER RURAL HEALTH IS TO PROVIDE ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTIVE CARE OF THE HIGHEST QUALITY TO THE UNDERSERVED POPULATION AND TO IMPROVE THE HEALTH CARE STATUS OF THE RESIDENTS OF THE ST. JOHN VALLEY.
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING
FORM 990, PAGE 6, PART VI, LINE 12CTHE BOARD HAS ADOPTED A CODE OF CONDUCT WHICH INCLUDES A CONFLICT OF INTEREST POLICY. IT IS SENT ANNUALLY TO THE BOARD MEMBERS FOR REVIEW AND SIGNATURE.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION PAY SCALES ARE DISCUSSED AND DECIDED BY THE EXECUTIVE/PERSONNEL COMMITTEE ON AN ANNUAL BASIS. COMMITTEE USES COMPARABILITY DATA THAT IS PUBLISHED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE MAINE DEPARTMENT OF LABOR. IN ADDITION LOCAL AGENCIES ARE SURVEYED ANNUALLY FOR COMPARISON PURPOSES. THE DISCUSSION AND DECISON MAKING IS COMPLETED WITHOUT AFFECTED EMPLOYEES PRESENT. THE COMMITEE'S DECISON GOES TO THE FULL BOARD FOR REVIEW AND APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 15BSEE 15.A.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE MADE AVAILABLE UPON REQUEST
FORM 990, PART XI, LINE 9ROUNDING -4